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Pressure in my knees
Can't bend the knee
Poor flexibility in the legs
I cannot sit because of tightness in my knee
This describes the limitation of ability to flex or bend the knee joint.
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Reviewed By:
Kent C Doan, MD (Orthopedics)
Dr Doan Graduated from the University of Missouri Kansas City School of Medicine and completed residency training in Orthopedic Surgery at the University of Colorado. He completed additional fellowship training in Orthopedic Sports Medicine at the prestigious Steadman Clinic and Steadman Philippon Research Institute in Vail, Colorado. He is a practicing Orthopedic Surgeon who specializes in complex and revision knee and shoulder surgery at the Kansas City Orthopedic Institute. He also holds an assistant professorship at the University of Kansas City.
Tomohiro Hamahata, MD (Orthopedics)
Dr. Hamahata graduated from the Jikei University of Medical Science. After working at Asanokawa General Hospital and Kosei Chuo Hospital, he joined the Department of Orthopedics at Asakusa Hospital in April 2021, specializing in general orthopedics and joint replacement surgery.
Content updated on Feb 6, 2025
Following the Medical Content Editorial Policy
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Q.
Knee Locking? Why Your Meniscus Is Torn and Medical Next Steps
A.
Knee locking is often caused by a meniscus tear when the knee catches or will not straighten, and flap or bucket-handle tears can mechanically block motion and may need urgent orthopedic evaluation. Care ranges from rest, ice, compression, elevation, anti-inflammatories and physical therapy to arthroscopic repair or partial removal depending on age, activity, tear type and severity; red flags like a completely stuck knee, severe swelling, or inability to bear weight need prompt care. There are several factors to consider, so see the complete guidance below to decide the safest next steps and prevent long-term damage.
References:
* Patel RV, Zakhary MN, Pizzo L, et al. Meniscal Tears: An Update for the Primary Care Clinician. Am Fam Physician. 2021 Jan 15;103(2):100-108. PMID: 33497814.
* Mordecai SC, Al-Hadithy N, Ware HE, et al. The Diagnosis and Treatment of Meniscal Tears. Ann R Coll Surg Engl. 2019 May;101(4):225-231. PMID: 31109007.
* Logerstedt DS, Grindem H, Lynch A, et al. Management of Meniscus Tears: A Review. J Orthop Sports Phys Ther. 2018 Jun;48(6):408-416. PMID: 29775981.
* Beaufils P, Pujol N, Grabowski J, et al. Surgical versus non-surgical treatment of meniscal tears in adults: a systematic review and meta-analysis. Br J Sports Med. 2020 Dec;54(24):1426-1432. PMID: 32326759.
* Cogan JA, Kim S, De Luigi AJ. Meniscal Tears of the Knee: Role of Imaging and Clinical Presentation in Diagnosis. Phys Med Rehabil Clin N Am. 2020 Aug;31(3):329-340. PMID: 32671987.
Q.
Knee Locking? Why Your Torn Meniscus Stiffens & Medically Approved Steps
A.
Knee locking and stiffness often come from a torn meniscus, either when a displaced tear blocks movement as true locking or when swelling and muscle guarding cause pseudo-locking; how urgent it is depends on whether you can fully straighten and bear weight. There are several factors to consider, and medically approved steps range from RICE, short-term NSAIDs, and physical therapy to bracing, injections, and surgery when the knee is truly locked or symptoms persist, with red flags like rapid swelling, warmth or fever, marked instability, inability to bear weight, or inability to fully straighten needing prompt care; see complete guidance below.
References:
* Li Z, Zhu W, Liang J, Wang Y, Xu C. Locked Knee Due to Meniscus Tear. J Clin Med. 2021 Dec 30;11(1):173. doi: 10.3390/jcm11010173. PMID: 35058790.
* Di Matteo B, Di Bartolomeo S, Calandriello A, Grassi A, Cammisa E, Dejour D, Marcacci M. Current Concepts for Treatment of Meniscal Tears: An Evidence-Based Approach. J Clin Med. 2020 Jul 15;9(7):2220. doi: 10.3390/jcm9072220. PMID: 32669389.
* Kohn MD, Sassoon AA, Fernando ND. Meniscus tears: Current concepts and future directions. Sports Health. 2018 May/Jun;10(3):233-242. doi: 10.1177/1941738118759123. PMID: 29775338.
* Toth A, Zschauer J, Munk C, Thomsen R, Rasmussen S. Rehabilitation After Meniscal Repair: A Systematic Review. J Clin Med. 2021 Dec 9;10(24):5814. doi: 10.3390/jcm10245814. PMID: 34918451.
* Mordecai SC, Al-Dadah K, Higgins BT, Ghosh KM. Meniscal Tears: An Update on Diagnosis, Management, and Outcome. Open Access J Sports Med. 2018 Aug 15;9:205-217. doi: 10.2147/OAJSM.S171543. PMID: 30149021.
Q.
Sharp Patella Pain? Why Your Kneecap Hurts & Medically Approved Steps
A.
Sharp kneecap pain is most often from overuse or tracking issues such as runner’s knee or patellar tendinitis, but it can also come from cartilage wear, arthritis, or a fracture; most cases improve with rest that avoids painful moves, ice, targeted quad and hip strengthening, stretching, short-term bracing or taping, careful NSAID use, weight management, and a gradual return to activity. Seek urgent care for severe swelling, inability to bear weight, visible deformity, fever with swelling, or sudden pain after an injury, and see a clinician if symptoms persist despite home care. There are several factors to consider and recovery timelines vary, so see the complete guidance below for key details that can shape your next steps.
References:
* Petersen W, Ellermann A, Brüggemann GP. Patellofemoral Pain: Clinical Presentation, Pathophysiology, and Management. Front Physiol. 2021 Jun 4;12:699922. doi: 10.3389/fphys.2021.699922. PMID: 34150537.
* Nalliah A, Mahtani AP, Thakar S, Davies MG, Khakha RS. Patellofemoral Pain Syndrome: An Evidence-Based Update. Sports Health. 2018 Mar/Apr;10(2):166-173. doi: 10.1177/1941738118756910. PMID: 29517173.
* Wiles J, Bird E. Patellofemoral pain syndrome: A narrative review of biomechanics, diagnosis, and treatment. Physiother Res Int. 2019 Oct;24(4):e1781. doi: 10.1002/pri.1781. Epub 2019 Jun 28. PMID: 31250917.
* Chen YM, Chou YL, Lai ZC, Wu WL, Liu MF. Exercise therapy for patellofemoral pain syndrome: A systematic review with meta-analysis. J Orthop. 2020 Jan 25;20:133-141. doi: 10.1016/j.jor.2020.01.006. PMID: 32094254.
* Verhelst E, van Riet R, Claes P, van der Merwe L, van Herk J, Van Isacker T, Verheyden L, Van Tiggelen D. Conservative treatment of patellofemoral pain syndrome: a narrative review. EFORT Open Rev. 2023 Jul 11;8(7):448-458. doi: 10.1530/EOR-23-0004. PMID: 37497120.
Q.
Knee Locking? Why Your Meniscus Is Torn & Medical Next Steps
A.
Knee locking, catching, or a stuck feeling is most often from a torn meniscus creating a mechanical block or pain-related pseudo locking, typically after a twist or with age-related wear; urgent signs include inability to fully straighten, significant swelling, instability, or inability to bear weight. Next steps range from rest, ice, anti-inflammatories, and targeted physical therapy to imaging and, for true locking or persistent large unstable tears, arthroscopic repair or partial meniscectomy with a preference for preserving the meniscus; there are several factors to consider, including tear type, age, activity level, and recovery timelines, so see the complete guidance below.
References:
* Smigielski R, Zdanowicz U, Drwięga M, Ciszek B, Ogrodowicz P, Stępień K, Nowak M. Diagnosis and Treatment of Meniscal Tears: An Update. J Clin Med. 2018 Sep 28;7(10):301. doi: 10.3390/jcm7100301. PMID: 30283020; PMCID: PMC6210344.
* Beaufils P, Pujol N. Meniscal Tears: Current Treatment and Management. Orthop Traumatol Surg Res. 2017 Nov;103(7S):S187-S195. doi: 10.1016/j.otsr.2017.08.001. PMID: 28552174.
* Doral MN, Bilge O, Huri G, Turhan E, Ergen E. Diagnosis of Meniscus Tears of the Knee. EFORT Open Rev. 2018 Jan 8;3(1):16-24. doi: 10.1302/2058-5241.3.170046. eCollection 2018 Jan. PMID: 29307736; PMCID: PMC5759755.
* Laible C, Strotman PK, Briggs KK, Philippon MJ. Current Concepts on Meniscus Repair. Curr Rev Musculoskelet Med. 2018 Sep;11(3):399-405. doi: 10.1007/s12178-018-9502-3. Epub 2018 Jul 25. PMID: 30043813; PMCID: PMC6109156.
* Levy AS, Miller MD, Shaffer B. Meniscal Tears: Pathophysiology, Clinical Presentation, Diagnosis, and Treatment. J Am Acad Orthop Surg. 2020 Jan 1;28(1):15-22. doi: 10.5435/JAAOS-D-18-00627. PMID: 31383726.
Q.
Knee Pain? Why Your Joint is Aching and Medically Approved Next Steps
A.
There are several factors to consider with knee pain, most often arthritis, injury, or overuse, and many cases improve with RICE, careful short-term use of acetaminophen or NSAIDs, gentle strengthening and low impact movement, weight management, bracing or shoe inserts, and physical therapy. Seek prompt care for red flags like sudden significant swelling, inability to bear weight, fever, visible deformity, or joint locking, and see below for complete, medically approved next steps including when to get imaging, try injections, consider surgery, and a helpful link if you cannot bend your knee.
References:
* Wight, C., & Macfarlane, K. (2022). Assessment and Management of Knee Pain in the Adult. *BMJ J Educ*, *25*(1), 102-108.
* Malhotra, P., Goud, B., & Gound, B. P. (2023). Current understanding of knee osteoarthritis: current and emerging therapies. *Oxf Open Learn*, *7*(1), igaa007.
* Powers, C. M., & Fulkerson, J. P. (2021). Management of Patellofemoral Pain Syndrome. *J Am Acad Orthop Surg*, *29*(8), e387-e395.
* Bennell, K. L., Hunter, D. J., & Hinman, R. S. (2020). Non-surgical management of chronic knee pain: a systematic review and meta-analysis. *Ann Intern Med*, *172*(4), 255-266.
* Chang, J. H., & O'Connor, M. I. (2023). Management of knee osteoarthritis: A practical framework for the primary care physician. *J Family Practice*, *72*(2), 107-114.
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