Vascular-Clinic

Chronic Knee Pain

Chronic knee pain is persistent discomfort, stiffness, or inflammation in the knee joint that lasts for weeks, months, or even years. It can result from injuries, arthritis, overuse, or degenerative conditions. Unlike acute knee pain, which occurs due to a sudden injury, persistent knee pain often worsens over time and can significantly impact mobility and daily activities.
Various treatments, including lifestyle changes, physical therapy, medications, interventional radiology (IR) procedures, and surgery, can help manage pain and improve function.

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Causes & Risk Factors

Common Causes of Chronic Knee Pain

Osteoarthritis (OA) – A degenerative joint disease causing cartilage breakdown.
Rheumatoid Arthritis (RA) – An autoimmune disorder leading to inflammation and joint damage.
Patellar Tendonitis – Inflammation of the tendon connecting the kneecap to the shinbone.
Meniscus Tears – Cartilage damage inside the knee, often due to injury or aging.
Ligament Injuries (ACL, MCL, PCL Tears) – Common in athletes, causing instability and pain.
Bursitis – Inflammation of the small fluid-filled sacs (bursae) that cushion the knee.
Gout or Pseudogout – Crystalline deposits causing joint inflammation and pain.
Obesity – Excess weight increases stress on the knee joint, accelerating wear and tear.
Overuse & Repetitive Strain – Activities like running or heavy lifting can contribute to chronic pain.

Risk Factors for Chronic Knee Pain

Age – More common in older adults due to joint wear and tear.
Previous Injuries – A history of knee injuries increases the risk of long-term issues.
Lack of Physical Activity – Weak muscles lead to joint instability and pain.
High-Impact Activities – Sports like basketball and running can contribute to knee damage.
Genetics – A family history of arthritis or joint problems can increase susceptibility.
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Symptoms of Chronic Knee Pain

Persistent pain – Aching, burning, or sharp pain in the knee joint.)
Swelling & stiffness – Especially after prolonged sitting or activity.
Weakness or instability – A feeling that the knee might give out.)
Clicking, popping, or grinding sounds – Could indicate cartilage wear or damage.
Limited range of motion – Difficulty bending or straightening the knee.
Pain worsening with activity – Pain may increase with walking, climbing stairs, or prolonged standing.

Sound Familiar?

Diagnosis of Chronic Knee Pain

Doctors Doctors use various methods to diagnose chronic knee pain:

Medical History & Physical Examination – Evaluates pain patterns, mobility, and any prior injuries.
X-rays – Detects bone damage, osteoarthritis, or fractures.
MRI or CT Scans – Identifies soft tissue injuries (ligaments, meniscus, tendons)..
Ultrasound – Evaluates inflammation, fluid buildup, or tissue damage.
Blood Tests – Helps diagnose rheumatoid arthritis, gout, or infections.
Joint Fluid Analysis – Determines the presence of infections or crystal deposits (gout).e.

Living With Chronic Knee Pain

Persistent knee pain can affect daily life, but with proper management, you can maintain mobility and reduce discomfort.

Daily Management Tips:

  • Follow a Consistent Exercise Routine – Strengthen muscles to support the knee joint.
  • Use Assistive Devices if Needed – Canes, braces, or shoe inserts can help with stability.
  • Practice Mindful Movement – Avoid sudden twisting motions that may strain the knee.
  • Monitor Symptoms – Keep track of pain levels and discuss changes with a doctor.

Mental & Emotional Well-being:

  • Stay Positive – Chronic pain can be frustrating, but focusing on solutions can help improve daily life.
  • Join Support Groups – Connecting with others facing similar challenges can provide encouragement.

Treatment Options for Chronic Knee Pain

BPH treatment depends on symptom severity and overall health.

Lifestyle changes:
Maintain a Healthy Weight – Reduces strain on the knee joint.
Regular Low-Impact Exercise – Activities like swimming, cycling, and yoga strengthen muscles without stressing the knee.
Rest & Activity Modification – Avoid repetitive knee strain while maintaining movement.
Use Knee Braces or Supports – Provides stability and reduces pain during movement.
Apply Heat & Cold Therapy – Ice helps with inflammation, while heat relieves stiffness.
Physical Therapy & Strengthening Exercises:
Stretching & Mobility Exercises – Improves flexibility and range of motion.
Strength Training – Strengthens muscles around the knee for better joint support.
Aquatic Therapy – Water-based exercises reduce joint stress while improving strength.
Medications for Chronic Knee Pain:
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) – Ibuprofen or naproxen to reduce pain and swelling.
Acetaminophen (Tylenol) – Helps with mild pain.
Corticosteroid Injections – Reduces severe inflammation and pain.
Hyaluronic Acid Injections – Provides joint lubrication for osteoarthritis relief.
Minimally Invasive Procedures:
Platelet-Rich Plasma (PRP) Therapy – Uses the body’s own healing factors to repair knee tissue.
Viscosupplementation (Hyaluronic Acid Injections) – Helps cushion the joint and improve mobility.
Surgical Options for Severe Chronic Knee Pain:
Arthroscopy – Minimally invasive surgery to remove damaged cartilage or repair ligaments.
Partial or Total Knee Replacement – For severe arthritis or joint damage.

Interventional Radiology for Chronic Knee Pain

Interventional Radiology (IR) offers non-surgical, minimally invasive treatments to manage chronic knee pain.

Genicular Artery Embolization (GAE) – A procedure that reduces knee pain by blocking tiny blood vessels that contribute to inflammation in osteoarthritis.
Radiofrequency Ablation (RFA) – Uses heat energy to disrupt pain signals from nerves around the knee.
Image-Guided Corticosteroid Injections – Provides targeted pain relief using ultrasound or fluoroscopy guidance.

Benefits of IR Procedures for Knee Pain:

  • Minimally invasive – No major surgery required.
  • Quick recovery – Patients often return to normal activities within days.
  • Effective for osteoarthritis and chronic pain management.

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FAQ: Common Chronic Knee Pain Questions

Chronic Knee Pain Articles

Why Choose Prospero?

Exceptional patient-centered care, innovative treatments, and a focus on quick recovery without surgery.

Experienced Interventional Specialists: Our skilled team offers advanced, image-guided procedures for vascular and non-vascular conditions.
Minimally Invasive Treatments: We focus on outpatient solutions that reduce recovery time, often allowing for same or next-day recovery.
Comprehensive & Compassionate Care: We take a patient-centered approach, ensuring comfort, safety, and optimal outcomes.
Flexible & Same-Day Appointments: Prioritize your health without long wait times.
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If you are experiencing any symptoms of Chronic Knee Pain, it is important to see a doctor for diagnosis and treatment. Early diagnosis and treatment can help prevent serious complications, such as amputation. We are here to offer a minimally invasive approach to improve your circulation and quality of life.

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