Why consult?

Knee Pain

Information to help you understand your symptoms and who to consult for prevention or treatment.

Knee pain (gonalgia) is common and can become highly limiting in daily life. This joint, essential for mobility and many sports activities, is particularly vulnerable to injury. Fortunately, various healthcare professionals can help relieve your pain and restore your mobility.

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Why does your knee hurt?

Knee pain can appear suddenly following a blow, a fall, or an awkward movement, or it can develop gradually due to repetitive motions or changes in your habits. The knee includes the joint surfaces of three bones (patella, femur, and tibia), as well as ligaments, menisci, and tendons. Several types of knee injuries are therefore possible, depending on the structure affected.

A knee injury may present with:

  • A feeling of instability
  • Localized or diffuse discomfort or pain
  • Edema or swelling
  • Stiffness or locking in the joint
  • Increased pain when using stairs, squatting, or sitting for prolonged periods

What are the main causes of knee pain?

Here are the main causes of knee pain:

Knee sprain

A sprain, commonly known as a “strain”, is an injury to one or more ligaments, the structures that connect bones together and provide joint stability. Depending on the severity of the injury, the ligament may be stretched, partially torn, or completely torn.

Typical symptoms of a knee sprain are a feeling of joint instability and pain, present both when bending and unbending the knee and when changing direction. Depending on which ligament is affected, the pain may be in the knee, on the inner side or on the outer side. You may also notice swelling (edema) or bruising.

The healing time for a sprain varies depending on the ligament affected and the severity of the injury, but is generally between 4 and 12 weeks.

Knee osteoarthritis

Osteoarthritis is the wear and tear of the cartilage in the joint. It is a normal aging process that does not always cause symptoms. When they do occur, the most common symptoms are discomfort, stiffness, pain and crackling in the knee. When the osteoarthritis is a little more significant, swelling, a feeling of friction and a slight deformation (widening of the joint) may also occur.

Patellofemoral pain syndrome

Patellofemoral syndrome, or “runner’s knee,” is an irritation of the cartilage, the tissue that covers the femur and patella in the knee.

It’s a common injury after heavy and unusual exertion, such as a long hike, repeated jumps, or going for a run as a new runner. Experienced runners are also prone to this injury when training parameters, such as distance, intensity or speed, are increased too quickly. Patellofemoral syndrome can also develop in young women during adolescence, due to the change in morphology that alters the angle of the knee and the pressure on the patella.

Although the causes of patellofemoral syndrome vary from person to person, the symptoms are always essentially the same: widespread pain in the front of the knee that increases when climbing stairs or walking on sloped ground, when in a squatting position or on your knees, or after a long period of sitting.

A daily exercise program consisting of muscle activation, strengthening and stabilization helps heal the tissue and significantly reduces the duration of symptoms.

Iliotibial band syndrome

The iliotibial band is a large band of fibrous tissue that connects the hip to the tibia on the outer side of the thigh. It helps keep the knee stable. Iliotibial band syndrome is caused by too much friction of the band on the knee’s bony surface.

The pain is usually experienced on the outer side of the knee, mainly when it is slightly bent. For athletes, it is often caused by an increase in training parameters, such as intensity or distance. It occurs frequently in runners and cyclists.

Knee bursitis

A typical symptom of bursitis is a warm, diffuse pain in the knee, which may be constant and keep you awake at night. Your knee movements can be painful, and you may also observe swelling in the affected knee.

Bursitis is an inflammation of the bursa, a small fluid-filled pad located in the joint. The bursa reduces the friction between the tendons and the bones of the knee. This type of injury can be caused by a fall on the joint, prolonged compression (for example, staying on the knees for a long time) or repeated and unusual muscle contraction.

Knee tendinitis

Inflammation or chronic irritation of a tendon, caused by intense effort or repetitive movements. It presents as sharp pain during or after activity.

How do you know if it’s knee tendinitis?

If there has been no fall or awkward movement and your pain appeared gradually or after repetitive motions, it is very likely that you are dealing with tendinitis.

Can you walk with knee tendinitis?

Generally, it is recommended to limit activities that trigger your pain. If walking is not symptomatic, you can continue; however, if it causes pain, it would be preferable to reduce it and/or use a walking aid such as a cane.

How long does knee tendinitis last?

Tendinitis can resolve within 8 to 12 weeks if appropriate rehabilitation management is undertaken.

Meniscus tear

When a meniscus is torn, the pain is often at the joint, where the femur and tibia meet. In some cases, this pain may spread over a larger area. You might also feel a lock in your knee, another common symptom of a torn meniscus.

The menisci of the knee serve as shock absorbers and increase the knee’s stability. Each knee has two: the inner side and the outer side. To injure a meniscus, an extreme flexion, extension or twisting movement must occur while the foot is on the ground.

Osgood-Schlatter disease

Osgood-Schlatter disease is a bony growth that develops on the front of the tibia, below the knee, where the patellar tendon attaches. In the beginning, there is also inflammation at the site of the lesion.
It appears in adolescence, more often in athletes and boys. At some stage of growth, the muscles in front of the thigh become stronger than the bone. When these muscles are used a lot, as in certain sports, the body can react by producing more bone at the point of attachment.

If not treated properly, the bony growth can continue to grow and make the kneeling position permanently uncomfortable or even painful. As soon as pain or a bony point appears on the tibia, it is important to consult a healthcare professional. Physiotherapy treatments provide very good results and help relieve pain by releasing pressure on the knee. Taping (adhesive tapes glued to the skin) and orthoses can be used temporarily to maintain a certain level of athletic activity.

How do you treat knee pain?

After an injury, it is important to avoid painful activities for a few days and apply ice to reduce pain and inflammation. Gradually resuming movement is essential, as properly dosed activity promotes healing. A thorough evaluation is important, since many different knee conditions are possible. An assessment will help identify the exact cause and, most importantly, allow you to receive specific exercises to improve your knee more quickly and effectively.

Expert tip: pace your activities and don’t skip your warm-up

Before any physical activity, especially after an injury, it is essential to warm up properly for at least 10 minutes to prepare your knee.

Which professional should you consult?

Different healthcare professionals often work together to maximize results. If you are unsure, we recommend consulting a physiotherapist first so they can assess your needs and determine the appropriate treatments based on your specific knee condition. If necessary, they will refer you to the appropriate professional(s) to optimize your rehabilitation.

Why consult a physiotherapist?

After a thorough evaluation of your knee, a physiotherapist will explain which structures are affected and offer you a treatment plan based on your goals. Different options can be considered such as exercises specific to your condition, joint mobilizations, muscle relaxation techniques, etc. Your physiotherapist will also give you advice on how to relieve pain and how to resume your activities.

Learn more about physiotherapy

Why consult an occupational therapist?

An occupational therapist will assess the impact of your knee condition on your usual abilities such as work, household chores and hobbies. Their treatments, which can take the form of strengthening exercises or work task simulations, for example, will help you maximize your autonomy at each stage of your recovery.

Learn more about occupational therapy

Why consult an osteopath?

Using different manual techniques, an osteopath will treat mobility restrictions that can affect all the structures of your body (bones, muscles, ligaments, viscera, etc.) that are related to your knee. Improved mobility helps your body recover better and decreases pain.

Learn more about osteopathy

Why consult a massage therapist?

A massage therapist will focus mainly on releasing tension in the superficial and deep tissues that affect your knee to help you reduce pain and move more freely. Their treatments will also help increase blood circulation to promote a better recovery.

Learn more about massage therapy

Why consult an acupuncturist?

Through various techniques and by using therapeutic tools such as needles and suction cups, an acupuncturist will work to reduce pain, stress, muscle tension and inflammation that can occur following a knee injury.

Learn more about acupuncture

Why consult a kinesiologist?

Following their assessment of your knee’s ability to move and your physical condition, a kinesiologist will teach you exercises adapted for you so that you can resume your activities.

Learn more about kinesiology

Frequently asked questions (FAQ)

Can I walk with a knee sprain?

Yes. In fact, it is recommended to start moving the joint soon after a sprain to limit stiffness and promote healing. If your pain is causing you to limp, it is advisable to use crutches or a cane to avoid compensatory pain and to consult a doctor for an initial evaluation of your condition.

Is it good to walk with knee osteoarthritis?

Yes. Stay active while avoiding painful activities. A physiotherapist can guide you in choosing appropriate activities.

Does a meniscus tear require surgery?

Most cases are effectively treated with physiotherapy and do not require surgery. Surgery may sometimes be necessary if pain or locking persists.

When should I consult for knee pain?

If symptoms persist after one week, it is recommended to have your condition evaluated by a professional in order to receive an effective treatment plan.

What does acute knee pain mean?

Acute pain is often a sign that inflammation is present. It is recommended to rest and apply ice. If the pain persists or worsens, an evaluation is advised.

Why does my knee hurt when I walk?

Most knee conditions cause pain while walking.

It is best to temporarily reduce your walking time. Using an assistive device, such as a cane, can help normalize your walking pattern and prevent compensation.

What does pain above or below the knee mean?

The areas above and below the kneecap include tendons and bursae.

Pain in these regions is often related to tendinitis or patellofemoral syndrome.

Why do I have sudden knee pain for no apparent reason?

When pain appears suddenly, it is helpful to think about the activities you did in the previous hours or the day before.

An inflammatory flare-up can occur a few hours after irritating or unusual movements.

Is it different if my left knee hurts versus my right knee?

The same causes and explanations apply to both knees. Whether the pain is on the left or right side generally does not change the nature of the problem.

Why does my knee hurt when I run?

If pain appears during or after running, it is important to assess not only the knee but also your running pattern. Suboptimal running technique can lead to knee pain. Adjustments may be needed to correct the issue.

Why does my knee hurt when I bend it?

Several conditions can cause pain when bending the knee, such as a sprain, meniscal injury, tendinitis, or patellofemoral syndrome. Since these injuries do not require exactly the same management, an evaluation helps determine the appropriate treatment and restore comfortable movement.