Knee Pain!!!

AHJS

Professional
My knee hurts sometimes when playing and it is right in the middle on the anterior part of my knee. I can't really tell the depth of it. It will come and go when playing, it can be bad for a game or two then go away, or stay for a set, and it can be at the beginning, middle or end of a match. What could it be? Its a sharp pain that hurts to put pressure on and twist.
 

mikeler

Moderator
See a doctor first but my non-medical opinion is middle age. I'm trying a daily glucosamine diet to see if that will help.
 

AHJS

Professional
Possibly patellar tendinitis. Pretty common for juniors who put in a lot of hours. I had it about 6 months ago. It's a pain
Does it hurt when you do squats?
Edit: but really you should see a doctor and possibly get an MRI if it doesn't improve
I've had patellar tendinitis before from overuse and improper shoe cushioning, but this feels a little different. This is a sharp pain that doesn't hurt to the touch and goes away as quickly as it comes.
Could it be patellofemoral syndrome?
 

Fintft

G.O.A.T.
Play as much as you can on clay?

Run only on soft surfaces such as dirt and not on asphalt?

Best shoes for cushioning + good insoles, such as Dr Scholl's active?

Glucosamine, Omega 3, Vitamin D, small aspirin?
 

mikeler

Moderator
I've had patellar tendinitis before from overuse and improper shoe cushioning, but this feels a little different. This is a sharp pain that doesn't hurt to the touch and goes away as quickly as it comes.
Could it be patellofemoral syndrome?

Time to talk to a real doctor my friend.
 

Coolio

Professional
I'd see my orthopedic surgeon friend and let him make recommendations on where to go next. But that's just me.
Ok but if you want to go to an orthopedic surgeon everytime you have a problem with your knee, you will be spending an awful lot of money. Most knee problems, can be solved with stretching and strengthening muscle imbalances
 

Tyrus

Professional
Often times knee pain doesn't start at the knee.

You mention previous patellar tendon issues, this could be your body compensating for a lack of ankle mobility. Think of the body like a chain, if you have no ankle mobility issues, then it could lie within the hip. All could stem from compensating for the patellar tendon issues you have previously had.

A good physiotherapist should be able to help get to the bottom of it. I once had back pain that was a results of tight hip flexors.
 

BMC9670

Hall of Fame
I'm a teenager so I don't think it is middle age :)

As a teenager (15, I believe you had said in another thread?), you have cited many physical issues here - shoulder, hip, wrist, knee, fatigue... This is why you sound middle aged. :eek:

You may want to ask yourself why you're having so many issues at such a young age? Are you training too much? Do you need technique work? Do you need to cross-train to avoid repetitive/overuse injuries? Your diet, your fitness, rest/sleep? Just my opinion, but something seems off if you are having that many issues. This is not a criticism, but hopefully helpful advice.
 

AHJS

Professional
As a teenager (15, I believe you had said in another thread?), you have cited many physical issues here - shoulder, hip, wrist, knee, fatigue... This is why you sound middle aged. :eek:

You may want to ask yourself why you're having so many issues at such a young age? Are you training too much? Do you need technique work? Do you need to cross-train to avoid repetitive/overuse injuries? Your diet, your fitness, rest/sleep? Just my opinion, but something seems off if you are having that many issues. This is not a criticism, but hopefully helpful advice.

I don't really know. I'm not the most flexible guy, but am quite strong. I train about normal for my age and level of play. My technique I think is just fine, and my diet/fitness/sleep are very good. Cross-training would help probably, but I feel like I would fall too far behind in terms of tennis.
One theory I and many others have is that I play very aggressively. I like to take a big rip at each ball, and everyone says that watching me play, I hit harder and move more aggressively with harder cuts, changes in direction and explosive movements. That's my theory but I could be wrong.
 

BMC9670

Hall of Fame
I don't really know. I'm not the most flexible guy, but am quite strong. I train about normal for my age and level of play. My technique I think is just fine, and my diet/fitness/sleep are very good. Cross-training would help probably, but I feel like I would fall too far behind in terms of tennis.
One theory I and many others have is that I play very aggressively. I like to take a big rip at each ball, and everyone says that watching me play, I hit harder and move more aggressively with harder cuts, changes in direction and explosive movements. That's my theory but I could be wrong.

Could be. Sounds like your style of play is hard on the body. On the pro level, commentators have often talked about the difference in Nadal and Federer in this regard. Nadal moves like a raging bull and seems to pummel the ball whereas Federer seems to glide over the court and stroke the ball smoothly. Both are giving tremendous effort, just have different styles. Nadal is injured more, and Federer hardly ever.
 

AHJS

Professional
Could be. Sounds like your style of play is hard on the body. On the pro level, commentators have often talked about the difference in Nadal and Federer in this regard. Nadal moves like a raging bull and seems to pummel the ball whereas Federer seems to glide over the court and stroke the ball smoothly. Both are giving tremendous effort, just have different styles. Nadal is injured more, and Federer hardly ever.
It definitely is hard on the body. I play more like Fed than Nadal, but move like Nadal. I move very aggressively, but play very similarly to Federer, so I guess I'm a mix. But yes, thats just my theory, because other than cross-training and flexibility, I check every box for not being prone to injury.
 

dgold44

G.O.A.T.
AHJS, probably tendonitis but you need to cut back on playing. A person of your age should not be experiencing knee pain at all. You need to cut back and take more days off a week.
You probably have nothing seriously wrong with your knee but you need to rest it more. Having a MRI probably not.
Do you have any swelling or brusing or clicking or grinding sounds in knee.
Obviously I am no Doctor lol.
I did stay at a Holiday Inn once, through.
 

Ihatetennis

Hall of Fame
It definitely is hard on the body. I play more like Fed than Nadal, but move like Nadal. I move very aggressively, but play very similarly to Federer, so I guess I'm a mix. But yes, thats just my theory, because other than cross-training and flexibility, I check every box for not being prone to injury.
go to "airrosti" it is physical rehab that works with muscle disfunction and educates to prevent future injury, and it kept me from going under the knife

in 5th grade i was getting ready to have surgery on both knees because the tendinitis had gotten realllly bad...imagine walking up stairs and on the verge of tears because of the pain, only to take advil and continue playing more tennis.

16 hours of intense tennis in 4 days plus tournaments will really hurt your knees


tennis causes muscle disfunction and the quads will be much tighter than the hamstring, the uneven strain causes a lot of pain and tendinitis

Get a foam roller and roll out your quads and t bands on the side of your thigh. it will hurt but it will help
 

Fairhit

Hall of Fame
I've been having pain in the middle of the knee, going up or down stairs makes me feel a little pain, it seems to be a common occurrence, what do you recommend to alleviate the pain? Is it OK to keep playing?
 

SteveI

Legend
Ok but if you want to go to an orthopedic surgeon everytime you have a problem with your knee, you will be spending an awful lot of money. Most knee problems, can be solved with stretching and strengthening muscle imbalances

This might be the worst advice ever posted here.. Sharp knee pain is NEVER good. If it was soreness that is very different. Most medical insurance pays for ortho.. even if you have a lower level plan. If you can't see a doctor right away, find a very good PT or athletic trainer to check you out before you do some real damage. They will give you the proper advice on stretching and strengthening.
 

SystemicAnomaly

Bionic Poster
I'm a teenager so I don't think it is middle age :)
Has Osgood-Schlatter's Disease (aka growing pains) been eliminated as a possibility? Sudden growth spurts in teens can result in a OSD condition. It can be quite painful for some sufferers.

Jumper's Knee? Other possibilities include issues with the patella, bursa, ligaments, tendons, or cartilage (meniscus). Really need to get this assessed by a physio or medical professional rather than trying to have us unqualified posters throw guesses at you
 

SystemicAnomaly

Bionic Poster
Whoa! Just a notice that this thread was from 2015.
I'm trying a daily glucosamine diet to see if that will help.
Play as much as you can on clay?

Run only on soft surfaces such as dirt and not on asphalt?

Best shoes for cushioning + good insoles, such as Dr Scholl's active?

Glucosamine, Omega 3, Vitamin D, small aspirin?
Best glucosamine products I came across were from European pharmacies. Glucosamine is a prescription substance in Western European countries. So I would imagine that the quality control is fairly high. Some GS supplements found OTC in the US is suspect -- some are likely much better than others.

Also have complemented GS (ingested) supplements with a topical glucosamine product from Now (Foods). It is formulated with liposome technology to improve its tissue penetration. Also contains MSM & Arnica. I sometimes use this with DMSO or Emu oil to further enhance its ability to penetrate the skin

Need more than need generic cushioning in an athletic shoe. You also need good support, especially heel support. You can get the proper amount of arch support, for your specific feet, from a suitable orthotic insert (insole). I've had very good results with Dr Scholl's CustomFit orthotic insoles. These are a 3/4 insert that can be used on top of your existing insole (do not need to remove the OEM insole for these)

Shoe cushioning is best if it includes both midsole cushioning as well as insole cushioning. Have discovered that Nike Air Monarch x-trainers have very good cushioning if the midsole and much better insole cushioning than I have found with any other shoe. Also have very good heel support for my feet.
 
Last edited:

Soul

Semi-Pro
It has been rather nice here of late with my knee health. I began eating a pescatarian diet recently and for some reason any knee pains I've had for years have disappeared. Before to keep my knees feeling better I'd do some light weight lifting on my legs s couple times a week. Now for what ever reason the fish diet is working great for my knee health.
 
Top