Nivaan Clinic

Know the causes of knee pain and find integrated treatment plans to manage it

Do you experience discomfort each time you take a step or ascend a set of stairs? Chronic knee pain is an unwelcome companion that makes it impossible to perform simple daily tasks. Although surgery may appear to be the only option, there are several non-surgical methods that can effectively treat the various causes of knee pain and increase mobility.

In this article, we examine the underlying reasons why millions of individuals throughout the world experience knee problems. We’ll explore the causes of knee pain while also demystifying prevalent knee conditions. You can find techniques to take back control of your life, from evidence-based treatments and exercises to cutting-edge pain management strategies.

Chronic knee pain & its type

Being a prevalent health problem affecting many individuals, knee pain can have a profound effect on one’s overall well-being, particularly when it endures over time. The knee, being an intricate joint, holds immense importance as it bears the body’s weight and enables seamless mobility. Chronic knee pain denotes the enduring discomfort experienced in the knee region, persisting for weeks, and in some cases, even extending to months.

Types of Knee Pain:

Acute Knee Pain: It refers to sudden and temporary pain that is usually caused by a knee injury or trauma. Examples of acute knee injuries include ligament tears (like anterior cruciate ligament injuries or ACL tears), meniscus tears, and fractures. Acute knee pain is often triggered by a specific incident and can range from mild to severe.

Chronic Knee Pain: This condition involves the presence of extended and enduring knee discomfort that exceeds the normal healing period of a sudden knee injury. Its lifespan can stretch from weeks to months or even years. Conditions like osteoarthritis, rheumatoid arthritis, patellofemoral pain syndrome, bursitis, overuse injuries, and other underlying medical concerns can lead to chronic knee pain. Unlike acute pain, which starts suddenly, chronic pain unfolds gradually and may lack a recognizable onset.

Causes of Knee Pain

There are many factors that can cause chronic knee pain
  • Osteoarthritis: Osteoarthritis stands as one of the most prevalent contributors to chronic knee pain. It ensues when the joint’s protective cushioning, known as cartilage, diminishes over time. Consequently, the bones come into contact with each other, resulting in unstable knee torn cartilage that causes pain and inflammation.
  • Rheumatoid Arthritis: In contrast to osteoarthritis, it is considered as an autoimmune disorder. This condition arises when the body’s immune system mistakenly attacks the joint tissues, leading to persistent inflammation, pain, and stiffness.
  • Overuse or Repetitive Strain: It is due to excessive stress on the knee joint, stemming from engaging in strenuous physical activities or frequently repeating the same motions. As a consequence, the joint becomes strained and irritated, causing chronic pain.
  • Injuries: Past injuries to the knee, such as ligament tears or damage to the meniscus (a knee joint cushion), can trigger ongoing pain and instability.
  • Obesity: One of the common causes of knee pain is Obesity. It contributes to heightened pressure on the joint, particularly for individuals with osteoarthritis. This added strain can exacerbate chronic pain.
  • Tendonitis: Tendonitis arises when the patellar tendon surrounding the knee become inflamed due to overuse or injury, resulting in persistent pain.
  • Bursitis: Bursitis is characterized by the inflammation of bursae, small sacs that cushion the knee joint and surrounding tissues. When inflamed, they can cause pain and swelling in the knee area.
  • Patellofemoral Pain Syndrome: Patellofemoral Pain Syndrome leads to pain around the kneecap, often due to improper movement of the kneecap over the thigh bone.

Alternative Therapies for Chronic Knee Pain – Non-Surgical Treatment Options

Physical Therapy

  • Exercise Prescription: The physical therapist will develop a specially crafted exercise schedule tailored to the person’s particular knee problems, giving careful thought to variables like age, level of fitness, and the fundamental reason for knee distress.
  • Strengthening Exercises: Strengthening the quadriceps, hamstrings, and calf muscles can fortify the knee region. Strong calf muscles facilitate more robust joint support.
  • Range of Motion (ROM) Exercises: Enhance flexibility while preserving full knee movement, thereby alleviating rigidity and ensuring proper joint operation.
  • Balance and Proprioception Training: Enhanced balance and coordination reduce fall likelihood and potential harm.

Low-Impact Exercises:

  • Cycling: Biking on a stationary or regular cycle boosts leg muscles without overworking the knee joint.
  • Swimming: These aquatic activities provide a low-impact exercise routine that benefits cardiovascular health and joint mobility.
  • Elliptical Training: Elliptical trainers provide an alternative cardio routine with reduced knee strain.
  • Tai Chi and Yoga: Such activities promote flexibility and reduce knee pressure through slow, deliberate motions, stretching, and conscious breathing.

Weight Management:

  • Importance of Weight Control: Being of a suitable weight reduces the risk of aggravating knee problems through excess strain.
  • Balanced Diet: Promote an eating habit characterized by a balance of nutritious fruits, vegetables, lean proteins, and whole grains. Nutritionist-designed meal plans offer personalized support for weight loss efforts.
  • Regular Exercise: Healthy eating habits combined with consistent physical activity can enhance weight control, joint health, and effectively prevent knee pain.


  • Dextrose-based solution: This is injected into the nearby ligaments or tendons during prolotherapy, which takes place around the joint.
  • Mechanism: The injected solution is anticipated to prompt the body’s innate healing mechanism, fostering the development of new, healthier tissue and mitigating inflammation in the targeted area.
  • Effectiveness: Uncertainty surrounds the long-term efficacy of prolotherapy for pain, necessitating additional investigation.

Platelet-Rich Plasma (PRP) Therapy:

PRP therapy involves drawing a small amount of the patient’s blood and processing it to concentrate the platelets. The platelet-rich plasma is then injected into the knee joint to facilitate tissue repair and reduce inflammation. In the modern medical landscape, non-invasive PRP therapy is gaining popularity as a treatment option for knee injuries due to their efficacy rates.

Injections for Chronic Knee Pain

Non invasive treatments to help manage chronic knee pain

Corticosteroid Injections

Corticosteroid injections are utilized to ease persistent pain attributable to inflammatory disorders such as osteoarthritis or rheumatoid arthritis. The injectables include potent anti-inflammatory agents that focus on irritated tissues within the joint, alleviating discomfort and swelling. Skilled healthcare providers oversee the administration of corticosteroid injections via a tiny needle directly into the joint. Their advantages may only persist for a brief period before requiring a repeat session.

Hyaluronic Acid Injections (Viscosupplementation)

Hyaluronic acid injections are a treatment option primarily for osteoarthritis knee pain. . Osteoarthritis involves the breakdown of joint cartilage, causing friction and discomfort during movement. Hyaluronic acid, naturally present in synovial fluid, helps lubricate the joint, reducing friction and pain. In viscosupplementation, hyaluronic acid is injected directly into the knee joint to enhance its lubricating properties. Some patients exhibit notable alleviation of discomfort and enhanced knee capabilities following these injections. Like corticosteroid injections, the pain relief effects may take time to materialize and necessitate repeated administrations.

Choosing the Right Treatment

The choice between corticosteroid and hyaluronic acid injections hinges on the underlying reason for chronic knee pain and personal aspects. These injections are optimal for inflammation-related knee problems, offering a prompt but transient remedy. Hyaluronic acid injections are uniquely positioned to address pain linked to osteoarthritis by replenishing joint fluid and easing discomfort. Doctors and other healthcare experts can devise targeted remedies suited to patients’ particular needs.

Recovery Time for Chronic Knee Pain

The recovery time for chronic knee pain can vary significantly depending on the underlying cause, severity of the condition, and treatment approach. Chronic knee pain is defined as persistent pain in the knee that lasts for several weeks or months and can be caused by various conditions such as osteoarthritis, rheumatoid arthritis, tendinitis, meniscus tears, ligament injuries, and more.

Duration of Recovery Time

The duration of recovery time for chronic knee pain is not set in stone and can differ from person to person. It can take anywhere from a few weeks to several months, or even longer, for some individuals to experience significant relief from pain. In some cases, the pain may never completely disappear, and the goal of treatment might be to relieve knee pain and improve overall knee function.

Factors Affecting Recovery Time

  • Underlying Cause: The specific condition causing the knee pain plays a crucial role in determining recovery time. For instance, mild knee sprains may heal faster than severe meniscus tears or osteoarthritis.
  • Severity of Injury: Knee structure damage or severity of injury affects the recovery duration. Severe wounds typically necessitate longer recovery periods.
  • Individual Health: A patient’s general well-being and medical past might affect how rapidly their body recovers. People in excellent health may convalesce quicker than those with underlying medical concerns.
  • Age: Age plays a significant role in recovery speed, with younger individuals healing faster.
  • Compliance with Treatment: Strictly following the suggested therapy plan is vital for a victorious recovery. Multiple approaches can support the healing process.
  • Activity Level: Stress placed on the joint during activities can hinder recuperation., Steer clear of activities that magnify discomfort, and meticulously follow an exercise plan endorsed by your healthcare experts.
  • Surgical Interventions: Recovery time following knee surgery varies based on the kind of procedure conducted and the individual’s capacity to heal.
  • Rehabilitation: This can considerably accelerate recovery by fortifying the joint and neighbouring muscles.
  • Rest: Taking a break for the knee to recover is vital., Failure to do so and persisting in demanding tasks can hinder recovery.