x
89 Physicians Online

Question:

Knee pain after hill walking

Dear Ask The Doctor:
I am training to take part in a 3 peaks challenge in 10 weeks, but towards the end of a long walk, my knee started to hurt, but only when putting pressure on it. The pain lasts the longest at the back of my knee but can get pain at the sides too. It was a little swollen and hot immediately after but I rested it with ice and it was fine after a day or two. Is this going to become a recurring problem during my training and the event, and what can I do to lessen the pain after exercise?


Answer:

Knee pain is the most common presentation of patellofemoral syndrome in young and active people. The pain typically is located behind the kneecap and often shows during activities that require knee flexion and forceful contraction of the quadriceps (ei, during squats, ascending/descending stairs or pendants). Pain may be worsen by sitting with the knee flexed for a long period of time, such as while watching a movie, hence leading to the terms "theatre sign" and "movie-goer's knee." The causes are diverse: Overuse (repetitive use or activity), overloading, and misuse of the patellofemoral joint.
The suggested strategy for conservative treatment should be as follows: Physical therapy program (exercises and pain control with TENS, ultrasound, ice packs after exercises), anti-inflammatory drugs (i.e.: “Aleve”, “Advil”), education of the patient so  he/she understands which activities avoid because those can aggravate patellofemoral syndrome. Also, and very important, remark the need for extended adherence to the exercise regimen. Your physical therapist should educate you about a home exercise program Allow time for these conservative measures take the desire effect.


Have a Question? Ask The Doctor Here.

Sign In to join in the conversation.

Related Answers:

I have been having pain in left knee forover a year. The pain is getting worst and xray refecently fine except dr sai...

What are some knee injures that occur to the middle and lower section of the knee, and what are some symptoms?

My legs are hurting (throbbing pain) so much right now. It extends from my thigh all the way to my toes. Usually it'...

I have a pain above my calf and below the back of my knee whenever I bend my leg (ie sitting with Indian style) for a...

I'm a 17 yr old female. I had a ski accident, and I hurt my knee. I recently had a MRI and found out I have two leais...

During a soccer game I was running kinda fast when a player stood in front of me suddenly and hit my knee "right...

There is pain in my leg , in my knee and inner part of thigh. Also I have pain in my left hand wrist. This pain in le...

I can't bend my knee fully. There is a pain towards the back of the knee sometimes going into my hamstring. The pain ...

I was skiing about 4 years ago when my knees twisted out of my skiis and I felt a tingling/numbing sensation for abou...

My right knee feels normal walking,etc. But when I put my kneecap on the floor there's a very sharp stabbing pain rig...

You’re in good hands, meet ATD’s founding physicians.

Dr. Suneel Sharman M.D.

  • Board Certified GP
  • CMO ATD Health Network Inc.
  • Adjunct Professor at U Of T

Dr. Kunaal Jindal M.D.

  • Board Certified Plastic Surgeon
  • Director ATD Health Network Inc.
  • Fellowship Training Atlanta, GA