Knee Pain

Knee Discomfort / Gonalgia

Moderate severity74% reported by patientsICD-10: M25.561

Summary

Pain in or around the knee joint — the most commonly injured joint in the body — caused by injury, overuse, or arthritis.

What is it?

Knee pain is one of the most common musculoskeletal complaints in all age groups. The knee is a complex joint bearing significant load — each step transmits 1.5 times body weight across it. Acute knee pain in younger patients is most often due to ligament sprains, meniscal tears, or patellofemoral syndrome. In older adults, osteoarthritis is the leading cause. Location of pain within the knee (anterior, medial, lateral, posterior) is an important diagnostic clue. Many causes respond well to conservative care; however, locking, giving way, or significant swelling after injury suggests internal derangement requiring imaging.

Common causes

Injury

  • ACL, MCL, or PCL ligament tear
  • Meniscus tear
  • Patellar dislocation
  • Bone fracture

Overuse

  • Patellofemoral pain syndrome (runner's knee)
  • Patellar tendinopathy (jumper's knee)
  • IT band syndrome
  • Pes anserine bursitis

Arthritic

  • Osteoarthritis
  • Rheumatoid arthritis
  • Gout / pseudogout
  • Psoriatic arthritis

Other

  • Baker cyst (popliteal cyst)
  • Osgood-Schlatter disease (adolescents)
  • Septic arthritis (infection)

When to see a doctor

  • 1Acute swelling immediately after an injury (possible ligament tear or fracture)
  • 2Knee locking — inability to fully straighten or bend the knee (meniscal tear)
  • 3The knee gives way or feels unstable during walking
  • 4Hot, red, swollen joint with fever (septic arthritis — emergency)
  • 5Pain severe enough to prevent weight-bearing
  • 6Chronic pain not improving after 4–6 weeks of conservative care

What you can do

  • RICE: Rest, Ice (20 min on/off), Compression (knee sleeve), Elevation for acute injuries
  • Lose weight if applicable — each pound lost reduces knee load by approximately 4 lbs
  • Strengthen the quadriceps and hamstrings — stronger muscles protect the knee joint
  • Low-impact exercise (swimming, cycling, water aerobics) maintains fitness without joint stress
  • Use proper footwear with adequate cushioning and support
  • Physical therapy is extremely effective for both acute knee injury and chronic OA

Frequently asked questions

This page is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your doctor or a qualified health provider with questions about your symptoms or medical conditions.

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