Front Knee Pain: Causes, Symptoms & Treatment (2022)

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

Front Knee Pain: Causes, Symptoms & Treatment (1)

Front knee pain, aka anterior knee pain, is extremely common. In fact it is the most common reason people consult a knee specialist.

There may be a general ache at the front of the knee, a specific sharp pain that you suffer from, swelling or a feeling of instability.

It may limit your day to day activities, stop you participating in sports or even affect your sleep.

Common Causes of Front Knee Pain

The most common causes of front knee pain are:

  • Runners Knee: a problem with how the kneecap moves
  • Bursitis: inflammation of an anti-friction bag
  • Osgood Schlatters: bone irritation linked with growth spurts
  • Tendonitis: in the quadriceps or patella tendon
  • Cartilage Damage: kneecap or knee joint cartilage
  • Plica Syndrome: inflammation of the knee lining
  • Knee Arthritis: wear and tear

We will start by looking at the most common causes of anterior knee pain and then go on to look at some of the more rare ones.

1. Runners Knee

CLASSIC SYMPTOMS: General ache around the front of the knee and patella pain, grinding sensation with knee movement, mild swelling. Gets worse with repetitive activities e.g. running or jumping, stairs and prolonged inactivity.

What Is It:Runners Knee is the most common cause of front knee pain caused by a problem with how the kneecap moves up and down in the trochlear groove. It doesn't only affect runners, it is just as common in office workers too!

Onset: Builds up gradually over time. No specific injury

AKA: Patellofemoral Pain Syndrome/Anterior Knee Pain

Treatment: Exercises, brace, orthotics, occasionally surgery.

Find Out More: Visit the Runners Kneesection for causes, symptoms, diagnosis & treatment

2. Chondromalacia Patella

CLASSIC SYMPTOMS:Achy pain in front of knee, swelling, clicking sounds and grinding sensation with knee movement. Worse when you first stand up, play sports, come downstairs and applypressure through the kneecap. Typically affects young, healthy people.

What Is It: Damage to the cartilage on the back of the kneecap

(Video) Knee Pain , common causes- Everything You Need To Know - Dr. Nabil Ebraheim

Onset:Gradual onset. More common in women.

Treatment: Exercises, knee straps, orthotics, gel pads, occasionally surgery.

Find Out More: Visit the Chondromalacia Patellasection for in-depth information

3. Knee Bursitis

CLASSIC SYMPTOMS:Pain, redness and swelling at the front of the knee - like a squashy orange. Symptoms aggravated by kneeling, walking and bending the knee

What Is It: Inflammation of the one of the bursa (fluid filled sac) at the front of the knee

Onset: Gradual onset in people who spend a lot of time kneeling e.g. carpet layers, plumbers, housewives, gardeners. Occasionally develops after a blow to the front of the knee

Treatment: PRICE, stretches, gel pads, injections, occasionally surgery

Find Out More: Visit theKnee Bursitissection for causes, symptoms and treatment options

4. Osgood Schlatters

CLASSIC SYMPTOMS:Tender, bony lump just below the kneecap, causing front knee pain. Typically affects adolescents. Worse with sports activities such as kicking, jumping and running.

What Is It: Irritation of the bone just below the kneecap. It is the most common cause of front knee pain in teenagers

Onset: Most common in boys aged 9-16. Often follows a growth spurt

Treatment: PRICE, knee straps, exercises, plaster cast, gel pads.

Find Out More: Visit theOsgood Schlatterssection to find out about the causes, symptoms and best treatment options

5. Patellar Tendonitis (Jumpers Knee)

CLASSIC SYMPTOMS:Front knee pain just below the patella, aching and stiffness after activity, thickening of the patella tendon. Worse with repetitive activities such as jumping and kicking

What Is It: Damage to the patellar tendon just below the kneecap

Onset: Gradual onset. Usually gets progressively worse

Treatment: Rest, ice, knee straps, exercises, surgery.

(Video) Knee Pain - Everything You Need To Know - Dr. Nabil Ebraheim

Find Out More: Visit the Patellar Tendonitis section for causes, symptoms and treatment options

6. Cartilage/Meniscus Tear

CLASSIC SYMPTOMS:Knee swelling,locking(where the knee gets stuck), instability, difficulty straightening the knee, catching pain with knee movements. Worse when weight-bearing e.g. walking and running, on stairs and when squatting.

What Is It: Tear in the cartilage lining the joint

Onset: Can occur suddenly with a force through or sudden twisting of the knee, or gradually through wear and tear

Treatment: PRICE, exercises, brace, tubigrip, sometimes requires surgery. Can take a long time to heal

Find Out More: Visit theMeniscus Tear for in-depth information on causes and treatment

7. Knee Arthritis

CLASSIC SYMPTOMS:Morning stiffness in the knee, generalised swelling, clicking/grinding noises and sensations, knee stiffness with loss of end range movements. Symptoms tend to be worse after rest which gradually improve with gentle movement, in cold weather and after activities. Most common cause of front knee pain in the over 50's.

What Is It: Changes in the bone caused by wear and tear, known as osteoarthritis or inflammation, known as rheumatoid arthritis

Onset: Symptoms gradually come on over time and may fluctuate

Treatment: Exercises, brace, acupuncture, walking aids, injections, surgery.

Find Out More: TheKnee Arthritissection covers everything you need to know including the causes, symptoms, stages of arthritis and best treatment options

8. Plica Syndrome

CLASSIC SYMPTOMS: Dull, achy front knee pain, worse after activity or knee flexion, knee instability, locking, clicking and stiffness

Front Knee Pain: Causes, Symptoms & Treatment (6)

What is it:Inflammation of the synvoial membrane folds lining the knee joint

Onset:Dashboard injury, fall onto knee, repetitive knee bending or kicking, sudden increase in activities

Treatment:Rest, exercises, injections, physical therapy, surgery

Find Out More:Visit the Plica Syndrome section to find out more about the causes and treatment options available

Rarer Causes of Anterior Knee Pain

1. Quadriceps Tendonitis

CLASSIC SYMPTOMS:Front kneepainjust above the patella that gets worse with activity, weakness, stiffness, knee swelling.

What Is It:Small tears in the quadriceps tendon above the knee resulting in inflammation and degeneration

Onset:Tends to come on gradually over time, affecting people who do lots of jumping and sprinting activities

Treatment:Rest, ice, strengthening & stretching exercises, knee straps, physical therapy and sometimes surgery

(Video) घुटने में दर्द का सबसे मुख्य कारण || Anterior Knee Pain - Causes, Symptoms & Treatment ||

Find Out More:Learn more about the causes, symptoms and treatment in the Quadriceps Tendonitis section

2. Knee Sprain

CLASSIC SYMPTOMS:Instability - knee gives way, knee swelling, bruising at time of injury, generalised pain andstiffnessi.e. reduced knee movement.

What Is It: Overstretching or tearing one of the ligaments in the knee. There are three grades of sprain depending on the severity of the injury

Aggravating Activities: Depends on the severity but likely to be any weight-bearing activity

Onset: Sudden twisting movements or a force through the knee

Treatment: PRICE, exercises, braces.

Find Out More: Visit theKnee Sprainsection for in-depth info on all types of knee sprains

3. Quadriceps Strain

CLASSIC SYMPTOMS: Anterior thigh pain, swelling and bruising, limited function e.g. stairs and getting in and out of a chair

What Is It:Overstretching or tearing one of the four quadriceps muscles

Aggravating Activities:Running, jumping, kicking, stairs, getting in and out of a chair

Onset:Thigh pain and swelling following forceful knee extension

Treatment:PRICE, exercises, physical therapy and occasionally surgery

Find Out More:Visit the Pulled Quad section for in-depth info on quadricep strains

4. Patella Alta

CLASSIC SYMPTOMS: Front knee pain, instability, recurrent knee dislocation, positive camel back and grasshopper eyes sign

Front Knee Pain: Causes, Symptoms & Treatment (8)

What Is It: High riding patella where the kneecap sits too high on the thigh bone and therefore lacks structural support

Aggravating Activities: Walking, running, squatting, prolonged sitting, stairs

Onset: Typically a congenital defect but can develop after a knee injury e.g. patellar tendon rupture

Treatment: PRICE, exercises, taping, braces, surgery.

Find Out More: Visit the Patella Alta section for in-depth info on the causes, diagnosis and treatment options for high riding patella

(Video) What causes pain at the front of the knee?

5. Osteochondritis Dissecans

CLASSIC SYMPTOMS:Occasional sharp pain with general background ache,clunking sensation with leg movements,locking, weakness, decreased leg movement and swelling. Worse with sports, twisting of the knee and on stairs. Typically affects teenagers.

What is it: Decreased blood supply to the bone causes fragments of bone and cartilage to detach

Onset: Occurs at any age but most prevalent 10-20 year olds. Three times more common in men. Fairly rare cause of front knee pain

Treatment: Rest, exercises, brace, surgery.

Find Out More: Visit theOsteochondritis Dissecanssection for more information

6. Patella Injuries

CLASSIC SYMPTOMS:Usually caused by a fairly major injury resulting in severe pain, knee swelling, restricted movement. Knee may appear deformed.All knee movements will be painful and restricted.

What is it: Damage to the kneecap such as a dislocation (where it shifts out of place) or a fracture

Onset: Sudden onset from a fall, awkward twisting or RTA. It takes a great deal of force to dislocate or break the patella

Treatment: Rest, knee brace, exercises, taping and in some cases surgery.

Find Out More: About both types of injury in the kneecap injuries section

Find Out More About Front Knee Pain

Front knee pain is extremely common, but is usually fairly simple to overcome.If you would like some help working out what is causing your problem and what you can do about it, visit the knee pain diagnosissection. Remember, the best way to accurately diagnose your front knee pain is to see your doctor.

Find out more about the most common causes of front knee pain, including in-depth information on the causes, symptoms and treatment options by clicking on the links above.

Page Last Updated: 10/06/21
Next Review Due: 10/06/23

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FAQs

What causes knee pain at the front? ›

Anterior knee pain begins when the kneecap does not move properly and rubs against the lower part of the thigh bone. This may occur because: The kneecap is in an abnormal position (also called poor alignment of the patellofemoral joint). There is tightness or weakness of the muscles on the front and back of your thigh.

How do you relieve frontal knee pain? ›

Treatment. Resting the knee for a short period of time and taking nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, or aspirin may help relieve pain. Other things you can do to relieve anterior knee pain include: Change the way you exercise.

What is the fastest way to relieve knee pain? ›

Self-care measures for an injured knee include:
  1. Rest. Take a break from your normal activities to reduce repetitive strain on your knee, give the injury time to heal and help prevent further damage. ...
  2. Ice. Ice reduces both pain and inflammation. ...
  3. Heat. ...
  4. Compression. ...
  5. Elevation.
11 May 2021

What is the reason of knee pain without injury? ›

Typically, tendonitis is caused by straining your joint and your muscles, either through repetitive use, overuse or overloading. If you spend a day doing an activity you're not used to, like strenuous hiking or lots of bending and lifting, you can develop tendonitis.

Is walking good for knee pain? ›

Walking builds your muscles so they can take the pressure off your joints and handle more of the weight themselves. That means less pain for your knees.

How do I know if my knee pain is serious? ›

Make an appointment with your doctor if your knee pain was caused by a particularly forceful impact or if it's accompanied by:
  1. Significant swelling.
  2. Redness.
  3. Tenderness and warmth around the joint.
  4. Significant pain.
  5. Fever.

What exercises should I avoid with knee pain? ›

High-impact exercises can further injure painful knees. Avoid jarring exercises such as running, jumping, and kickboxing. Also avoid doing exercises such as lunges and deep squats that put a lot of stress on your knees. These can worsen pain and, if not done correctly, cause injury.

What is the most common cause of anterior knee pain? ›

Bending and overuse of the knee leads to high repetitive pressures between the kneecap and the femoral groove. The resulting overload, muscle fatigue and imbalances are the most common source of soreness and weakness around the knee.

What are the symptoms of nerve damage in the knee? ›

Symptoms
  • Sensation changes in the thigh, knee, or leg, such as decreased sensation, numbness, tingling, burning, or pain.
  • Weakness of the knee or leg, including difficulty going up and down stairs -- especially down, with a feeling of the knee giving way or buckling.
9 Nov 2021

What is a simple home remedy for knee pain? ›

Get off your feet and apply a cold compress or bag of ice to the knee. Frozen vegetables, such as peas, will also work if you have no ice handy. Wrap your knee with a compression bandage to prevent swelling, but not so tightly it cuts off circulation. While you're resting, keep your foot elevated.

What is the most effective treatment for knee arthritis? ›

Most effective: corticosteroid and hyaluronic acid injections.

Which tablet is best for knee joint pain? ›

Aspirin. Ibuprofen (Advil, Motrin, Nuprin) Naproxen (Aleve, Anaprox, Naprosyn)

What are the symptoms of cartilage damage in the knee? ›

Symptoms of cartilage damage
  • joint pain – this may continue even when resting and worsen when you put weight on the joint.
  • swelling – this may not develop for a few hours or days.
  • stiffness.
  • a clicking or grinding sensation.
  • the joint locking, catching, or giving way.

What are the five most common knee problems? ›

The varieties most likely to affect the knee include:
  • Osteoarthritis. Sometimes called degenerative arthritis, osteoarthritis is the most common type of arthritis. ...
  • Rheumatoid arthritis. ...
  • Gout. ...
  • Pseudogout. ...
  • Septic arthritis.
11 May 2021

Can knee pain get better on its own? ›

When to see a doctor. Knee pain will usually go away without further medical treatment, using only a few self-help measures.

What does osteoarthritis in the knee feel like? ›

Your knee feels stiff, particularly when you first get up or when you've been sitting for a long time. Your knee looks swollen or feels puffy. You hear a cracking or grinding noise when you move your knee. Your knee feels wobbly, as if it could buckle or “give out."

What are 3 exercises to strengthen your knee? ›

5 Exercises to Help Strengthen Your Knees
  • Exercise 1: Knee Extension.
  • Exercise 2: Knee Flexion (Standing)
  • Exercise 3: Heel and Calf Raises.
  • Exercise 4: Wall Squats.
  • Exercise 5: Swimming.
1 Jun 2022

Is walking good for damaged knee cartilage? ›

When the joints bear weight via any kind of weight-bearing exercise, the exercise can help rebuild the joint cartilage. Walking or weight-bearing also strengthens the bones that form the knee joint.

When should you not ignore knee pain? ›

Sudden, severe pain in the knee. Pain that persists while walking. The knee abruptly giving out, causing you to fall and feel unstable while walking. Swelling within 24 hours after the initial injury.

How long should knee pain last before seeing a doctor? ›

Generally, athletes should see a healthcare provider for pain lasting more than 48 hours and other adults should see an expert if there seems to be no change for three weeks. Generally, most healthcare providers recommend that you schedule an appointment as soon as you notice that your symptoms impact the way you live.

When should I see a physio for knee pain? ›

If your pain is not settling or is worsening over a period of 2-3 weeks, and is stopping you from doing your normal activities, then you should seek further advice from your GP/physiotherapist.

Is walking good for arthritis in the knee? ›

Walking is recommended for people with arthritis as it's low impact, helps to keep the joints flexible, helps bone health and reduces the risk of osteoporosis.

What is better for knee pain heat or cold? ›

Heat helps loosen tight muscles and joints and relieves pain and muscle spasms. If you have swelling, it's best to use ice for 24 hours, then switch to heat. If swelling isn't a problem, it's fine to use heat when you first notice knee pain.

How long does anterior knee pain last? ›

This is due to muscles working in an unaccustomed manner. These symptoms usually settle over a few weeks (over 12 weeks in some cases) and are not a sign that things are deteriorating.

What is in the front of your knee? ›

The patella is a small, triangle shaped bone that sits at the front of the knee, within the quadriceps muscle.

How is knee tendonitis diagnosed? ›

Diagnosis
  1. X-rays. X-rays help to exclude other bone problems that can cause knee pain.
  2. Ultrasound. This test uses sound waves to create an image of your knee, revealing tears in your patellar tendon.
  3. Magnetic resonance imaging (MRI).
22 Feb 2022

What are the first signs of nerve damage? ›

The signs of nerve damage
  • Numbness or tingling in the hands and feet.
  • Feeling like you're wearing a tight glove or sock.
  • Muscle weakness, especially in your arms or legs.
  • Regularly dropping objects that you're holding.
  • Sharp pains in your hands, arms, legs, or feet.
  • A buzzing sensation that feels like a mild electrical shock.

What nerve causes pain down front of leg? ›

The femoral nerve is for the front of the leg, while the sciatic nerve serves the back of the leg. The femoral nerve: Stimulates thigh and hip flexor muscles (the psoas major and iliacus muscles) to help you bend and straighten your legs and knees and bend at the hip.

What are the warning signs of neuropathy? ›

The Top 17 Peripheral Neuropathy Warning Signs and Symptoms
  • burning pain radiating in hands or feet.
  • pins and needles in the extremities.
  • numbness and tingling.
  • weakness in arms and legs.
  • a knotted feeling in the soles and palms.
  • pain from the lightest touches.
  • difficulty walking.
  • pain from the pressure of walking.
25 Jun 2022

What is the best natural painkiller for knee pain? ›

Ginger oil, ginger extract or raw ginger are all good for your knees. This common household herb is packed with a compound called gingerol, which is anti-inflammatory in nature. You can make ginger tea and drink it twice daily to get relief from knee pain.

What vitamins should I take for aching joints? ›

Several nutritional supplements have shown promise for relieving pain, stiffness and other arthritis symptoms. Glucosamine and chondroitin, omega-3 fatty acids, SAM-e and curcumin are just some of the natural products researchers have studied for osteoarthritis (OA) and rheumatoid arthritis (RA).

How do you get rid of inflammation in the knee naturally? ›

8 Home Remedies to Reduce Knee Swelling Quickly
  1. Rest.
  2. Ice.
  3. Compress.
  4. Elevate.
  5. Take an anti-inflammatory.
  6. Switch to heat.
  7. Try massage.
  8. Do knee exercises.

What are the 4 stages of osteoarthritis in the knee? ›

Stages of Osteoarthritis (OA) of the Knee
  • Stage 0 (Normal)
  • Stage 1 (Minor)
  • Stage 2 (Mild)
  • Stage 3 (Moderate)
  • Stage 4 (Severe)

What happens if osteoarthritis is not treated? ›

Osteoarthritis could lead to chondrolysis, which is a complete breakdown of the cartilage, leading to loose joint tissue material. Osteonecrosis, which is bone death, is another possible issue. Repeated stress or injury could cause stress fractures, which are hairline cracks in the bone near the affected joint.

What is the most effective treatment for osteoarthritis? ›

Nonsteroidal Anti-Inflammatory Drugs

NSAIDs are the most effective oral medicines for OA. They include ibuprofen (Motrin, Advil) naproxen (Aleve) and diclofenac (Voltaren, others). All work by blocking enzymes that cause pain and swelling.

Which is better for knee pain paracetamol or ibuprofen? ›

The drugs were equally safe. Conclusion: The IPSO study shows that for the treatment of osteoarthritic pain, ibuprofen 400 mg at a single and multiple dose (1200 mg/day) for 14 days is more effective than paracetamol, either as a single dose of 1000 mg or a multiple dose (3000 mg/day).

What are the six main treatments for arthritis? ›

Reactive Arthritis: 6 Treatments to Consider
  • Antibiotics.
  • NSAIDs.
  • Steroids.
  • DMARDs.
  • TNF blockers.
  • Physical therapy.
  • Call your doctor.

What helps arthritis in knee without surgery? ›

The most common conservative treatments include:
  • R.I.C.E. Rest, ice, compression, and elevation are the four basics applied to simple knee injuries. ...
  • Physical therapy or massage therapy. ...
  • Corticosteroid injections. ...
  • Hyaluronic acid injections. ...
  • PRP and stem cell injections. ...
  • Radiofrequency Ablation (RFA)

How do you stretch the front of your knee? ›

Place your hands behind your thigh, but below the knee, and gently pull your knee toward your chest until you feel a slight stretch. This shouldn't be painful. Hold for 30 seconds. Lower and change legs.

How long does patellar tendonitis take to heal? ›

Generally, with appropriate patellar tendonitis treatment, an injury can be resolved in about six weeks. However, full recovery can take weeks to months after physical therapy. Knee pain may subside in about three weeks, but a full recovery will be noticeable in six weeks.

What are the 4 stages of osteoarthritis in the knee? ›

Stages of Osteoarthritis (OA) of the Knee
  • Stage 0 (Normal)
  • Stage 1 (Minor)
  • Stage 2 (Mild)
  • Stage 3 (Moderate)
  • Stage 4 (Severe)

What is the most effective treatment for knee arthritis? ›

Most effective: corticosteroid and hyaluronic acid injections.

What does osteoarthritis feel like in the knee? ›

Your knee feels stiff, particularly when you first get up or when you've been sitting for a long time. Your knee looks swollen or feels puffy. You hear a cracking or grinding noise when you move your knee. Your knee feels wobbly, as if it could buckle or “give out."

Can knee pain be cured by exercise? ›

Exercise helps ease arthritis pain and stiffness

It increases strength and flexibility, reduces joint pain, and helps combat fatigue. Of course, when stiff and painful joints are already bogging you down, the thought of walking around the block or swimming a few laps might seem overwhelming.

What exercises should I avoid with knee pain? ›

High-impact exercises can further injure painful knees. Avoid jarring exercises such as running, jumping, and kickboxing. Also avoid doing exercises such as lunges and deep squats that put a lot of stress on your knees. These can worsen pain and, if not done correctly, cause injury.

What are 3 exercises to strengthen your knee? ›

5 Exercises to Help Strengthen Your Knees
  • Exercise 1: Knee Extension.
  • Exercise 2: Knee Flexion (Standing)
  • Exercise 3: Heel and Calf Raises.
  • Exercise 4: Wall Squats.
  • Exercise 5: Swimming.
1 Jun 2022

What does tendonitis in knee feel like? ›

Pain and tenderness around your patellar tendon. Swelling. Pain with jumping, running, or walking. Pain when bending or straightening your leg.

What is the fastest way to recover from patellar tendonitis? ›

Lifestyle and home remedies
  1. Pain relievers. Over-the-counter medications such as ibuprofen and naproxen sodium may provide short-term pain relief.
  2. Avoid activity that causes pain. You may need to practice your sport less often or temporarily switch to a lower impact sport. ...
  3. Ice. Apply ice after activity that causes pain.
22 Feb 2022

What is the fastest way to heal patellar tendonitis? ›

How is patellar tendonitis treated?
  1. Take it easy: Avoid the activities or movements that trigger your symptoms. ...
  2. Rest: Stay off your feet as much as you can. ...
  3. Apply ice: If you have swelling around your knee, placing an ice pack on the area for 15 minutes at a time, a few times a day, may reduce inflammation.
19 Apr 2021

What are 5 symptoms of a knee injury? ›

Symptoms
  • Swelling and stiffness.
  • Redness and warmth to the touch.
  • Weakness or instability.
  • Popping or crunching noises.
  • Inability to fully straighten the knee.
11 May 2021

What does damaged cartilage in the knee feel like? ›

Symptoms of cartilage damage

joint pain – this may continue even when resting and worsen when you put weight on the joint. swelling – this may not develop for a few hours or days. stiffness. a clicking or grinding sensation.

How do I know if I tore a ligament in my knee? ›

What Does a Knee Ligament Injury Feel Like?
  1. Pain, often sudden and severe.
  2. A loud pop or snap during the injury.
  3. Swelling within the first 24 hours after the injury.
  4. A feeling of looseness in the joint.
  5. Inability to put weight on the joint without pain, or any weight at all.
26 Nov 2020

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