Knee Pain

An acute knee injury usually occurs suddenly through either trauma or a twisting action. Pain in the knee can vary in severity from very mild to very severe and this depends on the injury mechanism (how the injury occurred) and the forces involved during the impact. It is strongly advised not to carry on playing if you have acute knee pain as this can easily progress to a chronic pain or to more complex knee injuries.

Anterior knee pain is pain at the front of the knee including the patella or kneecap.  The two most common causes of pain at the front of the kneecap are patellofemoral pain and patella tendinitis or Jumpers knee. Sometimes it can be difficult to tell the two apart and occasionally they can occur simultaneusly. Here we outline the causes of pain at the front of the knee as well as important conditions which can be missed.

Posterior knee pain is pain at the back of the knee. Below we outline the most common causes of pain at the back of the knee, less common causes as well as important conditions and injuries that should not be missed. Biceps femoris tendonitis (hamstring tendonitis) is probably the most common over use injury at the back of the knee although referred pain and various causes of swelling are also likely causes of pain at the back of the knee.


Medial knee pain is pain on the inside of the knee which usually comes on gradually as opposed to a sudden acute knee injury.   Pain on the inside of the knee is usually an acute injury caused by a sudden trauma, however it can come on gradually over time with poor biomechanics and overuse. Below we outline the most common medial knee injuries as well as some of the less common causes and important conditions which should not be missed.

Lateral knee pain is that which occurs on the outside of the knee has come on gradually as opposed to an acute knee joint or ligament injury. If you are not sure what is causing your pain then why not check out our symptom checker? The most common causes of pain on the outside of the knee are Iliotibial band friction syndrome and Lateral cartilage injuries. Here we explain the most widely seen causes, less common causes of lateral knee pain as well as important injuries that should not be missed.

Common knee symptoms

Aching knee / Audible snap in the knee / Bruising / Burning pain  / Gradual onset knee pain /  Impact to the knee / Knee instability / Knee joint pain / Pain kneeling / Pain running / Pain sitting / Kneecap pain / Local swelling / Rapid swelling / Swollen knee / Twisted knee /

Immediate first aid for knee injuries

What should I do for a knee injury and when should I see a doctor? All acute and chronic knee injuries should be treated using the P.R.I.C.E. principle (protection, rest, ice, compression & elevation). This should be applied at home for at least the first 2 – 3 days. First, protect the knee injury from further damage. Stop training or playing immediately and apply a cold therapy and compression wrap. Where applicable, use a knee support or brace.

Rest – Refrain from exercise and try to reduce the demands of your daily activity to encourage recovery. It does not only refer to the prolonged period of time that the athlete will be out of action but also to the immediate period after the injury. An athlete must know when to stop training and allow the injured area to heal otherwise repetitive minor injuries can often result in a more severe injury that keeps the athlete out for much longer.

Ice – The topical application of ice or cold therapy to the area of the knee injury / swelling can assist in reducing the symptoms of pain and inflammation.

Compression – The use of a compression support or compression bandages to the knee can can help reduce swelling.

Elevation – Keeping the knee elevated above heart level whenever possible to help reduce swelling due to the effects of gravity.

When should I see a doctor?

The majority of knee injuries, especially the minor ones can be treated at home. However, if you have any of the following symptoms including severe pain, sever swelling, a pop or crack, locking and altered sensation you should seek further medical assistance.

  • Severe pain in or around the knee, especially during walking.
  • Severe swelling (oedema) in the knee.
  • An audible “pop” or “crack” in the knee joint that is painful.
  • A “giving way” feeling in the knee during walking or going up/down stairs.
  • A feeling when the knee “locks” whilst bending or straightening it.
  • Altered sensation in the foot – such as a feeling of “pins and needles” (paresthesia) or a “loss of feeling” (anaesthesia) in the lower leg.
  • Unable to complete your normal daily activities after the initial 72 hours.

Call Dr. Kelly Cunningham at Austin Ortho + Biologics to be evaluated or with any questions.