Pain under the knee from behind: causes and treatment

Content

  • 1Pain behind the knee
    • 1.1Causes
    • 1.2Baker's cyst
    • 1.3Meniscus cyst
    • 1.4Meniscus tears
    • 1.5Inflammation of tendons
    • 1.6Diseases caused by inflammatory processes
    • 1.7Vascular and Nervous Diseases
    • 1.8conclusions
  • 2Pain under the knee at the back, what can it be, causes pain in the leg under the knee
    • 2.1Causes of back pain under the knee
    • 2.2Osteoarthritis
    • 2.3Knee joint cyst
    • 2.4Cyst Becker
    • 2.5Meniscus cyst
    • 2.6Rupture of the Meniscus
    • 2.7Disease of the tendons
    • 2.8A purulent-inflammatory process
    • 2.9Nervous-vascular diseases
    • 2.10Inflammation of the tibial nerve
    • 2.11Popliteal vein thrombosis
    • 2.12An anerism of the popliteal artery
    • 2.13Treatment
  • 3Why does the popliteal region hurt?
    • 3.1Causes of back pain
    • 3.2Baker's cyst in popliteal fossa
    • 3.3An anerism of the popliteal artery
    • 3.4Popliteal vein thrombosis
    • 3.5Rupture of the Meniscus
    • 3.6Pepper plaster in the treatment of pain
  • 4Why does it hurt under the knee? Pain under the knee from behind
    • 4.1Types of pain
    • 4.2Causes of pain under the knee
    • instagram viewer
    • 4.3Pain under the knee with joint pathology
    • 4.4Baker's cyst
    • 4.5Cyst in the knee of the meniscus
    • 4.6Injuries of the knee meniscus
    • 4.7Pain in the case of soft tissue disease surrounding the joint
    • 4.8Pain with vascular disease
    • 4.9Varicose veins of the lower limb
    • 4.10Popliteal vein thrombosis
    • 4.11Embolism of the popliteal artery
    • 4.12An anerism of the popliteal artery
    • 4.13Pain in damage to nerve fibers
    • 4.14Prevention
    • 4.15Conclusion
  • 5Pain under the knee from behind
    • 5.1Causes of pain under the knee in the back
    • 5.2Treatment of pain under the knee from behind

Pain behind the knee

Some people feel pain under the knee from behind when flexing.The most important thing is to establish the cause of discomfortand appoint the right treatment. Only in this way, it is possible to completely get rid of the problem and live a full life.

Causes

There is a huge number of ligaments, blood vessels and other types of soft and bony tissues. Often the problem is associated with injuries.

But far from always the injuries are the reasons for the pain and discomfort in the back of the knee.

To accurately establish the cause, you need to undergo diagnostic procedures, which will give an answer to the question, what caused the disease.

One of the most common reasons for starting problems is the infringement of the sciatic nerve.

Many incompetent experts too often establish this diagnosis, prescribe a treatment that does not bring the desired effect.

And only after thorough studies have been carried out, the causes, which are inherent in the traumas, can be established, are associated with the appearance of tumors, inflammations.

No less common cause is also the problem with the meniscus. From this problem recently suffered not only professional athletes and people who are regularly susceptible to serious physical exertion.

Baker's cyst

There is a tumor,characteristic drawing pain.

Causes of the disease:

  • inflammatory processes;
  • synovitis;
  • osteoarthritis.

In this disease, an excess of liquid forms, which under pressure exits outwards.

With this disease, edema is located in the heart of the popliteal fossa. The presence of swelling on both extremities is quite common. It can be easily seen if the knee is unbent and hides when the joint is bent.

The cyst decreases if it is pressed, as part of the fluid goes into the joint. The most effective means for treating the disease are medications, procedures or surgery, if the medications did not help.

Meniscus cyst

The cyst may not even be visible in the examination, but they give huge troubles. If such an education is found, there is severe pain, you can not even conduct additional examinations.

The causes of pathologies are traumas obtained with high physical exertion, intensive training, and also if the optimal processes in the cartilage are violated.

Meniscus tears

The problem can appear anywhere. There is an opinion that it is possible to eliminate the problem only with the help of surgical interventions, but this is far from being the case. Solve the problem ofcan medication and even folk remedies.

Treatment consists not only of surgical intervention, but also conservative treatment. We will need the help of several specialists, each of whom will carry out their work.

Only in this way is it possible to completely get rid of the problem and keep the person's full working capacity.

It often appears, if you forcibly turn your shin, and is typical for the inner meniscus. As a rule, when the horn of the meniscus ruptures, the knee joint is not blocked, but there may be a problem of the so-called "bending" of the joint, if the damaged horn of the meniscus has shifted.

This disease can occur as a result of the subsequent trauma, and in diseases that led to disturbances in the nutritional processes of the cartilaginous tissue. And then the cartilage began to deteriorate.

Rupture of the Meniscuscan only be cured by surgery. It is also often necessary to take medication, which is prescribed in inflammatory processes.

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It is necessary to limit the limb in movements, applying a bandage of elastic bandage, wear a knee pads. It is necessary to eliminate the irritating factor.

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Sometimes such measures can avoid surgery, eliminate pain in the leg in the knee and calf area.

Inflammation of tendons

In this area of ​​the bodycontains a lot of tendons. A sign that not everything is OK with them, may be a decrease in tone.

To eliminate this unpleasant phenomenon requires a qualified specialist and the correct course of treatment.

There are several reasons that lead to violations in soft tissues near the knee joint:

  • one of the main reasons is strong physical activity, which is accompanied by the same movements for a sufficiently long period of time, a long stay in one position;
  • even minor injuries can lead to problems with soft tissues near of the knee, which leads to the appearance of inflammatory processes that can cause serious complications and discomfort;
  • bursitis;
  • tendonitis;
  • Tendovaginitis.

The last three diseases develop afterwards injuries and physical exertion, if not take the necessary measures.

In the posterior part of the knee joint, inflammatory processes can develop in the area of ​​the soft tissue - bursitis.

With this disease the tendons become more compacted - this can be palpated.

The difference from Baker's cyst lies in the fact that when pressing the compaction and the tumor do not become smaller in size, because they are not associated with the capsule of the knee joints.

Bursitis and tendovaginitis are manifested not only in the tendons of the tendons, but also in the appearance of pains at the back of the knee joint.

At risk are people of all ages and both sexes.

Most patients claim that before the onset of pain they had heavy physical activity. And only then there were already drawing pains.

To successfully cure diseases, you need to provide complete rest to the joint. You need to bend and unbend your leg as little as possible.

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If the pain becomes severe and you can not keep the leg in rest, you must wear a knee, and a gypsum lingeta can be applied. In parallel, drug treatment is carried out with the use of drugs from inflammation.

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This treatment is very similar to the course of any disease associated with joint diseases. To improve the effect appoint procedures.

Whatever it was, but the disease is serious enough, requiring close attention. Otherwise, irreversible processes, complications, which will have a negative effect on the entire musculoskeletal system, can begin.

Diseases caused by inflammatory processes

There are even diseases that can cause an abscess. Such diseases are usually associated with inflammation in the body.

if you have a pain in the back under the knee, and there is an infected wound on your leg, an inflammatory process in the knee region can begin with a lymphatic flow.

Lymph nodes are hidden deeply, to establish an increase in their size by the method of palpation is very difficult, visually there is a small puffiness, if it is pressed -the pain is greatly amplified.

This pathology does not have a pronounced symptomatology, which is characteristic for inflammatory processes in the human body. Lymph nodes are deep, so determining their increase is very difficult. There is a small puffiness under the knee.

If you press on it with the unbent joint, the pain becomes very strong. This is the main symptom, which indicates the presence of this disease.

Vascular and Nervous Diseases

There are several diseases that cause a violation of the functionality of the vessels and nerves, which subsequently causes pain under the knee from behind.

  1. On the tibial nerve, the formation of a tumor is possible, which leads to severe pain in the area under the knee and behind. Pain sensations can be felt up to the feet. In addition, the changes in the tone of muscles and tendons are characteristic. The problem should be treated with all seriousness, the most effective is a comprehensive treatment. There are folk remedies, but they may not have a positive effect. To treat it is necessary only by an operation intervention, and then to go through the process of rehabilitation with the help of medicines and procedures. Before the operation, prescribe pain medication to reduce suffering. Official science can not give an answer as to why this disease occurs.
  2. To create huge troubles can the diseases connected with blood vessels which pass through this area of ​​an organism of the person. As a rule, when there is a vascular disease, there is no severe pain, but with the slightest trauma there may be a heavy bleeding. One of the most common problems is the stratification of the artery. It can be installed only with the use of modern diagnostic equipment and some symptoms.
  3. Occasionally, thrombi may develop in the popliteal vein. but when they appear, a serious illness can occur-thrombosis of the popliteal vein. The danger lies also in the fact that the symptoms of the disease are practically absent and appear only when complications have begun. If the diagnosis is incorrect, the sciatic nerve can be diagnosed.

In order to determine exactly what kind of disease we are dealing with, it is required to perform ultrasound of vessels and some other diagnostic measures.

Diagnosis should be carried out not only when there is a feeling of pain or discomfort, but alsofor the prevention.

Thrombosis, depending on the nature and stage of the disease, can be treated with medication or by surgery.

Independently to treat diseases that cause pain under the knee from behind can not.This should be handled by specialists.

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conclusions

Virtually every disease that causes a feeling of pain or discomfort behind the knee requires specialist intervention.

There are also folk methods of treatment, but not every method of traditional medicine can give the expected effect.

This is due to the fact that many diseases require surgical intervention, pain medications, anti-inflammatory drugs.

Before starting treatment, you need to contact an experienced specialist, and in some cases you need combine the efforts of several doctors at once, with the use of drugs and procedures for complex treatment.
Watch a video about an emendic massage that can help in many casesHow to forget about joint and spinal pain?

  • Does pain limit your movements and full life?
  • Are you worried about discomfort, crunching and systematic pain?
  • Perhaps you have tried a bunch of medicines, creams and ointments?

A source: http://zdorovya-spine.ru/boli/v-nogah/pod-kolenom-szadi.html

Pain under the knee at the back, what can it be, causes pain in the leg under the knee

Complaints about pain in the knee area are quite common, both among the elderly, and in youth circles, middle-aged people. This is due to the heavy loads on the legs that we are exposed to at any age.

The circle of causes, which is associated with the appearance of painful sensations behind the knee, is wide, from simple fatigue to the development of serious diseases. Therefore, it is very important to establish what causes the pain, in order to take the necessary measures in time.

With such ailment, at least once in a lifetime, each of us

Causes of back pain under the knee

Painful sensations behind the knee can be caused by a variety of factors, among which:

  • fatigue from tension of the legs after increased loads;
  • lack of useful substances necessary for the normal functioning of the elements of the knee joint;
  • arthrosis;
  • cyst of the elements of the knee joints;
  • tendon disease;
  • purulent-inflammatory processes;
  • nerves and vascular diseases.

It should be noted that it is very difficult to pinpoint the cause of the pain behind the knee by routine examination and palpation due to the peculiarities of the popliteal fossa. Namely, because it is composed of many elements.

Thus, the bottom of the fossa is formed by the inner surface of the hip bone and the back side of the joint capsule, covered with ligaments and muscles.

On the contour of the top and bottom is located muscle tissue, shin and thigh tendons, and in the center of the popliteal fossa are blood vessels, nerves and lymph nodes.

Thus, it is extremely rare to understand with the help of one external examination which element of the above listed is damaged. Therefore, in order to establish an accurate diagnosis and determine the appropriate treatment complex, x-ray diagnosis or MRI is often prescribed.

In addition, there are diseases in which pain is given to the popliteal region, and it has nothing to do with the pathology of the knee or other parts of the leg. Such a picture can be observed with osteochondrosis or infringement of the lumbar spine.

More or less understand "where the legs grow" in pain under the knee from behind can be on the symptoms that the patient describes. After all, for each disease characterized by its symptomatic features, including the nature and localization of pain.

Constant heavy loads necessarily lead to pain in the knee

Osteoarthritis

Arthrosis is a disease of the joints, accompanied by destruction of cartilage and deformation of all joint elements.

At first the disease affects the synovial membrane and passes almost asymptomatically.

Then destructive processes comprehend the cartilage, the articular fissure considerably narrows. The patient feels an acute painful effect during movement, a crunch is evidently heard in the knee when flexing and flexing. Also, pain is often lost in caviar.

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At the third stage, the cartilage and the synovial membrane are completely destroyed. Often, at this stage, patients become disabled. To return a person to a full-fledged movement is possible only with the help of endoprosthetics.

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Osteoarthritis mainly affects both legs, right and left. If the disease affects one of them (right or left) - with the development of deformation begins to occur in the other.

Knee joint cyst

The diseases of this group, which are always accompanied by a popliteal pain syndrome, are:

  • Becker's cyst;
  • cyst of meniscus;
  • rupture of meniscuses.

Cyst Becker

Becker's cyst is formed in the popliteal fossa. The cause of its appearance is inflammation of the synovial membrane.

The synovial membrane covers the inner surface of the joint.

It serves to provide cartilage tissue with useful substances, metabolism in the articular elements, and also acts as a shock absorber of the joint.

The shell produces a fluid that serves as a natural joint lubricant.

With inflammation of the membrane, the liquid is produced in increased amounts. It gradually accumulates in the region of the posterior wall of the capsule of the joint and begins to press against the membrane.

As a result, there is a pain in the popliteal region from behind. In addition, in this area, one can visually see a tumor-like formation.

The best cyst is seen with an unbent leg.

Meniscus cyst

It pulls behind the knee when walking or flexing the legs - this symptom is typical for such a disease as the cyst of the meniscus.

The meniscus cyst is a collection of fluid in the back of the meniscus. It is not possible to visually detect such an education. Therefore, to determine the source of unpleasant sensations, x-ray diagnostics is prescribed.

Rupture of the Meniscus

A meniscus rupture is accompanied by pain behind the popliteal region. After some time, acute pain subsides, but there is a feeling that something is pulling at the back of the knee. At the same time, there is a feeling that the knees are bent.

Non-steroidal anti-inflammatory drugs are used to relieve pain and inflammation.

The cyst resembles a formation resembling a tumor or a hernia

Disease of the tendons

Pain sensations in the popliteal region can be associated with disease of tendons, tendinous bags and ligaments.

The tissues in the popliteal fossa are soft and very prone to injury after heavy loads, bruises.

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Inflammation of the tendons (this disease is also called bursitis) and ligaments is accompanied by acute pain.

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The rupture of ligaments is accompanied by sharp painful sensations, which eventually acquire the character of aching

A purulent-inflammatory process

A purulent-inflammatory process can appear as a result of infection of the popliteal wound. The untimely adoption of the necessary measures threatens an abscess of the popliteal fossa, which is accompanied by a very sharp pain.

Nervous-vascular diseases

Nerve-vascular diseases that cause knee pain include the following.

Inflammation of the tibial nerve

The tibial nerve passes through the bottom of the popliteal fossa.

Its inflammation is accompanied by sharp painful sensations when walking and bending the knee, which in time can also give to the foot.

Sometimes swelling and redness of the knee area can be observed. It is treated with a surgical procedure.

Popliteal vein thrombosis

This disease occurs as a result of the formation of a thrombus in the lumen of the vein in the center of the popliteal fossa. It is accompanied by aching pain in the shin area or the back of the knee joint.

It should be noted that this symptom is often confused with symptoms of sciatic nerve congestion in osteochondrosis.

An anerism of the popliteal artery

This disease is characterized by sensations, as if something is pulling in the popliteal region. In addition, there are pulsating painful sensations. The disease is accompanied by a stratification of the walls of the artery, which begins to bulge outward.

If you have these symptoms, you should consult your doctor without delay! The development of the disease leads to extensive bleeding.

Inflammation and pinching of the nerves of the knee joints can give painful sensations to the left or right side of the waist.

Treatment

There are three methods of treatment:

  • medicamentous;
  • Physiotherapeutic, including gymnastics;
  • surgical intervention.

Our first desire with pain is to get rid of them as quickly as possible.

This will help non-steroidal anti-inflammatory drugs (NVP), as well as local-irritating ointments.

The most effective pain relievers include:

  • Voltaren;
  • Diclofenac;
  • Ibuprofen;
  • Indomethacin;
  • Ketoprofen;
  • Tenoxicam.

In addition, these drugs have pronounced anti-inflammatory properties.

Ketones are one of the powerful pain relievers, but it has a very low anti-inflammatory effect.

In diseases of cartilaginous tissue, chondroprotectors are prescribed in addition to the intake of CWP. They improve the metabolism in the cartilage and synovial membrane, ensure the inflow of useful substances to them, as a result of which the motor ability of the joint is significantly improved.

Very often there is a judgment that drugs with chondroprotectors are able to renew cartilaginous tissue, but today the majority specialists disprove this and believe that with the help of treatment it is possible only to stop the process of destruction, but this tissue does not subject.

The most effective physiotherapeutic methods are laser therapy and ultrasound therapy. They improve blood circulation and metabolism in articular tissues, block pain, destroy salt deposits.

Surgical operations are resorted to in the last stages of the disease or in cases where this is the only way to help the patient. Today, operations are mostly done by a little invasive method, using an arthroscope. It is painless and the least traumatic way of surgical intervention.

This is the procedure performed with the help of an arthroscope

A source: http://HodiZdorov.ru/koleno/bolet-pod-kolenom-szadi.html

Why does the popliteal region hurt?

If there is pain under the knee from behind, the causes can be covered in many diseases that occur in this department. These include diseases of the knee joint,periarticular tissues, vessels and nerves, purulent - inflammatory processes.

Causes of back pain

Let us examine in more detail which diseases cause pain at the back of the knee:

Baker's cyst in popliteal fossa

Baker's cyst in the popliteal fossa is a tumor-like formation that is considered benign.

Like many other diseases, such a neoplasm does not arise by itself, but is triggered by one of the following reasons: osteoarthritis, rheumatoid arthritis, joint trauma, inflammation of the synovium the joint.

The initial stage of the disease is not accompanied by obvious symptoms. So, there may be a slight pain in the knee when flexing and flexing in the joint.

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Over time, with palpation, you can find a small seal, which fumbles only when the knee joint is unbent.

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With the growth of the cyst contributes to the jamming of a number of located nerves, which is accompanied by tingling and numbness of the feet, pain, restriction of mobility.

Cyst Baker and pain in the knees from behind - a secondary manifestation of the disease of the knee joint. For this reason, it is necessary to conduct an extended diagnosis, which will show the real state of this area. So, spend ultrasound and MRI. Also use a puncture cyst to examine its contents.

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Pain under the knee at the back with flexion and knee pain when unbending can be eliminated by curing the underlying disease that causes such symptoms, that is, Baker's cyst.

In this case, prescribe the use of ointments and medicines that relieve pain. If conservative treatment is not effective, appoint puncture and surgery.

Puncture is a method of treatment, which consists in pumping out the fluid that is contained in the cyst, after which hormonal drugs are added to the appeared area, which contribute to the prevention of inflammation. The only drawback of puncture can be called a high risk of re-accumulation of fluid and development of the cyst, which again will require a procedure.

The most effective method of cyst treatment is surgery, during which the cyst is removed completely.

An anerism of the popliteal artery

Such a disease occurs most often with arterial trauma. For example, an aneurysm of the artery happens with an unsuccessful puncture, bruise, fracture and as a complication after the transferred infectious disease. To this disease most predisposed athletes and builders.

If untimely start treatment of the disease, you can cause the development of gangrene, which is a consequence of insufficient blood supply to the damaged department.

Complications include internal bleeding and hemorrhagic shock, which occur when injecting therapy is incorrect. Thrombosis is no less a rare complication of the disease, which can be eliminated in a conservative way.

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If the disease occurs at the first stage, conservative treatment will help, during which a compression bandage is applied and the fluid is pumped out regularly by puncture.

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In modern medicine, cardinal treatment is offered, namely, minimally invasive surgical intervention.

During the procedure, the doctor makes a cut in the lesion area, in which he inserts the instruments and installs the stent.

There is another method of operation - open, during which dissect soft tissues, sew or replace the damaged portion of the vessel.

Popliteal vein thrombosis

The next cause of pain in the knees, or rather, behind them, is a popliteal vein thrombosis. This disease occurs when a blood clot forms in the vessel.

When a tubercle in the popliteal fossa appears in the center of the center. Such a clot blocks the vessel completely or partially, preventing the movement of blood.

As a result - the slow circulation of blood, the expansion of the vessel due to stagnation of blood, thinning of the walls of the vessel, deformation.

The causes of such an ailment can be called:

  • age over 40 years;
  • thrombosis - complication after surgery, as a result of soft tissue damage, prolonged lying, prolonged exposure to anesthesia and impaired microcirculation;
  • injuries involving soft tissues;
  • presence of varicose veins;
  • available malignant tumors in this department and other neoplasms;
  • period of pregnancy and childbirth, as a consequence of hormonal changes in the body;
  • contraceptives that have been taken for a long time;
  • squeezing the lower extremities with narrow clothing, especially with elastic bands, which leads to a slowing of blood flow and the development of venous diseases;
  • an available autoimmune disease;
  • viral, infectious disease that occurs in the body;
  • and the last reason why the back of the knee may hurt is smoking and alcohol.

Thrombosis of the popliteal vein has classic symptoms. For this reason, doctors sometimes can not decide on the final diagnosis at the first stage of development of such a disease.

What will be the symptoms depends on what is the location of the occlusion of the vessel, and also what is the depth of the lesion.

Common symptoms are: aching pain under the knee at the site of the lesion, swelling, redness of the skin, fatigue of the feet, increased local temperature.

As a rule, the treatment of the disease is carried out in a hospital.

In some cases, surgery is necessary, especially if there is a risk of clotting of the blood clot from the vein wall and its movement into the pulmonary artery.

In the absence of this risk, conservative treatment is carried out, which consists in observing the bed and drinking regimens.

Complete cure of the disease occurs only after surgery in the affected area. So, an endovascular balloon thromboextraction is performed, during which a thrombus is removed, thus normalizing the blood flow.

Conservative treatment consists of taking medications, namely, anticoagulants, which help to suppress the process of blood coagulation, pain medications, thrombolytic agents, phlebotonics.

Rupture of the Meniscus

Sharp pain under the knee may indicate the separation of the horn of the back of the meniscus. The most common is the inner (medial) meniscus, which is caused by the violent rotation of the shin. Very rarely, with such a trauma, the knee joint is blocked.

In some cases, it can cause not only injury, but also a disease, which is accompanied by a disturbance in the supply of cartilage and its destruction. In addition to the inner meniscus, the outer, that is, the lateral, can be injured. The latter occupies the outer side of the knee joint.

With detachment of both the medial and lateral meniscus, the following symptoms occur:

  1. Pain syndrome is the most common sign of trauma. Despite the similar signs of pain with the manifestation of a different pathology in this department, there are still differences. So, the pain at a separation of a meniscus amplifies at a flexion and sharp extension of a limb. If there is an incomplete detachment of the meniscus, the pain may be aching, and if there is a complete separation, acute pain is observed.
  2. Limited mobility and crunch when driving. Immediately after getting injured, the person notices that the limb in the knee joint can not straighten or bend, or can, but with great difficulty and pain. In the event that a distinct crunch is heard, this indicates the separation of the fragment of the cartilage and its jam between the joints.
  3. Puffiness. This symptom can occur either immediately after the injury, if there was a joint damage to the vessels, or within 12 hours after it.

In the event that untimely start treatment of the injury, you can come to its chronic course, and the cartilage surface of the cartilage will degrade and arthrosis of the joint develop. That is why it is recommended to see a doctor right after receiving an injury, which will prescribe conservative or surgical treatment.

Conservative treatment is indicated if there is a pinching of the meniscus or tearing. So, the doctor puts the joint in place, using the manual method or the hardware one.

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After such a procedure, you need an anti-inflammatory drug to prevent swelling.

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During the rehabilitation period it is recommended to attend physiotherapy, massage and gymnastics classes.

A complete rupture of the meniscus requires urgent surgery. This is necessary to preserve the body and restore its functioning.

Pepper plaster in the treatment of pain

Pepper sticking plaster is an excellent tool for eliminating pain of various etiologies. Such a remedy has a local irritant and analgesic effect. But the band-aid has its own contraindications.

So, it is forbidden to use it with existing skin diseases in the affected area, with intolerance of the components of such a remedy.

During pregnancy, you can use pepper plaster, but if there is no risk of miscarriage.

Use pepper bandage should be correct. The surface to which the patch should be applied must be dry and clean.

The duration of the presence of such a drug on the skin is not limited. Based on the type of patch, it can be sustained either until the pain is completely eliminated, or before burning occurs.

Use a pepper bandage recommended by a course of 7 days.

But nevertheless any kind of treatment should make a reservation with the attending physician in order to avoid the development of negative consequences.

A source: http://drpozvonkov.ru/pozvonochnik/drugie-bolezni/pochemu-bolit-podkolennaya-oblast.html

Why does it hurt under the knee? Pain under the knee from behind

Image from lori.ru

Knee joints in the human body are an integral part of the musculoskeletal system. Daily stress, superficial location and concomitant diseases often lead to unpleasant sensations in the area under the knee, often turning into pain.

The most common causes, when the knee is hurted behind and the joints are broken, are arthritis and arthritis. Often, pain is localized exclusively in the popliteal fossa. Such a manifestation is not specific, and there may be many reasons for this.

The knee region behind, the so-called popliteal fossa, is rather complicated. From higher and lower structures it is delimited by the muscles and tendon ends of the muscles of the lower leg and thigh.

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The bottom of the pit, located under the knee, is filled with subcutaneous fat and is formed by the femur. Inside the nerve, artery and vein, as well as the lymph nodes are located.

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Outside, the joint is securely secured by extraarticular ligaments.

Diagnostic measures aimed at identifying the causes of pain under the knee are not limited to a typical collection of complaints, examination and palpation.

Of great importance are magnetic resonance imaging, which allows you to see all the soft structures of the knee, computed tomography and ultrasound.

Types of pain

Pain under the knee can be of different nature and intensity. Aching pain more often accompanies inflammatory diseases.

Acute pain is typical for injuries: fractures of bones, muscle tears or tendons, meniscus injuries.

When examining it is worth paying attention to the appearance of the joint and popliteal fossa - there may be swelling, redness and a local increase in temperature.

Causes of pain under the knee

Often the popliteal fossa is worried due to physiological causes.

A long walking tour, cycling, intensive training will bring discomfort the next day.

The peculiarity of these pains from the back of the knee is the defeat of both extremities and a quick positive reaction to the local application of anesthetizing and warming ointments.

Pathological changes accompanied by pain necessarily require the intervention of medical personnel for diagnosis and treatment.

Pain under the knee with joint pathology

Baker's cyst

It is a benign formation, it is found more often in the female, characterized by recurrence.

It never transforms into a malignant tumor. cysts are jelly-like, on the outside it is covered with a connective tissue.

It is localized in the popliteal region.

Visually rounded formation is clearly visible through the unchanged surface of the skin from behind. The palpation surface of the cyst is smooth, supple. Dimensions can reach up to 3-5 cm in diameter. Pain sensations under the knee are not always present, only under pressure on nerve fibers.

The surgical method of treatment does not always solve the pain problem radically: after a while, the appearance of a cyst may again be possible. Often used medicamentous and physiotherapy method, in addition, elastic bandaging is recommended in order to reduce pain under the knee.

Cyst in the knee of the meniscus

This cyst with liquid contents is anatomically located in the thickness of the meniscus tissue.

The cause of the appearance is the increased force load on the joint, so this disease is most often affected by active young people, professional athletes.

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Pain occurs on the lateral surfaces and from the back of the knee when moving, at rest they pass.

Treatment of meniscus cysts is only surgical - removal of formations.

In the absence of timely begun medical measures, there is a danger of forming a secondary arthrosis of the knee joints.

Injuries of the knee meniscus

With the localization of pain in the popliteal region after trauma, it is worthwhile thinking about breaking the meniscus. Injuries to the posterior part of the medial or lateral meniscus of the knee joint may occur in the case of dystrophic and degenerative diseases.

Treatment of such a pathology is surgical. Elastic bandaging, wearing a patella and the use of anti-inflammatory drugs in a number of cases can reduce pain and significantly improve the patient's quality of life before surgery.

Pain in the case of soft tissue disease surrounding the joint

In the region of the knee joint, bloodstream can be filled with bacterial agents from inflammation sites located in other organs and tissues.

An infectious focus that affects the joint of the joint is formed - bursitis or a tendon - tendonitis.

Inflammation can also be aseptic if there is no pathogen.

In such situations, the popliteal fossa acquires a reddish tinge, swells and there is a rise in temperature above the site of inflammation.

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Sometimes the general condition of a person also worsens: there is malaise, weakness and fever.

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The pain behind the knee is present or increases during movement, at rest becomes noticeably smaller or disappears. Movement in the joint becomes difficult.

Therapeutic tactics for inflammation of the joint and tendons include complete rest of the affected limb with the help of fixing orthoses, the appointment of anti-inflammatory therapy and antibacterial agents.

Immediately when it hurts under the knee from the rear, you can use both ointments and gels, and tablet forms of drugs. Very important is the rehabilitation period.

It is necessary to return the joint mobility after a long rest - individual or group exercises in physiotherapy and physiotherapy are prescribed.

The forecast is favorable.

Possible inflammatory processes in the lymph nodes. The main sign of the disease is edema of the lower limb and redness.

The pain is pulling and aching.

Inflammation of the lymph nodes rapidly progresses, requires systemic administration of antibiotics, and in the case of ineffective surgical treatment.

Pain with vascular disease

Changes in the veins and arteries that lie in the popliteal fossa can also provoke a situation when the knee is hurting from behind.

Varicose veins of the lower limb

One of the most common diseases in people of any gender and age.

The reason is the failure of the valves of the veins that prevent the reverse flow of blood. With the defeat of superficial veins, diagnosis is not difficult - visually one can observe enlarged veins in the region of the shin and popliteal fossa.

To get sick under the knee begins in the afternoon and stops only after ensuring complete rest and giving the elevated limb position, when the venous system is somewhat unloaded and decreases edema. The defeat of the veins lying in the depth of the limb is not so obvious, but accompanied by similar symptoms.

Therapeutic treatment gives a positive result only at the initial stages of the disease, but does not completely cure. Surgical treatment can save a visual defect, which, however, soon reappears with soreness under the knee.

Popliteal vein thrombosis

A rare complication of varicose veins of the lower extremities. It can be a consequence of inflammation of the veins or increased coagulability of the blood. Pain in thrombosis is acute, intense.

In a short time, the surface of the shin becomes dark-cherry, swells, increasing in size up to two times. The urgent help of experts is required.

If delayed, there is a high risk of developing gangrene with subsequent amputation of the limb.

Embolism of the popliteal artery

Quite a frequent complication of cardiovascular diseases. It is accompanied by soreness under the knee of high intensity.

The limb becomes cold to the touch, on the foot it is impossible to feel the pulse.

Urgent hospitalization is required for surgical intervention to avoid gangrenous injury of the lower limb.

An anerism of the popliteal artery

The protrusion and thinning of the artery wall results in the drawing of pain in the region behind the knee, where the pulsating formation is palpable. Treatment is urgent, exclusively surgical in order to avoid massive blood loss.

Pain in damage to nerve fibers

Trauma, swelling, or inflammation of the nerve, lying in the depth of the popliteal fossa, can cause pain under the knee.

In addition, the skin sensitivity of the entire lower limb is reduced or only on the foot, the tendon reflexes disappear. It hurts not a specific place, but a leg all over.

Treatment is extremely time-consuming with the subsequent administration of pain medications.

Prevention

In order not to experience pain and avoid violations in the knee joint, several simple rules must be followed:

  1. During the work associated with a long stay in the same position, it is recommended to take breaks for a small workout.
  2. With regular exercise, you must include in the diet products that strengthen the ligament apparatus of the body.
  3. Do not have to make sudden changes in weight: both sudden increase and decrease lead to harmful effects on the musculoskeletal system.
  4. In the cold season you should not overcool the knee joints.
  5. Simple, but regular gymnastics can solve a lot of problems.

Conclusion

There are many reasons for pain behind the knee, diagnostic procedures and differential diagnosis are required. The decision on the choice of treatment tactics is determined individually by the attending physician.

A source: http://dr20.ru/health/bolit-pod-kolenom/

Pain under the knee from behind

Most often, patients complain of pain in the knee, but not uncommon and complaints of pain under the knee from behind. Such pains cause considerable discomfort and can seriously limit mobility.

Causes of pain under the knee in the back

Determining the cause of popliteal pains is difficult, because they can be caused by damage to ligaments, tendons, nerve endings, lymph nodes, or cartilage of the knee.

Consider the most common causes that can cause pain under the knee from behind.

Baker's cyst

Such a diagnosis can be made if the patient has severe pain under the knee from behind, accompanied by swelling and palpable palpation of the tumor-like seal under the knee.

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The joint of the person from the inside is covered with a special synovial membrane, which produces a synovial fluid - a natural lubricant of the joint.

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In the case of a protracted inflammatory process, fluid production increases, it accumulates in the inter-sucking bag, resulting in a seal called Becker's cyst.

At first the patient feels only slight discomfort, which, with the development of the disease, turns into a constant aching pain under the knee from behind.

Menstruation cyst

Unlike Baker's cyst, the meniscus cyst can not be detected by palpation, but requires special examinations. Pain syndrome is particularly pronounced when walking or bending the leg.

Rupture of the Meniscus

It is usually diagnosed when the occurrence of pain under the knee at the back has been associated with sudden movement or trauma, but in some cases may be the result of arthrosis. It often requires surgical treatment.

Diseases of the tendons

Drawing pains under the knee from behind are often the result of inflammatory bursitis and tendinitis. The onset of symptoms is usually preceded by prolonged physical activity.

Injury of ligaments

A fairly frequent phenomenon in sports. The most common is stretching, but more serious injuries are possible. Sprains, usually accompanied by acute pain under the knee from behind with any movement, as well as when pressing on the damaged area.

Popliteal abscess

It occurs as a result of infection through the wound, inflammation and an increase in the size of popliteal lymph nodes.

Inflammation of the tibial nerve

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A large nerve that passes through the bottom of the popliteal fossa and can become inflamed for a variety of reasons. In this case, sharp and intense pains under the knee from behind occur when walking, bending the leg, any other load, spreading along the leg up to the foot.

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An anerism of the popliteal artery

Quite rare disease, in which there is a constant pulling and throbbing pain. Under the knee, a small pulsating seal can be probed.

Diseases of the spine

Pain caused by pinching or inflammation of the nerves of the lumbosacral spine and giving to the legs.

Treatment of pain under the knee from behind

Since the causes of the pain can be different, then the treatment is largely different:

  1. Regardless of the cause, it is recommended to reduce the motor load and provide the patient with a gentle sparing regimen.
  2. In most cases, especially with inflammation and trauma, special orthopedic pads or fixative bandages are used.
  3. When stretching, external anti-inflammatory ointments and creams are used.
  4. In the case of Becker's cyst, as well as inflammatory diseases, injections of non-steroidal anti-inflammatory drugs and glucocorticosteroids are usually used.
  5. If necessary, surgical intervention is performed. So, surgery is often necessary for injuries and tears of meniscus. Surgical opening of the popliteal abscess and treatment of nerve inflammation. The surgical intervention with an aneurysm is also mandatory.
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A source: http://WomanAdvice.ru/bol-pod-kolenom-szadi

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