Your knee is a complex structure consisting of three bones – the lower part of the elbow, the upper part of the shin bone, and the knee. Next, there are strong ligaments and tendons that hold these bones together, along with cartilage below the knee and between the bones to soothe and soothe the knee. Damage or disease that affects any of these structures can cause pain. The knee is a complex structure with tons of muscles and ligaments that can be injured and cause pain. Many of our patients come to us after experiencing ongoing knee pain to find the cause of the discomfort.
Patellar tendonitis refers to inflammation of the patellar-tendon tendon that connects your kneecap over your bone. Patellar tendonitis is common in people who engage in sports or activities that require constant running and jumping.4 Often, people with this condition describe recurrent pain that is accompanied by activity. In other cases, the patellar tendon may weaken, causing it to rupture. Tears of the patellar tendon cause severe pain, swelling above the knee, and a feeling of tearing or protruding. Depending on the level of the tear, a person may discover a lower part of the knee and have difficulty walking because of the knee release.
What to know about pain below knee cap?
Kneecap pain is a common occurrence among athletes and non-athletes. Among the latter group, it is very common that the term “runner’s knee” is used similarly to the general medical term for pain in kneecap-patellofemoral pain. This condition is not well understood, but the term is generally used to refer to a large number of conditions that can cause kneecap pain, lower back, back or lower knee pain, often in conjunction with running or other repetitive actions. See our site for more injuries and Knee Treatment.
In general, pain in the knee is caused by irritation of tissues around the knee, such as tendon, cartilage, ligaments, bones, etc. Considering the degree of stress, impact and repetitive movements in which athletes obey their knees as well, it is not surprising that this can cause pain. in kneecap. Learn more about the types of kneecap pain in our Resource Library. Patellofemoral pain syndrome usually comes slowly because of an excessive level of a person’s activity, stressing the tissues of the knee and leg. But it may come as a surprise to you because of certain occasions, such as starting a new exercise program or competing in a triathlon.
This kneecap pain is known as a sharp pain near the patella, but a burning sensation or severe pain in the knee sometimes occurs. Activities such as climbing or descending stairs, squatting or sitting with a knee bent for a long period of time usually increase the pain. Knee runners can also come with a click, pop or sound or sensation on the knee and activity.
Symptoms of pain below knee cap;
Pain is the first symptom of patellar tendinitis, usually between your kneecap and where the tendon connects to your bone. Previously, you may have felt pain only in your knee when you started physical exercise or just after intense exercise. Over time, the pain intensifies and begins to interfere with playing your game. Finally, pain interferes with daily movements such as climbing stairs or climbing from a chair.
- Pain during exercise and activities that regularly kneel, such as climbing stairs, running, jumping, or squatting.
- Pain in the front of the knee after a long stay with your knees bent, as one does in a theater or while boarding a plane.
- Pain associated with changes in activity level or strength, play surface, or equipment.
- Screaming or screaming in your knee when climbing stairs or when standing after a long stay.
- Pain near the knee. Pain is felt in front of the knee, near or behind the kneecap (patella). Often, the exact site of pain cannot be specified; instead the pain is felt indiscriminately in front of the knee.
- Running, especially downhill, squatting and certain sports can keep it away – anything that causes the patella to tighten against the lower part of the elbow.
- Pain can be brought on by prolonged silence. For example, after you go to the movies or to a long car, the time will be bad when you start to move around again.
- There may be a sensation of grinding or grinding or noise when the knee is bent and straightened.
Causes of pain below knee cap
The main structures that can cause pain under the knee cap are the joint fabric, medial and posterior plica, medial and posterior patellotibial veins, retro patellar fat pad, and carrot surfaces of the patella and grochlear groove. Although these are special anatomical structures involved, most sports medicine doctors will not transmit these pathologies directly to you because of the complexity of their names.
Weak hip muscles; It can cause patellofemoral pain by causing the thirst to be turned slightly inwards, causing the patella to be pulled slightly to one side.
Muscle balance; It can affect the movement of the knee, causing itching in the back of the knee. Think about your pelvic floor muscles not working properly your knee can move in or out depending on the large or weak muscles. This repetitive motion when engaging in activities that already cause compression near the patellofemoral joint creates pressure behind the kneecap, causing pain.
Foot problems; It can also play parts – for example, where the legs do not have strong arches (flat feet). This causes the foot to go in, which means that the knee has to compensate for the internal movements. However, it is not known if this causes knee pain or may be caused by knee problems.
Slight problem; Some people may have a slight problem in the arrangement of the patella where it flows over the lower femur. This can cause the patella to rub, instead of slip, the lower femur (this is known as a sprain). It could be because of the knee path. Or, it may be because of the imbalance in the muscles around the knee and waist.
Kneecap Movement Dysfunction; Normal knee movement should be up and down, but if the movement problem is present it can move side to side. If this happens, it can put a lot of pressure on the back of the knees in areas that are not used to compress, causing irritation and pain.
Overuse; PFPS is common in endurance athletes who engage in activities that keep the joint strength of the knee joint. The repetitive nature of these activities can end cartilage, irritate the kneecap and cause pain. It is also common to get an overdose injury in conjunction with one of the two previously mentioned causes of PFPS.
Treatments for pain below knee cap
During a physical examination, your doctor will discuss your general health and the symptoms you are experiencing. He will ask you when your kneecap pain started and about the severity and nature of the pain (quick versus sharp). Your doctor will also ask you what activities cause the pain to worsen. To determine the exact location of the pain, your doctor can gently press and pull in front of your knees and knees. He may also ask you to squat, jump, or study during a test to test your knee and your body strength.
1. Exercise
Make sure you have support to hold if needed. If these exercises are very simple, be careful to slowly increase the amount of resistance or weight. Weight gain or set number or repetition too quickly can cause or increase your knee pain. There are exercises you can do to strengthen your knee and legs to help prevent or reduce knee pain.
- Plots
- The side leg rises
- Foot presses
- Step-up
- Knee extension
If you are experiencing pain or are unable to complete this exercise on your own, seek the help of a doctor or physiotherapist (PT) who will perform a thorough examination and develop a personalized treatment plan to address your pain and goals. Start by trying to do 1 set (10 times per exercise), then repeat the exercise with 2 more than 10 sets to achieve a total of 3 sets per exercise. Seek advice from PT on how best to develop these exercises to challenge yourself further.
2. Viscosupplementation
If exercise and strengthening are not enough to reduce the symptoms of lubrication or viscosupplementation injections may be beneficial. Inside the knee joint fluid is highly viscous which provides a non-friction environment. Hyaluronic acid (HA) which is present in our synovial fluid is also found in many body tissues. In a healthy adult, the synovial fluid HA weighs 4-5 million molecular weight.
As a result of this large molecule HA interacts, forming a coated structure that provides integrity and viscosity to synovial fluid. HA also binds to proteoglycans to stabilize the structure of the expressive cartilage. In patients with OA, the molecular weight of HA decreases causing the synovial fluid to become less viscous and leads to increased friction and abnormal joint movements.
The lubricating oil or Hylagan injection provides additional lubrication to the joint and shock absorption, as well as reducing friction or rubbing within the joint which can slow down spinal cord injury. However, of all patients receiving Hylagan injections, only about 50 percent have symptomatic stability. One injection is given to the knee every week for three weeks and can be repeated once every 6 months. Up to five injections can be given, but studies have shown no difference in reducing symptoms after 3 or 5 injections.
3. Surgery
People with patellofemoral arthritis who do not respond to surgical treatment may be candidates for partial knee replacement, also called patellofemoral joint replacement or non-internal knee replacement. This procedure, however, allows the orthopedic surgeon to replace only the affected area of the knee, the patellofemoral joint, and leave good, moderate and posterior parts.
During this procedure, the orthopedic surgery removes the damaged carrot and a small amount of bone from the joint surface of the patella and replaces it with a plastic button containing a large cone or patella transplant. Damaged cartilage with a small amount of bone is also removed from the joint surface of the trochlear, which is replaced by a very thin metal laminate that is cemented in place.
In addition to partial knee flexion, patients with post-traumatic rheumatoid arthritis may also require soft tissue procedures and osteotomy or tibial tubercle transplant surgery (described in the patellar instability section. ) to fix the knee. This reduces the likelihood of future separation.
4. Home care
Be sure to make and go through all the appointments, and call your doctor or nurse if you have a problem. It is also a good idea to know your test results and keep a list of the medications you are taking.
How can you take care of yourself at home?
- Put ice or a cold pack on your knee for 10 to 20 minutes at a time. Place a thin cloth between the ice and your skin.
- After 3 days of using ice, you can apply heat to your knee. You can use a hot water bottle, a heating pad placed on the bottom, or a warm, damp cloth.
- Announce a sore foot in the river when you put it on ice or whenever you sit or lie down for the next 3 days. Try to keep it above your heart rate. This will help reduce swelling.
- Rest your knee. Stop any activities that cause pain. Switch to activities that do not stress your knee.
- Take your medication as prescribed. Call your doctor or nurse if you think you have a problem with your medication.
- Ask your doctor if you can take an over-the-counter pain medication, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Be safe with medication. Read and follow all instructions on the label.
5. Improve muscle strength
Improving muscle strength around the knee and hips will reduce pain on the kneecap. Special exercises can help correct problems and muscle balance around the knee. For example, you may be taught to do exercises that strengthen the muscles of the waist and buttocks.
A physicist can give you practical advice on your personal situation. Patella – this is a treatment that can reduce pain, but does not seem to have any long-term benefits. It consists of adhesive tape applied over the patella, changing the arrangement or way in which the patella moves. Some people find this helpful. Some physiotherapists may offer patellar touch treatments.