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peculiar knee pain
When I kneel on my left knee I get a sharp pain below and left of my patella, as if kneeling on a tack. Pressing on it or walking or bending or running does not trigger the pain, only when kneeling.
What can it be?
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I was very glad to find this group because my pain is identical to what is described. I can't put weight on the knee without a stabbing, numbing sensation that is shot into the side of my knee. I can also trigger the pain by tapping on a certain part of the front of my knee. I couldn't take the pain anymore so I went to the Rothman Institute in Philadelphia and crossed my fingers. What I learned is fairly upsetting, yet I'm so thrilled to finally have an answer. The surgeon was very honest and said she's only seen one other patient with the same symptoms and after researching was only able to find a handful of cases. The diagnosis I was given was Infrapatellar Saphenous Neuralgia. In layman terms, I damaged the nerve in my patella causing neuritis in my knee. This damage is known to occur from two things, post surgical and direct trauma. In my case, I fell down some steps and landed on my right knee with all my weight. She shared two treatments that they could offer: a local anesthetic block that they've done on one other patient who claimed it provided temporary relief (a few months, then pain returned) or surgery, what they call surgical neurolysis. I understand this to be a surgery where they will go into the knee an cut the nerve, stopping the pain, but causing permanent numbness in the side of the knee. As I shared, I'm glad to have found out what I truly believe to be the correct diagnosis, but even the surgeon was saddened to tell me that there really isn't a fix. I am 5 months pregnant and cannot receive any treatments right now, so I have some time to think about this. She gave me two articles that I'd like to share, you can probably google them to print them out. If not, you can respond here and I'll be happy to scan and email them to you. One is called "Knee pain and the infrapatellar branch of the saphenous nerve" published in the Journal of the Royal Society of Medicine, Volume 91, No 1998. The other article is called "Infrapatellar Saphenous Neuralgia - Diagnosis and Treatment" published in Pain Physician 2013; 16LE315-E324, there's a website www.painphysicianjournal.com . In this second article I read about two other treatments that my doctor didn't mention that I plan to follow up with her about, one was Pulsed Radiofrequency and the other was freezing the nerve via cryoneuroblation. They sound less invasive than surgery and I definitely want to learn more about the pros and cons. I have had this pain for over 5 years and it comes and go's in intensity and maybe because I am pregnant it is really worse than it's ever been right now. Once this baby is born, if this pain doesn't settle down I will be exploring treatment.  I know what you are all going through and how frustrating it can be to doctors who have no idea what to tell you. In fact, these articles even state that this type of pain has been troublesome to understand and is often not taught in pain classes and that it's very often misdiagnosed and underdiagnosed. I saw Dr. Sommer Hammoud at Rothman Institute in Center City and can't say enough about her. She was genuine and very concerned about helping me understand my pain and knowing my options. If you are near the Philadelphia area, I highly recommend seeing her, if not, take this diagnosis and these articles to your own orthopedic surgeon and ask them to research it. Good luck everyone!
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Hello, I was having the same pain and burning sensation while kneeling, and only on my right knee as well. I was referred to an orthopedist but refused to go to as I was sure that surgery would be suggested. Instead I went to an acupuncturist, where upon describing the pain and sensation, he explained how in Chinese medicine, this sensation is associated with an imbalance of energy, I can't remember exactly which organs he said were the affected ones .. After maybe 5 sessions, he left me pain free and I can now kneel again without pain. I am not anti-traditional medicine, but I figured it couldn't hurt to try an alternative approach .. I was amazed at how quickly he cured me. Worth a try? Good Luck!
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I have the same pain.  It started after taking a hard fall on concrete a little over a year ago.  It is much better than it was right after it happened but still bad enough to be a problem.  There was no bleeding and little swelling or bruising after I fell so I thought it was no big deal.
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I have the exact same symptoms. Have you found out exactly what it is?
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I have the exact same symptoms. Have you found out exactly what it is?
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Ellen, I have exactly the same problem as you. I find it very strange. I dont have any ongoing pain,so dont need painkillers,as its only when I kneel down that I feel like you, that im kneeling on something sharp. Wondering is it a cartilage problem
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Hi,

I am glad to hear that your pain is gone.

I am 47 years old. Female. Running about 20 minutes every day and then doing stretching -- for more than a year. I also slightly obese ( 30).
It looks like I developed the same condition. It happened yesterday when I knelt on the carpet.  Sudden sharp pain like my knee was pressing on something sharp, like broken glass. One knee only, left knee in my case; outside part of the patella. When I palpated trying to pinpoint the site, I couldn't find anything. The pain comes back every time I kneel. However there is a small area of numbness.
Did you continue to exercise?
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Sounds like what I had which after seeing Orthopedic surgeon was severe osteoarthritis on the right side of my right knee & bone spurs because of that.  This is a breakdown of the cartilage that buffers the knee cap from the femur bone so the knee is taking alot a stress on the right side which in turn causes that sharp, shooting pain down the right side.  I also had a bruised bone because of all this which is painful in and of itself.  Cortizone shot did not work for me so I just had the jel injection 1 week ago.  Waiting see see if it will help. I will post again if this injection helps me.  Good luck
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Tried to reply to Unycorn, thinking the reply would show up here, but I guess not. So I'm adding this post.

The rug-burn sensation in my knees is finally gone! I had been waiting 6-7 months for it to go away by itself, but there was no improvment. So one, day, mostly out of frustration, I tried vigorously sliding the skin in varous directions parallel to the skin surface.

The model I had in mind was that maybe there was some sort of adhesion  pulling on the offending nerve that needed to be loosened. Sliding the skin this way hurt at the time, of course, but the pain was gone a few days later.

This may have been pure coincidence, and the adhesion model may have been totally wrong, but the pain is gone.

BTW, I've noticed minor rug-burn type pains in analogous areas of my elbows. Haven't tried the skin-slide treatment on them yet, though.
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Hi Inka  yes, I continue to exercise every day .. mostly yoga .. the pain has not re-appeared and I feel much better .. I am a bit overweight myself .. I just read that if we can lose just 10% of our current weight, our knees will thank us .. (as will the rest of our body, but knees the most!) Good luck!
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Thank goodness for this forum! On 9/29 I was doing a kneeling yoga position in class and thought I'd kneeled on a cinder (small volcanic rock here in Northern Arizona) that'd been tracked in. Same thing happened on 10/6. No pain when walking or running, but when knee is bent at 90 deg. can find the injured spot on the side of the rt. kneecap. It's so bad that I can't do kneeling on rt. knee, even with a folded yoga blanket. Since yoga is so beneficial, and like several readers I need to lose weight (20 lbs.), I found yoga knee pads called Yoga Jellies, available directly from yogajellies.com and through Amazon for $65. Yes, they seem pricey, but I'm willing to give them a try; can't really do yoga otherwise, unless I skip kneeling poses. Though I haven't received and tried them yet, and am not endorsing them at this time, I wanted to post to give some hope - there's nothing quite like this type of knee pain, which feels like kneeling on a push pin/nail/rock, you name whatever sharp object you like. I'm not sure what brought this on - could be arthritis, or something as simple (but forgettable) as running into something with my knee, but the onset was sudden and unexpected. Hope this helps others with this "peculiar knee pain".
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My pain is like an electric shock when I kneel on my right knee. It starts from the inside gap between the shin bone and patella and travels across and down the outside front of the shin bone about half way down. The skin area on the outside of the shin also feels numb, similar to the feeling you get after being at the dentist, compared to the other leg.  The pain is instant and subsides as soon as I take the pressure off the knee. It think it must be a nerve as I can trigger it when the knee joint is either open or closed.
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MOST HELPFUL POST. I'm a runner and started getting the same "kneeling pain that seems to radiate towards the outside of the knee below the patella" just a week ago. The weird thing was that running never caused the pain, only kneeling or rubbing my fingers below the patella when my knee is flexed to 90 degrees or more. After about 45 minutes reading this blog I was frustrated to discover that no one had any helpful info. So I went and did my own study of the anatomy of the knee. And after eliminating the possibility of any "runner's knee" pain, or tendonitis, or bursitis, I thought maybe it was a nerve. So I learned that the INFRAPATELLAR SAPHENOUS NERVE usually crosses right in the area we're all talking about, below the patella (kneecap). So I looked that up specifically and FOUND THE ARTICLE YOU POSTED. Funny thing is that I read your post after the fact.  Also, after reading "DrJonny's" post, about it being a nerve, I was feeling pretty sure that that's what it was. Well, I read the whole article, which is filled with scientific lingo, and though it says it's usually a postoperative condition, it also says it can happen from trauma to the knee, or even spontaneously. ONE OF THE TREATMENTS it mentioned was a "diagnostic injection", which is just a steroid injection, such as prednisolone. I don't remember if you mentioned that or not. Anyway, I don't wanna make this longer, but thank you for YOUR POST. IT IS THE MOST HELPFUL ONE I READ.
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A NATURAL REMEDY: (see my post on October 21 and RRobinson's on September 3, 2013 and then read on.)  "The good news is that NERVE PAIN is very treatable. Many studies have shown that using nutritional support with lipoic acid 300 mg 2x day, Acetyl-L-Carnitine 2,000 mg a day, Inositol (500-1,000 mg a day), and vitamins B6 (50-100 mg a day) and B12 (500-5,000 mcg a day—both B vitamins and Inositol are in the ENERGY REVITALIZATION SYSTEM vitamin powder) can actually help heal the nerves and decrease or eliminate the pain. Nerves take time to heal, so natural remedies need to be taken for 3-12 months. In the interim, holistic pharmacies can make powerful creams combining multiple medications effective against nerve pain (available by prescription from ITC Pharmacy at 303-663-4224; called the nerve pain gel)."
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I haven't tried the natural remedy I posted above, but I plan to take a different supplement that I already have that contains Inositol, B vitamins and many other vitamins, minerals, and nutrients. I will check in, in about a month and let you all know how it went.
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Dr Johnny is correct - I saw an ortho specialist today with the exact same symptoms. He rolled his thumbs over a nerve running across the top of the anterior tibia and caused the problem exactly - pain like fire on the outside of the left knee.  Said it was a branch of the saphenous nerve that had been irritated or bruised, probably by repeated kneeling. Treatment - don't kneel on it if you can help it and it should resolve in a few weeks.
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I ran into this thread about six months ago, when I was having the stabbing pain in the left kneecap whenever I knelt on it.  I had just rescued a dog (about 6 weeks earlier) and had been kneeling a lot to clean up dog hair mostly.  I just wanted to follow up, in hopes it will provide hope for someone out there.  I, obviously, stopped kneeling on that knee for a few months (gently onto the other knee) and otherwise went about my normal life.  I even run with the dog, although I took a few weeks off right when I had the pain start.  Now the pain is gone completely.  Rest and time.  Also, I am more careful about dropping onto the knee quickly, just slow down a little bit and everything is fine.  Hope this helps!!!
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I am experiencing the very same symptoms and wonder if anyone out there is doing yoga?  I started taking yoga classes (2 per week) about 3 months ago and a few weeks ago I started to take additional class (3-4 per week).  As soon as I started to increase my attendance I noticed that the pain began.  I know that some of the instructors had us sitting in vajrasana pose and this was new for me.  I just looked up yoga poses that cause knee problems and guess what? Yep you guessed, it was the new pose.  You sit tall on your mat and cross both legs one over the other just like you did when you were a kid but you must hold it very still for 5-8 minutes.  

This pose has been linked to damage to the common fibular nerve.  So I won't be doing that pose for a while and I will start to use an over the counter pain patch for relief in the meantime.

I will let you know how it goes in a week or so.  

szysha
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I have had the same thing for years but it is getting worse, I am getting a bit fed up now as it is a real pain on kneeling, I have to put cushions down. I am now finding if I knock the wrong spot I get the same pain, like a electric shock. I can now run my fingers over the spot lightly and send a mild uncomfortable sensation which runs a couple of inches away. It feels like a nerve problem lying just under the skin  rather than a problem deep inside the knee.
Have you found out what yours is?
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Ive had a problem with my right knee for a while now.and I dont have insurance due to not having enough money.but I worked on concrete all day and i was on my knees for about 2 hours one day when all of a sudden it felt like I kneeled on a little pebble or rock.ever since that day almost a year ago I cannot put any pressure on it when the knee is bent.nothing else hurts it.I can run jump anything including put pressure on the spot when my leg is extended. But....if I am sitting and my knee is in the bent position if I just ever so gently touch the spot with my finger it shoots a pain right up my leg and it burns like crazy.I cant even kneel on a couch cushion.its right under the knee cap.any help? Ive tried everything and im desperate.by the way im only 21 so I dont have history of arthritis.and I know this sounds bad and the wrong thing to do but it gets to the point sometimes where I just want to cut open my knee sometimes to see what the problem is.by the way I will never do this but its just to show how much pain im in with it.
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Hi Inka.  Just seeing your reply now ... No, I haven't been exercising.  Not because of my knee, the training was no longer in my budget.
However, around the time of your post the pain returned.  I didn't do anything, just one night as I got into bed ... There it was, including the numbness.   I did notice that the pain just disappeared after about 4 months - again - but the numbness never goes away.

Because this has occurred 3 or 4 times I have learned to live with it.  I now get into bed fully aware that it can reoccur at any time.  I am prepared, however, for another flare up come September ... That seems to be the pattern.

Anyone else have a flare up?  When did your symptoms go away?  Do you have lingering numbness?
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no, but why wouldn't it be painful when i exercise and thanks  
johnofmaxs
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I have symptoms similar, but not quite the same as many above. The pain I experience is on the inside of my right knee just below the joint. It is very tender to the touch and burns on occasion. It is aggravated by sitting with my leg fully extended and the joint locked. I work out regularly and have my muscles massaged weekly, so it isn't lack of conditioning or excessive tightness. I did have surgery to remove a piece of torn meniscus in that area back in May, but the surgeon is quite sure this is not directly related based on the location of the pain (it is below the joint). I keep thinking it is an irritation of the lower MCL attachment, but anti-inflammatory drugs don't seem to matter. Does anybody have any thoughts for me? Could it be some kind of irritation of the top of the tibia indirectly caused by the meniscus pad being removed in that area? If so, is there any treatment?
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hi doug314, my knee pain sounds exactly like yours.  Just developed it a couple weeks ago, checked my knee for a carpet burn, nothing there.  Then I noticed whenever I kneel, i feel that carpet burn pain on the left knee, but actually just below the knee and to the left/outer side of it.  Have you found any relief yet?  I do house cleaning so I wonder if its from being on my knees a lot lately?  I read someone had some relief from accupuncture.  Any suggestions?  couldn't believe it when I saw other people with the same odd pain/feeling!  Thank you .

Deb
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I also have similar problem which i obtained during a football game in 2004. The doctors i met said there was no fracture although i get these burning and sharp paining sensation on my left knee and it has been swallow ever since then. I barely run or walk a long distance without feeling these pains. i have managed this for long now and the pain is increasing. Please any suggestion will do. Thank you.
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About a week ago, I went to get into the right side of my bed, bending my right knee as I sat down, I immediately felt a stabbing pinching like pain on my right outer knee (or about 1/2" below and 2" to the side of my kneecap)
about the size of a quarter.  The spot also feels numb all the time.  It doesn't hurt  to walk, squat, or to touch it, only when I bend the knee and kneel on a couch, bed, etc.  Does anyone else have this problem.  My problem sounds similar to many on here but not exact.  Scared it might be a blood clot or something.  Appreciate any input.
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I wish I had your MRI to review (if you've had one). I personally would rule out a blood clot. It sounds to me that your lateral collateral ligament could be the culprit. If that is the case, I feel certain it can be remedied by a arthroscopic procedure, such as a lateral ligament release. Let me know, Best of Luck!
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Yes & from what I easily found on line: lliotibial band pain - or lliotibial Band Syndrom . ITBS Dull aching or sharp burning sensation on outside the knee. Go to www.med.nyu.edu/ (Several sites address this particular pain).
It occurred when bend my leg into a tight squat, cannot put weight on my left knee without a sharp burning pain which is really painful & disconcerting . It goes away, but I know exactly where that pain occurred.
Apparently not so unusual - it is an inflammatory condition caused when a band of tissue rubs over the outer bone (lateral condyle). Can be caused  by direct injury or caused by stress of long term overuse doing sports. Anyway, check it out and you'll get a handle on what to do.
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8358355 tn?1397761658
Hello everyone. I fell HARD a few weeks ago. Landed on both knees and evidently my left hand. I had a pea-sized blood clot/busted vein looking thing on the palm of my left hand. Hurt really bad and still sore. Knees turned black and blue but that's mostly gone now also. I'm having issues with my left knee. Actually right below my left knee cap. It FEELS like rug burn or that my skin is stretching but I know that it's not the skin...it's something underneath. The first time I get up and bend my knee after sitting for while brings on a SHARP pain. It's very hard to describe but these forums have made me realize that it's pretty common. When I get in bed at night I like to lay on my left side. It's excrutiating trying to use my weight and push with my knee to get comfortable. I get this pain that just about makes me come UNGLUED!! I'm going to wait this out a few more weeks and see if it heals. If not, then I will go see my doc and ask him what he thinks and see about getting a shot of some sort. Good lucky everyone. I surely don't know what we ever did before the internet!! I can Google pretty much every crazy thing that's wrong with me and then I don't feel so alone!! :)
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Hello Jeannie! Welcome to MedHelp, I am the Orthopedic Community Leader for this website. I can only give you my personal opinions, always consult with your physician. That being said, it is possible you have a partial inferior tear of your patella tendon. What to expect: If you have to see your Orthopod, he/she will probably want x-rays right away (unless you have some post injury ones) - AP/Lat/Oblique and probably Sunrise views, examination of course, if the x-rays are negative or they feel it's necessary a MRI can be very useful - especially in soft tissue issues. Please feel free to contact me anytime with any other questions or issues, you are NEVER alone! Best wishes! jd1963
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Drjonny,
I have same thing. It happened after getting out of hot tub and falling on my knee. Have you discovered any way to heal this?
Feels like a rug burn, outside of my left knee. I tried straightening out my leg and then touching and you were right. No pain when leg is fully stretch he'd ou.
Dino1956
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Hello! I hope Drjonny is still we us! He has that one covered!
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Man oh man, I've this severe pain when my right knee touches the ground or any surface. I'm talking about a dagger shoved into the outside of my knee and twisted. I cant even get into bed on my knee. I can run, bike, swim, climb stairs, jump etc...  I can get down on my left knee with full weight but when my right knee touches any surface, "Mother of God" the lightening bolt hits. No swelling, no discoloration or any other symptoms.  HELP !!!!   I know I'm not the only one out here with this..
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That is exactly how I feel. I recently had shoulder surgery and went to climb into a chair using my knee as to not put pressure on my arms, when I felt this sudden bolt of pain. I do remember missing a step and landing on my knee month back and wonder if that has anything to do with it. My problem is that I went to put on a pair of socks and when I bent my right toe, I had the same sharp pain. All of my symptoms are on the right side. As I start to put things together,  I can recall, this summer while playing tennis I went for a volley at the net and had a sharp pain on my calf which went down my leg to my foot and especially up my butt. Overtime that I go for a massage, I am told that I am extremely tight and should stretch more often. I went to the doctor thinking I had sciatica and he said I had spinal stynosis. I am not sure if it's all connected. My problem, is that I don't know which doctor to see. I have been diagnosed with carpal tunnel and was told I had nerve damage, but again not sure if that is a general diagnosis or something else is going on. I was told by my gp that I should take vitamin D, because I was very low and in some other post I read that someone mentioned having a vitamin D efficiency. Honestly, I am starting to feel like a hypochondriac cause I have had so many different things suggested from Lupus to lyme to rheumatoid arthritis, that I am feeling extremely frustrated.Thank you for your posts, they are very helpful, at least to know that I am not alone and that this is not in my head.
Rosa FC

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You described my symptoms exactly! I read the previous posts looking for an answer for my knee pain which is exacerbated when kneeling.  Thanks for giving me an answer.  Will it eventually resolve?

Diane
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I have the kind of burning pain that only turns up when kneeling - hard to make it hurt by just prodding it when my leg is straightened. Thanks to those who have mentioned 'housemaid's knee' and 'prepatellar bursitis' - I found out on patient.co.uk that it is caused by inflammation of the bursa (a small fluid-filled sac) in front of the kneecap.
I have had this on and off since I was thirty and was starting to think it was some kind of weird bone tumour. So it was a relief to find this discussion and work it out, as inflammation makes perfect sense! I have never injured my knee, but inflammation in the body can be caused by a number of things aside from injury - SUGAR is a major source of inflammation. If you read on housemaid's knee it notes that people who are prone to goat are prone to getting this condition. Gout is caused by a build up of uric acid due to sugar and alcohol. I have just spent Easter holidays drinking wine every night and eating chocolate eggs every day! It makes total sense for this pain to flair up now. Also why for some people a wheat or dairy free diet has worked - refined white bread/pasta are just one step away from sugar. Dairy is a cause of allergens in about 20% of the population.
So anyway, I am pretty confident that it will resolve itself again if I eat less sugar/bread and more vegetables. Have heard a lot of you say you are a bit overweight - seems like a common theme.  
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I think you're right about the cause, but I wouldn't treat it with cortisone.   I'm not  treating it at all.  Compared to the nerve damage I have from cervical spine surgery, this is nothing.  A little pain is better than numbness.   At least you know you're alive.
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You described my symptoms exactly. It doesn't hurt when I press on it, just when I kneel, and recently noticed the pain when a sheet or blanket rubs across it.  So my question is,do I see a doctor? Does anyone with this condition end up having any surgery to treat it?
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I am having  mostly the same problems. I'm a carpenter and remember a few months ago kneeling on older framed floor joist, they come to appoint ontop. I widths sevrel times now Im just realising that may have done it. My sensation is like a huge needle entering the left side of my knee, only on the surface, burning at the least 5 seconds with nasty pain accompanying it. Numb pain always there. Taking showers just rubbing my hand over it lifting my leg, band zoom same thing. Recently I found that swiping my hand across the inner knew, I get a nasty jolt on the outside. I know my cartilage is not that great either. First impressing was I thought I had a twisted vein, stretching and burning. I just don't know, its affecting my life and work, sometimes it becomes inflamed shaped like a squib rectangle. Rub the inside of your bad knee and see if it triggers it, feels like blood shooting a gulp really fast, and when kneeling it feels like I crush a vein or nerve. Im never on this forum so I hope I have helped least one person. BTW Im male 37 yrs old.
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I'm convinced it is Infrapatellar Saphenous Neuralgia - basically a nerve that terminates where we feel the rug burn.

Did mine landing on that spot and rotating on a foam mattress.

Thank you RRobinson for posting the solution.  That articled they recommend is great- "Infrapatellar Saphenous Neuralgia - Diagnosis and Treatment" published in Pain Physician 2013; 16LE315-E324
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I just read through all of the posts on this thread (OK, I might have skimmed over a couple...) It's obvious that at least a few different conditions are getting mixed up in the discussion; however, by and large, it seems most of us are suffering from an unexplainable and pretty much excruciating sharp pain in the knee or knees upon kneeling. I have been experiencing the same. Brought it up to my doctor at my annual physical last month. No real help: typical "don't do it" and "try an anti-inflammatory." However, I was intrigued to find this site which dealt with what I am dealing with. More than that, I'd already come to the conclusion that my elliptical was contributing to my condition, and that seemed validated by the fact that at least a handful of others in this forum had as well. I have never injured my knees in any other way. But during the winter, I exercise on an elliptical. During the summer, I swim and bike. I had the sharp pains begin suddenly for the first time last year, tried to avoid kneeling, and eventually the pain disappeared. Well, just started back on the elliptical a couple weeks ago, and guess what? Yep, pain came back. One morning during the early hours, something clicked and I put two and two together as I considered the timing of my use of the elliptical. Needless to say, I no longer use it (which pains me in a different way) and the knee pain is starting to lessen again. From what I can read here, there is no consensus on what causes the pain and obviously multiple activities/injuries may aggravate it, but thought I'd share my experience in the hopes it may help others. Perhaps together we can solve the whole mystery.  
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Osgood–Schlatter disease   Nothing scary but can be maintained... my sis had it as a teen but adults can get by injury  look it up
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Osgood–Schlatter disease  Not anything to worry, but can happen through injury ... I really feel like this is what his is. I too have these same symptoms and remember my grandfather , who was a bone doctor telling my sis she had this.40 yrs ago lol
she is fine now
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did you look up Osgood–Schlatter disease
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My pain is slightly the opposite of what I'm reading.
My knee (when bent) exhibits absolutely NO pain whatsoever unless I'm kneeling on it.
However, then my leg is stretched straight, if something even touches my knee, I practically faint from the shooting pains going up my leg.
Does anyone ever get that feeling?
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Although I haven't read every post, there seems to be a connection for some between this particular exercise and experiencing a severe, sharp burning sensation when kneeling.
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My knee pain just started about 3 weeks ago.  My pain is very similar to many of the other posters here - it happens only when I kneel on my left knee, and the pain is focused on one spot just outside of the patella.  It feels "electrical" and just like I am kneeling on a lego block (I have kids!).  Very painful and it stops as soon as I get off of the knee.

I don't see any clear treatment in this thread so far, except for examples that may be isolated to a specific person.

Any other success stories?

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Hi Chris, I am having the same symptoms with my left knee. Funny thing is, because I am 59 years old, the first thing I hear from Dr is,probably arthritis and degeneration. I'm not a sit around old frump, I'm very young for my age. I saw your post and the fact that you are so young and having same problem. I wonder if you ever got a definitive diagnosis and how you treated it. Please reply to ***@****.
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I also have the pain like kneeling on broken glass but only infrequently usually when making the bed.  Does anyone know what it is?
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Hello,

I hear you about knee pain; I've had an arthroscopy on each knee. If you have any questions regarding knee pain or orthopedic recoveries for knee pain, you should contact  http://www.ossburbank.com/where-does-it-hurt/ to learn more about your knee pain.
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Hi there,
I have been to the Dr today,he has sent me for a knee x Ray and blood tests .
I have been in pain for 12 months even turning over in bed can wake me up wanting  to scream ,If I touch my knee in a certain place it can be like I live wire or a cluster of nerve endings all being touched at once , I'm hoping to get it sorted the Dr says it may be arthritis I told him I never knew anyone with arthritis with these symptoms . Now I have something to work with
Many thanks Dave
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Saw an Ortho earlier this week.  Had x-rays which showed nothing, and an MRI that showed a very small cyst in the fat pad directly in the area where I feel the pain.

The Doc is not sure yet if the cyst has anything to do with the pain.  I believe that I injured myself doing a new, extensive stretching routine with lots of standing hamstring stretches (standing on one leg, other leg up on a chair).  I think this over-used my knee.

We are giving it 6 weeks of no-stretching and certainly NO kneeling.  I hope that this resolves itself.
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Hello leader of this website, here a message from Holland. In November 26 I had an operation , done by a very wellknown neurosurgeon , for the pain in my left leg after an operation in 2009 for a tibia plateau fracture. This pain was at the lateral side of the leg. Any other treatment had not been succesful, so it was decided to cut the infrapatellar branch of the saphenous nerve.  After the operation I was told that the 2 lower branches had been cut. BUT : now  I have this terrible new pain under the patella en the medial side of the tibia; also tingling feelings, swelling etc. Medication did not work and now I have to wait 4 months to come back to the professor. He is a very concerned doctor and the only explanation he could think of is that the 3th (upper) branch has taken over the painfunction ( for nothing) since the other 2 have no function anymore.
Is this possible? What can I expect? Will this pain go away? What solutions can there be?

Lineke
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I have the same symptom. I discovered it at the end of a workout session in class. We kneeled down for stretches and that's when I discovered the sharp pain on my inner right knee cap. I have no issues with it during the workout. Only when I have to use the knee for kneeling. Unfortunately, I can't cheat at pushups anymore. I have to be on my toes now. :)
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So glad I found this discussion.  I've had a sudden onset of pain in my knee when kneeling, (not that I kneel a lot) and when it's aggravated it even hurts to touch it, especially in a flexed position.  I don't recall having any trauma to the knee recently, either.  This is such a huge discussion thread, has anyone found something that relieves the pain while waiting for it to subside?
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I would like to bring to people's attention that a bite from a tick can cause Lyme disease. I have had this twice and each time a course of antibiotics has cured the symptoms (which were similar to some on here as it affects nerves). However, I now  have this 'burning, surface knee pain' when I kneel, allied to a numbness and I wonder if there could be some residual problem associated with Lyme disease. If you suspect it could be the case, have a blood test, looking for Lyme borreliosis.
Good luck.
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After reading all the comments, I'll say two things: 1.Somewhat 'comforting' to see I'm not alone with this weird pain. 2.No one seems to have a cure. Having said that, I don't think I'll bother with a doctor appointment. I'll mention it to my PCP at my physical next month, but I won't expect any real answers or cures. I am taking glucosamine, but if it's a nerve issue that probably won't help. As someone  mentioned, sugar could be exacerbating it, so I'll cut down on that as well.

I'll continue to monitor this community in case someone has any new words of wisdom.
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The long running information exchange above may, at last, provide the answer or a clud to my 'mystery' knee pain - an ailment that 3 top orthopaedic knee consultants, various radiologists, physiotherapists, acupuncturists, a brilliant GP with 20-years experience in a ski resort and others have not been able to define or cure.

Mrs Robinson, your opening statement (3 Sep 13) leads me to wonder if your ailment was identified exactly right and cured? I am desperate for a solution, and I will travel anywhere to obtain it. Henry Morris
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Hello, I fell down on my right knee so hard. I went straight to the ER and they never thought of checking my knee just my head and wrist. Its been months and i have this weird pain that no one can understand..When tap accidentally boy does it hurt....first i tried explaining that its like a burning sensation....then like a vibration....but it really is a shooting pain and it goes to the other side plus it almost feels like a string......Reading your thread sounded more like mine...what was your outcome?
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I have the same issue with my right knee. Just found this site today. Have you or anyone found any relief besides surgery? Only when I kneel on it, no other pain
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Here is a trick I've learned to avoid "the pain" when I have to kneel (doing yoga or gardening).  Place a pad (folded or rolled towel works, size depends on you) under your SHIN, not your knee, so that your knee is off the ground and you are weight bearing on the tibia instead.  I still have the weird numb area on the lateral side of my knee, but not the pain there.
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Here is a trick I've learned to avoid "the pain" when I have to kneel (doing yoga or gardening).  Place a pad (folded or rolled towel works, size depends on you) under your SHIN, not your knee, so that your knee is off the ground and you are weight bearing on the tibia instead.  I still have the weird numb area on the lateral side of my knee, but not the pain there.
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A great idea, using the towel under the shin! I have had this "broken glass" pain under my kneecap accompanied by an area of numbness to the outside of the knee off and on for nearly 30 years! It flares up in the spring when I garden, so I've learned to sit and weed. No doctors I've consulted have any idea what causes it. So frustrating.
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I am experiencing the same type of pain. I work as an Activity Director for seniors, while I was picking up bean bags after a game of cornhole I moved from a sitting position on the floor,onto my knees and I instantly felt a very sharp pain in my left knee. It was so bad that I actually screamed out in pain and flopped back onto my butt to look for the thumb tack, glass, carpet staple that I had to have just jammed my knee into- there was nothing. I was wearing a sundress so I was easily able to inspect my skin for a pin-prick and again there was nothing. The pain quickly subsided and I felt nothing when I pressed on it, walked, or bent my knee. So I thought nothing more of it - though my seniors got a good laugh out of their 30 year old Activity Director moaning over a "bad knee" and even joked from now in I should just let them do all the strenuous work, Later that day I was home cleaning out the fridge and as soon as I down on that knee the pain was again so bad that I basically threw myself back down on to my butt. Ok, I figured that maybe I did kneel on something at work and was having residual pain. Days passed and I never had any problem with it doing my day to day activities so and figured whatever I had done to it must have healed. Nope! Getting into bed last night I got up on my knee and even on the soft mattress a sharp pain like a thumbtack on my left knee, below the knee cap and slightly to the left. So I went to Dr Google truthfully afraid that I must have something  sharp inside my knee (even with no pain to the touch- maybe slight tenderness if I press in just the right spot) and lo and behold I find this site where you're all experiencing the same thing.
I am only 30 years old and my weight is on target for my height.I am moderately active now but spent years as a softball player, cheerleader, and dancer. Working with seniors and navigating wheelchairs and walkers and overall putting their safety before mine I do tend to bump myself quite a bit without even noticing  until a giant bruise shows up - so it is quite possible that at some point I've knocked my knee so hard that this nerve pain I've been reading about in this post could have happened. Its just so odd - I've NEVER even had trouble with my knees before. Glad to have found this post- I'm not crazy!
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Nope, you are not alone at all. I too have a *sharp*, intense pain when I kneel. It's as if someone is shoving a pointed, wide blade knife into the soft tissues   on the outside of my right knee, a fingers-width to the side and slightly lower than patella-center. It came on very suddenly about two weeks ago, after no discernible injury.

This is different from a tendon or ligament injury of the knww, as I've had both (and still have effects). There is no swelling or discoloration, and there is no continual ache - just the sharp pain when I am kneeling and putting pressure on the knee. If I search carefully, I can even find the spot in my knee which, when pushed, produces this pain.

I am 20 lbs overweight, and have difficulty getting up and down from the floor after a stroke 8 years ago at age 50. I am certain that this pain is made far worse by the added stress  of extra weight and weak musculature. I am starting an exercise regimen, following the outline of "Treat Your Own Knees," by Jim Johnson. It will take some time, but it will be better than surgery if it works.
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I spent a good bit of time reading all the posts on this thread since I've been dealing with a pain close to what many people described. I thought I should post my experience with potential solutions.

My pain was on the right knee and felt like pins and needles when I either kneeled on that knee or bent my knee to an acute angle. I tried several of the solutions, but the one that worked for me was a combination of avoiding those activities and applying heat using a bean bag heated in a microwave for quite a few evenings when I could devote the time to doing that.

I don't know if it improved due to time passing or the heat but after about three weeks I've noticed that I can bend my knee and kneel on that knee with no pain. I'm still being a bit careful with it, but I'm grateful for the relief I've experienced so far and I felt I should offer my feedback.
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I had a similar situation due to fall I took while playing rugby on hard ground.
I found out it was knee bursitis which is the inflammation of the Bursa (fluid sac) at the front of the patella. This can be excruciating because any pressure on the knee was bad. The inflammation/swelling caused a nerve which runs across the front of the knee to be squashed so the knee also felt numb although it still hurt on impact. The best treatment for this is to sleep with your leg elevated at night and to put ice on it. Also just keep it moving and loosen it up so the fluid can get out quicker. Although it takes months for the pain to fully go away I was playing rugby again after a couple of weeks. As long as you can deal with the pain, its not dangerous I would suggest strapping your knee up as well if you are going to do any impact sports. This article is useful for information:
http://www.sophisticatededge.com/can-bursitis-cause-numbness.html
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I felt an ache in the inner calf of my left leg that seemed to be better after a few weeks of Advil and no strenuous exercise. A few days ago (a sunny January day), I was walking, and something snapped. I couldn't put weight on that leg for two days. I'm getting around better now, but the sharp pain comes and goes behind and below the left knee. I have an ortho appointment in a few days, but I am curious if anyone else has been through this. Thanks!
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Severe Burning Knee Pain under left kneecap only {no ortho surgey in right knee while in bed overnight then most pain goes away during the day no burning pain - I have very painful burning pain and stiff knees overnight  while in bed and also when moving and getting out of bed- I am a senior and have run over 30,000 miles and no longer can for three years without discomfort so my body told me to stop.  X-rays show decent joint spacing and that may be due to the stem cell treatment.  Not sure but doubt it is natural after all that running and my age.  The orthopedic doctor said he wish he had my knees when he is my age. The x-rays shows  both with kneecaps [top view on a bent knee] are badly pushed to the outside.  Three years ago I had stem cell treatment  No surgery in this left knee with the burning pain only the right knee ten years ago for cartilage tear.  Been running seven years there after at the gym on the treadmill.  MRI tomorrow night.  Cortisone show seven weeks ago seem to help for a few weeks but then no help at all.  The shot was not for the burning pain but for pain on the inside of the knee that I seems to be improved. I know I have bad tracking of the patellar because I can feel the rough tracking when I slide my kneecap from side to side.  The right knee surgery  cleaned the kneecap and improved the tracking so it is so much better. The surgeon just showed me the xrays and said here is what your knees look like showing my the top view with the kneecaps out of position and no freaking follow-up commentary.  I was stunned by the x-ray so I was speechless at that point, but should have asked what cause it and what does it mean.  No pain in the right knee, but left knee looked further pushed to the right and maybe somewhat pushed ino the bone or something, not sure what it showed.  I was disappointed in retrospect by the orthos doctor handling of the commentary.  Like what was I to say, lets replace the knees.  I had to ask for a cortisone shot when he was leaving the exam room.  I am loosing my confidence in doctors. He is an excellent surgeon  I hear but that only takes you so far.  
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Thank you for the resources!

I recall a number of instances where I may have injured my knee, but I also inherited a bone disorder from my father and my uncle called Osgood-
Schlatter that may be the culprit behind it.

Your doctor should have you contact everyone commenting here to provide her with case studies for a paper. :)

Anyway, thanks again for the resources.  This has been really killing me!
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