Why can my knee ache during flexion?
If you feel pain in the knee joint when flexing your leg, this may indicate a beginning of metabolic or destructive changes in the knee. There are many reasons that such a pain syndrome can give: rheumatoid and gouty arthritis, knee osteoarthritis, tendonitis, bursitis, Ostgood-Schlatter disease. We will tell you about them in this article.
Cause of pain # 1: rheumatoid arthritis
Rheumatoid arthritis( RA) is a disease of connective tissue of an autoimmune nature, with a chronic and progressive course, with joint damage and the further development of erosive-destructive changes in them.
The causes of RA remain unclear, but it has been established that viruses play a role in the development of the disease: Epstein-Barr, retroviruses, T-cell virus, etc. Genetic predisposition plays a role, with the association of genes with the histocompatibility complex HLA class II.
knee structure, front view
The initial stage is characterized by pain in the knee only when moving or flexing, but later on they disturb at rest. Characteristic development of swelling and redness above the knee joint, limiting its mobility and impaired function. An important sign is the morning stiffness, lasting at least 1 hour. As a result of prolonged muscle contractures, the spread of the inflammatory process to the articular cartilage and bone components, the valgus deformity of the knee joint develops.
For the treatment of RA non-steroidal anti-inflammatory drugs( NSAIDs) are used: diclofenac, celecoxib, nimesulide;glucocorticosteroids( GCS) - prednisolone, not less than 10 gr \ day;basic drugs - methotrexate, azathioprine;biological preparations - infliximab, rituximab.
If the drug is ineffective, endoprosthetics are used.
№2: gouty arthritis( gout)
gout is rare, but still can affect the knee joint
Gout is a disease that is characterized by an increase in the level of uric acid in the blood and the deposition of its salts in articular and periarticular tissues, due to violation of purine metabolism.
The cause of gout is a violation of synthesis and excretion of uric acid, which is caused by a disruption in the work of enzyme systems.
Usually the first symptom of the disease is acute, unbearable pain in the knee joint, which is amplified by the slightest movement or attempt to change position. Most often, gout affects the big toe, but gouty arthritis can develop in other joints - for example, in the elbow or knee.
The attack is of a short duration - after 5-7 days with adequate treatment, the patients feel completely healthy. But in the absence of proper treatment, the process can go into a chronic form. For chronic gouty arthritis, the intensity of pain is less, mainly when bending the knee joint, its stiffness and moderate deformation due to the deposition of urates in surrounding soft tissues.
The drug of choice for relief of an acute attack is colchicine. Also, a good effect is observed when using NSAIDs and GCS.For the treatment of chronic arthritis, allopurinol is used, a drug that inhibits the synthesis of uric acid in the body.
№3: deforming osteoarthrosis
arthrosis - the most common cause of knee pain( other than injuries)
Knee arthrosis( gonarthrosis) is a chronic progressive degenerative-destructive disease of the knee caused by a variety of causes. An important place in the development of gonarthrosis is occupied by trauma, Q and X - shaped leg curvature and posture disorders.
Pain in gonarthrosis is mechanical in nature and initially disturb when the joint is stressed, walking, prolonged standing, less often - at night. When the leg is bent, the pain can be irradiated to the lower leg or thigh. At palpation the joint is painful, compact, limited in movements. Later, its deformation and increase in volume appear, the narrowing of the joint gap increases, osteophytes proliferate, subchondral cysts can appear. In the absence of timely therapy, disability can occur.
Treatment of gonarthrosis is aimed at solving two problems: arresting the pain syndrome and preventing further destructive changes. To solve the first problem, the most frequently used NSAIDs, inside or locally. The second task is solved with the help of chondroprotectors( aflutop, don, stapartrosis, etc.)
Tendonitis is an inflammation of the ligaments of the knee joint. Most often occurs in athletes with various kinds of injuries. The main symptom is pain, which usually occurs in the anterior part of the knee and only with the load: squats, walking, running, etc. For treatment, use NSAIDs inside or outside. Also shown cold on the knee, elastic bandaging and complete rest of the joint.
№5: bursitis of the knee
bursitis is an inflammation of the synovial bag
Bursitis - inflammation of the periarticular bag. The main causes: injuries, frequent mechanical damage to the joint, infection.
Bursitis is manifested by pain in the knee, more often when the joint is involved in active activities - walking, squats, running, etc. Characterized by redness and swelling of the skin, increased local temperature, pain in the knee when bending the leg. With a significant accumulation of exudate the joint will be enlarged in volume, with palpation there is a fluctuation.
The treatment of bursitis is complex, involves the use of drug therapy, physiotherapy procedures and surgical intervention. NSAIDs, GCS, antibiotics, cold compresses on the knee are prescribed. To remove the exudate, joint puncture is performed.
№6: Osgood-Schlatter disease
Osgood-Schlatter disease - osteochondropathy of the tibial tuberosity.
The disease most often occurs in the adolescent period in males, as its provoking factor is active in running sports. The disease is manifested by intense pain in the knee and shin area with active bending of the knee joint - running, squats, walking on the stairs( in other words, it manifests as knee pain when flexing in the joint and not only).It is characteristic that in a state of rest painful sensations do not disturb.
Hence the first principle in the treatment - ensuring complete rest of the knee joint, with the help of elastic bandage or gypsum cuff, knee bandage. Apply physiotherapy - electrophoresis with calcium, and to relieve pain - with lidocaine. Paraffin and mud compresses are also effective.
Possible causes of pain in the knee joint when flexing
For a long time we do not even think about the fact that our joints can get sick - we mercilessly exploit them as we please. Fortunately, the human body is designed in such a way that it can withstand enormous loads, but for the time being, until the time. If such a test lasts a long time, then sooner or later we begin to experience unpleasant sensations, which gradually turn into pain.
One of the most frequent complaints of patients with articular pathology is pain in the knee joint during flexion. It is not strange either. After all, this anatomical structure is superficial, every day withstands large dynamic and static loads. And if you take into account the fact that the knee joint has anatomical prerequisites for damage, it is not at all strange that sooner or later knees begin to ache.
Features of the anatomy of the knee joint
The knee belongs to the largest joints of the human body( more only the hip), but this does not make it strong, but, on the contrary, creates the prerequisites for damage.
Three bones are involved in the construction of the knee joint - the femur, the tibia and the knee cap, which makes the joint difficult to arrange. The anatomical form of the joint is unstable, because in the joint there are natural stabilizers - menisci, which are cartilaginous pads, located at the edges of the articular surface of the tibia to complement, increase congruence of the joint and fix it. Also, the surfaces of the bones are covered with hyaline cartilage, which protects the bone from damage, and also provides amortization properties of the knee.
These cartilage structures do not have their blood vessels, but are fed by synovial fluid, which is located in the joint cavity, limited by a capsule. If the body has any causes that affect the composition and amount of this nutrient and protective fluid, or factors that lead to permanent cartilage injury, then soon the cartilaginous tissue will begin to die, which will inevitably lead to pain and other consequences.
Bones are strengthened by intra-articular ligaments, as well as by extraarticular and muscle tendons. Unfortunately, the muscular skeleton of the knee is poorly developed, because of which the joint has a superficial location and is prone to injury, which further exacerbates the situation.
Due to the peculiarities of the anatomical structure, the knee joint is susceptible to various diseases
The main causes of chronic pain
There are a lot of reasons for soreness in the knee joint when flexing. In this case, we are talking about the true diseases, and not the normal physiological state, when the pain when flexing or flexing appears after heavy physical labor.
Osgood-Schlatter osteochondropathyRelated article:
Why does the knee pain when flexing?
Osgood-Schlatter's osteochondropathy is a typical disease in which pain occurs when bending at the knees. Osteochondropathy is a numerical group of abnormalities of the musculoskeletal system, in which apophyses of bones are affected( these are bony projections and tuberosity, to which tendons of muscles are attached).In the case of Osgood-Schlatter disease, the tibial tuberosity is affected by pathological changes, to which the tendon of the patella is attached( continuation of the tendon of the largest muscle of the leg - the quadriceps muscle of the thigh).
In the vast majority of cases, the disease develops in children and adolescents, especially in boys. Children who exercise regularly( active kinds with loads on their knees) are more prone to pathology than their peers who do not go in for sports.
The basis for the development of osteochondropathy is the discrepancy between the growth rates of bone tissue and blood vessels. With a jump in growth, the vessels do not keep up with the increase in bone tissue. This promotes local ischemia of the tuberosity of the tibia, plus constant loads on the knees lead to hypertrophy of the bone tissue and the formation of a cone, which is accompanied by pain under the knee during flexion.
Symptoms of the pathology are typical enough:
- formation of the knoll under the knee, the skin over it is not changed, signs of inflammation are absent;
- pain occurs when kneeling and bending at the knees.
As a rule, the symptoms of the disease pass with age. In some cases, surgical treatment may be required, but this is rare.
A typical and specific symptom of Osgood-Schlatter disease is the "lump" under the knee
Gonarthrosis doctors call deforming osteoarthritis of the knee joints. This disease is familiar to a large number of people, especially the mature age. But arthrosis can affect not only the elderly, but also young patients, while the main role is played not by age-related degenerative-dystrophic changes in intraarticular cartilage, but by risk factors( obesity, active sports, constant dynamic loads, sedentary lifestyle, endocrine and metabolic pathology).
Symptoms of gonarthrosis develop slowly and imperceptibly for the patient, which is the insidiousness of the disease. First, knees hurt after a hard working day, and after rest everything goes by itself. With the progression of pathological changes, the pain becomes permanent, increases with movement, it becomes painful to bend the leg in the knee, all movements are accompanied by a specific crunch.
If the process is not stopped in time, the joint eventually loses its function completely, persistent deformations and contractures develop, painkillers and symptomatic treatment do not help, and the only chance to get rid of pain remains the operation to replace the joint with an artificial endoprosthesis.
Rheumatoid arthritis often affects small joints, but there are forms of the disease in which the knee joint can be drawn into the pathological process.
In this case the disease proceeds undulating - with periods of exacerbation and remission. At an aggravation the pain in the knees is very strong, accompanied by a feeling of stiffness( in the morning it is impossible to perform any movements in the knees).A characteristic sign of rheumatoid knee injury is inflammation - the knees turn red and swell.
Treatment of this disease - this is a very difficult task, which should only deal with a specialist rheumatologist. Since the therapeutic program requires a long-term intake of basic antirheumatological medications that have many contraindications and side effects, one can not do with an anesthetic pill in such cases.
Since the knee refers to complex joints, there are many types of traumatic injuries to its structures. Most often, tension or rupture of intraarticular and extraarticular ligaments, fractures of intraarticular parts of bones, damage to menisci, rupture of the capsule, traumatic synovitis, hemarthrosis can be observed.
Pain syndrome is typical for every such injury, and pain can disturb the patient, both with knee flexion and at rest. Self-diagnosis of the type of injury is unlikely to work. The trauma doctor can do this after examining and conducting a number of additional examinations, which will necessarily include radiography.
If knee pain is accompanied by edema of the knee joint, it is absolutely necessary to consult a doctor
Inflammation of the
Inflammation of the joint itself and the periarticular tissues can cause knee pain when flexing:
- reactive arthritis;
- infectious arthritis( bacterial, fungal, viral);
- allergic arthritis;
- inflammation of the joint capsule( synovitis), its pockets and twists( bursitis), inflammation of the meniscus, ligaments( tendinitis);
- inflammation of the periarticular tissues( periarthritis).
Unfortunately, we do not always pay attention to the alarming signs of knee injury, until they develop into severe pain and significantly worsen the quality of our lives. But often it happens that in such cases it is already impossible to get rid of the disease and it is necessary to live with chronic pain or lie under the surgeon's knife. That this does not happen to you, be attentive to your body, because pain is a signal that he needs your help.
Causes of pain over the knee capSince the early childhood and until old age, the human body experiences constant physical exertion on the muscular structures of the skeleton. Often when walking, pain occurs over the kneecap. It can also appear with flexion and extension of the knee.
The reasons for pain in the knee can be very different. Basically, these are the effects of mechanical damage to the patella or strong physical stress on the knee joints. Let's consider some possible reasons, which result in pains in the knee joint.
Why the knee aches: causes of diseases
One of the causes of pain over the patella can be tendinitis( inflammation of the tendons).Such a disease occurs with intense physical exertion in people who lead an active lifestyle. Inflammation of tendons can be the result of a trauma or a rheumatic disease.
In patients with this ailment, acute pain occurs when the knee joint is bent. In this case, a characteristic creaking in the patella area is heard. Complex therapy of tendonitis provides for an injection blockade and physiotherapy to restore the functions of the knee joint. In rare cases, surgery is suggested.
Another cause of pain is a damaged meniscus. In the knee joint, between the cartilaginous segments, there is a protective layer that serves as a shock absorber when loaded on the bony joints of the foot. This layer is the meniscus. With the help of such a natural shock absorber, a person can easily tolerate natural physical loads during walking, running, bending and unbending at the knee joint.
If the meniscus is damaged, dull pain appears, which restricts the movement of the joints. The rupture of the meniscus leads to a partial loss of motor ability, and sometimes to complete immobility of the limbs.
The degree of damage is determined by X-ray examination or magnetic resonance imaging( MRI).The doctor will prescribe the necessary diagnostics. Provide medical assistance in case of meniscus damage is possible only in a hospital.
Modern methods of treatment can effectively carry out recovery of the rupture in the kneecap. Surgical intervention involves the stitching of ruptures in damaged tissues. With the arthroscopic method of treatment, an endoscope is inserted and the necessary surgical manipulations are performed on the knee cap.
In the most critical forms of damage, the joint is replaced with an artificial graft. In the postoperative period, a course of rehabilitation rehabilitation is required. Physiotherapy exercises, body weight control and gradual increase in loads on the knee joint should completely restore the functional capacity of the damaged leg part. All actions for medical and preventive rehabilitation should be conducted under the supervision of the attending physician.
Rheumatoid arthritis and its treatment
There are cases when the pain in the knee is caused by diseases of a rheumatic nature. One such manifestation may be rheumatoid arthritis of the knee joint. Arthrosis is also possible. This type of disease, like rheumatoid arthritis, occurs with inflammation of the joints of the legs, caused by violations of the immune system. This pathology can occur in any age category. Arthritis causes inflammation in the patella. Painful sensations are accompanied by increased edema of the joint and high subcutaneous temperature.
Basically, the knee pain syndrome is felt when walking( walking or bending the joint).Treatment of rheumatoid arthritis( arthrosis) involves the use of drugs of the nonsteroid group that will help relieve pain, as well as reduce the inflammatory process in the damaged area. Traditional methods of treatment at home, therapeutic exercises and massage are good preventive actions to restore the bone structure.
The knee is a kind of shock absorber for softening the load from human steps.
Rehabilitation course and further advice on preventive actions can always be obtained from a specialist.
If you feel pain under the patella or when you are walking or flexing your leg, you should immediately consult your doctor. To establish the reasons and the correct diagnosis can only the highly skilled expert. Self-medication can lead to serious consequences.
Osteoporosis of the Knee Joint
Osteoporosis of the knee joint is a complex disease of segments of the bone structure that affects the large joints of the skeletal framework of the human body. When walking and bending at the knee joint, aching pain occurs. It limits movement and spreads over the entire leg.
Osteoporosis is expressed in the depletion of the cartilaginous tissue and causes injury to the bones of the joint
In some cases, there may be complete numbness of the limb or convulsive condition. This phenomenon can occur in people of average( after 40-45 years) and older age category. Especially this type of disease affects women during the menopause, when there is a washing out of calcium from the body.
The process of degeneration of cartilaginous tissues reduces the elasticity of articular segments, gradually destroying them and leading to deterioration of the cartilage. Bone deformation leads to the formation of build-up on the muscle tissues, the bone becomes brittle and more fragile. When flexing the knee, friction in the cartilaginous joints is felt. Complex therapy includes the following actions:
- use of anabolic drugs that promote bone formation;
- to reduce bone resorption( destruction) use pharmacological drugs with calcium and phosphorus content;
- rationally planned nutrition using calcium-containing components and vitamin mineral groups helps to restore the bone structure of the body as soon as possible.
A healthy lifestyle and wellness gymnastics will help to avoid unpleasant complications of bone diseases.
Knee joint bursitis, its treatment and prevention
The joint bag, called the bursa, is a pocket filled with a mineral( synovial) fluid. Inflammation of the joint( synovial) bag causes another kind of bone disease - bursitis of the knee joint. The causes of the disease are as follows:
The accumulation of synovial fluid under the knee
- the consequences of a knee cap trauma;
- heavy loads on the knee joints;
- infectious diseases that have spread to the bursa;
- mechanical damage to the knee joint.
Symptomatic of bursitis manifestation is expressed in limitation of mobility of joints during walking and bending of the knee, as well as in reddening and elevated temperature in the bursa area. Early diagnosis of the disease allows time to begin effective treatment of bursitis of the knee joint.
Complex therapy involves the use of analgesics for simple forms of the disease. With conservative treatment, puncture may also be necessary in the synovial region with the use of antibacterial drugs. Physiotherapeutic procedures will accelerate the effectiveness of treatment.
After the elimination of the inflammatory process, a good stimulating effect will be therapeutic exercise.
In order to avoid unpleasant diseases associated with bone joints, you must follow simple rules. Try to avoid injuries. Be attentive to your health.
Uncomplicated gymnastic exercises will strengthen the bones of the body, and proper healthy nutrition will stimulate the immune system. Move more, temper your body. Water procedures and frequent stay in the open air will help to preserve vitality and health. Be attentive to yourself and always healthy!
Pain in the knee during flexion: causes and treatment - Health Era
The range of possible causes of the disease can be quite wide. To identify the source of the problem, the doctor must conduct a full range of studies - clinical, laboratory, differential. A frontal examination of the patient is carried out, the history of his illness is carefully studied.
The structure of the knee joint.
Often physical examination is not limited to a doctor. He gives the patient a long list of questions concerning his daily and sports life, possible injuries and illnesses. In addition, the doctor checks:
- knee sensitivity;
- range of movements;
- presence of tumors and infections.
If the complex of diagnostic measures to identify the causes of pain did not give tangible results, the doctor will go to magnetic resonance. X-rays and computed tomography are also used.
We have already found out that having felt the pain in the knee when flexing, one should immediately go to the doctor and make an accurate diagnosis. Among the causes of the resulting pathology may be damage to ligaments, knee cartilage and tendons, inflammatory processes in the periarticular bags, lesions of other elements of the knee joint.
In addition to the pain symptom, stiffness may occur - poor knee flexion, inability to side movements. Hyperemia of the joint zone is an invariable companion of pain( if the patient has swelling).The most likely diagnosis in this case is arthritis.
Acute damage to the
Often the pain associated with knee flexion is caused by acute injuries - injuries. The following prerequisites favor the emergence of trauma:
- a strong blow to the knee area;
- a sharp drop( one or two knees);
- unnatural( excessive) bending of the joint.
Damage is accompanied by pain during flexion, bruising, swelling. The intensity of the syndrome is quite strong.
Types of acute damage
- Injuries to menisci - cartilaginous pads, which function as shock absorbers.
- Damage to ligaments and tendons in the patella area( tears, distension).
- Tear of the tibial collateral ligament.
- Fractures( closed and open) of the upper parts of the lower leg, the lower region of the thigh bone, the patella.
- Knee dislocation. Trauma, characteristic of girls who are engaged in sports at the age of 13-18.
- Knee dislocation. A rare injury, since a powerful effort is required to apply it.
Running can cause pathology.
Pathology can be caused by regularly repeated loads - pressure, movement. This entails tissue irritation and the development of inflammatory processes. In the risk zone are those who often ride a bicycle or work at home on an exercise bike. Also at the heart of the disease are jumping loads and easy running.
Pathology during congestion
- Tendiosis, tendonitis is a dystrophic lesion( inflammation) of the tendon.
- Bursitis of the knee joint - defeat( inflammatory) of the mucous synovial bag.
- Syndrome of fibrinous film - folds and thickenings in articular ligaments. Provokes pain under the knee when flexing.
- Pain syndrome in the patellar-femoral region. It can occur when the calyx is injured, overweight, overload.
- Syndrome of ileal-tibial ligament. Inflammatory process affecting fibrous tissue. This ligament is responsible for the stability of the hip and knee joints.
Other causes of
These include diseases caused by processes occurring inside the body. Necrosis of tuberosity of the tibia. Characteristic for boys aged 11-15 years. Symptoms are pain and minor swelling in the patellar region( just below it).
Lower extremities, in general, and knee joints, in particular, perform one of the most important functions in human life. Many often complain that they have a knee pain when flexing. Why does such a symptom arise?
Severe and severe pain can be caused by a variety of reasons: from injuries, fractures and strokes, ending with various diseases, the treatment of which must be done only in a medical institution. Let's see in more detail why there is pain in the knee when flexing.
Types of disorders
Discomfort in the joints of the lower limbs is not often felt at rest when a person lies or sits. On the contrary, a strong acute pain in the knees appears if you bend your leg when walking or squatting. This should not be considered a norm, since the skeleton has a structure that does not lead to unpleasant sensations when flexing and unbending the joints.
Treatment of pathology depends on the factors that caused it. For example, excessive body weight or disruption in the internal processes of the human body. Already by feeling inside you can understand what to do next. In any case, if the pain in the knee has appeared and continues to increase, you should seek help from a doctor to diagnose a possible disease. Let's consider the basic infringements causing knees to be ill at a flexion.
If it hurts to move your leg, do sit-ups or climb stairs, you will most likely have to treat this particular knee pathology. It leads to inflammatory processes in various parts of the joint, resulting in acute pain, restraining movement, there are difficulties in flexing and extension of the lower extremities. In addition, the skin is reddening on the knees, the local body temperature rises.
Arthritis is treated with non-steroidal medications that have an anti-inflammatory effect.
Injury to the joint
If the knee is sharply and strongly impacted by a shock or falling on a hard surface, the entire joint or part of it may be damaged. If you do not take emergency measures, a person can be hurt for a long period. Discomfort increases with flexion and extension of the lower limb.
In addition, if the central blood vessels have been compressed or damaged during injury, the patient may not feel the leg below the knee( experience numbness) and also observe cyanotic skin color.
Various internal parts of the knee can be damaged, which is why it is necessary to correctly locate the place of occurrence of pain and take the correct measures to prevent exacerbation of the pathology. For example:
- rupture or damage to ligaments holding the knee cap in the desired position - if a similar injury occurs, the patient is hurt in front of the knee;
- disruption of the integrity of the meniscus - pain inside the joint;
- shin bone fractures - if bone damage is diagnosed, treatment can be performed only in a hospital setting;
- knee dislocations - it should be treated according to the severity of the injury at the discretion of the specialist.
Often, discomfort in the joints of the lower limbs, also classified as traumatic, can be caused by too heavy loads. Such pathology is diagnosed in people with high weight or athletes engaged in weightlifting. Injuries can be obtained and for certain types of work.
What should I do when my knee hurts when I bend? Naturally, treatment of an injured organ can only be carried out in the appropriate ward of a local hospital.
Pain in the knee during flexion can occur not only after trauma or arthritis. Some negative processes cause destructive changes in the cartilaginous tissue of the joint, which cause pain. If you do not do anything with such a symptomatology, you'll have to be treated with a disability.
When examining patients' complaints of discomfort when flexing their legs, arthrosis is diagnosed in almost half the cases. Most often, of course, such an ailment affects people over 40 years old, and both one and two knees can hurt.
Pathology can go on for many years, gradually destroying the cartilaginous tissue. At the early stages of the disturbance, painful sensations when bending the legs during walking or exercise are almost invisible, but if not treated, the discomfort becomes more and more.
To get rid of the disease, a complex of medical and physiotherapeutic measures is applied.
Osgut-Schlatter disease, also called this pathology, can also cause joint pain when flexing and extending the leg. The causes of osteochondropathy have not yet been elucidated. This may be a trauma, and other, at first glance, incomprehensible reasons. This clinical picture makes diagnosis and treatment more difficult.
The described process leads to the fact that the patient can have knees ached during bending while walking on a ladder or squatting. And often the disorder develops into a chronic form, which is much more difficult to treat.
Discomfort caused by abnormal functioning of the circulatory system in the lower limbs, begins to appear in adolescence. This pathology is due to the fact that the vessels and capillaries do not keep up with the rapid growth of bone tissue. From this disease, if it is not treated, you can suffer throughout life, but, as a rule, after 20 years, the pain becomes less acute.
The peculiarity of the clinical picture of vascular pain is that the disturbance of the circulation does not affect the mobility of the knees and is often provoked by an adverse external effect. For example, after supercooling or squatting.
The pain is well eliminated with physiotherapy.
If you have experienced one of the symptoms in the knee joints, which were discussed above, you should visit a specialist in the field of musculoskeletal problems in the shortest possible time.
Timely diagnosis and treatment will help in the shortest time to get rid of the pain and prevent the development of more serious pathologies.
Author of article:
Pain in the knees when flexing: why hurt and how to treat
Among the consequences of such injuries are not only prolonged pains in the knees when flexing, but also the appearance of swelling and bruising, joint pain even in the absence of movement. In the knee, the sensation of tingling or cold, numbness is also spreading.A very common cause of knee pain when flexing is increased stress on the knee joint or injury.
Adolescents often have such phenomena after sports - such pathology of the knee joint was called "Osgood Schlatter's disease."With this disease, the patient has pain while descending the stairs, which are especially strengthened when the leg is bent in the knee. This condition can last about a month and in most cases ends in recovery, but sometimes it turns into a chronic form.
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A frequent cause of pain in the knee becomes tendinitis, an inflammation or irritation of one or more tendons supporting the joint of the knee joints. In most cases, tendonitis results from too much activity when running or walking.
To this disease athletes are more likely than people with low or moderate physical activity. Bicyclists, runners and skiers are at high risk of tendonitis, as their joints and ligaments are in constant tension. Such people can experience pain even with simple bending of the leg, without significant load on the knee.
The appearance of discomfort and crunch in the knee joint can signal the onset of the development of arthrosis. Unfortunately, these symptoms are not given much importance in most cases. In the beginning, the pains appear when squatting or walking, and after a warm-up they disappear. But over time, the pain becomes permanent, and a person loses the opportunity to walk normally.
Also cause pain when bending the leg in the knee inflammation of the articular bags - bursitis. With this disease, the joints swell and become painful, their mobility decreases.
The knee can also hurt with flexion due to the pathology of the patella cartilage. In this case, the pain becomes aching with prolonged sitting.
The most common cause of pain in the knee joints is rheumatoid arthritis. With the development of this disease, pain occurs during flexion of the leg in the knee, swelling, fever, a rise in skin temperature above the knee.
With Baker's cyst, fluid accumulates beneath the knee, which causes severe pain in a person. This disease can be caused by rupture of the meniscus or capsule, cartilage damage, hernia of the knee joint. The thrombus that forms during this process can be dangerous and requires immediate medical intervention.
Because the range of possible causes of knee pain is very wide, it is necessary to determine the exact cause. Often important to determine the diagnosis are conducting a full examination of the patient and studying his medical history.In addition to physical examination, the physician should ask the patient a whole list of questions relating to his sports and active daily life, and also to ask whether the knees were injured earlier, etc. During the examination, the doctor should check the functionality of the knee, its sensitivity and range of motion, to determine the presence of infections or tumors.
In short, to check the integrity of tissues in the knee, the doctor must perform a lot of different maneuvers. However, not all of the tests performed are always accurate, especially when the knee mobility is limited due to swelling or swelling of the muscles from the back of the knee. In such situations it is recommended to resort to the procedure of magnetic resonance, which, unlike the X-ray, exerts minimal impact on the body, practically without irradiating it.
Regardless of what causes pain in the legs when flexing in the knees, it is necessary, first of all, to observe the orthopedic regime, reducing the load on the joints. As a rule, in the acute period, the patient is assigned a bed rest and gradual activation of the limb, and during the movement - the use of crutches. The footwear of the patient should be comfortable and soft, orthopedic insoles can significantly improve the situation. Disturb persistent pain in the knee? Read the news - treatment of arthrosis of the ankle joint.
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Conservative treatment is aimed at such tasks:
- decrease in the severity of the symptoms of the disease;
- improvement in limb functional activity;
- slowing the progression of the disease.
After conducting a comprehensive diagnosis, the doctor puts the patient on a diagnosis and appoints him a comprehensive treatment. As a rule, first of all, non-steroidal pain relievers and anti-inflammatory drugs are used. If the pains are too strong, the patient is directly injected with steroidal anti-inflammatory drugs.
Due to this, painful manifestations are stopped for a long time, and the patient's ability to work remains. In addition, chondroprotectors, as well as artificial replacements of articular fluid, can be inserted into the joint.
Good results allow receiving local treatment in the form of gels, ointments, compresses and aerosols. These drugs supplement systemically prescribed non-steroidal anti-inflammatory drugs. The positive side of them is the impact directly on the lesion and the absence of side effects.
Treatment of any pathology of the knee joint can be effective only if it is diagnosed at an early stage. Together with drug treatment, the patient is prescribed physiotherapy and physical therapy.
If the disease is triggered to such an extent that the traditional methods of treatment do not work, then the surgeon must intervene.
The most common operation today is arthroscopy. This technique makes it possible to clarify the diagnosis and remove the altered synovial membrane, damaged meniscus, cartilaginous free bodies, carry out cartilage transplantation, administer medications, rinse the joint cavity. The great advantage of arthroscopy is that it delivers much less inconvenience than a full-fledged operation, and a full recovery takes place in just two weeks.
Another operation, which one often has to resort to, is the replacement of some of the components of the knee. In the event that the knee is severely damaged by arthritis, and the state of the cartilage worsens all the time, doctors recommend partially replacing some of the components of the knee.
During this procedure, the doctor removes only the most damaged part of the knee, replacing it with a prosthesis made of plastic and metal. This operation requires only one small incision.The hospital stay is only 24 hours. The knee after this operation heals quickly enough.
Unfortunately, if the lesions are extensive, this operation is not enough and you have to do a complete knee replacement. During this operation, the doctor cuts the damaged cartilage from the tibia, femur and patella, replacing them with artificial prostheses of high-grade plastics, metal alloys and polymers.
- Yana I have since childhood sharp clicks in the knee, accompanied by wild pain. Especially after physical education, which included squats. I was afraid that something would break in there. But how it all began, just as time passed. Now, after pregnancy, knees begin to worry, after long walks and activities on the playground, there are suspicions of arthrosis. I watched videos with medical prophylaxis, I will seek time and do my health.
- Valentina Korchagina Hello! With age, I began to have pain in my knees, in my youth, too, there were sometimes pains after trauma, but somehow I did not pay much attention to it. And now I very much regret that I did not turn to specialists in time. I really liked this article, I will take some notes from the video clips. I was offered to have an operation, but something I do not really want to put on the operating table, and the age is not the same, the body is already retired, I'm afraid it will be healing a very long time. I will try to do yoga or some other useful method.
- Elya Romanova I will definitely show my husband this article. He has long problems with the knee. He wears a bandage, but does not help much. The fact is that from his knee calcium is washed out, because of what it has weak. When squatting repeatedly feels pain. The load on his joints is great, this work. But we will try to take into account all your advice, I hope they will help us. Thank you for the article. Also read the article about the joints on your site, very useful information.
Pain in the knee when bending
Quite often a person is forced to abandon all his plans due to the fact that there is severe pain in the knee when flexing. I must say that in general acute pain greatly frightens. And when it comes to the fact that there is a difficulty in moving, then this moment worries even more and here it is necessary to immediately go to the doctor - traumatologist. But let's first try to understand on our own why this situation can arise.
Understanding the situation when the knee is hurting when extending and in other actions, it is worth starting with an explanation of the direct work of the knee joint. When walking, the biggest joint is the knee. He is most susceptible to constant stress. Negative influence occurs when walking, when playing sports and any other loads. If the knee hurts when bending - then, this is a sure sign of injury. Consider possible diseases that cause knee pain during extension and what to do in such situations. It is very important to study the whole situation from the very beginning, since the treatment will come from exactly the symptoms and causes.
Causes of pain when flexing
So, it is probably necessary to start with the fact that the most obvious reason for this situation is, of course - injuries and excessive loads. When the pain occurs in adolescents, then we can assume the disease Osgood-Schlatter. In this situation, pain occurs after exercising. Speaking professionally, this is the primary osteochondropathy of the tibia. In this case, pain in the knee during flexion may occur at the moment of descent down the stairs. But it is worth saying that this condition can be completely completed within a month. In rare cases, it changes into a chronic form.
If you notice that with discomfort in the knee joint there is also a crunch - this is the right cause of arthrosis. Very often it happens that this symptom is not given importance, and then a very bad situation arises. Initially, you can see that when flexing the pain in the knee arise only during walking and squatting. And as soon as the joint warms up all the unpleasant sensations disappear. However, if you do not deal with this issue, the pain will cease to disappear and it will be impossible to walk normally to the person.
There is another case that causes such discomfort. This is an inflammation of the articular bags. The medical name for this symptom is bursitis. In this case, the knee joint loses significantly in the ability to move and constantly hurts. It is also very important to note that there is swelling and redness on the body.
On reception at the doctor it is possible to hear also the diagnosis about a pathology of a patellar cartilage that too can influence painful sensations in a joint. In this case, the focus of pain occurs in the anterior part of the knee. There is a significant increase in pain when descending the stairs. If a person simply sits, then the pain becomes aching. And with ordinary walking there is a crunch. Also, the question "why does the knee ache during flexion?" Can be answered that this is a sign of rheumatoid arthritis. In this case, pain occurs at the moment of the bend and there is an increase in temperature in this area, swelling and fever.
There is another unpleasant disease, which in medicine is designated as - Baker's cyst. This symptom indicates a fluid that accumulates under the knee. This accumulation is preceded by a hernia, which is located on the knee joint. Also on the occurrence of this disease can indicate the rupture of the capsule and meniscus and of course - damage to the cartilage. It is worth noting that this diagnosis is quite serious, since the thrombus that occurs in such a situation carries a life threat and requires medical intervention.
How to treat
If you have any pain in the knee joint, then first aid in this situation will be - this is a reduction in the load. But incomplete inactivity, but a gradual warm-up. It is worth noting that the most frequent treatment, which appoints doctors, is a bed rest with a gradual activation. If you need to move using a cane. In quite difficult situations, you can also use crutches. Also, when referring to the orthopedist, with pain in the knee when extending, you can get an appointment for the purchase of orthopedic insoles. They will help reduce the load when walking incorrectly.
What is the purpose of conservative treatment?
- First of all, you need to reduce pain symptoms. Reducing the severity of the symptoms of the disease.
- Next, the task is to increase the activity and condition of the patient.
- Suspension of progression and cure of ailment.
When a patient suffering from knee pain addresses the doctor for help first, of course, that he must pass is a diagnosis. Often, this process is assigned to the patient deployed, to more accurately determine the focus of the disease. And then when everything becomes known and it is possible to finally diagnose the doctor appoints his ward necessarily comprehensive treatment.
All treatment necessarily begins with non-steroidal, anti-inflammatory drugs that have basically anesthetic substances. In the case when the pain in the leg at the knee bend is already simply no strength, to endure, and it becomes very severe and chronic, that is, the probability that the patient will be prescribed drugs that are injected directly into the joint, but they stillbe non-steroidal. In therapeutic practice, these drugs have the designation - NSAIDs. By this method, it is possible to stop the manifestations of pain for a long time.
This method involves the ability to remove the sensation of pain for a fairly long time, and also helps to maintain work capacity. To achieve the same result, the input of the chondroprotector is also used. This treatment allows restoring the integrity and elasticity of the cartilage. If the knee is very sore during flexion, an artificial replacement of the synovial fluid is used. This fluid performs the job of lubricating the joint. It is worth noting the use of local drugs. They give an excellent result. This list includes such procedures as: rubbing ointments, aerosols, gels and applying knee compresses to the diseased knee. Very often in the treatment with NSAIDs in the complex prescribed and such therapy. The positive aspect of local treatment is that it has a direct effect on the pain inside the knee when flexing. Also very important is the fact that such treatment does not cause side effects.
Causes of extension pain
Probably, many faced with when you do not really want to visit a doctor. Everyone has their own reasons. They are busy, others are just lazy, and still others are afraid of people wearing white coats. But as practice shows, it is this negligence to one's own health that is the main cause of severe knee pains when bending.
If you visit a doctor with initial symptoms, you can diagnose the disease at an early stage. And then you can immediately carry out a treatment that will give a 100% result. In this case, the patient will be prescribed not only the reception of medicines, but also physiotherapy procedures. In the case of remission, exercise therapy.
If the disease of the knee joint is in neglected form, respectively, and treatment will be more complex, more time-consuming and more expensive. Quite often, with neglected forms of disease, when medicines do not give a positive result, surgical intervention is necessary.
When the leg hurts on the knee bend and the condition diagnosed by the doctor is triggered, I most often apply the operation - arthroscopy. This procedure has several spectra of the impact on the disease and will help to obtain a solution on such aspects as:
- first, with its help one can put the right diagnosis 100 per cent;
- if there are splintered parts of the meniscus or cartilage free bodies were found, then with this procedure they can be completely removed;
- is rinsed and the joint cavity is cleaned;
- directly on the site is the introduction of drugs;
- cartilage is transplanted;
- if the situation is completely out of control, and nothing can be done for treatment, then on site it is possible to carry out the procedure - endoprosthetics. This means the complete removal of the diseased joint and its replacement by an artificial joint. Only in this way can one get rid of the pain inside the knee when flexing and thereby become fully functional again.
To top it all off, it's worth summarizing everything you need to do to ensure that you never have any problems with joints and you do not feel discomfort.
Of course, initially, this should be prophylaxis. This list will include both proper nutrition, which will allow the body to fully saturate with the necessary minerals and vitamins. Also, it can be attributed and careful examination for their physical condition. If you have hard work, give your feet a good rest and vice versa, if you are a representative of the profession, where most of you have to sit, do gymnastics and develop overstained joints.
Further it is necessary to remember that at the slightest manifestations of the symptomatology of the knee joints it is necessary to immediately consult a doctor and get qualified help. Do not self-medicate. Such an occupation will prolong the healing process and can do much harm. These are the most important rules for your health.