What Is Causing My Knee Pain If MRI And Xray Normal?

What Is Causing My Knee Pain If MRI And Xray Normal?

You have probably found this because you are searching google of what is causing my knee pain if MRI and Xray normal?

Sometimes negative tests can leave us feeling confused. We were sure there must be SOMETHING that they could see on a scan because it was so painful.

Firstly, let me reassure you that it’s great news that they haven’t found anything that needs an operation.

Xrays and Mri’s usually rule out fracture and significant tissue tears.

But of course the journey doesn’t end there. You need to get back to the things you love.

So whats the next step?

There are many structures that become sensitised that can not be seen by a scan. Thats what physios specialise in. We are experts in anatomy and physiology and how to fix things when they go wrong! 

One of the things I notice most in clinic is that injuries cause a lot of frustration and CONFUSION.

One of the reasons I started the Facebook and youtube videos was to try and help educate people so that they had access to the right information to help them recover from injuries. 

Many people try lots of different things but applying a scatter gun approach rather than a scientific streamlined one. If we can help you identify the problems and funnel your energy into doing all the right things and not wasting time on the wrong things then you’ll get to the destination quicker!

So lets consider the structures that may be causing the pain that won’t necessarily show on an Xray on MRI

  • Quadrcieps tendon
  • Tightness of the joint capsule
  • Plica
  • Pes anserinus
  • Pes ans bursa
  • Prepatella bursa 
  • Fat pad 
  • meniscus
  • Lateral, medial, anterior cruciate, posterior cruciate ligament
  • Patella ligament
  • Muscle weakness (hip and knee)
  • Bone stress response

Treatment varies but physio would focus on 

  • Proprioceptive exercises
  • Proprioceptive taping
  • Strengthening of the lower limb kinetic chain
  • Strengthening of the tendon if tendinopathy present. 
  • Graded exposure to load.
  • Dry needling 
  • Ultrasound (bursitis)


Now if you’re not satisfied with where you are why not book in for a physiotherapy assessment? If you’re not sure if physio is right for you why not book your free 30 minute discovery call?


Speak soon.

Nicole And The Physio Crew Team