2024 Author: Josephine Shorter | [email protected]. Last modified: 2023-12-16 21:43
Pain in the knees and under the knee
Pain in the knees and under the knee in most cases is a consequence of injuries, rheumatic diseases of the joints and is often noted in the presence of excess weight in a person due to the main part of physical activity falling on the knee joint.
Causes of pain in the knees and under the knee
The first place among the causes of pain in the knees and under the knee is various knee injuries - sprains of tendons, cartilage, periarticular bags or meniscus injuries, fracture of the patella, damage to the kneecap itself. The knee is subjected to the most intense physical stress of the entire musculoskeletal system due to its anatomical location and functions performed, it most often suffers from blows, jerks.
The meteorological dependence of knee pain on temperature changes and weather conditions is noted, this is especially characteristic of diseases of the joints of a rheumatic nature. Often, pain can appear during active sports, with excessive stress on the tendons and ligaments. Diseases of the musculoskeletal system also cause pain in the knees and under the knee, they often develop as post-traumatic complications.
Clinical manifestations of pain in the knees and under the knee
With a direct knee injury as a result of a blow, fall or dislocation, the pain appears instantly and has a vivid pronounced character, severe swelling and bruising immediately appear at the site of injury. Nerve roots and blood vessels are compressed, resulting in a feeling of numbness or tingling in the knee, weakness, and a feeling of coldness under the knee.
Pain syndrome is usually accompanied by discomfort and discomfort when moving. Together with its appearance, the mobility of the knee joint is significantly reduced, it becomes as if stiff and the flexion function of the knee is impaired.
Being overweight puts additional stress on the knee joint, which can be the cause of frequent injury and, as a result, leads to pain in the knees and under the knee. But not always the cause of the pain syndrome is trauma or overload, sometimes it can be the result of diseases of a rheumatic or neurological nature. Quite often, osteoarthritis develops in the place where the injury once was. It is characterized by the manifestation of severe pain in the first half of the day and their gradual subside by the evening.
Pathological disorders on the front surface of the knee as a result of physical overload, or Osgood-Shatter disease, leads to swelling and swelling of the knee, severe pain in the patella region. Painful sensations under the knee often indicate the presence of a popliteal cyst. Clinically, this manifests itself in constant pain under the knee, mainly in the back, and leads to swelling of this area. When the hip nerve or other nerves innervating the knee joint are pinched, pain also occurs.
In the patient's condition, when knee pain is accompanied by a decrease in mobility, redness and swelling of the joint, hyperthermia in the knee area, it is worthwhile to assume the development of arthritis of the knee joint. It is also worth remembering that one of the probable causes of such pain may be a side effect of drugs used to treat pancreatitis.
Diagnosis of knee and knee pain
To find out the cause of the appearance of pain in the knees or under the knee is possible only with the help of a medical examination and a thorough questioning of the patient. When making a diagnosis, much attention is paid to constant physical activity, sports and the presence of chronic injuries. If knee pain is not the result of injury or strain, a comprehensive medical examination is done.
Treating knee and knee pain
The choice of treatment depends on the cause of the pain. There is no one way, but there are general recommendations to ease or prevent the onset of pain. In case of excessive stress on the knee, it is advisable to try to reduce it to the possible limits so that unpleasant sensations are not felt. The elastic bandage stabilizes the mobility of the joint and helps to relieve the condition.
Strictly as prescribed by a doctor and strictly under certain conditions, hot compresses are used to warm the knee. For the same purposes, warming ointments are prescribed.
A cold compress can be applied only in the first two days after injury and it should be applied no more than 15 minutes, after which an hour's break should be taken to normalize blood circulation. According to the indications, anti-inflammatory drugs are added to the treatment.
For those who are involved in active sports, it is recommended, in order to prevent, do a thorough warm-up before starting training and gradually increase the load, starting from the minimum.
Author of the article: Kaplan Alexander Sergeevich | Orthopedist
Education: diploma in the specialty "General Medicine" received in 2009 at the Medical Academy. I. M. Sechenov. In 2012 completed postgraduate studies in Traumatology and Orthopedics at the City Clinical Hospital named after Botkin at the Department of Traumatology, Orthopedics and Disaster Surgery.
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