Pain in left knee back side joint increase while walking and not able to bend fully hardness some time in hip but no pain transfer from waist to leg via hip but whole leg heavy Ed's after walking 400 -500 mtr done Philip ift etc but not fully
Answers (20)
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Based on your symptoms — pain behind the knee, difficulty bending, heaviness after walking 400–500 meters, and partial relief with IFT — this may be related to knee joint inflammation, muscle tightness, or early degenerative changes. Since it's affecting walking distance, it should be properly assessed.
Next Steps
Avoid long walking and stairs
• Apply hot fomentation 15–20 mins, 2–3 times daily
• Avoid forceful bending of knee
Health Tips
As symptoms are persisting despite treatment, a detailed physiotherapy assessment is recommended. Early treatment can help reduce pain, improve walking distance, and prevent worsening.
I offer consultation and can assess your condition and start targeted treatment for faster recovery. You can book a session to begin treatment.
Pain behind knee with heaviness in whole leg is likely due to hamstring tightness / Baker’s cyst / early knee degeneration.
For now:
• Avoid long walking, stairs & squatting
• Use hot fomentation 10–15 mins
• Start gentle hamstring & knee mobility exercises
• Don’t force full bending
Since heaviness comes after walking, proper assessment is important to rule out knee & circulation issues.
We provide home physiotherapy in Gurgaon and clinic consultation 👍
📍 PAL Physiotherapy Clinic
Plot No. 5P, Basement, Near Shaktipeeth Mandir, Sector 41, Gurgaon
Dr Rajesh Pal, PT, PhD
Good afternoon. Based on your symptoms—pain at the back of the left knee that increases while walking, difficulty in fully bending the knee, and a feeling of heaviness in the entire leg—it suggests a possible posterior knee involvement, which may be associated with muscle tightness, early joint changes, or reduced muscle endurance. The occasional hip stiffness could also be contributing to altered movement patterns.
A detailed physiotherapy assessment is recommended at the earliest to identify the exact cause and begin appropriate treatment. Early intervention will help reduce pain, improve mobility, and prevent further progression. Kindly schedule an appointment for a thorough evaluation.
Your symptoms suggest a combination of posterior knee involvement (likely hamstring tendon / Baker’s cyst / meniscus irritation) along with possible nerve-related heaviness from lower back or hip.
• Pain at the back of knee + difficulty bending → often hamstring or meniscus related
• Heaviness in whole leg after walking → may indicate nerve irritation or circulation fatigue
• Occasional hip stiffness → contributing to altered movement pattern
Next Steps
Reduce aggravating activities
• Avoid long walking, stairs, and deep bending
• Do not force knee bending
2. Start gentle exercises
• Heel slides (for knee mobility)
• Hamstring gentle stretches
• Quadriceps strengthening (static exercises)
3. Pain management
• Ice pack for 10–15 mins if pain increases after activity
• Compression support (knee cap) if swelling/heaviness present
4. Check lower back involvement
• Since heaviness is present, evaluation of lumbar spine is important
5. Consult physiotherapist / orthopedician
• You may need proper assessment to rule out:
• Meniscus injury
• Baker’s cyst
• Nerve involvement from spine
Health Tips
• Sit cross-legged or squat
• Ignore heaviness in leg
• Push through pain
It may be , early ostio arthritis
1st step should be for hot formation -- 10 min. (Twise a day)
If swelling & redness is present then -- use ice for 20-20-20 sec.set of 3 ( 2 time a day)
2nd step- Streching. - 1-hemstring Streching
2- Calf Streching
3- Hip flexor
3rd step-- GENTLE Exercise --1-heel slide
--2-static quadriceps strengthening with towel roll
--3- Ankle pumps
--4-glute bridge
NOTE➡️- pain is ⬆️ should be used knee supporting belt
Next Steps
1) Slow walking (100-200m)
2)stepup 10×2 ( pain free)
3)sit to stand 7×2(pain free)
Health Tips
don't do any exercise and movement forcefully and avoid over repetition
Avoid-- squatting, Running, jumping ,
NOTE--you can get much better results after consultation ( because of proper diagnosis)
Based on your description, pain at the back of the knee that increases with walking and difficulty bending fully may be related to irritation of the hamstring tendons, popliteal region strain, or early knee joint inflammation. Sometimes tight hamstrings or calf muscles can also create heaviness in the leg after walking.
Next Steps
Activity modification: Avoid deep squatting, stair overuse, and sudden long walks for a few days.
• Paced walking: Since symptoms start after 400–500 m, try walking shorter distances (200–300 m) with rest intervals.
• Cold pack: Apply ice behind the knee for 10–15 minutes, 2–3 times daily to reduce irritation.
• Gentle stretching: Light hamstring and calf stretches can help reduce tension behind the knee.
• Quadriceps strengthening: Simple exercises like straight leg raises and static quadriceps can support the knee joint.
• Check footwear: Shoes with good cushioning and arch support help reduce knee loading during walking.
Health Tips
Avoid deep squatting, kneeling, or sudden twisting movements of the knee until the pain reduces.
• Apply a cold pack behind the knee for 10–15 minutes, 2–3 times daily to help reduce irritation.
• Do gentle hamstring and calf stretching to reduce tightness in the muscles at the back of the knee.
• While walking, try shorter distances with rest breaks instead of continuous long walks.
• Wear supportive footwear with good cushioning and arch support to decrease stress on the knee joint.
• Avoid forcing the knee to bend fully if it causes pain. Gradual movement is better than pushing the range.
Avoid Deep Squatting If you cannot bend fully, do not force the range of motion.
Interval Walking: Since pain starts at 400m, try walking 300m, resting for 2 minutes, and then continuing. Do not push through the heaviness.
Also Check your Footwear Ensure you are wearing supportive shoes heavy leg sensations can sometimes be exacerbated by poor arch support.
Summary of Next Steps
Health Tips
If you notice any sudden warmth, redness, or significant swelling in the calf, or if the leg becomes cold to the touch, seek medical attention immediately.
For pain relief starting icing for 5-10 min 3-4 times a day, if there is swelling then use a compression bandage.
Stretching and strengthening is required.
For walking, walk a few mitres only like 200 m then after 4-5 days slowly increase the distance.
Health Tips
avoid stair climbing and any movement that puts pressure on the knee
"Your popliteus muscle is tight, which is why you are experiencing pain behind the knee, and I can sense from your words that you are also feeling symptoms of Piriformis Syndrome. If you use the Myofascial Release (MFR) technique on these parts, only then will you find relief."
Hey there!
Back of knee pain can be sign of ligament injury or maybe muscle weakness. Kindly book online session with me for careful analysis.
Regards
Your physio
The symptoms suggest a likely posterior knee issue, possibly related to hamstring tightness, Baker’s cyst, or early degenerative changes in the knee joint. The heaviness in the whole leg after walking 400–500 meters may indicate reduced endurance, muscle weakness, or possible neural involvement from the lumbar spine. Hip stiffness without significant radiating pain reduces the likelihood of strong nerve root compression, but it still needs assessment. Incomplete knee bending and pain on the back side of the knee point toward soft tissue restriction or joint pathology.
Next Steps
• Clinical examination by a physiotherapist or orthopedic doctor
• Assess knee range of motion, hamstring tightness, and ligament integrity
• Check lumbar spine involvement (SLR, neural tension tests)
• X-ray of knee (weight-bearing) to rule out osteoarthritis
• Ultrasound if Baker’s cyst is suspected
• Start supervised physiotherapy focusing on mobility and strengthening
Health Tips
• Avoid long-distance walking and excessive strain for now
• Do gentle knee bending and hamstring stretching exercises
• Apply ice if swelling or pain increases after activity
• Do not ignore increasing heaviness or weakness in the leg
• Early treatment can prevent progression
Perform heel slide exercise pain free ROM
Since you feel hardness on hip try knee to chest exercise pain free ROM
May be you must be having vascular claudication since the pain appear specially after a set distance 400 to 500 m we must ensure blood flow in leg is Healthy
Popliteus Tendinitis is also one of the cause responsible for full bending restrictions
Baker’s Cyst is one more cause
Consult online we need assessment to check root cause and provide better treatment and diagnosis
Next Steps
If u have swelling redness or sharp pain in calf consult doctor
Health Tips
To reduce the "heaviness," elevate your leg above heart level for 20 minutes when you return from walking.
Avoid prolong standing
Use proper Foot wear
Avoid hip impact activity
Greetings from Rid of Pain Physiotherapy
Complete and proper assessment is needed for the identification of the root cause of the problem. So consult the best physiotherapy clinic nearby.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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