Knee Pain When Kneeling

training-828760_1920Knees are prone to injuries and pain since they represent large joints in the body, wearing all the weight. With constant use and frequent squatting, we tend to overuse the tendons and structures inside the joint, resulting in pain. To determine what is the underlying cause of the harm, it is important to state what is the exact location of the pain, how and when the pain started and are there any associated symptoms included. Sometimes you can hear a popping or crackling sound when kneeling or you can feel the knee locking, which also results in pain. There are many conditions, where we will list a couple of them.

Meniscus Tear

The meniscus is a “c”-shaped cartilage found in the knee joint which has a lateral and medial part. Its role in absorbing the pressure and stress minimizes the friction between the structures. It also takes part in stabilizing and in joint movement. The meniscus can wear out, and lead to pain when twisting or turning the leg. Since it does not have regenerative potential, this kind of wearing will leave constant changes. Tear of the meniscus can heal with or without surgery, depending on the size of a tear. The meniscus is a cartilage and it has no nerves inside, so the pain in the knee comes from the inflamed synovium. The knee can swell and cause great pain. You may need some medications and physical therapy.

Patellar Dislocation

Kneecap or patella is the bone at the front of the knee, which is prone to dislocation, especially in young athletes. It can be visible to the naked eye and it is more often to the lateral side. When this happens, it can be accompanied with severe pain and swelling of the knee, where your joint can get stuck in one position and any movement can be harmful. It is important to relocate the kneecap back to its place, where it should be done by a professional. Dislocation can be solved with some medications like non-steroidal anti-inflammatory medications, hyaluronic acid, and glucosamine or in some other cases, a surgery is needed.


Osteoarthritis is a degenerative disease which results in cartilage damage. When the cartilage cushion wears out, the structures rub on each other, causing pain, stiffness, swelling, and bone spurs. It is common in elderly people, over 50, but it has a certain link to genetics where it can occur in younger people too. There are some factors which affect the appearance of the disease such as gender, age, heredity, earlier injuries, athletes, previous diseases and other accompanied conditions. The knee can swell which can affect the movement of the joint, making it hard to move and get done any physical activity. Obtaining the optimal weight to relief the joint from stress is the key as is to exercise. Other than that, there are some medications that can ease the pain such as ibuprofen, naproxen, corticosteroid injections and other meds that are more specific. Surgery is the last option which is used to treat the consequences, but not the cause of the problem. These options are arthroscopy, arthroplasty, and osteotomy.

Loose Body In Knee

Sometimes, due to an injury, osteoarthritis or other reasons, the loose body may form inside the knee joint. These are small fragments which can vary in size and can damage the cartilage. It can be a part of a bone or a cartilage which can irritate the joint and cause blockage when moving the knee like something is moving inside the synovium. Non-steroidal anti-inflammatory medications can help with pain management and making the joint more flexible, but almost always leads to mechanical removal of the loose bodies during surgical operation. Today, arthroscopy is the most widely used method for loose body removal.

Knee Bursitis

Bursa is a sac formation which reduces friction between the muscles and the tendons. There are around 11 bursae in a knee region. It can get inflamed from a constant kneeling and applying pressure, which is why it is often called “housemaid’s knee” or “preachers knee”. It can start with pain, tenderness over the kneecap, swelling, hampered leg flexion. First aid for bursitis is cold pads and rest. Naproxen, ibuprofen, and aspirin can help with pain reduction.

When To See A Doctor

If you experience any other accompanied symptoms, you should contact your doctor. If the pain and the swelling worsens and stops your from doing your everyday activity, you should consult your doctor for an additional check-up and thorough medical examination. If the knee pain and redness extends to other parts of the body, it can mean some serious disease and it may need some treatment, so you should undergo further examination. If the weeks go by and you still have the same problems with your knees, doesn’t matter if it’s only one or if it’s a symmetrical appearance on both knees, you should take it more serious and contact a professional.