KNEE PAIN

Understanding what is causing your knee pain may be a simple task, or more complicated. A skilled Physiotherapist can use clues to determine the cause of knee pain. Some of these clues have to do with you (how old are you? What types of activities do you do?), and some with your symptoms (has your knee pain been ongoing? Was there a recent injury?).

Here are some of the common knee pain symptoms that are experienced by patients, and what these symptoms may mean about the cause of your knee pain

LOCATION OF PAIN:

• Front of Knee: Pain over the front of the knee is most commonly related to the knee cap. Knee cap pain can be caused by several different problems that can be detected by careful examination by your Physiotherapist.

• Inside of Knee: Pain on the inside, or medial side, of the knee is commonly caused by medial meniscus tears (also called as medial cushions or shock absorber of the knee), MCL injuries (Ligament on the inside of knee), and arthritis.

• Outside of Knee: Pain on the outside of the knee, or lateral side, is commonly caused by lateral meniscus tears (also called as lateral cushions or shock absorber of the knee), LCL injuries (Ligament on the outside of knee), IT band tendonitis(Fibers that run along outside of the thigh), and arthritis.

• Back of Knee: Pain in the back of the knee can be due to the collection of fluid (Baker’s Cyst)

TIMING OF PAIN:

• While going down stairs: Pain while walking down steps is very commonly associated with kneecap problems, such as chondromalacia.

• Morning pain: Pain after first waking in the morning that quickly resolves with gentle activity is typical of early arthritis.

SWELLING:

Swelling of the knee is common with several different knee problems. When there is an effusion immediately after a knee injury, a possible cause is severe injury to an internal joint structure, like the anterior cruciate ligament or a fracture of the top of the shin bone.

When swelling develops gradually over hours to days after an injury, it is likely to be something less severe, like a tear of the meniscus or a ligament sprain.

Swelling that occurs without the presence of a known injury can be due to osteoarthritis (common),gout (less common), inflammatory arthritis, or a joint infection (uncommon).

MOBILITY:

Mobility of the knee can be affected by a number of common conditions. If mobility is chronically limited, often the cause is arthritis. When the surface of the joint becomes irregular as a result of the arthritis, the mobility of the joint may become limited.

If the mobility is limited after an acute injury, there is likely swelling limiting the motion, or a torn structure that is limiting the mobility.