(65) 64712744|info@boneclinic.com.sg

Pain Behind Knee

Pain Behind knee is a major problem for a lot of people and many of them have been suffering from it for years now. In most cases, the patients that get pain behind the knee are older in age. Usually, the case of the pain is either an older knee injury, or a problem of an orthopedic nature. One of the possible causes for pain behind the knee is the excess weight. The problem can either be the fact that you carry heavy objects around, or it can be excessive body weight. The possibility that an injury will appear increases considerably in this case and the bone degeneration is much faster as well. The result is the appearance of pain behind knee.

Causes of Pain Behind the Knee

Back of Knee pain causes can be many, so it’s not always easy to figure out which one is the problem in your case. This type of pain can be caused by arthritis, cartilage injury, baker’s cyst, ligament injury, patellar tendonitis or a meniscal tear. This type of problem can appear in patients of all ages.

 

  • Arthritis is one of the possible explanations for knee pain, a condition which appears when the joint gets inflamed. You will find that there is medication available which can be used to treat it, medication which can be obtained by visiting a doctor, which can confirm the problem.
  • Injuries in the ligament area can appear because of a few different problems, including injuries to the MCL (medical collateral ligament),PCL (Posterior Cruciate Ligament) and ACL (Anterior Cruciate Ligament). Treating this type of injury is sometimes a matter of a surgical procedure, but that’s a call that the doctor has to make, based on what he finds and on the symptoms. This type of injury is usually experienced by athletes.
  • Meniscal tear is another type of cause for knee pain and it’s a type of cartilage injury. It doesn’t matter if you’re old or young, you can still get this type of injury. The cause is sometimes traumatic injury, which is something that athletes experience. In other cases, when the patient is older, the cause is usually a degenerative process, caused by brittle bones. The tests which tell doctors if a meniscal tear is the cause of the pain include MRIs and x-rays.
  • Another potential cause for pain behind knee is the condition known as Patellar Tendonitis, which appears because of the knee’s extreme usage. The knee is surrounded by tissue and tendon, which can become irritated and swollen. Another name that is used for this condition is Jumper’s knee, since it often appears during jumping, when the knee is used excessively. Athletes which practice sports which require lots of jumping will often have this problem, especially if they’re not reducing the amount of physical activity they do.
  • The baker’s cyst is another major knee pain cause.It is also known as popliteal cyst.In this type of condition, fluid accumulates in the area behind the joint of the knee.This is not something that can spread behind the area where it appears though, so it is not considered a tumor. This condition is something that older people get and young individuals don’t usually have a problem with it.

Back of Knee Pain Symptoms

Feeling pain in back of knee usually happens because of an inflammation of the knee joints, making it difficult to move it backward or forward, either when climbing or walking stairs. If you’re having this type of problem, it’s a good idea to talk with a physiotherapist, so he can give you advice on the right posture to keep when you’re carrying or lifting heavy objects. One other possible reason why you would feel pain in that area is because of a weaker hamstring. These muscles are important when you want to bend the knee, together with the quadriceps muscles.

Treatment options for Pain Behind the Knee

If you want to reduce the chance that you will get an injury to the knee and if you want to keep them as supple as possible, you should try to make sure that the joints remain flexible and strong. When you do feel pain behind your knee, you should try resting it, while applying a cold compress on it. At the same time, try to make sure that the symptoms don’t get any worse.

When it’s a chronic case, you should discuss the problem with a doctor, in order to get a course of treatments which will improve your situation. Once the doctor examines you and figures out what causes the knee pain, he will be able to give you some recommendations. One example would be to wear some knee braces, which would help the ligaments act naturally, while easing your knee soreness feeling. There are a number of different types of equipments available for gyms which can help with the pain you feel behind your knee. They work by making weak muscles stronger, muscles which give support to the joint of the knee. It is advisable that you discuss it with a physiotherapist though, as he knows best what you need and he can give you advice on the sets of exercises which will not force the joints.

These days, there are improved surgical procedures and better drugs that are anti inflammatory, so if you have damaged tissue area and knee joints chances are better than ever that the doctors will be able to fix the problem. The patients that suffer from these problems today are much more likely to recover faster and to get back a good function level of the joint, while getting rid of pain at the same time.

Know your limits

People don’t know the limits of what their body can do, or they don’t realize that as they grow older, they can’t do as much as before. Repeated stress put on the knees can result in injuries and pain. The best course of treatment for pain behind  knee is preventing it in the first place, something that is true for many medical issues.

CURE YOUR KNEE PAIN TODAY. CALL +65 6471 2744 OR SMS TO +65 92357641 FOR APPOINTMENT

Posterior Cruciate Ligament (PCL) Injury

Definition of Posterior Cruciate Ligament (PCL) Injury

The posterior cruciate ligament, or PCL, is one of four ligaments important to the stability of the knee joint. The anterior cruciate ligament, or ACL, sits just in front of the PCL. The ACL is much better known, in part because injuries to the ACL are much more commonly diagnosed than injuries to the PCL. Interestingly, it is thought that PCL injuries account for about 20 of knee ligament injuries, however, the PCL is seldom talked about because these injuries are often left undiagnosed.

The PCL is the ligament that prevents the tibia (shin bone) from sliding too far backwards. Along with the ACL which keeps the tibia from sliding too far forward, the PCL helps to maintain the tibia in position below the femur (thigh bone).

PCL Injury

 

How is the PCL injured?

The most common mechanism of injury of the PCL is the so-called “dashboard injury.” This occurs when the knee is bent, and an object forcefully strikes the shin backwards. It is called a ‘dashboard injury’ because this can be seen in car collisions when the shin forcefully strikes the dashboard. The other common mechanism of injury is a sports injury when an athlete falls on the front of their knee. In this injury, the knee is hyperflexed (bent all the way back), with the foot held pointing downwards. These types of injuries stress the PCL, and if the force is high enough, a PCL tear will result.

 

What are the symptoms of a PCL injury?

The most common symptoms of a PCL tear are quite similar to the symptoms of an ACL tear. Knee pain, swelling, and decreased motion are common with both injuries. Patients may have a sensation that their knee “popped” or gave out. Problems with knee instability in the weeks and months following PCL injury are not as common as instability following an ACL tear. When patients have instability after a PCL injury they usually state that they can’t “trust” their knee, or that it feels as though the knee may give out. If this complaint of instability is a problem after a PCL injury, it may be an indicator that surgery is recommended.

 

How is a PCL injury diagnosed?

Part of the diagnosis of a PCL tear is made by knowing how the injury happened. Knowing the story of the injury (for example, the position of the leg and the action taking place) will help in making the diagnosis. Specific maneuvers can test the function of the PCL. The most reliable is the posterior drawer test. With the knee bent, your doctor will push the tibia backwards; this stresses the PCL. If the PCL is deficient or torn, the tibia will slide too far backwards, and indicate an injury to the PCL.

X-rays and MRIs are also helpful in clarifying the diagnosis and detecting any other structures of the knee that may be injured. It is common to find other ligament injuries or cartilage damage when a PCL tear is found.

PCL tears are graded by the severity of injury, grade I through grade III. The grade is determined by the extent of laxity measured during your examination. In general, grading of the injury corresponds to the following:

  • Grade I: Partial tears of the PCL.
  • Grade II: Isolated, complete tear to the PCL.
  • Grade III: Tear of the PCL with other associated ligament injury.

 

What is the treatment for a PCL tear?

Treatment of PCL tears is controversial, and, unlike treatment of an ACL tear, there is little agreement as how best to proceed. Initial treatment of the pain and swelling consists of the use of crutches, ice, and elevation. Once these symptoms have settled, physical therapy is beneficial to improve knee motion and strength. Non-operative treatment is recommended for most grade I and grade II PCL tears.

Surgical reconstruction of the PCL is controversial, and usually only recommended for grade III PCL tears. Because of the technical difficulty of the surgery, some orthopedic surgeons do not see the benefit of PCL reconstruction. Others, however, believe PCL reconstruction can lead to improved knee stability and lower the likelihood of problems down the road.

Surgical PCL reconstruction is difficult in part because of the position of the PCL in the knee. Trying to place a new PCL graft in this position is difficult, and over time these grafts are notorious for stretching out and becoming less functional. Generally, surgical PCL reconstruction is reserved for patients who have injured several major knee ligaments, or for those who cannot do their usual activities because of persistent knee instability.

Get your Knee check today! Call (65) 6471 2744 – 24 Hours  for Appointment or Email to info@boneclinic.com.sg