Pain on inside of knee no swelling

Knee pain is an incredibly common complaint amongst athletes and individuals of all fitness levels. The repetitive nature of walking, running, and even sitting and standing puts a lot of strain on this hard-working joint, and can often result in inner knee pain. Inside knee pain typically points to cartilage issues; let’s explore what to do about inner knee pain. 

What Causes Pain Inside of Knee? 

Your knee is one of the most complex joints in your body, with many interworking parts. Bones, ligaments, cartilage, tendons, and menisci must all work together in perfect alignment to keep you moving fluidly. When one of these components becomes strained, torn, or injured, it throws the entire system off base, resulting in discomfort and difficulty in moving. 

Inner knee pain is often caused by cartilage deterioration or a sports injury, but there are several other possible culprits as well. Pain inside the knee can be caused by: 

• Osteoarthritis: This degenerative disease breaks down cartilage to the point where bones end up grinding against each other. Without the protective cushioning cartilage provides, this can create serious pressure in your inner knee. 
• Rheumatoid arthritis: If you experience inside knee pain in the morning that subsides throughout the day, you may have rheumatoid arthritis, which causes joint inflammation. 
• MCL injury: You’ve probably heard of athletes tearing their MCL–this happens when the ligament that runs alongside your outer knee over stretches. 
• Knee contusion: Landing hard on your knee or getting hit in the same area can bruise your knee bone and cause pain inside your knee.  

Treating Inner Knee Pain 

Depending on your exact symptoms, there are several different treatment paths for inner knee pain. 

• RICE method: RICE–or Rest, Ice, Compression, and Elevation–is a common home remedy for inside knee pain. Staying off your knee as much as possible after an injury can help it heal, but if severe knee pain persists for more than three days, you may need to seek medical attention. 
• Steroids and/or medication: Anti-inflammatory medications such as ibuprofen work to reduce swelling, while injectable steroids aim to restore mobility. 
• Physical therapy: Working with a physical therapist helps you learn stretches and strength-building exercises to get your knee back into shape. 
• Surgery: In extreme cases, knee surgery may be the only option to restore full range of motion. 

Treat Inner Knee Pain with IMPACT Physical Therapy 

Inner knee pain can be a major disruption to your everyday life, but it doesn’t have to be. The team at IMPACT Physical Therapy is here to manage your symptoms and get you back to your full range of motion without pain. Request an appointment to set up a treatment plan for the pain inside your knee today. 

Common Causes of Inner Knee Pain

1. Pes Anserine Bursitis

Pes anserine bursitis, or PAB, impacts only about 1% of the general population. It happens when the bursa, a small-fluid filled sac that prevents friction at the joint, between the hamstring tendons and the shin bone becomes inflamed. The swelling of the bursa puts pressure on other parts of the knee, causing pain.

Symptoms of this condition frequently include:

• Inner knee pain when straightening, bending your knee, or using the stairs.
• Weakness near or around the knee.
• Inner knee swelling.
• Inner knee tenderness.
• Limited range of motion due to pain.

PAB often results from repetitive use or overuse of the knee. For example, runners often experience this condition after increasing their distance or speed. Yet PAB may be caused by other issues, including:

• Uncoordinated hip and knee movement.
• Incorrect form or exercise technique.
• Obesity.
• Tight hamstrings.
• Osteoarthritis (age-related wear-and-tear of the cartilage in the joint).
• Tendonitis at the knee joint.
• Muscle imbalances.
• Inappropriate footwear.
• Increase in sport or training intensity, time, or frequency.

Treatment Options and Pain Relief

Treating PAB usually involves resting your knee. It will often take 6-8 weeks to fully recover. However, there are various treatment methods you can use to speed up this process. Icing the area for 10-20 minutes at a time and over-the-counter pain relievers can help reduce the initial pain. Eventually, exercise and movement can help accelerate your healing process. Performing appropriate exercises can improve strength, increase range of motion, enhance healing, increase blood flow, and prevent re-injury.

2. Knee Osteoarthritis

[Osteoarthritis](https://www.injurymap.com/diagnoses/osteoarthritis-of-the-knee= is the most common type of arthritis, which happens when the protective cartilage at the end of your bones wears down. In turn, this can create various levels of pain upon moving. Extra weight may place unnecessary pressure on the knee joints, leading to deterioration and pain. Yet, excess weight isn’t the only cause of osteoarthritis. Over time, the joints of the body naturally wear down.

Osteoarthritis of the knee

The common symptoms of knee osteoarthritis include:

• Increased knee pain with activity (sometimes at the inner knee).
• Swelling at the knee.
• Warmth at the knee joint.
• Knee stiffness.
• Reduce mobility and knee range of motion.
• Cracking or creaking sounds at the knee.

Generally, knee osteoarthritis is caused by:

• Age.
• Excess weight.
• Genetics.
• Repetitive stress injuries causing permanent damage to the knee joint.

Treatment Options and Pain Relief

The treatment of osteoarthritis frequently depends on the cause. If excess weight is leading to the deterioration of the knee joints, losing weight can help relieve pain and slow down the process. Pain relievers, such as over-the-counter medications, can also help alleviate the pain. Further, knee replacement surgery may be necessary depending on the severity of damage. Usually, exercise as treatment is attempted before surgery is recommended. Exercises, such as strengthening the muscles around the knee, can provide support and stability to the joint, reducing pain and other symptoms.

3. Rheumatoid Arthritis

[Rheumatoid arthritis] (https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-knee) causes chronic inflammation at joints in the body, including the knee. Usually, it will impact both knees at the same time. When it impacts the knee, the synovial membrane lining the knee joint becomes inflamed and painful.

So why does rheumatoid arthritis happen at the knee? The truth is that no one really knows why the body’s immune system begins to attack its own cells. Yet, experts have theorized that it may be due to genetic factors or genetic triggers leading to the development of rheumatoid arthritis in the knees.

Treatment Options and Pain Relief

Typically, medications are used to treat this condition to reduce further deterioration of the joints. NSAIDS (Nonsteroidal anti-inflammatory drugs) or corticosteroids may be used. Other prescribed drugs may help prevent the body’s immune system from attacking the joints. Like osteoarthritis, in severe cases, a knee replacement may be necessary. In some situations, exercise can significantly help decrease pain and improve function of the knee.

4. MCL Injury

An MCL injury refers to damage of the medial collateral ligament in the knee. This ligament connects your shin bone and your thigh bone along the inner part of the joint. This helps keep it stable and supported during movement. Typically, an MCL injury occurs in sport where the knee is pushed past its limits on the inner part resulting in a partial or fully torn MCL.

The most common cause of an MCL injury is from a direct blow to the area. This moves the structures past their usual limits placing pressure on the MCL and causing damage to it.

Treatment Options and Pain Relief

A minor MCL injury will heal on its own with rest and proper care, such as regular icing. NSAIDS (non-steroidal anti-inflammatory drugs) may also help you cope with the initial pain and swelling. A brace may further give the knee time to rest and help accelerate healing. Once the initial pain has subsided, exercises can help strengthen the area and get your joint back to normal. In severe cases, surgery may be necessary to repair a torn MCL.

5. Medial Meniscus Injury

A meniscus tear or injury is a very common injury that happens at the knee. The meniscus is cartilage that stabilizes and protects the joint. This prevents damage to the bone and provides cushion during movement. Your knee joint has two meniscus, medial and lateral. The medial meniscus sits on the inner portion of the joint. A quick twist of the knee is all it takes to end up with a medial meniscus injury or tear.

A medial meniscus injury results in the following symptoms:

Inner knee pain.Inner knee swelling.A popping sensation at the time of injury.Problems bending or moving the knee.Locking of the knee.

A medial meniscus injury can occur from direct contact, such as a blow in contact sports, jumping movements, or quick pivot movement causing a twisting of the knee.

Treatment Options and Pain Relief

Usually, your treatment will vary depending on the severity of your injury. The inner meniscus do not have a huge blood supply and sometimes, surgery may be required. However, it isn’t always necessary. Rest and ice can go a long way in helping you recover from a meniscus injury. When the pain has begun to subside, proper stretching and strengthening exercises targeting muscles around the knee can help the area heal further, as well as prevent future injury.

6. Inner Knee Contusion

An inner knee contusion is a bruise at the inner knee. A bruise happens as a result of blood vessel and capillary damage, often caused by direct impact to the area. Usually, an inner knee contusion will present the following symptoms:Swelling or a small bump at the site of pain.Red, blue, or black appearance of the skin on the inner knee.Pain when force is applied directly to the area.Pain when bending the knee.Knee tenderness.

Treatment Options and Pain Relief

A knee contusion usually does not require any intense treatment strategies. Following the R.I.C.E., rest, ice, compression, and elevation, method will often suffice. Usually, this type of injury will heal within a few days.

7. Medial Plica Syndrome

Synovial tissue surrounds your knee joint, encapsulating the fluid within the joint. The medial plica is simply a fold in this tissue or membrane. However, when irritated, the medial plica can become problematic causing chronic inner knee pain.

Common medial plica syndrome symptoms include:Inner knee pain.Achiness at the knee joint.Pain that increases when using stairs, bending the knee, or squatting.A locking in the knee when going from sitting to standing after sitting for a long duration.Instability in the knee.Swelling in the knee.

Typically, this condition happens from overuse, such as increasing your intensity, frequency, or duration in running, biking, or similar activities. Injury from falling down or from direct impact can also lead to this syndrome.

Treatment Options and Pain Relief

Usually, with exercise, the average person will notice pain relief within 6-8 weeks. In particular, strengthening of the hamstring muscles and quadriceps has shown to significantly help during the recovery process, as well as prevent future pain incidences.

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