Symptom · Legs & feet

Knee pain

Also known as: sore knee

Pain in or around the knee, the body's largest joint, where the femur, tibia and patella meet, cushioned by the menisci and held by four main ligaments. Causes divide into injury, wear and inflammation.

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What it is

Pain in or around the knee, the body's largest joint, where the femur, tibia and patella meet, cushioned by the menisci and held by four main ligaments. Causes divide into injury, wear and inflammation.

Common causes

OsteoarthritisAche and stiffness that build over months or years, worse after activity and at the end of the day, with creaking and swelling.
Ligament injuriesA twist or blow tears the anterior cruciate (a pop, rapid swelling, giving way) or the medial collateral ligament (pain on the inner side).
Meniscal tearsTwisting injuries or wear produce pain on the joint line, catching and locking.
Patellofemoral pain and runner's kneePain at the front of the knee with stairs, squatting and sitting.
Tendon and bursa problemsPatellar tendinopathy in jumpers, iliotibial band syndrome in runners, bursitis from kneeling.

Less common causes

Gout and pseudogoutA red, hot, exquisitely tender joint appearing overnight.
Septic arthritisHot swollen joint with fever; an emergency that destroys cartilage within days.
Rheumatoid arthritisSymmetrical swelling with prolonged morning stiffness.
Referred pain from the hipEspecially in children and adolescents.
Baker's cystA swelling behind the knee from joint fluid.

Often occurs with

Seek urgent care if

  • A hot, swollen knee with fever or feeling unwell
  • Inability to bear weight, obvious deformity or a knee that locks after injury
  • Sudden calf pain and swelling behind the knee (possible clot)
  • Numbness or a cold, pale foot after injury

Conditions to read about

How it is investigated

Educational content. This page explains what a symptom can mean so that the anatomy and the medical reasoning make sense. It cannot tell you what is causing yours: only a clinician who can examine you and order tests can do that.