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4/7/2019

Medial Knee Pain - Common Causes of Inner Knee Pain

4/7/2019 Medial Knee Pain - Common Causes of Inner Knee Pain

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Medial Knee Pain

Written By: Chloe Wilson, BSc(Hons) Physiotherapy Reviewed by: KPE Medical Review Board

Medial knee pain is pain that occurs on the inner side of the knee and can be due to a number of problems.

There are a number of structures on the medial side of the knee and problems in any one or more of these can cause pain.

Symptoms may come on gradually over time or may develop suddenly after a knee injury. There may be a general inner knee pain, movement may be restricted or there may be a sharp pain.

It is very common to get pain on the medial side of the knee, because muscle weakness and/or tightness, which is very common, can subtly change the way the knee moves.

is very common, can subtly change the way the knee moves. What Causes Medial Knee Pain?

What Causes Medial Knee Pain?

Here we look at the most common causes of inner knee pain. See which one sounds most like your problem and then use the relevant links to find out loads more about each condition including symptoms and treatment options for each.

An MCL tear is the most common cause of medial knee pain in people under the age of

50.

What is it: Damage to some or all of the fibres of the medial collateral ligament on the inner side of the knee

Symptoms: Sudden onset from sudden twisting or a force through the outside of the knee. Medial knee pain with flexion, swelling, bruising, instability, stiffness

Aggravating Activities: Bending the leg, walking, stairs, sports

Features: There are three grades of MCL tear, depending on how severely you have damaged the ligament

depending on how severely you have damaged the ligament Treatment Options: PRICE, knee brace, exercises Find

Treatment Options: PRICE, knee brace, exercises

Find out more about MCL Tears

What is it: A tear in the cartilage lining on the inner side of the knee joint, known as the meniscus

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Symptoms: Sudden onset with awkward twisting or a force through the knee, or gradual onset through wear and tear. Causes medial knee pain, swelling, locking, instability and difficulty straightening the leg

Aggravating Activities: Walking, running, squatting, stairs especially going up

Features: There are four types of meniscus tear depending on how the cartilage has torn

4/7/2019

Medial Knee Pain - Common Causes of Inner Knee Pain

Treatment: PRICE, exercises, surgery

of Inner Knee Pain Treatment : PRICE, exercises, surgery Find out more about Meniscus Tears Pes

Find out more about Meniscus Tears

What is it: Inflammation of the pes anserine bursa, a small fluid-filled sac the reduces friction

Symptoms: Gradual onset of medial knee pain approximately 2-3 inches below the knee joint, swelling, stiffness, weakness and affects sleep

knee joint, swelling, stiffness, weakness and affects sleep Aggravating Factors: Climbing stairs, resisted knee flexion

Aggravating

Factors: Climbing stairs, resisted knee flexion and exercise. Most common in overweight middle aged women or runners and swimmers

Treatment: Rest, ice, stretches, strengthening exercises, corticosteroid injections or occasionally surgery

Find out more about Pes Anserine Bursitis

What is it: Wear and tear most commonly to the cartilage lining the medial side of the joint

Symptoms: Typically come on gradually and include morning stiffness, inner knee pain, swelling, clicking/grinding, reduced leg movements. Most common over the age of 50

Aggravating Activities: Worse after prolonged

rest or activity, cold weather

Features: There are three classification stages of osteoarthritis, mild, moderate and severe based on how badly the joint is affected.

and severe based on how badly the joint is affected. Treatment: Depends on the severity but

Treatment: Depends on the severity but arthritis treatments include exercises, medication, heat/ice, acupuncture, injections and knee braces

Medial Plica Syndrome

What Is It: Inflammation of a fold in the synovial membrane on the inner side of the knee

Symptoms: Anteromedial knee pain, tenderness, audible clicking sound when you move your knee

Aggravating Activities: Frequent knee

bending and straightening, stairs, getting up after sitting or lying, squatting

Find out more about Arthritis

sitting or lying, squatting Find out more about Arthritis Treatment: Knee exercises, anti-inflammatories, rest,

Treatment: Knee exercises, anti-inflammatories, rest, surgery

What Is Causing My Inner Knee Pain?

Let's have a look at the common symptoms associated with medial knee pain and what they typically indicate:

1. Pain On Inside Of Knee No Swelling: If there is no swelling, it is likely only a minor injury such as a small cartilage tear or a grade 1 sprain of the MCL

4/7/2019

Medial Knee Pain - Common Causes of Inner Knee Pain

2. Inner Knee Pain Running: Most typically a cartilage tear or Runners Knee

3. Inner Knee Pain When Straightening Leg: Pes Anserine Bursitis is the

main culprit here as the bursa can easily get squashed when straightening the knee

4. Medial Knee Pain With Flexion: Most medial knee pain gets worse with knee

flexion, especially when weight bearing through the leg. If it's worse when standing it

may indicate MCL tear or meniscus tear, if it happens when you are sitting and bending, it may be pes anserine bursitis

5. Anterior Medial Knee Pain: If the medial pain is coming round to the front of

the knee, it may actually be a problem with the knee cap or Runners Knee

6. Medial Knee Pain When Sitting Cross Legged: Most likely there is a

meniscus tear as this position places extra stress on the cartilage

7. Medial Knee Pain After Sitting or Lying: Inner knee pain that is at its worse

when you first move the knee after sitting or lying down for a while tends to be due to knee arthritis. The pain usually eases once you are up and about. It could also be due to Plica Syndrome.

Why Is Medial Knee Pain So Common?

It is very common to get pain on the medial side of the knee, because muscle weakness and/or tightness, which is very common, can subtly change the way the knee moves.

This causes more force to go through the inner side of the joint, rather than distributing weight evenly through the whole joint, which results in damage to the inner side of the knee and therefore pain is felt medially. For example, it is much more common to get osteoarthritis on the inner side of the knee than the outer side.

How Do You Treat Inner Knee Pain?

Inner knee pain treatment will depend on what is causing the problem. In most cases, it helps to reduce any swelling and improve the strength and stability around the knee to take the pressure off the knee joint. In some cases, surgery will be necessary.

You can find out loads more about the best treatment for each cause of inner knee pain by reading the full articles list above.

Want to Know More?

Be aware that just because there is inner knee pain, doesn’t necessarily mean the problem is on the inner side of the joint. Pain can refer from different places such as the knee cap or even the back.

Alternatively, if would like some guidance with working out what is causing your problem, visit the knee pain diagnosis section for help.

Remember, you should always see a doctor with any new onset of pain. To find out more about these common causes of medial knee pain, choose from the links above.

Page Last Updated: 18/03/19 Next Review Due: 18/03/21

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References

1. Journal of Orthopedics. Medial collateral ligament injuries. August 2017

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Your Comments

Share your knee pain experiences with others, whether it be ideas, top tips, things that worked well for you, problems you've had etc

218 Comments

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Add a commentyou, problems you've had etc 218 Comments Sort by Newest Thankyou so much for this, it’s

you've had etc 218 Comments Sort by Newest Add a comment Thankyou so much for this,

Thankyou so much for this, it’s very much helpful. I have suffered a lot from knee pain and then I came across an excercise routine called isometric excercise (by Todd Kuslikis who studied Chinese, herbal medicine as well as nutrition, acupunctureand internal healing arts and also studied Nursing at Western Michigan University, personal training) from where I've learnt that cellular inflamation, postural misalignment, cartilage deterioration are the main reasons for knee pain. Isometric exercises are a simple, effective and easy exercise where you increase the tension in the muscles without mo… See more See more

Like · Reply · 1w

Hi, I have had 2 half knee replacements within last 10 years I am 66. I am overweight and I want to go snow skiing but have extreme tenderness from the knee down on the inside of my leg only. My ski boots press on this and the pain is excrutiating. What can you suggest it might be. I want to go skiing.See more Mayukha P Papabathina Like · Reply · 1w Robyn Schomberg Like · Reply ·

Like · Reply · 8w

William SelfI want to go skiing. Robyn Schomberg Like · Reply · 8w Thank you for such

Thank you for such helpful information. I would love to see your Low Back Pain Explained and wonder if that might be in the works or available. Your Knee Pain Explained support is Excellent.

Like · Reply · 17w

i was not injured in any activities,but I over stretch my legs in exercises forcing my legs to perform my aim to reach the flexibility that I want.I think that,s the reason of my swollen knees pain, espicially when I set for a long time and stand I can't walk right away. It's hard also to get down the stairs.Explained support is Excellent. Like · Reply · 17w Merle Bonghanoy Like · Reply · 20w

Like · Reply · 20w

4/7/2019

Medial Knee Pain - Common Causes of Inner Knee Pain

Shelleye McGuire  

Shelleye McGuire

 

Bone degeneritive desease runs in the family. Im serously starting to think this is really affecting my knees. Ive lost about 50 lbs and almost to 200 lbs. My knees, especially my right one are hurting really bad. It no longer an ache but a constant pain. My right knee is to the point where i cannot straighten it completly. Now the left knee is actally not giving me any problems right now. Though this is the knee I dislocated over 7 yrs ago. Ive been to drs who have told me I am too young for surgery. I want to know what I can do to prevent this from getting any worse.

Like · Reply · 41w

 
Marguerite Schondebare  
 

I

have a hard lump on the inside of my knee a bit below the

 

kneecap. While it bothers me a bit during the day, it is so painful at

night that I wake up. This is especially so if that leg is resting on the other.

 

Like · Reply ·

Like · Reply · 1 · 45w

1 · 45w

Justin M. Arter  
 

I

can't recall any injuries. I was skateboarding for the first time in

 
 

years when it first started to ache though

I'm 32 and have been

skating stairs and rails since I was in elementary school. So, that could have something to do with it. But I never specifically recall injuring my knee. Mine is kind of a constant semi sharp ache that's definitely on the inside, but doesn't seem to be related to the cap in any way. I get it every day. Standing on it for lengths is the main trigger. But sitting in low chairs with it bent is bothersome too. Oh yeah, I almost forgot to mention that it's constan… See more

Like · Reply · 47w

 
Zelda Malander-English  

Zelda Malander-English

 

i

twisted my knee unexpectedly, just experienced a sharp pain at

 
 

the time. Now after a week I start to experience pain and discomfort on the left inside of my right knee, and if I try to bend it in any way. The worst is when I have been sitting for a while driving of behind my desk; when getting up and try to walk, the pain is excruciating. But as I walk it gets better, but still with that throbbing soreness. My knee feels funny at times, as if a little loose etc. I have checked google, and I seems like a grade1 or 2 MLC tear.??

Like · Reply ·

Like · Reply · 3 · 1y

3 · 1y

 

Lizzie Pimentel

 
I have the same issuse. did you evr find out what it is or any

I have the same issuse. did you evr find out what it is or any treatment?

 

Like · Reply · 39w

 
Clare King  

Clare King

 

My daughter had a mild injury in January when doing a karate front kick. She sat out for the rest of the session and we thought little of

 

it

except that her knees began to give way and lock intermittently.

The leg would be in a straight lock and by manipulating the knee on the medial side, I could get it to unlock but it would be sore

 

afterwards. Overtime, it got worse, the leg would lock more and more, the pain was worse. The period of tine that the leg locked got longer and longer. We went to our GP who arranged an X-ray which showed nothing, we were referred to a paediatric consultant in … See more

Like · Reply · 1y

 
Judi McDonough  

Judi McDonough

 
Judi McDonough  

Have been uffering with knee pain for the last 10 months, since New Years Eve, Became worse after getting a cortisone short on Sept 28, when ortho dr mistakenly injected cortisone into my tissue rather than my knee joint. Suffered terribly when it crystallized & felt like I was walking on glass. This feeling subsided to just painful when walking then aching every night. Another cortisone shot in knee two weeks later. Great effort but it seems cortisone doesn't help my pain, aches, or walking. I don't feel any of these shots have done a darn thing, other than when I use A5-35 or Voltaren & Tylenol arthritis medication, at least 3 times a day. HAS ANYONE EVER HEARD OF THESE SHOTS DOING ABSOLUTELY NOTHING ?

4/7/2019

Medial Knee Pain - Common Causes of Inner Knee Pain

Like · Reply · 1y

- Common Causes of Inner Knee Pain Like · Reply · 1y Dot Morgan yes it

yes it is common for the shots to not do a thing my son had similar happen and shot did nothing

Like · Reply · 48w

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did nothing Like · Reply · 48w Load 10 more comments Facebook Comments plugin This comments

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