Occasional Knee Buckling

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Buckling

Runner’s knee is the common term for any one of several conditions that cause pain in front, behind or around the kneecap, or patella. The most common of these conditions is patellofemoral syndrome, patellar tendonitis and anterior knee pain syndrome.

Knees Buckling In Seniors

Knee Instability Symptoms. Symptoms of knee instability are usually noticed with twisting or side-to-side movements. This may occur in sports activities or may occur with simple tasks, such as twisting your knee to get in and out of a car. Other instability, left knee. 2016 2017 2018 2019 2020 2021 Billable/Specific Code. M25.362 is a billable/specific ICD-10-CM code that can be used to indicate a. Pain located in the upper shinbone area, just below the kneecap, is a different condition and is discussed in Osgood-Schlatter Disease (Knee Pain). A teenager or young adult who is physically active and participates in sports may sometimes experience pain in the front and center of the knee, usually underneath the kneecap (patella).

Knee buckling, often described as a knee 'giving way,' is a symptom of knee instability that frequently affects older individuals, in particular those with knee pain and knee osteoarthritis (OA. Your child's kneecap (patella) is usually right where it should be—resting in a groove at the end of the thighbone (femur). When the knee bends and straightens, the patella moves straight up and down within the groove. Sometimes, the patella slides too far to one side or the other.

Occasional Knee Buckling

As the name indicates, this condition is often associated with running; however, it can also result from other athletic activities that place significant stress on the knee, such as basketball, skiing, soccer and cycling. Runner’s knee is one of the most common chronic knee injuries and is more often seen in women than in men.

Knee

What Causes Runner’s Knee?

Buckling Knee Brace

Runner’s knee often develops as a result of overuse of and repeated stress on the knee. A change in the frequency, intensity or duration of physical activity, such as running or cycling longer distances or exercising more days per week, can also bring on this condition.

Poor exercise practices or improper sports training or equipment may also be risk factors. Muscle imbalance or weakness, misalignment in the kneecap or leg, and problems with the feet are associated with a higher risk for developing this condition as well people who are overweight. In some cases, direct trauma to the kneecap or dislocation of the knee can lead to runner’s knee.

Buckling knee brace

What Are The Symptoms?

The main symptom of patellofemoral pain syndrome is knee pain, especially when sitting with bent knees, squatting, jumping, or using the stairs (especially going down stairs). Some people with runner’s knee may also experience occasional knee buckling, in which the knee suddenly gives way and doesn’t support your body weight. People with runner’s knee may also describe popping, catching or a grinding sensation in the knee when walking or moving.

How is Runner’s Knee Diagnosed?

After taking a medical history, the doctor will perform a physical examination to evaluate the knee’s stability and alignment, and to determine the location and scope of the pain and swelling. An X-ray can reveal abnormalities in the position and alignment of the kneecap, and if instability is suspected, a CT scan may be ordered. An MRI can also be useful in diagnosing runner’s knee, as it can determine the extent of softening or injury to the cartilage in the kneecap.

Options for Treating Runner’s Knee

  • The RICE technique – rest, ice, compression and elevation – is the first step in the treatment of runner’s knee. If you just can’t rest then try relative rest and decrease your overall volume of activity.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help to decrease pain and swelling. Read and follow all label directions.
  • Avoid bent knee exercises such as squats and deep knee bends.
  • Strengthen the muscles the help you control your knee. This includes strengthening the quadricep muscles (focus on the medial thigh doing seated straight leg raises with your toe out) and hip abductors (gluteus medius). Working with a skilled physical therapist can be very helpful.
  • Controlling the kneecap with tape or bracing may be helpful.
  • Evaluate and modify the way you run. Try increasing your cadence and shortening your stride.
  • Most cases do not require surgery. However, if the cartilage in the kneecap is damaged or the runner has misalignment issues, surgery may be recommended. Most of the time the surgical procedure will be minimally invasive, using arthroscopic surgical techniques.

Return to Running

Knee Buckling After Replacement

When you return to running start slow and be patient. Remember the rules for returning to run:

  • Pain that increases during a walking or running sessions should be avoided and the activity should be reduced or stopped.
  • Joint pain should not persist or increase by 24 hours after exercise.
  • If you have pre-existing mild joint pain (>3 points out of a 10 scale), the pain should not worsen during the exercise session or last into the next day.
  • If the pain causes a limp or a compensatory gait change, the exercise volume should be reduced or the exercise stopped until a normal gait pattern occurs.

Good luck and Happy Running!

Occasional Buckling Of Knee Causes

By: Stephen Kirk, MD
Sports Medicine Specialist, Comprehensive Orthopedics & Sports Medicine