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Published on: 4/28/2025

What Could Cause Pain When Twisting the Knee?

Pain when twisting the knee may be caused by injuries to important knee structures such as the anterior cruciate ligament, lateral collateral ligament, or irritation of a small fold of tissue called a plica.

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Explanation

When you twist your knee and feel pain, it can be a sign that something inside is hurt. One possibility is an injury to the anterior cruciate ligament (ACL), which helps keep the knee stable. An ACL injury can occur if you twist the knee suddenly, leading to pain and sometimes swelling. Another potential cause is an injury to the lateral collateral ligament (LCL), which is on the outside of the knee. Damage to this ligament can make twisting movements very painful because it can stretch or tear during the twist. Additionally, plica syndrome is another cause; here, a small fold of tissue inside the knee, called the plica, becomes irritated and inflamed with twisting or repetitive movement, leading to discomfort. All these issues can occur with twisting motions, and each may present with different types of pain or swelling. If you experience this pain often or it gets worse, it’s important to see a healthcare professional so your knee can be evaluated and you can get the right treatment.

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