Wednesday, October 20, 2021

Does A Torn Meniscus Cause Pain Behind The Knee

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Pain Behind The Knee When Bending It Or Pain And Stiffness Below The Kneecap

Although not behind the knee, the patellar tendon can be overloaded and torn by repetitive actions such as jumping, running or kicking. This is called patellar tendonitis, and can get progressively worse as the the torn tendon swells and becomes weaker. Again the RICE formula should be applied, and your doctor should be consulted.

Diagnosing A Fluid In The Knee

Visually, a knee with fluid will usually look swollen and puffy. If your physician suspects that fluid in the knee may be an issue, he or she may extract some fluid from the knee using a sterile syringe to assess what type of fluid is present. A lab test may be requested to test for the presence of infection or other types of issues. Your doctor may also suggest an imaging test, such as X-ray , MRI or ultrasound which will help him or her evaluate the situation.

What Is The Prognosis For A Knee Injury

The goal for treating knee injuries is to return the patient to their previous level of activity. The prognosis for an individual injury depends upon the type of injury, the underlying health of the patient, and their willingness to work with their care provider and therapist to maximize their outcome.

What Is A Meniscus Tear Or Strain

A meniscus tear or strain occurs when the meniscus is injured. Menisci are designed to help keep the knee steady and balance weight across the knee; therefore, when the meniscus is torn, it can prevent the knee from functioning properly.

Meniscus tears are a common injury to the knee. Meniscus tears are categorized as mild, moderate or severe.

Posterior Cruciate Ligament Injury

Pain Behind Knee: Causes and Treatment for Knee Pain ...

The posterior cruciate ligament is the ACLs partner. Its another band of tissue that connects your thighbone to your shinbone and supports your knee. However, the PCL isnt as likely to get injured as the ACL.

You can injure the PCL if you take a hard blow to the front of your knee, such as in a car accident. Sometimes injuries occur from twisting the knee or missing a step while walking.

Stretching the ligament too far causes a strain. With enough pressure, the ligament can tear into two parts.

Along with pain, a PCL injury causes:

  • swelling of the knee
  • trouble walking
  • weakness of the knee

Rest, ice, and elevation can help a PCL injury heal faster. You might need surgery if youve injured more than one ligament in your knee, have symptoms of instability, or you also have cartilage damage.

Tips To Prevent Meniscus Tears

You can prevent meniscus tears by regularly performing exercises that strengthen your leg muscles. This will help stabilize your knee joint to protect it from injury.

You can also use protective gear during sports or a brace to support your knee during activities that may increase your risk of injury.

Common Causes Of Fluid In The Knee

There are various issues that may cause fluid in knees. Here are some of the most common:

Knee Trauma or Injury – Trauma occurs when the knee joint is impacted from an outside force, resulting in injury to the knee. The type of fluid to enter the knee from a traumatic injury is usually blood or excess joint fluid, though other types of fluid in the knee may be present. The most common forms of knee injury to cause fluid in knees are:

  • Meniscus Tears
  • Ligament Injuries, such as ACL Tears
  • Overuse Injuries

Arthritis – The are several types of arthritis that may cause fluid on the knee. The most common types that cause excessive knee fluid are:

  • Osteoarthritis – the natural wear and tear of the cartilage around the knee due to aging
  • Rheumatoid arthritis – a chronic inflammation of the joints due to an autoimmune disease
  • Gout – a type of arthritis where a patient’s nutritional intake may cause uric acid to build up in the joints

Infection or Inflammation – When areas of the knee are inflamed, this causes the knee to swell with fluid as the body combats the injury or bacteria in the area. A common form of inflammation that causes fluid in knees is bursitis. Bursa are cushioning sacs around the body which when inflamed may cause swelling or excess knee fluid.

What Are Knee Injury Treatments

    Almost all knee injuries will need more than one visit to the doctor. If no operation is indicated, then RICE with some strengthening exercises and perhaps physical therapy will be needed. Sometimes the decision for surgery is delayed to see if the RICE and physical therapy will be effective. Each injury is unique, and treatment decisions depend on what the expectation for function will be. As an example, a torn ACL would usually require surgery in a young athlete or a construction worker, but the ACL may be treated nonoperatively with physical therapy in an 80-year-old who is not very active.

    With the technology available, many knee injuries that require surgery can be treated surgically with an arthroscope, in which a camera is used to visualize the damage and small punctures are made in the knee to insert instruments to make repairs. Patients usually begin their post-op rehabilitation within days of the surgery.

    If there is no rush to operate, then opportunity exists to pre-hab or strengthen the quadriceps and hamstring muscles beforehand. When a joint like the knee is injured, the muscles around it start to weaken almost immediately. This is also true after the surgery, which can also be considered a further injury. Strong muscles in the preoperative state allow the potential for easier postoperative therapy.

    What Are The Symptoms Of Patellar Tendonitis

    The pain may at first be sporadic, occurring only after sports or exercise activity. As the tendon becomes more damaged, the pain can become progressively worse. It can interfere with any athletic activity, as well as with daily activities, such as climbing stairs or sitting in a car.

    See your doctor if any pain or swelling lasts more than a day or two.

    At the start of your appointment, your doctor will ask about:

    • your physical activity
    • what symptoms youre experiencing
    • when the symptoms occur
    • any remedy youve tried that eases the pain

    Your doctor will physically examine your knee, probe for where you feel pain, and test your range of knee motion by bending and extending your leg.

    Your doctor may also order imaging tests to look at your kneecap and tendon to determine if theres any damage to the tendon or bone. These tests can also help rule out other possible causes of your pain, such as a fracture.

    Your doctor may perform:

    • an X-ray to look at the bone to determine whether you have a kneecap fracture or if your kneecap is displaced
    • an to look at the tendon and show any damage to the soft tissue
    • an ultrasound to look at the tendon and show any soft tissue damage

    Hamstring Pain Behind Knee

    Hello to all the sports playing individuals reading this.

    Doesnt seem uncommon, right?

    Hamstrings are the set of tendons present at the back of the thigs that attach the thigh muscles to the bone. It includes 3 muscles:

    • Semimembranosus muscle
    • Bicep femoris muscle
    • Semitendinosus muscle

    Now, if any of the above muscles are stretched above their optimal limit, you will incur hamstring strain. It could be during running, jumping, rolling, bending the knee, etc.

    If your bicep femoris muscle is injured, then you are most likely to encounter pain behind knee.

    Back Of Knee Pain Treatment At Home Tested Home Remedies

    Enough about the causes. Lets now discuss the solutions to this undesirable pain.

    The solution lies in the diagnosis.

    What is the cause of the pain?

    Is it Arthritis, cramp or a tear in the meniscus.

    We have discussed the symptoms of each cause above but if you are unsure still, then you have to consult your doctor.

    He/she will ask you about the history of the pain, what is your routine and how often do you report this pain. You might need to have an X-ray or an ultrasound if the doctor deems it to be necessary.

    We wont be discussing surgical methods or treatments for each cause, as you have medical websites and platforms for that.

    Rather, we would suggest ways to get rid of them while staying at home.

    Is Anything Strange Happening

    Or really, Is anything strange happening beyond your knee pain?

    For example, can you still flex your knee all the way? Most people get frightened when their knee locks and cant straighten anymore. Often the culprit is called Bakers cyst, a fluid-filled sac behind the knee caused by inflammation.

    A also triggers concern for many people. Nobody wants to hear a click with every step. Sometimes, its harmless, but if that clicking comes with pain, you might have a mechanical problem such as a torn meniscus, Dr. Burg says.

    These are just a few examples among many. The knee is a complicated andcritical part of your everyday life. So when you have pain that comes withserious symptoms or lasts for more than a week or two, seek the right diagnosisby getting a physical exam and any necessary imaging that comes with it.

    How Do People Over 50 Typically Get Knee Meniscus Tears

    Knee pain due to Meniscal Tear. Know it. Check for the ...

    There are two types of causes for meniscus tears, especially in individuals 50 and up.

    The first is an acute injury, meaning something suddenly caused the meniscus to tear, strain, or stress. This can include stepping out of the car wrong, landing in a strange position, or taking a fall.

    The other cause of meniscus tears occurs through chronic injuries, such as arthritis. Arthritis causes wear and tear on the joints, causing the connective tissue to slowly wear out.

    When this happens, many individuals start to complain that they are unable to move their knees through a full range of motion and often experience pain when bending over or squatting down.

     

    Why Your Hamstrings Are Important

    One of the main jobs of the hamstrings is bending your knee, so its not surprising that weak hamstrings are one of the biggest causes of knee injuries. According to the American Academy of Orthopaedic Surgeons, women are two to 10 times more likely to sustain a knee ligament injury, such as an anterior cruciate ligament tear, than men.

    One reason is because women tend to have stronger muscles in the front of the thigh than in the back hamstring muscles. This imbalance can lead to injury. Weak hamstrings can also lead to a condition known as runners knee . This painful condition is the most common running injury, resulting in inflammation and pain around the kneecap.

    Of course, your body is an intricately connected system. Weak hamstring muscles impact a lot more than just your knees and hips. Weakened hamstrings have even been linked to everything from poor posture to lower back pain. A well-balanced body that includes strong hamstrings means that you can run fast, jump high, and do explosive moves like jump squats. Or just chase after your toddler without groaning!

    Not to mention, strong hamstrings make for attractive legs. Well-trained hamstrings look sleek and sexy in cute shorts, a swishy skirt, or a stylish bathing suit!

  • Stand with your feet hip-width apart. Hold a barbell in front of your thighs with your arms straight.
  • Hinge forward at the hips and stick your butt out while you keep your back straight.
  • Do 2 or 3 sets of 10 to 15 repetitions.
  • Causes Of Pain Behind The Knee

    Pain behind the knee can be simple or difficult to diagnose, depending upon the cause. Here are some of the most common causes of posterior knee pain:

    Baker’s cyst

    A lump-like swelling behind the knee is characteristic of Baker’s cyst, making it fairly easy to diagnose. This type of cyst is also called a popliteal cyst because it is located in the popliteal fossa, a small hollow at the back of the knee.

    It forms when synovial fluid gathers at the back of the knee. Injury or stress from arthritis can trigger the accumulation of fluid.

    Different forms of arthritis

    Arthritis is the generic name given to diseases that affect the joint. Arthritis can cause pain anywhere in the knee joint, including the back.

    Knee pain is most often associated with osteoarthritis, the type that is related to aging or overuse. Knee pain can also occur with rheumatoid arthritis, but it will occur in both knees at once.

    Gout is a type of arthritis that first attacks the big toe, but later attacks may strike the knees. Septic or infectious arthritis is caused by an infection that lodges in a joint, usually a knee.

    Infection

    Besides infection in the knee joint , posterior knee pain could result from several other infections, including:

    • Infection in the bone
    • Infection of one of the fluid-filled sacs called bursae

    These infections have different causes and symptoms, although pain, redness, heat, and swelling are typical of most infections.

    Injury

    Tumor

    Deep vein thrombosis

    Basics Of Torn Meniscus

    A torn meniscus is a tear in the cartilage of the knee.  The meniscus functions to improve the fit between the femur and the tibia, to absorb shock and distribute load in the knee, and to help move lubricating fluid around the knee.  The meniscus can tear from either trauma or injury or from degeneration.

    The knee is made up of the femur , the tibia , and the patella .  Ligaments hold the bones of the knee together and the patella lies in the quadriceps muscle in front of the knee.

    Between the femur and the tibia are two pads, one on the medial side of the knee and one on the lateral side of the knee. Each of these pads is called a meniscus. See Figures 1 and 2.

    The meniscus is made of fibrocartilage, which gives it a rubbery texture. Within the meniscus there are also fibers of collagen that help maintain the shape of the meniscus. The meniscus has blood supply only at its outer attachments. Therefore, about 4/5 of a meniscus has no blood supply and therefore cannot heal if it is torn.

    Pain Behind The Knee: Causes And How To Treat Back Of Knee Pain

    Pain behind the knee can have a serious impact on your daily activities. Sharp pain at the back of your knee can affect walking and cause discomfort when standing or walking up stairs. Pain and swelling behind the knee can also cause stiffness in your knee joint, inflammation, and possibly, a lump at the back of your knee.

    There are many reasons for mild to severe pain behind the knee. For example, a ligament tear, a pulled muscle, fracture to a bone in your knee, or wear and tear can also cause varying degrees of pain behind the knee. The knee pain can cause you to limp, make it difficult to walk, or you may not be able to bend your knee at all.

    Knowing how to treat pain behind the knee requires knowing what is causing it. However, usually, hot and cold treatments can help to restore mobility to your knee joint and ease the pain. In some cases, if the leg pain behind the knee is caused by blood clot or cyst, you need to get it checked out by a doctor.

    In this article, you will learn about the various reasons why you could have pain at the back of your knee.

    Risk Factors For A Meniscus Tear Or Strain

    • Age the meniscus gets worn as you age, so people over the age of 30 are at a higher risk for suffering from a meniscus tear.
    • Athletes athletes who play sports such as football, basketball, soccer and tennis are at a higher risk for suffering from a meniscus tear because of the sudden stops and turns involved in playing the game.
    • Osteoarthritis people who suffer from osteoarthritis are at a higher risk for suffering from a meniscus tear or strain.

    Dvt: Deep Vein Thrombosis Can Cause Pain In The Back Of Your Knee And Calf

    Deep vein thrombosis or DVT can cause pain in the back of your knee but the pain is not often isolated to the back of the knee. There is usually calf pain, calf swelling and perhaps thigh pain too.   A DVT is not a common cause of pain and swelling, but I list it first because it can be a worrisome cause of pain. 

    Usually, the pain from a DVT will also occur in the back of your calf or your inner thigh.  While not impossible, the pain can be isolated to just the back of your knee.  Most people with a DVT will also have swelling in their calf or leg.  In people who are obese, swelling of the leg is not uncommon so swelling alone does not mean you have a DVT.  

    People who are at risk for a DVT include people who are obese, have cancer, chronic diseases, and those of you who recently traveled and sat still for hours/days while recovering from illness, injury, or surgery.  We do not know the exact incidence of people walking around with a DVT.  People who recently had surgery are at an increased risk for a DVT.  If your calf is tender and swollen and the back of your knee hurts, you need to see your doctor urgently or go to an emergency room. 

    Hamstring And Calf Muscle And Tendon Injuries

    The hamstrings muscles are a group of large muscles that run the length of the upper legs, ending at the knee. The calf muscles are the beefy muscles that run behind the lower legs, starting at the knee.

    There are tendons in the hamstrings and calf muscles that connect these muscles to the bone just behind the knee. So your back of knee pain could be caused by an injury or problem in these muscles or tendons. An additional sign of this problem might be chronically tight hamstrings or calf muscles that you constantly feel like you need to stretch or roll out .

    And even further up the line, if you have hamstrings or calf muscles that wont let go and are always tight, it could be your back, not your hamstrings or your knee, thats the true cause of the problem . How does that work? Check out the video which explains the connection.

    Muscle And Tendon Conditions

    Torn Meniscus

    The shallow depression formed at the back of the knee is called the popliteal fossa; it is formed at the junction of the femur and tibia. There is a muscle here on the floor of the popliteal fossa which is the deepest muscle of the knee joint. It works on the femur to rotate it on the tibia when walking. Through the popliteal depression a bundle of muscles run from the pelvis to the knee and attach to the tibia and fibula respectively by tendons. These three muscles are collectively called the hamstring muscles, and function to extend the leg and bend the knee.

    At the back of the lower leg the calf muscles are composed of the gastrocnemius and soleus muscles which flex the leg at the knee and flex the ankle via the achilles tendon.

    Pain Swelling And A Bony Lump Below The Kneecap Typically In Children Or Adolescents

    The patellar tendon can also be a factor in both Osgood-Schlatters Disease and Sinding-Larsen-Johansson Syndrome, where it become inflamed at its attachments to bones during growth spurts together with inflammation of the growth plates. This typically occurs in children or adolescents and often heals of its own accord, but your doctor may prescribe physiotherapy, knee protection or other measures.

    Tendinopathy And Muscle Complex Injuries

    Tendon injuries are associated with repetitive mechanical stresses that cause degenerative lesions. Hamstrings, gastrocnemius, and popliteus tendon typically cause posterior knee pain.

    The hamstrings are frequently injured in sports that require sprinting. Semimembranosus tendinopathy usually presents as an aching pain localized to the posteromedial knee with tenderness on palpation inferior to the joint. Some of the possible risk factors for hamstring injury include body mechanics, flexibility, balance, hamstring strength, improper warm-up, fatigue, specific activities, running techniques, and psychosocial factors.

    The gastrocnemius muscles superficial location and action across the knee and ankle make it susceptible to injury. Pain in the gastrocnemius occurs during knee flexion with resistance and during calf raises.

    The popliteus muscle can also be a significant source of posterior knee pain. Both the muscular and tendinous aspects of the popliteus can be injured. Injuries to the popliteus may promote injuries to other structures in the postero-lateral complex and to ligaments of the knee. The mechanism of injury is thought to occur from direct stretch or when overused to maintain posterolateral stability. Guha et al. suggested that a stable knee with posterolateral pain and hemarthrosis on exam indicates a rupture of the popliteus tendon.

    Burning Pain In The Back Of The Knee

    Pain behind your knee could come from any of a handful of causes. You may have an overuse injury similar to what causes runner’s knee.

    You could also have something more severe like a ligament tear. If you tear a ligament or cartilage, you will most likely have pain no matter what you do, even if you stop the activity. You will also have swelling shortly after you injure your knee.

    You could also have a Baker’s cyst. A Baker’s cyst is an accumulation of fluid in the bursa behind your knee. You may have pain, or you may just have swelling.

    The burning pain behind your knee could be your only symptom. Best of all, a Baker’s cyst isn’t a debilitating diagnosis. You can get the fluid drained and then return to normal activities.

    If you suspect a cartilage or ligament tear, begin with cold therapy. This could include a sleeve with an ice pack that you slide over your knee and keep on the knee for fifteen minutes at a time.

    Calf Or Hamstring Strain Or Cramp

    Sudden activity and overuse are two leading causes of pain behind the knee due to a calf or hamstring strain or cramp, according to Dr. Tanaka. Movements that require pushing off or severe knee bending cause this calf and hamstring pain, respectively. Both can be managed with ice, rest, gentle stretching, and anti-inflammatories; however, one should seek care if there is swelling or persistent pain associated with this to rule out blood clots, Dr. Tanaka says. Dr. Lyons adds that although an orthopedist could treat this, if you cant bear weight on the knee or are at risk of falling, then its time to go to the emergency room. Heres what else could be causing pain in your calf.

    What Is Pain Behind The Knee

    Since the knee is the largest and most complex joint in the body, it makes sense that it might hurt sometimes. Although knee pain is a common complaint, it is less common behind the knee.

    Pain in the back of the knee is called posterior knee pain, and it can have a variety of causes. Occasionally, posterior knee pain is “referred” from the front of the knee or the spine.

    Pain Behind The Knee When Walking Or Running

    The cause of pain at the back of the leg behind the knee could be hamstring tendonitis. This is caused by the tendons of the hamstring becoming inflamed, often due to overuse of the hamstring muscles, but the pain will subside after rest and first aid centred on the RICE method .

    If you notice a sudden sharp pain in the back of the thigh when undergoing vigorous exercise this may be due to a pull, partial tear or tear of the hamstring, and is due to overloading the muscle. This type of injury is most often treated by a doctor. A similar pain in the calf may be due to gastrocnemius tendonitis.

    A tenderness behind the knee, felt when rotating the leg inwards in the act of walking could denote an injury to the popliteus muscle. A cold pack applied for 10 minutes every hour for the first day after injury can alleviate the symptoms.

    All the muscles at the back of the leg can be subject to cramp. This is a common condition and occurs when a muscle goes into spasm. The symptoms are a tightening of the muscle accompanied by pain. Amongst other causes, it could be due to dehydration, muscle fatigue or a restriction of the blood supply to the affected muscles. Cramp is not serious and can be relieved by relaxing, massaging and stretching the affected muscle.

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