The leg under the knee aches: the causes and treatment of
Many people periodically experience pain under the knee. Pain sensations can be of different intensity, from mild discomfort to unbearable pain, making walking difficult. However, this area often remains without due attention. Why can the leg hurt in the back of the knee?
Identifying the cause of these pains is often not so simple. It's all about the peculiarities of the anatomical structure of the popliteal fossa. Above and below it is bounded by the tendons and muscles of the thigh and lower leg, the bottom is formed by the posterior surface of the femur and the posterior wall of the capsule, which is covered by ligaments and muscles, the nerve, artery and vein pass in the middle of the popliteal fossa. The fovea is filled with subcutaneous fat, and the vascular bundle is immersed in it. In addition, in the popliteal fossa are lymph nodes, which are a barrier to infection, penetrating the body from the area of the feet and legs.
Among the many deeply located structures covered with subcutaneous fat, it can be difficult to identify the focus of the disease on examination or palpation. In addition, if the cause of discomfort can be in the reflection of pain( irradiation) when the sciatic nerve is infringed by osteochondrosis or herniated disc of the lumbosacral spine. Therefore, doctors and patients themselves often write off the pain for precisely this reason and miss various painful processes developing in the popliteal fossa. While pain can occur due to problems with any of the anatomical formations of the popliteal fossa.
Because of the peculiarities of the anatomical structure of the knee, the cause of the pain can sometimes be detected not just
Knee joint diseases accompanied by pain under the knee
If you have a beginning pain under the knee from the rear, you are over forty years old and you have found a swelling in the popliteal fossa -with a greater degree of probability, we can assume Baker's cyst of the popliteal fossa. The cause of the appearance of Baker's cyst is the inflammation of the joint lining of the synovial membrane - synovitis, which develops against the background of osteoarthrosis or chronic arthritis. As a result of inflammation, excess fluid is formed. Under the pressure of this fluid, the synovial membrane is forced outward in the weakest place - in the region of the posterior wall of the capsule of the joint.
In the presence of Baker's cyst, the swelling is located in the middle of the popliteal fossa, often immediately on both legs.
The cyst is best seen with an unbent knee and decreases when it is bent.
A characteristic feature is the decrease in the size of the cyst when pressing, as some of the fluid moves back into the joint.
Treatment of Baker's cyst can be conservative through tablets, injections, physiotherapy, or surgical( if conservative measures are not effective).
In conservative therapy, the patient is recommended to wear elastic knee pads or elastic bandage, prescribe drugs of the group NVS( nonsteroidal anti-inflammatory drugs, for example, Nise, orthophene, movalis, xephocam and others), glucocorticoid hormones( hydrocortisone, dexamethasone, depostat, diprospan, etc.).Glucocorticoid hormones can also be injected directly into the cyst cavity after puncture and removal of fluid. In the absence of contraindications, ultrasound with hydrocortisone, compresses with dimexide and a number of other procedures are effective.
It is also important to simultaneously treat the underlying disease - ostearthrosis, including.by taking chondroprotectors( preparations of glucosaminoglycan and chondroitin sulfate).Rationalization of physical activity is one of the most important factors contributing to recovery.
Meniscus cysts located in their posterior horns are defined behind the outer and inner lateral ligaments, respectively. In these cases, the patient's leg will ache under the knee from the back. Even small cysts that are not visible during examination can cause severe pain. In these cases it is difficult to determine the source of pain without additional examination methods.
Why do meniscus cysts arise? As a rule, they are the result of chronic trauma during exercise and sports, and are also associated with a violation of cartilage nutrition.
Pain under the knee can occur with the detachment of the horn of the back of the meniscus. Such a trauma is more characteristic of the inner meniscus and occurs when the tibia is forcibly turned. Separation of the horn of the back of the meniscus rarely leads to blockages of the knee joint, but it can cause the patient to feel the "bending" of the joint when the detached rear horn is displaced. The separation of the hind leg can be a consequence not only of trauma, but also of diseases associated with the disruption of cartilage nutrition and its destruction.
Cysts and meniscus fractures often require surgical intervention, however, anti-inflammatory treatment( traditional for inflammatory joint diseases), restriction of movements for the period of exacerbations by elastic bandaging or wearing a knee, possibly a tutor, elimination of an irritant( physical load) in some cases allows to avoid surgical treatment, relieve pain and allow to restore and maintain the patient's ability to work.
Diseases of periarticular tissues( tendons, tendon bags)
Soft tissues surrounding the knee joint - tendons, ligaments, tendon bags - often cause the foot to hurt under the knee from the back. Why does soft tissue become the main source of pain? In case of physical overstrain, a significant load accompanied by similar movements for a long time, or prolonged stay in a forced posture, excessive swelling of ligaments and tendons occurs. They increase in size and are infringed in their own shells, which contributes to the appearance of pain and the development of inflammation. Any chronic microtraumatism can lead to inflammation of the tendons, their membranes and bags. At the same time, tendinitis, tendovaginitis and bursitis develop, respectively.
The back region of the knee joint is characterized by the development of inflammation in the bags of the tendon of the semimembranous muscle and the tendon of the biceps muscle - bursitis. In bursitis of the tendon of the semimembranous muscle, it is possible to feel the compaction near the inner edge of the popliteal fossa, and with bursitis of the biceps muscle, the compaction will be located closer to the outer margin of the fossa. Unlike Baker's cyst, bursitis does not decrease with pressure, as it is not associated with the capsule of the knee joint. With these tendovaginitis and bursitis, most often there are pulling pains in the back region of the knee joint.
Bursitis and tendovaginitis can occur equally in children and adults, regardless of gender. As a rule, trying to remember why there were pains, the patient notes that the onset of the disease was preceded by a prolonged physical overstrain. After that, there were drawing pains in the popliteal region.
The main factor of successful treatment with tendovaginitis and bursitis is rest: restriction of flexion and extension of the joint. In the period of severe pain, the patient is recommended to wear a knee or tutor, in some cases a gypsum lingeta is applied. Also, an anti-inflammatory treatment is carried out, almost identical for all joint diseases( see treatment of Baker's cyst), physiotherapy.
An important factor for preventing the disease or its relapse is the elimination of the factor that caused the illness: prolonged work in an uncomfortable position, physical overstrain, repeated similar movements.
Pulmonary Inflammation of the Popliteal Fossa
If the leg hurts under the knee, and if there are infected wounds in the region of the shin and feet - you should think about the popliteal fossa abscess.
Why can this pathology occur? In the popliteal fossa there are regional lymph nodes, in which the infection from wounds, cracks and microtraumas of the foot and lower leg can penetrate into the lymphatic ways. With an increased attack of microbes, their inflammation, lymphadenitis, can develop. Purulent lymphadenitis and purulent melting of the lymph nodes can lead to the formation of a popliteal fossa abscess.
A feature of this pathology is the scarcity of signs characteristic of the inflammatory process. Lymph nodes are immersed deep in the subcutaneous fatty tissue, so pronounced edema and redness almost can not be seen. Often one can observe only a small swelling in the popliteal region, but the pain, which increases sharply with the pressure and extension of the leg in the knee joint, will speak in favor of this diagnosis.
In the presence of pus in the popliteal fossa, treatment can only be surgical - opening and draining of the abscess. In the absence of pus during the puncture of the abscess, antibiotics of a broad spectrum of action, compresses, physiotherapy procedures can be prescribed.
Treatment of some pathologies, unfortunately - only surgical
Pain in popliteal fossa associated with diseases of vessels and nerves
Tissue of the tibial nerve
When a tumor or inflammation of the tibial nerve, which along with the artery and vein passes through the bottom of the popliteal fossa, the patient may experienceintense back pain of the knee, extending into the foot. During the examination it is possible in these cases to observe a change in the sensitivity of the skin in the region of the shin and knee, the change in muscle tone and tendon reflexes.
Treatment is only surgical. In the pre-operative period prescribe pain medication to reduce the suffering of the patient. The exact answer, why there is a tumor of the tibial nerve - for today does not exist.
Popliteal artery aneurysm - stratification of its walls with the formation of a bag-like protrusion - can cause pulling or pulsating pains in the posterior region of the knee joint. Externally, an aneurysm can be similar to Baker's cyst, but with palpation the pulsation will be distinctly felt. More often the defeat of the artery is observed on one side.
Treatment is only surgical. This pathology is dangerous by the occurrence of massive bleeding even with minor accidental injuries. Before surgery, to prevent complications, you need to wear an elastic pressure bandage.
Popliteal vein thrombosis
Thrombus formation in the popliteal vein occurs rarely, but, nevertheless, it can be the cause of pain in the posterior region of the knee joint. Unfortunately, deep vein thrombosis of the lower leg often proceeds asymptomatically, and is diagnosed only in the development of complications, including such formidable as pulmonary thromboembolism. In this case, moderate pulling pains behind the knee can be regarded as a result of infringement of the sciatic nerve due to osteochondrosis or hernia of the disc of the sacral spine.
Ultrasound of the vessels of the lower extremities is a reliable method for diagnosing phlebotrombosis of the deep veins of the lower leg, which is recommended for preventive purposes.
Treatment of thrombosis can be surgical or conservative. Conservative therapy can not be carried out independently - all medical procedures should be prescribed and strictly controlled by a physician.
As you can see, if you have a pain under the knee - the reasons can be very different. The focus of the disease can be localized in different structures located in the popliteal fossa. In order for the therapy to be effective, it is very important to understand the cause of the discomfort, and where exactly the damage occurred. Any medical treatment can be carried out only after an accurate diagnosis and detection of the focus of the disease.
For severe pain in the posterior region of the knee joint, it is recommended to take drugs of the NVPS group( ibuprofen( nurofen), nise( nesesulide), ketorol, ketonal, xefokam, movalis, etc.) for pain relief and restrict movement in the joint with an elastic bandage.
Pain under the knee from the back - causes
Pain under the knee from behind - did you ever encounter such a symptom? Perhaps no one can boast of having never been injured. Even if you never broke hands or feet, then for sure small bruises and dislocations had a place to be. The part of the body most prone to injury is knees.Remember your childhood: for sure, you ran a lot, jumped, climbed trees and garages, fought, fell and tumbled. A broken, scratched or chopped knee in a child is a sight familiar to the eye. Bruises, cones and bruises pass very quickly in childhood, so no one pays special attention to them. However, few people know that at a more respectable age the pain under the knee from behind can be caused precisely by children's "military wounds".In addition, unpleasant sensations in the area of the knee joints can be caused by such factors as overload. In any case, it is necessary to conduct treatment: if this is not done, the usual and not too noticeable pain under the knee from behind can be transformed into serious joint diseases.
Possible causes of pain
Do you have a leg under the knee from behind? First of all, try to remember - maybe recently you got injured( stumbled, fell, unsuccessfully jumped or hit something).The nature of the pain is directly dependent on the category of injury received( for example, fracture, stretching, displacement, dislocation).The joints, the tendon, the cartilage, the ligaments may be affected. .. No matter how trite it sounds, each organ will be ill in its own way. The more difficult the injury, the more unpleasant the sensations. In addition to dull, aching pain, there may be signs such as swelling, swelling;The knee can stop bending, it becomes difficult to walk with time. The overload, which has already been mentioned above, can be triggered by a monotonous repetition of the same movements( for example, if you often go up and down the stairs) or with strong pressure on your leg. Excessively active sports can also lead to unpleasant consequences( so the pain under the knee at the back is well known to professional cyclists and runners).
Very often during the day a person does not pay attention to pain - he just has no time to notice it. But at night, when there is time to listen to yourself, the pain feels stronger. Over time, the pain may become less noticeable, but some people pay attention to the problem only when it becomes difficult for them to move about. The range of diseases of knee joints is very wide - from deformation and inflammation to the tumor. In addition, when walking, the joint may begin to wear off - in this case, the only treatment option is its replacement. In order not to bring the disease to this stage, one should not take off the pain with pills and postpone the visit to the doctor.
To understand why there was pain under the knee from behind, it is possible only after passing a full medical examination. If discomfort persists you constantly and the swelling does not pass, the probability of cyst development is great. It can arise for no reason;at first it is almost invisible. The more the tumor becomes, the greater the discomfort. The cyst can cause complications such as varicose veins and thrombophlebitis. Timely treatment will help you avoid these problems and get rid of unpleasant sensations.
Pain behind the knee at the back: what arises and what to do
Painful sensations in the legs just below the knee can have different causes, and be one of the symptoms of a serious illness, but more often they are a sign of muscle and ligament overstrain, and go through with proper treatment. A visit to the doctor with pain under the knee is almost always accompanied by a number of studies: radiography or MRI with great accuracy will show the true cause of pain.
Traumatic injury of joint tissues
In the first place among the causes that caused pain under the knee at the back is overexertion or trauma received during physical exertion. In this case, the joint tissues do not always suffer, the muscles become inflamed more often, bringing a lot of unpleasant sensations. This can happen with prolonged work, during which a person is forced to sit in the squat position, for example, picking berries. Pain under the knees in this case occurs the next day, it is very strong and lasts for several days, less often - weeks.
Traumatic injury of ligaments: lateral or cruciate, also leads to acute pain, which does not go away. In this case, some instability of movements and instability during walking may be felt.
Baker's cyst is a tumor-shaped formation in the popliteal fossa filled with fluid. It arises with various injuries of the knee joint, but sometimes its appearance is not understandable. It is not dangerous, but over time, the cyst increases in size, squeezing the surrounding tissues, vessels and nerves. Complication of an untreated cyst becomes a violation of blood circulation in the lower leg, paresis and neuritis.
Venous insufficiency, thrombophlebitis
Drawing pain under the knee at the back is a sign of venous insufficiency or thrombophlebitis, so it makes sense to get advice from a phlebologist. Another symptom of venous disease will be puffiness and leg cramps of legs after a short walk, finding a static posture. Pain in the vein, which is palpated when palpated, the shin area looks swollen and enlarged - these are signs of thrombophlebitis.
In some cases, when the leg is hurt under the knee, the cause may be dorsopathy of the lumbar region. The source of pain is most often a jamming of the nerve roots, so the pain syndrome is accompanied by numbness of the limb, a feeling of "buzzing" in the leg, a feeling of "goose bumps".
Arthritis or arthrosis
Pain under the knee in front is caused by multiple causes, including inflammation of the joint tissues, degenerative changes in the joint cavity, as well as various meniscus and tendon injuries.
The vein hurts under the knee from behind: what to do, treatment
Varicose veins are pathological. This problem is always accompanied by:
- a sense of gravity in the field of the disease.
Most of all, such a disease affects women. This may be due to the peculiarities of the structure of the veins. There is also an individual predisposition to the disease. Varicose often occurs during pregnancy.
If the vein hurts under the knee, then perhaps the thrombosis of the vessel( i.e., the formation of a blood clot) has occurred. This is due to the fact that the outflow of blood is disrupted. As a result, a large number of veins remain in the veins. Accordingly, the walls of the vein begin to stretch and expand. The person feels, that hurts under a knee. In this case, the pain has a pulling and dull character.
The result of such a violation of blood circulation is varicose veins. Vienna "comes out" to the surface, becomes larger and more noticeable. Having aggravated a situation, in time, without having addressed to the doctor, it is possible to hold on to such rare or infrequent disease, as a thrombosis of a vein that is under a knee.to table of contents ↑
Thrombosis is a serious illness, fatal complications
Varicose is very common. However, this is not necessarily a sign of a more severe thrombosis, which is the cause of pain under the knee from the back. It is very important, as soon as possible to put the correct diagnosis. To do this, you should make an appointment with a doctor and do not self-medicate. After all, if a thrombosis is detected, the patient's life is under threat.
Therefore, if varicose veins appeared under the knee, you need to quickly turn to a specialist who will carry out a series of diagnostic measures, prescribe the right treatment, including folk remedies.to the table of contents ↑
Before preparing a treatment plan, the doctor conducts not only an external examination of the patient and a conversation with him, but also several important tests:
- duplex scanning of veins;
- blood cultures;
Only then can an exact treatment be prescribed. Its goal is primarily to relieve inflammation, reduce pain and prevent the appearance of any complications.
Local and medicines for getting rid of the disease
So, varicose veins led to a thrombosis. What to do? What treatment is required? With regard to local funds, it is assigned:
- compliance with bed rest;
- application of compresses with a solution of alcohol 50% m;
- special ointment. It can be "Lyoton" or "Gepatrombin";
- anti-inflammatory gels: "Indovazin", gel containing Diclofenac;
- ointments with troxevasin and rutozide, which are applied to the sore spot;
- anti-inflammatory tablets for oral administration;
- intravenous anticoagulants are included in treatment if there is a risk of complications;
- thrombolytic drugs are needed without fail;
- If there are signs of developing infection, the patient will have to take antibiotics.
Like varicose veins, thrombosis has the potential to be cured surgically. It is used rarely. Its essence lies in the introduction of special chemicals or the removal of thrombi through special punctures. After the procedure, you will have to wear a compression bandage.
There are times when thrombi that are in the veins behind the knee come off. This leads to embolism. Here you can not do without surgical treatment.to the table of contents ↑
Varicose veins and thrombosis are treated with unconventional traditional medicine. For this, there are many recipes that have been checked by our grandmothers and grandfathers for centuries. However, before using them, you need to consult a specialist. It is important that such funds do not interfere with the main treatment and do not aggravate the situation.
- A spoon of medicinal verbena is brewed with a glass of boiling water. All this is insisted, and then applied within a day in small sips.
- Fresh lilac leaves will help to remove the inflammatory process. They simply put on the affected areas behind the knees.
- If the veins hurt under the knees, then it is necessary to pour into the large bucket exactly 200 g grass of croissant swamp. All this is poured by boiling water on the top. Zavar insisted, and then lowered his legs literally for half an hour. Such folk remedies need to heal the feet constantly, for a month or even longer period.
- Chestnut is a unique remedy if the veins hurts behind the knee. Treatment involves the creation of infusion of 10 g of fruits of this plant and 100 ml of vodka. A week this infusion should stand in a dark place. Such folk remedies do not need to get carried away. It is enough literally for 30 drops to drink this drug before eating. At the same time, it is recommended to use propolis ointment.
- Treatment of such a disease can be done with the help of nettle. Spoon a plant leaf with a glass of hot water. Exactly 40 minutes all you need to insist, and then drink strictly 2 large spoons about 3-4 times a day. This treatment implies compliance with the diet. I'll have to forget about fish, meat and all kinds of fried foods.
- Folk remedies are herbal foot baths. They will need 150 grams of marsh swine. The grass is poured with a bucket( 10 liters) of water. An hour is infused with this broth. The procedure should be done for about 20 minutes.
- A good folk prescription is infusion of body-water. It will take 2 spoons of grass and half a liter of boiling water. After 2 hours of infusion, compresses can be made. They are placed behind the knee, on the sore spots.
What can everyone do?
Treatment with folk remedies is only part of the overall program that should be performed to get rid of varicose veins or thrombosis. The main danger of inflammatory processes in the veins is the formation of blood clots and their ability to tear themselves away. Accordingly, in any place, the vessel may unexpectedly overlap. There will be a violation of blood circulation, which can lead to the death of the patient. To prevent this from happening, there are several tools that are desirable to perform. They are accessible to everyone. The main thing - do not forget about them:
- It is recommended to sleep only with raised legs. To do this, it is enough to lay a pillow.
- In the mornings it is desirable to do gymnastics. It should consist of swinging movements "scissors", lifting the legs at an angle, raising them on the socks and dropping them sharply to the floor.
- Apple cider vinegar and grinding them behind under the knees will help gradually lead to compression of the veins.
- Instead of tea or water, it is advisable to drink infusion of herbs. It can be clover or clover. You need to use at least 2 glasses a day.
- Before meals, it is recommended that you always drink a glass of water, which is added 2 small spoons of apple cider vinegar.
- Treatment of the disease is also carried out with the help of ripe tomato fruit. To do this, they are cut into lobules and applied to sick, problem areas.
- One of the most effective methods of getting rid of the disease is massage. You can do it yourself, taking a wax candle. She should swing her leg from the top to the top.
- In the morning you need to pour your feet with a contrast shower, within 20 seconds you should change the ice water jet to hot.
Mumiyo - Altai medicine for pain in the veins
Treatment of folk remedies for diseases such as varicose veins and thrombosis also implies the use of mummies. This remedy:
- Has a vasodilating effect;
- Reduces blood clotting №
- Significantly prolongs the time of formation of thrombi.
The recipe for the remedy with mummies is very simple. It is enough to dissolve 8 g of this substance in half a liter of warm water. After a few hours you can drink ready-made infusion. The scheme of treatment is the following - for 10 consecutive days in the morning for 1 tablespoon of the drug should be taken on an empty stomach. Then there is a break in 5 days. So no less than 3 courses are conducted. In parallel, you can lubricate veins with ointment, which consists of:
• Mumiyo;to contents ↑
Forecasts and complications