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Avatar universal

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?
272 Responses
Avatar universal
How are you feeling? How old are you? What is your name?
When any patient complains of “knee pain,” the initial differential diagnosis in most of the cases includes: Osteoarthritis, Ligament damage, Meniscus damage or Patello-femoral disorder.
You have mentioned that you have pain on kneeling down that is in extreme flexion. This suggests that it might be due to either meniscus injury or due Patello-femoral disorder.
The location of pain says that it might be due to meniscus problem.
When did your pain begin, what were you doing at the time, and what were the initial symptoms?
Do you experience any grinding, locking, catching, or giving way of the knee?
Are there any positions that make your knee more or less comfortable?
What is the quality of your pain (sharp, shooting, dull, etc.)?
Have you tried anything to help the pain and, if yes, has that been successful?
Have you ever had surgery on your knee? Do you have any hip or ankle pain?
Keep me informed.
I'm 52 years old. I broke my patella about 6 years ago. Now when ever I'm standing it feels like something is crawling on me
I'm 52 years old. I broke my patella about 6 years ago. Now when ever I'm standing it feels like something is crawling on me
Avatar universal
I am feeling fine. How are you? And who are you?
I am 54. My name is Kendra.
I do not experience any grinding, locking, catching or giving way of the knee.
There are no positions that make my knee uncomfortable other then putting my weight on it while kneeling. It feels totally normal otherwise. The pain is as if I knelt on a sharp rock or tack or even as if my bone is splintered. It began a couple of weeks ago while kneeling.
I have not tried anything to help the pain other then not kneeling on it.
Never had surgery. No hip pain or ankle pain.
I have this exact problem and googled it and ended up here.  Whatever happened with it?
Avatar universal
Hi Kendra,
I am fine, thank you. I am physician.
Grinding is characteristic of osteoarthritis; locking and catching are characteristic of meniscus injuries and osteochondritis dissecans (meniscus injuries are much more common than osteochondritis dissecans); and giving way is more characteristic of ligamentous injuries.
You don't have any of these symptoms which signify you are not having advanced stage of disease.
You don't have hip pain or knee pain that rules out any nerve involvement.
I think it might be due to result of a collateral ligament or meniscus problem (or both) until proven otherwise.
I recommend you to see an orthopaedician at earliest and get imaging studies done for further evaluation.
X-rays study including AP weight-bearing, AP in 45° extension, lateral, and sunrise views. MRI should also be obtained to better evaluate the extent of injury. Arthroscopy is the gold standard diagnostic tool for meniscal tears but may not be necessary.
Treatment plan could be like small tears may be treated conservatively with rest, ice, bracing, and physical therapy. Larger tears and tears in patients who are competitive athletes and wish to return to competitive sport may require surgery.
Hope this helps you.
Keep me informed if you have any queries.
Avatar universal
Hi, i have a similar problem and have been doing a bit of reading. a few weeks ago I was kneeling on some timber decking for most of the day doing some construction work at home. I didnt notice anything unusual. a few weeks later I am now experiencing severe burning to the side of my right knee but only when kneeling. From what i have read it appears to be nerve damage as a result of kneeling on a hard surface for a long time. It supposedly will go away on its own but may take some time, poss months.
Avatar universal
I have a similar condition.  Sharp pain, almost feel like something is tearing when I kneel. Otherwise I am fine walking, standing, exercising, even doing leg extensions with my regular weights.  The worst position is "child's pose" in Yoga.  Do you think acupuncture might help? Thanks J.
Avatar universal
I get the same in the right knee. If I kneel full weight on the knee it feels as if i've knelt on a sharp flint. Really thought I'd done just that the first time it happened. Pain is intense as long as I keep weight on it. Localised below and to right of patella. I can't trigger the pain by running or by moving the joint in any way although the area is slightly tender if I press it hard. There is no lump or indication of any foreign body under the skin. I'll post the diagnosis if I get any joy from the NHS. Kenny make sure to do the same if you find out what it is.
Avatar universal
Has anyone determined the cause of the peculiar knee pain?  I have the same issue and wanted to find out some information.    thanks,
Avatar universal
I have the same knee pain when kneeling on my right knee...for a few years at least now.   I thought it had gone away but rediscovered it while my son was taking a ride on my back.  It is like kneeling on a tack very sharp pin pointed pain.    
Avatar universal
When I kneel on my knees and then sit back on my ankles I experience a severe burning sensation in my lower right leg below the knee about 3 inches and on the outside. This has been occuring for the last two weeks. No flippin idea whats going on here. I am in Physical Therapy and will ask about it and reply with a post if I find anything out.  
Avatar universal
I have the exact same pain when I kneel on my right knee.  It's a very sharp intense burning pain. Has anyone been given a rational reason and therapy for this?
Avatar universal
I experience similar symptoms: When I kneel down on my left leg--like a ballplayer waiting on the on-deck circle--I experience an intense burning sensation. For me, it feels like a really bad rug burn, which is what I thought it was at first, but there are no exterior signs of a burn or inflammation (swelling). The pain subsides in a few seconds, and if I rub, poke, or press it, I feel no discomfort. The knee is mobile and there is no activity that brings pain except for the kneeling.

I have never had surgery on the knee, I have had no injury to the knee. I exercise moderately and am not considered overweight--well at least for a 53 year old man--but I was riding a stationary bike more frequently (4-5 x per week) and at a higher resistance level for a few month before this pain.

If anyone knows what this is, any contribution to this thread would be appreciated.
Avatar universal
Me too! I have had the exact same sharp pain to the outside of my right knee when kneeling. Although the pain doesn't show up when I poke or touch my knee, I can duplicate the pain when my knee is slightly bent and I press below the knee cap and rub to the painward side while still pressing. I almost thought it was a chipped bone at first, but now (because of the above) I think it is a collection of fluid and the pain is from the fluid trying to migrate to an area of muscle or tissue that doesn't want to separate. Some of you may be aware of how powerful hydraulic pressure can be. Just a few pounds pressure can produce enormous power. I don't think its "water on the knee" in the normal sense but believe its related or similar. Let me know if my remarks are familiar to you.  Thanks - Pete O
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