Why can a creeping man go down the stairs

Knee pain - body warning signs that you shouldn't ignore

If your own body reports knee pain, this can have a wide variety of causes. They can also occur spontaneously without an explainable cause, due to trauma or in a creeping process. Pain of all kinds is the body's warning signals that should not be ignored due to the variety and complexity of its causes.

The location of the pain, the time at which the symptoms occurred and the pain provocations can provide clues as to the cause. For this reason, these points should also be communicated to a specialist during a consultation. With a targeted, individually tailored therapy, later and long-term consequences can be reduced.

If the pain is divided according to localization in and on the knee joint, the following areas can be distinguished:

1. Front (anterior) knee pain next to (parapatellar) and behind (retropatellar) the kneecap (patella)

If the pain is in the front of the knee, behind and / or next to the kneecap, this can also have different causes. Retropatellar pain (behind the kneecap) can be triggered by wear and tear and osteoarthritis of the cartilage of the kneecap (retropatellar arthrosis). This manifests itself in particular when going down stairs and in movements in which the knee is actively extended against resistance, as is also the case with some training variants (e.g. leg press, leg extension machine). In such designs, the kneecap (patella) is particularly strongly pressed into its sliding bearing in the front thigh (trochlea) by the muscle tension in the front four-headed thigh muscle (m. Quadriceps). Crepitation of the cartilage behind the kneecap can occur.

If the knee pain is on the inside (medial) or outside (lateral) side of the kneecap, this can embody the typical symptoms of plica syndrome. The plica is the synovial membrane in the knee joint. If the kneecap has poor muscle control and / or strong stimuli (e.g. frequent kneeling as a tiler), pinching and scarring of the synovial membrane can occur.

2. Internal (medial) knee pain

There are several structures on the inside of the knee joint that can cause discomfort. If the inside of the knee joint hurts, this may indicate involvement of the inner ligament (medial collateral ligament) and / or the medial meniscus. Acute complaints and past trauma would support this explanation. In contrast, stress-dependent pain would indicate osteoarthritis of the medial (inner) joint compartment between the thigh (femur) and lower leg (tibia). A misalignment of the leg axis in the form of bow legs (varus malalignment) would also speak for it.


3. External (lateral) knee pain

Analogous to the inside of the knee, there is also a collateral ligament (lateral collateral ligament or outer ligament) and a meniscus (the outer meniscus) on the outside. If these structures are injured due to trauma, for example, they can cause pain, e.g. tenderness. However, if the complaints occur due to stress, this again speaks more for wear and tear or for osteoarthritis of the outer joint compartment. A valgus misalignment of the knee joint (knock knees) would exacerbate this problem.

A completely different set of problems and symptoms is one complexinstability of the knee joint. This is expressed in so-called "Giving way“Phenomena. This is the term used to describe the buckling or sliding away of the joint under normal stress, such as walking, standing, climbing stairs. If this is the case, it indicates an involvement of the ligament structures in the knee joint, such as the cruciate ligaments. If one of the two or both of them is injured, they are no longer able to stabilize the knee joint, especially in tibial translation (movement of the lower leg relative to the thigh), but also in rotation (rotation). The dislocation of the joint caused by instability can damage other structures (such as cartilage and menisci).

The knee is the largest joint and at the same time one of the most stressed joints in the human body. In its anatomy it is very complex. The causes of complaints are therefore just as complex. The above explanations are only the most common and obvious causes of discomfort and pain in the knee joint.

If these symptoms occur, you should not wait too long before consulting a specialist in order to have the symptoms clarified and to avoid consequential and long-term damage. The time of treatment, e.g. after an injury (e.g. cruciate ligament tear), can be decisive for your subsequent therapy.

Images Fotolia:
# 86845760 | Physiotherapist doing kneecap mobilization | Author: Photographee.eu
# 82910862 | Knee joint pain | Author: underdogstudios
# 38270833 | knee pain | Author: vege
# 59745099 | Knee problems | Author: Thomas Madel