Knees click

Clicking and crunching in the knee joint during extension can occur both in the presence of serious diseases, and with ordinary muscle strain. The main causes of this symptom are the following:

  • obesity;
  • joint problems
  • hormonal imbalance;
  • excessive physical activity.

To find out the specific reason why the knee joints click, you need to understand the conditions and how often the malaise appears.

What diseases does the knee snap in?

Diseases and problem states, among the symptoms of which are the clicking of the knee joint, are many. But the main list includes several of the most likely:

  • joint diseases;
  • trauma;
  • endocrine diseases;
  • diseases of the liver, kidneys;
  • obesity;
  • metabolic problems.

Sometimes the patient is worried about the clicking of the knee in the postoperative period (for two months), this is normal. In this case, the joint may hurt and swell.

Exercise clicks

If you hear crunching and clicks in your knees when performing exercises, in particular when squatting, this is an occasion to review the training program and consult a doctor. A healthy joint can click, but this rarely happens, but constant clicks indicate destruction of cartilage.

Advice! To reduce the load on the knee, athletes are advised to wear sports bandages or an elastic bandage.

If clicks in the knee appear after an injury or bruise, this can signal damage to the cartilage. Crunch can provoke stressful situations or even wearing uncomfortable shoes.

Which doctor should I go to if my knee crunches?

When your knees hurt and click, it is impossible to make an accurate diagnosis on your own, you should consult a doctor. The primary appointment can be made by a therapist, and if necessary, he will direct for additional consultations with specialists:

  • neurologist;
  • traumatologist;
  • rheumatologist;
  • orthopedist;
  • endocrinologist.

If clicks in the knee joint occur in infants or young children, you need to contact a pediatrician.

Among the additional studies that help to understand why the knee hurts and clicks are the following:

Since clicking in the knees can indicate various diseases, the purpose of the treatment procedures may vary depending on the patient’s condition and his complaints.

How to treat a crunch in a joint?

Unpleasant sensations in the knee during bending are treated in various ways. They begin therapy with conservative treatment; in severe cases, surgery is indicated. You can not do without it when the patient is diagnosed with the following features of the joint disease:

  • characterized by severe damage and tearing of ligaments;
  • have a III degree of severity;
  • not treated with medication.

Conservative drug treatment is indicated when diagnosed.
joint diseases of the I-II degree, including post-traumatic nature. During the recovery period after the intervention of surgeons, medications are not canceled.

In case of bruises, bursitis and dislocations, it is enough to use various fixing bandages and warming compresses, supplemented by therapeutic exercises.

At any stage of the disease, when the knee hurts and clicks, self-medication is highly discouraged. With timely and competent treatment, the prognosis is favorable, in any case, an attentive attitude to health even at the first problem signs will help to avoid unpleasant complications.

Prevention will help

To get rid of a crunch in the knee, there is little compliance with medical recommendations and taking medications. When the knee clicks, preventive measures should become the norm in everyday life. What to do? Change your habits to healthy ones:

  • proper nutrition;
  • daily regime;
  • physical activity;
  • comfortable shoes;
  • increased fluid intake.

Why is the foot itching? Read here.

In order to improve the general condition of the body, the flexion and extensor functions of the joints, it is recommended to enter into your routine:

  • yoga classes;
  • swimming;
  • water treatments;
  • physical education and aerobics.

These measures will help improve health and relieve emotional stress.

It must be remembered that stress is the main enemy of health, affecting the knee joints, so stressful situations must be avoided. And if suddenly the patient notices that when flexing and bending the knee clicks, do not hesitate to consult a doctor.

Why the knee clicks during extension and flexion: causes, treatment and prevention

The knee joint is one of the strongest and most important components of the human body, which has a complex anatomical structure and good protection against external factors, however, often when bending and unbending the joint, sounds of crunching and crackling are heard. The phenomenon develops at any age and is often left without attention, which subsequently can lead to dangerous violations in the functioning of the musculoskeletal system.

Often clicking in the knee is caused by tissue damage: the meniscus, patella, cartilage, or articular capsule. To establish the exact cause of the development of sounds, you need to visit a doctor.

Causes

The list of reasons why there is a crunch in the knee joints or the so-called “crepitus” is quite extensive. In older people, crepitus can talk about degenerative changes in the joints and metabolic disorders, and in children or professional athletes this phenomenon is caused by traumatic injury. However, clicks are not always the result of the development of pathology. Crepitus often occurs in people who move a little, due to bursting of bubbles in the synovial fluid of the knee joint during its flexion, extension, or walking. This condition is not pathological, unlike knee crunch due to friction of tissues.

A symptom of a crunch can be either independent, or combined with such signs as pain, swelling, and limiting the spectrum of motor activity of the joint. Common causes of crepitus are traumatic injury, obesity or uncomfortable shoes, when the joint has an excessive load, as a result of which its components begin to deform and collapse. In people under the age of 40, this symptom appears due to physical overwork, for example, an excessive amount of squats.

The doctor can determine the reason why the knee clicks based on the results of diagnostic tests. A visit to a doctor with crepitus, which is characterized by pain, is mandatory, since the combination of the above symptoms may indicate the development of pathology. In medical practice, it is customary to distinguish 2 types of conditions due to which crepitation occurs – physiological and pathological.

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

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Physiological clicking

Crepitus does not always indicate pathology, clicks may appear as a result of the features of its anatomical structure. The circumstances due to which the knee clicks when it is unbent and bent are as follows:

  1. excessive physical exertion on the knee joint due to active sports, other activities (weight lifting, squats), walking in high heel shoes, etc.,
  2. changes in the joints due to a decrease in their nutrition and proliferation of connective tissue in the ligaments due to the limited mobility of the body,
  3. sprain or rupture of ligaments and tendons, as a result of which the knee, when bent, makes sounds of crunching and crackling,
  4. insufficient amount of calcium and phosphorus, which are involved in the process of bone formation, the absence of these elements is compensated by taking calcium and phosphorus-containing drugs or dietary supplements,
  5. overweight and obesity, in which the load increases significantly, the articular parts of the knee gradually wear out, and a crunch appears,
  6. congenital specific feature of the joint structure, which is transmitted genetically.

There is an erroneous belief that physical exercise can destroy the knee joints and contribute to the manifestation of pathologies that cause clicks and restrict their movement. In fact, a sedentary lifestyle leads to even worse consequences than physical activity. To eliminate unpleasant sounds in the joint, daily moderate exercises and gymnastics are recommended.

Pathological click

Some pathologies can also cause clicks in the knee joint when the leg is bent and extended.

This condition can occur in the presence of certain diseases, which give rise to clicks in the knee. A concomitant symptom of this condition is pain, edema and inflammation, limitation of limb motor activity, and local temperature increase are also likely. The main diseases that provoke crunching and clicking are:

  • arthritis or arthrosis due to the sluggish inflammatory and degenerative processes of the knee joint, a change in the articular surfaces occurs, which causes a crack in the joint area,
  • meniscopathy, damage to the menisci as the cause of the crunch occurs due to unsuccessful movement, sudden bending of the knee or turning, due to which part of the meniscus separates from its location, enters the joint bag and causes a click when moving,
  • inflammation of the joint tissue – this condition occurs with traumatic damage or infection of the elements of the joint, while swelling occurs and its functioning is disrupted,
  • the deposition of salts or gout also affects the mobility and the occurrence of specific sounds,
  • venous insufficiency or varicose veins,
  • age-related wear of joints
  • endocrine diseases of the body.

For timely identification of the cause of a crunch caused by a systemic disease, it is necessary to consult a doctor of the appropriate profile (traumatologist, orthopedist, rheumatologist) and undergo a diagnostic examination.

Diagnostics

In cases where the knee clicks during extension and flexion, it is necessary to undergo a medical examination, which includes the following types of studies:

  1. A clinical examination, which consists of examining a patient, interviewing and collecting an anamnesis. Based on the data received, the doctor establishes a preliminary diagnosis and prescribes additional studies.
  2. A biochemical and general blood test gives an idea of ​​the presence of an inflammatory or infectious process in the body, as well as a disease such as arthritis.
  3. Ultrasound examination allows you to detect the presence of blood and foreign bodies in the joint bag, damage to ligaments, tendons, meniscus.
  4. Radiography makes it possible to see a change in the position of the bones during fractures and dislocations, a narrowing of the joint gap during inflammatory processes and dystrophic changes. It does not give an idea of ​​soft tissue damage, for which more modern methods (CT, MRI) are used.
  5. Computed tomography can detect fractures, arthritis, osteoarthritis and osteochondritis, inflammation of the joint membrane.
  6. Magnetic resonance imaging reveals the slightest changes in tissues, damage to tendons, ligaments, hemarthrosis, bursitis and others. Damage to the patella, if the knees crunch, can also be detected by MRI.

After passing all the necessary studies, the doctor can make a diagnosis, that is, determine the disease that causes clicking in the knee.

Knee clicking treatment

Treatment aimed at eliminating the underlying disease that causes knee crepitus includes the following basic techniques:

  1. Diet balanced nutrition. If the knee clicks during extension and flexion, the probable cause of this phenomenon may be obesity, gout, improper metabolism in the body, which are effectively treated with special diets prescribed by a dietitian. Using a diet, you can also restore the lack of calcium and phosphorus in the body.
  2. Medication is effective for diseases such as arthrosis, arthritis, and gout. For general or local treatment, anti-inflammatory, analgesic, anti-gout agents and chondroprotectors are used.
  3. Surgical intervention is indicated in severe cases, when the knee is bent, the crunch is accompanied by pain and does not pass, and conservative treatment does not bring the desired effect, for example, with meniscopathy or an advanced case of tendonitis.
  4. Rehabilitation procedures. If the knees creak, then along with other methods, the doctor usually prescribes restorative massages and gymnastics.

Folk methods

Recipes of traditional medicine for knee diseases are not able to overcome the disease on their own, so they can only be used in combination with the main methods of treatment. Of these, in practice are widely used:

  • herbal and paraffin compresses and baths,
  • salt lotions
  • compress from the juice of fresh cabbage leaves.

Prevention

In cases where the knees click during flexion and extension, and this causes inconvenience or causes painful symptoms, it is necessary to establish a diagnosis and undergo treatment. To protect yourself from the symptoms of a crunch in the knees, the following preventative measures exist:

  • balanced diet
  • maintaining a healthy lifestyle with optimal physical activity on the knee joint,
  • Wearing shoes with comfortable soles
  • providing relaxation to the legs after significant exertion,
  • prevention of hypothermia of limbs.

Knee clicks while walking

Posted by admin on 13.06.2017/18.01.2018/ Updated //

If your knee clicks while walking, you may have one of several conditions. These include the iliotibial tract syndrome, meniscus injury, or crease syndrome. Syndromes, which often result in a click in the knee, are often relatively easy to treat, although you may need to reduce tension on the knee while moving. It is important to visit a doctor to get an accurate diagnosis and treatment plan for your snapping knee. Treatment often includes stretching and strengthening exercises to prevent future problems. In this article, we will examine clicks in the knee while walking.

Clicks in the knee when walking – causes

Tendons and ligaments.

Ligaments and tendons are soft tissues that are located around all the joints of our body. Sometimes, when you move a joint, the ligament or tendon may stretch slightly as it passes through a small bone site, and then snap into place again, making the sound of a click on the knee. There is no harm in these clicks in the knee unless there is pain, and this does not make you more prone to injury. Damage to the medial collateral ligament.

Your knee joint has several parts that are necessary for maintaining health and protection, one of which is cartilage. Cartilage is the tissue that builds and protects the bone, but over time this cartilage can grow unevenly. When you bend your knee, the cartilage rubs against each other, and if it is uneven, this can lead to clicks or a rattle sound. It becomes more common with age, but does not cause concern.

Iliotibial tract syndrome.

One of the most common injuries with overuse is the ileotibial tract syndrome. The range runs from your hip to the bottom of your knee. As the strip crosses your knee joint, it can drag out and catch when you run, which causes a click. Other symptoms of the syndrome include pain in the outer part of your knee, which can manifest as burning or aching pain. Pain can be reflected on the side of your thigh. This injury usually does not cause swelling or problems with knee movement. Stretching and strengthening muscles are common treatments for the syndrome. Pain in the knee joint from the outside.

The crease syndrome will cause a click in your knee while walking. This syndrome occurs when strips of synovial tissue called folds are irritated. Either injury or excessive consumption can cause irritation. Usually the synovial fold is combined to form one large synovial cavity. However, in some people, the fold remains in the form of four bands of synovial tissue in the knee. Other symptoms of the syndrome include pain, swelling, weakness in the knee, and knee blockage. Common treatments include anti-inflammatory drugs, decreased activity, and ice, followed by strengthening exercises. Your doctor may also recommend cortisone injections or surgery to remove the crease.

Clicks in the knee when walking can be caused by a meniscus injury. Your meniscus can be damaged when you rotate your knee when exerted, for example, twisting quickly when turning to hit a tennis ball. If the damage is minimal, your meniscus will remain tied in front and behind your knee. You will most likely feel pain when your knee straightens. Perhaps a past injury became painful months or years later, especially if you injured your knee a second time. After an injury, your knee may click, block, or there will be a feeling of weakness in the knee. Your symptoms may disappear on their own. However, symptoms usually return or persist, requiring treatment. Physical therapy is often recommended for minor meniscus injuries. In severe cases, your doctor may recommend surgery. Types of knee injuries.

Patellofemoral syndrome or “runner’s knee” is caused by severe overload on the patella, which occurs before the joint surface of the patella is actually damaged. This syndrome can lead to chondromalacia patella. If you have chondromalacia of the patella, you will feel and hear a painful crunch and clicks in the knee when walking when you move your knee.

Arthritis is any inflammatory condition of the joint, including the lining, lining, cartilage, or ends of the joint bone. Osteoarthritis is not primarily an inflammatory condition of the joint, despite its name. Rheumatoid arthritis is one of the most famous types of arthritis that occurs when the body’s immune system attacks the articular membrane. Other types include septic arthritis from infection, post-traumatic arthritis from acute knee injury, and gout from accumulation of uric acid crystals in the joint.

  • Joint pain.
  • Swelling of the joint.
  • Redness and warmth of the joint.
  • Stiffness (difficulty moving the joint and reducing the range of motion).
  • Nodules and deformities in rheumatoid arthritis.

The knee has various supporting structures, including muscles, tendons, sheath and ligaments. A dislocation is where the bones in the knee joint slipped out of position. This is rare, unless most of the ligaments are torn at the same time. The patella (patella) can be dislocated by itself, even if other bones are held in place in the joint. The most common causes of dislocation are related to trauma. Sports injuries, falls, and car accidents are more likely causes of knee and knee dislocation. Dislocation of the calyx of the knee joint.

Unnecessary cloth or plate.

In some people, excess tissue develops around the knee and can fall into a trap in part of the knee, causing a clicking sound.

When the kneecap goes out of line and does not follow properly with the hip, this is known as the runner’s knee. This disease is often caused by trauma or additional stress to the tibia. When the bones fail, this leads to the sound of clicks when the knee is bent. A runner’s knee can also occur if the muscles in the quadriceps are overloaded.

You risk such injuries when you suddenly increase the intensity or duration of your walk or add mountains (hills) to your walk and run. The risk also increases when you wear worn or poor quality shoes. Look for sneakers with good cushioning and design. If you have flat feet, you may need orthopedic insoles for shoes. Maintain a healthy weight because obesity is another risk factor for excessive knee injury. Move on a smooth, level surface, this reduces the risk of injuries such as meniscus damage.

Exercises to stop clicks in the knees

Before starting any exercise, when clicks in the knee while walking, you should always consult your doctor, as some exercises can worsen your condition, for example, if you have a gap or displacement. If your doctor has given you a green light for exercise, then a good place to start is to strengthen your quadriceps, as the muscles that pass through your thigh can help you better support your knee.

Useful exercises for the quadriceps include leg extension or static contraction. An example is an exercise with four settings, which is performed while sitting on the floor with straight legs. Bend your left knee and put your foot on the floor and place a roll of towel under the right thigh near the knee. Straighten your left leg up, tearing off the heel and lower leg from the floor. Lower down. Do not lift your thigh from a towel during exercise.

It is also important to have equal strength between your quadriceps and hamstrings, so if your quadriceps are strong but your hamstrings are weak, your knees may feel heavier. The hamstrings are located on the back of the thigh. To strengthen these muscles, lie on the floor, bending your knees at an angle of 45 degrees. Lift your toes up and press your heels down, straining your hamstrings in the process. Hold for 10 seconds, relax and repeat. As a rule, the quadriceps should be 25 percent stronger than the hamstrings.

A strong, flexible range of motion can help support your knees later. To use the range, move the right leg behind the left leg while standing. Bend your knee slightly, leaning to the left. Slide your hips to the right to increase your stretch, and hold it for 30 seconds. Change sides and repeat. How to treat distension of the back of the thigh?

Tips to stop clicks in the knee while walking

Now that you know the possible causes and exercises for a snapping knee, here are a few other tips to help stop clicks in your knees.

  • Strengthen your knees with exercise and stretching.
  • Squat correctly, leaning back, keeping your feet on the floor.
  • Always warm up before any physical exertion.
  • Improve hip mobility.
  • Improve ankle mobility.
  • Activate the buttocks.
  • Learn to jump correctly by sitting down with your knees slightly bent rather than straight.
  • Eat healthy foods – what you eat can help lubricate your joints.
  • Stop actions that cause pain.
  • Wear appropriate shoes.

By following these tips, you can help prevent clicks in the knee while walking and other physical injuries to the knee.

Knees click

Clicking in the knee joint is a fairly common cause of patients turning to orthopedic surgeons. In some patients, these clicks are accompanied by pain, but in most cases, these clicks do not cause any extraneous sensations. Some patients may have a history of knee injury, in most cases, patients do not remember anything like this. One fine day, the patient simply notices that his knee has begun to click. Treatment is not necessary in all such cases, but in some of them it can be indicated.

The vast majority of patients who notice clicks in the knee do not experience pain, so do not worry about it. There are a number of interesting scientific studies that show that patients who have their knees clicked become very anxious. They begin to worry that clicks in the knee joint will lead to rapid wear of the articular cartilage and degenerative damage to the knee joint. In fact, clicks in the knee joint in the vast majority of cases are caused by the movement of normal anatomical structures in the area of ​​the knee joint. And this means that you will not have any osteoarthrosis as a result. A number of studies have shown that clicks can be caused by gas in the knee joint. This is not dangerous. Also, clicks can be caused by movement of joint fluid in the joint cavity. This is normal again.

Now let’s talk about situations where clicks in the knee joint are accompanied by pain. Consider a number of the most common causes of this phenomenon.

Our knee joints are formed by three bones – the lower end of the femur, the upper end of the tibia and the patella. These bones are stabilized and held next to each other by a large number of ligaments. Movement in the knee joint is ensured by the coordinated work of powerful large muscles and tendons. Between the ends of the bones forming the knee joint are menisci, which are a kind of shock absorbers.

Any of the structures described may be damaged due to physical exertion, injury, or even due to normal wear and tear. Clicking in the knee joint can be caused by damage to almost any of the anatomical structures described above.

The most common causes of clicks and other extraneous mechanical sensations in the knee joint:

  • Chondromalacia: This is a condition characterized by degeneration of the articular cartilage, such as the patella. As a result of degeneration, the normal smooth surface of the articular cartilage becomes uneven. When the uneven articular surface of the patella moves along the corresponding articular surface of the femur, clicks, noise, or crunching occur.
  • Meniscus tears: between the joint ends of the femur and tibia in the knee joint are two menisci. The menisci resemble the letter “C” in shape and protect the articular surfaces of the bones forming the knee joint. When the meniscus is damaged, its torn fragment can cause clicks in the knee joint with certain movements.
  • Cartilage defects: the bones forming the knee joint are covered with a thick and smooth layer of “articular cartilage”. Injuries and certain diseases, such as dissecting osteochondritis, can lead to defects in the cartilage layer. Such a damaged articular surface becomes uneven, as a result of which various mechanical sensations may appear, including clicks in the knee joint. This is not the most common cause of painful clicks in the knee joint.
  • Dislocation of the patella. Dislocations of the patella are much more common than is commonly thought. If you tucked up your foot and felt a click in the knee joint during a sport, it is likely that the patella was dislocated. The patella is located in the groove on the anterior surface of the femur. Ideally, it should be located exactly in the center of this furrow. Sometimes the patella moves in the furrow in one direction or another, and sometimes it completely leaves it. Dislocation of the patella or a violation of its normal biomechanics is one of the most common causes of clicks in the knee joint. This is a very complex problem requiring a full examination by an orthopedic specialist specializing in problems of small tracking and instability of the patella.
  • Syndrome of a pathological synovial fold: the synovial fold is a fold of the inner lining of the knee joint. Many people have such folds, but they are relatively infrequently the cause of clicks and pain in the knee joint. Over time or as a result of repeated loads, these folds can thicken and become inflamed, causing painful clicks in the knee joint.
  • Osteoarthritis: This is a degeneration or thinning of the articular cartilage. Normal articular cartilage is an incredible smooth and even tissue. As osteoarthritis progresses, the surface of the cartilage becomes more and more uneven. Sometimes such cartilage can even peel off from the underlying bone, resulting in a cartilage defect. Any irregularities in the articular surfaces can cause clicks in the knee joint during movement.

If such simple means as a pressure bandage, muscle stretching and temporary limitation of physical activity do not bring the desired effect, it makes sense to consult a doctor.

There are other, less common causes of clicks in the knee joint. The causes described above usually cause not only clicks, but also pain in the knee joint. If clicks in your knee are accompanied by pain, we recommend that you consult your doctor.

For many of us, these clicks are completely painless. Sometimes their reasons remain unknown. In many situations, these clicks can be considered a “norm” that does not require any treatment.

Clicks in the knee joint during extension and flexion, what should I do?

One of the manifestations of the articular syndrome with various pathologies of the knee joint is the sensation of a click when walking, flexing and extending the limb. At the same time, this symptom may be a physiological phenomenon associated with the features of the anatomy of the joint.

Why do symptoms occur? How to determine if clicks in the knee joint are a sign of illness? In what cases do I need to see a doctor?

Physiological causes

Clicks in the knee joint during flexion and extension do not always indicate joint pathology. With some structural features of the musculoskeletal joint, a person can feel a click, a crunch when walking, active movements in the knee. These factors may include:

  1. Excessive load on the joints, leading to stagnation of blood, muscle fatigue, wear of cartilaginous formations of the knee.
  2. Significant movements after a long sedentary lifestyle.
  3. Features of the anatomy of ligaments and menisci that do not affect the range of motion, but lead to a crunch and clicks.

The first two reasons are amenable to correction. With normal motor mode, a balanced diet, the symptom disappears and ceases to disturb the person.

Anatomical features are not always manifested in childhood, sometimes clicks occur when ligaments of a certain size are reached. You can detect a defect using magnetic resonance imaging of the knee joint. In the absence of other symptoms of concern to the patient, correction is not required.

Pathological causes

Unfortunately, the knee clicks during the development of various types of diseases requiring medical and surgical correction. These include:

  1. Arthrosis is a degenerative disease of the knee that leads to a violation of the correspondence of the articular surfaces to each other. When bending and unbending, clicks occur in the joint area.
  2. Arthritis – a long-term ongoing inflammatory process leads to the deposition of fibrin fibers in the joint cavity, a change in its shape. These factors can also cause an unpleasant symptom.
  3. Meniscopathy is a violation of the integrity of the cartilaginous formations of the knee. If a small part of the meniscus breaks off and falls into the bag of the joint, it interferes with movements and causes clicks. This is called an articular mouse.
  4. Tendonitis is an inflammatory disease of the tendons of the muscles surrounding the knee. With movements, there is a feeling of crepitus or cod due to the development of edematous syndrome.
  5. Gout – deposition of uric acid salts in the knee area disrupts the biomechanics of movements and leads to the development of symptoms.
  6. Knee injuries. This group of causes can cause pathology of any element of the joint: from bones to ligamentous structures. As a result of the development of edema, violation of the integrity of the tissues, there is a feeling of a click when bending, the joint hurts and cannot fulfill its function.

In order to distinguish the causes from each other and prescribe the correct treatment, it is necessary to consult a competent doctor in time.

Diagnostics

For a comprehensive assessment of the function of the knee joint, determining the cause of the symptoms, a number of diagnostic procedures are necessary.

Upon admission, the doctor will first examine the damaged area. Palpation, tests for active and passive movements will more accurately determine why the disease arose. To clarify the diagnosis, instrumental research methods will be assigned:

  • Radiography.
  • CT scan.
  • Magnetic resonance imaging.
  • Arthroscopy

The use of a particular method is dictated by the cause of the disease.

Radiography

In most cases, an X-ray in several projections is sufficient to determine the cause of clicking in the knee joint. The method immediately allows you to exclude fractures, assess the presence of an inflammatory process, degenerative tissue changes.

Unfortunately, the images may not be sufficiently informative; in these cases, resort to the use of more complex diagnostic methods.

Computed tomography

A more modern, but expensive research method is CT scan of the knee joint. This procedure is resorted to if there is a suspicion of bone pathology involved in the formation of the joint.

With computed tomography, a series of images are taken in various sections and planes, which allows you to detect any changes in bone tissue: osteophytes, fractures, fragments, cracks, deformations.

Clicks may occur with any of the above changes, which is why the procedure is considered very informative.

Magnetic resonance imaging

Unlike CT, this technique better visualizes soft tissues: menisci and ligaments of the knee joint. Therefore, the procedure is considered indispensable for tendonitis, meniscopathy, tears and sprains, joint capsule pathology.

Detecting the “articular mouse” without an MRI of the knee is very problematic.

The disadvantage of the study, as in the case of computed tomography, is the high cost.

Arthroscopy

It is possible to determine why the joint clicks when walking and other types of movements with knee arthroscopy. This method consists in introducing the articulation of the camera and micro-tools into the cavity of the bag.

Thus, it is possible to examine the internal structures of the anatomical region, to determine the localization and intensity of the pathological process.

Laboratory diagnosis

In some cases, the results of analyzes help supplement instrumental research. Important diagnostic criteria include:

  1. An increase in uric acid in the blood indicates gout.
  2. Signs of inflammation (leukocytosis, increased erythrocyte sedimentation rate) are evidence in favor of arthritis and other inflammatory diseases.
  3. Violation of mineral metabolism (changes in calcium levels) may indicate bone pathology.

The doctor focuses on the results of all studies, determines why there are changes in the analysis, and then makes a diagnosis.

Treatment

According to modern concepts, effective therapy of the knee joint consists of several components. When using only one treatment method, achieving complete remission of the disease will be difficult. The methods of therapy include:

  • Drug treatment.
  • Physiotherapy.
  • Massage and therapeutic exercises.
  • Immobilization and orthosis.
  • Surgical intervention.

The use of certain components, their combinations depends on the cause of clicks in the knee joint. For each pathology, there is a specific treatment protocol.

Arthrosis Treatment

In the early stages, deforming arthrosis is treated conservatively. To stop the symptoms, anti-inflammatory drugs are prescribed in tablets, ointments, injections. Muscle spasm is eliminated with the help of muscle relaxants (Midocalm).

To stop the progression of the disease, physiotherapeutic techniques are used, massage, resort to therapeutic exercises.

If you follow the doctor’s recommendations, periodic examinations and correction of therapy, you can achieve a persistent regression of the disease. However, with pronounced degenerative changes, overgrowth of bone tissue, the inability to eliminate the symptoms in a conservative way, one has to resort to surgical intervention.

Arthritis therapy

Inflammatory pathology of the knee has various causes. In infectious arthritis, the disease is treated with antibiotics and anti-inflammatory drugs. If the pathology is rheumatic in nature, symptomatic agents, basic immunomodulating drugs are used.

Surgical treatment is rarely used, mainly to eliminate complications of arthritis. With the infectious nature of the disease, puncture of the patella can be performed to evacuate purulent contents.

Meniscopathy Elimination

Treatment of pathology of the cartilage of the knee is not an easy process. During the formation of osteochondrosis of the joint, cracks, small changes in the menisci, chondroprotectors can be prescribed – agents that protect cartilage from pathological changes.

However, the main method of eliminating meniscopathy, removing the “articular mouse” is an operation – arthroscopy of the knee joint.

After inserting the instruments into the cavity of the bag, the doctor finds a pathological area and performs surgical procedures.

The surgical method shows good treatment results with the possibility of complete restoration of the joint.

Tendonitis treatment

If the diagnosis of the joint has shown that the pathological process affects the muscle tendons, doctors will use a combination of physiotherapy and drug treatment. Non-steroid drugs and hormones will help relieve inflammation, muscle relaxants will relax muscles. UHF, magnetotherapy, electrophoresis will relieve edema, will improve blood microcirculation in the affected area.

In the acute period, it is recommended to provide rest for a sick limb with an orthosis. During rehabilitation, you need to perform a set of exercises of therapeutic gymnastics.

If the joint syndrome is caused by gout, the basis of treatment is uricosuric drugs. These remedies help flush uric acid out of the body. The most effective is allopurinol.

It is impossible to achieve the effect of treatment without following a diet that limits the consumption of meat and alcohol.

Aids are anti-inflammatory drugs, massage and physiotherapy. Each of these diseases has its own treatment algorithm, which is why it is necessary to trust a professional to diagnose and treat knee.

Knees click

Clicking in the knee joint is a fairly common cause of patients turning to orthopedic surgeons. In some patients, these clicks are accompanied by pain, but in most cases, these clicks do not cause any extraneous sensations. Some patients may have a history of knee injury, in most cases, patients do not remember anything like this. One fine day, the patient simply notices that his knee has begun to click. Treatment is not necessary in all such cases, but in some of them it can be indicated.

The vast majority of patients who notice clicks in the knee do not experience pain, so do not worry about it. There are a number of interesting scientific studies that show that patients who have their knees clicked become very anxious. They begin to worry that clicks in the knee joint will lead to rapid wear of the articular cartilage and degenerative damage to the knee joint. In fact, clicks in the knee joint in the vast majority of cases are caused by the movement of normal anatomical structures in the area of ​​the knee joint. And this means that you will not have any osteoarthrosis as a result. A number of studies have shown that clicks can be caused by gas in the knee joint. This is not dangerous. Also, clicks can be caused by movement of joint fluid in the joint cavity. This is normal again.

Now let’s talk about situations where clicks in the knee joint are accompanied by pain. Consider a number of the most common causes of this phenomenon.

Our knee joints are formed by three bones – the lower end of the femur, the upper end of the tibia and the patella. These bones are stabilized and held next to each other by a large number of ligaments. Movement in the knee joint is ensured by the coordinated work of powerful large muscles and tendons. Between the ends of the bones forming the knee joint are menisci, which are a kind of shock absorbers.

Any of the structures described may be damaged due to physical exertion, injury, or even due to normal wear and tear. Clicking in the knee joint can be caused by damage to almost any of the anatomical structures described above.

The most common causes of clicks and other extraneous mechanical sensations in the knee joint:

  • Chondromalacia: This is a condition characterized by degeneration of the articular cartilage, such as the patella. As a result of degeneration, the normal smooth surface of the articular cartilage becomes uneven. When the uneven articular surface of the patella moves along the corresponding articular surface of the femur, clicks, noise, or crunching occur.
  • Meniscus tears: between the joint ends of the femur and tibia in the knee joint are two menisci. The menisci resemble the letter “C” in shape and protect the articular surfaces of the bones forming the knee joint. When the meniscus is damaged, its torn fragment can cause clicks in the knee joint with certain movements.
  • Cartilage defects: the bones forming the knee joint are covered with a thick and smooth layer of “articular cartilage”. Injuries and certain diseases, such as dissecting osteochondritis, can lead to defects in the cartilage layer. Such a damaged articular surface becomes uneven, as a result of which various mechanical sensations may appear, including clicks in the knee joint. This is not the most common cause of painful clicks in the knee joint.
  • Dislocation of the patella. Dislocations of the patella are much more common than is commonly thought. If you tucked up your foot and felt a click in the knee joint during a sport, it is likely that the patella was dislocated. The patella is located in the groove on the anterior surface of the femur. Ideally, it should be located exactly in the center of this furrow. Sometimes the patella moves in the furrow in one direction or another, and sometimes it completely leaves it. Dislocation of the patella or a violation of its normal biomechanics is one of the most common causes of clicks in the knee joint. This is a very complex problem requiring a full examination by an orthopedic specialist specializing in problems of small tracking and instability of the patella.
  • Syndrome of a pathological synovial fold: the synovial fold is a fold of the inner lining of the knee joint. Many people have such folds, but they are relatively infrequently the cause of clicks and pain in the knee joint. Over time or as a result of repeated loads, these folds can thicken and become inflamed, causing painful clicks in the knee joint.
  • Osteoarthritis: This is a degeneration or thinning of the articular cartilage. Normal articular cartilage is an incredible smooth and even tissue. As osteoarthritis progresses, the surface of the cartilage becomes more and more uneven. Sometimes such cartilage can even peel off from the underlying bone, resulting in a cartilage defect. Any irregularities in the articular surfaces can cause clicks in the knee joint during movement.

If such simple means as a pressure bandage, muscle stretching and temporary limitation of physical activity do not bring the desired effect, it makes sense to consult a doctor.

There are other, less common causes of clicks in the knee joint. The causes described above usually cause not only clicks, but also pain in the knee joint. If clicks in your knee are accompanied by pain, we recommend that you consult your doctor.

For many of us, these clicks are completely painless. Sometimes their reasons remain unknown. In many situations, these clicks can be considered a “norm” that does not require any treatment.

Shishkevich Vladimir

Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews. It specializes in the treatment of diseases in orthopedic, traumatological, vertebrological profiles

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