Knee Pain - Everything You Need To Know - Dr. Nabil Ebraheim
Common causes of the knee pain
Knee pain is very common and in this video we will present the most common problems that can cause pain in the knee. (Patella) itself, which is in front of the knee, or from the tendons that are attached to the kneecap (patellar tendon and quadricep tendon). One of the most common problems is patellar chondromalacia which is chronic pain due to the softening of the cartilage beneath the kneecap. The cartilage of the kneecap will have some erosions, defects, or holes from mild to complete inside the joint (exactly in the back of the kneecap).
• Pain in the front of the knee
• Occurs more in young people
• Becomes worse from climbing up stairs and going downstairs
Treatment is usually nonsteroidal anti-inflammatory medication, physical therapy, and surgery is very rare. Also in front of the kneecap, the patient may get pain due to prepatellar bursitis.
When there is prepatellar bursitis, the patient will see that the swelling, the inflammation, and the pain is located over the front of the kneecap. The bursa becomes inflamed and fills with fluid at the top of the knee, causing pain, swelling, tenderness and a lump in that area on top of the kneecap. If the pain is in front of the knee but below or above the patella, this may indicate that the patient has tendonitis. Patellar tendonitis is an overuse condition that often occurs in athletes who perform repetitive jumping activities. Patellar tendonitis is a knee pain that is associated with focal patellar tendon tenderness and it is usually activity related. It is located below the kneecap and is called "jumper's knee". Patellar tendonitis affects approximately 20% of jumping athletes. There will be tenderness to palpation at the distal pole of the patella in extension and not in flexion. Quadriceps inflexibility, atrophy and hamstring tightness are predisposing factors for this condition. Treatment is rest, anti-inflammatory medication, stretching and strengthening of the hamstrings and quadriceps. Use an eccentric exercise program. The early stages of patellar tendonitis will respond well to nonoperative treatment. Another important cause of knee pain is a meniscal tear. The meniscus is the cushion that protects the cartilage in the knee. Injury will cause pain on the medial or the lateral side of the knee exactly at the level of the joint. The patient will complain of a history of locking, instability and swelling of the knee. McMurray test will be positive. A painful pop or click is obtained as the knee is brought from flexion to extension with either internal or external rotation of the knee. Arthritis of the knee Knee arthritis is very common. The cartilage cells die with age and its repair response decreases in the joint collapses with increased breakdown of the framework of the cartilage. The patient will have progressive blurring away of the cartilage of the joint with decreased joint space as seen on x-rays. Another source of pain is the Baker's cyst. The cyst is in the back of the knee between the semimembranosus yes and the medial gastrocnemius muscles. Another important source of knee pain is a ligament injury. Here is a normal knee without a ligament injury. Here you can see from the front, you can see the lateral and medial collateral ligament. You can see the ACL and PCL from the side view. These ligaments are usually injured as a result of a sports activity. Here is an example of a sports knee injury. Here is an example of the medial collateral ligament injury. This is the most commonly injury knee ligament injury to this ligament is on the inner part of the knee. Here is an example of an injury of the anterior cruciate ligament. It involves a valgus stress to the knee. Lachman test is usually positive, and MRI is diagnostic. Another important cause of knee pain is iliotibial band syndrome of the knee. Inflammation of the thickening of the iliotibial band results from excessive friction as the iliotibial band slides over the lateral femoral condyle. The iliotibial band is a thick band of fascia that extends along the lateral thigh from the iliac crest to the knee. And as the knee moves, the IT band was repeatedly shifted forwards and backwards across the lateral femoral condyle. The patient will complain of swelling, tenderness, and crepitus over the lateral femoral condyle. The condition occurs in the ITB S occurs in runners, cyclist and athletes that require repeated knee flexion and extension. The pain may be reproduced by doing a single-leg squat. The Ober's test is used to at assess tightness of the iliotibial band. MRI may show edema in the area of the ITB. Treatment is usually nonoperative with rest and ice, physical therapy, with stretching, proprioception, and improvement in neuromuscular coordination. Training modification and injections may be helpful. Surgery is a last resort. Surgical excision of the scarred inflamed part of the iliotibial band.
Пікірлер: 36
Very helpful. Thank you for making these videos, you do a great job explaining things down to the smallest details.
Thanks for this and all others videos.
Wonderful how you speak about this problems
Thank you for your valuable information 🙏!! For me you are the best 👌
Thank you very much Doctor.I wish you have more videos for osteoarthritis knees.Thank you.❤️👍
Thank you for your help. I searched the web for more information, and yours was the best resource I found.
Thanks for this video!
Very very helpful with the added visual
Thank you very much !!!!
Thanks
Thanks sr
Very nice explanation sir
Thx very much..for your explanation.. ..i will try to known and understand about my knee problem , i will focus for man or woman who have older.. More than 50 years... Thx...
السيد الإبراهيم السلام عليكم لمادا لم تترجم لنا بالعربي لانا القناة المهمة لكن لاسف لن نفهم الإنكليزي شكرآ 🙏
I am the first viewers from Ukraine....
Very helpful....currently my knee pains ...I have learned something today I think God directed me to watch your clips I have been praying for my knee healing God bless you Doctor ❤🧡💛💚💙💜❤
Very Nice 👍👍👍
Any good advise on the kind of excercise to help strengthen the knee
Best best best ,u r the bestest
First, thank you for the very informative video. However the knee pain I suffer with is directly in front after sleeping on my side or when it is extended for too long a period of time without a bent in the knee again while sleeping on my sides. It's awful to wake up to. My attempts to straighten are extremely painful. I need to slide off the bed, bring the leg in straight position then bring the knees in a sitting position. This is my right leg.. The left knee has what feels like a build up of fluid on the right side. I feel it more coming up the stairs or sitting too long. I do have an appt., in a few weeks. But I was hoping to get a general idea of what I am dealing with before then. Thanks, Lenore
Brilliant 👌.. 👍
@nabilebraheim
9 ай бұрын
THANKS
What could it be: pain directly over lateral and top corner of patella, only on standing leg press machine with big emphasis on knee straightening? :)
@peter-kriska
2 жыл бұрын
could be plica syndrome. I had that diagnosed.
@sonukmar9134
2 жыл бұрын
@@peter-kriska 🙏🏿
Nothing about osteonecrosis
Dr!nabil good moring from pakistan . I have many time requested to you , that i hv disic bulg problm like s1.l4.5 pl upload good excircise for disic bulge and medication . But you hv ,nt answer still . I am diabatic age 58 again kindly concern to my prob and obliged thanx again and ur welwisher
Very good explanation sir.... My father had an inflammatory arthritis and severe degree secondary degenerative changes in tibiofemoral and patello femoral joint and he is 50 age thought he used many non-steroidal medications there is no result sir... He has severe swollen and pain in left knee... Could you please suggest weather should we go with surgery or using medications been cured on using??? Or if we take him to surgery with in how many days will be able to walk and is the surgery safe to him?? Please answer to the questions and followed by your suggestion.... In insist you sir I'm the only daughter to my father 🥺🥺🥺🥺
@CarlosFernandez-js8yn
6 ай бұрын
Hi, any updates on you father?
❤
Send me medicine for that pain,
Merci!!
السلام عليكم ورحمة الله يا دكتور ..انا شاب ٢٨ سنة أعاني من الالام في مفصل الورك الأيسر ..منذ سنين كنت العب حارس مرمي كرة قدم هاوي علي الأراضي الصلبة مثل الإسفلت والبلاط في الشارع كان يوجد ورم حينها ويزول مع الايام ولكني الان وبعد مرور السنوات وعدم اللعب وتركه أشعر بهذه الالام .. ما تفسير حضرتك وماهو المتوقع حدوثه... وهل الرنين افضل ام الاشعة العادية ؟ وشكر
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:)