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Persisting knee pain - Active long distance runner

Answered by: Dr Sri Viknarajan

Last Updated: March 30, 2021 5:23 PM
Anonymous 4 months


Looking for: A consultation with a sports doctor, functional movement therapist, or a physio therapist to understand causes of knee pain and remadies/treatment.

Basic information: I am Male, 33yo, physically active 6 days a week. Medium to intense exercise routine. Active daily runner. AND Long distance training 2 times per week.

Condition details: THE RIGHT LEG - Knee pain that comes during running, past 5k mark (pain score 5/10). Progressively gets worse past 10k mark (pain score 7/10). When I stop running, the pain moves around. Starts on the outside of my knee (lateral) > progresses to Anterior of the knee > Progresses to the pateller and tibial areas.

Overall pain score is between 3-5 out of 10 if I am NOT running.

If I take a day or two off, the pain goes to 0/10.

If I get back on the run, it comes back again.

It does occur on the cycling machine, but mild (pain score 3/10).

I would like to know who can I talk to? what sort of testing I need to conduct? what are the realistic conditions as to my ability to continue my activity - particularly when increasing the volume of my training? what can we do to manage the condition while maintaining a good training routine.

Professional feedback is highly appreciated.

Dr Sri Viknarajan 4 months
General Practitioner

Hello and thank you for addressing your concern.

We truly understand your concern with regard to your current condition. However, our views would only reflect based on the description that you have brought forth into the forum.

Still feeling an ongoing pain? Get the strength you need for daily activities without interruption!

More importantly, according to your statement, we believe a thorough clerking, investigation and examination needs to be done first in order to clearly understand what we are facing at the moment. Correspondingly, the given information by you might only touch the surface of an underlying problem.

More often than not, knee pain is commonly associated with individuals at their prime age. It can either be related to their daily work routine, sports or other physical activities. To know the real cause, or whether it is truly triggered by the meniscus/patellar region or nearby muscle/tendon/ligament, a more comprehensive examination from an orthopaedic or general clinic must be performed first.

For the time being, I would advise you to

  • decrease your daily exercise routine to the minimum
  • avoid any activities that could elicit the same pain or stress to your knee
  • and get help at the nearby clinic or hospital as soon as possible

Needs further clarification from an experienced doctor? Our orthopaedics specialist are here to help!

With that being said I hope you would take the extra initiative to contact our doctor using this link (DoctorOnCall) in order to maximise the help that you can get.


Last Updated: Tue Mar 30 2021 17:23:36 GMT+0800 (Malaysia Time)
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