Knee Anatomy, Function and Common Problems
Anterior Medial Knee Pain: If your inner knee pain is coming round to the front of the knee, it may actually be a problem with the knee cap or Runners Knee. Medial Knee Pain When Sitting Cross Legged: Pain in the inner side of knee when sitting cross legged is most likely due to a meniscus tear as this position places extra stress on the cartilage. Knee stretches are a vital part of any rehab programme for knee pain. Tight muscles change how forces go through the knee, making knee pain much more likely. Let me give you an example. Tight quads will pull on the knee cap, causing it to shift slightly.
There are many possible causes, which can range from a simple muscle strain or tendonitis, to some kind of arthritis. As you age, getting knee pain may become more common. Knee pain may sometimes be the result of a sports or other injury. These join bones to other bones. There are four main ligaments in your knee.
They act like strong ropes to hold your bones together and keep your knee in place. This covers the ends of your thighbone and shinbone, and the back of the kneecap.
This is a slippery substance that helps your knee bones glide smoothly across each other as you bend or straighten your leg. These are two wedge-shaped pieces that act as shock absorbers between your shinbone and thighbone. The meniscus helps to cushion and stabilise the joint, which is why they are tough and rubbery. When people say they have torn cartilage in the knee, they are usually talking about torn meniscus.
Sprains, strains and tears are all types of knee injury. This is when a tendon swells up and becomes painful - for example, after an injury.
Visit the NHS website for more information on tendonitis. This is a condition that can affect children and young people. This is a common knee problem, that particularly affects children and young adults. People with patellofemoral pain syndrome usually have pain behind or around the kneecap.
Pain is usually felt when going up stairs, running, squatting, cycling, or sitting with flexed knees. Knee pain can develop gradually over time, might come on suddenly, or might repeatedly come and go.
Whatever pattern the pain has, it is most often not due to arthritis, but might be in some people. Osteoarthritis is the most common type of arthritis. It can affect anyone at any age, but it is most common in people over If you have osteoarthritis of the kneeyou might feel that your knee is painful and stiff at times.
It might affect one knee or both. The pain might feel worse at the end of the day, or how to edit a jpeg image in photoshop you move your knee, and it might improve when you rest.
Pain from osteoarthritis might be felt all around your knee, or just in a certain place, such as the front or side. It might feel worse after moving your knee in a particular way, such as going up or down stairs. Avoid heavy lifting until your pain has gone down and you have good range of movement in your knee. Low-impact exercise, such as cycling and swimming, can be useful when recovering from a knee injury.
You can also try the exercises we recommend for knee pain. Carrying extra body weight makes it more likely that you will get joint pain in the first place. If you have joint pain already, being overweight can make it worse.
Losing even a small amount of weight can make a big difference to knee pain. The NHS has a weight loss plan that is designed to help you lose weight at a safe rate each week, by sticking to a daily calorie allowance. Read more about the NHS weight loss plan. Heat is an effective and safe treatment for most aches and pains. You could use a wheat bag, heat pads, deep heat cream, hot water bottle or a heat lamp. Gentle warmth will be enough Ч there is a risk of burns and scalds if the item is too hot.
You should check your skin regularly, and you should try to place a towel between the item and your skin. Heat should not be used on a new injury. Doing this might increase bleeding under the skin and could make the problem worse. Many people find that ice is helpful when used to manage short-term knee pain. Ice packs can be made from ice cubes placed in a plastic bag, or wet tea towel. You could also use a bag of frozen peas, or buy a ready-made pack from a pharmacy.
Rub a small amount of any type of oil over where the ice pack is to be placed. If the skin is broken, or you have stitches, do not what is a paps test in oil.
Instead, protect the area with a plastic bag, as this will stop it getting wet. Check the colour of your skin after 5 minutes. If it is bright pink or red, remove the ice pack. If it is not pink, leave it on for another 5 to 10 minutes.
Ice can be left on for 20 to 30 minutes Ч if it is left on for longer, there is a risk of damaging the skin. This can be repeated every 2 to 3 hours. If you need a painkilleryou might take paracetamol regularly, for a few days. These can help with pain, inflammation and swelling. There are many types and brands. This means you can buy them over the counter, at supermarkets and pharmacies.
Other types of anti-inflammatory painkillers do need a prescription. NSAIDs carry a number of potential side effects, so you should ask your doctor or pharmacist if they are suitable for you before taking them. You can also read the patient information leaflet that comes in the packet.
These are also called topical painkillers. Some can be bought over the counter, at pharmacies, while others need a prescription. It is how to change blackberry pin and imei whether rub-on anti-inflammatory painkillers work better than tablets.
However, the amount of the medication that gets into your bloodstream is much less with rub-on painkillers, and there is less risk of side effects. Knee pain will usually go away without further medical treatment, using only a few self-help measures. If you need help you might first see a physiotherapist or your GP.
You might also have the option of paying to see a physiotherapist privately. You might wish to see your GP if the pain is very bad or is not settling. Your doctor will often be able to diagnose your knee problem from your symptoms along with a physical examination of your knee. Occasionally, they may suggest what is the pain behind my knee cap or a scan to help confirm a diagnosis Ч especially if further, more specialised treatment may be needed.
This may involve trying to make your hip muscles stronger, or help with foot problems, each of which can affect knee pain. If your pain is severe, you may be prescribed stronger painkillers such as codeine. Because this has more side effects than standard painkillers, it may only be prescribed for a short time and your doctor will probably suggest other treatments to tackle the causes of your pain.
These might include physiotherapytalking therapies and pain management programmes, surgery or injections. Physiotherapy may help your knee pain, depending on what has caused it and what part of your knee hurts.
A physiotherapist can give advice tailored to your individual situation. Knee pain can affect your mood, especially if it lasts a long time, and feeling low can make your pain worse. This could be a neighbour, relative, friend, partner, doctor, or someone else in the community. Talking therapies can also be useful for some people.
You may be offered counselling on the NHS if you are struggling with long-term pain. Counselling on the NHS usually consists of 6 to 12 sessions. You can also pay for counselling privately. How to start weaning baby from formula is a rehabilitation programme for people living with long-term pain that combines building upon your coping strategies, together with a tailored exercise programme for each person.
The programme is delivered to small groups of people twice a week, for six weeks, and is run in many locations across the UK. Surgery or injections into the knee are not recommended as a treatment for most types of knee pain.
This is because people often recover as well, or better, with non-invasive treatments. An injection is unlikely by itself to be a cure. Also, not all knee problems can benefit from injections, and injections might themselves occasionally cause side effects. Speak to your employer about any practical help they can offer.
This might include home working, different hours, adjustments to your workplace or something else. If you do need to take some time off, then getting back to work sooner rather than later can help your recovery. If your work involves heavy lifting or other physically demanding tasks, you might need to do lighter duties or fewer hours for a while. If you have an occupational health advisor through your job, they can help how to train your dragon arco arena what work you are fit to do and arrange any simple adjustments to your work or workplace to help you stay in work.
You can ask for a workplace assessment and tell whoever carries it out about your knee pain. When working, try to take regular breaks, and have a stretch and walk around.
Perhaps set a timer on your phone or computer to remind you to do this. Versus Arthritis is supporting a number of research projects in the area of knee pain, including:. Versus Arthritis About arthritis Conditions Knee pain. Knee pain. Download versus Arthritis - Knee pain information booklet.
What is knee pain?
Whether you are a teen that plays a sport or a person in their old age, we all encounter knee pain from time to time. Knee pain can occur after an injury, usually due to a torn cartilage or a ruptured ligament. Many medical illnesses like rheumatoid arthritis, gout, or osteoarthritis can be a reason behind knee pain. This is a common knee problem, that particularly affects children and young adults. People with patellofemoral pain syndrome usually have pain behind or around the kneecap. Pain is usually felt when going up stairs, running, squatting, cycling, or sitting with flexed knees. Exercise therapy is often prescribed for this condition. The concept behind most interventional procedures for treating pain is that there is a specific structure in the body with nerves of sensation that is generating the pain. Pain management has a role in identifying the precise source of the problem and isolating the optimal treatment.
Also known as fascia or connective tissue, scar tissue sticks around after an injury because it helps protect the injured area. This technique sounds straightforward and easy, and it is. The only downside of the foam roller method is that it is extremely painful. Putting all of your weight on the spot where you are most sensitive is not a gentle approach. Nor are the other techniques that people use like a tennis ball or knuckle to apply a deep tissue massage. Working with the nervous system allows you to get to the source of the pain without hurting.
Your body can be taken to a place of comfort and your nervous system will relax and let go of the tension. When the tension is released those places with scar tissue will be less sensitive. While this method can take more time, it allows your body to release pain naturally so that your body responds and starts to heal itself. The best approach to tender scar tissue is to combine these two methods into one. If you start by relieving the tension indirectly through the nervous system, you will desensitize the area after a week or two.
When most of the tension is released, you can utilize the direct approach and break up the remaining scar tissue with a foam roller or tennis ball. I know this method is not your mainstream solution, but if you have trouble with painful scar tissue after surgery or an injury, passive stretching lets your nervous system unwind. And this release lets the pain melt away. He brings over 26 years of martial art and bodywork experience understanding movement and tensions patterns that lead to physical pain.
Coupled with comfort, this combination creates the shortest distance between a life riddled with pain to a physical life fully mobile and self expressed. You must feel your way out of pain through comfort. Through the weeks, months and years of injury and compensation patterns built up in your body limiting your movement and making you feel older than you are. His unique ability of identifying the blocks that keep people stuck in pain and skillfully removing them allows for lasting change, and a new reality for his clientsЕ.
I had a TKR in and am having more pain. The nerve pain then now the scar tissue shooting pain in my thigh area. I go to physical therapy once a week. And then pain is new and is very painful. What can I do to help soothe the pain.
I hope you can help. He has subsequently had two arthroscopic surgeries since to remove a cyclops cluster and he again has a cyclops cluster. Is there anything that can be done to prevent another cluster of scar tissue returning after another removal of the scar tissue.
He has has had two lesions removed and it has been not even a year and he definitely has another verified lesion. Please help if you can. I had a femoral osteotomy 18 months ago but my problem with ROM. What would you recommend so that I can get it to bend at least 90 degree?
This is the best place for you to start to increase Range of Motion in your knee by creating comfort so the joint can relax. It also includes an initial consultation to speak with me about the situation with your knee. Hi thereЕ Heres my story.. I had my knee replaced 3.
Had manipulation done 4 mths after thatЕno change. Had 2nd knee replacement same knee 2 months after manipulation and now it bends 85 degrees. In between all this the quad and tendon ruptured somehow and calcium grew in between the tears so I had sonorex treatments done. What would you recommend so that I can get it to bend at least 95 degrees?
Now Е Read more ї. I had a ACL repair in May and things going great until now. I am experiencing pain on the front of the outside knee. I can actually feel something tendon or scar tissue is moving whenever I bend my knee and it hurts. Not sure what has caused it since everything seems fine before. John Get your knee looked at again by the doctor that did your surgery. They will have a better understanding of what that might be.
Started having problems with thigh and low back and knee. Just had more scar tissue removed last week and hubby was told it was not in the same place as before and nothing we can do about it to stop it from Е Read more ї. Carol Many times the issues in the knee are due to tension held in the hips and lower back. You may want to look there to find how to free up the kneeЕ. My girlfriend has been using dermalmd scar serum on her knee after a hard fall while hiking. She has been using it for about 4 weeks and her scar is barley noticeable!
She uses it religiously times a day, really lathering it in. She loves it and has now been using it on other old scars as well. This stuff really works! Hi there My name is collin i had pattela tendon repair will this help. I feel its weak can this bring me back to full recovery. I partially tore it during the football season. I had surgery and 4 months later the tissue is still there its its sensitive.
It makes it hard to work out. I went through physical therapy and was cleared. If you have any other questions let me know. I had a total knee replacement 11 months ago. I still have poor flexion due to scar tissue that has formed.
I would love some advice to help with getting rid of the scar tissue. A patellar tendon fracture in left me with lots of scar tissue leading to my TKR with patellectomy last year.
I stopped PT after 48 sessions, glad that my quads were stronger but still with very little knee bend. Your best bet to get your questions answered would be for us to get on a call and figure out the best strategy to get your knee Е Read more ї. Hey bill. I had an accident around a year ago. After few weeks a scar was there on my knee. I used many medicines and even coconut oil and many natural remidies but i am facing problem to completely remove it.
I want your suggestions. I wanted to know is there any possibilities of removing knee scar. Harsh Absolutely you can eliminate painful scar tissue. It does take time however completely possible as I did it with my knee after surgery. Now the scar is a different story. Thank you, Shalanna. We are not celebrating just yet until we get her thrgouh the new doctors and their tests.
Some things have to be dealt with and hopefully ruled out and then we will know she is thrgouh the very worst of everything. Hello, a year ago I was involved in a motorcycle accident in which I ended up with a broken femur.
Surgeon went through my knee to fix it and everything was fine. I was able to regain regular use of my knee as in bending it , putting pressure on it and all that good stuff but it turned out a screw was messing with the tissue on the side of my knee and had to get it removed. I am now almost 2 months post op and my knee feels horid. I can Е Read more ї. First let me ask how the knee is doing now and then we can go from there.
I had a TKR on Dec. Going to outpatient therapy since mid of January Everything was going well until a few days ago. Every since then the rest of my scar is very painful and now is very hard to bend my knee. The tissue is very thick and is bubbling up.
Is that normal and how can I reduce the scar tissue? Keep me posted as to how it goesЕ Bill. I need some help with some knee pain and discomfort. I recently had atrhrosurface knee surgery on my right knee is mid septemeber. Im experiencing a lot of scar tissue in knee which doesnt allow me to get full extension at all.
It seems like it is blocked. It also looks swollen because of scar tissue. I also feel the discomfort behind the knee as well.