Anterior Knee Pain: Differential Diagnosis by Dr. Abhilipsa Priyadarshini

Understanding the various potential causes of anterior knee pain, especially in adults with atraumatic conditions, is crucial for effective diagnosis and treatment. Below are some of the common conditions associated with anterior knee pain:

Quadriceps Tendinopathy
Quadriceps tendinopathy is a condition characterized by pain and tenderness at the quadriceps tendon, just above the knee cap. It is often due to overuse or repetitive strain.
Prepatellar Bursitis
Also known as "housemaid's knee," prepatellar bursitis involves inflammation of the bursa in front of the kneecap. This can result from prolonged kneeling or direct trauma to the knee.
Lateral Meniscal Pathology/Osteoarthritis (OA)
Degeneration or tears in the lateral meniscus can cause pain on the outer side of the knee. Osteoarthritis in this region can also contribute to knee pain and stiffness.
Iliotibial Band Syndrome
Iliotibial band syndrome (ITBS) occurs when the iliotibial band becomes tight or inflamed, often causing pain on the outside of the knee. It is commonly seen in runners and cyclists.
Infrapatellar Fat Pad Syndrome
Inflammation of the fat pad below the patella can cause significant pain and swelling in the front of the knee, often exacerbated by activities that involve deep knee bending.
Referred Pain
Don't overlook the possibility of referred pain originating from the hip, lumbar spine, or other areas. Conditions in these regions can manifest as anterior knee pain.
Patellofemoral Pain/Osteoarthritis (OA)
Patellofemoral pain syndrome (PFPS) involves pain around the kneecap, often worsened by activities like squatting or climbing stairs. Osteoarthritis in this joint can also cause similar symptoms.
Medial Plica Syndrome
Medial plica syndrome involves irritation of the plica, a fold in the knee joint lining, leading to pain and swelling on the inner side of the knee.
Medial Meniscal Pathology/Osteoarthritis (OA)
Similar to lateral meniscal pathology, issues with the medial meniscus or medial compartment osteoarthritis can cause pain on the inner side of the knee.
Pes Anserine Bursitis
Inflammation of the pes anserine bursa, located on the inner side of the knee just below the joint, can lead to pain and tenderness in this area.
Patellar Tendinopathy
Also known as "jumper's knee," patellar tendinopathy is characterized by pain in the patellar tendon, usually just below the kneecap. It is often due to repetitive stress.
Tibial Plateau Stress Fractures
Stress fractures of the tibial plateau can present with pain similar to other knee conditions. These fractures are usually caused by overuse or repetitive impact activities.

Understanding these conditions can help in identifying the root cause of anterior knee pain and guide appropriate treatment strategies. If you’re experiencing persistent knee pain, it’s important to seek professional advice for a thorough assessment and tailored treatment plan.

For personalized consultations and expert physiotherapy services, visit Dr. Abhilipsa Priyadarshini in Bangalore. Stay informed and take proactive steps toward managing your knee health effectively.

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