Pain when kneeling, lateral aspect of knee.

[psychs]

I was putting in padded flooring in my home gym for about 4 hours.  Since then I've had pain in my right knee only when kneeling on my right knee (like when tying shoes).  It's to the side of the knee and feels like something is being stretched laterally at first, before I get a sharp pain that feels like it's stinging/tingly.  It is not completely on the side of my knee, but in the softer area to the side of my knee cap.  My PT thinks it's Plica Syndrome; however, a 10 day course of naproxin and voltaran gel has yielded no improvement.  It is only while kneeling.  If i continue to kneel on it for more than a split second, the pain persists for 30 seconds to a minute.  The pain does not come on while walking up and down stairs, or while running.

[genevb]

Your description of the symptoms are an exact match for what I'm experiencing. Did you ever determine the cause? Treatment and resolution? Thanks for any help.

[JoLira]

Hello, I have the exact same condition and would love to hear if anyone ever obtained a diagnosis. I have ruled out "Chondromalacia" and "Bursitis" as I have zero pain while exercising or walking or ever, unless I'm kneeling, at which point the pain to the right corner of my knee, about the size of a quarter, is excruciating, like a thousand needles in that small area. It began after a bad fall but I healed completely except from this extreme pain which occurs only when I'm kneeling. Would appreciate any information you might have. Thank you.

[Mvkidplay]

Did you ever figure it out? I am a 63 year old woman in excellent shape but 6 months now I’ve been experiencing this pain exactly as you’ve described. I cannot kneel. The pain is excruciating when trying to kneel. Previous to this I could do anything I wanted. Now I cannot do the simplest movement of putting weight on my calves when kneeling. (Cannot squat down and it seems that is a frequent move now that I cannot so it!). This has been going on now forever - 6 months. It has gotten a wee bit better through stretching it, acupuncture and hot stone massage but I’m sick and tired of feeling my age when I’ve been used to feeling like a 30 year old!! Prior to this problem I was completely healthy. It came on after 3 things:  1)moving furniture, 2) my Siberian husky running full speed into the side of my knee and 3) laying flooring while kneeling.

[TanyaMD]

I have not had a response other than see an orthopedic but I have to start with seeing my GP.  I made an appt for this Friday. I did ask a friend who does PT and she said it sounds like housemaid knee. Basically the bursa sac is inflamed or infected.  
I will keep you posted

[TanyaMD]

Went to dr and had X-ray same day. No joke they said.. it isn’t dislocated or broken.   There is a lot of soft tissue swelling that they could even see on X-ray.  Aleve twice a day for 2 weeks. Then re evaluate

[psychs]

Thanks for the prompt response! I generally don't do any exercises that require kneeling.  I've found that knee issues tend to be quite difficult to accurately dx.  For example, I was told my knee pain from a marathon was nothing after x-rays, PT, and an MRI.  I was finally diagnosed almost a year later with pes anserinus bursitis.  

Is there anything else that it might be aside from Plica Syndrome?  My podiatrist passed it off as a bursitis, which I don't think is an accurate dx.  It's only brought on by direct pressure to the patella when kneeling with my knee at 90 degrees, and the resulting pain is in the lateral aspect of the knee, proximal to the patella.  

[Dr Vinod]

Hello!

1st thing you do is avoid exercises on keeling positions on your newly laid padded floor as your present symptoms started with this activity.

Synovial plicae are normal structures found in many knees. Under normal circumstances, they are not associated with any painful conditions. However, with the right combination of events they can become quite problematic so my suggestion is follow up with an orthopedician and get diagnosed and treated appropriately.

Take care!