Top 5 Common Causes of Pain Behind the Knee
Discover the top five common causes of pain behind the knee, including muscle cramps, jumper’s knee, hamstring injuries, Baker’s cyst, and arthritis. This guide provides essential information on symptoms, causes, and when to seek medical help to maintain knee health and mobility.

Top 5 Common Causes of Pain Behind the Knee
The knee joint is one of the most complex and largest joints in the human body, made up of bones such as the shinbone (tibia), the smaller fibula bone, the thigh bone (femur), and the kneecap (patella). It also includes various tissues like tendons, muscles, cartilage, and ligaments that support movement and stability. Due to its structure, the knee is highly susceptible to injuries, leading many to experience pain behind the knee at some point.
Engaging in sports or physical activities can result in muscle strains, fractures, or ligament and cartilage damage. While some injuries heal naturally, others may need medical intervention or surgery. Recognizing the causes of knee pain is crucial to prevent further damage and maintain an active lifestyle. Below are five common reasons for pain behind the knee:
- Leg Cramping
Sudden and involuntary muscle contractions in the calves or back of the thigh near the knee can cause intense pain. Cramping often occurs during exercise, pregnancy, or due to dehydration, nerve problems, toxins, or liver issues. These cramps last a few seconds to minutes, sometimes causing swelling afterward. - Jumper’s Knee
Patellar tendinitis, known as jumper’s knee, involves small tears in the tendon connecting the kneecap to the shin. This injury commonly affects athletes in jumping sports like basketball or volleyball, causing pain below the kneecap, leg weakness, stiffness, and difficulty moving the knee if untreated. - Hamstring Strain
The hamstring group, consisting of three muscles on the back of the thigh, helps in knee bending. Overstretching or sudden force can cause a hamstring tear, resulting in sharp pain, swelling, bruising, and leg weakness behind the knee. - Baker’s Cyst
This condition involves fluid buildup behind the knee, forming a cyst due to excess synovial fluid often caused by injury or inflammation. Symptoms include pain, swelling, stiffness, and restricted movement. The cyst may resolve naturally but sometimes requires rest and therapy. - Arthritis
Degeneration of knee cartilage, known as arthritis, leads to persistent pain, stiffness, and reduced mobility. Types such as osteoarthritis, rheumatoid arthritis, lupus, and psoriatic arthritis can cause discomfort behind the knee and may necessitate medical or surgical treatment.
These five factors are primary causes of pain behind the knee. If you experience persistent or severe discomfort, consulting a healthcare professional is essential to prevent worsening conditions and regain mobility.