Acute pain of the knee after running

Patient

Q: I have started running long distance off late. After a month of running I developed an acute pain on the right side of the knee. This pain goes away with some rest, I took anti-inflammatory for a week and the pain vanished however as I resumed running the pain came back. The pain started when I ran for 3 k.m. and the next day it started after 2 k.m. With some rest and heat pad the pain has gone. Please suggest a permanent remedy. I have tried to look up for it and it looks like a runners knee or an Iliotibial band syndrome

Doctor

A:    According to your description , it is not an uncommon cause of knee pain in runners the Iliotibial band friction syndrome (ITBFS). It is considered an overuse syndrome that usually is treated successfully with  conservative measures. Iliotibial band friction syndrome (ITBFS) typically is observed in people who exercise vigorously. The overuse creates stress that the body cannot repair, and soft tissue breakdown occurs. In runners, as yourself, friction occurs near or just after foot strike during the contact phase of the gait cycle. Downhill running reduces the knee flexion angle and can aggravate ITBFS, while sprinting and fast running increase the knee flexion angle and are less likely to cause the syndrome. Biomechanical and training factors play a large role in the development of ITBFS. The basic principles of treatment include control of inflammation, modification of activity, and correction of underlying problems. Medical therapy: Medical therapy consists of non steroidal anti-inflammatory drugs (“motrin”, “aleve”) with adjunctive physical therapy. These drugs reduce the inflammation in the soft tissue.  Injection of corticosteroid can be used when conservative attempts to control inflammation fail or swelling persists for more than 3 days. Activity modification: Examine recent changes in your  training, such as duration and intensity of exercise. I strongly recommend that you keep your physical activity to a level at which pain is not generated. Local ice massage can help you: Apply to the knee for no longer than 15 minutes. Ice compresses or cold packs can be used for up to 20 minutes each time. Give it a try with this measures for about 3-4 weeks and see how it goes, the most important is give you enough healing time so this does not become a repetitive stress injury.

Related Q&A

Q: When i went up the stairs i got knee pain as if its twisting on the inside. INtense pain for at least 5 minutes cant ...

Q: My knee hurts when I cross my legs also when standing for link the amount of time I currently have a standing office ...

Q: Hello, I have a marble sized knot popping out from under my knees cap cause if pain then it will slide back under my ...

Q: I'm 22 years old, 5'3" tall, weighing at 60 kgs. I have gained 8 kgs within 2 months with absolutely no change...

Q: I woke up with knee pain, I cannot bend it, it is not swollen but sore to touch & move, I am getting tingling sen...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews