Knee Pain: Causes, Diagnosis and Symptoms

Written by Medicover Team and Medically Reviewed by Dr Ramakoteswara Rao K

Knee pain is common across all ages and can result from injuries like ruptured ligaments or torn cartilage. Conditions such as arthritis, gout, infections, physical activity, and obesity can also cause severe knee pain. Some causes are not related to underlying diseases.

Examples include:

  • Strenuous physical activity
  • Injuries such as sprains or strains
  • Prolonged sitting on the knees.

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Common Causes of Knee Pain

Knee pain is a frequent complaint when bending and running and is caused by everyday activities, injuries, or underlying health conditions. Some of the most common causes include:

  • Overuse or Strain: Repetitive movements or excessive activity can lead to joint pain and inflammation.
  • Injuries: Falls, twists, or impacts can damage ligaments, tendons, or cartilage, leading to pain and swelling.
  • Improper Posture or Alignment: Poor walking or running form can put extra stress on the knee joint.
  • Lack of Physical Activity: Weak muscles around the knee may increase joint pressure and pain.
  • Obesity: Extra weight puts more pressure on the knee joints, increasing wear and tear.
  • Aging: Natural joint wear over time can lead to conditions like osteoarthritis.
  • Previous Injuries: Past knee injuries may weaken the joint and lead to recurring pain.

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Conditions Causing Knee Pain

  • Osteoarthritis: Pain and inflammation are caused by the degeneration of joints.
  • Tendinitis: Knee pain caused by climbing or walking up an incline.
  • Bursitis: Inflammation caused by injury in the knee.
  • Chondromalacia Patella: It results in degeneration of cartilage for poor alignment in the knee cap.
  • Gout: Gout is caused by the formation of too much uric acid.
  • Baker's cyst: A fluid-filled cyst that causes bulge or tightness behind the knee.
  • Rheumatoid Arthritis: This causes painful swelling and eventually joint deformity and bone erosion.
  • Meniscus Tear: It's a rupture of one or more cartilage in the knee.
  • Torn ligament: This is a severe sprain that causes inflammation and ankle instability, leading to difficulty walking.
  • Patellofemoral Pain Syndrome: Pain around the kneecap, commonly seen in athletes or individuals with alignment issues.

Factors Influencing Knee Pain

  • Injuries in the knee can cause bleeding or swelling
  • Sprains and strains
  • Infection
  • Bad posture will affect the knee
  • Infection
  • Not warming up after a physical activity
  • Improperly stretching the muscles near the knee

Knee Pain Symptoms

Common symptoms of knee pain are:

  • Swelling and stiffness
  • Redness and warmth to touch
  • Weakness
  • Popping or crunching noises
  • Inability to fully straighten the knee
  • Constant ache

Common Risk Factors for Knee Pain

There are several factors that can increase the risk of knee problems. Some include:

  • Excess Weight: Overweight and obesity are important risk factors for knee pain, as they can increase stress on the knee joints. This increases the risk of osteoarthritis by accelerating the breakdown of joint cartilage.
  • Lack of muscle flexibility: Insufficient flexibility increases the risk of knee injuries. b muscles protect joints and contribute to muscle flexibility.
  • Sports: Certain sports, such as basketball, football, running, and jogging, can place a significant amount of stress on the knees

When to Visit a Doctor?

Any knee injury that is caused by sudden trauma, like a road accident, needs immediate medical attention.

If there is any considerable pain, cuts or swelling, then it should be checked by the Doctor. Visit your Doctor if you've the following problems:

  • Significant swelling
  • Severe pain
  • Fever
  • Swelling around the joint
  • Unable to walk

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Diagnosis of Knee Pain

A healthcare provider will start by asking questions about your overall health and then inquire specifically about the cause of the knee pain

A knee examination includes assessing the range of motion, ligament stability, tenderness, and swelling. Comparing the affected knee with the other often suffices for diagnosis and treatment.

Research shows an experienced examiner is as reliable as an X-ray Additional tests may be required, such as:

  • Radiological tests: Plain radiography, MRI Blood test: If gout, arthritis, or other medical conditions are suspected, a healthcare professional may order blood tests.
  • Joint fluid removal: Helps diagnose certain conditions by removing a small amount of fluid from the knee joint.

Treatment of Knee Pain

Treatment options for knee pain are as diverse as the conditions that can cause the pain:

  • Medication: Medications can treat underlying conditions or relieve pain. If you regularly use over-the-counter anti-inflammatory drugs for knee pain, consult your Doctor.
  • Physiotherapy: Physiotherapy strengthens knee muscles, enhancing stability and optimal movement. Working with a physical therapist helps prevent and manage injuries.
  • Injections: In some situations, injecting drugs directly into your knee can help. The two common injections are corticosteroids and lubricants.
  • Surgery: Knee operations range from arthroscopic surgery, which uses small incisions and a fibre-optic camera to view inside the knee, to total knee replacement.
  • Partial knee replacement: In this surgery, the surgeon replaces damaged parts of the knee with plastic and metal parts. Since only part of the knee joint is replaced, this procedure has a shorter recovery time than a total knee replacement.
  • Total knee replacement: In this procedure, the knee is replaced by an artificial joint.
  • Other therapies: Acupuncture has shown some relief from knee pain, especially in patients with osteoarthritis. Glucosamine and chondroitin supplements have shown mixed results in studies.

Preventing Knee Pain

Preventive measures can help alleviate some types of knee pain. If you experience severe knee pain due to physical activity, consider lifestyle changes to help manage the pain. This includes:

  • Opt for low-impact exercises: Instead of engaging in heavy exercises, you can focus on low-impact exercises that put less pressure on your knees.
  • Weight loss: Aim to lose weight, as excess weight can directly affect your knees.
  • Walking: Opt for walking instead of running to reduce the extra pressure on your knees.

Natural Home Remedies of Knee Pain

Follow some of the home treatments that will help you get relief from the knee pain. Exercise helps strengthen the joints. Engaging in proper exercise can help relieve knee pain.

Strengthening Exercises:

  • While lying or sitting on the bed, stretch your legs.
  • Do step-ups
  • Sit on a chair and stand; repeat this for a minute.
  • Hold the chair and start doing squats.
  • Weight loss and diet: People who are overweight are at a higher risk of experiencing knee pain. Losing weight can help alleviate knee pain, including pain caused by arthritis.

Maintaining a proper diet can help reduce knee pain. A balanced diet includes:

  • Fruit, vegetables and fibre: High
  • Meat, animal fat and other fat: Low
  • Massage can provide significant relief for knee pain. Regularly massaging your knee can help alleviate discomfort.
  • Heat and cold packs can effectively treat knee pain. Heat relaxes the muscles and improves lubrication, reducing stiffness. Ice reduces pain and swelling. Use a warm pad or water bottle for heat and wrap ice in a cloth for cold therapy.
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Frequently Asked Questions

To relieve knee pain take proper rest and don't put much pressure on your knees. Rub ice or hot packs on the knees.

Walking helps to ease the knee pain and disability from osteoarthritis. Also, walking helps in sending more blood and nutrients to your knee joints.

If there is sudden pain in your knees and it lasts for more than 48 hours then there is a need to visit a doctor.

Take a break from normal activities for reducing repetitive stress in the knee. Try rubbing ice or a hot pack for getting immediate relief from the knee pain.

Arthritis can feel like swelling and redness around the joint. Pain and inflammation are caused due to the degeneration of joints.

Knee pain in ladies can be caused by hormonal changes, wider hip alignment affecting joint pressure, osteoarthritis, injuries, overuse, or conditions like patellofemoral pain syndrome. Wearing improper footwear and weak leg muscles can also contribute.

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