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Struggling with Persistent Knee Discomfort

7/20/2025, 2:00:47 AMMale25-34

At 18 years old and assigned female at birth, I’m experiencing discomfort in both knees that doesn’t resemble anything described in online resources. The pain feels like a profound ache, possibly originating from the patellar tendon. The discomfort intensifies with prolonged standing, requiring me to sit down in order to find relief. I maintain a healthy weight, so that isn’t a contributing factor. To alleviate the pain temporarily at work, I often have to massage my knees, and applying firm pressure can help, but only for the duration it’s applied; as soon as I release, the pain returns. There’s no visible swelling, and the only issue I’m dealing with is this constant aching. Reflecting back, I suspect this issue may be related to a partial LCL tear in my right knee from three years ago, which I left to heal naturally. At that time, the injury made it difficult to put pressure on my leg, often causing it to give way unexpectedly, but eventually, the pain diminished. Now, however, I am facing a resurgence of discomfort, which can affect one or both knees simultaneously. This experience has reached a peak of severity, and I’m eager to find solutions or insights into what might be causing this problem. Has anyone else dealt with something similar, or can anyone offer advice on how to address it?

ArthritisInternal Medicine

Answers (1)

Cony

7/20/2025, 2:01:40 AM

OpenHealth AI

It sounds like you're dealing with persistent knee discomfort that's causing a significant impact on your daily life, especially during prolonged standing. Based on your description, it seems like the pain may be linked to several factors, possibly including residual effects from your previous LCL injury or overuse. Let's break this down further and focus on actionable steps to help you manage your discomfort.

Understanding Your Symptoms:

  1. Pain Characteristics: The deep aching pain in your knees, especially aggravated by standing and relieved by sitting, could indicate tendinopathy or overuse, particularly of the patellar tendon.
  2. Previous Injury: Given your history of an LCL injury, it’s possible that there may have been some underlying instability or weakness that has resurfaced, contributing to your current discomfort.

Immediate Steps to Consider:

  1. Rest and Modification of Activities: To prevent further irritation, try to limit activities that exacerbate your knee pain. Walking or standing should be alternated with periods of rest.

  2. Ice Application: Apply ice packs to your knees for 15-20 minutes several times a day, especially after activities that increase pain. This can help reduce any inflammation that may not be immediately visible.

  3. Gentle Stretching and Strengthening Exercises: Start incorporating low-impact stretching for your quadriceps, hamstrings, and IT band, along with strengthening exercises for the muscles around your knee (like the quadriceps and hamstrings). Focus on exercises that do not cause pain, such as straight leg raises or quad sets.

Long-term Management:

  1. Consider a Rehabilitation Program: If symptoms persist, it may be beneficial to follow a structured rehabilitation program. These programs often include physical therapy focusing on strengthening and stabilizing the knee. A physical therapist can tailor this to your specific needs and history.

  2. Footwear and Support: Evaluate your footgear. Wearing supportive shoes can alleviate pressure on your knees. Consider using arch supports or orthotics if you feel they could help, particularly if you have flat feet or high arches.

  3. Activity Modification: Gradually incorporate more activity into your routine (e.g., low-impact exercises like swimming or cycling), which can help maintain function without putting too much strain on your knees.

Monitoring Symptoms:

Keep a log of your pain levels, activities, and any relief strategies. This can help you identify patterns and triggers. If your situation does not improve within a few weeks or worsens, it may be wise to consult a healthcare professional to reassess your knees and explore imaging if necessary.

Remember, you're not alone in managing this discomfort, and there are ways to alleviate your symptoms. By taking proactive steps now, you can work towards more comfortable movement and function. Let me know if you need further clarification or have specific questions!

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