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Why Women Experience Knee Pain Differently Than Men

Mon, Sep 23, 2024

Knee pain is a common issue that affects millions of people worldwide. Studies have shown that women are more likely to experience knee pain and injuries compared to men, with the overall prevalence of knee pain in women roughly 20%. According to the American Academy of Orthopaedic Surgeons, women are more likely to suffer from anterior cruciate ligament (ACL) injuries. We will take a look at the anatomical and structural differences between female and male knees to further understand the underlying causes of knee pain in women.

Graphic image of the anatomy of the knee, front and side angle, with each part labeled.Difference Between Men’s and Women’s Knee Anatomies

Anatomical differences between male and female knees play a significant role in the prevalence of knee pain in ladies. Some of the key differences include:

  • Knee Size: A woman’s knee anatomy tends to be smaller than a man’s knee. The end of the thigh bone in a female is typically more narrow side-to-side but taller front-to-back. The end of the thigh bone in a male is usually much wider and flatter.
  • Bone Structure: Women typically have a wider pelvis, which can affect the alignment of the knee joint. The angle formed between the hip and the knee, known as the Q angle, is larger in women, potentially leading to increased stress on the knees.
  • Ligament Flexibility: Female ligaments tend to be more lax and flexible than those of men, which can lead to a higher risk of ligament injuries, such as ACL tears.
  • Muscle Strength: Women often have less muscle mass around the knees, particularly in the quadriceps and hamstrings, which are crucial for stabilizing the knee joint.

Why Are Women More Prone to Knee Injuries Than Men?

The combination of anatomical differences and hormonal factors may contribute to the higher incidence of knee injuries in women. Hormones such as estrogen and relaxin can affect ligament strength and flexibility, increasing the likelihood of injury during physical activities.

Additionally, factors such as walking patterns and landing techniques can further exacerbate the risk. Women tend to have a different style of movement that places additional stress on the knee joint, particularly during activities like jumping and pivoting.

Common Causes of Female Knee Pain and How To Prevent Them

Several factors contribute to knee pain in women. Understanding these causes can help in developing effective prevention strategies:

  • Overuse Injuries: Repetitive stress from activities like running, cycling, and aerobics can lead to overuse injuries. Ensuring proper training techniques and adequate rest periods can help prevent these injuries.
  • Osteoarthritis: Women are more likely to develop osteoarthritis due to hormonal changes and genetic predisposition. Maintaining a healthy weight and engaging in low-impact exercises can reduce the risk.
  • Patellofemoral Pain Syndrome: This condition, characterized by pain around the kneecap, is common in women. Strengthening the muscles around the knee and improving flexibility can alleviate symptoms.

Preventive measures include:

  • Strength Training: Building muscle strength, particularly in the quadriceps and hamstrings, can support and stabilize the knee joint.
  • Flexibility Exercises: Incorporating stretching routines to improve flexibility can reduce the risk of ligament injuries.
  • Proper Footwear: Wearing shoes that provide adequate support and cushioning can prevent knee strain.

Common Treatments for Women’s Knee Issues

Treating knee pain in women requires a comprehensive approach that is dependent upon the cause and severity of the condition. Orthopedists utilize a range of both conservative and surgical options, including:

  • Physical Therapy: Customized physical therapy programs can help strengthen the muscles around the knee, improve flexibility, and enhance joint stability.
  • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can reduce pain and inflammation. In some cases, corticosteroid injections may be recommended.
  • Bracing: Using knee braces can provide additional support and alleviate pain during physical activities.
  • Surgical Interventions: When conservative treatments are ineffective, surgical options such as an ACL reconstruction, partial knee replacement, or a total knee replacement may be necessary.

EmergeOrtho’s Dr. Brett Gilbert is a board-certified and fellowship-trained orthopedic surgeon, specializing in the diagnosis and treatment of knee injuries and conditions. He has in-depth knowledge of women’s unique challenges with knee pain. Whether you require conservative treatment or surgical intervention, Dr. Gilbert is focused on helping his patients achieve optimal knee health and return to the activities they love. If you are experiencing knee pain or mobility issues, you can schedule your appointment with Dr. Gilbert here or request an appointment using our appointment request form.

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