Knee Buckling: What Are The Causes

elderly man's knee buckles while jogging

Discover the surprising causes of knee buckling in this informative article.

Understanding the Anatomy of the Knee

The knee is a complex joint that connects the thigh bone to the shin bone, allowing for movement and support. It is made up of various components, including bones, cartilage, ligaments, and tendons. Each part plays a crucial role in maintaining stability while enabling motion.

Several key structures in the knee work together harmoniously. The femur (thigh bone) and the tibia (shin bone) form the main joints, while the patella (kneecap) provides protection. The cartilage acts as a cushion between these bones and absorbs shock during activities.

This cartilage is primarily composed of smooth hyaline cartilage, which allows for easy movement, and meniscal cartilage, which provides additional support and stability to the joint by distributing weight and reducing friction during movement.

Ligaments are strong bands of tissue that connect bones and help stabilize the knee. There are four essential ligaments: the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL). Any damage or wear in these areas can lead to knee buckling.

The ACL, for instance, is particularly important for activities that involve sudden stops or changes in direction, such as in sports like soccer or basketball. Injuries to the ACL are common and can significantly impact a person’s ability to perform physical activities, often requiring surgical intervention and extensive rehabilitation.

In addition to ligaments, tendons also play a vital role in knee function. The quadriceps tendon connects the quadriceps muscle at the front of the thigh to the patella, while the patellar tendon connects the patella to the tibia.

These tendons are essential for movements such as jumping, running, and squatting, as they facilitate the transfer of force from the muscles to the bones. Understanding the intricate relationships between these structures can help in recognizing the importance of proper conditioning and injury prevention strategies, especially for athletes and active individuals.


Knee Arthritis

Knee arthritis is one of the most common reasons for knee pain and buckling. It occurs when the cartilage in the knee joint wears down over time. This degeneration can lead to inflammation, stiffness, and a reduced range of motion, making everyday activities challenging.

There are several types of arthritis, but the two most common types affecting the knee are osteoarthritis and rheumatoid arthritis. Osteoarthritis develops as a result of normal wear and tear, while rheumatoid arthritis is an autoimmune disorder where the body mistakenly attacks the joint lining.


Common Injuries Leading to Knee Buckling

Injuries to the knee can also cause episodes of buckling. These injuries can stem from accidents, sports, or even falls. When ligaments or tendons are injured, they may not provide the necessary support, leading to instability.

  • Sprains: These occur when ligaments are overstretched or torn.
  • Fractures: Breaks in the bones surrounding the knee can cause significant pain and instability.
  • Tendinitis: Overuse of the knee can cause inflammation in tendons, contributing to discomfort.

Each of these conditions can result in a sudden feeling of weakness in the knee, which may lead to buckling during movement.


Nerve Damage In Your Knee

Nerve damage can also play a role in knee buckling. The nerves send signals from the brain to the knee, allowing for proper movement and coordination. If these nerves are damaged, the brain may not get the right messages, leading to problems in knee function.

Conditions such as diabetes or previous injuries can lead to neuropathy, a condition where nerve health deteriorates. This may result in a lack of sensation or incorrect positioning of the knee during activities, causing it to buckle unexpectedly.

If you are experiencing nerve pain, we may be able to help through a treatment called Genicular Artery Embolization.


Plica Syndrome

Plica syndrome is another less-known cause of knee issues. It occurs when the synovial folds in the knee become irritated. These folds are remnants from early development in the womb. If they get inflamed, they can restrict knee movement and lead to discomfort.

Symptoms can include a locking or catching sensation in the knee, which may disrupt normal gait and stability and lead to the possibility of buckling.

Ligament injuries are a common source of knee instability. Damage to the ACL or MCL—especially—can lead to significant instability and feelings of the knee giving out under stress. Such injuries often occur during high-impact sports or sudden stops.

Treatment for ligament injuries often begins with non-surgical methods such as physical therapy or specific exercises that strengthen the muscles surrounding the knee. These methods can improve stability and reduce the risk of future buckling.


Meniscus Tear

A meniscus tear is another injury that can lead to knee buckling. The meniscus is a cartilage that cushions between the femur and tibia. When it tears, it can cause pain, swelling, and instability.

People often feel their knee may lock up or give way when they have a meniscus tear. Treatment typically involves rest, ice, compression, and elevation (RICE). Strengthening exercises can help support the knee and prevent further complications.


Diagnostic Tests for Identifying Causes

Doctors may perform a variety of tests to determine the cause of knee buckling. These can include physical examinations, imaging tests such as X-rays or MRI scans, and functional tests to assess the knee’s stability.

Identifying the precise cause is crucial for developing an effective treatment plan to alleviate symptoms and restore normal function. Understanding the underlying condition can also help in taking necessary preventive measures.


Treatment Options for Managing Knee Buckling

There are numerous non-surgical treatment options for managing knee buckling. These methods aim to minimize pain and enhance stability without the need for invasive procedures.

  • Physical Therapy: Customized exercises can strengthen knee-supporting muscles, improving stability and function.
  • Weight Management: Reducing excess weight decreases the strain on knee joints, which can help alleviate pain.
  • Assistive Devices: Knee braces or orthotics can provide additional support and stability during movement.
  • Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) can relieve pain and inflammation.
  • Injections: Corticosteroid or hyaluronic acid injections may help alleviate severe pain and improve mobility.

Consult with a healthcare professional to devise a suitable treatment strategy tailored to individual needs. The right approach makes it achievable to manage knee buckling and its associated pain.

If you’re struggling with knee buckling and seeking advanced knee pain relief without surgery, opioids, or downtime, Arthritis Knee Pain Centers is here for you. Join over 50,000 patients who have found relief through our innovative treatments.

Our expert physicians utilize advanced digital imaging to administer FDA-approved viscosupplementation gel injections, aiming to increase your mobility, reduce pain, delay surgery, and decrease the need for pain medications. Don’t let knee pain hold you back any longer. Schedule Your No Charge Screening today and take the first step towards a more active and comfortable life.