When Can I Walk Off Knee Pain — And When Should I See A Doctor?

June 7, 2022

Henry Ford Health System

Whether you wake up with a stiff knee, sustain an injury, or start feeling knee pain for seemingly no good reason, you might wonder what to do. Should you immediately rush off to the doctor? Can you just ignore it and hope it will get better? Can you treat it yourself? Knowing when you need a doctor’s intervention can be a tricky decision to make.

We see people at the start of injuries and after they’ve been ongoing,” says Nancy White, M.D., a sports medicine physician at Henry Ford Health. “While the sooner you see an expert, the better, there’s really no right or wrong to it. However, there are a few key signs that it’s a good idea to get it checked out.”

Dr. White recommends seeing a doctor if:

You are waking up with consistent knee stiffness. If there’s no history of an injury involved, it could be due to osteoarthritis or rheumatoid arthritis.

If your knee pain isn’t going away.

Your knee is swollen and you can’t bear weight on it.

You can’t fully flex or extend your knee.

Your knee is warm to the touch. This could signal inflammation.

If your pain is mild — or you’re trying to decide whether to see someone — Dr. White recommends icing it on a scheduled basis. “That means two to three times a day,” she says. “Apply the ice to your knee. It will get cold. It will burn, then it will get numb. Remove the ice when it gets to the numb stage.” 

She also recommends elevating your leg and putting a compression wrap or sleeve on your knee. If the pain is bad, you can try taking ibuprofen or naproxen for a few days.

Common Causes of Knee Pain

But if your knee is not getting better, it’s a good idea to see a doctor, as common causes of knee pain include: 

► ACL sprains and tears. Short for anterior cruciate ligament, the ACL is one of four ligaments in the knee that allows it to flex and extend. The ACL can tear when your foot is firmly planted in place, and the knee locks and twists or pivots at the same time.

► MCL sprains and tears. Short for medial collateral ligament, the MCL connects your shinbone to your thighbone. It can tear when landing after a jump, or after an exterior blow to the knee (usually during contact sports). Luckily, most MCL injuries heal on their own.

► Meniscal tears. The menisci are your knee’s shock absorbers; they're two discs made of soft cartilage. Abrupt movements (like pivots, stops, turns, squats or lifts) can cause them to tear.

► Kneecap dislocation. A direct hit to the knee — or a sudden twist or pivoting of the leg — can make the kneecap can shift out of place. 

► Patellar tendonitis. This is also known as Jumper’s Knee, as it’s a common injury in basketball and volleyball players. The patellar tendon connects the bottom of the kneecap to the top of the shinbone, and can become inflamed from overuse, excessive force or repetitive stress. 

Knee bursitis. The bursa is a small, fluid-filled sac located near the knee joint. Knee bursitis occurs when the bursa becomes inflamed, often because of a knee injury or overuse from frequent kneeling. 

How to Help Prevent Knee Pain

And if you want to help prevent knee pain in the future? “Exercise regularly so that you’re strengthening your quadriceps, hamstrings and gluteal muscles,” says Dr. White. “It’s also important to stretch to increase quadricep and hamstring flexibility.”

Wearing shoes with sturdy soles and proper arch support can also help ease pain and issues you may already have, says Dr. White. “I would say the top reasons people get into trouble with their knees are things they could prevent by changing lifestyle habits. This includes maintaining a healthy weight, as being overweight can also lead to increased wear and tear on the joints.

To learn more about your orthopedic condition or to find a provider, visit henryford.com/ortho.

Dr. Nancy White is a sports medicine physician at Henry Ford Health. She sees patients at Henry Ford Medical Center – Novi, and Henry Ford Medical Center — Bloomfield Township.

An Athletic Trainer's Guide To Winter Sports You Should Test Out This Year

February 15, 2022

Christina Eyers, Ed.D., AT, ATC, is the Director of Athletic Training & Community Outreach with Henry Ford Sports Medicine.

With the winter Olympics kicking off, you might be wondering which (if any) winter sports are safe for you to try.

In addition to favorite pastimes like skiing, snowshoeing and ice skating, athletes in the winter Olympics are shining a light on lesser-known sports that are worth checking out if you're feeling adventurous. (Curling anyone?)

Breaking Down Winter Olympic Sports

Whether you prefer snow or ice, there are plenty of cold-weather activities that offer a heart-pumping workout — and you don't have to be an Olympic athlete to join in the fun. A bonus: Many of these activities are easy on your joints and offer cross-training benefits.

Several favorites:

  1. Cross-country skiing. Cross-country skiing is a full-body, endurance pursuit similar to running. But since you're gliding through the snow, not pounding pavement, there's less stress and strain on your joints — and a lower risk of repetitive use injuries.
  2. Ice skating. Figure skating is among the most popular winter Olympic sports. It's also the oldest sport in the winter program. Even if you feel unsteady on ice skates (and what beginner doesn't?), taking an introductory lesson can help you glide safely while learning proper mechanics. Since falling is common for beginners, make sure you wear some extra padding and take your time as you master new maneuvers.
  3. Curling. A unique Olympic sport, curling is like shuffleboard on ice. While it may be one of the slower sports in the winter games, it's also a great game to play on the ice with your family.
  4. Skiing. Skiing is a fun activity for the whole family. But if you're an amateur skier, it's critical to be realistic about your abilities. Don't be afraid to take ski lessons to get the basics under your belt. A ski instructor not only gauges your skill level, but can also direct you to the slopes that are the best fit for your experience.
  5. Snowboarding. One of the newer Olympic sports on the circuit, snowboarding was first included at the 1998 Winter Olympics in Nagano, Japan. But since its introduction, snowboarding has become one of the most popular sports in the Games — and for winter recreation among nonathletes.

    No matter which winter sports you choose, make sure you have appropriate equipment that fits. Winter sports gear can get pricey, but try secondhand stores or even rent equipment for weekend use. Just make sure to ask the experts for advice on things like length of skis, boots, bindings, figure skates or hockey skates. Most importantly, make sure to always wear a helmet for activities such as skiing and snowboarding (kids should wear helmets when ice skating too!).

    Cold-Weather Sports Caveats

    Winter sports can be engaging for everyone, no matter what their age or skill level. You can use the Olympics as inspiration or try one of the many non-Olympic sports that get your heart pumping during colder months. A few favorites:

    ► Sledding. Tubing and sledding require you to climb up the hill in order to ride your way down. Toboggan runs and sledding hills are a great way to enjoy local parks during the wintertime — and they're fun for the whole family.
    ► Snowshoeing. Like walking on sand, snowshoeing requires you to navigate uneven surfaces, which helps strengthen your leg and glute muscles.
    ► Hiking. If the weather is on the mild side, don't be afraid to get outdoors and explore. With newer materials and textiles, it's easier than ever to dress warmly and remove layers as you work your way up a hill or mountain.

    Whatever winter activity you choose, keep in mind you’re not competing in the Olympics. If you’ve been mostly sedentary, it's important to start slow. Gradually increase your activity level and be sure to wear appropriate safety gear.

    To find a primary care or sports medicine specialist at Henry Ford, visit henryford.com or call 1-800-436-7936.