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Chronic knee pain

Medically reviewed by Maushmi Sheth
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Medically reviewed by Maushmi Sheth

The knee joint is one of the largest in the body. As a result, the knee joint takes on a tremendous burden and is most often injured. Over time, degenerative changes occur in it. Thus, knee pain is a sign of severe pathology. Besides, it restricts movement, causes physical and psychological distress, and can lead to disability.

What is knee pain? Acute knee pain occurs abruptly and is most often caused by external influences (trauma) or an acute inflammatory process. It can be cutting, stabbing, or bursting, depending on the cause and mechanism of the lesion.

Chronic knee pain develops gradually and persists for more than three months. The cause is most often degenerative-dystrophic diseases or chronic inflammatory processes. The pain can be aching or bursting. During exercise, the pain increases. In some diseases, pain occurs at the first steps, then gradually subsides.

Knee pain may be accompanied by:

  • joint swelling
  • redness
  • crunch
  • limited mobility
  • joint deformation.

There are different types of knee pain:

  • How does it hurt? Depending on the cause of the occurrence, knee pain makes itself felt in different ways. Outwardly, bruising, redness, swelling, fever, and limited mobility are common. Moreover, knee pains can be pulling, stitching, pressing, and continuous dull or convulsive.
  • Where does it hurt? It is also crucial exactly where in the knee the main source of pain is located. Is it inside or outside, on the front or back of the knee, or in the entire knee region?
  • When does it hurt? In many cases, chronic knee pain in the knees begins when running or climbing stairs. Sometimes symptoms appear only after heavy or prolonged exertion. Some knee disorders are characterized by pain even at rest or in a sitting position. Knee pain from a prolonged sitting position may be a sign of damage to the cartilage under the patella, which, the sooner it is detected, the more effectively it can be treated.

The frequent cracking of the knee can also signal joint damage, although it is usually not painful. In the same way,the feeling of instability in the knee can occur with cruciate ligament injuries.

Why do knees hurt?

The most common cause of acute knee pain is on one side of the injury. Damage can occur when playing sports and from unsuccessful falls and sudden movements. Common types of knee injuries:

  • the bruise is accompanied by pain, increase in size, bruising
  • rupture of ligaments with a sharp eversion of the lower leg or hip
  • meniscus rupture occurs under heavy loads, impacts, falls
  • fractures are accompanied by unbearable pain and pathological joint mobility
  • dislocations of the knee joint and patella
  • damage to the cartilage A torn-off piece of tissue in the joint cavity causes severe pain.

An experienced orthopedist diagnoses some types of injuries by the appearance of the joints.

Another common cause of chronic knee pain disease of the joints and periarticular tissues:

  • arthritis inflammation of the joint can be infectious, post-traumatic, autoimmune, metabolic
  • bursitis inflammation of the joint capsule, sometimes with the accumulation of fluid in it
  • periarthritis damage to muscles, tendons, and ligaments in the joint area
  • osteomyelitis bone inflammation
  • chondropathies degenerative diseases of the articular cartilage
  • tumors and cysts compress adjacent tissues, causing pain and dysfunction
  • osteoporosis is a violation of metabolic processes in which calcium is washed out of the bone tissue.

Knee pain can be a sign of a neurological disorder:

  • neuritis an inflammatory disease of the peripheral nerves
  • entrapment of nerves can occur against the background of injury, compression by a tumor.

Depression and other psychological problems (called psychosomatic disorders) can be one of the causes of joint pain.

Symptoms and diagnosis of knee pain

Symptoms and diagnosis of knee pain

The concomitant symptoms and medically reviewed will help determine the approximate mechanism of the lesion and establish a preliminary diagnosis. These symptoms combination may be characteristic of a particular disease or group of diseases:

  • Inflammatory processes are accompanied by edema, redness of the joint, and an increase in local temperature.
  • Increased pain when moving, crunching in the joints, limitation of mobility speak in favor of chronic degenerative diseases.
  • Impaired mobility with preserved tissue sensitivity is characteristic of tumors, cysts, and arthropathy.
  • With injuries, joint deformity, pathological mobility, accumulation of blood in the joint cavity or soft tissues are observed.

Systemic diseases (osteoporosis, rheumatoid arthritis, gout) cause pain in the knee and other joints. Arthritis, which arose against a general disease’s background, is accompanied by malaise, fatigue, weakness, and fever.

An accurate diagnosis can only be made by a physician medically reviewed, taking into account the symptoms and examination results.

Knee pain is diagnosed and treated by orthopedic surgeons. Then, according to the indications, a consultation with a neurologist, vascular surgeon, rheumatologist, and other specialists can be prescribed. When a psychosomatic disorder is identified, work with a psychologist is required.

The first stage of diagnosis is the patient’s questioning, a thorough discussion of complaints and anamnesis. Further, the doctor conducts a medical review, examines the affected area, makes a presumptive diagnosis, and does laboratory and instrumental research. It includes:

  • X-ray of the joint in several projections allows detecting injuries, degenerative-dystrophic processes of the joint
  • X-ray of the lumbar spine or hip joints (if a lesion in this area causes the pain)
  • Ultrasound of the knee joint is an effective method for inflammatory and degenerative processes, soft tissue lesions
  • MRI allows you to detect changes that are not visible on the roentgenogram
  • densitometry X-ray method for diagnosing osteoporosis
  • general and biochemical blood tests are relevant for inflammatory, metabolic, and autoimmune diseases

The sooner the patient turns to specialists for help, the easier it will be to diagnose and the more effective treatment.

Knee pain treatment methods

Knee pain treatment methods

The treatment plan depends on the nature of the lesion and the general condition of the patient. To combat pain in the knee joint, use:

  • medical methods, non-steroidal anti-inflammatory drugs, chondroprotectors, anti-gout, antibacterial, etc.
  • a blockade is an injection method of injecting drugs into the lesion site, local anesthetics, corticosteroids, chondroprotectors, vitamins are used
  • physiotherapy massage, acupuncture, hardware treatment
  • wearing a special jersey and orthopedic shoes
  • in the case of the development of a psychosomatic illness, psychological correction is indicated.

Surgical treatment methods are used when conservative ones are ineffective and only for severe injuries (complex fractures, meniscus ruptures, etc.). Arthroscopic surgeries are widely used in medical centers; this is a low-traumatic intervention using microsurgical equipment. All manipulations are carried out through small incisions under the control of a miniature video camera.

Regardless of the reasons for chronic knee pain, it is not worth delaying the visit to the doctor. Trying to heal yourself at home can be useless and lead to loss of time and worsening of the condition. You can use folk recipes only with the permission of a doctor and under his supervision.

How to protect the knee joint? Prevention of knee pain consists of a comprehensive improvement of the body and a careful attitude towards one’s health. Important:

  • treat injuries and infectious diseases strictly under the supervision of a specialized doctor
  • not neglect the treatment of chronic and congenital diseases (diabetes, gout, tonsillitis, dysplasia)
  • monitor weight and diet, prevent obesity, excess salt, sugar in food, limit alcohol consumption
  • maintain daily physical activity without overload
  • drink chondroprotectors annually in courses with a predisposition to joint diseases
  • 1-2 times a year to undergo a preventive examination by a rheumatologist
  • follow a healthy regimen, treat insomnia
  • drink enough water
  • do not overcool
  • wear comfortable, not too tight underwear, clothes, and shoes
  • pick up comfortable furniture and not sit cross-legged.

At the first knee pain, do not postpone or delay, immediately go to the doctor.

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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