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Published on: 11/18/2024

What Could Be the Causes of Knee Pain When Bending?

Knee pain when bending can be caused by various factors, including injuries, degenerative conditions, and structural abnormalities. Identifying the specific cause is essential for effective treatment and management.

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Explanation

Common Causes of Knee Pain When Bending:

  • Patellofemoral Pain Syndrome: This condition is characterized by pain around the kneecap (patella) and is often exacerbated by bending the knee. It can result from overuse, muscle imbalances, or improper tracking of the patella during movement.
  • Meniscus Tears: The meniscus is a cartilage structure in the knee that acts as a cushion between the thigh bone and the shin bone. A tear in the meniscus can cause pain, especially when bending or twisting the knee. Symptoms may include swelling, stiffness, and a popping sensation.
  • Ligament Injuries: Injuries to the ligaments in the knee, such as the anterior cruciate ligament (ACL) or medial collateral ligament (MCL), can lead to pain when bending. These injuries often occur during sports or activities that involve sudden stops or changes in direction.
  • Osteoarthritis: This degenerative joint disease can cause pain and stiffness in the knee, particularly when bending. Osteoarthritis results from the wear and tear of cartilage over time, leading to inflammation and pain during movement.
  • Tendinitis: Inflammation of the tendons around the knee, such as patellar tendinitis (jumper's knee), can cause pain when bending. This condition is often seen in athletes who perform repetitive jumping or running activities.
  • Bursitis: Inflammation of the bursae (small fluid-filled sacs that reduce friction) around the knee can lead to pain, especially when bending. Prepatellar bursitis, for example, occurs in the front of the knee and can be caused by repetitive kneeling.

Other Contributing Factors:

  • Overuse: Repetitive activities or excessive training without adequate rest can lead to knee pain. This is common in athletes or individuals who engage in high-impact sports.
  • Biomechanical Issues: Abnormalities in the alignment of the knee or lower extremities, such as flat feet or improper footwear, can contribute to knee pain when bending.
  • Age: As people age, the risk of developing conditions like osteoarthritis increases, which can lead to pain and stiffness in the knee.

When to Seek Medical Attention:

If knee pain when bending is persistent, severe, or accompanied by swelling, instability, or difficulty bearing weight, it is important to seek medical attention. A healthcare professional can perform a thorough evaluation, including physical examination and imaging studies, to determine the underlying cause and recommend appropriate treatment.

(References)

  • Kuwabara A, Fredericson M. Narrative: Review of Anterior Knee Pain Differential Diagnosis (Other than Patellofemoral Pain). Curr Rev Musculoskelet Med. 2021 Jun;14(3):232-238. doi: 10.1007/s12178-021-09704-9. Epub 2021 Apr 5. PMID: 33818700; PMCID: PMC8137785.

  • Calmbach WL, Hutchens M. Evaluation of patients presenting with knee pain: Part II. Differential diagnosis. Am Fam Physician. 2003 Sep 1;68(5):917-22. PMID: 13678140.

  • Duong V, Oo WM, Ding C, Culvenor AG, Hunter DJ. Evaluation and Treatment of Knee Pain: A Review. JAMA. 2023 Oct 24;330(16):1568-1580. doi: 10.1001/jama.2023.19675. PMID: 37874571.

  • Atanda A Jr, Ruiz D, Dodson CC, Frederick RW. Approach to the active patient with chronic anterior knee pain. Phys Sportsmed. 2012 Feb;40(1):41-50. doi: 10.3810/psm.2012.02.1950. PMID: 22508250.

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Dr. Kenji Taylor

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Kenji Taylor, MD

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