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Pain on Inside of Knee, Causes, Symptoms and Diagnosis, Treatments and Preventions

What causes pain on inside of knee? What are the symptoms of inside knee pain? Is it an injury or some disease and/or condition causing it?

Pain on inside of knee or medial knee pain can be due to numerous reasons. The pain may have gradual or sudden onset. In case of sharp medial knee pain, there can be restricted movements that can affect the sleeps.

Learn more on n medial knee pain including the various causes, symptoms, diagnosis, Treatments as well as preventions.

Pain on Inside of Knee, Causes, Symptoms and Diagnosis, Treatments and Preventions

What causes pain on inside of knee?

Generally, sudden knee pain normally develop after overusing or injuring your knee. Although some knee pain may be mild that you can easily manage them at home, severe knee pain must be attended to by General Practitioner (GP) who happens to be a medical doctor who treats severe and chronic illnesses and provides precautionary care and health oriented education to patients.

I would also like to bring to your attention that, knee joints are usually vulnerable to damage and pain since they take the full weight of the body as well as extra forces experienced during running, jumping or general body movement.

The vulnerability of experiencing pain inside of knee or general knee pain sometimes increases with age. One is more likely to develop knee pain, as he/she gets older. Another susceptible group include overweight persons and sportsmen (particularly sports involving a lot of turning)

In case of a media knee pain, you should know that unlike many knee pains, medial knee pain has slow and gradual onset. “Medial knee pain is pain on the inside of the knee which usually comes on gradually as opposed to a sudden acute knee injury.”[Sportsinjuryclinic.net]

Here you will find the summary of the most common causes of pain on inside of the knee.

Medial collateral ligament Tear

Medial collateral ligament tear is the major trigger of pain on inside of the knee. This is when medial collateral ligament (MCL) on the inner side of the knee become overstretched and damaged. This can be due to abrupt twisting force on the knee that can potentially damage certain fibers of the ligaments. This condition usually occur alongside swelling, pain as well as instability.

What cause MCL injury? Well, MCL is a ligament whose function is to hold tibia and femur bones together and reduce widening gap between them. Therefore, any force on the outer side of bent knee can cause MCL injury leading to inside knee pain.

Medial colleteral ligament tear can cause pain inside knee
Medial colleteral ligament tear can cause pain inside knee

The MCL tear has three grades, there can be a condition of only few fibers tearing, many fibers being damaged or all the ligaments tear completely.


Treatment involve the application of knee brace and doing exercises.

Patellofemoral pain syndrome

Here is another common cause of pain on inside of knee. Patellofemoral pain syndrome develop when patella or kneecap is rubbed against the bone below it. This syndrome can also cause pain on front of knee as well as outside knee pain. Inside knee pain, can be experienced during walking, running or exercise.

Patelofemoral pain syndrome
Patelofemoral pain syndrome


To treat this condition, one need to begin with limiting the knee pain and swelling then finding a solution to the reason behind the kneecap rubbing against underneath bones.

Medial meniscus tear

This is a tear of the semicircular cartilage in the joint of the knee (meniscus). Its onset can be acute or gradual (come on over time). It result when the cartilage meniscus is overused or degenerated.

Four kind of meniscus tear can happen on the way the cartilage is torn. It is usually accompanied by sudden twisting of the knee as well as pain on the inside of knee. Swelling may also develop after 2-3 days.

Some of the activities that can worsen this injury include running, squatting, walking or climbing up the stairs.

joint pain due to Medial meniscus tear
joint pain due to Medial meniscus tear


The best therapy for medial meniscus tear is exercise and surgery. Your doctor may recommend also other knee joint pain treatment.

Knee Arthritis

What is knee arthritis? Knee arthritis is a wear or tear on the cartilage lining the medial side of the knee joint. The linked symptoms grows slowly over time. Cold weathers have also been proved to influence its occurrence. This condition has symptoms ranging from mild to moderate to severe depending on the magnitude of the wear and tear of the concerned cartilage.

Knee arthritis can cause pain inside knee
Knee arthritis can cause pain inside knee

Below are the three well-known types of knee arthritis:

a)      Osteoarthritis

This kind of arthritis that cause a damage the articular cartilage, which is the protective surface of the knee bone. It can also trigger less severe swelling of the tissue in the joins as wells as tissues around the joint.

This type of arthritis can also lead to formation of painful fluid-filled swelling at the knee back, often called Baker’s cyst or popliteal. The cyst can occur very deep causing knee pain on inside of knee.

It is very common among the aged especially those turning 48 and above. It is aggravated after having prolonged rest, kneeling or getting involved certain activities for longer periods.

Treatment of osteoarthritis

The best treatments for knee osteoarthritis involve losing weight, taking painkillers, having physiotherapy, reducing joint strains or use of walking stick.

b)      Gout

Gout is a type of arthritis that can trigger sudden severe knee pain. It leads to accumulation of uric acid or other waste products in your body. This condition can form crystals in the joints influencing joints to get inflamed and very painful. If you suffer from gout, you can suffer severe knee pain when resting and at nighttime.

Gout treatment

The treatment involve use of painkillers such as non-steroidal non-inflammatory drugs. Having a well-balanced diet your diet can also be another brainer idea. For more medication, you may see your GP.

c)       Septic arthritis (infected knee)

It is a serious condition triggers extremely painful and hot swollen knee. One may also feel unwell or experience some fever. It needs serious medical intervention or response.


Treatment involve draining fluids from the knee then administering antibiotic. Orthoscopic surgery can be done too completely clear this infection.

Pes Anserinus Tendinitis

This is the inflammation of on the inside of the knee. The inflammation can also be extended to a bursa (small fluid suck) leading to severe knee pain. This condition is usually referred to as Pes anserinus bursitis.

It usually has gradual onset and more prevalent among runners, swimmers and overweight middle aged women. It occur alongside pain on the inside of the knee among other symptoms. It can be aggravated when one is climbing stairs or when trying knee reflection as well as exercise.

Pes Anserinus Tendinitis
Pes Anserinus Tendinitis


To treat Pes anserinus tendinitis or knee tendonitis, you can use corticosteroid injections, ice, stretches, exercise and even sometimes surgery

Synovial plica

Synovial Plica pain
Synovial Plica pain

This is actually a fold in a membrane called synovial membrane that surrounds knee joint and has synovial fluid, which provides lubrication in the joint. It is found right along the inside of the kneecap. It may cause sharp knee pain when one is squatting or doing heavy exercise.


Knee pain due to synovial plica can be managed through exercise or by consulting your doctor for proper treatment.

Bleeding into the joint also causes medial knee pain

Bleeding into the joint also causes medial knee pain
Bleeding into the joint also causes medial knee pain

This is another factor among the reasons for knee pain. It is a condition called haemarthrosis and it may be due to serious knee injuries that tear cruciate ligament or cause a fracture to the knee bones.

Symptoms include serious swelling, stiffness and bruising. In case of severe swelling, see your GP immediately.


Some of the defined therapies include surgeries and anticoagulant knee pain treatment i.e. warfarin.

Osgood-Schlatter’s disease

This factor causes pain on inside of knee among teenagers as well as young adults. It is blamed for pain, tenderness and swelling below the kneecap.

This condition show up when the lower leg is damaged during growth spout. Nhs.uk confirms that, “It’s relatively common in active children who participate in sports that involve running, jumping and repetitive bending on the knees

Osgood-Schlatter’s disease can cause pain inside knee
Osgood-Schlatter’s disease can cause pain inside knee


To manage this condition one can use ice parks and painkillers. Limiting amount of activities is another good idea. This problem may vanish after a child has completed growth spurts but occasionally it, can persist to adulthood.

Inside knee pain symptoms and diagnosis

Because pain on inside of the knee may have various causes, some of them may not be easily identified. Ensure you get immediate attention of your GP.

Proper knee pain diagnosis will pave ways for right and proper medication. Don’t try to treat your knee pain at home and yet you have no idea on the underlying triggers.

Various triggers of knee pain will demand various diagnostic test. The commonly diagnostic test for knee pain include physical examination, X-rays, MRI scans, blood test among other tests. To diagnose knee pain, your doctor will carry knee diagnostic test depending on what he/she thinks is the possible cause.

There are also several symptoms related to knee pain or rather pain on inside of knee. Some of these knee pain symptoms are sudden while others grow slowly over time. The symptoms may be mild, moderate or severe. Some last for few day or weeks while others can go beyond ten years. Below are the general symptoms of inside knee pain:

  • Reduced leg movements
  • Clicking or grinding
  • Tendering and swelling
  • Difficult on straitening legs
  • Instability
  • Morning stiffness
  • Weakness and effects on sleep

How to prevent inside knee pain

To avoid incurring the expenses of treating knee pains, there are effective methods we can practice to act as wonderful knee pain remedies. Although there are some causes that can be prevented, it is not possible to prevent all causes. In addition, knee pain that are made worse by overuse of the knee can be easily controlled by some of the lifestyle changes. Some of these techniques include:

Pain inside knee prevention
Pain inside knee prevention
  • Adopting to low-impact exercise or mixing low-impact and high-impacts exercise to provide the knees with a break.
  • Try losing weight
  • Try most of the time to use paved surfaces. Rough or rugged roads and walkways are not friendly to your knees
  • Be sure to replace your sport shoes frequently to ensure their stability. Worn out shoe may lead to instability hence increasing the risk of your knee injury
  • Make sure you warm up before you begin your exercise. This will stretch your hamstring and quadriceps
  • Try to avoid sleeping on your side.
  • When walking, always keep your body weight balanced on both legs

When to visit your GP

You should immediately see you GP when you develop the following conditions:

  • If your knee seem to be deformed
  • If you experience extreme pain when bending knee or when straightening it
  • If you have locking or painful clicking knee
  • If your knee pain is accompanied with fever, redness or heat inside your knee
  • If your experience numbness or swelling on your knee
  • If your experience extreme knee pain even if you are not exerting weight on it
  • If you experience persistent pain even after caring for the affected knee

Your GP will provide the proper diagnosis that will therefore help choose the best remedy for your knee pain. This will enable you get proper treatment for knee pain and relief for knee pain or ways on how to reduce knee pain.

You may also like
  1. Knee Pain Overview: http://www.webmd.com/pain-management/guide/knee-pain-overview#1
  2. Medial Knee Pain: http://www.sportsinjuryclinic.net/sport-injuries/knee-pain/medial-knee-pain
  3. Medial Knee Pain: http://www.knee-pain-explained.com/medial-knee-pain.html
  4. Knee pain: http://www.nhs.uk/conditions/knee-pain/Pages/Introduction.aspx
  5. Medial (Inside) Knee Pain: http://www.injurytreatment.com.au/injury-information/knee/medial-inside-knee-pain/
  6. Chronic Knee Pain: http://www.healthline.com/health/chronic-knee-pain
  7. What Do Common Symptoms of Knee Pain Mean: https://www.verywell.com/knee-pain-symptoms-2549628

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