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Why Won't My Knee Straighten?

Published in Knee Problems 3 mins read

Your knee may not straighten due to several possible issues. Normal knee motion includes both bending (flexion) and straightening (extension). Several factors can hinder this extension. Here's a breakdown of the common reasons based on the reference:

Common Reasons for Knee Extension Problems

Reason Description Example
Meniscus Tear Damage to the cartilage that cushions your knee joint. A twist during sports causing pain and limited straightening.
Quadriceps Tendon Injury A tear or inflammation in the tendon connecting your thigh muscles to your kneecap. Difficulty extending the leg after a fall or direct blow to the tendon.
Patellar Tendon Injury Injury to the tendon below your kneecap connecting to the shinbone. Pain just below the kneecap and trouble straightening the leg when trying to stand from a squat.
ACL Injury Tear in the anterior cruciate ligament, a major stabilizing ligament of the knee. A pop in the knee followed by swelling, instability, and difficulty straightening after a sudden change in direction while playing sports.
Acute Swelling Rapid build-up of fluid in the knee joint. A swollen knee after an injury that limits the ability to fully straighten.
Osteoarthritis Degenerative joint disease. Pain, stiffness, and a reduced range of motion due to gradual cartilage loss.
Patellar Dislocation The kneecap moves out of its normal position. Kneecap pain and deformation followed by difficulty straightening your knee.
Muscle Imbalance Weak or tight muscles around the knee. Tight hamstrings and weak quadriceps preventing full knee extension.

Further Insights:

  • Pain: If your knee extension is limited and painful, it's important to seek medical advice.
  • Swelling: Swelling can be a significant factor, often requiring rest and possibly medical intervention to reduce inflammation.
  • Mechanical Issues: Issues like a meniscus tear or a patellar dislocation can cause a "block" in the joint, making it physically impossible to straighten.
  • Muscle Strength: Imbalances in muscle strength around the knee can also make it difficult to straighten fully.

What to Do

  1. Rest: Avoid activities that cause pain or discomfort.
  2. Ice: Apply ice to reduce swelling.
  3. Elevate: Keep your leg elevated to further reduce swelling.
  4. Medical Attention: If the problem persists, consult a doctor for a proper diagnosis and treatment plan. This might involve imaging tests (like an MRI), physical therapy or other interventions.

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