Inner Knee Pain From The Saphenous Nerve - How To Find And Treat It
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- Опубліковано 2 чер 2024
- Inner knee pain has over 5 different causes. Saphenous nerve injuries are rarely ever investigated by healthcare professionals, yet they’re much more common than they realize.
Most saphenous nerve problems eventually go away, but while it’s there…it can cause tortuous, debilitating inner knee pain.
Saphenous nerve irritation often happens at the same time as other knee problems like a meniscus tear, knee cartilage damage, knee ligament injuries like an MCL tear, and knee arthritis.
This is why it’s difficult to diagnose.
When saphenous nerve injuries happen, treatment is often focused on the pain symptoms. But this only offers short term relief, as the deeper rooted problem is rarely addressed.
Here is the program Dr. David mentioned to help address the root problem. 👇
⚡️The 28 Day Knee Health & Wellness Boost Program is an online comprehensive exercise program that targets the root problem of saphenous nerve pain!
It's a 100% online and on-demand program for improving knee health. It's packed with exercises, advice and coaching from Dr. David.
You can learn more about it here:
www.epmanualphysicaltherapy.c...
Here are more videos we have to help you with knee pain:
🌟"Inner Knee Pain Help" • Inner Knee Pain Help
🌟“Knee Arthritis Pain Help” • Knee Arthritis Help
🌟"Knee Meniscus Help" • Knee Meniscus Help
🌟"Knee Cartilage Help" • Knee Cartilage Pain Help
00:00 Inner Knee Pain From The Saphenous Nerve
00:29 What Is The Saphnous Nerve?
02:28 How To Find A Saphenouse Nerve Problem
07:26 How To Treat Saphenous Nerve Pain
11:05 Root Problem Of Saphenous Nerve Pain
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DISCLAIMER:
Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.
I have been searching this issue for years. I know it's an inflammatory issue. When it happens to me it comes on in a flash and I can put very little pressure on that knee. It burns and feels like the inside of my knee is tender and inflated with air. The sharpest pain is very close to the edge of my skin on the inside of knee about 1 inch down and runs down the calf right near the edge of shin bone. The only other things I've noticed is It can also intermingle with Sciatic nerve pain. When any of the surrounding muscles in hamstring, thigh, glutes and tibialis anterior are tight I can get flare ups that seem like actual knee pain but it's really the Saphenous nerve being restricted by tight muscles. Best option is stay limber and try to free up all the stuck muscle fascia connective tissue. Great video here!
Over a decade of intense saphenous nerve pain. MRIs, xrays, nerve conduction tests, etc. Most doctors/ PTs dont know or care. Finally diagnosed, but no treatment seems to help. Super frustrated and disappointed with the medical system.
Same i feel helpless im 24 and been dealing with this for 5 months I can no longer box which was my passion. I’ve been to a knee doctor and no help. Then got recommended to a physiatrist he told me to just use the bicycle. Now I am with a chiropractor will give him a try hopefully it helps . I even had mri on my knees and lumbar spine everything came out good.
The medical system is a joke. They're only good for ordering tests and blood draws. After that you will have to do your own research and look up everything yourself to develop a customized wellness plan for yourself. Because there is no way in hell the doctor is actually going to try to make you better through helping you develop a customized plan. That's why all of us are on UA-cam trying to find answers. It's really sad. But I really like this channel and I've tried some of these exercises and they really make my knee feel better! I'm developing my own customized plan as we speak because all the doctors in my case have been absolutely useless.
I actually tore my meniscus earlier this year. My surgery was about eight weeks ago, and my PT was finally progressing. All of a sudden, two weeks ago, I had the pain like I had when I tore my meniscus, and everything has stalled. Today, my surgeon diagnosed me with saphenous nerve damage, and he believes it occurred during my surgery. My treatment will be a compound cream and gabapentin. I start with the oral meds today!
This is exactly the pain I have. I too can only get relief with the pillow between the legs. Thanks for this. It’s difficult to explain, now I can.
hey there. question for you - did you have pain in the thigh and shin like he pointed out? i have pain on the inner and outer knee where he's talking about but not those other places.
This is just what I was looking for! You nailed it! Thank you for this great info, I will try the glut workout correctly.
Thank you your video explains things very well
So far so good everything you recommended is working . Thank you so very much!😊
Thank you for sharing!!! 🙏🏼
I love to watch your programs & I wish I could come to see u for my knee I do appreciate all your help.
I wish I could come see you for over a month I have been suffering from this thanks for all you're uploads so helpful
Great information. I have been told my physician I have a saphenous nerve problem (follows all the symptoms you mentioned). My problem seems to stem from a MACI knee surgery I had and damage to the nerve. The pain block (Iovera) has been only partially helpful for me. I look forward to trying some of your suggestions.
You share outstanding understanding of the structural mechanics of the body. I have been so disappointed by PT that were lesser skilled at that whole mechanical dynamics. I think you must have grown up on a farm or in construction, because your understanding of the laws of physics, the actions of mechanical forces, etc. Are outstanding.
Kudos that you share your knowledge and experience. Thank you. 😍
My 6 brothers grew up fixing machines, fixing farm stuff, fixing everything. As adults their professional skillsets were broadened and enriched by the experiential understanding.
Kudos
Thank you! This is exactly the pain I have and have been told meniscus and arthritis and that I need knee replacement. No one has ever mentioned this! Very helpful!
I am so glad that I found this channel! I was diagnosed with infrapatellar knee bursitis but it's going on 3.5 months now and the doctors are saying that this has gone on for way too long. I'm starting to think this is something else other than just bursitis. I've been getting chiropractor treatments that have really started to make me feel better. He's been working on my knee and then on my lower back. I can feel everything loosening up. I haven't been able to walk for about 2 months but if anyone needs to hear this I would get your back and knee checked out by a chiropractor and then do the exercises from this video. Most things don't require meds and surgery. Take what the doctors say with a grain of salt. Most of the time they don't care anyway. Fix yourself and trust your gut! Please respond to this comment if it helped at all!
This looks very much like the places that are affected on my left leg. In summer of 2021, I had an injury to the left knee due to a sudden slipping forward of my front leg, with the left leg planted and twisted (knee twisted toward the interior). I had been attempting to climb over the shipment of fascia boards that were wrapped in plastic wrap. The plastic wrap was wet, and the reason I climbed over it was because I had to put something away on the other side where there was no way around. Anyway, right leg slipped forward and I went into a sudden split motion.
The knee was very inflamed for a long time, and the x-rays had come back normal (I knew they would, it doesn't feel like a bone-related pain but she ran the test anyway). I have somewhat normal movement and function of the knee, but it's more so this aching, stiff-feeling pain in the back of the knee, inner and outer sides of the knee, with aching pain down the front of my shin. This would happen if I was too active or was standing too long. Now, though, the aching has more so turned into aching with numbness all the way down the front of my shin and on the top side of my ankle. And the front of my left thigh is not so much water, but it feels like its going numb. Different presentations than described in the video, but still pain and numbess which feel like nerve pain.
I have also been seeing a chiropractor but only since Mid-March. We have had a lot of things we are trying to fix, but I will bring this up to her since the rest of the treatments have been helping quite a bit. We are working on reverse cervical lordosis, compressions in the thoracic spine, lumbar spine, and my SI joint has been misaligned. I was getting chronic neck and shoulder spasms. She has to jam into my rotator cuff area as well. My right hip flexor is much tighter than the other she said too, and she does the soft tissue therapy as well. It hurts like crazy (she has to jam her thumb into my hip flexor to get it to release). But possibly she can do something about the knee! I hope so! I have hyper-mobility so that puts the joints at even more risk of injury from simpler things. So far there's much, much improvement with my conditions, so I definitely believe chiropractic care does work.
@@susanbourque Yes! I took a fall as well when it was raining outside down a few stairs in late December and didn't feel any pain until two weeks later. It's a very long story but when I finally made it to the chiropractor he told me that my tibia (lower leg) was rotated outward and that my entire left side was pulled up an inch so I was definitely out of alignment which I'm sure caused some of my left knee swelling. He said it's important to make sure your body is in alignment while it is trying to heal because the misalignment can delay healing or make it so that it never fully heals. No orthopedic doctor or physical therapist talks about chiropractic treatments or alignment. They just want you to get injections and take medication and have surgery. But from what I've heard most of the time these things end up damaging you more or not helping at all. After just three or four treatments I immediately felt a huge difference with my knee loosening up and was able to slowly start bearing weight again. I could literally feel it more in alignment. I'm still doing PT exercises at home while getting the chiropractor treatments but have stopped going to PT because one of the things they showed me re-injured me all over again last week. It was a nightmare. My mom once said to do more of the things that feel good and those are resting and icing, PT exercises I can tolerate at home, and the chiropractor treatments. I'm going on 3.5 months now but I'm slowly starting to feel some relief so hopefully I'm going in the right direction.
@xtina so true! I can completely relate to all you are saying, exact the same experiences here… all the best for you 👍 and me… 😂
Outstanding. #Impressed. Thank you!
Thank you for the best informational videos I've found on both sciatica and the saphenous nerve causing knee pain. After a recent L5-4 extension to my L3,my right side sciatic pain was totally gone, however severe left knee pain replaced it and was worse than sciatic pain. Now 3 weeks later, my surgeon tells me he knows nothing about saphenous nerve pain, which causes skin pain ( painful to the touch) in the calf, inner knee pain and shooting pain in both the thigh and the calf muscles along with difficulty walking unless I have strong pain meds to take the edge off.
My surgeon is a Neurosurgeon and knows nothing about it, yet your experience does! Next week I'm getting a nerve test to help determine my fate. Either there was an error on the operating table or inflammation remains in my lumbar area causing this nerve problem. Thank you so much for the exercises and being one of a few who have a clue about this inner knee pain and helping others!
Thank you so much for this information-packed video. You explain things really well - I will likely be coming back to this channel for info on other topics
You're welcome! Happy to hear the you find the videos helpful!! 😊
I’m a runner of 20 years. Geared for sprinting. I also love cross training on bike and enjoy indoor rowing on the side. It’s normal for me to have a higher load, though I do also get recovery. I was doing a winter run build and starting late November my right side hip started to get sore. It was prevalent with easy pace endurance runs and even more so with speedwork. I ignored it figuring stretching and such would eventually go away. Also starting early November, my low to medium endurance rows would turn into training for the sub 8 min 2k row test with a friend. I’m light weight cat so it was no easy feat. We did train and I was strategic about when I’d do my row workouts. That test was mid January and I reached my goal and was a couple seconds faster. I was still doing my run routine and I went back to my standard run schedule after that. (45-50 miles a week but I’m use to that and I was rowing instead of biking so the load seemed normal). However, rowing that power is a solid push. The sore hip was there from running already. I guess the stars aligned, and a week later would be my last 13 mile Sunday long run day. Run was fine, but immediately AFTER, just slowing treadmill and stopping, I felt a sudden strong feeling in my inner right knee, same side as hip sore. I did RICE for 2 weeks with very very easy cycling bc it seemed to be fine. I tried a mile end of each week and that feeling would creep up a mile in, but was fine up till that mile. After 2 weeks it was time for a PT. I’ve been with her for 6-7 weeks. She does not think a tear or anything like that but does think it’s all muscular. I have full range of motion in knee and can bear all my weight on it. When I go up into a hip bridge, I can feel a tug of something in that inner knee. We have targeted trigger points and that seemed to help but she’s been having my work my glutes to help with hips while dry needling trigger points and massaging and loosening up quads and VMO etc. I’ve been cross training on bike and that seems to go ok. I was able to get up to a 5k this way after trigger point release and strengthening glutes. But then I went backwards and that feeling is coming back. I find that if I run first, I can go longer. But if I do a little bike to warmup I die quicker. I can walk fine, stairs fine, bike is good but I literally just cannot run and it’s the one thing I have goals in. I realize there’s shock absorption. I’ve spent 6-7 weeks doing all my PT daily and trying hard not to give up. I work the glutes with her exercises and they burn, I stretch etc. why does this feeling continue to come? It runs just above and thru the soft spot of inner knee next to cap. It starts and gets worse as I continue to run. I can get off before it gets bad and massage ALL OVER quads and glutes with the gun and stretch and then I can go again. I feel like the hip still gets a little sore with this minimal run. It’s crazy bc I’m not in any pain and look like I’m not injured. It’s just this discomfort that I cannot run through when it starts always a mile in. I find it strange I can bike how I do using hips (differently I realize) and knee yet I cannot run! I’ve worked so hard and it seems so easy and simple but I cannot seem to run. Im discouraged. This seems like a long time for something like this. I don’t have the funny bone feeling at the knee. But I very much have the “everything seems fine!” Thing. She doesn’t think an mri will say anything. She seems pretty set that continuing what I’m doing will get that inner knee pain to stay away but it’s like a rubber band in feeling when it recoils back followed by tenderness when I walk. If I don’t run a few days and I bike, then I can go REALLY easy pace run and MAYBE get to 5k. Ugh
Wow !
Great information !
What a thorough explanation
Thank You very much !
Hi Charles, thank you so much for the encouraging words. We are very happy to help.🧡
Thank you
This Doc is 10X better than my MD that offered no suggestions after MRI and X-ray showed nothing.
You just diagnosed my issue that has been causing me problems for 2 weeks plus, extreme inner knee pain, thigh pain and the bone inside calf so tender. just been on ibuprofen but its causing stomach issues now. Had mri but havent got results yet. Thank you
This man know what he talking about very good info, Thanks.
Thank you and you're welcome Spike King!!!
Thank you DR for this information. I sit here with tears in my eyes as I have been battling for so long with this. I was an ultra-marathon runner and had a small motorcycle accident hurting my right foot. Since then, things did not work out for me. I visited 4 physio therapists, 3 knee surgeons, 3 neurosurgeons, chiropractor, and some Dr doing nerve testing with electrical signals, various scans, exercises, .... and my nerve is painful constantly. I gave up running for 3 years now ... can do 4km and then it pains like hell, and this week decided to do my own research and found this video... perfect fit for what I experienced... now need to decide next step! This is what is wrong with me! Bless you!
The 28 day knee health and wellness boost program really works! I’ve been struggling with patella bursitis from overworking my knee (too much running, while walking 35,000 steps per day for my job). But, I’ve noticed that I’m feeling my nerve too, because I feel water on my knee and I sometimes feel waves of feeling (a cold feeling) mostly going down my shin. Both of these conditions are not painful for me, luckily. But, I still have a highly active job that I love, so I’m trying to fix my problem with these exercises, without quitting my job. I feel my conditions are getting better. I took a month off of work and rested my knee until the knee doctor said to go back to work. I had weight bearing X-rays and an MRI and nothing is wrong, all they could see was mild bursitis. The knee doctor told me this just takes a long time to go away. I also saw pts and they were strengthening my quads and hamstrings and my condition didn’t improve until I started this program. Hopefully, this will get rid of my problem completely, right now it comes and goes. 🤞
I was so glad to find this video because for the second year in a row I have been having this problem. It is exactly as you described, altho I have never had it radiate up into my thigh, only radiated downward. Last year I went to an Ortho doctor about it with the same exact result you indicated: "possible meniscus tear" "arthritis" (which I do have since I am 69 years old). Got sent to PT but by that time, I had been having symptoms for about 6 weeks and it was already resolving by itself. I will say, I am able to at least temporarily relieve the pain my flexing and extending my leg.
Thanks a lot, sir
You're welcome Neelam!
Hi thank u for this video I think I got this problem on my knee can you tell me what we do thanks again
You have helped me tremendously with this and your inner knee pain video. Thank you so very much. 💖
You’re welcome Kathleen!!!
hey dr David, appreciate this very clear explanation about inner knee problem, especially that it is not a "problem". After 30 years of high tech "butt sit" jobs I thought at the age of 57 to run again..:) .my big passion,and quickly get back to half marathon and more. But my mind may still be flexible and strong, the body paid a price during those "butt sit" years and I always get some minor but disturbing injury that stops progress. During my last runs, I used barefoot running shoes for a change, and suddenly got this sharp nerve pain signal on the inside of left knee. I stopped running, tried icepacks without good result, but when rubbing massage oil on the part where the ligaments connects to the shin bone became so painful that even touching this part of the bone was over sensitive. However I could do any strength training without pain...now three days later sometimes those nerve stings come back during a walk. And as you confirmed...my glutes, hips and lower back are the cause and I have been denying that for a long time. I have always been a self learner so I now seriously start to work on that and not adding miles before the core is stable. When that doesnt work, your program will be the next step. Thanks again.
Did you resolve it?if yes then how?
Thanks so much, I also have swelling and it’s been months, no doctor has identified, any ideas on the swelling?
Thank you so much for your helpful video. I will look up your other videos for knee pain. I find your presentations very helpful and your approach so friendly. Thanks
You're so welcome Pauline!
Thank you Doctor! I live in Calfornia and I have knee pain. Your videos help me tremendously.
Great Kathy! We're glad these videos have helped!!!
Great video. I have all the things u mentioned- arthritis, meniscus, cartridge, etc
You're welcome Gary! Sorry you're dealing with all this stuff. Here are some helpful videos for you:
“Knee Arthritis Pain Help”
ua-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
"Knee Meniscus Help"
ua-cam.com/play/PLJVIPiFvv1mZ9Vh4eRH3UlmMeqOUtB-6a.html
"Knee Cartilage Help"
ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html
Thank you for the video. I was on my hand and knees painting, got a very sharp pain in my knee. Now I have numbness on the front of my knee and the teardrop muscle of the quad. Waiting for a doctor, but it will take a long time. Will the sensation ever come back? Thanks again
This describes exactly what I have been experiencing. Thank you for helping me think that I wasn’t crazy!
Hi Suzie, you're welcome! We are so happy we could validate your experience. So many people feel this way when they are experiencing this type of pain and we are so sorry you've been having to deal with it.
We have an inner knee pain help playlist if you're interested: "Inner Knee Pain Help"
ua-cam.com/play/PLJVIPiFvv1ma8eg9DwBsl5IRgnLdKCcHs.html
We'd love to hear how you are doing as you progress.🙌 Please take care!
Thanks 🙏 🙏🙏
You're welcome Tahir!!!
I'm currently going to therapy for neurapathy and they mainly work on my feet but the way you just described that knee discomfort sounds exactly how my knees feel right now. I'm going to bring this up during my next session
Hey Lacey! Thank you for sharing this with us! Please keep us posted on how you do!
Wow, thanks so much for taking the time to share this information. I am in great pain currently and at a lose of how to fix the problem. Orthopedic Surgeon did not mention the nerve aside the knee until I asked him if it could be a nerve damage and he referred me to neurologist which will take months. So thank you I will try exercises and pray for pain relief.
You're welcome S Randall!!! Please let us know how it goes trying this out. 😀
I've had nerve damage from surgery. An abductor nerve block to reach the sapheneous nerve was suggested for treatment - using ultrasound to ablate the nerve.
Thank you for information Dr. David. I have cold sensitivity problem. When cold air touch on my knee and ankle I will get pain inside knee and ankle. Is this saphonous nerve problelm? I have ankle arithmetic. Dr. Just gave medicine, not go through like you. Now which step I have to through, please reply. Thank you for information.
Cupping and creating room for that nerve to slide and glide has been very beneficial for me. Highly recommend.
Yes Ewen, causing the negative pressure along the nerve distribution is helpful!!!
Hi there, Hope you are well. Could you explain what 'cupping' is exactly because I think my problem is related to the the same nerve? Mary, UK.
@@marybsmart50 there's lots of information out there online talking about it. I recommend watching a UA-cam video to fully understand it.
Yes, I have found cupping to be very helpful for nerve issues
Great, great video, dude! I am going to my Dr and physio this week for this. I know about sciatica and femoral nerve neuropathy, but the saphenous nerve issue is new to me, but it is definitely included in the problems I'm having... good job!
6:47 I started having inner knee pain as you describe about 2 weeks now. Throbbing heavy feeling.At first my thigh was numb and now it’s side of inner knee running just under the knee cap. If I kneel on the knee it feels like I’m on a cushion if that makes sense. I have hip osteoarthritis and need a hip replacement. When I walk my foot pronates out too, Can the hip be causing this knee pain? Great info!
Your squat technique fix has just helped me squat pain free for the first time in 10 months mate. 2 knee surgeries after Acl and pain everyday with no physio or doc having any idea why apart from saying it’s muscle weakness. Your the man El Paso
Hi Sam! WHOOHOOO We're sooo excited to hear you can squat pain free! We love to hear this kind of news!! :) Here's a playlist for additional ACL help:
“Knee Pain ACL Injury Help”
ua-cam.com/play/PLJVIPiFvv1mY5egV7qX8PHh-kEeL6y1wP.html
@@epmanualphysicaltherapy thanks so much 🙏
Thanks PT! I’m suffering from this after a knee injury and it’s hard to explain it .
Hi Nemo, You are welcome! It's hard to hear that you have been struggling with a knee injury. 🥺 If you're interested, go to our homepage on our UA-cam Channel and there you will see a playlist tab. There you will see a library of information for different conditions and hopefully we might have something there to help address your knee pain. We wish you all the best in your road to recovery! 🧡
Thank you for referring me to this video. Very close to what I think I have. Not only do I have the burning pain on left side of my knee but I feel some change in my left foot too. Going to see my orthopedic doctor on Feb. 21. Really appreciate you sooooo much! I could listen to you all day. You take a lot of my stress away too. Definitely going to do the glutinous exercises today and all week.
Hey Carol! Absolutely! We are happy to help everyone we can here on UA-cam!
When I see my doctor on Feb. 21 ...I'll know what he thinks ...but either way I'm going to tell people about your channel. I'm also going to try your exercises, and if I get better Ill figure out a way in the future to send you a small gift of my appreciation...can't afford much but really appreciate your videos. Doctors don't tell us much at all.
Thank you for this through explanation on Saphenous knee pain. I have been investigating it for a while now. Unfortunately I injured my saphenous nerve with a blow to my TKR knee six months ago. I am waiting to see a neurologist as I have numbness in the knee going down to my foot. Not sure there is anything I can do, I am starting with a new psychotherapist until I can see the neurosurgeon. Good tips on glute strength and also checking into spine tests. I will follow up with that!
You're welcome Risa!!! We wish you the best going into getting help for your saphenous nerve problem! We hope you heal really fast!!!
Sounds exactly like what I experienced two different times years ago! 👍🏻
You did catfish! I hope it was helpful.
Thanks a lot, wish I could double like this video!! I was trying to explain this to the doctor and thought I was going crazy, but that is exactly the feeling i have. This started precisely at the same time that I torn by meniscus! I waiting for the MRI of my back.. but pretty sure something happened with the nerve right where the meniscus is
Found out about 'nerve flossing' too!! this might be a good solution
Hello, I keep coming back to your video about saphenous nerve injury as I find you “ hit the nail right on the head” with your plantation of where it is in body, hat it affects etc. I hav been on this journey for a year now…finding diagnosis, seeing specialists etc. in my case
the saphenous nerve is entrapped ( just in the spot you point out in the video. I had it confirmed by an EMG it is causing neuropathy in my leg and the inside of my foot where the foot runs. You’re right about no one knowing what is is. It took 8 months to get a proper diagnosis. I am now under the direction of a Physiatrist ( Pain Doctor ) who is pointing me in the right direction and believes there may be a treatment I can get that may help relieve the entrapment ( an injection but not a nerve block)? Anyway, through all this I really have not found any physiotherapist that could tell me exercises I can do for this condition. Do you have a more detailed video that I could follow along with to do exercises for the saphenous nerve? I know you mention an exercise in this video but just wondered if you had a more detailed video. Thanks so much. You are the only one that gives such a detailed description!
How are you doing?
I’ve been trying to fix this for a year. Were you able to get it resolved?
@@blankspaceforyou I have not gotten very far with it as unfortunately, I have developed hip arthritis in the same leg and it is very painful so I’m trying to deal with that. I was told however from my osteopath that the trapped saphenous nerve was cause by bursitis in my knee that was trapping it. It makes sense as that came up in one of my ultrasounds. He’s helping me deal with my hip now as it is more painful. It all comes with old age I guess…. I’m 70.
@@risapowell8190I’m so sorry to hear that. That is so terrible to have to deal with. I’ve been dealing with this for a year now and it’s been a complete nightmare.
Hope you find relief soon
@@blankspaceforyouhow’s it going guys hope u guys are much bette ! Did anything help ?
Thank you so much for this video. Before signing up for your class addressing the saphenous nerve, I have a question. A couple of MRIs have shown that I have both hip FAI and a herniated disk at L4. Previous physical therapy addressing the herniated disk and strengthening glutes did not help much. I often have tenderness around my hip muscles, and also developed a habit of raising my knee to pop my hip in order to feel a few seconds of relief in my knee. Do you think the class would still help with my issue? Only other options will likely be hip surgery or surgeries if the herniated disk is addressed as well…
Could a posterior horn meniscus tear with extrusion cause saphenous nerve issues?
Who to get your complete course about knee pain and treatment
Would rebounding (mini trampoline) help or hurt it?
I went to an orthopedic dr and had xrays done on my left knee. Dr said to do stretches and if I still have pain in 6 weeks to go back for a MRI. I've been having pain for 2 months now. He is thinking it's a meniscus problem.
Maybe you can help. When I touch the inner knee along that nerve,I feel a burning sensation and pain on the outer knee. It radiates from inner to outer knee. 2 months ago it was worse. I couldn't ben my knee back.
watched this a few days ago and came back to shoot my shot and leave a comment in hopes to maybe get a reply. As you said, I am in PT and believe I have saphenous nerve pain. PT has honestly been googling things to help but mainly have been trying to help me strengthen my thigh muscles - much like you said happens. I'm going to work on strengthening my glutes on my own time. My PT said a theragun may relieve my pain if i run it up and down my inner leg and we did it once in clinic and in the moment it felt good but for a few days after it was definitely sensitive. could the response maybe just mean my body wasn't used to it or does it mean i shouldn't do it. i'm considering making the investment to buying one but don't know if it could end up doing damage. not enough information to lean me one way or the other so i figured i would try asking here!
I have been dealing with this issue for years and have been to countless doctors who have told me there is nothing structurally wrong with me knee. Even did arthroscopic surgery to "clean up" some things. Every thing you have described is pretty much what I have experienced now for years. The pain is debilitating. I have a spot that is so sore on the medial side of my knee if you brush it it is painful. The pain has at times has extended downward toward my shin as well. Thank you for this video! I at least have an idea of what I may be dealing with. I am sure there may be some issues with arthritis going on with my knee/s but, this seems to be clearly what I am going through. B
Hello BigJD, I am glad this helped you. Have a great day.
Were you able to alleviate the pain? 😢
I had the same problem. I actually did a dead hang off a granite table and crack! My spine decompressed in 3-4 areas. Then cracked again in 2 more spots later. But the pain and water filling instantly went away.
I think I have this problem! About 20 months ago I slipped down a hill, my foot dislocated and end of tibia and fibula broke off. (Stretching my inner ankle, foot went totally sideways) Had surgery where hardware was inserted… long recovery. While I was in the walking boot my inner knee started to hurt a lot. This pain seemed to shoot from just above the end of the tibia, up my shin to my inner knee and then sometimes up the inner thigh. Got done with all the PT for my ankle and inner knee pain persisted and I went and got an MRI. They said it was arthritis and sent me back to PT. A few more months of PT and my PT starts to think it’s maybe the tendon getting irritated from the hardware and I agree so I went to get the hardware taken out. While I was in the boot after that second surgery it was REALLY bad, probably from the weight of the boot and it was once again shooting up my inner thigh. Don’t remember if I ever mentioned that to the PT. That surgery was July, finally quit going to PT in September just assuming the pain will always persist due to the injury. So today I was feeling around the knob that’s the end of the tibia, and I felt this tendon like thing and it was very tender. And when I rubbed it my knee began to hurt more. And I googled and saw that there’s a nerve there. I think that this may be the issue! I probably won’t bother going back to PT having diagnosed myself but will try some foot and glute stuff at home. That’s the other thing, since my injury my inner foot has always been painful and tender and weak feeling and that whole over a year of PT never seemed to help. It’s always cramping and I have thought I need to try to exercise it but now I’m extra motivated. Thanks for this informative video 🙂
Had somethin familiar w breaking my tib/fib then removing hardware and the pain still there..Nice 2 know I’m not that crayz..Hoping these exercise work🙌🏾
Are there shoes you recommend to wear or not wear to help with this
I have been searching for what is wrong and Dr’s just think arthritis but I knew it was something else in my gut and this is dead on my symptoms
Does it also come on suddenly because mine did
I sit mostly for work and one day I just had this unbearable pain in the inner knee but because it also was in my thigh and calf and inner ankle I couldn’t pin point it
I also have imbalance in my hips and have had history of sciatica
Thank you! Very helpful, I suffered an injury while at work where my leg went through some rollers and created a ball, right below my knee on my inner shin. I first started having foot issues where my 2nd toe was throbbing every time I walked. Now the pain is hitting my inner knee. I couldn't walk for 2 days with severe pain until I watched this video and realized i must have pinched my saphenous nerve when i got injured. I started flexing my butt and thigh muscles and the pain subsided on my knee, I don't know how long it will last but the sharp pain is gone. Should I massage the saphenous nerve areas or would that further irritate it? Thank you again and I wish you all the best!
Hey Samantha! Yes this sounds like a saphenous nerve injury for sure! No! Don’t massage it, nerves don’t like to be massaged, they’ll end up feeling worse later and keeping the problem there longer that it needs to be. It seems like it was a bad injury since you got that ball on your inner shin. That’s a sign that it might take you months to fully recover. That doesn’t mean you be in severe pain and unable to walk that long. That may only last 1-2 weeks while the bump goes away. But you might have lingering problems for 1-3 months after. Possibly longer if you are irritating the nerve and not allowing it to rest and heal. That’s how nerve problems are. Definitely keep up the glute exercises that you can take pressure off the nerve. That will give you the best chance at healing as fast as possible.
My nerve was damaged during my knee replacement, constant pain!
Wow! I have been trying to find out the cause of this inner leg pain for many months and came upon your video here. I tested my legs as you suggested and I absolutely believe it is the Saphenous Nerve that is giving me the problem. I have other spinal challenges, so this makes sense to me. I am going to check out your exercises and start using them. You are a Godsend! Thank you for the work that you are doing.
You've got this! You're very welcome ☺️
Same, I have had knee pain for 8-months now without being able to figure out why. Thank you! After trying various things I think the trigger could be that my mattress is too soft.. and we moved to ahouse with lots of stairs .. but I think the nerve is pinched. Interesting I also have pain at the front of my hip bone., and it is VERY uncomforatble to lie on my side to sleep (maybe because the knees are collapsing in??).
How are you doing? Did you find something regarding your spine issues?
Can a compressed nerve on the outer thigh cause pain on the opposite side.. inner thigh? But not produce pain at the site of compression.
Thank you for this informative video. I'm two months post op partial medial meniscectomy. I do have fluid on the knee that doctor aspirated and did give some relief. I complained about the water feeling, throbbing, tenderness in shin area. He said that was the saphenous nerve but did not offer any solutions. My range of motion is good but the pain can be unbearable.
What is helping me is TENS placing the pads all along the nerve, 3 times a day. Do you use tens units for pain? It has given me tremendous relief while I go to PT to work strengthening muscles.
Hey Monica! Sorry to hear about your recent partial menisectomy :-(
We hope you can fully recover!
TENS can be helpful for short-term pain relief. Dr. David talked about it here:
"NueMedics TENS Unit - Honest Physical Therapist Review"
ua-cam.com/video/27tB-G8PdOI/v-deo.html
You might also benefit from watching the videos in this playlist for meniscus help:
"Knee Meniscus Help"
ua-cam.com/play/PLJVIPiFvv1mZ9Vh4eRH3UlmMeqOUtB-6a.html
This saphenous nerve sounds like my problem. Right leg hurts from hip to foot. Where can I get the program for helping treat this? I have degenerative disc disease L4 L5 area too.
Hello, this is a very helpful video. Can the saphenous nerve get damaged during arthroscopy of the knee and can the problem be fixed the same way you suggest in your video? thanks in advance.
Hey thanks Elena! Yes the saphenous nerve can be damaged during arthroscopy of the knee. Yes, this would be the best advice to follow in your situation. Recovering from saphenous nerve being irritated during surgery is no guarantee, but what do you have to lose if you try?
I believe that I have a subluxation in my left knee that is pinching this nerve. While glute strength is something I'm working on, it's the subluxation that needs to be addressed right now because I can't bend that knee. What type of provider would I need to see for this?
I’ve been in agony for 7 months had arthroscopic operation 6 weeks and didn’t help at all the pain is a stabbing pain just beneath the knee joint sometimes down my calf to I’m going back to see my consultant in two weeks can’t sleep because of a stabbing pain all the time ,any help would be much appreciated thank you Gwyn
I have terrible pain when driving that is in this area and I think it originates from my foot. I have osteoarthritis in the bones in-between 1st and second toes.
I've had this problem since early Jan 2024 and flared up massively on 5th Feb 2024...I suspected and researched Meralgia Perasthetika (Pinched femoral nerve) as pain was in upper thigh and towards groin side of thigh and then all the way down into the lower calf (instep side) and right down into the big toe (Saphenous nerve region). Been doing Femoral nerve flossing physio rehab exercises 3 times a day for the last 6 weeks or so -with minor alleviationin pain and discomfort. GP said it looked like I have sciatica (when those areas for sciatic pain are not affected).
I usually tend to get the pain in the knee only when I chip the ball when playing football. I also have a slightly swollen ankle. Could that be causing the knee pain?
This is exactly where I have a popping ligament/tendon or something else when I straighten my knee? Its a very tender spot, but when warm and put through fullROM, it lessens. Is this that nerve that can be popping in the meniscus area?
I have a burning pain in my knee when ever I touch my inner knee but when I don’t touch it it’s numb and I can’t feel my inside knee at all do you know if numbness is also a symptom
injured my knee running this summer. Told I have patello-femoral syndrome: runner's knee. I've been rehabbing it and was getting better. Then, all of a sudden I have this nerve issue on the inside of my knee, same one I have runner's knee on. It's very sensitive to the touch and every step I take it's bothersome. I'm pretty sure it's the saphenous nerve, from your helpful video. I'll try going to my physio and see what she says.
Hey Boney, sorry to hear about your patellofemoral pain syndrome and saphenous nerve problem. Those often do happen together :-(
Best of luck with going to your physio! Be careful!!! If your physio is not up to date on best treatment for your patellofemoral syndrome, they'll have you working on your quad muscles excessively and worsen your knee over time. Usually physios that specialize in post operative care do this to people that have not had surgery. They're not trying to harm anyone, they just aren't specialized in helping people avoid surgery.
@@epmanualphysicaltherapy Thanks so much for your advice. Moving forward, what do you suggest? I'm going to book another appointment with my physio, she has been great for many years for me. Do you suggest I get an MRI/X-Ray? I went for a long 3 hour bike ride 2 days ago, up and down lots of hills, no issues with my knees. When I walked around for the rest of the day, no issue with nerve in knee. However, yesterday, it was back to the same: I can pretty much feel it bothering me with every step. Thanks so much.
this is very VERY informative, i’ve been watching a million videos on how to reduce the pain since i don’t get much time to just rest, recently i’ve started playing indoor high school volleyball and i have my first game on the 18th. all the jumping and running i’ve been doing has been more than i ever have done in my life. but now i’ve been feeling extreme pain, i’ve gone to my trainer and she said it’s most likely pintched. how it happened i don’t know, but it’s only gotten worse. and by worse i mean i’m starting to feel the exact same pain in the exact same places too. she’s giving me 2 days off from practice, but my coach still wants me there. i don’t have a car, so i have to walk 2 miles there and back since there isn’t a bus route. please is there any advice on how to get it to go away in a little over a week?
Has your pain gone away?
@@mclovin3724 yes finally it did it really did just take a bit of rest and i had kept putting athlete icy hot on it and it helped minimize it when it was still hurting
@@oikawatooru802 I'm really glad to hear that! My nerve has also been pinched, but it's been pinched since April and so I haven't done sports since😮💨
Thank you so much. I had this problem for so many years with no solution. In just 1 day I find so much relief. The description of pain and its location completely matches my symptoms. Just wanted to understand from you can this nerve also cause pain in testicle?
exactly pain in testle also.. I have been worrying about this pain now found the reason for pain even scanning reports can't find this ..
Hi… just if I can add my two cents here( I’ve been dealing with this for two years). The saphenous nerve is the largest sensory nerve in the body. It’s related to and starts in the lumbar spine and then turns into the femoral nerve which starts at the top of the leg ( the groin area which may affect the area you are talking about) then joins up with the saphenous mere e which goes right down to the inside of your foot. Hop this helps!
I have severe inner knee pain.when I woke up from the chair my back thigh severe pain also. Sometimes I am very scared to wake up.
This is what I've been having trouble with from playing golf, located in my knee and lower leg
Hey Mr. Ditkovich! We're glad you found what is bothering your knee pain!!! We hope you get back to playing golf full speed!!!
What about nerve flossing.?
I have this nerve problem and also have bone on bone and I'm soon going to have a knee replacement will this nerve still be a problem after the knee replacement
Hey Judy, the saphenous nerve is often a problem after having a knee replacement. You really need to do everything you can to take care of it now before your surgery so that it is not as bad going into the surgery.
But, What if your an athlete and you have pain mostly similar to symptoms named here? It is really confusing for me…i dont have no pain in knee its more behind The knee on The inside and under The kneecap towards The calf area, certainly feel Like uncomfortable and electric pain. I can’t say it was caused by anything in particular…any advice or exercises?
Hey Giovanni, that still sounds like a saphenous nerve problem. When it comes to nerve problems they can happen in anyone. If the nerve is being pinched somewhere you will get electric shock like pain along the areas that nerve follows. The saphenous nerve comes from the anterior thigh down the leg into the back of the knee and then down into the calf. There are also branches of the saphenous nerve that come off around the knee and down into the calf as well. Hope this helps!
My lag sarphnose nerve demage burning treatment help 12 eyer
Hello Doc, I enrolled in the 28 day knee program but no Videos only instructions?? I only see readings
Please help I am not computer savvy
Hey Angelina, please send an email to kay@epmanualphysicaltherapy.com and let her know. It may be a technology issue on your end too. Try restarting your device, logging out and logging back in. You might also need to try a different web browser. There are definitely videos there for you.
I have alot of patients with OA experiencing saphenous nerve irritation and it me a while to realise it after a long time research.
Hi Chishala, Thank you so much for sharing your experience with your patients with us! It is encouraging to see such care that you have for patients and that you are taking steps to learn new information that could help them. 🧡 In case you are interested we do have additional information and exercises in a playlist we have compiled for knee arthritis help. You can check it out here:
“Knee Arthritis Pain Help”
ua-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
We wish you and your patients all the best. Please take care! 🌟
@@epmanualphysicaltherapy yeah i am humbled you know it hurts having a wrong diagnosis,i try by all means to research more and come up with the right one to help patient..I am really benefiting from the information you put out for us , keen on more and if i have questions can i ask you regarding my patients?.
^same. Thank you Doc. (:
You're welcome u.d23
I’m right there…. Nothing found… can’t hinge my legs both sides worst in the morning.. sleeping sucks….cant take shoes off…. Without pain. I’m hurting bilateral
So even though my squat form is quite good, I've worked with several powerlifting coaches and I was able to hit a 270 one rep max a few months back.. My knees do not cave in at all during my squat. However, I do not feel my glutes during my squats at all whatsoever... Never during and never sore after.. I honestly think some of us are just built differently
Hey Katie, You are absolutely right! Everyone is built differently and everyone experiences pain and discomfort quite differently as well.
How to get rid of this sap nerve pain after TKR I’m 7 weeks post op and very frustrated 😢
Hey Deanna, sorry to hear about your continued knee pain after the TKR :-(
It's common to have knee pain for 6-12 months after a TKR...even if the surgeon says it will only be 2-3 months. The saphenous nerve is often cut through when doing a knee replacement. So it may take months for you to adjust to life without your full saphenous nerve function. It's common for people to feel numbness the rest of their lives in an area on the front of the knee after a TKR.
We wish you very fast healing!
The pain is causing me not to be able to bend past 74 im 7 weeks post op .. I would appreciate some suggestions knees feels stuck and it’s still swollen a lil but not as much as before .. thank you
Do disc herniations cause the inner knee pain due to the main route of the nerve running all the way down to the ankle.
Hey D Mel, If you have a problem with a disc in your back, it can cause various issues, including pain that goes down your leg. This happens because the biggest nerve in your body starts in your lower back and goes down your leg. Sometimes, this can make your leg feel painful, tingly, or even numb.
When a disc in your back isn't in the right place, it can lead to pain in your lower back and down your leg. This condition is often called sciatica. This pain can also affect different parts of your leg, like the area near your inner knee.
But remember, inner knee pain can also come from other things like problems with your ligaments or tendons, or even pain that comes from somewhere else. To figure out exactly why your knee hurts, it's important to talk to a healthcare expert who can examine you and understand your symptoms.
If your inner knee hurts and you're worried it might be because of a disc problem or something else, we suggest seeing a healthcare provider. They can carefully check your condition, tell you what's causing the pain, and suggest the best ways to make it better based on what's going on with you.
I'm really greatful for your valuable time in providing a detailed explanation.
In this I will surely need to consult a medical practitioner to find and treat the underlying cause.
Where can I buy the knee program ?
Hey @Levite88788, here's the link to the 28 Day Knee Health & Wellness Boost Program:
www.epmanualphysicaltherapy.com/knee-health
The pain I feel in the back of my knee feels like my nerves are being pulled apart. It hurts like hell! This pain I feel wakes me up outta my sleep, sometimes I can't sleep, 😩 I don't have Medicaid, so i cant get help.
Could this be mistaken for pes anserine bursitis pain?
Absolutely yes Paul!
Thank you, I get the nerve sensation when I do leg lifts, left leg only. No pain, but I am sure my inner knee is tender. What to do you want to stay active and fit but your body just won’t cooperate. I’m afraid if I push too hard, I will get an injury.
Hey Donna! If it is the saphenous nerve the treatment in this video should help. It is also a possibility that a back problem can cause these nerve sensations as well. Here is a link to our lower back videos that may be able to help:
“Lumbar Spinal Stenosis Help”
ua-cam.com/play/PLJVIPiFvv1mYxifSEM8bNacVpyTmc3_Ys.html
Started doing the exercises mostly the abdominal lefts and knees have got worse, both inner knees. Not sure if it’s related to recent exercising, but I find it interesting that the pain is worse. I now feel it down to my foot. It feels like it’s progressively getting worse. I am going to stop these exercises to see if I get relief.
@@donnasides6884How do you feel ? Did you finally find a relief?
i am suffering with this pblm since a long time now and this hurts like hell my whole leg hurts and sometimes its unbearable
my foot starts to tingle and numb while walking...with the knee pain...
Yep that my pain when bending my knee
Ur screen is full of caption so we cant see points which you try to point out during your vedio comentree 😊
I can flex and extend my knee any which way with no pain and no limitation of range of motion at all!. I DO have the exact saphenous nerve pattern you describe. Other than strengthening my glutes as you describe here, what else should i be doing to get at the root of this? Thank you for this video, doc
Hey eliuri! Whew! There's so much for you to do next! Make sure you learn about how to make walking helpful for you from these videos:
“Walking & Stairs Advice For Painful Knees, Hips, And Ankles”
ua-cam.com/play/PLJVIPiFvv1mZqQdy7MnE2Q1H_Xfgxi5zH.html
@@epmanualphysicaltherapy Interesting you mention walking, doctor! I am flat footed (pes planus) and my current sneakers are badly worn down. So perhaps this is contributory factor to that saphenous pattern? Kinetic chain maybe? Im desperately looking for new pair of sneakers, but so far none are comfortable enuf to walk in
My saphenous nerve feels like it’s pinched at my knee I don’t have any pain or soreness just when I squat with my feet facing out I get a tingling up my thigh and down my leg where the nerve runs. Also when I’m just sitting down it tingles and goes numb when my leg is at a certain angle
hey this is similar to me. weird tingling pain on the inner and outer knee, not the thigh or shin. when you press on the nerve around your knee, it is a strange sensation? i felt that the "water on the knee" description was just it. would love to know more as no one is understanding what this is!
@@ingridjungermann460 yessss I have the exact same experience it’s so frustrating it’s hinders me from doing legs 😖
@@ingridjungermann460 Ik I try and explain it to people and they are so confused. I feel as if I have the right form I think my problem stems from me having slight knock knees so the form that seems correct actually isn’t good for my bone structure that’s just my guess
Same here. No real pain, but electric like bursts over knee extending down my shin.