Inner Knee Pain: Causes, Treatments, and Prevention Tips - Rehabilitation

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Internal knee pain?


I experienced internal knee pain after running a few kilometers longer than usual.
Now, I sometimes feel pain when walking briskly, and I also experience it while running.
When my knee hurts, it feels swollen internally, with a pressure-like pain that prevents me from bending my leg, similar to the sensation of injuring a finger while playing basketball.
However, resting for a while alleviates the pain.
(Weight: 57 kg, Height: 173 cm, with little muscle mass.) I would like to know if wearing a knee brace while running would help in this situation.
Should I strengthen my muscles to reduce the load? What treatment options are available?

Ming, 20~29 year old female. Ask Date: 2016/01/13

Dr. Chen Wayda reply Rehabilitation


It is advisable to rest and receive appropriate treatment before resuming running, which may include physical therapy and medication.
However, it is important to consult a physician for diagnosis and treatment first.

Reply Date: 2016/01/13

More Info


Inner knee pain can be a frustrating and debilitating condition, especially for those who are active or engage in sports like running or basketball. Understanding the potential causes, treatment options, and preventive measures is crucial for managing this issue effectively.


Causes of Inner Knee Pain
1. Overuse Injuries: One of the most common causes of inner knee pain, especially after an increase in activity level, is overuse. This can lead to conditions such as patellar tendinitis or iliotibial band syndrome, where the tendons and ligaments around the knee become inflamed due to repetitive stress.

2. Meniscus Tears: The meniscus is a cartilage structure in the knee that acts as a cushion between the femur and tibia. A tear can occur due to sudden twisting motions or from wear and tear over time, leading to pain, swelling, and difficulty bending the knee.

3. Ligament Injuries: Injuries to the ligaments, such as the medial collateral ligament (MCL), can also cause inner knee pain. This often happens during sports activities that involve sudden stops or changes in direction.

4. Patellofemoral Pain Syndrome: This condition occurs when the kneecap (patella) does not move smoothly in its groove, leading to pain in the front and inner parts of the knee.

5. Bursitis: Inflammation of the bursae (small fluid-filled sacs that cushion the knee joint) can lead to pain, especially on the inner side of the knee.


Treatment Options
1. Rest and Ice: Initially, it is essential to rest the knee and apply ice to reduce swelling and pain. Avoid activities that exacerbate the pain, such as running or jumping.

2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around the knee, improve flexibility, and correct any biomechanical issues. A physical therapist can provide tailored exercises to target the quadriceps, hamstrings, and hip muscles.

3. Knee Braces: Wearing a knee brace can provide additional support and stability during activities. It can help alleviate pain by reducing strain on the knee joint.

4. Medication: Over-the-counter anti-inflammatory medications (like ibuprofen) can help manage pain and swelling. However, it is essential to consult with a healthcare provider before starting any medication.

5. Gradual Return to Activity: Once the pain subsides, gradually reintroduce activities. Start with low-impact exercises, such as swimming or cycling, before returning to running.


Prevention Tips
1. Strength Training: Building muscle strength, particularly in the quadriceps and hamstrings, can help support the knee joint and reduce the risk of injury. Incorporate exercises like squats, lunges, and leg presses into your routine.

2. Proper Footwear: Ensure that you wear appropriate shoes for running that provide adequate support and cushioning. Consider getting fitted at a specialty running store.

3. Warm-Up and Cool Down: Always include a proper warm-up before exercising and a cool-down afterward. Stretching can help maintain flexibility and prevent injuries.

4. Listen to Your Body: Pay attention to any signs of pain or discomfort. If you experience persistent pain, it’s crucial to seek medical advice rather than pushing through it.

5. Cross-Training: Incorporate different forms of exercise into your routine to avoid overuse injuries. Activities like cycling, swimming, or yoga can provide a break from running while still keeping you active.

In summary, inner knee pain can stem from various causes, primarily related to overuse or injury. Treatment typically involves rest, physical therapy, and possibly the use of braces or medications. Preventive measures, including strength training and proper footwear, are essential for maintaining knee health and avoiding future injuries. If symptoms persist, consulting with a healthcare professional for a thorough evaluation and personalized treatment plan is advisable.

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