Skip to main content

Knee Pain/Front

What hurts?

Some possible conditions   Knee Pain – Front

Arthritis

Osteoarthritis is a common condition that often affects the knee joint. It occurs when the cartilage, which acts as a cushion between the bones of the lower limb wears down over time. As the cartilage deteriorates, the bones begin to rub against each other causing pain and inflammation. While it is most common in older adults, osteoarthritis can occur in at a younger age.

  • Symptoms

    The most common symptom of knee osteoarthritis is pain, which can range from mild to severe. Depending on the affected compartment of the knee, pain can be felt throughout the knee joint. Most often osteoarthritis will occur in the medial compartment of the knee. Along with pain, people with knee osteoarthritis may experience stiffness and swelling in the knee joint, as well as decreased range of motion. These symptoms may be worse after sitting or standing for long periods of time, or after physical activity. Some people may also experience a cracking or popping sound when they move their knee.

  • Causes

    Osteoarthritis of the knee is caused by a combination of genetic and environmental factors. With age comes the natural breakdown of the cartilage within the knee joint, which can aid in the development of knee osteoarthritis. Biomechanics also plays a significant role in the development of osteoarthritis because the position of our knee and how it moves can cause increased pressure throughout the area affected. Previous knee injuries or surgeries can cause damage to overall knee structure/cartilage, which can be another factor. Overuse of the knee joint is another cause of knee osteoarthritis as the more we work our knee, the faster cartilage breaks down. This is why jobs that involve a lot of walking, kneeling and lifting will have higher rates of workers with osteoarthritis.

  • Treatment

    Treatment for knee osteoarthritis often begins with non-surgical approaches, such as physical therapy, weight loss, and bracing or orthotics. Physical therapy can help to reduce pain and improve function by strengthening the muscles around the knee joint to aid with stability and increasing the range of motion. Weight loss is also an important aspect of treatment as it can help to reduce the pressure on the knee joint and alleviate symptoms of knee osteoarthritis that additional weight can cause. Often a brace or orthotic may be recommended to support the knee joint, as this can aid in pain reduction and improve the function of the joint. If non-surgical options are not effective, surgery may be considered as well by your doctor.

Osgood-Schlatter Disease

Osgood-Schlatter disease is a common condition that affects the growth plate of the knee, specifically the area where the patella and the tibia meet. It is considered an overuse injury that occurs in growing children and adolescents, typically during their growth spurt. It is characterized by pain and inflammation at the top of the tibia just below the knee.

  • Symptoms

    The main symptom of Osgood-Schlatter disease is pain and tenderness at the tibial tuberosity just below the patella. The pain may be sharp and severe, and also will be exacerbated by physical activities such as running, jumping, or climbing stairs. Swelling and redness may also be present in the affected area. In some cases, a small bump or lump may develop at the site of pain.

  • Causes

    The main cause of Osgood-Schlatter Disease is overuse or repetitive stress on the growth plate in the knee, which can occur in children and adolescents who participate in sports or other activities that involve higher impact. Other factors that can contribute are: muscle imbalances, poor alignment of the kneecap, and structural abnormalities of the knee joint. The condition is more commonly seen in boys than girls.

  • Treatment

    The treatment for Osgood-Schlatter disease will vary depending on the individual and the severity of their symptoms. In most cases, the goal of treatment is to reduce pain and inflammation, in addition to improving the function of the knee joint. Rest is the most important part of treatment, as it allows the affected area to heal. Physical therapy can also be beneficial in helping to improve the strength and flexibility of the muscles that support the knee. Bracing can also help to relieve pressure from the area, allow for sustained daily movement and help control the patella. In most cases, the condition will resolve on its own with time, as the child's growth plate matures and the knee becomes stronger. Surgery can be necessary in some cases, depending on severity. The key is an early diagnosis and treatment, as this will allow the child to manage the symptoms and get back to normal activities quickly.

    It's important to note that early diagnosis and treatment can prevent the progression of symptoms and help the child to return to normal activities quickly.

Patellofemoral Pain Syndrome

Patellofemoral pain syndrome (PFPS) is a condition that affects the knee joint, where the knee cap (patella) meets the femur. This condition is also known as “runner’s knee” because it is commonly seen in runners and people who engage in physical activity regularly. The symptoms of PFPS can range from mild to severe and can make it very difficult for individuals to engage in their regular activities.

  • Symptoms

    The most common symptom of PFPS is pain behind or around the kneecap. The pain typically increases during activities when the knee is bent, such as when walking, climbing stairs, or squatting. Other symptoms may include knee stiffness, swelling, and a popping or cracking sensation in the knee. Some individuals may also experience pain in other areas of the leg such as the thigh, hip, or calf.

  • Causes

    The cause of PFPS can be attributed to be the combination of a few different factors. One of the most significant causes of PFPS is thought to be overuse or repetitive stress on the knee joint. This can occur in individuals who participate in activities that involve running, jumping, or kneeling, such as athletes or manual laborers. Other causes may include muscle imbalances, poor alignment of the kneecap, and structural abnormalities of the knee joint. These issues can combine to cause abnormal lower limb biomechanics, leading to an increased risk of acquiring PFPS.

  • Treatment

    The treatment for PFPS will often vary depending on the individual and the severity of their symptoms. In most cases, the goal of treatment is to reduce pain and inflammation, and to improve the function of the knee joint. Initial treatment may include rest, ice, and over-the-counter pain medication. Physical therapy can also be beneficial in helping to improve the strength and flexibility of the muscles that support the knee. Stretching and strengthening exercises may be prescribed to help improve the alignment of the kneecap and reduce stress on the knee joint. In some cases, a brace or knee support may be recommended to help keep the kneecap in the correct position. In severe cases, surgery may be necessary to correct structural abnormalities or to repair damaged tissue.

    It's important to note that early diagnosis and treatment can prevent the progression of symptoms and help you to return to normal activities quickly. With the right treatment and care, PFPS can be managed and individuals can return to their regular activities.