Sudden Knee Pain: Causes and Solutions - Orthopedics

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Knee pain


Doctor, my knee has suddenly been hurting recently, especially when bending and straightening it; I can only bend it slightly.
What could be the cause?

Xiao Lan, 20~29 year old female. Ask Date: 2012/09/14

Dr. Ye Qingnian reply Orthopedics


Hello: It is recommended to visit the orthopedic outpatient clinic for an examination.
Wishing you peace and good health.

Reply Date: 2012/09/14

More Info


Sudden knee pain can be a distressing experience, especially when it interferes with daily activities such as walking or climbing stairs. Based on the symptoms you've described—pain during bending and straightening of the knee, along with a sensation of tightness or inability to fully extend the knee—there are several potential causes that could be contributing to your discomfort.


Possible Causes of Sudden Knee Pain
1. Ligament Injuries: One of the most common causes of sudden knee pain is an injury to the ligaments, particularly the anterior cruciate ligament (ACL) or the medial collateral ligament (MCL). These injuries often occur during activities that involve sudden stops, changes in direction, or awkward landings.

2. Meniscus Tear: The meniscus is a C-shaped cartilage that acts as a cushion between your thigh bone and shin bone. A sudden twist or turn can lead to a tear in the meniscus, resulting in pain, swelling, and difficulty moving the knee.

3. Patellar Tendonitis: Also known as "jumper's knee," this condition occurs due to overuse of the knee joint, particularly in activities that involve jumping or running. It can cause pain around the kneecap, especially when bending or straightening the knee.

4. Bursitis: Inflammation of the bursae (small fluid-filled sacs that cushion the knee joint) can lead to pain and swelling. This condition can be caused by repetitive movements or prolonged pressure on the knee.

5. Osteoarthritis: While this condition typically develops gradually, sudden flare-ups can occur, leading to significant pain and stiffness in the knee joint. It is characterized by the degeneration of cartilage, which can result in bone-on-bone contact.

6. Plica Syndrome: The plica is a fold in the lining of the knee joint that can become irritated or inflamed, leading to pain, especially during movement.


Recommended Solutions
1. Rest and Ice: Initially, it is crucial to rest the knee and avoid activities that exacerbate the pain. Applying ice to the affected area for 15-20 minutes several times a day can help reduce swelling and alleviate pain.

2. Compression and Elevation: Using a compression bandage can help minimize swelling, and elevating the knee can also assist in reducing inflammation.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help manage pain and reduce inflammation.

4. Physical Therapy: If pain persists, consulting a physical therapist can be beneficial. They can provide exercises to strengthen the muscles around the knee, improve flexibility, and restore function.

5. Medical Evaluation: If the pain continues or worsens, it is essential to seek medical attention. A healthcare provider may recommend imaging studies such as X-rays or MRI to assess for any structural damage to the knee.

6. Avoiding Certain Movements: Until you have a clearer understanding of the cause of your pain, it may be wise to avoid activities that involve heavy bending, jumping, or twisting of the knee.


Conclusion
Sudden knee pain can arise from various causes, and understanding the underlying issue is crucial for effective treatment. If your symptoms persist or significantly impact your mobility, it is advisable to consult a healthcare professional for a thorough evaluation and tailored treatment plan. Early intervention can often lead to better outcomes and a quicker return to normal activities.

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