If there is pain under the knee at the backWhen our legs are healthy, we do not notice what kind of happiness it is - to easily overcome stairs, walk a lot, easily sit and get up from the chair. But here you feel the pain under the knee. Life became more complicated, movement became difficult.
What can I do to make the pain go away? Many people face problems in the knee joint. This area of the legs is subject to daily loads, its trauma or inflammation are not uncommon phenomena. In this case, many complain of pain under the knee from behind.
Why does pain appear?
First we need to understand the causes that caused the appearance of painful sensations, which bring discomfort to daily life and limit mobility.
- Trauma or sudden movement of the foot can lead to rupture of tendons, damage to the meniscus or displacement of the patella. The result of an injury may also be a stretching( in the worst case, a rupture) of ligaments or a dislocation. All these lesions are accompanied by severe pain in the knee joint, which is the reason for immediate contact with a surgeon to start surgical treatment.
- Back pain can be the result of arthritis, bursitis, tendinitis, gout - inflammation of one of the elements of the knee joint.
How the human knee is made
- Pain under the knee can occur due to an infectious disease - psoriasis, venereal diseases or popliteal abscess.
- When bending the knee, it can cause pain of the meniscus cyst. The leg will ache under the knee from behind and when walking.
- Varicose veins often provoke pain under the left knee cap. It is aggravated when a person bends his leg or climbs the stairs. A characteristic feature of pain under the knee is the stagnation during rest, so this syndrome is called the "sickness of the windows".As long as a person walks - the leg hurts, stops at the window - the pain under the knee is gone. It is the diseased veins and the vascular pathologies of the legs that cause unilateral pain. You need to treat veins.
- The cause of permanent pulling pain can be an aneurysm of the popliteal artery. But this disease is rare.
- When a disease with osteochondrosis in the lumbar region, pains often appear, giving to the legs. Therefore, the cause of pain under the knee cap may well be an exacerbation of the spine.
- If the leg hurts under the knee from the back and pain spreads to the foot to the foot, the inflammation of the tibial nerve passing through the bottom of the popliteal fossa is probably the cause. Especially noticeable is the sharp and intense pain when walking or otherwise loading the legs.
- In the case of muscle strain, softening and cartilage damage, pain can occur under the knee at the back.
If the leg hurts under the knee from the rear, then consider the causal mechanisms of pain, without losing sight of all the components of the complex structure of the joint: bone tissue, cartilage, ligaments, tendons and muscles.
Diagnosis and treatment
Ultrasonic diagnosis of the knee
The correct diagnosis for pain under the knee can only be made by a doctor. To do this, he must examine the affected area, clarify the nature and localization of pain, professional activity and hereditary factors. Then the patient should undergo examinations: X-ray, ultrasound, angiography and others, which allows to determine the nature of the disease reliably. Treatment of the knee depends on the severity of its damage. With intense, acute pain that usually occurs after trauma, pain in the knee is stopped, the patient is delivered to a medical institution, where, if necessary, surgical intervention is performed.
If hospitalization is not required, a special lining or joint is applied to the pain relief under the knee to the patient site, or the joint is securely fixed. Anti-inflammatory ointments may be prescribed, medicines-non-steroidal anti-inflammatory drugs or antibiotics. Physiotherapy exercises and physiotherapy help strengthen the muscles and restore damaged knee functions.
Neoprene under the knee
At the initial stage, almost all diseases of the knee joint can be cured, with the exception of Baker's cyst, where puncture or removal is necessary. Baker's cyst is usually accompanied by intense pain under the knee at the back, the joint swells and a seal forms under the knee. The joint of the person inside is covered with a synovial connective tissue membrane that produces fluid. Increasing the production of fluid in the inflammatory process leads to its accumulation in the interweaving bag, so there is a neoplasm called Baker's cyst. The first symptoms of the disease are mild discomfort at the back of the knee, which, if not started on time, can develop into a drawing pain.
The main thing is to pay attention to the problem in time, put the right diagnosis and start treatment. And do not ignore this fact if the leg hurts under the knee from behind unsteady. If the pain appears, then there is a reason causing it.
After the course of treatment is completed, it is necessary to carry out rehabilitation measures: to develop the joint, to support the knee with elastic bandage, to take medications that strengthen bone tissue, ligaments, tendons and vessels.
Recommendations for the Prevention of Infectious Diseases
What should I do to ensure that the pulling pain under the knee does not arise from behind? What are the preventive measures for the disease? The first is to avoid hypothermia of the legs, the second - to watch your weight. Obesity can provoke pain in the knee joint, because excessive loading leads to its deformation and destruction. And to reduce the burden on the joint, you need to bring your weight back to normal.
The athletes are at risk. For prevention, it is recommended to distribute loads correctly, adhere to a special diet and use protective equipment - knee pads and cruciform bandages. Legs that are occupied by sedentary work are subject to the disease of the legs, in which the limbs are for a long time in a bent or crossed state. They are encouraged to conduct leg warm-ups between work breaks.
You walked a lot and are tired, now your legs are aching, you feel heaviness in your legs - prepare them a warm foot bath. For best effect, add a little sea salt to it. If the leg is pulled and the veins ache, you can make a foot bath with chamomile, which has anti-inflammatory properties and helps fight swelling. Brew a glass of chamomile water, let it brew and pour into the foot bath.
To remove pain in the knee helps compress of burdock. To do this, several leaves of the plant need to be washed, dried, stacked on top of each other, from above put a hot kettle. The knee, greased with vegetable oil, wrap a stack of burdock leaves with a fluffy side, top with cellophane and secure everything with a handkerchief.
The leg under the knee hurts - prepare a chestnut tincture. This is an old and time-tested recipe.300 g of crushed chestnut is poured into 0.5 liters of vodka, it is insisted for 2 weeks( do not forget to shake daily).Before going to bed rub the diseased area, and the pain will gradually go away.
If you suffer from pain under the knee, try to reduce pressure in your legs whenever possible. For example, if you are watching TV or reading, lift your legs and fix them with sofa cushions. If possible, rest more often in chair raised on the chair during the working day.
You suffer from varicose veins, you have sensitive veins on your legs and, as a result, your leg hurts under the knee from behind - do exercise exercises.20 times stand on tiptoe, then rest a little and relax and repeat the exercise. Improves blood circulation and strengthens the calf muscles.
People after 40 years of age are recommended to strengthen their leg muscles, doing various sit-ups, back-and-forth attacks, exercise "bicycle".Remember: preventing any disease is much easier than curing.
Pain under the knee at the back - a symptom of Baker's cyst
As a child, we begin to injure our knees. There were scratches, there were no scratches on the knees of a rare child. In everyday life they say "broke my knees".But, if the knees really broke, then the majority would be provided with lifelong disability. Constantly testing for strength the largest and complex joints - the knee, we notice them when we begin to experience pain in the knees. With age, this happens to almost everyone.
Minor and fast-moving pains, if ignored, intensify. When the knees ache is limited mobility of the joints, there is stiffness in the movements. Often the knee swells and turns red. The pain becomes almost constant, exacerbating at night. Why is this happening? Diseases of the knee joint are so many, they are so diverse that only a doctor can answer this question.
Immediately determine why it hurts under the knee, it is impossible. At least because the knee joint consists of bones, cartilage, tendons, ligaments, muscles, interarticulate fluid. And what has become inflamed, deformed, contracted, worn or swollen, can be recognized only after a thorough examination, tests and tests.
Some people are concerned about the local pain under the knee at the back. When you go to the doctor, patients complain of a feeling of stiffness, pressure in the popliteal fossa. Painful sensations may be absent, but discomfort is present all the time.
Pain under the knee at the back can be caused by a popliteal tumor - a cyst. This disease is called Baker's disease. At first, the cyst is little noticeable, it is determined only by the method of palpation, palpation. When the leg is unbent, it is more noticeable, when bending, it almost disappears.
Baker's cyst is a dense tumor, soft and elastic to the touch. The skin above the swelling is not inflamed, it looks absolutely healthy. This benign formation is filled with fluid.
Various diseases of the knee joint can provoke the appearance of Baker's cyst: arthroses of different etymologies, arthritis, synovitis. Often the cause of joint tumors in the popliteal calyx are meniscus injuries, cartilage damage.
Sometimes the appearance of a cyst occurs without apparent subjective causes.
Pain under the knee at the back begins to particularly bother the person when the cyst acquires considerable dimensions. The accumulated fluid squeezes adjacent blood vessels, nerve trunks, blood circulation is disturbed. There is numbness of the leg, the skin becomes colder under the knee, edema appears.
In the absence of treatment, Baker's cyst can cause serious complications, promote thrombophlebitis of the deep veins of the lower leg and varicose veins. Especially dangerous is the rupture of the cyst wall. When this happens, there is a sharp pain under the knee, redness and an increase in the temperature of the adjacent tissues.
For the diagnosis of Baker's cyst, it is important to determine the root cause of the disease. The patient is fully examined, in addition to conventional tests, he is assigned ultrasound and magnetic resonance imaging of the knee joint. The method of puncture - a puncture of the wall of the cyst, the patient makes an analysis of the contents of the tumor.
Treatment of "young" cysts is usually conservative: the syringe is sucked off the contents, then anti-inflammatory drugs are injected into the same hole. Also, the underlying disease of the knee joint, which caused the tumor, is actively treated. If the tumor has reached a significant size, then conservative treatment is not always effective. In this case, surgical intervention is prescribed.
Pain under the knee at the back is not always a symptom of Baker's cyst, the reasons may not be so serious. But, to be convinced of this, it is necessary to consult with the doctor.
Pain under the knee
Many people complain that they have pain in the legs under the knees. Such pains appear for many reasons. The knee joint, being the largest and most complex joint in the human body, undergoes everyday stress, often undergoes various kinds of inflammation, trauma and damage.
Causes of pain under the knee
- Traumatic injuries caused by physical activity or as a result of improper warm-up before long active training.
- Injuries resulting from injury, fall, stroke.
- Inflammatory processes in the joint or periarticular bag: arthritis, gout, osteoarthritis, bursitis.
- Infectious processes: venereal diseases or psoriasis.
- Neoplasm under the knee( Becker cyst).
- Sprain of the ligaments or their rupture.
- Dislocation or fracture of popliteal calyx.
- Inflammation or rupture of tendons.
- Softening or deformation of articular cartilage.
- Varicose veins.
- Various diseases in the hip joint.
- Schlatter disease.
- Excess weight provokes joint damage.
There are many causes of pain under the knee, but mostly they are associated with inflammatory or traumatic injuries of the tendons. Similar symptoms of pain in the legs below the knees look here. If the leg hurts under the knee, then basically it is due to damage or an inflammatory disease of the tendons. Tendons are very sensitive to sprains, injuries, inflammations or ruptures. Although they are strong, they can not stretch. In addition to the fact that acute pain under the knee can occur due to a disease of the tendons, so still it can appear as a result of serious diseases. For example, a break in the meniscus or a patella fracture, a dislocation or inflammation of the periosteum. In general, athletes suffer from tendon diseases. There are even special definitions of diseases for a particular sport: "runner's syndrome", "knee jumper" or "swimmer's knee".But these diseases are confirmed and those who are not engaged in active physical exercises and even children. To cause pain under the knee can and varicose veins, which are accompanied by a weight, pulsation or there is a pulling pain under the knee. Uncomfortable shoes that do not give a normal knee bend can also provoke a stretching of the tendon.
Sore tendon under the knee or aching ligaments under the knee
The layman is difficult to distinguish symptoms of ligament pain from tendon pain. With a sharp movement, not only the sprain of the ligaments, but also the tendons, can occur. In either case, severe pain begins, edema develops and movement becomes difficult. If the tendons are damaged, the skin color changes less than with trauma to the ligaments. When there is a rupture of the tendon, you can hear a crack, after which the functioning of the muscle stops, and the shin stops flexing. Consider the main symptoms of sprain:
- Knee movement is difficult or impossible at all. If the ligaments are severed completely, the knee becomes very mobile.
- If you press on the knee, then there are sharp pains.
- You hear a crunch and clicks while driving.
- The hematoma appears slightly below the damaged site.
- Damaged space swells.
- An unstable position of the knee joint is felt.
When stretching the tendons or ligaments, the first aid is the same. To begin with, cold is applied to the damaged area. Then it is necessary to immobilize the joint with a tire or elastic bandage and place it in an elevated position. If the patient is suffering severe pain, then you can give an anesthetic. Seek medical advice.
In general, the treatment of ligaments occurs in several stages and can last from several weeks to several months. If the stretching was in light or medium form, then an elastic bandage is applied. In the case of rupture of ligaments or tendons, plaster is applied. To reduce and remove the edema, it is recommended to use ice every three to four hours for twenty minutes. In the prone position, the knee should be above the level of the heart, so it is best to lay it on the pillow. In medicamentous treatment can include tablets of anesthetic and anti-inflammatory nature and medicines for the restoration of the joint itself. Crutches or brace may be needed for movement. After the edema subsides, the treatment can be continued with various compresses or a warmer to increase joint mobility. Simultaneously with thermal treatment it is recommended to do massage. To fully restore the functional of the joint, rehabilitation treatment is required in the form of physiotherapy and physiotherapy exercises.
One of the frequent knee problems and the occurrence of pain under the knee is meniscus ruptures. An awkward sharp movement or long squatting creates an additional load, which can lead to rupture of the meniscus. Only specialists can diagnose the rupture of menisci and distinguish it from an ordinary bruise. But there are signs on which it can be assumed that menisci are injured. On the basis of them it is necessary to urgently address to the surgeon. Symptoms of a meniscus injury:
- the leg does not bend and does not unbend;
- there was a sensation, that there was a click and the knee joint jammed.
It should be noted that with prolonged meniscus trauma in a restful state, pain may not occur, but appear only on descent. Over time, damaged menisci lead to the destruction of articular cartilage, so it should be as soon as possible to see a doctor. After the diagnosis of a "meniscus rupture", mandatory surgery should be performed. Even experienced surgeons can not immediately determine the meniscus rupture. To diagnose a meniscus injury, it is recommended to use magnetic resonance imaging, since the x-ray shows only bones, and with ultrasound it is possible to see damage to the joint only by 50-60%.
One of the common diseases of the knee joint is osteoarthritis, which can lead to deformation of the knee joint and immobility of the knee as a whole. Osteoarthritis is a chronic disease, in which the cartilage of the joint is gradually destroyed and mobility is impaired. This disease is most likely to affect people older than 40 years. They are mostly women who are overweight. Excess weight gives a big load on all the joints of the legs, including the knee. Also, the development of the disease is associated with a violation of metabolic and hormonal processes. In people over 60 years of age this disease is caused by age-related changes and aging of joints. At this age, self-healing of the cartilaginous tissue no longer occurs.
Disease Osteoarthritis causes pain under the knee, discomfort, rapid foot fatigue, knee obstruction, swelling and knee deformities may occur. At the last stage of the disease there are severe pains under the knee and in the knee, the muscles near the knee become atrophied. Movement becomes severely limited or even impossible. Cure the disease at this stage is possible only by implantation of the knee joint.
Therapy of osteoarthritis consists in anesthetizing and restoring affected tissues of the joint and its components, as well as restoring the motor function. To begin with, if possible, the cause of the disease is clarified, and if it is established, then there is a need to eliminate it. For example, the cause of osteoarthritis in excess weight, the patient is invited to lose weight. In addition to medical treatment, the doctor appoints additional medical measures: physiotherapy, acupuncture, massage, exercise therapy and others.
This disease is most typical of boys aged 11 to 18 years, especially it occurs in those who are actively involved in sports. The essence of Schlätter's illness lies in the fact that the tuberosity of the tibia is injured, which in adolescents is still in a loose state.
The disease begins with sensitivity in the knee joint region and pain occurs during movement, especially with knee bends or knee flexion. Severe pain under the knee occurs when kneeling. During the development of the disease there may be sprouting near the knee joint and swelling below the knee.
For mild cases, it is recommended to reduce or exclude a large load on the joint( avoid jumping, running, squats).If the pain is repeated regularly, the patient's joint is immobilized by a longus for two months before the pain disappears. If the initial treatment has not yielded results and the pain persists, the joints operate and remove excess stagnant growths.
Fracture of the knee cap
In medicine, the knee cap is called the patella, which is located in front of the knee joint. It is a very small bone, which protects the knee joint.
Symptoms of a fracture
Suspicion of a patellar fracture can be suspected if the leg is constantly hurting under the knee in front, and especially the pain increases with the support of an aching leg or trying to pull it out. Appears edema, and sometimes there is deformation of the knee joint. As a rule, after a fracture of the calyx, a bruise appears, which can eventually move up to the foot.
First you need to immobilize your leg and apply ice. Seek medical advice.
Treatment of a patella fracture is determined from the nature of fracture and displacement of fragments. Fractures can be stable and unstable. With stable fractures there is no tendency to shift, with unstable fractures, the displacement has already occurred or will occur later. If the displacement of fragments is not present, then the treatment occurs in a conservative way. On the knee joint impose a plaster or an orthosis up to 6 weeks. If there is even a small displacement of the fragments, the operating method separates and restores the joint surface, after which the cup is fixed. Fracture of the kneecap is a very serious and severe trauma. Subsequently, such a fracture can develop arthrosis, which will cause pain in the joint.
Article on the topic of pain under the knee from behind, see the link.
Preventative measures of pain under the knee
- When practicing sports, it is recommended to protect the knee with special knee pads, a wedge and a special bandage.
- If human activity involves uniform movements of the legs that affect the structure of the knee joint, then in the breaks, a warm-up should be introduced.
- If the knee is damaged, it is recommended to immobilize or minimize the load on the knee for at least two days.
- In order not to hurt under the knee, it is necessary to save the knee itself from hypothermia.
Back pain in the knee: causes and methods of treatment
In the human musculoskeletal system, a number of constituent elements with different functional load. Knee joints - one of the most important zones, because it is on her work that the ability to move easily and freely. Drawing pain under the knee from behind is encountered among patients very often, because this area is very vulnerable both from the point of view of mechanical influence and from the appearance of various diseases. The nature of these sensations is somewhat different from the usual pain in the knee - often they are pulling type and quite strong.
Back pain occurs due to injuries of soft tissues or bones of the joint
Any mechanical damage( even if it involves the slightest abrasions and bruises) may subsequently lead to serious consequences, and bruises, dislocations and fractures even more so.
It is very important to carefully treat the condition of your knees, because the pain at the back of the knees when bending can not only hamper the walking process, but also generally adversely affect the quality of life.
Anatomy of the knee joint
In order to identify the problem areas and understand the mechanism of action of a disease, it is necessary to consider the anatomy of the knee joint. If the patient is worried about the pain just behind the knee, and when flexing, then you need to pay attention to the state popliteal fossa - the area immediately behind the joint itself.
Why is damage to this area very dangerous? This explains the location in the popliteal fossa of various body systems:
- , the bottom of the fovea is the posterior surface of the capsule of the knee joint;
- in the popliteal fossa are located lymph nodes;
- in the center pass the bloodways - veins and arteries;
- is also located here a vascular-neural bundle, that is - accumulation of nerve endings.
Functional load of the site behind the knee causes a variety of reasons that can cause painful bending syndrome.
Cyst Becker as the cause of pain
One of the most common causes of pain syndrome localized in this area is the Becker cyst. In this case, the pain is accompanied by a slight edema of the popliteal fossa. The mechanism of the disease is as follows: on the inside, the knee joint is covered with a synovial membrane, which is responsible for producing a natural lubricant for the joint. Inflammation of the envelope leads to an excess of the produced fluid and, as a result, to severe compression and swelling processes. It is the formed painful densification that is called Becker's cyst. It is easiest to notice it on the straight leg, since with a slight pressure( or when bending) it decreases in size. Treatment of this disease has a favorable prognosis, but it is much easier in the early stages.
Knee pain often occurs with Becker's cyst
Pain in the popliteal region from behind when flexing can be a manifestation of various problems with a meniscus-a cartilaginous "padding" that serves to stabilize the joint and its cushioning during walking. There are two main types of disorders that cause the pain syndrome:
- rupture of cartilage.
Sharp sloppy bending, injury, damage due to mechanical stress - all this can lead to rupture of the meniscus. The problem can be a consequence of the development in the body of another disease - arthrosis, which has a destructive effect on cartilage tissues( first of all, treatment of the original disease);
- cyst on the meniscus. Unlike Becker's cyst, it is impossible to notice such formation during visual examination.
Other causes of back pain
In medical practice, there are a number of reasons why pain occurs in the popliteal area when flexing:
- damage to tendons and ligaments;
- strong physical activity, which leads to overstrain of the tissues of the popliteal fossa;
- inflammation due to micro-trauma;
- pain can have a reflective character, that is, its true source may be hiding elsewhere( most often this happens when the vertebrae and osteochondrosis are infringed).
Diagnostic measures and treatment
To get the exact list of necessary diagnostic tests, you should consult a doctor. The complex can include:
- a primary examination of the patient;
- urine and blood test to determine the general condition of the body;
- X-ray( since the X-ray shows bone tissue, a special contrast will be required before the examination);
- Doppler study, etc.
For the correct diagnosis it is necessary to undergo an
examination. After the diagnosis is made, appropriate treatment will follow.
When a patient comes to the hospital with a complaint about such pain, the primary task of a specialist is to conduct a comprehensive study to identify the cause and the true source of pain. Independently to treat the emerging discomfort when bending the knee is not worth it, because different ointments and poultices only relieve pain a little, without relieving the original disease.
If Becker's cyst is diagnosed, then the complex of therapeutic measures will include: injections of anti-inflammatory drugs, glucocorticosteroids, and elastic joints to limit joint mobility.
Bursitis and tendinitis often require hospitalization. Patient impose a plaster on the knee, also treatment implies a course of anti-inflammatory and hormonal drugs. Important role for restoring the normal function of the knee has an adequate physical load - physiotherapy.
If the violations affected the nerve-vascular node, as well as with serious damage to the integrity of the knee joints, treatment may require surgical intervention.