What You Can Do
Take over-the-counter NSAID drugs like ibuprofen and naproxen to ease pain and swelling. RICE — rest, ice, compression, and elevation — can often help, too: Get off your feet. Raise your leg so it’s higher than your heart. Put a cold pack in a thin cloth or towel on your knee for 10-20 minutes at a time, several times a day. Wrap an elastic bandage around your knee when you’re up and about, snug but not tight.
Evaluating Pain On The Inner Side Of The Knee
Knee problems are quite common due to the nature of the joint. Our ankle, knee, and hip joints are tasked with supporting the weight of the entire body when walking, sitting, and moving throughout the world, but the knee in some ways is the most confined. The hip is a ball-and-socket joint with a wide rotation range, and the ankle, though functionally an up-and-down-style hinge joint just like the knee, nevertheless can also rotate the foot in ways the knee joint cannot move.
This rigidity in the knee gives us the support we need to stand but is also vulnerable to sudden switching movements that can cause slips and injuries among the bones and tissues of the joint. These injuries can result in pain and sometimes permanent loss of function, and this is why it’s important to quickly identify knee pain.
When it comes to pain on the inner side of the knee, here are some important distinctions.
Weight Loss Exercise And Diet
Think about the extra pounds people carry every day due to their being overweight. This puts added pressure and strain on the back and stomach muscles, causing those muscles to stretch and weaken. Weak back and stomach muscles cannot support the back properly. Poor posture can shift your body out of balance. This forces only a few muscles and joints to do all the work. Without proper exercise, muscles become weak and tire easily. Exercise is necessary to keep the back strong and limber. A good conditioning exercise program led by a trained instructor can be particularly helpful. An effective program includes a warm-up period; about 30 minutes of aerobic activity ; isolated muscle group work ; and a cool-down period. Over a period of time, the rewards of regular aerobic workouts can include a slimmer waistline and healthier back.
How Ankle Pain Can Spread To The Back
Sprained ankles are the most common sports-related injuries seen by physiotherapists.
If youve ever rolled or your ankle, you understand how it can impact the way you walk or run and the way your body aligns .
But did you know that not seeking treatment can have long-lasting, potentially debilitating effects on other parts of your body, including your lower back?
Here are three ways you can tell if your sprained ankle is causing low back pain.
Medical History And Mental Health Comorbidity
Medical comorbid conditions were assessed by a self-reported version of the Charlson Comorbidity Index. The Charlson Comorbidity Index is a commonly used measure of comorbidity burden that has demonstrated validity and reliability-. Smoking history was assessed by the question Do you smoke cigarettes now?. Depression was measured by participant self-report using the Center for Epidemiologic Studies Depression Scale . The CES-D has been shown to have valid and reliable psychometric properties-. Anxiety was measured by item 9 of the Short Form 12 , in which the participant answers the question How much of the time during the past 4 weeks have you felt calm and peaceful?, using a 5-point Likert scale ranging from 1 to 5 . Higher scores indicate greater anxiety. Fatigue was measured by item 10 of the SF-12, using an identical 5-point Likert scale response to the question How much of the time during the past 4 weeks did you have a lot of energy. Higher scores indicate greater fatigue. The SF-12 is a widely used, validated, and reliable measure of health-related quality of life. Although items 9 and 10 of the SF-12 have not been validated for item-specific use as measures of anxiety or fatigue, they have been used in this manner previously.
Pain In Back Of Leg Behind Knee Causes And Tips For Quick Relief
Bothering knee pain is no pleasure to you. The knee joint is the most frequently injured area of your body. It considers a lot of force from even effortless daily activities. Strong knees allow you to perform several activities easily. Back knee pain can be a pretty common complaint of clients get medical attention for muscles & joint pain. This type of pain can have severely adverse effects on the standards of your living. Constantly in a few clients knee pain may be primarily detected over the back of the knee. Back knee pain is unpleasant or aching behind your knee joint. It can happen with or without moving & may be serious decent to reduce movements. You can explain back knee pain as pain, irritation, inflammation, increase heat or burning, soreness, or stiffness.
Questions Your Doctor May Ask About Pain In The Back Of The Knee
To diagnose this condition, your doctor would likely ask the following questions:
- Is the knee pain affecting one or both knees?
- Do you often feel your knees buckling?
- Where is your knee pain?
- How would you explain the cause of your knee pain?
Self-diagnose with our free Buoy Assistant if you answer yes on any of these questions.
What Is The Recovery Time For A Knee Injury
The recovery time for a knee injury depends on the type and severity of the injury. If the injury is significant enough to require surgery and/or physical therapy, the recovery time will be longer.
Simple strains or sprains can last for one to two weeks. More extensive injuries requiring arthroscopic surgery may take one to three months to heal.
Major traumatic injuries to the knee may take up to a year to heal.
Following the doctor’s instructions for rest, immobilization, staying off your , and avoiding that aggravates the injuries will help speed recovery.
Physical therapy can also speed recovery time. It is important to follow directions of your physical therapist to insure you are doing the exercises correctly and attaining the best results.
Chronic knee injuries that do not require surgery may flare up from time to time. Physical therapy, anti-inflammatory medications, and cortisone injections are used to provide temporary relief.
Cant Bend Your Knees Further Than Your Toes
Standing roughly one foot from a wall, toes pointing toward the wall, bend your knee forward, are you able to make your knee touch the wall?
If youre unable to move your knee forward relative to your foot, you could have an issue with linear ankle mobility, or the ability to bend your ankle forward.
A common side effect of this is an inability or difficulty in squatting, walking up or down stairs, walking, and lifting.
Concerned about these symptoms? Book an assessment with a physiotherapist today.
Why Do I Have Pain In The Back Of My Knee
The knee is your bodys largest joint, experiencing a lot of movement throughout the day. Since you use it for everything, its bothersome, to say the least, when your knee begins to hurt. You might be facing many difficulties doing basic daily tasks like walking or getting up from a seated position. Also, its even worse if the pain is chronic and wont go away. So, if youre wondering why you have pain in the back of your knee, read on to find out more.
This post will discuss some of the reasons that back of knee pain can begin and what you can do to alleviate it.
Can Knee Pain Cause Low Back Pain
Knee osteoarthritis remains a significant problem among US adults 60 years and older. A recent study suggests knee arthritis rates as high as 37 % with women showing higher rates vs men and higher rates among those with significant weight problems.
As a result, many of these patients opt for a total knee replacement. However, patients often suffer from pain and have difficulty walking for many years before deciding to proceed with such surgery. Living with pain for an extended period typically causes changes in how a patient walks in an attempt to relieve the pain associated with knee arthritis. Sometimes this is even done subconsciously, but it can lead to additional problems, such as low back pain . An example of how knee pain can cause low back pain would be a knee flexed position that leads to a patient leaning forward when walking. This changes at the pelvis and contributes to low back pain.
Physical Therapy Can Help Your Low Back and Knee Pain
When a patient seeks help from a physician complaining of low back pain, they are commonly referred to a physical therapist for treatment. In treating these patients, physical therapists will provide a complete and individualized assessment of the causes of low back pain, which may include a thorough biomechanical evaluation and gait assessment. Patients that go to physical therapy with knee arthritis/osteoarthritis have likely developed a permanent knee bent posture .
You Have Tightness In Your Hamstrings
When you are getting ready to exercise and begin to stretch your hamstrings, do you notice if there is a tightness to it that wont go away despite frequent stretching? If so, this is one of the first signs in the lower extremities which suggest there is a nerve issue in your back causing knee pain.
The hamstrings are a group of muscles located in the back of your thighs. When these muscles are tight, the stability of your lower back is decreased. Stress builds up in the spinal joints and the normal curvature of your lower spine alters itself to adjust to the need. These changes cause lower back pain and stiffness to radiate down the knee and leg. As you move around with tight hamstrings, your knees are unable to function properly and may be damaged.
Hamstring tightness is also linked to a lumbar problem. The L5 nerve travels from the lumbar spine and connects through the outer hamstring muscle to power the biceps femoris. If this nerve is irritated or damaged, the hamstrings will become inflamed or even painful. Your knees will have to adjust when in motion to compensate for the strained hamstring.
After a few weeks of hamstring tightness, the meniscus cartilage in each knee joint will suffer. Your body will mobilize its stem cells to repair the damage but because the trauma is ongoing, the swelling will remain until the root problem is addressed.
What Is The Medical Treatment For A Knee Injury
More serious knee injuries require medical care.
Knee immobilization or splinting keeps the knee from moving and decreases the chance of further injury. Immobilizing the knee can help stabilize an injured knee that may not be stable due to torn ligaments. It also keeps the knee from moving to assist in resting the knee.
Chronic knee injuries involving inflammation and bursitis may be treated with anti-inflammatories. Injections of cortisone may be helpful in these situations.
More extensive injuries involving torn ligaments, instability of the knee joint, swelling, decreased range of motion, or fractures will require an orthopedic surgeon consultation. In the initial stages of these more extensive injuries, RICE therapy can still be used. Staying off the leg by using crutches or a wheelchair may be advised.
Surgery may be indicated for tears of the ligaments or extensive meniscal tears. Surgery may also be needed for fractures or dislocations of the knee. Some acute injuries such as those with high-force impact, or multiple parts of the knee damaged, may require emergency surgery.
Most knee surgery can be done by , a procedure in which a camera is used and small punctures are made in the knee to insert instruments. Repairs can be done inside the knee without having the open the knee with a large incision. Most arthroscopic surgeries do not need to be done immediately after an acute injury. Some are delayed to allow for decreased inflammation.
Can Knee Pain Cause Back Pain
The quick answer is yes. 2010 the Global Burden of Disease revealed that low back pain was the single leading cause of disability worldwide. There are several factors that can cause back pain including:
- Sports injuries.
- General lower body weakness.
X-ray Image of a runner to show knee injuries affecting the back
A few of these examples are specific to injuries related directly to the back, however, some of the others are in reference to injuries of different body parts that can affect the back.
The Anatomy Of The Knee
Let’s start with a quick review of the knee before we hone in on the inner knee area, as each part of this joint is intrinsically connected to the rest.
- Bones: The bones of the knee joint include the femur , tibia , and the patella . They give the knee structure.
- Muscles: The muscles involved in the knee joint include the , hamstrings , and the calf muscles . These muscles allow for movements like standing, sitting, walking, jumping, running, and flexing.
- Tendons: The tendons of the knee attach muscle to bone and include the quadriceps tendon that connects the quadriceps muscle to the kneecap and the patellar tendon that attaches the kneecap to the shinbone .
- Ligaments: Ligaments are connective fibers that attach bone to bone, and after the dubiously named patellar tendon, there are four main ligaments of the knee: the ACL that runs centrally through the joint connecting the thigh and shin bones; the PCL that is larger and stronger than the ACL and runs along the back of the knee between thigh and shin bone; the LCL that stabilizes the outside of the knee; and the MCL that stabilizes the inside of the knee.
- Tissues: Other connective tissues in the knee include cartilage caps that prevent the thigh and shin bone from grinding together, the meniscus that sits between those cartilage caps, and the knee bursae .
The Link Between Your Back And Knee Pain
April 3, 2020
Every part of your body has a special and unique function, but each part relies on others for optimal performance.
When your body is functioning well, you feel invincible. When you are falling short due to an injury or illness, its hard to function. The same is true with many interacting body parts. One connection, in particular, is when back pain causes knee pain. Even though the back and knee arent directly connected, there is a very real link that can help explain why when your back hurts, your knees may hurt, too.
Knee Pain Due To Less Physical Movement
A lower level of physical activity and a work environment where one is required to sit in a chair during the work day is one reason for developing knee joint pain, as the lower degree of physical movement tends to weaken the knee muscles. Blood vessels also can be affected, leading to development of painful conditions.
As age progresses the movement of the knee joint involves higher friction with adjacent tissue and cartilages.
Signs Your Back May Be Causing Your Knee Pain
Modern medicine has advanced significantly in the last century, meaning huge leaps forward in our understanding of our bodies and how their different systems work.
However, even with everything we know about our bodies now, there are still many mysteries in how they operate, and how certain systems link together. Unfortunately, this can lead to unnecessary treatments or surgical interventions particularly when pain that presents in one area of the body is actually caused by issues in another part of the body.
Referred pain occurs when a problem in one place in the body causes pain in another place, after the pain travels down a nerve. For example, a pinched nerve in our backs can cause pain and other problems throughout our legs.
Referred pain needs to be correctly diagnosed to make sure its treated effectively. If you can learn to understand and recognise the links between your knee and back pain, youll be better able to identify the real source of your knee pain.
Other Conditions That Cause Back Pain
Sometimes pain felt in the back actually originates elsewhere in the body. Such problems may include: prostate trouble in men problems with reproductive organs in women kidney diseases, such as an infection or kidney stone diseases of the intestines or pancreas, such as cancer or a blockage cancer that has spread to the spine multiple myeloma, a form of cancer of the bone and bone marrow curvature of the spine rarely, a tumor on the spinal cord
The Link Between The Knee And Back
The knee and back together offer flexibility, movement, and support, but are also interdependent to maintain balance. As one of the most complex joints in the body, the knee allows the entire leg to move, bend and have a good range of motion. At the same time, your back has countless responsibilities: it holds your spine together, absorbs the intervertebral discs, and ensures the correct alignment of your spine, spinal cord, and joints for better balance.
When To See Your Doctor
Don’t wait if your knee pain is sudden and intense. Pick up the phone if it won’t go away or gets worse.
To make a diagnosis, your doctor might take X-rays or other images of your knee. Blood or knee fluid samples can help confirm or rule out certain conditions. Treatment may include medication, special exercises, braces, or in some cases surgery. Losing weight could help lessen pressure and strain on your knees.
Anterior Cruciate Ligament Injury
The anterior cruciate ligament is a band of tissue that runs through the front of your knee joint. It connects your thighbone to your shinbone and helps stabilize and provide movement to your knee.
Most ACL injuries happen when you slow down, stop, or change direction suddenly while running. You can also strain or tear this ligament if you land a jump wrong, or you get hit in a contact sport like football.
You might feel a pop when the injury happens. Afterward, your knee will hurt and swell up. You might have trouble fully moving your knee and feel pain when you walk.
Rest and physical therapy can help an ACL strain heal. If the ligament is torn, youll often need surgery to fix it. Heres what to expect during ACL reconstruction.
Cant Squat Due To Tight Hamstrings
Squat in front of a mirror, can you see your lower back rounding?
Is your pelvis tilting backward?
Your ankle injury could be causing tight hamstrings, which can make squatting impossible, or you may be unable to squat as deeply as before your ankle injury.
Not being able to squat might not seem like a huge loss but, an impaired squatting form can cause other serious lower back issues such as a disc herniation and sciatica!
Concerned about these symptoms? Book an assessment with a physiotherapist today.
What The Research Says About Old Acl Injuries
New research about the long-term consequences of knee injury is shedding light on the extent of the initial damage done to the tissues surrounding the knee, and how immediate treatment affects long-term outcomes.
- A study by Hettrich et al. evaluated 1,000 people, with a median age of 23 at the time of injury, for six years post-ACL reconstruction. Six years later, 9 percent had required at least one additional surgery on the same knee, and 10 percent needed surgery on the other knee, Of those, 6.4 percent were for ACL injury. The research team concluded that patients who had ACL surgery in their youth were more likely to need additional surgery later on.
- A 2012 study by Potter et al. ran MRIs for 11 years on 40 patients, with a total of 42 earlier ACL ruptures. Fourteen of the patients had rehabbed their knee without surgery, and 28 had undergone reconstructive surgery. The MRIs revealed that ACL tears had affected the surrounding cartilage, which had deteriorated over time, with cartilage loss in the lower femur up to 50 times greater than baseline. Cartilage loss to the knee cap itself was 30 times greater than baseline. The researchers concluded that progressive cartilage damage occurred to areas surrounding the knee that were not impacted by the initial ACL injury.
What Are Home Remedies For Sciatica
Pain from sciatica often limits one’s activities. Here are some home treatments for sciatica:
- Do not bend, lift, or sit in a soft, low chair; the pain will get worse.
- Unless someone is allergic or should not take them for other reasons , over-the-counter pain medicines such as , , or will probably help ease the pain.
- Try a pack to see if it helps the pain. If a cold pack is not available, use a large bag of frozen vegetables; it makes a good first aid cold pack. Or have someone massage the sore areas in a triangular pattern with an ice cube. The person should move the ice cube if the skin gets too cold .
- After the cold massages, try alternating with heat from an electric heating pad to see if it helps the pain.
- If an electric heating pad is not available, put a hand towel under hot water, wring it out, and place it on the back. Some physical therapy experts believe that moist heat penetrates more deeply and gives better relief of pain.
What Exercises Are Recommended And What Exercises Should Be Avoided During Rehabilitation For A Knee Injury
During physical therapy for rehabilitation of a knee injury, the patient will be given specific exercises by the physical therapist in order to strengthen and stabilize the knee joint. These exercises include strengthening the front of the thigh , back of the thigh , calf, and hip. Consult your doctor and your physical therapist before starting any program. Your physical therapist should insure you perform the exercises properly before doing them on your own.
If you have any pain or discomfort while doing prescribed exercises, see your doctor or physical therapist.
Some exercises your physical therapist may recommend include the following:
- Quad sets
- Straight-leg raise to the front
- Straight-leg raise to the back
The American Academy of Orthopedic Surgeons has an exercise guide that includes directions and pictures. Consult your doctor or physical therapist before trying any of these exercises on your own.
Some exercises to avoid following knee injury include the following:
- Full-arc knee extensions
These exercises can further already damaged knee joints.
How Would Sciatica Feel
Sciatica is the condition that occurs when this nerve is compressed or irritated. It often begins as back pain that shoots discomfort down to your leg and knee. This may also cause the discomfort to radiate down the hips, the outer side of the leg, and the other body parts connected to these areas.
Low-level nerve irritation may not always be felt as back or leg pain, however. The pinched nerves can also cause your muscles to misfire and destroy the protection your knee joints need, triggering discomfort. The pain may also manifest as tingling or numbness in the legs and feet. Although sciatica is common and treatable, it can be quite debilitating in severe cases.
Why Is Bed Rest Recommended
Bed rest is often recommended in order to allow the injured area to heal without any further stress. The amount of bed rest prescribed by your doctor will vary according to your condition. Your physician may also recommend dry or wet heat. Occasionally, cold, such as ice massage, may be effective in the temporary relief of acute muscle spasm.