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Knee Pain
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Knee Pain

Introduction to Knee Pain

Knee pain may be noticed in children, adolescents, adults and the elderly for various reasons. The pain may be associated with a history of trauma to the knee, certain atraumatic causes, overuse or infections. Knee pain is commonly noticed in individuals such as athletes who are physically more active. In case of adults or the elderly it may indicate some underlying pathologic process. The pain may be self-limiting at times, while it may be severe enough to restrict the movement in some cases. Proper care and timely medical intervention can prevent worsening of the condition.1

Causes of Knee Pain

Causes of knee pain

In case of children knee pain may be a result of certain physical changes in the bones that occur with growth. Patellar subluxation is a common cause of knee pain in adolescent girls that occurs due a physical variation in the muscle

Signs and Symptoms of Knee Pain

Signs and symptoms of knee pain

The knee pain may either occur while at rest or when the knee is in use. The pain may be constant or may wax and wane at frequent intervals. Activities such as walking, running, climbing or descending the stairs may aggravate  

 
Diagnosis of Knee Pain

Knee pain is a symptom which is caused due to some underlying causes that may either be a normal physical change as in case of children or due to some underlying causes. The diagnosis of the cause of knee pain is based on the history of the condition, age of the individuals, their profession and other related features.
 
The doctor may perform certain physical tests such as bending or extending the legs, applying pressure on the joints, moving or rotating the ankles in order to check for any underlying injuries and the extent of possible movements.
 
Some of the laboratory investigations advised may include examination of the fluid within the knee joint and general blood tests. Radiographs of the knee alongwith MRI and CT scan may be advised when required to confirm the diagnosis or rule out the presence of other abnormalities.1–3

 
Treatment of Knee Pain

Treatment of knee pain

Knee pain related to overuse at home or due to physical activities generally respond to certain simple steps such as rest. Weight-bearing exercises or lifting heavy objects must be avoided till the pain is reduced.

Alternative Therapy of Knee Pain

Alternative therapies such as ice packs, physiotherapy and acupuncture may be advised as an adjunct to the medical management protocols.

Prevention of Knee Pain

Although the occurrence of underlying disorders cannot be prevented effectively, knee pain arising from trauma or overuse can be prevented to a major extent. Performing physical activities and exercise within one’s capability will decrease the strain on the joints and the associated structures. Warming up exercises and stretching before sports is always advised. Wearing proper footwear prevents injuries that occur due to slipping or twisting.

Complications of Knee Pain

In the absence of any underlying conditions, there are no complications associated with knee pain other than temporary restriction of movements.

Living with Knee Pain

Although the pain may persist for many months in certain cases, proper care and appropriate therapy helps in reducing the severity of the pain and preventing further complications.   


Written by: Healthplus24 team
Date last updated: July 19, 2011

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References 
  1. Hutchens M, Calmbach WL. Evaluation of patients presenting with knee pain: Part II. Differential diagnosis. Am Fam Physician. 2003; 68(5): 917–922.
  2. Hamer AJ. Pain in the hip and knee. BMJ. 2004; 328(7447): 1067–1069.
  3. Hutchens M, Calmbach WL. Evaluation of patients presenting with knee pain: Part I. History, physical examination, radiographs, and laboratory tests. Am Fam Physician. 2003; 68(5): 907–912.
  4. Miller MD (ed.). Review of orthopaedics. Philadelphia: WB Saunders, 2000.
  
 
 
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