Pain on the inside of the knee
Content description
Pain on the inside of the knee is a common but often underestimated condition that affects both active and less active individuals. The causes vary – from meniscus or ligament damage and overuse to osteoarthritis or oblique strain. To manage and relieve the discomfort, a holistic approach is required with both the correct diagnosis, treatment and adaptation to everyday life.
Symptoms of pain on the inside of the knee
- Aching or sharp pain when straining, for example when walking or climbing stairs
- Swelling and tenderness localized to the inside of the knee
- Feeling of instability or the knee “giving way”
- Stiffness and pain after rest or with osteoarthritis
Causes
Pain on the inside of the knee can be caused by several mechanisms:
Meniscus damage is common and often occurs with twisting force, which causes local pain over the inner joint space. In some cases, it is also accompanied by locking or snapping.
Medial collateral ligament (MCL) injuries often occur from direct force from the side, such as in contact sports, and result in sudden, sharp pain and sometimes bleeding in the joint.
Pes anserine bursitis , also known as “goose foot,” is caused by inflammation of the bursa below the knee. It causes pain when pressed and can be felt under the inside during activity.
Medial osteoarthritis leads to gradual breakdown of cartilage and pain both during exertion and at rest, most common in the elderly
Overpronation of the foot can cause upward oblique load on the knee and cause inner knee pain. Stabilizing inserts or corrective shoes can relieve the load.
Treatment
Treatment is best when it combines symptom relief, rehabilitation, and prevention.
In the acute stage, the RICE principle (rest, ice, compression, and elevation) is essential to reduce pain and swelling. You should then undergo a physiotherapy assessment to make a correct diagnosis.
Once the inflammation and pain have subsided, rehabilitation focuses on muscle-strengthening exercises for the quadriceps, hips and core. For example, painless wall squats, straight-leg raises and balance exercises strengthen stability and improve function. Sometimes exercises with a balance board, footrest or hip training are included, carefully adapted based on the diagnosis.
If pes anserine bursitis is suspected, relief and correction of movement patterns are key. Pressure-relieving compression stockings, heat, and soft knee orthoses can help relieve the pain.
In case of medial osteoarthritis, moderate exercise such as cycling or walking is always beneficial, combined with strength training in a warm or water-cooled environment. A knee brace with targeted relief on the inside can make a big difference in everyday life.
Fascia treatment is also a valuable complement – releasing tension in the fascia around the knee joint can reduce compensations and provide noticeable improvement.
Recommended products
When should I seek treatment for my knee pain?
If the pain is constant, the knee swells, or you experience instability, it is important to seek medical attention quickly. If there are clicking sounds, locking, or trauma, you should contact medical care immediately.
Is rest the best thing for knee pain?
Rest can relieve initial pain, but functional rehab and controlled movement are key to long-term recovery. Cycling, walking, and strength training strengthen without exacerbating the injury.
Do compression stockings and orthoses help?
Yes. The right type of knee brace stabilizes the joint, reduces strain and provides soft rest while allowing you to continue moving safely.
Can I prevent new injuries?
Absolutely. Strong thigh and hip muscles, correct foot position with pronation inserts, and stability exercises provide a robust knee and reduce the risk of injury.
