Hi Eva,
Hyperextension is backward bending of knee. Hyperextension can range from mild to severe injury and based on its severity signs and symptoms vary. Usually in case of mild hyperextension injury there is some soreness and it heals in 3-4 weeks, where as in case of severe hyperextension injury surgery may even required following which intense knee rehabilitation is required. With hyperextension knee is prone to stretch and twisting forces which can injure the ligaments, capsules and other soft tissue leading to intense pain. There may be knee swelling, and instability in the joint leading to impaired joint motion with pain.