Causes of knee pain
Biomechanics: The knee joint is complicated in its operation and is used frequently throughout the day. Any change in the movement of the joint (leg-length difference, change in walking style due to back problems) can cause subtle changes and cause pain and injuries.
Thank you for reading this post, don't forget to subscribe!Excess weight: The stress on the knee joint is increased with excess weight. Obesity also increases the risk of knee osteoarthritis as the cartilage breaks down more rapidly.
Overuse during repetitive motions as are found during certain exercises (jogging, skiing) or work conditions (long periods of kneeling) can cause the breakdown of cartilage and lead to pain.
Knee pain can be divided into three major categories:
- Acute injury: such as a broken bone, torn ligament, or meniscal tear
- Medical conditions: rheumatoid arthritis, osteoarthritis, infections
- Chronic use/overuse conditions: osteoarthritis, chondromalacia, IT band syndrome, patellar syndromes, tendinitis, and bursitis.
Other common causes of knee pain:
Acute knee injuries
Fractures: A direct blow to the bony structure can cause one of the bones in the knee to break. This is usually a very obvious and painful knee injury. Most knee fractures are not only painful but will also interfere with the proper functioning of the knee (such as kneecap fracture) or make it very painful to bear weight (such as tibial plateau fracture). Many fractures require significant force, and a thorough examination is performed to detect other injuries.
Ligament injuries: The most common injury is the ACL (anterior cruciate ligament) injury. An ACL injury is often a sports-related injury due to a sudden stop and change in directions. The remaining ligaments (posterior cruciate ligament, lateral collateral ligament, and medial collateral ligament) are injured less frequently.
Meniscus injuries: The menisci (medial and lateral) are made of cartilage and act as shock absorbers between bones in the knee. Twisting the knee can injure the meniscus.
Dislocation: The knee joint can be dislocated, which is a medical emergency that requires immediate attention. Knee dislocation can compromise blood flow to the leg and have other related problems. This injury often occurs during a motor-vehicle accident when the knee hits the dashboard.
Some medical conditions causing knee pain
Rheumatoid arthritis is an autoimmune condition that can affect any joint in the body. It can cause severe pain and disability, as well as swelling.
Gout is a form of arthritis that is most commonly found in the big toe, though it can also affect the knee. Gout tends to flare up and is extremely painful during acute episodes.
With septic arthritis (infectious arthritis), the knee joint can become infected; this leads to pain, swelling, and fever.
Chronic use/overuse conditions
Patellar tendinitis is an inflammation of the tendons connecting the kneecap (patella) to the shinbone (the bone of the lower leg). Patellar tendinitis is a chronic condition often found in individuals repeating the same motion during exercise (such as runners and cyclists).
Patellofemoral pain syndrome is caused by degeneration or stress under the kneecap (patella) where it meets the femur (thigh bone). Patellofemoral pain syndrome occurs in runners and cyclists.
Osteoarthritis: a wearing down of cartilage of the joint due to use and age.
Prepatellar bursitis: Inflammation to the bursa (fluid-filled sac) in front of the kneecap may cause anterior knee pain.
Children can develop inflammation of the point of bony insertion of the patellar tendon (Osgood-Schlatter disease).
Symptoms
The location of the knee pain can vary depending on which structure is involved. With infection or an inflammatory process, the whole knee might be swollen and painful, while a torn meniscus or fracture of a bone gives symptoms only in one specific location. A Baker cyst will usually cause pain in the back of the knee.
The severity of the joint pain can vary, from a minor ache to severe and disabling pain.
Some other signs and symptoms that accompany knee pain are:
- difficulty weight-bearing or walking due to instability of the knee,
- limping due to discomfort,
- difficulty walking up or down steps due to ligament damage (sprain),
- locking of the knee (unable to bend the knee),
- redness and swelling,
- inability to extend the knee, and
- shifting weight to the opposite knee and foot.
Diagnosis
The following are symptoms and signs in the knee that a doctor should evaluate:
Swelling, inability to bend, deformity, unable to walk or discomfort while walking, significant pain, and fever. Ask the patient’s general health and specifically to the nature of the knee pain (how long, how severe, does anything make it feel better or worse, etc.). Bending the knee through the full range of motion, checking for the stability of the ligaments, and evaluating for any tenderness and swelling. It is often helpful to compare the results of the examination of the painful knee with the other knee. If needed X-ray examination should be done, a plain X-ray can establish fractures and degenerative changes in the knee. MRI is used to evaluate the soft tissues of the knee for ligament tears or cartilage and muscle injuries.
If gout, arthritis, or other medical conditions are suspected, a blood tests should be done.
Removal of joint fluid (arthrocentesis)
Some conditions are best diagnosed by the removal of a small amount of fluid from the knee joint called arthrocentesis. During arthrocentesis, a small needle is placed into patient’s joint, and fluid is withdrawn. The fluid is then sent to the laboratory for evaluation. This procedure is especially helpful if an infected knee joint is suspected or to distinguish between gout and different forms of arthritis.
If there is a collection of blood in the joint due to a traumatic injury, removing the fluid can help relieve the pain.
Allopathic treatment for knee pain
Treatments for knee pain are as varied as the conditions that can cause the pain.
Medications
Medications might be prescribed to treat an underlying medical condition or for pain relief. If patient is taking over-the-counter anti-inflammatory pain medications regularly for knee pain.
Physical therapy
Physical therapy sessions to strengthen the muscles around the knee will make it more stable and help guarantee the best mechanical movements. Physical therapist can help avoid injuries or further worsening of an injury.
Injections
Injecting medications directly into patient’s knee might help in certain situations. The two most common injections are corticosteroids and lubricants. Corticosteroid injections can help arthritis and other inflammations of the knee. They usually need to be repeated every few months. Lubricants that are similar to the fluid already in the knee joint can help with movement and pain.
Surgery
This is a common outpatient procedure in allopathic treatment. Knee operations range from arthroscopic knee surgery to total knee replacement. Arthroscopic knee surgery is a very common surgical procedure that allows the physician to look inside patient’s knee through a few small holes and a fiber optic camera. The surgeon can repair many of the injuries and remove small pieces of loose bones or cartilage.
Partial knee replacement: The surgeon replaces the damaged portions of the knee with plastic and metal parts. Because only part of the knee joint is replaced, this procedure has a shorter recovery than a total knee replacement.
Total knee replacement: In this procedure, the knee is replaced with an artificial joint.
Wear comfortable footwear, especially if you’ll be on your feet for most of the day.
Lose weight: If your patient is overweight or obese, he/she putting more pressure on his/her joints and limbs, especially if one experience drastic weight gain.
Advise your patient to incorporate a healthy diet full of whole grains, fruits, and veggies to help manage his/her weight.
Tai chi: If the cause of knee pain is arthritis, studies have shown tai chi may help with pain relief and range of motion.
Movement: If the cause of pain is arthritis, avoiding a sedentary lifestyle by staying active may also reduce pain.
Essential oils: Suggest rubbing essential oils like Oil-4 D on the area to help provide relief from joint pain.
Homeopathic Treatment for different types of Knee Pain
Rhus toxicodendron
Pains – tearing pains relieved by motion, worse from sitting and worse when rising from a sitting position, or on first commencing to move; relieves when warm. Damp weather, cold and the approach of storms aggravate.
The character of the Rhus tox pains is “stiffness and soreness”, paralyzed sensation, and even stitches, sprains, wrenches, etc.
Bryonia Alba
Knees stiff and painful. Hot swelling of feet. Joints red, swollen, hot, with stitches and tearing; worse on least movement. Every spot is painful on pressure. Constant motion of left arm and leg. all the joints and joint membranes are swollen and affected. The pain experienced is unbearable and increases with motion. The inflamed joints become red and swollen.
China Officianalis
Pains in limbs and joints, sprained; worse, slight touch; relieves with hard pressure. Sensation as of a string around limb. Joints swollen; very sensitive, with dread or open air. Debility, trembling, with numb sensation. Weariness of joints; worse, mornings and when sitting.
Ledum palustre
Ledum Paul is a best choice for arthritis and gout. The great symptom is – acute, tearing pains in the joints; weakness of the limbs and numbness and coldness of the surface; Pain going from below upwards; Pain in small joints; Nodes form in them and the pains travel up the limbs. The pains are made worse from warmth. The effusion into the joints is scanty and it soon hardens and forms the nodosities.
Arnica Montana
Back pain arising from injury, from falls blows – of both recent and remote origin; sore, bruised pain in the back as after being beaten, lameness in the back, extreme sensitivity which makes it impossible to walk or stoop.
Calcarea Carbonica
It is an important medicines for Osteoarthritis especially of knee joints. There is mild swelling and pain in the deeper portion of the joint, pain generally worse in cold damp weather.
Like Rhus tox in Calcarea carb the pain is also aggravated when getting up from a sitting position and also by walking. Best for fatty and obese constitutionally and tendency to catch cold easily – patients.
Kalium Carbonicum
Kali Carb is very effective in lower back pain. The pain – get worse on walking patient have to stop and take some rest before starting to walk again. There is a desire to lie down for relief from back pain. Stiffness or excessive weakness in the back, back pain during menses or after a miscarriage.
Rhododendron
Rheumatic pains which wander from joint to joint with swelling, worse before or during thunderstorm, cold or wet or unsettled weather. Better from warm wrapping. Enlargement of joints not due to gouty deposits but – Arthritic nodes.
Cimicifuga
When there are spasms in the large muscle groups. Body feels sore and bruised all over, jerking and twitching of the muscles. The spine feels sensitive, and there is pain especially in the back, neck and shoulders.
Kalmia Latifolia
Kalmia have wandering pains, and it is especially useful in pains affecting the chest i.e. the cost chondral articulation. It has also tearing pain in legs, without swelling; neuralgic type of pain. The pain from the chest portion shoot down into the stomach and abdomen (could be cardiac pain). Sometimes the pain from chest traverse downwards in arm. The pain is always attended or succeeded by numbness of the part.
Hypericum Perforatum
Hypericum Perforatum is most significant medicine for coccyx pain (coccydynia) arising from a fall over the coccyx.
Colchicum Autumnale
Great remedy for gout. The typical case calling for colchicum is where the swelling is red or pale, with extreme tenderness to touch, a tendency to shift about from joint to joint, and pains worse on the slightest motion. The smaller joints, fingers, toes, wrist and ankles, are affected; the pains are very violent, patient can not bear to have the parts touched or to have anyone near him, worse towards evening, a red big toe joint – Inflamed
If the general symptoms of great prostration of the muscular system and abdominal bloating be present colchicum is the remedy.
Cobaltum
Cobaltum should be advised where pain in the back is worse in the sitting position. The pain radiates from the lower back down the legs and feet. Weakness in the legs, Walking may relieve the back pain.
Phosphorus
Prolonged sitting leads to back pain. Weakness in the back may also be felt. Burning sensation in the spine is another feature that may attend. Irritates, inflamed and degenerates mucous membranes. Ascending sensory and motor paralysis from ends of fingers and toes. Stitching pain. Post-diphtheritic paralysis, with formication of hands and feet. Joints suddenly give way.
Causticum
Back pain which has soreness, weakness and stiffness in the muscles that is worse from over exertion. Pain is also worse when the weather is dry and tends to be better in rainy weather.
The muscles in the legs feel contracted, tight and sore, with restlessness at night. The forearms are weak, even though they are also stiff. These patients feel better in a warm bed or warm shower.
Abrotanum
Limbs – Inability to move. Marasmus of lower extremities, Soreness and lameness; worse mornings. Chilblains itch; frostbitten limbs. Gout in wrists and ankles. Inflammatory rheumatism before swelling begins; metastatic rheumatism, metastasis of rheumatism from joints to heart; to spine etc.
Berberis Vulgaris
pains in the arms, Pains in the shoulder, Cramps like pains, acute pains radiates to the hand and to the fingers – Aching, digging, violent pains in the back of the hand, with sensation of heaviness. Urticarial spot on the back of the hand. Small warts in the fleshy part of the hand, under the thumb.-Sensation in the extremity of the finger, as if caused by subcutaneous ulceration. Flat wart on the finger. Redness of the hands, with itching.
Neuralgic pain under nails; tender to touch, paralysis in the knees while walking, Stitches between metatarsal bones, burning pains in the toes.