Pain in the knee joint

Causes of pain in the knee joint

It is hardly possible to find at least one lucky man who has never been pained in his knee joint. There are a lot of reasons for this phenomenon: from an ordinary bruise to a serious illness of the whole organism. Usually soreness in the knees is not a concern, but if the pain is worried constantly or its intensity is so high that it interferes with daily activities, then it is mandatory to seek medical help for diagnosis and appropriate treatment.

What can hurt?

The knee joint is one of the largest and most complex joints of the body, moreover, it sustains colossal loads every day due to the whole mass of our body. To understand why pain develops in the knee region, it is necessary to familiarize yourself with the peculiarities of the anatomical structure of the knee joint.

The knee joint consists of 3 bones: tibia, femur and knee, which are reinforced with intra-articular ligaments( anterior and posterior cruciate, lateral and medial ligament, knee ligament, etc.).The articular surfaces of the bones are covered with smooth hyaline cartilage, which allows slipping bones and, accordingly, movements in the joint. In addition, the cartilaginous tissue in the joint complements its boundaries and ensures the stability of the articulation.

The structure of the knee joint
Anatomical structure of the knee joint

The entire joint is covered by the synovial membrane, inside of which there is a small amount of intraarticular fluid supplying the cartilage and reducing the frictional force in the joint cavity. The peculiarity of the capsule of the knee joint can be considered the presence of a large number of folds and pockets, as well as accumulations of fatty tissue. They provide cushioning during movements and strengthen the joint, but can also become a hotbed of pain in case of inflammation or damage.

Outside the joint is additionally strengthened by extraarticular ligaments and muscles. It should be noted that the muscular skeleton of the knee is not developed enough, due to this, the articulation is superficial and prone to injury. Drawing conclusions, it can be noted that if the leg in the knee hurts, then such a symptom can be associated with the pathology:

  • of articular parts of bones( tumor, osteoporosis, osteomyelitis, osteolysis, aseptic necrosis);
  • cartilage tissue that covers bone tissue( osteoarthritis);
  • joint capsules( inflammation, tears, infringements, degenerative changes), its pockets and folds( knee joint bursitis);
  • of Goff's fat bodies( inflammation or degeneration);
  • ligamentous apparatus( trauma, inflammatory and dystrophic changes, cyst of tendon shells, hygroma);
  • of blood vessels and nerves;
  • muscles that strengthen the joint.

Important! Most diseases of the knee joints manifest similar symptoms, the main one of which is pain. But, given the different etiology and mechanisms of development of pathology, the treatment is radically different. Therefore, it is very important to find out the exact cause of the pain syndrome, because there are diseases in which surgery may be necessary.

To determine the exact diagnosis will help identify the risk factors for a particular disease, a detailed history( to determine the presence of a knee injury), a detailed examination by an orthopedic or traumatologist, additional research methods( X-ray, MRI, CT, ultrasound, thermography, etc.).

Risk Factors and Alarming Symptoms

It is very important to consider when determining the cause of knee pain known risk factors for some of the most common diseases, among them:

  • hereditary predisposition to the pathology of the musculoskeletal system;
  • presence of primary diseases that cause pathological changes in the knees( hormonal and metabolic disorders, congenital or acquired defects of the musculoskeletal system, foci of chronic infection in the body, etc.);
  • belonging to the female sex( according to statistics, women are more likely than men to develop rheumatological diseases);
  • senior and advanced age;
  • overweight and obesity;
  • injury or knee surgery in the past;
  • constant overload of knees( professional sports);
  • muscles are not well developed, which form the skeleton of the knee.
Injury of the knee in the athlete
Professional athletes are at risk of knee joint damage

Alertness should cause the following symptoms( especially in people with risk factors):

  • aching pain in the knee area that does not leave you for more than 2 months and appears at the end of the day, after physical exertion anddoes not allow to fall asleep at night;
  • if the pain appears suddenly at rest for no apparent reason and is characterized by high intensity;
  • occurrence of a crunch in the knees while walking;
  • aching knee joints severely under certain conditions, for example, when flexing or flexing;
  • if there are difficulties when climbing the stairs, there is a periodic bending in the knees, a sense of instability;
  • signs of inflammation appear: swelling, redness, skin tension, increased local temperature;
  • the pain becomes permanent and does not pass even after rest, forcing a person to take analgesics;
  • if you see a deformity of the lower limbs, feel the limitation of the amplitude of movements in the joint;
  • if other pathological signs( fever, skin rash, poor health, etc.) are present along with the joint syndrome.

If you find at least one of the above symptoms, be sure to seek medical help, because otherwise, perhaps, you risk not only your health, but also life.

Causes of inflammatory nature of

Inflammation of the structures of the joint itself and the periarticular tissues can cause pain in the knee joint. In this case, inflammation can be infectious, autoimmune and allergic.

Symptoms that help to suspected inflammation( arthritis):

  • pain of pulsating and bursting nature, intensity medium or high, arises sharply, joint hurts even at night;
  • the area of ​​the joint swells, in some cases it is only an easy smoothening of the contours of the knee joint, and sometimes the joint is enlarged 2 times in diameter;
  • the skin over the knee turns red, becomes shiny and taut;
  • the area of ​​the affected joint becomes hot to the touch;
  • disrupted the function of articulation due to pain and swelling;
  • often joint syndrome is accompanied by common signs of the disease( fever, general malaise).
Inflammation of the knee
Knee edema with arthritis

The most frequent inflammatory diseases of the knee joint:

  • rheumatoid arthritis,
  • rheumatoid arthritis,
  • infectious arthritis( viral, bacterial, fungal, parasitic),
  • reactive arthritis,
  • allergic joint damage,
  • synovitis( joint capsule inflammation),
  • bursitis( inflammation of the capsules and twists of the joint capsule),
  • inflammation of the ligaments and their membranes( tendinitis),
  • meniscopathy( inflammation of the menisci in the knee).

It is very important to establish the cause of inflammation, because the treatment is radically different. In some cases, antibiotics are prescribed, but in others, glucocorticoid hormones and cytostatics.

Traumatic causes

We also recommend reading: knee inflammation Symptoms of knee inflammation

Given that the knee is superficially and is susceptible to various injuries, the following injuries can be the cause of the pain:

  • stretching or tearing ligaments inside or outside the knee;
  • rupture of the joint capsule;
  • violation of the integrity of blood vessels with the development of hemarthrosis;
  • fractures of the intraarticular parts of the bones that form the joint;
  • knee meniscus injury;
  • traumatic synovitis;
  • soft tissue injury.

Pain syndrome is typical for all these types of damage. And its intensity is maximum at the time of injury, in the future the pain decreases, it becomes pulling, but occurs again with the slightest movements in the joint. Violated the supporting and motor function of the lower limb, the degree of which depends on the type of injury and severity.

To diagnose traumatic knee injury is not difficult. It is much more difficult to establish its appearance. This can only be done by a specialist after a series of functional diagnostic tests and additional research methods( radiography, MRI, CT, ultrasound).

Damage to the ligaments of the knee joint
Damage of intraarticular knee ligaments - the most common type of injury of this joint

Causes of degenerative-dystrophic nature

Perhaps, these are the most common causes of the development of chronic pain in the knees.

Deforming knee osteoarthritis( gonarthrosis) is the most common cause of knee pain. The disease develops gradually over several years. First the pain appears at the end of the working day, after unaccustomed reloading of the joint, in rest it passes. As the pathological changes and articular cartilage degeneration progress, the pain syndrome becomes permanent, often prevents a person from falling asleep, and leads to abuse of analgesic drugs.

With active and passive movements there is a specific crunch, the limitation of the amplitude of movements in the joint and specific deformations( O and X-shaped legs) develops.

If you do not take measures to treat gonarthrosis and prevent its further progression, the ankylosis of the joint develops over time or the joint loses its function due to deformities or intense pain with each movement. These are indications for surgical treatment of osteoarthritis, knee replacement.

Leg deformation
X-shaped deformation of the lower extremities

Among other degenerative knee diseases that can be accompanied by pain, it should be noted:

  • Osgood-Schlatter osteochondropathy,
  • dissecting osteochondritis,
  • Baker cyst,
  • tendinosis,
  • meniscopathy,
  • Hoff disease,
  • chondromatosis,
  • Disease of the pelvis,
  • dysplasia of the epicondylitis of the femur.

How to get rid of pain in the knee joint

To properly treat pain in the knee joint, it is necessary, first of all, to find out its exact cause. All medical measures can be divided into conservative and surgical.

Conservative therapy includes the following:

  • medication( painkillers, nonsteroidal anti-inflammatory, chondroprotective drugs);
  • physiotherapy methods;
  • exercise therapy;
  • massage and manual therapy;
  • wearing special orthopedic devices( bandages, orthoses);
  • non-traditional methods( treatment with folk remedies, apitherapy, hirudotherapy, osteopathy, etc.).

Surgical treatment is prescribed only according to indications. This is the last stage of gonarthrosis, deformity of the knee joint, which make it impossible for it to function normally, traumas that do not lend themselves to conservative treatment( ruptures of ligaments, meniscuses, etc.).Applied as plastic( restorative) surgery, and prosthetics of the knee joint.

Unfortunately, very few people pay attention to such a symptom as pain in the knee, until it reduces the quality of human life. Very often people with diseases of the knee joint seek help at the final stage of the disease, when nothing other than surgery will help restore the function of the limb. Therefore, do not ignore the pain in your knees, because a timely and correctly diagnosed diagnosis is already 50% of success in treatment.

MoyaSpina.ru

Effective treatment for pain of knee joints!


Pain in the knee joint Pain in the knees is a problem that spoils the lives of millions of people on Earth daily .Often the diseases of the joints are so painful that, avoiding pain, a person loses freedom of movement. Pain sensations in the knees - the most unpleasant problem with the joints, because they seriously limit the ability to walk normally.
Alas, almost half of humanity faces this problem at different ages. Some try to treat their knees themselves, but self-treatment rarely leads to positive results, rather, on the contrary, the disease progresses. What is the right way to treat sick knees? First, you need to find out what caused the pain.

Why do my knees hurt?

According to statistics, about half of people have joint knees at least once in their life, the reasons can be different. Pain in the knees can arise as a result of more than two hundred pathologies. Some of which are related to the knee joint and its damage directly, others are only indirectly.
The following diseases and conditions most often cause such a pain:
- arthrosis of the knee joints( also called gonarthrosis).This is a degenerative lesion of the cartilaginous tissue, which has a non-inflammatory character, because of which the joint is often deformed.
- arthrosis of the knee joints( or gonoarthritis), which is an acute or chronic inflammation in the knee joint.
- injuries in the joint and their consequences.
- the age.
- various congenital pathologies.
is obesity.
- metabolic disorders affecting the joint.
- common diseases of the body( for example, rheumatism).
- autoimmune diseases.
- tumor diseases.
The mechanism of the appearance of the pain itself is associated with lesions of ligaments, cartilage, accumulation of fluid in the joint cavity or vice versa with excessive dryness due to insufficient lubrication, with the ingress of bone / cartilage / foreign body fragments into the joint cavity, too much load or with nerve pincers.
Depending on the reason, the doctor prescribes the appropriate comprehensive treatment.

How to treat pain in the knees?

Treatment, as a rule, consists of traditional methods of modern medicine, in particularly neglected cases resort to surgical intervention, but very often the doctor includes in the treatment complex and folk methods. Let's consider all kinds of treatment more.

Traditional Therapy

If the pain in the knees is troubling, then do not rush to treatment, because in the first place it is important to find out what triggered this pain in the joint. You need to treat not the symptoms, but the cause that causes this pain, that is, get rid of the underlying disease. For this, usually only local treatment with ointments, gels and compresses is not enough. Typically, the doctor prescribes medication for injection and / or ingestion. Of course, if the cause of pain in the knee is a bruise, then warming and absorbing hematoma ointments will be enough. But you can solve such a problem yourself, the joint has nothing to do with it. In more serious cases, always consult a doctor, because if the disease is started, the consequences can be deplorable, up to disability( the joint is completely destroyed) and the inability to move independently.
As a rule, the treatment is directed to:
- relief from pain;
- elimination of the cause of pain;
- restoration of the functions and structure of the knee joint( this is also the prevention of pain).
The pain will weaken with the gradual elimination of factors, its provoking, respectively, the need for anesthetics will decrease accordingly. Very often, the therapeutic complex includes anti-inflammatory drugs, chondroprotectors( which help the cartilage tissue in the knee joint to recover), drugs that restore the body's natural immunity, a special diet, physiotherapy procedures, manual therapy, massage sessions, and therapeutic gymnastics.
It is very important to remember that the knee joints( as well as the other joints of the legs) have a tremendous load, since they need not only to withstand body weight, but also to participate in the movement. In this regard, people with obesity problems knee joints are much more common than in people whose body weight is normal. That is why patients suffering from excess weight, it is important to get rid of extra pounds, so the joints of the knees will be much easier. To this end, doctors prescribe a special diet with limited caloric content. Consumption of flour products, salt, spicy and spicy dishes is reduced.
When the period of remission comes, the treatment includes a course of physiotherapy. The most useful are swimming and exercise in the water, because they have a comprehensive effect: strengthen different muscle groups, ligaments, improve blood circulation, and also harden the body as a whole. During remission, swimming pool visits are highly desirable, the joint will work and be developed.
If the cause of pain in the knee joints is a chronic disease, it depends on the correct treatment complex that determines how long the remission will be( the time interval when the disease manifests itself minimally or does not manifest at all).At this time it is important to continue treatment and strengthen the body when the pain begins to subside.

How to achieve rapid pain relief?

Massage of the knee joint What should I do to make the analgesic effect manifest as quickly as possible? To quickly get rid of pain in the knee joint, apply courses of manual therapy or massage. It is important that such treatment is carried out by an experienced specialist who already has a positive experience in this field.
When the knee joints are injured, radon baths and mud therapy have a good effect. Therefore, treatment in a sanatorium will help to overcome the disease or, at least, delay the next time of exacerbation.

Folk Treatments for

Diseases of knee joints are most efficiently treated in a comprehensive way, so traditional methods often include folk remedies. However, it is not worthwhile to engage in self-medication and give preference to purely folk methods, it is best to apply them as a supplement to standard treatment. One of the advantages of folk methods is the possibility of treating a knee disease without leaving home. It is best if the attending physician or specialist in the field of folk remedies shares the specific recipes.
Most of the procedures of traditional medicine is aimed at removing salt deposits and heating the knee joints. The most well-known ways to defeat this disease are: compresses, baths with grass infusions, rubbing and lotion. Often, plant juices or their broths are taken internally.
To dissolve and remove salt from the knee joints, it is recommended to make soda lotions every evening. For these lotions you need: in a liter of warm water to dissolve a tablespoon of soda, moisten the resulting solution with tissue and apply to the affected knee for 15 minutes. After this time, the soda should be washed off, and the area of ​​the knee joints should be greased with a vitamin cream and put on warming woolen dressings before going to bed. Such procedures should be carried out until the pain is weakened, and the crunch in the knees does not stop. In order to fight against the disease more effectively, you should take 2-3 tablespoons of black radish juice daily.
Often diseases of the knee joint are treated with compresses with medical bile, honey, propolis( and other bee products).Folk recipes for rubbing against knee disease often include beef interior fat. It is recommended to add decoctions of hop, straw, St. John's wort, chamomile, rowan bark and some other plants to the baths. The duration of the procedure should be agreed with the doctor. It depends on the general condition of the patient, the degree of the disease, the tolerability of therapy, on how much the knee hurts, and on the speed with which the effect is manifested.
Regardless of which treatment methods you choose, remember that the effect was maximum, the diseases should not be neglected. If the diseases of the knees are very neglected, treating them a hundred times longer and more difficult. Therefore, be sure to listen to your body, keep track of his condition and, if there is any illness, do not postpone the visit to the doctor. Of course, with the help of modern medicine, even very neglected diseases can be defeated, but it is better not to bring them to severe stages.

Operation

Modern medicine can cure even a very neglected disease. For example, if the gonarthrosis reached the third( final) stage, when the knee does not bend and it becomes difficult to walk, and then only disability. In such cases, the doctor can offer to get rid of the disease with the help of endoprosthetics. This procedure involves replacing the damaged knee with a new artificial one. Undoubtedly, after this surgical intervention, a long rehabilitation is required, but several months of developing a new joint is a relatively small price compared to the ability to walk.

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Causes and treatment of pain in the knee joint

Every person has experienced pain in the knee joint, or, more simply, in the knee, at least once in his life. This part of the body has a fairly complex structure and has many elements and only the connection of two bones can hurt. In order to determine where the pain arises from the knee joint and what can become the cause.

Knee joint structure

The knee joint is the place where the two bones meet. They are fastened with the help of muscles, tendons and ligaments. The joint itself is placed in the so-called bag, which envelops the system of blood vessels, as well as nerve endings and articular fluid, which ensures its lubrication. In order for the joint to move freely, there is a special cartilage between the bones, which is called the meniscus.

If the knee joint hurts, then most likely the problem is there. Due to the smoothness of the meniscus and joint fluid, in the joint all movements are smooth and not noticeable to a person, in the event of a defect, discomfort or acute pain occurs.

Causes of pain

If you properly operate your body, the pain in your knees can not be recognized until old age. But no one is insured against injuries, so even the most accurate and cautious person can come with a complaint to the doctor: "the knee joint hurts when bending."As practice shows, the most common causes of pain are:

  • Subluxation of the patella( especially common among people involved in active sports or running),
  • Patella chondromalation processes( cartilage tissue is made softer),
  • Intra-articular pathology( curvature, rupture of the meniscus, etc.)
  • Inflammatory tendon processes,
  • Fractures of the tibia,
  • Disturbance of the foot axis.

Such pains in knee joints are almost not treated, but modern medicine can offer several options for eliminating pain.

Sometimes as an exception, the knee joint hurts when bending at all because of knee pathology. Occasionally, pain can be irradiated from another, near-located part of the body. For example, it may be the femur, the pathology of the foot, or the lumbar region in the spine.

In order to find out the true cause, consultation and examination of a specialist is required, which is why it is not recommended to engage in self-medication and fight pain in the knee yourself. The best solution is to contact a specialist and undergo a test that will determine the cause and allow the specialist, having established the correct diagnosis, to prescribe the most correct treatment.

Causes of pain in the knee. Contusion

One of the most common reasons why joints hurt in the knees are bruises. Contusions are a trauma to a part of the body, by hitting against a solid object or surface. Millions of people face this problem every day.

In case of injury, a mechanical injury can be limited to soft tissues. Then there is redness or a bruise is formed( in other words, a bruise), in this case the pain is sharp only in the first few minutes, then it passes.

If the pain in the knee joint is the cause of a more serious injury with knee injury, then the body's reaction will be more serious. Most often there is an increase in temperature, intense and not extinguishing pain, swelling and redness.

NashyNogi.ru

Pain in the knee joint: popular causes, nature, treatment

Pain in the knee joint is a rather unpleasant phenomenon. Because of their appearance, we try to lower the joint less, we limit its mobility. And this is not good. In fact, the immobilization of the joint can lead, and often leads to, the emergence of complex diseases requiring complex medical treatment, and sometimes - surgical intervention.

The knee joint is one of the most difficult joints in the human body. This joint with tendons, ligaments and meniscus connects the tibia and femur. In addition, this joint is subjected to very heavy loads, as it is in the lower part of the body. Practically all the load when walking falls on this joint. Note that with a good state of health, moderate loads do not lead to pain in the knee joint. But, if the knee is injured or inflamed, even the slightest load will cause pain in the knee joint.

For the correct and effective treatment of pain in the knee, you need to know the reasons why this pain occurs.

Symptoms and causes of pain in the knee joint

Speaking of symptoms, it is worth noting that pain in the knee can be of a different nature. It can be frontal pain, pain, localized from the side or front under the calyx, pain under the knee, etc. In addition, pain in the knee joint can be accompanied by swelling of the soft tissues of the joint, increased temperature and limited mobility of the joint.

The causes of pain in the knee joint are very different. We list the main causes of pain in the knee:

  1. Inflammation of the knee tendons - periarthritis of the "goose paw" bag

1. Osteoarthritis of the knee joint - gonarthrosis

Of the patients who are applying for knee pain , the gonarthrosis of is approximately 30-40%. Osteoarthritis of the knee joint( gonarthrosis) most often affects people older than 40 years. Both one and both knee joints can be affected.

The disease develops gradually over several months or years. First, knee pain is very weak and occurs only after a long walk. Over time, painful sensations increase, pains bother the sick person even when walking for insignificant distances. But it is especially difficult for patients to get lifted from a chair or getting up from their crochets, as well as descending and climbing the stairs. But at rest the knee hardly hurts, and at night sick with gonarthrosis does not wake up almost from pain. An exception to this rule happens if a person has walked too much on the eve and thus overloaded his sore knee.

In the next stage of gonarthrosis, the knee joint is attached to painful sensations when walking and joint deformation .All manifestations of gonarthrosis( pain, crunch and joint deformity) tend to aggravate over the years. Learn more about gonarthrosis & gt; & gt;

2. Meniscal lesions - meniscopathy

Meniscus( meniscopathy) lesions occur very often - approximately 30-40% of the number of people who have consulted for pain in the knees. Damage knee meniscus happens in people of any age, both young and old. Men and women suffer equally often. As a rule, one knee joint is damaged.

In fact, meniscus damage is a trauma, although in most cases it appears to be on the level ground. And unlike gonarthrosis the disease develops quickly, unexpectedly - most often after unsuccessful movement during walking, running, skiing or jumping.

At the time of injury, a person usually hears a crunch in the knee and feels a sharp pain in the joint, which deprives the victim of the opportunity to move, the ability to make at least a step. Sometimes, after 10-15 minutes, acute pain slightly weakens, a person can move. But the next day or the next day the pain may again increase, and the knee may swell up .At this time, a characteristic distinctive symptom of the pinching of the meniscus - piercing the knee while walking, - is very often manifested in the sensation that the nail was hammered into the knee, or the feeling that the knee during walking is about to break.

Acute period of the disease usually lasts 2-3 weeks, then it becomes easier for the victim. Without proper treatment, the disease can last for years - the pain subsides, then, after some provoking circumstances, appear again( exacerbations usually occur after a heavy load, squats or after unsuccessful movements, after a person stumbles or stumbles).Fortunately, compared with gonarthrosis, meniscopathy rarely deforms the bones of the knee joint, unless the meniscus injury provokes the development of knee arthrosis. And such, it should be noted, happens quite often. In more detail about meniscopathy & gt; & gt; & gt;

3. Arthritis - inflammation of the joints

Arthritis - from 5 to 10% of the number applied for pain in the knees. Arthritis is affected by people of any age, but most often the onset of the disease falls on young years. With arthritis, both one and both knees can become inflamed.

Knee joints are the most vulnerable joints of the human body. In addition to arthrosis and meniscopathy, knee joints can be affected by any of the arthritides - reactive and rheumatoid arthritis, psoriatic arthritis, gout, Bechterew's disease and articular rheumatism.

A characteristic feature of arthritic inflammation of the knee joint is a rapid onset( 1-3 days), with obvious edema and swelling of the knee, and pain in the inflamed joint at night ( at about 3-4 o'clock in the morning).In other words, at night, at rest, the pain can be stronger than when walking. With arthrosis and meniscopathy, as you remember, at night, pain, on the contrary, decreases.

It should be noted that with arthrosis and meniscopathy, there are also sometimes night pains, but they only occur when moving, trying to get up in the middle of the night or when turning in bed from side to side, and sometimes with an uncomfortable position of the diseased limb during sleep. A person who suffers from arthrosis or meniscopathy, returning to a state of rest or changing an uncomfortable position, can easily get rid of such painful sensations. From the pain caused by arthritis, it's so easy to get rid of us will not succeed."Arthritic" pains usually do not strongly depend on the movement and on the comfortable or uncomfortable position of the affected joint. They seldom manage to be driven away, comfortably settled in bed. Inflammatory pains, as it were, "live their own lives" and sometimes do not react to the position of the joint, or to heat or cold. Most often they can only be reduced by taking anti-inflammatory drugs. In addition, almost any arthritis leads to inflammation of not one, but several joints: in addition to the knees, the joints of the fingers or toes, elbows, ankles and calcaneal tendons become inflamed and swollen in any combination.

4. Arthrosis of the hip joint - coxarthrosis

Hip arthrosis( coxarthrosis) - approximately 3-4% of the number of patients who have consulted for pain in the knees. As we said in the previous section, the diagnosis of "gonarthrosis" is often mistakenly posed with "reflected" pain, often associated with coxarthrosis and coming from the hip joint to the knee.

But these states are very simple to differentiate - with arthrosis of the hip joint knee mobility does not decrease at all, the knee easily and painlessly bends and unbends. But the ability of a person suffering from coxarthrosis is sharply reduced, the leg is rotated "from the hip", legs are spread apart. A person suffering from gonarthrosis, on the contrary, easily rotates the leg from the hip and easily spreads his legs to the sides. But with difficulty bends his knee and squats with pain.

5. Pain caused by blood circulation disorder

Pain caused by circulatory disorders( vascular knee pain) - approximately 5-10% of the number of people who have consulted about pain in the knees. These pains, arising from the worsening of the circulation of the knee joints, are familiar to many people. Usually they begin in adolescence, during a period of active growth, because the development of blood vessels in fast-growing adolescents often does not keep up with accelerated growth of bones.

Once emerged, vascular pain in the knees can accompany a person almost all of life. But their intensity after 18-20 years usually decreases( and does not increase with age, as happens with arthrosis).And unlike arthrosis pain, vascular pain in the knees is not accompanied by a decrease in mobility of the knee joints.

Pain sensations are usually symmetrical, i.e., equally pronounced in the right and left knee;arise when weather changes, in the cold, during colds and after physical exertion. At such times, suffering people complain that they have "knees".In most cases, vascular pains in the knees are easily eliminated by rubbing warming ointments, massage and self-massage( vigorous kneading of the knees) or the use of vasodilator drugs. Special therapy with this condition is not required.

6. Inflammation of the knee tendons - periarthritis of the "goose paw" bag

Inflammation of the knee tendons ( periarthritis of the goose paw) - approximately 10-15% of the number of people who have consulted for pain in the knees. Mostly women are ill, mostly aged over 40 years. Pain usually occurs when walking down the stairs or when wearing heavy weights, heavy bags. With calm walking on a flat surface, painful sensations are extremely rare.

Pain caused by periarthritis does not extend to all knees. It concentrates solely on the inner surface of the knees, about 3-4 cm below the point at which the knees touch, if the legs are brought together. And unlike arthrosis, arthritis and meniscopathy with periarthritis of the "goose-paw" bag, there is no restriction of knee mobility, the leg is bent and unbent in the knee as expected, in full;The knee does not change its shape, does not swell and does not deform.

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All articles of Dr. Evdokimenko

  • Knee overload .This cause of pain in the knee joint is characteristic, mainly for athletes. Large joint loads lead to irritation of the knee tissues. And, as a consequence, to the occurrence of pain in the knee joint. Overloads occur when running, fast walking, squats and other physical exercises. If you do not reduce the load after the appearance of pain, then there is a risk of developing chronic diseases.
  • Knee Injury .Even a small knee injury can subsequently lead to pain in the knee joint. In this case, the main symptoms can be a sharp pain, increasing with time, bruises and tumors. With minor bruises, pain can pass with time. But if the pain does not subside after a long period of time, then it is worth immediately contacting the doctor.
  • Knee joint deformities .Pain in the knee during flexion may be a sign of developing arthrosis. This disease causes deformity of the joint, so it is necessary to treat arthrosis in the early stages. In the late stages of arthrosis cure is not easy enough. Often, surgery and insertion of a prosthesis in place of the affected joint are required.
  • Inflammatory processes in the joint .Inflammation of the knee joint, or arthritis, can also cause knee pain when flexing or walking. Moreover, these pains will not subside in a state of rest. Because of severe pain, the joint becomes less mobile. This, in turn, leads to deformity of the knee, with the appearance of both frontal pains and pain under the knee from behind.
  • Meniscus damage .Meniscus damage can occur as a result of any trauma, although sometimes it arises from sudden movements and other non-significant causes. As a result of damage to the meniscus, sharp cutting pain and a crunch in the knee joint occur. Over time, the pain is slightly blunted, but increases with loads.

Types of pain in the knee joint

By nature of pain in the knee joint can be sharp, aching or sharp. Sharp pains in the knee joint can occur with bruising, shock, damage to the meniscus or some other injury. Aching pain in the knee is characteristic for inflammatory processes - arthritis or arthrosis. Note that the pain in these diseases does not subside even at night. In case of occurrence of such symptoms it is necessary to address immediately to the doctor. In addition, aching pains occur with excessive knee load. Acute pain in the knee joint can also occur with arthritis or arthrosis or with a meniscus injury.

Treatment of pain in the knee joint

Note that the treatment of pain in the knee joint directly depends on the cause of the pain. And to establish the cause and correctly diagnose the pain can only a qualified specialist. That is why if pain occurs under the knee or above the knee, frontal pain in the joint or pain from the side of the joint should immediately consult a doctor.

Once you are diagnosed, the doctor will be able to begin treatment of pain in the knee joint. If the pains have arisen because of the inflammatory processes, then to you, most likely. Assign a set of drugs aimed at reducing inflammation. Arthritis and arthrosis require more rigorous treatment and constant monitoring of the doctor. If the pain has arisen due to injury, then here can be appointed as a therapeutic exercise, and a set of restorative drugs. If the cause of joint pain is excessive load, then you should immediately reduce them.

In any case, do not forget that the treatment of pain in the knee joint is purely individual. Medications and methods of treatment should be selected only by an experienced professional doctor. Self-medication in many cases not only does not help, but further aggravates the situation. Therefore, do not self-medicate traditional or non-traditional methods. A much better solution will be in this situation a visit to an experienced specialist. Only a specialist will be able to select the necessary drugs and their dosage, individually prepare a program of treatment. In the course of the treatment, the doctor's observation is absolutely necessary. After all, you yourself can not assess the state of the disease by one appearance of the knee. And in specialized offices you will do all the necessary tests and correctly diagnose the disease.

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Pain in the knees - pain in the knee joint

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Pain in the knee can be a symptom of a serious illness and the result of an injury that requires comprehensive care or even surgical intervention. Very often patients make the mistake of doing self-medication and taking drugs that relieve pain. This can complicate the course of the disease and prolong its treatment. The development of inflammatory and degenerative diseases of the joints is often associated with malnutrition - a high content of animal fats, salts and preservatives in food.

Knee joint structure

Diseases and frequent knee injuries are caused both by a constant load of the patient's own weight and by the complex structure of the knee joint itself. It is formed by three bones - tibia, femoral and patella. The upper and lower parts of the joint are separated by two disks( meniscuses), and the contacting surfaces of the bones are covered with articular cartilage, which damages the impacts.

On the outside, the knee joint is strengthened with ligaments, and the patella is connected to the hamstrings by the tendons. When any structures( tendons, cartilage, periarticular bags) are damaged, pain arises in the knee joint and its mobility is impaired.

Injury to the knee joint

Damage to the ligaments

Stretching, tearing or tearing of the ligaments causes the person to become uncomfortable with severe knee pain when flexing the leg or at rest. The most common causes of such damage are sudden movements, falling, lifting and carrying heavy loads. With such injuries, edema of the knee joint is often observed, sometimes the articulations of the bones become unstable. If the pain is localized from the inside of the knee, this indicates damage to the lateral ligament. The gap can be partial or complete. Syndrome of the extension of the joint and unpleasant sensations in the anterior part of the knee may indicate the extension of the cruciate ligaments.

Fractures of

Fractures of the lower zone of the femur and the upper part of the tibia may result in falls from a large height or strong external shocks. Acute cutting pain, as a rule, is accompanied by swelling of the knee. Sometimes the skin in the area of ​​the fracture turns pale, on the surface you can see visible dents and mounds. With such injuries, you should immediately consult a doctor who will perform motor tests and prescribe treatment.

Dislocations

When the knee joint is dislocated, the bone leaves the articulation joint. As a rule, complete dislocations are accompanied by ruptures of ligaments and fractures. If minor subluxations are not treated, a habitual dislocation can result, leading to displacement of the joint bones in any trauma or slight injury.

Meniscus rupture

Sports and work injuries to the front of the knee are the most common causes of meniscus damage. When the acute pain subsides, the patient begins to be disturbed by unpleasant sensations from the outside of the knee or the center, as well as difficulties in flexing the leg, and also when climbing the stairs.

Contusions

Minor mechanical injuries and knee injuries do not lead to serious consequences, the treatment may not be carried out. Hematomas and swelling disappear after 7-14 days without external interference.

Common diseases of the knee joint

There are a number of diseases that cause pain in the knee, and they can be interrelated, and also result from each other.

Arthritis

To arthritis is a group of diseases, which are characterized by pain in the knee joint with walking, swelling and swelling. Inflammation is often accompanied by an increase in temperature, which has little effect on the treatment of medications. Pain in the knee is usually worse in the evening or at night, and also with changing weather. There are several types of arthritis - infectious, reactive, rheumatoid, juvenile, psoriatic, all of which are the initial stages of the development of polyarthritis of several groups of joints.

Osteoarthritis

Arthrosis affects the interarticulate cartilaginous tissue and disrupts the process of its restoration. Cartilage becomes brittle and inelastic, there is acute pain in the knee, inflammation of the joint, lameness. Arthrosis is diagnosed in patients of all ages, and doctors note that rheumatic diseases have increasingly begun to affect young people. Gonarthrosis develops very slowly, the disease progresses with age. The cartilage gradually wears out, the distance between the bones decreases, as a result of which the vessels and nerves are squeezed.

Bursitis

Bursitis is the inflammation of one or more articular bags that leads to swelling, redness of the knee, and a decrease in motor activity.

Synovitis

Synovitis is a frequent complication of arthritis, gonarthrosis and bursitis. The inflammatory process takes place in the synovial bag. The disease is characterized by severe burning pain in the knee joint and swelling. Synovitis occurs aseptic and purulent.

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Vascular pain

The cause of vascular pain is a circulatory disturbance. At the same time, discomfort is felt in both laps, usually it depends on weather changes and atmospheric pressure. Painful sensations are intensified after physical exertion and during hypothermia, but are not accompanied by impairment of motor function. Often blood circulation is disturbed in adolescents during a period of active growth, with age, the intensity of pain decreases. The doctor prescribes treatment in the form of warming ointments and easy massage.

Chondromatosis

In this disease, the knee joints are formed in the knee joint, resulting in its outer surface becoming swollen. The patient begins to feel the crunch when flexing the leg. Chondromatosis leads to deformity of the joint, its disfigurement, restriction of activity and severe pain, and their causes - pinching of tissues.

Meniscopathy( meniscus cysts)

The main causes of meniscus diseases are old injuries or chronic knee injuries. At the stage of exacerbation, the pain in the knee can be quite strong, it has a sharp pulsating character. This disease can lead to inflammation in synovial bags and the development of gonarthrosis.

Chondropathy of patella

The disease is associated with degenerative cartilage changes, their main causes are long-term patella injuries or chronic injuries. The pain in the knee increases with any motor activity, it is difficult for the patient to rest on it, in the movement you can hear a crack, a crunch and clicks.

The nature of the pains and the possible causes of their onset

Based on the nature of the painful sensations, they make presumptive conclusions about the causes of their appearance:

  • sharp sharp pain accompanies fractures, ligament ruptures and meniscus, exacerbation of rheumatoid, gouty and reactive arthritis, and acute bursitis;
  • pulsing testifies to the advanced stage of deforming arthrosis or a meniscus injury;
  • aching is characteristic of arthritis outside the exacerbation phase and gonarthrosis
  • restless pain is often a manifestation of gout and arthritis, and when walking - osteochondritis or gonarthrosis

Diagnosis and diagnosis of

The examination of the patient and several motor tests are primarily carried out, after which the followingTypes of Surveys:

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