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Knee Pain While Squatting: Understanding, Causes, Prevention and Treatment

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Knee pain during or after squatting is a common issue affecting many individuals, whether they are athletes, fitness enthusiasts, or just performing everyday tasks. Understanding the causes of knee pain while squatting and how to address them can help maintain knee health and prevent long-term complications. At Alleviate Pain Clinic, we offer comprehensive evaluation and treatment options to help you get back to your routine pain-free.

Common Causes of Knee Pain When Squatting

Patellofemoral Pain Syndrome (PFPS)

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Often referred to as “runner’s knee,” PFPS is characterized by pain around the kneecap (patella). It occurs when the patella doesn’t move smoothly over the femur during knee movement, often due to muscle imbalances or improper alignment. Squatting increases stress on the patellofemoral joint, leading to discomfort.

Iliotibial Band Syndrome (ITBS)

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The iliotibial band is a thick band of tissue running from the hip to the shin. ITBS occurs when this band becomes tight or inflamed, causing pain on the outer side of the knee, especially during activities that involve bending the knee, such as squatting.

Meniscal Tears

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The menisci are cartilage cushions that stabilize and absorb shock in the knee joint. A tear can occur from sudden twisting motions or overuse, resulting in pain during weight-bearing activities like squats.

Patellar Tendinitis and Tendinosis

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Inflammation of the tendons surrounding the knee, particularly the patellar tendon, can cause pain during squats. While tendinitis is an acute inflammation, tendinosis is a chronic condition that results from degeneration due to repetitive stress.

Osteoarthritis

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Degenerative changes in the knee joint, commonly seen in osteoarthritis, can lead to pain during squatting. The cartilage wears away, causing bones to rub against each other, resulting in pain, stiffness, and swelling.

Bursitis

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The knee contains several bursae, which are fluid-filled sacs that reduce friction. Inflammation of these bursae, known as bursitis, can cause pain when squatting, particularly if there is repetitive pressure on the knee.

Diagnosing Knee Pain While Squatting

A thorough evaluation includes:

  • Clinical Examination: We assess your knee for tenderness, swelling, alignment, and range of motion.
  • Imaging Studies: X-rays and MRI can help identify structural damage such as cartilage wear, ligament injuries, or meniscal tears.
  • Functional Testing: We may conduct tests to evaluate muscle strength, flexibility, and movement patterns to identify biomechanical contributors.

Treatment Approaches to Relieve Knee Pain

Rest and Activity Modification

Avoid movements that exacerbate pain and focus on low-impact activities to allow the knee to recover.

Physical Therapy

Strengthening the quadriceps, hamstrings, and hip muscles can improve knee stability and reduce pain. Specific exercises that target the knee extensors and hip abductors can be particularly beneficial.

Stretching Routines: Regular stretching of the iliotibial band, quadriceps, and hamstrings can improve flexibility and alleviate tension in the knee.

Interventional Pain Management

Procedures like corticosteroid injections can help reduce inflammation and provide temporary relief.

Hyaluronic acid injections may be used to lubricate the knee joint, improving movement and reducing pain in cases of osteoarthritis.

Ozone injection into the joint and into soft tissues and brsa can help relieve pain and inflammation.

Regenerative Medicine

PRP, stem cell therapy  and prolotherapy are regenerative injection procedures which promote tissue regeneration, particularly for tendon injuries and cartilage damage.

Bracing and Orthotics

Using knee braces or custom orthotics can help stabilize the knee and correct alignment issues, reducing stress on the joint during squats.

Medications

Non-steroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation, but should not be relied upon as a long-term solution.

Tips to Prevent Knee Pain While Squatting

  • Warm Up Properly: Dynamic warm-up exercises, such as leg swings and lunges, help prepare the knee joint and surrounding muscles for activity.
  • Focus on Form: When squatting, ensure your knees are aligned with your toes and avoid letting them cave inward. Engage your core and glutes to support the movement.
  • Strengthen Supporting Muscles: Strengthening the muscles around the knee, particularly the quadriceps, hamstrings, and hip abductors, can provide better support and reduce strain.
  • Avoid Deep Squats Initially: If you are new to squatting or have existing knee pain, start with partial squats and gradually increase depth as your strength and flexibility improve.
  • Use Proper Footwear: Shoes with good arch support and cushioning can help distribute forces evenly across the knee.

When to Seek Medical Attention

If knee pain persists despite home treatments or is accompanied by swelling, locking, or instability, consult Alleviate Pain Clinic for a comprehensive evaluation. Early diagnosis and intervention can prevent the progression of knee conditions and help you get back to pain-free movement.

Why Choose Alleviate Pain Clinic?

At Alleviate Pain Clinic, our multidisciplinary team specializes in diagnosing and treating knee pain using the latest interventional and regenerative techniques. Our patient-centered approach ensures that we create personalized treatment plans tailored to your needs, helping you regain mobility and improve your quality of life.

Conclusion

Knee pain while squatting is often a sign of underlying issues that require attention. Understanding the causes, getting a proper diagnosis, and following a tailored treatment plan can help alleviate pain and prevent further damage. At Alleviate Pain Clinic, we offer a wide range of treatment options to help you find relief and stay active.

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