Chronic Knee Pain

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Mechanical Symptoms
  • History of significant injury
    Valgus / varus stress or a twist
    Felt “pop”
    Rapidly developing effusion (? haemarthrosis)
  • Episodes of true locking (block to full extension)
  • Episodes of true giving way (associated with effusion)
Anterior Knee Pain
  • Common, female > male
  • Pain in the front or all over the knee
  • Often bilateral
  • Pain with stairs, hills, prolonged sitting, and start up pain
  • Pseudo-mechanical symptoms (regular, transient)
Primary Care
  • Physiotherapy
  • Intra-articular steroid
  • Weight reduction
  • Advice re. cushion-soled footwear
  • Simple analgesics / NSAIDs
Further information

Patient information can be accessed here

Editorial Information

Last reviewed: 30 June 2014

Next review: 30 June 2016

Author(s): Orthopaedic Consultant and Orthopaedic Referral Facilitator

Version: 1.1

Approved By: Due for review by High-UHB.therapeuticportal@nhs.net.

Reviewer Name(s): Mr S Kelly, Helen Robertson