Question: “I have had pain on the inner side of my left kneecap for approximately two weeks. When I straighten my knee while sitting, I hear a clicking sound. My orthopaedic specialist recommended quadriceps and VMO exercises. I work standing for around seven hours a day. Could this be causing the pain? How long will recovery take?”
Answer:
Pain around the kneecap does not have a single possible cause. It is not possible to make a definitive diagnosis without a physical examination and, where necessary, imaging tests. Problems involving the meniscus, ligaments, kneecap cartilage, plica syndrome, patellar tendon, or the movement pattern of the kneecap may cause similar symptoms.
Your orthopaedic specialist’s recommendation of quadriceps and VMO exercises is an appropriate approach aimed at improving kneecap movement control and strengthening the muscles around the knee. These exercises are an important part of treatment for many types of pain originating from the kneecap.

Working on your feet for long periods each day may not be the sole cause of this type of pain. However, it may aggravate existing symptoms and prolong the recovery process.
Most patients who exercise regularly may experience noticeable relief within 4–6 weeks and more lasting improvement within 8–12 weeks. However, the recovery period varies depending on the underlying cause and the individual’s adherence to treatment.
If the pain progressively worsens or if swelling, locking, a feeling of the knee giving way, or an inability to bear weight develops, you should be reassessed by an orthopaedic specialist or a physical medicine and rehabilitation specialist.
Remember: Information provided online is intended for general guidance only. A definitive diagnosis and treatment plan should be determined according to the findings of a physical examination.
