knee pain

[woody501964]

I get knee pain when walking down hills, I exercise twice a week on a static bike without pain, I also do myofascial muscle release on my piriformis and glutes, quads, adductors and abductors (painfully most times)

When I stand and straighten my leg and lock my knee I get knee cap pain but when I sit and extend my leg I don't get the pain.

Could it be meniscus problems or tight or weak muscles perhaps, can anyone assist?

many thanks

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[Yarok]

I get knee pain when walking down hills, I exercise twice a week on a static bike without pain, I also do myofascial muscle release on my piriformis and glutes, quads, adductors and abductors (painfully most times)

When I stand and straighten my leg and lock my knee I get knee cap pain but when I sit and extend my leg I don't get the pain.

Could it be meniscus problems or tight or weak muscles perhaps, can anyone assist?

many thanks

hi

looks like you have problem with cortilage ( patelofemoral joint )or/and patellar tendon

all the best

[rubyanderson]

Hi woody,
It seems you are suffering from patellofemoral pain. The cause of kneecap pain might be injury or overuse which may have caused weakening of the cartilage under the kneecap. To prevent future instances of knee pain, you must take care of your knees and resort to low-impact exercises. As a physiotherapist working with the top orthopedic group long island I would recommend you to immediately consult a doctor before the pain gets critical and unbearable. You might be in need of a specialized workout program to treat the damaged knee.

[physio0907]

Sounds as if it is indeed patellofemoral pain syndrome, but dont be worrying about doing further damage to your knee. This syndrome is usually due to a biomechanical dysfunction, which means that it may be correctable from a stretching / strengthening programme. It also may be due to structural malalignment, such as flat feet or an altered alignment from your hip / pelvis. just see a physiotherapist, as they will confirm this (to make sure it isnt fat pad irritation or patella tendonopathy), and they will give you a structured exercise programme, which may take time to take full effect. Don't worry about damaged meniscus or another structural abnormality in the meantime, and just avoid the things that aggravate the pain until you see the physio , best of luck!

[leebpt]

Sounds a tad painful.
You can see that from your description there is a loading issue. Without a full examination it is difficult to say exactly say what it could be.

The walking down hills - forward translation of the tibia which may in turn compress the fat pad at the from of the knee.
This is called Hoffa's fat pad and as physio0907 has suggested you should see a specialist.

In the meantime there is a little technique you can do, if when you walk, make sure that you emphasise pushing off with the ball of your foot and toes of the problem leg (don't walk with a limp that looks daft, just subtly push off. It should feel like you are propelling yourself forward), see how that goes over a day or two. It is a technique you can used which was suggested by Sahrmann and is quite good, worked for me. Failing that, a specialist will need to take a look. Most positions hurt in weight bearing if the fat pad is irritable, so best to get it seen too

Good luck

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[toddchaney]

Hey Yarok, how is your knee pain now. Did you get your condition diagnosed?