Physical Therapist Questions Knee Problems

I'm only 23 and experiencing knee pain during exercise. Why?

If I walk for a long distance, run, or swim, I experience pain in both of my knees. There is a history of rheumatoid arthritis in my family. Could this be affecting me, too?

12 Answers

Although RA can be a possibility, it wouldn't be the first thing I would rule in. At your age, there could be other factors requiring a full assessment.
It might be more related to tight muscles. Physical therapy could help you change these patterns so that the right muscles are used to prevent pain.
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RA is hereditary. With that being said, you need not have to carry that. I would recommend a proper evaluation from a PCP/Rheumatologist to confirm if you have it or not.

Regards,
An in person assessment would be necessary to guarantee, but if you are active, the muscles are still stabilizing and protecting the joint from developing arthritis. However, overloading or inadequate maintenance and healing would be the most likely source of the knee pains. Treatments that restore the normal distribution of workload throughout the entire leg and back will allow for both alleviation and prevention.
If there is a history of RA in the family so you need to take it more seriously, you better see rheumatilogest for farther blood work and diagnosis.

Hi,

RA can be a cause of the knee pain. If you have a history, get it checked out! You might look into physical therapy. A trained PT can help with weight loss, prescribing the right exercises for you and relieve pain.
just knee pain doesn't correlated with Rheumatic diseases. Usually effects smaller joints like hands and feet and is bilateral. Not big joint and only 1. Also, just running or swimming is not great on the body. you need to do other exercises to tolerate the stress you put on your body while running, prolonged walking, and swimming. Try weight training
There are a few things that come in to play here, such as your fitness level, running/swimming technique and overall body composition. You may be dealing with muscle imbalances that you aren't aware of. Also, "a long distance" could me a lot of different things to a lot of people. It's difficult to make an accurate assessment without an evaluation and more information. Regarding RA, it is more likely to occur in the hands and feet. Therefore, it is likely that you are experiencing over-use and/or osteoarthritic signs/symptoms, not RA. However, it is not impossible for RA to occur in the knees, so the only way to know for sure is to have an evaluation by a Physical Therapist.
You may or may not have symptoms of Rheumatoid arthritis. You need to get completely evaluated for this. Running/swimming without a proper warm-up and stretching can cause tendonitis of the patella tendon. Your symptoms resemble tendonitis pain. You should get a physical therapy evaluation.
Knee pain with exercise can have many different causes. What exercises are you doing? What exercises are painful? Is there a certain point during these exercises that are more painful than others? You could potentially have limitations in ROM at different joints placing more strain at the knee joint. Additionally you could have weakness in one area of the body causing your knee joint to undergo altered movement and different stress. It would be beneficial to have a PT check your form with these exercises and perform a screen on multiple joints and muscles to see where your deficiencies my be. I'm a perfect world, this PT would have experience with a strength/conditioning and fitness population.

Hope this helps,

Dr. Eric
RA is definitely possible or it could be a muscle imbalance. I suggest seeing a physical therapist to be evaluated.
Thank you for your question. As of today, scientists are not sure about the inheritance pattern of rheumatoid arthritis; however, experts believe that having family members with rheumatoid arthritis can increase your risk of developing the condition. I recommend that you speak to your doctor and get blood work done to rule out RA. Pain in your knee can be caused by a variety of other factors. I recommend that you come in for an evaluation by an orthopedic specialist or physical therapist, if your pain persists.