Left Knee Pain: Causes and Solutions for Your Symptoms - Orthopedics

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The pain in my left knee is getting worse?


Recently, my left knee has been very painful, and there is a sound when I squat down and get back up.
What could be the issue?

Ba Wan, 10~19 year old female. Ask Date: 2013/03/29

Dr. Wang Shouji reply Orthopedics


Hello: Most cases are due to the compression of the femur by the medial plica of the knee.
If there is no pain, it is usually not a major concern.
However, if there is pain due to an old injury, it is necessary to visit an orthopedic clinic for an examination.
Thank you!

Reply Date: 2013/03/29

More Info


Left knee pain can be a complex issue with various potential causes, especially when accompanied by symptoms such as popping or cracking sounds during movement. Given your description of experiencing pain in your left knee, particularly when squatting and rising, it is essential to consider several factors that could contribute to your discomfort.


Possible Causes of Left Knee Pain
1. Patellofemoral Pain Syndrome (PFPS): This condition is often characterized by pain around the kneecap (patella) and is common among individuals who engage in activities that put stress on the knee joint. Symptoms may include pain during squatting, climbing stairs, or sitting for extended periods. The popping sound you hear could be due to the patella not tracking properly within the femoral groove.

2. Meniscus Tear: The meniscus is a cartilage structure that acts as a cushion between the femur and tibia. A tear can occur due to sudden twisting motions or degenerative changes over time. Symptoms typically include pain, swelling, and a sensation of locking or catching in the knee, which might explain the sounds you hear when moving.

3. Ligament Injuries: Injuries to the ligaments, such as the anterior cruciate ligament (ACL) or medial collateral ligament (MCL), can also cause knee pain. These injuries often result from sports-related activities or sudden changes in direction. Symptoms may include swelling, instability, and pain during movement.

4. Osteoarthritis: This degenerative joint disease is common in older adults but can occur in younger individuals, especially if there is a history of knee injuries. Symptoms include joint stiffness, pain during activity, and crepitus (a grating sound) during movement.

5. Bursitis: Inflammation of the bursae, small fluid-filled sacs that cushion the knee joint, can lead to pain and swelling. Bursitis may result from repetitive activities or prolonged pressure on the knee.


Recommendations for Management
1. Rest and Ice: Initially, it is crucial to rest the knee and apply ice to reduce swelling and pain. Avoid activities that exacerbate the symptoms.

2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around the knee, improve flexibility, and enhance overall joint function. A physical therapist can design a tailored exercise program to address your specific needs.

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

4. Knee Bracing: A knee brace may provide support and stability, especially during activities that put stress on the knee.

5. Consultation with a Specialist: If the pain persists or worsens, it is advisable to consult an orthopedic specialist. They may recommend imaging studies, such as X-rays or MRI, to assess the underlying structures of the knee and determine the appropriate treatment plan.


Conclusion
In summary, left knee pain can arise from various causes, including patellofemoral pain syndrome, meniscus tears, ligament injuries, osteoarthritis, and bursitis. The popping sound you experience when squatting may indicate an underlying issue that warrants further evaluation. It is essential to rest, ice, and seek professional guidance to ensure proper diagnosis and treatment. Early intervention can help prevent further complications and promote a return to normal activities.

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