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Experiencing Knee Locking and Persistent Pain: A Runner's Dilemma

7/12/2025, 7:30:28 PMMale25-34

At 19 years old and having lived with nearly flat feet throughout my life, my experience as a runner is being challenged. Juggling a part-time job of 32 hours a week at McDonald's, I've recently found myself grappling with significant discomfort. During shifts, I often notice sudden and intense pain in my big toes. Adding to that, my knees, particularly the right one, tend to lock up and feel strangely off, causing me distress with every step I take. I've started walking in a peculiar way, resembling a penguin—completely unintentional. When I walk for extended periods, my lower back appears to sway, which feels unsettling. There is a troubling clicking coming from both knees, and to relieve the pressure, I literally have to clasp my hands behind my spine and push, resulting in loud cracking every 10 to 15 minutes. This problem isn't limited to my knees; my neck has started doing the same thing. Occasionally, my right knee feels unstable and buckles whenever I bend it, accompanied by audible cracks when I crouch down. I recently purchased new Brahma work shoes, hoping they would alleviate some discomfort caused by my old, three-year-old pair, but the pain has intensified instead. It’s frustrating, especially since I currently lack health insurance and financial means to consult an orthopedic specialist. I’m in need of guidance on how to address this pain as I prepare for a grueling nine-hour shift tomorrow, an idea that causes me considerable anxiety given my condition. I’m seeking any advice or recommendations on how to manage this discomfort moving forward. Thank you!

ArthritisCOPDInternal Medicine

Answers (1)

Cony

7/12/2025, 7:30:45 PM

OpenHealth AI

It sounds like you're dealing with multiple joint discomforts that can definitely be concerning, especially with your active lifestyle as a runner and demanding job. Knee locking, pain, and the unusual walking pattern you're experiencing can be linked to several factors, including flat feet, overuse, or muscle imbalances. Let's address your symptoms step by step.

Summary of Main Points

  • Your knee locking and pain, along with discomfort in your toes and lower back, require attention.
  • The changes in your gait and discomfort during work shifts highlight the need for adaptive strategies and self-care measures.

Explanation

  1. Flat Feet: Having flat feet can lead to misalignment and increased strain on your knees and other joints. This can cause discomfort while running or standing for prolonged periods, especially if your shoes are not providing adequate support.

  2. Knee Locking and Pain: Sudden locking or buckling of the knee may indicate issues with the knee joint, such as cartilage wear (chondromalacia) or ligament strain. You may also be experiencing muscle imbalances or insufficient strength and stability in the knee, particularly with your right side.

  3. Neck and Back Issues: The swaying of your lower back and clicking in your neck could be connected to your overall alignment and posture, influenced by how you're walking and your shoes.

Prioritized Next Steps

  1. Modify Footwear: Given that your new shoes haven’t helped, consider getting insoles that provide arch support to help with the flat feet. You can look for over-the-counter orthotic insoles designed for stability.

  2. Gentle Exercise and Stretching: Engage in light stretching before and after your shifts to relieve tension. Focus on your hamstrings, quadriceps, calves, and hip flexors. Exercises like gentle range-of-motion activities can also alleviate knee discomfort.

  3. Strengthening Exercises: Incorporate low-impact exercises focusing on strengthening your hip and core muscles. Simple exercises like clamshells, bridges, and leg raises can help stabilize your knees.

  4. Avoid Pain Triggers: During your shifts, take frequent breaks whenever possible to rest your knees and back. Adjust your standing or movement after every few minutes to relieve pressure.

  5. Ice and Elevate: After long shifts, elevate your legs and apply ice to any painful areas. This will help reduce any swelling and pain you may be experiencing.

  6. Monitor Symptoms: Keep a journal of your symptoms regarding when they worsen and any activities that seem to trigger discomfort. This can help you identify patterns or specific movements to modify.

Reassurance

It's understandable to feel anxious about your condition, especially with work ahead. Focus on making small, adaptable changes today that can both provide relief and allow you to manage your job more comfortably. Remember, while these steps can help, it's also important to prioritize your joint health moving forward, and addressing these concerns sooner rather than later can prevent further complications. If you find discomfort becoming more persistent or severe, consider exploring local clinics that may have affordable options for consultations.

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