Why Does My Knee Pop When I Do Squats? If you’re experiencing clicking, popping, or grinding sounds in your knee during squats, it’s essential to understand the potential causes and when to seek professional help. At WHY.EDU.VN, we delve into the intricacies of joint noises, offering clear explanations and actionable advice to address knee discomfort, pain management, and safeguard your joint health. Discover expert-backed insights to maintain healthy knees and optimal joint function.
1. Understanding Knee Popping During Squats: Is It Normal?
Knee popping during squats is a common phenomenon, and in many cases, it’s entirely harmless. However, it can also be a sign of an underlying issue. Understanding the difference between benign and concerning knee noises is crucial for maintaining joint health.
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Benign Knee Popping: This type of popping is usually painless and occurs sporadically. It’s often caused by the movement of tendons or ligaments over bony structures or the release of gas bubbles in the synovial fluid (the fluid that lubricates the joint).
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Concerning Knee Popping: This type of popping is accompanied by pain, swelling, locking, or a feeling of instability in the knee. These symptoms could indicate a more serious problem, such as a cartilage tear, ligament damage, or arthritis.
Key Differentiators:
Feature | Benign Knee Popping | Concerning Knee Popping |
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Pain | Absent | Present |
Swelling | Absent | Present |
Locking | Absent | Present |
Instability | Absent | Present |
Frequency | Sporadic | Frequent or consistent |
Other Symptoms | None | Grinding, catching, or limited range of motion |
Potential Causes | Tendon/ligament movement, gas bubbles | Cartilage tear, ligament damage, arthritis, meniscus injury |
Alt text: Diagram of knee anatomy showing bones, ligaments, tendons, and cartilage highlighting potential sources of knee popping during squats.
When to Seek Medical Attention:
If you experience any of the concerning symptoms listed above, it’s important to consult with a healthcare professional, such as an orthopedic doctor or physical therapist. Early diagnosis and treatment can help prevent further damage and improve your long-term joint health. At WHY.EDU.VN, we emphasize the importance of preventative care and provide resources to help you make informed decisions about your health.
2. Common Causes of Knee Popping When Squatting
Several factors can contribute to knee popping during squats. Here’s a breakdown of some of the most common causes:
2.1. Tendon or Ligament Movement
Tendons and ligaments are strong, fibrous tissues that connect muscles to bones and bones to each other. As you move your knee through a squat, these tissues can sometimes snap or glide over bony prominences, creating a popping or clicking sound. This is often harmless, especially if it’s painless.
2.2. Gas Bubbles in Synovial Fluid
Synovial fluid is a viscous fluid that lubricates the knee joint. Like any fluid, it can contain dissolved gases. When you bend your knee, changes in pressure can cause these gases to form small bubbles. When these bubbles burst, they can create a popping sound, similar to the sound of cracking your knuckles. This phenomenon is known as cavitation and is generally not a cause for concern.
2.3. Meniscus Tears
The menisci are two C-shaped pieces of cartilage that act as shock absorbers in the knee joint. A meniscus tear can occur due to a sudden twisting injury or gradual wear and tear over time. When a meniscus is torn, it can get caught between the bones of the knee, causing a popping, clicking, or locking sensation. Meniscus tears are often accompanied by pain, swelling, and stiffness.
2.4. Cartilage Damage (Chondromalacia Patella)
Chondromalacia patella, also known as “runner’s knee,” is a condition in which the cartilage under the kneecap softens and deteriorates. This can cause the kneecap to rub against the femur (thigh bone), leading to pain, grinding, and popping sounds. Chondromalacia patella is more common in young athletes and people who engage in activities that involve repetitive knee bending.
2.5. Osteoarthritis
Osteoarthritis is a degenerative joint disease that occurs when the cartilage in the knee breaks down over time. This can cause the bones of the knee to rub directly against each other, leading to pain, stiffness, and popping or grinding sounds. Osteoarthritis is more common in older adults and people with a history of knee injuries.
2.6. Patellar Subluxation or Dislocation
Patellar subluxation occurs when the kneecap partially dislocates from its groove on the femur. Patellar dislocation is a complete displacement of the kneecap. Both conditions can cause a popping or clicking sensation, as well as pain, swelling, and a feeling of instability in the knee.
2.7. Loose Bodies
Loose bodies are small fragments of cartilage or bone that can float around inside the knee joint. These fragments can get caught between the bones of the knee, causing popping, clicking, or locking. Loose bodies can result from injuries, osteoarthritis, or other conditions.
2.8. Iliotibial (IT) Band Syndrome
The IT band is a thick band of tissue that runs along the outside of the thigh from the hip to the knee. When the IT band is tight, it can rub against the lateral femoral epicondyle (the bony prominence on the outside of the knee), causing pain and a popping or clicking sensation. IT band syndrome is common in runners and cyclists.
3. Risk Factors That Increase Knee Popping
Several risk factors can increase the likelihood of experiencing knee popping during squats. Being aware of these factors can help you take preventative measures and protect your joint health.
- Age: As we age, the cartilage in our joints naturally wears down, increasing the risk of osteoarthritis and other degenerative conditions that can cause knee popping.
- Previous Knee Injuries: A history of knee injuries, such as ligament tears, meniscus tears, or dislocations, can increase the risk of developing knee popping and other knee problems.
- Overuse: Repetitive activities that involve a lot of knee bending, such as running, jumping, or squatting, can put excessive stress on the knee joint and increase the risk of cartilage damage and other issues.
- Poor Form During Exercise: Using improper form when squatting or performing other exercises can place undue stress on the knee joint, increasing the risk of injury and knee popping.
- Muscle Imbalances: Weakness in the muscles surrounding the knee, such as the quadriceps, hamstrings, and glutes, can lead to instability in the knee joint and increase the risk of popping and other problems.
- Obesity: Excess weight puts more stress on the knee joints, increasing the risk of cartilage damage and osteoarthritis.
- Genetics: Some people are genetically predisposed to developing osteoarthritis and other joint problems that can cause knee popping.
4. Diagnosing the Cause of Knee Popping
If you’re concerned about knee popping, it’s important to seek a proper diagnosis from a healthcare professional. The diagnostic process typically involves a combination of physical examination, medical history, and imaging tests.
4.1. Physical Examination
During the physical examination, the doctor will assess your knee’s range of motion, stability, and tenderness. They may also perform specific tests to evaluate the ligaments, tendons, and menisci.
4.2. Medical History
The doctor will ask about your medical history, including any previous knee injuries, your activity level, and any other relevant medical conditions.
4.3. Imaging Tests
Imaging tests can help the doctor visualize the structures inside your knee and identify any abnormalities. Common imaging tests for knee popping include:
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X-rays: X-rays can show bone abnormalities, such as osteoarthritis or fractures.
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MRI (Magnetic Resonance Imaging): MRI provides detailed images of the soft tissues in the knee, including the cartilage, ligaments, and menisci. MRI is often used to diagnose meniscus tears, ligament injuries, and cartilage damage.
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Ultrasound: Ultrasound can be used to visualize the tendons and ligaments around the knee. It can also be used to detect fluid accumulation in the joint.
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Arthroscopy: In some cases, the doctor may recommend arthroscopy, a minimally invasive procedure in which a small camera is inserted into the knee joint to visualize the structures directly. Arthroscopy can be used to diagnose and treat a variety of knee problems.
5. Treatment Options for Knee Popping
The treatment for knee popping depends on the underlying cause. In many cases, conservative treatments can effectively manage the symptoms. However, in some cases, surgery may be necessary.
5.1. Conservative Treatments
Conservative treatments for knee popping include:
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Rest: Avoid activities that aggravate your knee pain and popping.
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Ice: Apply ice to your knee for 15-20 minutes at a time, several times a day, to reduce pain and swelling.
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Compression: Wear a compression bandage to help reduce swelling.
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Elevation: Elevate your leg to help reduce swelling.
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Pain Medication: Over-the-counter pain relievers, such as ibuprofen or naproxen, can help reduce pain and inflammation. In some cases, your doctor may prescribe stronger pain medications.
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Physical Therapy: Physical therapy can help strengthen the muscles around your knee, improve your range of motion, and correct any muscle imbalances. A physical therapist can also teach you proper form for squatting and other exercises.
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Injections: In some cases, your doctor may recommend injections into the knee joint. Common types of injections include:
- Corticosteroid Injections: Corticosteroid injections can help reduce pain and inflammation.
- Hyaluronic Acid Injections: Hyaluronic acid is a natural substance that lubricates the knee joint. Hyaluronic acid injections can help reduce pain and improve joint function.
- Platelet-Rich Plasma (PRP) Injections: PRP injections involve injecting a concentrated solution of platelets (a component of blood) into the knee joint. PRP is thought to promote healing and reduce inflammation.
5.2. Surgical Treatments
Surgical treatments for knee popping may be necessary if conservative treatments are not effective or if you have a severe knee injury. Common surgical procedures for knee popping include:
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Arthroscopy: Arthroscopy can be used to repair or remove damaged cartilage, repair ligament tears, or remove loose bodies.
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Meniscectomy: Meniscectomy is the surgical removal of all or part of a torn meniscus.
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Ligament Reconstruction: Ligament reconstruction is a surgical procedure to repair or replace a torn ligament, such as the anterior cruciate ligament (ACL).
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Knee Replacement: Knee replacement is a surgical procedure to replace a damaged knee joint with an artificial joint. Knee replacement is typically reserved for people with severe osteoarthritis or other degenerative conditions.
Alt text: X-ray comparison of a healthy knee and a knee with osteoarthritis highlighting joint space narrowing and bone spurs.
6. Preventing Knee Popping During Squats
While it’s not always possible to prevent knee popping, there are several steps you can take to reduce your risk and protect your joint health.
- Warm-Up Properly: Before squatting or engaging in any other exercise, warm up your muscles with light cardio and dynamic stretching. This will help prepare your muscles and joints for activity and reduce the risk of injury.
- Use Proper Form: When squatting, focus on maintaining proper form. Keep your back straight, your core engaged, and your knees aligned with your toes. Avoid letting your knees cave inward or extend too far forward.
- Strengthen Your Muscles: Strengthening the muscles around your knee, such as the quadriceps, hamstrings, and glutes, can help stabilize the knee joint and reduce the risk of popping and other problems.
- Stretch Regularly: Stretching regularly can help improve your flexibility and range of motion, reducing the risk of muscle imbalances and joint stiffness.
- Avoid Overuse: Avoid overtraining and give your body adequate rest and recovery time between workouts.
- Maintain a Healthy Weight: Maintaining a healthy weight can reduce the stress on your knee joints and lower your risk of osteoarthritis and other weight-related problems.
- Wear Supportive Shoes: Wear supportive shoes with good cushioning and arch support to help absorb shock and reduce stress on your knee joints.
- Listen to Your Body: Pay attention to your body and stop exercising if you experience pain. Don’t try to push through pain, as this can lead to further injury.
7. Exercises to Strengthen Your Knees
Specific exercises can help strengthen the muscles around your knees, providing stability and support. A physical therapist can tailor an exercise program to your specific needs, but here are a few examples of effective exercises.
7.1. Quadriceps Exercises
- Quadriceps Sets: Sit with your leg extended and tighten your quadriceps muscle. Hold for 5 seconds and repeat 10-15 times.
- Straight Leg Raises: Lie on your back with one leg bent and the other leg straight. Lift the straight leg a few inches off the ground, keeping your quadriceps muscle tight. Hold for 5 seconds and repeat 10-15 times.
- Wall Sits: Stand with your back against a wall and slowly slide down into a squat position, keeping your knees at a 90-degree angle. Hold for as long as you can maintain good form.
7.2. Hamstring Exercises
- Hamstring Curls: Use a hamstring curl machine to curl your heels towards your buttocks.
- Bridges: Lie on your back with your knees bent and your feet flat on the ground. Lift your hips off the ground, squeezing your glutes and hamstrings. Hold for 5 seconds and repeat 10-15 times.
7.3. Glute Exercises
- Glute Bridges: (See description above)
- Clamshells: Lie on your side with your knees bent and your feet stacked. Keeping your feet together, lift your top knee away from your bottom knee. Hold for 5 seconds and repeat 10-15 times.
- Donkey Kicks: Get on your hands and knees. Keeping your knee bent, lift one leg behind you, squeezing your glute. Hold for 5 seconds and repeat 10-15 times.
Alt text: Woman performing a leg extension exercise on a machine to strengthen quadriceps muscles for knee support during squats.
8. The Role of Physical Therapy
Physical therapy plays a crucial role in the management of knee popping and other knee problems. A physical therapist can assess your knee, identify the underlying cause of your popping, and develop a personalized treatment plan to address your specific needs.
8.1. Benefits of Physical Therapy
- Pain Relief: Physical therapy can help reduce pain and inflammation through a variety of techniques, such as manual therapy, therapeutic exercises, and modalities like ultrasound and electrical stimulation.
- Improved Range of Motion: Physical therapy can help improve your knee’s range of motion through stretching and joint mobilization techniques.
- Strengthening: Physical therapy can help strengthen the muscles around your knee, providing stability and support.
- Corrected Muscle Imbalances: Physical therapy can help identify and correct muscle imbalances that may be contributing to your knee popping.
- Improved Proprioception: Proprioception is your body’s ability to sense its position in space. Physical therapy can help improve your proprioception, which can improve your balance and coordination and reduce the risk of falls.
- Education: A physical therapist can educate you about your condition, proper body mechanics, and strategies for preventing future knee problems.
9. Alternative Therapies for Knee Pain
Besides traditional medical treatments and physical therapy, several alternative therapies may help alleviate knee pain associated with popping. These include:
- Acupuncture: Acupuncture involves inserting thin needles into specific points on the body to stimulate healing and reduce pain.
- Massage Therapy: Massage therapy can help relieve muscle tension, improve circulation, and reduce pain.
- Chiropractic Care: Chiropractic care focuses on the diagnosis and treatment of musculoskeletal disorders, particularly those affecting the spine.
- Yoga: Yoga can help improve flexibility, strength, and balance, which can reduce stress on the knee joints.
- Supplements: Certain supplements, such as glucosamine and chondroitin, may help reduce pain and inflammation in the knee joint. However, the evidence supporting the use of these supplements is mixed.
10. Addressing Specific Scenarios
Depending on the situation, the approach to knee popping may vary. Here are some specific scenarios and corresponding advice.
10.1. Knee Popping with Pain
If you experience knee popping accompanied by pain, stop exercising immediately and consult a healthcare professional. Do not attempt to self-diagnose or continue activities that exacerbate the pain.
10.2. Knee Popping Without Pain
If you experience knee popping without pain, it’s generally less concerning. However, it’s still a good idea to pay attention to your body and avoid activities that seem to trigger the popping. You can also try incorporating some of the preventative measures mentioned above, such as warming up properly, using proper form, and strengthening your muscles.
10.3. Knee Popping After Injury
If you experience knee popping after an injury, such as a fall or a twist, seek medical attention immediately. You may have a ligament tear, meniscus tear, or other serious injury that requires prompt treatment.
10.4. Knee Popping During Specific Exercises
If you experience knee popping during specific exercises, such as squats, try modifying the exercise or using a different variation. For example, if you experience knee popping during full squats, try doing partial squats instead. You can also try using a different stance or adjusting your foot position.
10.5. Knee Popping in Both Knees
If you experience knee popping in both knees, it may be a sign of a systemic issue, such as osteoarthritis or a connective tissue disorder. Consult a healthcare professional for a proper diagnosis and treatment plan.
11. Expert Opinions on Knee Popping
Understanding expert perspectives can help you navigate the complexities of knee popping and make informed decisions about your health.
- Orthopedic Surgeons: Orthopedic surgeons specialize in the diagnosis and treatment of musculoskeletal conditions, including knee problems. They can provide expert opinions on the causes of knee popping and recommend appropriate treatment options, including surgery.
- Physical Therapists: Physical therapists are experts in rehabilitation and exercise. They can help you strengthen your muscles, improve your range of motion, and correct any muscle imbalances that may be contributing to your knee popping.
- Sports Medicine Physicians: Sports medicine physicians specialize in the treatment of injuries related to sports and exercise. They can provide expert advice on preventing knee injuries and managing knee popping in athletes.
- Rheumatologists: Rheumatologists specialize in the diagnosis and treatment of arthritis and other inflammatory conditions. They can help diagnose and manage knee popping caused by osteoarthritis or other rheumatic diseases.
12. Latest Research on Knee Popping
Staying informed about the latest research can help you understand the current understanding of knee popping and its management.
- Cartilage Regeneration: Researchers are exploring new ways to regenerate damaged cartilage in the knee, which could potentially help prevent or treat knee popping caused by cartilage damage.
- Stem Cell Therapy: Stem cell therapy is a promising new treatment for knee osteoarthritis. Researchers are investigating whether stem cell injections can help reduce pain and improve joint function.
- Biomarkers for Osteoarthritis: Researchers are working to identify biomarkers that can predict the progression of osteoarthritis. This could help doctors identify people who are at risk of developing knee popping and other symptoms of osteoarthritis.
- The Impact of Exercise on Knee Health: Researchers are studying the effects of different types of exercise on knee health. This research could help develop exercise programs that can help prevent or treat knee popping.
13. Frequently Asked Questions (FAQ)
Here are some frequently asked questions about knee popping:
- Is knee popping always a sign of a problem?
No, knee popping is not always a sign of a problem. It can be harmless, especially if it’s painless. - When should I see a doctor about knee popping?
You should see a doctor if you experience knee popping accompanied by pain, swelling, locking, or instability. - What are the common causes of knee popping?
Common causes of knee popping include tendon or ligament movement, gas bubbles in the synovial fluid, meniscus tears, cartilage damage, and osteoarthritis. - How is knee popping diagnosed?
Knee popping is diagnosed through a physical examination, medical history, and imaging tests like X-rays or MRI. - What are the treatment options for knee popping?
Treatment options for knee popping include rest, ice, compression, elevation, pain medication, physical therapy, injections, and surgery. - Can I prevent knee popping?
You can reduce your risk of knee popping by warming up properly, using proper form when exercising, strengthening your muscles, and maintaining a healthy weight. - What exercises can I do to strengthen my knees?
Effective exercises for strengthening your knees include quadriceps sets, straight leg raises, hamstring curls, and glute bridges. - What is the role of physical therapy in managing knee popping?
Physical therapy can help reduce pain, improve range of motion, strengthen your muscles, and correct muscle imbalances that may be contributing to your knee popping. - Are there any alternative therapies for knee pain?
Alternative therapies for knee pain include acupuncture, massage therapy, chiropractic care, and yoga. - Is it safe to exercise with knee popping?
It depends. If the popping is painless, you may be able to continue exercising, but avoid activities that aggravate the popping. If the popping is accompanied by pain, stop exercising and consult a healthcare professional.
14. Knee Popping and Its Impact on Daily Life
Knee popping, particularly when accompanied by pain or discomfort, can significantly impact daily life. It can affect mobility, exercise routines, and even simple tasks like walking or climbing stairs.
- Reduced Mobility: Painful knee popping can limit the range of motion and make it difficult to move freely.
- Impact on Exercise: Individuals may find it challenging to engage in physical activities, leading to a decline in fitness levels.
- Difficulty with Daily Tasks: Simple tasks like walking, climbing stairs, or even standing for extended periods can become painful and challenging.
- Psychological Effects: Chronic knee pain and popping can lead to frustration, anxiety, and even depression.
15. Resources for Further Information
For more information on knee popping and related topics, consult these resources:
- American Academy of Orthopaedic Surgeons (AAOS): aaos.org
- American Physical Therapy Association (APTA): apta.org
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): niams.nih.gov
- Arthritis Foundation: arthritis.org
16. Staying Active and Maintaining Knee Health
Staying active is crucial for maintaining knee health, but it’s important to do so safely and appropriately.
- Choose Low-Impact Activities: Engage in low-impact activities that are gentle on the knees, such as swimming, cycling, or walking.
- Listen to Your Body: Pay attention to your body and avoid activities that cause pain or discomfort.
- Warm-Up and Cool Down: Always warm up before exercising and cool down afterwards to prepare your muscles and joints for activity.
- Use Proper Form: Use proper form when exercising to avoid putting undue stress on your knees.
- Stretch Regularly: Stretch regularly to improve your flexibility and range of motion.
- Maintain a Healthy Weight: Maintaining a healthy weight can reduce the stress on your knee joints.
17. The Importance of Early Intervention
Early intervention is key to managing knee popping and preventing further damage. If you experience any concerning symptoms, such as pain, swelling, locking, or instability, consult a healthcare professional as soon as possible. Early diagnosis and treatment can help prevent the condition from worsening and improve your long-term joint health.
18. Finding Support and Community
Dealing with knee popping and related knee problems can be challenging. Finding support and connecting with others who have similar experiences can be helpful.
- Online Forums: Join online forums or support groups where you can connect with others who have knee problems.
- Support Groups: Attend local support groups where you can share your experiences and learn from others.
- Healthcare Professionals: Talk to your doctor, physical therapist, or other healthcare professionals about your concerns and ask for advice and support.
- Friends and Family: Lean on your friends and family for support. Let them know how you’re feeling and ask for help when you need it.
19. Understanding Different Types of Knee Braces
Knee braces can provide support and stability to the knee joint, but it’s essential to choose the right type of brace for your specific needs.
- Hinged Knee Braces: Hinged knee braces provide support and stability to the knee joint, allowing for a controlled range of motion. They are often used after ligament injuries or surgeries.
- Sleeve Knee Braces: Sleeve knee braces provide compression and support to the knee joint. They are often used for mild knee pain or to prevent injuries during exercise.
- Patellar Stabilizing Braces: Patellar stabilizing braces help keep the kneecap in place. They are often used for patellar subluxation or dislocation.
- Unloader Knee Braces: Unloader knee braces shift weight away from the affected side of the knee. They are often used for osteoarthritis.
20. The Future of Knee Health
The field of knee health is constantly evolving, with new research and treatments emerging all the time. From advancements in cartilage regeneration to innovative surgical techniques, the future of knee health is bright.
20.1. Emerging Technologies
- 3D Printing: 3D printing is being used to create custom-made knee implants and other medical devices.
- Robotic Surgery: Robotic surgery allows surgeons to perform knee surgeries with greater precision and accuracy.
- Wearable Sensors: Wearable sensors can track your activity level, gait, and other factors that can affect your knee health.
20.2. Lifestyle Adjustments for Long-Term Relief
Making certain lifestyle adjustments can significantly contribute to long-term knee health and relief from popping and associated discomfort.
- Weight Management: Maintaining a healthy weight is crucial to reduce the load on your knees, alleviating pressure and potential for popping.
- Proper Footwear: Wearing supportive shoes that fit well and provide adequate cushioning can minimize stress on your knees during daily activities and exercise.
- Balanced Diet: A diet rich in anti-inflammatory foods like fruits, vegetables, and omega-3 fatty acids can help reduce inflammation and support joint health.
- Regular, Low-Impact Exercise: Engaging in activities like swimming, cycling, or walking can strengthen the muscles around the knees without excessive joint stress.
- Avoid Overexertion: Listening to your body and avoiding activities that cause pain or discomfort is essential to prevent further injury.
Knee popping during squats can be a concerning issue, but understanding its potential causes and appropriate management strategies can help you maintain healthy, pain-free knees. Remember, consulting a healthcare professional for personalized advice is always recommended.
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