[57F] Experiencing knee pain and IT band pressure

Patient Description

A 57-year-old female reports a few years of intermittent knee pain, currently rating it as severe (8-9/10), particularly during weight-bearing activities like walking. The pain is described as a burning sensation located below the knee towards the outside corner where the shin begins. Additionally, the patient reports a rubbery squeaking noise when bending and straightening the knee. Despite the severity of the pain, there is no associated swelling, redness, or recent injury. The pain contributes to a feeling of instability, though there is no locking, catching, or sudden changes in the knee's shape.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely causes of your symptoms include:

  • Iliotibial Band Syndrome (ITBS): This condition is caused by inflammation of the iliotibial band, a thick band of tissue that runs from the hip down the outside of the thigh and knee. It can cause pain and tenderness in these areas, particularly with movement or weight-bearing activities. The "squeaky" noise you mentioned could be related to the iliotibial band rubbing against the knee joint.

    • Treatment often involves physical therapy, rest, ice, and over-the-counter pain relievers. In severe cases, corticosteroid injections or surgery may be considered.
  • Patellofemoral Pain Syndrome (PFPS): Also known as "runner's knee," this condition is characterized by pain around the kneecap and is often caused by overuse, injury, or other factors that put extra strain on the knee.

    • Treatment usually involves rest, ice, compression, and elevation (RICE), along with physical therapy and pain relievers.
  • Osteoarthritis: This is a degenerative joint disease that can cause pain and stiffness in the knees. It's more common in older adults and those with a history of joint injury.

    • Treatment usually involves a combination of lifestyle changes, physical therapy, and medications. In severe cases, joint replacement surgery may be necessary.

Please note that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Rest and elevate your knee when possible, and apply ice to the area for 15-20 minutes at a time to help reduce inflammation.
  2. Over-the-counter pain relievers, such as ibuprofen, can help manage the pain.
  3. Gentle stretching and strengthening exercises can help improve flexibility and strength around the knee, but these should be done under the guidance of a physical therapist or other healthcare professional.
  4. Consider wearing a knee brace or using a cane to help support your knee and reduce pain during weight-bearing activities.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain or swelling in the knee
  • An inability to move or bear weight on the knee
  • A visible deformity or change in the shape of the knee
  • Any signs of infection, such as redness, warmth, or fever

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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1 yr ago

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People Also Ask


What is Iliotibial Band Syndrome and how is it treated?

Iliotibial Band Syndrome (ITBS) is a condition caused by inflammation of the iliotibial band, a thick band of tissue running from the hip to the knee. It often causes pain on the outside of the knee, especially during activities like running or cycling. Treatment typically includes rest, ice, physical therapy, and over-the-counter pain relievers. In severe cases, corticosteroid injections or surgery may be necessary.


What are the symptoms and treatment options for Patellofemoral Pain Syndrome?

Patellofemoral Pain Syndrome (PFPS), also known as 'runner's knee,' is characterized by pain around the kneecap, often due to overuse or misalignment. Treatment usually involves rest, ice, compression, and elevation (RICE), along with physical therapy to strengthen the muscles around the knee and improve alignment. Pain relievers may also be used to manage discomfort.


How does osteoarthritis affect the knee and what are the treatment options?

Osteoarthritis is a degenerative joint disease that causes pain and stiffness in the knee due to the breakdown of cartilage. It is more common in older adults. Treatment options include lifestyle changes, physical therapy, medications to manage pain and inflammation, and in severe cases, joint replacement surgery.


What should I do if I experience severe knee pain or other concerning symptoms?

If you experience severe knee pain, swelling, an inability to move or bear weight on the knee, a visible deformity, or signs of infection such as redness, warmth, or fever, you should seek immediate medical attention. These symptoms could indicate a serious condition that requires prompt evaluation by a healthcare professional.


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