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a knee hurts when cartilage is lost cartilage covers the bone in the knee and allows smooth motion when there is a cartilage defect the nerve endings are exposed in the bone to decrease the pressure the knee creates bone spurs these bone spurs donamp;#39;t hurt in themselves but they increase the surface area at the contact point in order to decrease the pressure another way the knee protects itself from arthritis is to produce more joint fluid for Lu ation normally the process works well and the joint fluid decreases pain and improves Motion in some instances there is too much fluid produced some of this fluid goes to the back of the knee in an area called The Baker cyst it is similar to a dam overflow area when the water level at a dam Rises too high the water goes to overflow areas to reduce the water level
