Right knee pain for around 11 months
**Age:** 34
**Sex:** Male
**Height:** 185 cm (6'1")
**Weight:** 101 kg (223 lbs)
**Race:** Caucasian
**Location:** Denmark
I've been dealing with significant pain in my **right knee** for the past **11 months**, and despite seeing multiple doctors and physiotherapists, I still don't have a diagnosis or a treatment plan that has helped.
# How it started
I have a history of strength training, running, and Brazilian Jiu-Jitsu.
Around **August 2025**, I spent about a month running approximately **2 km to and from my BJJ classes**. There wasn't a specific injury, twist, fall, or moment where I felt something "go." The pain developed gradually during that period.
Since then, the pain has never completely gone away.
It fluctuates between better and worse days, but I'm never pain-free, and I feel it has slowly become worse overall.
# Pain location
The pain feels like it's **deep in the front-middle of the knee, underneath the kneecap**. I can't pinpoint it with one finger, and pressing around the kneecap or patellar tendon doesn't reproduce the pain.
There has never been any noticeable swelling, redness, or warmth.
# What makes it hurt
The pain is almost entirely related to **movement**, especially when the knee is **weight-bearing**.
As soon as I begin squatting (around **30° of knee flexion**), the pain starts and progressively worsens. It is most severe just before **90° of knee flexion.**
Once I'm no longer weight-bearing, the pain largely disappears. For example, I can sit on my heels without much pain, but **getting into and out of that position is very painful**.
Activities that consistently hurt include:
* Squats
* Walking up and down stairs
* Standing up from a chair and sitting down
* Cycling
* Kneeling (it feels like there isn't enough space inside the knee)
Activities that cause little or no pain:
* Walking on flat ground
* Sitting
* Sleeping
* Jogging is mostly pain-free while I'm running, but the knee often becomes much more painful afterward.
* Spanish Squat
# Other symptoms
* My knee feels unstable, although it has never actually given way.
* There is frequent grinding (crepitus) and uncomfortable clicking.
* I have full range of motion, but parts of that range are painful.
* When lying on my back and extending my leg in the air (non-weight-bearing), extending the knee is painful and produces significant clicking.
# What I've tried
I've spent months trying to strengthen the leg with exercises that are tolerable, including:
* Leg extensions
* Leg curls
* Leg press (limited range of motion)
* Spanish squats (usually tolerated)
* Slow step-ups and step-downs
(Weight training for around 6-8 months without success)
I've also done a significant amount of stretching. Stretching temporarily reduces the pain for approximately **20–30 minutes**, with **psoas/hip flexor stretches** seeming to provide the most relief.
Despite consistently trying rehabilitation exercises, I haven't experienced any meaningful long-term improvement.
# Pain severity
During activities that require bending the knee under load, I'd rate the pain around **6/10**, sometimes higher.
# Medical evaluation
I've seen **three different physiotherapists**, all of whom have suggested different possible causes, including:
* J-sign / possible lateral patellar tracking
* Runner's knee (patellofemoral pain syndrome)
* Meniscus injury
All three agreed that my ligaments appear to be intact and advised progressive strengthening without provoking pain, but this hasn't improved the problem.
I've also seen multiple doctors in Denmark. None have been willing to order imaging (X-ray, ultrasound, or MRI), and I've essentially been referred back to physiotherapy each time.
# Impact
This has had a major impact on my quality of life. I've had to significantly reduce my training, I've started walking with a limp, and over time I've also developed hip and lower back pain, which I suspect may be related to altered movement patterns.
The ongoing pain and lack of answers have also taken a significant toll on my mental health.
**My main question is:** based on these symptoms and the fact that this has persisted for nearly a year despite rehabilitation, what diagnoses should be considered, and do you think I should be pushing harder for an MRI or referral to an orthopedic knee specialist?
Any further ideas or tips and tricks would be very highly appreciated.
I can provide a link to show the clicking in my right knee if someone think that might help
I also think it's worth mentioning that if i press my kneecap down and move it up and down it feels like it's on a very unstable surface, like it's rolling on pebbels.
(Due to the face that english is not my first language i asked chatGPT to rewrite my summary)