Flexion pain in the knee

Pain in the knees occurs in every second person. Pain in the knee during extension after a prolonged stay in one position is not yet a reason for panic. But constantly recurring pain indicates the presence of changes in the knee joint and requires a doctor’s consultation.

The knee joint – the most involved in the body, is constantly exposed to stress. A lot of muscles are involved in the flexion of the knee, with the weakening of the work of which there is an increased load on the joint and its membranes. Discomfort and pain in the knee joint is a manifestation of reversible or other processes that only a specialist will identify.

Causes of knee pain during flexion and extension

There are many factors that cause flexion pain, so it’s important to undergo a full examination to identify the root cause, make the diagnosis and prescribe the course of treatment. In a complicated condition, all procedures are carried out in a hospital. The causes of violations can be local changes and disturbances in the work of the whole organism.

Reasons for a local nature:

Common diseases causing pain:

Find out what the knee bruises cause when falling and how to treat an injured joint.

  1. Severe working conditions.
  2. Exercise with uneven loads.
  3. Overweight.
  4. Pregnancy.

Another reason is cancer, the detection and treatment of which occurs only in a hospital and under the supervision of a physician.

Symptoms of changes in the knee joint

  1. When the knee is bent, there are discomfort or pain, accompanied by a characteristic crunch.
  2. Aching or cutting feelings in the knee joint.
  3. Increase in local temperature.
  4. Persistent pain after physical exertion.
  5. Knee pain during extension after sleep.
  6. Descent or climbing stairs cause pain in the knee joints.
  7. Joint swelling and alteration of the skin are symptoms of an infectious inflammatory process or degenerative changes in articular surfaces and cartilage. Possible accumulation of flu />
  8. Crunch in the knee when bending and limiting movement when walking. Paroxysmal pain cramps lasting from several minutes to several hours.
  9. Throbbing pain and muscle cramps that occur after a small load on the knee joints, for example, when kneeling for several minutes or during a short walk.


Knee treatment begins only after the patient has undergone a complete examination. Identification of direct and indirect causes of pain when bending the legs will be the basis for a correct diagnosis.

The examination is carried out using the following methods:

  1. Examination by doctors of several specialties.
  2. X-ray examination types.
  3. Ultrasound.
  4. Laboratory types of research.
  5. CT scan.
  6. MRI.

Find out the main causes of pain in the knee from the inside, under the knee at the back and from the outside on the side and how to treat them.

Treatment and rehabilitation measures

Comprehensive treatment is prescribed: the effect on the cause of the disease, reduction of symptoms and restoration of cartilage in the joint.

With local injuries of the knee joint that cause pain during flexion, anti-inflammatory drugs, ointment dressings and compresses are prescribed. Then physiotherapy exercises and physiotherapeutic procedures are added. The forecast is favorable.

Even “neglected” joint problems can be cured at home! Just remember to smear it once a day.

The treatment of more complex changes in the knee requires a wider range of drug therapy. For this, the following groups of drugs are prescribed:

  1. Antibacterial drugs.
  2. Anti-inflammatory drugs.
  3. Preparations that restore tissue trophism.
  4. Blood circulation normalizing drugs.
  5. Vitamin complexes.

Depending on the severity of the disease, treatment can take place in a hospital or clinic. All physical activity on the knee joint is excluded. Medications are prescribed in the form of tablets or injections. Before use, a test for an allergic reaction is always performed.

To relieve pain during flexion, you can use specific ointments and compresses. Ointments are selected symptomatically. Compresses are made no more than two hours (they are removed earlier as they cool down). Wearing a special bandage for the knee joint or applying an elastic bandage – only as directed by your doctor.

The main drug treatment is supported by the appointment of physiotherapeutic procedures, therapeutic exercises and massage.

  1. UHF
  2. Electrophoresis with drugs.
  3. Paraffin Warming.
  4. Mud treatment.
  5. Herbal baths.
  6. Magnetotherapy.

Therapeutic gymnastics is carried out under the guidance of a specialist. For homework is appointed only after appropriate training and instruction. Acute pain in the joint after physiological procedures or therapeutic exercises should not be. When pain occurs, physiotherapy is stopped. Treatment is adjusted and continues only after the permission of the attending physician.

For all types of pathologies of the knee joints that cause pain during flexion and extension, a salt-free diet is prescribed. Food preference is given to fruits and fresh vegetables. The cooking process should be steamed or in the oven. Can boiled foods without hot spices.

Folk remedies for the treatment of knee joints

Herbal preparations will help treat inflammatory processes in the knees. For example, herbal teas well relieve inflammation and swelling:

  • drink three times a decoction of flax seeds every day. This will improve metabolism and trophism of inflamed tissues in the joint. It is prepared like this: pour two tablespoons of flax seeds into 300 ml of hot water, boil for 10 minutes and insist for about an hour. The resulting broth should be taken during the day;
  • juniper berry tea has a slight diuretic effect and good anti-inflammatory effect;
  • decoctions of clover and parsley also have a tonic and antitumor effect;

  • A drink made from mint grass and birch leaves is useful for any changes in the knee joints. In equal parts of 100 g of dry collection pour a glass of boiling water, insist in a thermos for one hour. Have a drink during the day;
  • the use of pumpkins in any form has a good effect on the general condition, the inflammatory process in the knees decreases;
  • carrot juice with lemon and cucumber juices enrich the body with vitamins;
  • cabbage leaf can be applied on the sore knee for any type of disease. The leaf is wrinkled a little to make the juice stand out, and the knee is wrapped. Top cover with compress paper or polyethylene. If there is no damage to the skin and allergic reactions, you can grease the cabbage leaf with honey and attach to the knee. Cover with woolen or cotton cloth. To sustain from 2 to 4 hours.

Preventive actions

First of all, the load on the knee joints is limited, bed rest is recommended. With severe pain in the knee joint and adjacent muscles during flexion and extension, you need to see a doctor and undergo an examination. It is necessary to balance nutrition, limit the content of salt and products that retain fluid in the body. Vegetable and fruit juices will help establish water-salt metabolism in the body and fill all organs and systems with vitamins.

A timely treatment and preventive course will help to avoid serious complications:

  1. Suppuration in the knee joint.
  2. Surgery.
  3. Cartilage destruction.
  4. Degenerative changes in bone tissue.

Routine inspection and consultations are required if:

  • constant pain;
  • discomfort in the knee joints;
  • frequent relapses of chronic knee diseases.

In addition, important for prevention:

  1. Change in working conditions and a rational distribution of loads when playing sports.
  2. Wearing special retaining bandages and bandages for the knee.
  3. Fighting bad habits (prolonged stay on bent knees, legs crossed).

Caring for the knee joints is the key to the normal functioning of the lower limbs and well-being. Healthy knees and legs will help you go a long life journey.

Knee pain during flexion and extension: causes and treatment

If your knee hurts when bending and flexing, immediate medical attention is required. A highly qualified specialist should conduct a full examination and check the condition of the joint.

Flexion pain in the knee usually manifests itself in athletes, dancers, people of retirement age and with extra pounds.

Huge loads are performed daily on the knee joint. As a result, it can be damaged or change its structure. That is why, if there is pain in the knee during flexion, you need to go through a doctor’s examination on time, he will identify the causes of discomfort and prescribe the necessary treatment.

Varieties of pain

The pain in the knee during flexion is of a different nature. Each pathological condition of the joint has a unique and unique discomfort.

In medical practice, it is customary to highlight knee pain:

Pain in the knee joint during flexion or extension of any nature is a sign that inflammation begins. The sooner you go to the hospital to identify the cause of the pain, the sooner the necessary treatment will begin.

Inflammatory processes of the knee joint are much easier to treat at the initial stage of formation.

Pathogenesis and etiology

Pain in the knee joint causes flexion are quite diverse. Knee pain during flexion can occur due to damage to the ligaments. This pathological condition occurs very often. It happens during heavy loads, which lead to partial or complete rupture of the ligaments.

This injury affects persons who engage in sports or dancers. Also, a break in the ligaments can occur in workers whose work involves a long stay on their feet. But this does not mean that other people cannot get this type of damage. Ligament rupture can easily happen in ordinary life.

For example, with a turn, a bruised leg, or when a person simply bent his knee incorrectly.

The ligamentous system of the knee joint is formed of two ligaments: cruciate and lateral (located on the sides on the outside).

According to statistical studies, damage to the cruciate ligament most often occurs.

Usually an injury does not happen with just one ligament. In parallel, other elements of the joint get damaged.

Pain in the knee joint during flexion can occur due to rupture of the meniscus. This is a kind of knee shock absorber. That is why the meniscus is very often injured. This is especially often observed in athletes whose physical activity puts pressure on their knees. Severe pain in the knee when the meniscus ruptures, when bent, appears only a few weeks after the damage.

The causes of severe knee pain during flexion may be due to a lack of calcium. This usually occurs in adolescent children.

The child’s body is developing rapidly and needs a large amount of this element. Due to its lack, a pain effect occurs when the knee is bent.

If the knee really hurts, it’s probably gonarthrosis. That is, inflammation occurs in the knee joint. It can occur due to injury at any age. But according to statistics, inflammation most often occurs in older people, usually in the male half of the population.

If bending the knee causes severe pain, then maybe you just wear the wrong shoes or you have problems with the foot. Pain syndrome occurs due to uneven load on the legs. In this case, special orthopedic insoles or special shoes will help get rid of discomfort.

If the knee is sick, this may indicate a dislocation or subluxation of the patella. The causes of this damage are quite diverse: disorders in the ligaments, anomalous form of the lower extremities, and so on. In this case, the pain syndrome is present under the cup and in an unbent state.

In addition to the reasons that are named, pain can occur in the following cases:

  1. bursitis or inflammation in the joint bags;
  2. sciatica;
  3. gout;
  4. fracture;
  5. dislocation of the cup;
  6. Osgood-Schlatter disease;
  7. arthritis;
  8. Kening’s disease;
  9. Lyme disease;
  10. Reiter’s syndrome and other pathological processes.

Each cause of pain has its own symptomatology. Therefore, to make an accurate diagnosis, you need to go to the hospital.

Diagnostic measures

To make an accurate diagnosis, a specialist collects a complete history of the pathological condition and examines with palpation.

After this, instrumental and laboratory diagnostic measures are prescribed:

  1. Magnetic resonance imaging is considered the most effective method for making an accurate diagnosis.
  2. Radiography.
  3. Ultrasound procedure.
  4. Biochemical and general blood tests.
  5. Collection of intraarticular fluid for examination.

Only after all diagnostic measures have been taken, the doctor can establish a diagnosis and prescribe adequate therapy.

Knee pain treatment

People with a pathological process in the knees wonder: how to treat pain?

Many are surprised, I smear a sore spot with a good medication, and the joints both hurt and hurt. No wonder.

Ointments and tablets alone can not eliminate the inflammatory process. In order to eliminate discomfort in the knees, it is necessary to direct treatment to a disease that provoked a pathological process.

If there was pain in the knee during flexion and extension, then complex treatment is necessary: ​​drugs, physiotherapy, physiotherapy exercises, massage sessions, spa holidays. In addition, surgery may be prescribed.

Orthopedic appliances and alternative medicine methods can also be used.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Medication treatment

Eliminate pain when it is impossible to bend at the knees, it is possible with the help of medications. A doctor may prescribe anti-inflammatory, analgesic, and chondroprotective drugs.

The basis of treatment includes non-steroidal anti-inflammatory drugs. But they can only remove inflammation.

They are not able to eliminate the cause of pain and the development of the pathological process. In addition, medications have contraindications and side effects. You can use them only on the recommendation of a specialist.

Chondroprotectors restore injured tissue in the knee joint. They cannot eliminate the pain syndrome, but with a long course of therapy they can prevent relapse and restore the joints.

Physiotherapy for knee pain

As mentioned earlier, the treatment of pathological processes in the knees is complete. The use of physiotherapy makes it possible to reduce the dosage of medicines, the duration of treatment. And also faster to remove the pain effect and restore the joint.

For physiotherapy, procedures such as ultrasound, infrared radiation, magnetotherapy, and therapeutic mud wraps are used. Also, laser radiation, paraffin treatment, and hydrogen sulfide therapeutic baths give an effective result.

It is recommended to use physiotherapy only during the period of convalescence and between exacerbations of the pathological process. Since the event has a number of contraindications, only a highly qualified specialist can appoint it.

Therapeutic exercise

Exercise exercises should be performed regularly, without interruption. Only in this case will they be effective. Physiotherapy exercises help to improve the well-being of patients, stop the development of pathology and partially restore the joint’s efficiency.

Exercises can only be prescribed by your doctor. They should not overstrain the knee, and create discomfort.

Operational impact

Usually, surgical intervention is prescribed for arthrosis of the knee joint of the third degree. With this pathological process, the joint’s performance disappears, a chronic pain syndrome is formed, and structural disturbances occur. As a result of this, the patient cannot walk normally.

As a rule, two methods of surgical intervention are used: organ-preserving and knee joint replacement. In the first version of the operation, specialists try to leave more natural tissues of the joint. Manipulations are performed using a special device – an arthroscope.

Joint replacement implies the replacement of a joint with an artificial implant. This allows the patient to move around without help.

Alternative Medicine

Alternative medicine is widely used by patients. But it is important to remember that it is impossible to recover from a pathological condition in some folk ways.

The use of alternative medicine methods should be coordinated with a highly qualified ophthalmologist and used in conjunction with the main treatment. Only in this case they will not do even more harm and will help ease the inflammatory process.

How to treat a knee joint at home?

The following products give an effective result:

  • Acacia tincture of white. To prepare the infusion, take four tablespoons of the plant and pour one hundred grams of 70% alcohol or two hundred milliliters of vodka. Let it brew for a couple of weeks in a dark room. After this, be sure to strain. The same infusion can be prepared from horse chestnut. Only for its preparation take two tablespoons of the ingredient. The resulting product should be smeared on the knees twice a day.
  • Pain in the knee can be reduced with ice. Put ice or a cold object on your knee. This will eliminate the pain. Apply such compresses for ten to twenty minutes three to four times a day.

Knee hurts when bending. What to do with knee pain

General malaise is characteristic of every person, however, the focus of pathology and the intensity of symptoms differ markedly for each clinical picture. If the knee is swollen, begins to crunch or hurt, you must immediately consult your doctor, undergo a diagnosis to determine the cause of the disease and treatment in a timely manner.

Pain in the knee

The most vulnerable joint of the human body is the knee, which is easily injured and temporarily disabled. This element is more often than others susceptible to injuries, inflammatory processes, impaired water metabolism. Increased stress and age-related changes also lead to dysfunction and pain of the knee. Not only the patella suffers, but the nearby ligaments, cartilage, tendons. Any pathological processes of this structure are accompanied by acute pain syndrome, impaired mobility of the lower extremities.

Knee pain on the side from the inside

If the focus of the pathology is the inner surface of the knee joint, six common causes of the prevailing pain and discomfort are known. The nature depends on the cause of the damage, the age of the patient and the condition of the connective tissue. When a knee hurts on the side from the inside, these are the diagnoses and pathological processes that graduates suggest:

  • popliteal artery aneurysm;
  • Baker’s cyst;
  • in the popliteal fossa, the inflammatory process of the lymph nodes;
  • gonarthritis;
  • avascular osteonecrosis;
  • tendonitis.

Flexion knee pain

Some patients feel quite comfortable at rest, since there are no complaints about changes in overall well-being. One has only to bend the joint, it immediately hurts, the knees ache. You can’t call this condition normal, moreover, it is urgent to respond to such alarming symptoms. If the knee hurts during flexion and extension, it is possible that arthrosis or arthritis develops in the body. The disease prevails in the active phase, so it can still be treated conservatively. However, there are exceptions to the rules.

Koenig’s disease requires urgent hospitalization of the patient, followed by surgery. The fact is that the stratification of the knee joint into small segments predominates in the body, after which the knee is very sore during bending and subsequent straightening. Other reasons why knees hurt are presented below. This may be a symptom of the following disease:

  • bursitis of the knee;
  • gout;
  • Osgood-Schlatter disease.

Knee pain while walking

If you have unpleasant sensations overtake while driving, this is also abnormal. When the knee hurts when walking, this is a sign of excessive exertion, which the patient applies to the muscle structures, connective tissues throughout the day. Such an overload leads to wear of the joints, knee structures hurt first. The doctor recommends monitoring your physical activity, otherwise the following diagnoses develop:

  • osteochondritis dissecting;
  • meniscus injury;
  • dystrophic changes in the joint against the background of progressive arthrosis;
  • Baker’s cyst;
  • osteomyelitis;
  • infectious arthritis;
  • septic bursitis.

Aching pain in the knee

If a woman experiences pulling sensations in her knee, it is possible that this is a classic inflammation or sprain, tendon. The problem is not global, but requires timely medical attention. It is especially often reminded of itself when walking up the stairs, when a different load is applied to the knee joint each time. Under such circumstances, aching knee pain will soon pass, but this will require warming compresses. If the situation is more serious, then there is no positive dynamics after such manipulations. The following pathologies are not excluded:

  • trauma;
  • degenerative disorders of cartilage, articular tissues.

Sharp knee pain

If the patient changes position and feels a sharp lumbago of the knee joint, this is an alarming sign that insufficient or excess fluid predominates in the cup. Such a problem is considered a consequence of inflammatory processes or infectious diseases. If not treated, the number of seizures increases sharply, a person partially loses stroke, peace of mind. A sharp knee pain with frequent attacks indicates the following diseases of the body:

  1. Bursitis. The disease is accompanied by the inability to move the knee, hyperemia of the focus of the pathology.
  2. Meniscus. It is supplemented with complete blockade of the joint, lack of mobility of the patella, and it hurts a lot.
  3. Joint mouse. With this diagnosis, part of the joint tissue dies, for a long time no symptoms appear.
  4. Patella subluxation or dislocation. Acute pain in the knee can be congenital, or develops under the influence of provoking factors.
  5. Arthritis, rheumato >

Knees hurt after running

Such a disease of the knee joint is more often formed in athletes who are used to living at maximum. Increased physical activity leads to wear of cartilage and connective tissue. First, a person is bothered by pain in the knee after running, but then such unpleasant sensations do not leave even when at rest. Compresses can be made on the first pairs, but in complicated cases even anti-inflammatory and analgesic ointments do not help. If the knee joint hurts, this is a chronic problem, i.e. finally get rid of it will not work.

Why do my knees hurt?

The doctor explains to each patient the etiology of the pathological process, recommends timely care for prevention, not to carry gravity and not to overload the sore spots of the body. Otherwise, the patient is at the dispensary, with drug and folk methods, he maintains a general condition at a satisfactory level. The most commonly diagnosed causes of knee pain are:

  • bone injuries, soft tissue bruises, muscle strain;
  • physical overload;
  • degenerative connective tissue disorders;
  • age-related changes in the joints;
  • bad heredity.

Knee joint treatment

First you need to determine whether it hurts – front or back, then go through the diagnosis. Ultrasound or fluoroscopy will show the focus of the pathology, its specificity and features. Patients often ask if a knee hurts, how to treat? There are many methods, they include alternative medicine prescriptions and the use of non-steroidal anti-inflammatory drugs. For both cases, without consulting a specialist, therapy should not be started.

How to treat a knee joint at home

If at night the knee starts to shoot, it hurts, in the morning you need to see a doctor. He recommends oral painkillers and non-steroidal anti-inflammatory drugs in the form of gels and ointments. Additionally, you need to get rid of the stress hormone, improve your emotional health. Home treatment for the knee involves outdoor walks, moderate exercise, squats, and regular pool visits. Only an integrated approach, which entered the patient’s life in a timely manner, will ensure a long-term period of remission.

Folk remedies for knee pain

If there is aches, discomfort, and squats during morning exercises are given more and more difficult, there are effective folk remedies for pain in the knees. Before attracting them, it is advisable to pass a test for an allergic reaction to plant components. If this is missing, here are some good recipes for all occasions:

  1. Front and back wrap the knee with a sheet of burdock or plantain, wrap it with a bandage. Leave the compress overnight, and in the morning nothing hurts. The tool can be used even by a child. By the same principle, you can use onions, divided into petals.
  2. If the knee joints are sore, and squats with walking cause panic, you can use badger or pork fat. It is necessary to rub the knee, especially at the back, wrap it with a bandage and do not remove it all night. In the morning it no longer hurts.
  3. Doctors recommend using yellow clay for warming compresses.

Why does knee pain occur during flexion or extension?

The knee joints are quite complex in functionality, but weak anatomically. They must constantly withstand heavy loads, therefore they are prone to injuries and destruction.

Flexion and extension pain in the knee is the most common reason that traumatologists are referred.

In fact, there are a huge number of reasons why you may experience increased discomfort in the knee joint when bending and flexing.

This can be mechanical damage to the knee, a pathological change in the structure of the knee joint. In this case, the true cause of the pathology can only be determined through medical diagnosis.

Causes of Knee Pain

Knee pain can be caused by diseases such as:

  • deforming arthrosis; traumatic or diathesis bursitis;
  • ankylosing spondylitis;
  • rheumatoid, gouty, or septic arthritis;
  • systemic lupus erythematosus;
  • osteomyelitis;
  • lymphoblastic leukemia.

It is also a common symptom of bone metastases. This list of diseases is far from complete. Therefore, to establish genuine causes, a comprehensive medical examination is necessary.

  1. Pain starting at night is more characteristic of gout.
  2. It is generally accepted that pain that intensifies during the day, accompanied by a click in the joint, is a symptom of arthrosis.
  3. And pain in the knee during extension most often indicates the presence of bursitis.

Sometimes such phenomena develop as a result of trauma and are relatively easy to heal, with timely treatment to a specialist. However, more often they are a consequence of diseases that occur in a latent form, require careful diagnosis and adequate medication and surgical treatment.

Osgood-Schlatter disease

Osgood-Schlatter disease is an inflammation of the tendons, bones, and cartilage in the lower leg. Most often, children involved in active sports suffer from this inflammation. Experts note that usually one affliction is affected by one knee. There is a sharp pain in the knee when bending – this is running, walking upstairs and squats.

Arthritis and Arthrosis Arthritis

This is a disease associated with inflammation of the joints, or rather articular tissue. This can happen due to heavy loads, or transferred infectious diseases.

The pain appears at night or in the morning, may occur after prolonged exposure to cold. Treatment is prescribed by a doctor after an examination. It aims to relieve inflammation and swelling. Arthrosis destroys the joint. The knee can hurt after it has been motionless for a long time.

Bursitis of the knee

The disease manifests itself in the form of inflammation of the bursa (intraarticular joint bag).

The periarticular tissues strongly swell, turn red, feel warmer to the touch of others, when pressed, pain is noted. When moving the joint, stiffness is noted. Perhaps a general increase in body temperature, muscle weakness.

To make a diagnosis, a visual examination of the doctor is enough, you may need a puncture of the fluid inside the joint bag to determine the nature of the disease.

Patellar ligament tendonitis

Tendonitis is an acute inflammatory disease of the collagen fibers of the tendon and their degeneration. More often, the disease develops at the place of attachment of the tendon to the bone or in the zone of transition of the muscle into the tendon, there are cases of a common inflammatory process of the entire tendon.

The disease develops at different ages. More common tendinitis of large joints of the limbs (upper and lower).

Koenig’s disease

Koenig’s disease is a type of osteochondropathy, which is most often affected by young men between the ages of fifteen and thirty years (sometimes patients older and younger).

This condition is characterized by a limited area of ​​necrosis of the inner condyle of the thigh (articular cartilage + adjacent bone tissue). With this disease, the affected area of ​​the cartilage covering the bones begins to gradually exfoliate and may even completely separate from the bone over time.

Cyst baker

Baker’s cyst is a soft tumor-like formation that is highly elastic. It develops in the popliteal fossa – on the posterior surface of the knee joint.

If you look at a photo of such a disease, it will become clear that with bending the legs, the formation decreases in size, and in some cases completely disappears.

Meniscus cyst

The meniscus cyst is a cavity filled with a liquid of a thick consistency of a mucoid nature, and located on the edge or in the thickness of the meniscus.

It is formed, in most cases, due to the constant load on the knee joint, therefore, athletes and people who are engaged in heavy physical labor are at risk for this disease. According to statistics, a meniscus cyst is diagnosed in the range from 14 to 40 years, that is, in people of working age.


Osteoporosis (literally: porous bone) is a progressive decrease in bone density, leading to a decrease in bone strength. This disease affects simultaneously all bones of the skeleton, which leads to the risk of fractures in the simplest life situations, under the most mundane stresses.

Knee flexion and extension pain treatment

After a comprehensive diagnosis, a trauma specialist diagnoses and prescribes a comprehensive treatment for knee pain during flexion or extension. First of all, non-steroidal anti-inflammatory drugs are used, folk remedies can be added to this. If the pain is unbearable, then, most likely, they will prescribe the introduction of NSAIDs directly into the joint. This achieves the relief of painful manifestations for a long period and the patient’s working capacity remains.

Chondroprotectors (restorers of mechanical integrity and cartilage elasticity) and artificial synovial fluid substitutes (which play the role of a lubricant) are also introduced into the joint cavity.

What to do if the knee is very sore when bending

Joint pain is one of the most common reasons for going to the doctor. According to statistics, every second person in his life ever experienced pain in his knee.

The most common causes of knee pain during flexion are overload, injury, and illness. And if with injuries everything is more or less clear, then with diseases that manifest themselves as joint pain, everything is much more complicated. The list of diseases provoking unpleasant sensations is very long.

What diseases can pain indicate?

Why do knees hurt when bent? The most common joint diseases accompanied by acute, dull, shooting, burning or paroxysmal pain are arthritis and gout.

With arthritis: there is very severe pain that increases with movement, accompanied by redness, swelling and inflammation of the knee, as well as local and general fever. The basis of arthritis is an inflammatory process that can last for years and lead to disability.

With gout: the pain is paroxysmal. Strengthens when bent. Attacks are often repeated, lasting from several minutes to several days.

Other conditions that are not related to overloads or injuries that can cause pain in the knee joint when bending are:

  • Osteoarthritis. It is characterized by pain, which intensifies in the morning.
  • Osgood-Spatter disease. Often observed in older school children. It is characterized by pain during flexion and swelling of the front of the knee.
  • Cyst Baker. A disease characterized by pain and swelling in the back of the knee.
  • Infection. Pain in the knee joints may indicate an infection of the skin, bone, or joint.
  • Dissecting osteochondritis. The pain is caused by the death of part of the cartilage due to a violation of the blood supply, etc. The pain is extremely severe when bent.

Sprain of the knee joint also causes a strong pain symptom.

About why joints crackle in the knees and how to cure it, read in this article.

How to treat a sore knee

Drug treatment of knee pain is aimed primarily at eliminating the cause of the disease. Folk remedies – to relieve the main symptoms of the disease. As a rule, the doctor prescribes a whole range of measures after the examination. A standard examination in a hospital includes a detailed patient survey (anamnesis) and specific studies: examination, ultrasound, X-ray of the knee, computed tomography, MRI.


The safest forms of non-steroidal anti-inflammatory drugs are ointments, creams and gels. They should be used as prescribed by the doctor, strictly according to the instructions.

Ointments, which include diclofenac sodium. For example, drugs Ortofen, Voltaren and others. They are used to relieve inflammation. The ointment is applied in a thin layer to the damaged area 1 time per day. The duration of use is 2-3 days or more, as prescribed by the doctor.

Ointments, which include ketoprofen. For example, such popular drugs as Fast-gel or Fastum gel. The ointment is applied in a thin layer to the damaged area 2-3 times a day.

Nimesulide based gels. For example, Nise gel. It is applied 2-3 times a day for no longer than 10 days.

Other popular anti-inflammatory drugs: Indomethacin, Butadion 5% ointment and Apizartron.

Effective creams are designed to relieve swelling and reduce knee pain during flexion. For instance:

Creams based on ibuprofen in combination with other excipients. For example, Dolgit cream. It is applied externally. It is applied 3-4 times a day for 3 to 5 weeks.

Diet to reduce pain

A balanced diet helps reduce the discomfort associated with knee pain during flexion. The menu may vary, depending on which disease is the cause of the pain, but there are general recommendations.

For pain in the knee, it is recommended to introduce products such as:

Omega-3 fatty acids, which are rich in various types of fish (salmon, mackerel, cod, tuna, etc.) are a natural anti-inflammatory agent and, accordingly, help relieve pain caused by various joint diseases. Side effects are absent.

For degenerative diseases of the knee joint, you should include greens in your diet: spinach, green onions, parsley, etc. According to studies by Australian scientists, eating greens helps relieve pain and other symptoms of arthritis. This is due to the fact that greens contain a large amount of lutein, zeaxanthin and querticin, and has a strong anti-inflammatory effect.

Some spices also have anti-inflammatory effects. For example, curry or curcumin. Spices inhibit ferments that provoke inflammation and swelling and relieve pain.

With rheumatoid arthritis, a diet consisting of vegetable and fruit juices helps: orange, tomato, carrot, celery or cabbage. The duration of such a diet is three weeks, the scheme is as follows: the first week is one “hungry” day, the second week is two days and the third is three days.

Traditional medicine against pain

Medical lotions and poultices, as well as other folk remedies help relieve pain in the knee:

At night, a mixture of ryazhenka with bread is applied to the sore spot (proportions: 0.5 cup of ryazhenka, 0.5 cup of bread and 0.5 spoon). The lotion from the burdock leaf (cabbage leaf) will relieve the pain. It must be moistened in cold water and, with the fluffy side, applied to the inflamed knee.

  • Poultices have also proven themselves well:

For a month, before going to bed, you can soar your sore leg in a sage broth (proportions: 100g sage per 6 liters of water). Duration of the procedure: 30 minutes – 1 hour.

A good therapeutic effect is also given by a decoction of chamomile with salt (proportions: 200 g of flowers per 10 liters of water). Poultices are done once a day. Duration of the procedure: 1 – 1.5 hours

For pain in the knee, alcohol tincture is very popular (proportions: 200 g of chopped root of the infidelity per 500 ml of alcohol). The mixture must be insisted for two weeks. Then use daily: rub with light massage movements for five minutes. In this case, both the components of the infusion and the massage itself have a therapeutic effect.

Surgical treatment in especially severe cases

A modern method of treating joint pathologies is arthroscopy. It is advisable in cases where drug treatment and physiotherapy did not give a significant result.

During arthroscopy, the surgeon makes a small incision and, using an arthroscope, performs a surgical procedure: removal of the damaged meniscus, vaporization, and more. These are the main measures to combat knee pain observed during flexion.

In addition to the main treatment, physiotherapy exercises help to strengthen muscles, return a deformed joint to a normal position, and restore its functions. This can be gymnastics, walking, water exercises, exercises aimed at developing a joint, etc. At home, to achieve the effect, it is enough just to raise straightened legs.

If the knee is swollen

At home, painkillers and anti-inflammatory drugs will help relieve swelling and ease knee pain. It helps aspirin and ibuprofen (less than aspirin, it hurts the stomach). It will help alleviate pain, but will not relieve paracetamol inflammation.

These drugs can have a negative effect on the intestinal microflora and cause stomach pain. Therefore, it is recommended to take them against the background of agents that reduce the acidity of the stomach, only after preliminary consumption of food.

In addition to taking medication, if the knee is swollen it is also necessary: ​​to limit movement, apply a cold compress and apply a bandage. How to apply a bandage is shown in the video.

How to relieve acute knee pain

At the first attacks of pain when bending the knee, it is necessary to take painkillers (analgin, ibuprofen) and use a cold compress – ice pack for 20 minutes.

Glucocorticosteroids, which are administered intraarticularly, also help relieve acute pain in the knee. Various non-steroidal anti-inflammatory drugs (creams and ointments) can be quite effective.

If the “home” remedies did not have an effect within 2-3 days, you must consult a general practitioner! A general practitioner will conduct an examination and, if necessary, redirect you to another specialist.

Flexion and extension pain in the knee joint

Almost every person has experienced knee pain anyway. Especially often, pain appears when moving. Why does the knee hurt during flexion and extension, and what can be done to eliminate unpleasant symptoms?

Knee anatomy

The knee joint is one of the most complex joints in the entire musculoskeletal system. The articular surfaces of the internal (medial) and external (lateral) condyles of the femur, which is located in the upper part of the knee, are connected to the tibia and patella. The capsule-ligamentous structure is synchronized by semi-membranous, biceps, slender and other muscles. They provide normal functioning and motor activity of the joint.

Shock absorbers of the knee joint – menisci. There are two of them, one located in the front, the other in the back. They allow you to rationally distribute the weight that falls on the lower limbs, thereby increasing the stability of not only the knee joint, but also the whole body. Finally, all articulation elements are connected by a multitude of ligaments.

Causes and symptoms

Among the most common causes of knee pain during flexion and extension are the following:

  • Bursitis. Inflammation in the membrane of the synovial sac leads to stagnation of the fluid synthesized here. The accumulation of its large volume leads to a restriction of movement, as well as the appearance of pain during bending. Symptoms include local hyperthermia, swelling of the joint, redness in the knee.
  • Arthritis. If the knee hurts when bending, then arthritis is the most common cause of this condition. Inflammation in the joint is manifested by pain when walking, especially when climbing stairs, as well as swelling, fever and general malaise. Edema of soft tissues is clearly visible. In such patients, weather sensitivity appears, that is, an increase in the intensity of pain when the weather changes.
  • Rheumatoid arthritis. In this autoimmune disease, symptomatology typical of arthritis develops, but it is impossible to find the obvious cause that caused them. Symptoms include symmetrical, severe, sharp pains that do not go away even at rest, and may intensify at night.
  • Arthrosis The destruction of cartilage tissue, a change in its structure is accompanied by severe pain. Sometimes it is difficult for a person to straighten up and perform the simplest movements. The knee may crunch. In women, this condition appears after childbirth, since a lot of weight during pregnancy is a provoking factor.
  • Hemarthrosis. Hemorrhage in the left or right knee most often develops due to rupture of blood vessels. If a person before that hit the knee hard against a solid object, then a hematoma can appear after 10 minutes. With the presence of bad vessels in the knee joint, collision and a small force are enough for hemarthrosis to appear.
  • Gout. With this disease, metabolic disorders occur in the body, which causes uric acid to accumulate in the articular parts. Most often, this process affects the limbs – elbows, knees, feet. Pain at gout first manifests itself weakly. Pain can appear and disappear for several weeks or even months. Gradually, these painful sensations will intensify, and their intensity will increase. Over time, the pain under the knee during extension and bending will become so severe that it will become difficult for a person to move.

The list of reasons includes Baker’s cyst. This is a benign formation located behind, opposite the patella. In a bent position, it can not be seen. It is clearly visible only when the knee is straightened. The cyst looks like some kind of ball on a bend. When pressed, it goes inside. Often this condition occurs without pain, but with the growth of a Baker cyst, it begins to squeeze the vessels and nerves passing here, which causes the nutrition of the knee joint to be disturbed, and also pain.

Meniscus tear. There are several types of them. If the knee is bent, and unbends with great difficulty, then perhaps the cause is a meniscus rupture. This injury most often occurs in adolescents who are actively involved in sports – dancing, tennis or other types of physical activity, where you need to move quickly, bend your knee.

Oncology. Neoplasms can appear in absolutely any organ. If the knee joint does not bend to the end, then maybe the cause is the accumulation of cancer cells inside. What to do in this case, only an oncologist will tell.


Even if the doctor clearly sees the symptoms of a disease, he should conduct an appropriate examination of the patient and only after that proceed with therapy. So, the doctor should interview the patient. When exactly did the knee pain appear during leg extension, gradually or suddenly, what preceded it, whether this episode was single and there were other predecessors – these and other questions will help the doctor find out the true cause of the unpleasant sensations in the knee.

Inspect. A specialist can carefully examine not only the knee, but also the thigh, as well as the spine. This is due to the fact that very often the localization of pain is not truly true, but in fact the reason lies in a completely different way.

For example, neuropathy of the sciatic nerve can manifest itself in this way. Give the patient directions for analysis of urine and blood. Based on their results, the specialist will be able to judge whether other disorders in the body should be suspected.

X-ray of the knee. Radiography will help to understand if there are anatomical disorders of the knee joint. Deforming processes on x-rays are visible only in the last stages, and therefore arthrosis (especially of the early stages) based on only x-rays is rarely set. Ultrasound of the knee. It will help assess the condition of soft tissues, see their structure.

CT scan. This is the most modern way of the most complete diagnosis of the knee joint. If there is a suspicion of radiating pain, the specialist will expand the localization of the examined area.

Morozov Georgiy

Georgy Morozov, rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases.