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Knee Pain
Knee pain is a common ailment. However, there are many causes for knee pain
and many degrees of severity associated with those causes.
Common causes of knee pain:
- Arthritis - Arthritis most often causes problems with the
knee joint, but also can affect other structures such as muscles, tendons,
and ligaments. Osteoarthritis, the most common form of arthritis in the knee,
is caused by the gradual degradation of the cartilage in the joint. Rheumatoid
arthritis causes the joint to become inflamed and can often cause destruction
of the surrounding cartilage. A deformity can lead to arthritis in the knee,
but more often excess weight, or repetitive stress injuries from sports, are
the culprit. Symptoms include stiffness or locking joints.
- Cartilage injuries - including chondromalaciapatellae,
a softening of the knee cap cartilage. This disorder occurs most often in
runners, skiers, cyclists, and soccer players.
- Iliotibial band syndrome - Inflammation of a tendon and
its subsequent rubbing over the outer knee bone is most often caused by the
stress of long-term overuse, such as sports training. Symptoms of iliotibial
band syndrome include aches or burning sensations at the side of the knee;
sometimes, the pain can radiate up the side of the thigh.
- Ligament injuries - The anterior cruciate ligament (ACL)
and posterior cruciate ligament (PCL) can become sprained, and cause a great
deal of pain. Injury to the cruciate ligaments is sometimes referred to as
a "sprain." The ACL can become stretched or torn by a sudden twisting
motion. The PCL is most often injured by a direct impact, such as in an automobile
accident or sports injury. Injuries to the medial collateral ligaments are
often caused by a blow to the outer side of the knee that stretches and tears
the ligament on the inner side of the knee. Football and hockey players often
incur these kinds of injuries. The injury is often accompanied by a "pop"
sound, followed by a buckling of the knee sideways.
- Meniscus injuries - Quick twists or rotations of the upper
leg or repetitive rotations of the knee while bearing weight can tear the
meniscus.
- Osgood-Schlatter disease - This condition is caused by
repetitive stress or tension on the upper tibia, or leg bone. The patellar
tendon and surrounding soft tissues at the point where the tendon attaches
to the tibia can become inflammed. Pre-adolescent boys involved in sports
that include frequent running or jumping are particularly prone to this.
- Tendon injuries - Tendon injuries in the knee can be caused
by anything from tendonitis to a ruptured or torn tendon. Overuse can cause
the tendon to stretch like a rubber band, later becoming inflamed.
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