
Pain in the back of the knees is common, affecting about 25% of U.S. adults. It’s a big concern for many. This pain can come from hamstring injuries, Baker’s cysts, meniscus tears, and tendinitis. If you feel sharp pain or a constant ache in your knee, you’re not alone.
Knowing why your knees hurt is key to feeling better. At Liv Hospital, we use top-notch medical care to find and fix the problem. For more info, check out Lattimore PT.
Key Takeaways
- Pain behind the knee when walking affects a significant portion of the U.S. adult population.
- Causes include hamstring injuries, Baker’s cysts, meniscus tears, and tendinitis.
- Understanding the underlying cause is critical for effective treatment.
- Liv Hospital offers complete medical care for diagnosing and treating knee pain.
- Many treatment options are available, like physical therapy and surgery.
Common Causes: Why Do the Back of My Knees Hurt?

The back of the knee is a complex area. Pain here can come from injuries or medical conditions. When we feel pain behind the knee while walking, it’s a sign of something needing attention.
Muscle Strains and Hamstring Injuries
Muscle strains and hamstring injuries are common causes of knee pain. These happen from overuse, sudden movements, or direct hits. Strained hamstring muscles can cause pain and tightness behind the knee.
We suggest resting the area and using ice to reduce swelling.
Baker’s Cysts and Fluid Accumulation
Baker’s cysts, or popliteal cysts, are fluid-filled lumps behind the knee. They can cause discomfort and stiffness, mainly when bending or straightening the knee. A Baker’s cyst can lead to pain and stiffness in the back of the knee, after walking or physical activities.
Meniscus Tears and Ligament Damage
Meniscus tears and ligament damage are significant causes of pain behind the knee. The meniscus is a cartilage that cushions the knee joint. Tears can happen from twisting injuries or wear and tear. Ligament damage, often from sports injuries, can also cause pain.
These injuries can make pain when bending the knee back or during activities that involve knee movement.
Tendinitis and Inflammation
Tendinitis, or inflammation of the tendons, is another cause of pain behind the knee. Tendons connect muscles to bones. When they become inflamed, it can cause pain and discomfort. Repetitive knee movements can lead to tendinitis, causing ache behind the knee or pain when walking.
Knowing the common causes is key to finding the right treatment. By figuring out why the pain is happening, we can make a plan to ease it and prevent it from coming back.
Anatomy of the Popliteal Region

The back of the knee, known as the popliteal region, is filled with important parts. These parts work together when we walk. They help the knee bend and straighten smoothly.
Key Structures Behind the Knee
In the popliteal region, you’ll find the popliteus muscle and the posterior cruciate ligament (PCL). The popliteus muscle helps with knee rotation and stability. The PCL is a key ligament that keeps the knee stable.
The hamstrings, located at the back of the thigh, also pass through this area. Their tendons help bend the knee. Other tendons and ligaments support knee movements too.
How These Structures Function During Walking
When we walk, the popliteal region’s structures work together. The popliteus muscle rotates the knee. The PCL keeps the knee stable, stopping it from moving too far back.
The hamstrings contract and relax to bend and straighten the knee. This teamwork is key for normal walking and movement.
Knowing how these structures work together helps us understand knee movements. It also sheds light on why pain might occur in this area.
When to Seek Medical Attention
Pain behind the knee can mean different things. It’s important to know when you need to see a doctor. Some problems might get better on their own, but others need quick medical help to avoid getting worse.
Warning Signs and Symptoms
Some symptoms mean you should see a doctor right away. Look out for persistent or severe pain, swelling, and difficulty bearing weight on the leg. If you notice any of these, it’s time to talk to a healthcare professional.
Also, watch for signs of infection like redness, warmth, or fever around the knee. These are clear signs you need to see a doctor.
Other signs to watch for include feeling like your knee is unstable or giving way. This could mean you have damaged ligaments or other structural problems. A medical professional can check these symptoms and find out what’s wrong.
Diagnostic Approaches
Doctors use different ways to figure out what’s causing pain behind the knee. They start with a physical examination to check how well the knee moves, its stability, and where it hurts. They might also use imaging tests like X-rays, ultrasound, or MRI to see what’s going on behind the knee.
They might also do blood tests to check for infections or inflammation. Finding the cause of the pain is key to treating it right.
Treatment and Prevention Strategies
Treatment for pain behind the knee depends on what’s causing it. Often, doctors recommend rest, ice, compression, and elevation (RICE) to help. They might also suggest physical therapy to make the muscles stronger and more flexible.
If these steps don’t work, or if the problem is serious, surgery might be needed. For example, if a Baker’s cyst is causing a lot of trouble, it might need to be drained or removed. To avoid knee problems, stay healthy, exercise regularly, and use the right techniques when you’re active.
Knowing what causes pain behind the knee and how to handle it can help you recover and prevent future problems.
Conclusion
Knowing why you have pain behind your knees is key to feeling better. Common reasons include muscle strains, Baker’s cysts, and meniscus tears. By understanding these, you can start to ease your pain.
It’s also important to know about the popliteal region’s anatomy. Knowing when to see a doctor is vital. This helps you find the best way to treat your pain.
Dealing with knee pain needs a full plan. This includes getting a proper diagnosis, treatment, and ways to prevent it. With the right steps, you can live better and avoid more problems.
We aim to help you manage your knee pain well. By knowing how to handle it, you can improve your health and life. Finding relief from knee pain is possible with the right knowledge and actions.
FAQ
What causes pain behind the knee when walking?
Several things can cause pain behind the knee when walking. Muscle strains and hamstring injuries are common. Baker’s cysts, meniscus tears, ligament damage, and tendinitis are also possible causes.
Why does the back of my knee hurt when I walk?
The back of your knee might hurt from overuse or sudden movements. These actions can strain the muscles and tendons in the popliteal region.
What is a Baker’s cyst, and how does it cause pain behind the knee?
A Baker’s cyst is a fluid-filled lump behind the knee. It causes discomfort and pain, mainly when walking or bending the knee.
Can meniscus tears cause pain behind the knee?
Yes, meniscus tears can lead to pain behind the knee. This is more likely if the tear is linked to ligament damage or other injuries.
How is pain behind the knee diagnosed?
Doctors use physical exams, imaging tests, and medical history to diagnose pain behind the knee. They aim to find the root cause.
What are the treatment options for pain behind the knee?
Treatment for pain behind the knee varies based on the cause. It might include rest, physical therapy, medication, or surgery.
How can I prevent pain behind the knee when walking?
To prevent pain, maintain a healthy weight and exercise regularly. Wear proper footwear and avoid overuse or sudden movements.
When should I seek medical attention for pain behind the knee?
Seek medical help if pain is persistent or severe. Also, if there’s swelling or difficulty bearing weight on the leg.
Can tendinitis cause pain and tightness behind the knee?
Yes, tendinitis can cause pain and tightness behind the knee. This is common when walking or bending the knee.
What are the key structures behind the knee that can cause pain when damaged?
Pain from damaged structures behind the knee can come from several sources. The popliteus muscle, posterior cruciate ligament (PCL), hamstrings, and various tendons and ligaments are key.
References:
National Center for Biotechnology Information. Evidence-Based Medical Insight. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC2941578/