Inner Knee Pain: Causes, Recovery, and Sleep Tips - Orthopedics

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Medial knee pain?


Hello, Doctor: I experienced pain on the inner side of my knee yesterday, and today I visited a clinic where I was diagnosed with a medial ligament tear.
I would like to ask about the possibility of a tear occurring without any obvious trauma, as my last exercise was jogging 4.5 km on January 16th without any incidents, and I haven't experienced any external impacts in the past few days.
If it is indeed a ligament tear, are there any recovery methods? Currently, I feel pain when I straighten my leg.
Do you have any recommendations for sleeping positions (specifically for my legs)? Thank you, Doctor.

shin, 20~29 year old female. Ask Date: 2016/01/21

Dr. Shi Guozheng reply Orthopedics


If it is a tear, there will be a noticeable injury, and the pain after a sprain is usually related to inflammation of the ligaments.
Rest for a few days to see if it improves.
Mild tears typically require six weeks of rest for recovery.

Reply Date: 2016/01/21

More Info


Understanding inner knee pain, particularly when diagnosed as a medial ligament tear, can be quite complex. The medial collateral ligament (MCL) is crucial for stabilizing the knee, and injuries can occur even without direct trauma. In your case, the recent running activity could have contributed to the injury, especially if there were any underlying issues such as muscle imbalances, improper footwear, or overuse.

Causes of Medial Ligament Tear
1. Overuse: Repetitive stress from activities like running can lead to micro-tears in the ligament, especially if the body is not conditioned for such activities.

2. Biomechanical Factors: Poor running form, muscle weakness, or tightness in the surrounding muscles can place undue stress on the knee.

3. Sudden Movements: Even without direct trauma, sudden changes in direction or speed can strain the ligament.


Recovery Methods
Recovery from a medial ligament tear typically involves a combination of rest, rehabilitation, and possibly medical intervention depending on the severity of the tear:
1. Rest and Ice: Initially, it’s important to rest the knee and apply ice to reduce swelling and pain. Avoid activities that exacerbate the pain.

2. Compression and Elevation: Using a compression bandage and elevating the leg can help manage swelling.

3. Physical Therapy: Once the acute pain subsides, physical therapy is crucial. A physical therapist can guide you through exercises to strengthen the muscles around the knee and improve flexibility.

4. Bracing: A knee brace may provide additional support during the healing process.

5. Medication: Over-the-counter pain relievers like NSAIDs (e.g., ibuprofen) can help manage pain and inflammation.


Sleep Tips
Finding a comfortable sleeping position is essential for recovery. Here are some suggestions:
1. Elevate the Leg: When lying down, try to keep your leg elevated on a pillow. This can help reduce swelling and alleviate pressure on the knee.

2. Side Sleeping: If you prefer sleeping on your side, lie on the side opposite the injured knee. Place a pillow between your knees to keep your legs aligned and reduce strain on the injured knee.

3. Back Sleeping: If you sleep on your back, place a pillow under your knee to maintain a slight bend. This position can relieve pressure on the knee joint.

4. Avoid Pressure: Ensure that the injured knee is not pressed against a hard surface or twisted in an uncomfortable position during sleep.


When to Seek Further Help
If pain persists or worsens despite following these recovery methods, or if you experience significant swelling, instability, or difficulty bearing weight, it’s important to follow up with your healthcare provider. They may recommend imaging studies like an MRI to assess the extent of the injury and rule out any associated damage to other structures in the knee.

In conclusion, while a medial ligament tear can be concerning, with appropriate care and rehabilitation, many individuals can expect a full recovery. Listening to your body and allowing adequate time for healing is crucial. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice.

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