Anteromedial Knee Pain Guide – Anteromedial Knee Pain Symptoms, Causes, Treatments, Diagnosis – Expert Links, Help, Answers -from Leg Pain Guide

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Anteromedial Knee Pain – from the Leg Pain Guide

• What is Anteromedial Knee Pain?
• What are the main symptoms for Anteromedial Knee Pain?
• What are the reasons behind Anteromedial Knee Pain?
• What are the main treatments & medications for Anteromedial Knee Pain?
• Videos, Communities, FAQs and Other Resources for Anteromedial Knee Pain

What is anteromedial knee pain?

Firstly: What is the meaning of such a strange word Anteromedial? The medical definition of anteromedial is something that is “located in front and toward the middle.”

Basically, Anteromedial Knee Pain comes under the category of anterior knee pain, that is, pain at the front of the knee. So, it could either come under Anterior Knee Pain or Medial Knee pain. Pain in these two regions typically happen owing to overuse.

Let us look at each of these two.

Anterior Knee Pain

Meaning of Anterior: Nearer the front, or in front of the body

This image provides a good idea of the parts that are in the anterior part of the body at the knee – See image

As shown in the image above, the two regions in the anterior portion of the knee that can get damaged and result in pain are Petalla (knee bone) and femur (thigh bone). Most of the anteromedial pain can hence be thought of as patello-femoral pain. Most times, the anteromedial pain is owing to problems in the patella where there is a softening and breakdown of the tissue (cartilage) on the underside of the kneecap (patella). Pain results when the knee and the thigh bone (femur) rub together.

Patients with patello-femoral pain syndrome (chondromalacia patellae) typically present with a history of mild to moderate anterior knee pain that usually occurs after prolonged periods of sitting. Patello-femoral pain syndrome is a common cause of anterior knee pain in women. On physical examination, a slight effusion may be present, along with patellar crepitus on range of motion. The patient’s pain may be reproduced by applying direct pressure at the anterior aspect of the patella.

Medial Knee Pain

There are two aspects to medial knee pain: One affecting the plica, and another a set of sacs or cushions between bones.

A frequently overlooked diagnosis is medial plica syndrome, or an inflammation of the plica.

Now, what is a plica? A plica is a fold of synovial membrane most commonly in the anteromedial aspect of the knee. A plica is present in about 50% of the population and is thought to be the remnants of embryonic connective tissue that failed to fully resorb during your foetal development.

The plica can become inflamed with repetitive overuse. The patient presents with acute onset of medial knee pain after a marked increase of usual activities. On physical examination, a tender, mobile nodularity is present at the medial aspect of the knee, just anterior to the joint line. There is no joint effusion, and the remainder of the knee examination is normal.

Pes anserine bursitis is another possible cause of medial knee pain, which can results from an inflammation of the bursa.

Now, what are bursa or their plural, bursae? Bursae are fluid-filled sacs that act as a cushion between bones, tendons, joints, and muscles. … They cushion and lubricate points between the bones, tendons, and muscles near the joints. The bursae are lined with synovial cells. Synovial cells produce a lubricant that reduces friction between tissues.

The tendinous insertion of the sartorius, gracilis, and semi-tendinosus muscles at the anteromedial aspect of the proximal tibia forms the pes anserine bursa. This bursa can become inflamed as a result of overuse or a direct contusion. Such inflammation, called the pes anserine bursitis, can be confused easily with a medial collateral ligament sprain or, less commonly, osteoarthritis of the medial compartment of the knee. The patient with pes anserine bursitis reports pain at the medial aspect of the knee. This pain may be worsened by repetitive flexion and extension. On physical examination, tenderness is present at the medial aspect of the knee, just posterior and distal to the medial joint line. No knee joint effusion is present, but there may be slight swelling at the insertion of the medial hamstring muscles. Valgus stress testing in the supine position or resisted knee flexion in the prone position may reproduce the pain.

Related links and web resources for Anteromedial Knee Pain

• Evaluation of Patients Presenting with Knee Pain: Part II. Differential Diagnosis – American Family Physician – Read more
• Types of Knee Pain – Anterior, Posterior, Medial, Lateral – Read more
• Anterior Knee Pain – from Physiopedia – Read more
• Nonspecific Chronic Anteromedial Knee Pain Neuroma as a Cause of Infrapatellar Pain Syndrome: Case Study and Literature Review – Read more
• How to Identify & Treat Inner Knee Pain – Medical News Today – Read more
• Anteromedial Ankle Impingement Syndrome – by Thomas Michaud, DC – Originally referred to as “athlete’s ankle” and later “footballer’s ankle” because of the high prevalence in soccer players, this condition occurs when osteophytes on the anteromedial tibia and dorsal talus collide during ankle dorsiflexion, pinching the soft tissues between them (Fig. 1). Over time, the inflamed tissues hypertrophy and the potential for soft-tissue entrapment worsens. – from Dynamic Chiropractic – Read more
• Knee Pain | The Trigger Point & Referred Pain Guide – Related trigger point and referred pain diagrams for Anteromedial Knee Pain. Relevant primary and secondary muscles are shown – Read more
• Medial plica irritation: diagnosis and treatment – NCBI – NIH –  Read more – Medial plica irritation of the knee is a very common source of anterior knee pain – Read more
• Sharp Anterior Medial Knee Pain – Massage Today – Sharp Anterior Medial Knee Pain. By Ben Benjamin, PhD. Question: Where is the medial quadriceps expansion? Answer: At the medial side of the patella. Read more

Guidance for Comprehensive List of Leg & Foot Related Pain from Leg Pain Guide.

A

• Achilles tendon rupture (Achilles tendinitis)
• ACL Injury (Anterior Cruciate Ligament Injury)
• Ankylosing Spondylitis
• Anterior Ankle Pain
• Anterior Knee Pain
• Anterior Thigh Pain
• Anteromedial Knee Pain
• Atherosclerosis
• Arthritis

B

• Broken Bone
• Blood Clot or DVT
• Bunion
• Bone Fracture
• Baker’s cyst
• Bone Cancer
• Bursitis
• Buckling Knee
• Burning or Aching Pain in Feet or Toes

C

• Chronic Exertional Compartment Syndrome
• Claudication
• Cancerous Bone Tumors

D

• Deep Vein Thrombosis (DVT)
• Dorsal Forefoot Pain
• Dorsal Toe Pain
• Diabetic Neuropathy

G

• Gout
• Growth Plate Fractures

H

• Hair Loss on Legs
• Hairline Crack in the Bone
• Hamstring Injury
• Heel Pain
• Herniated Disk
• Hip Pain

I

• Inflamed Tendon (Tendinitis)
• Infection of the Bone (Osteomyelitis)
• Infection of Led Skin and Soft Tissue (Cellulitis)
• Inflammation of Leg Joints

J

• Joint Sprain
• Juvenile Rheumatoid Arthritis

K

• Knee Pain
• Knee Bursitis

L

• Lateral Ankle Pain
• Lateral Hip Pain
• Lateral Knee Pain
• Lateral Thigh Pain
• Leg Muscle Cramp
• Leg Muscle Fatigue
• Leg Muscle Strain
• Legg-Calve-Perthes Disease
• Lower Extremity Peripheral Arterial Disease

M

• Metatarsal Heel Pain
• Meralgia Paresthetica

N

• Night Leg Cramps
• Narrowed Spinal Canal (Stenosis)
• Numbness in Legs
• Nerve Damage in Legs
• Benign Tumors of Femur or Tibia (Osteoid Osteoma)

O

• Osgood-Schlatter Disease
• Osteoarthritis
• Osteochondritis Dissecans
• Osteomyelitis

P

• Paget’s Disease
• Patellar Tendinitis
• Patellofemoral Pain Syndrome
• Peripheral Artery Disease
• Peripheral Neuropathy
• Peripheral Vascular Disease
• Posterior Cruciate Ligament Injury
• Pseudogout
• Psoriatic Arthritis
• Plantar Toe Pain
• Plantar Midfoot Pain
• Posterior Ankle Pain
• Posterior Calf Pain
• Posterior Knee Pain
• Posterior Thigh Pain

R

• Restless Leg Syndrome
• Rheumatoid Arthritis
• Reactive Arthritis

S

• Sacroiliitis
• Sciatica
• Septic Arthritis
• Shin Splints
• Skin Infections
• Slipped Capital Femoral Epiphysis
• Sores on Legs or Foot
• Spinal Stenosis
• Stress Fractures

T

• Tendinitis
• Thigh Pain
• Thrombophlebitis
• Tight Achilles Tendons
• Tingling in Legs
• Torn Meniscus
• Torn Muscle

V

• Varicose Veins – 1
• Varicose Veins – 2

W

• Weak Ankles
• Weakness in Legs

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Top 20 Web Sites & Guides for Health, Illnesses & Diseases

Bupa – BUPA UK, BUPA Global	Cleveland Clinic – Link
Cedars-Sinai – Link	Centers for Disease Control & Prevention (CDC) – Link
Drugs.com – Link	eMedicine Health – Link
Everyday Health – Link	HealthLine – Link
John Hopkins Medicine Health Library – Link	LiveStrong – Link
Mayo Clinic – Link	Medical News Today – Link
MedicineNet – Link	MedlinePlus – Link
MedScape – Link	Merck Manuals – Link
NHS UK – Link	NIH – Link
Patient Info – Link	WebMD – Link