Hello, Chronic knee pain is long term pain. The cause of your knee pain can determine the symptoms you experience. Many conditions can cause or contribute to chronic knee pain, and many treatments exist. Each person s experience with chronic knee pain will be different. Temporary knee pain is different from chronic knee pain. Many people experience temporary knee pain as a result of injury or accident. Chronic knee pain rarely goes away without treatment, and it isn t always attributable to one incident. It s most often the result of several causes or conditions. These include: osteoarthritis cause by degeneration and deterioration of the joint make pain, inflammation, and joint destruction. Tendinitis worse by climbing, take stairs or walking up an incline and pain in the front of the knee. bursitis caused by repeated overuse or injury of the knee that make it inflame. Damaged cartilage under kneecap. Gout caused by the buildup of uric acid. Baker s cyst if you experience a buildup of synovial fluid (fluid that lubricates the joint) behind the knee. Miniscus tear or torn ligament, bone tumors, disclocation of the the kneecap most often the result of trauma. Rheumatoid arthritis is a chronic autoimmune inflammatory disorder that causes painful swelling and can eventually cause joint deformity and cone erosion. Chronic knee pain worse when injuries, sprains and strains, overuse, infection, bad posture and form when doing physical activity, not warming up or cooling down before or after physical activity, improperly stretching the muscles. People who overweight or obese, age older, previous injuries or trauma, athletic activity or physical exercise. For the possible cause of chronic knee pain require differential diagnostic tests. These include blood work , physical examination, x-rays, CT scan or MRI, and other imaging tests if need. each cause of chronic knee pain has a specific type of treatment include: life style change, loss weight if you are overweight or obese, Physical therapy, medication, injection or surgery. Talk to your doctor what is the best way to manage your kind of condition of knee pain. some of knee pain, especially pain cause by osteoarthritis, will likely be permanent. Long term outlook for chronic knee pain involved managing pain, preventing flare-up and working to reduce irritation to the knee. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Heang Chan Raksmey, General & Family Physician