[18F] Experiencing pain, swelling, and discoloration behind knee

Patient Description

An 18-year-old female is reporting a dull pain with a severity of 3 out of 10, located laterally and behind the knee, but not in the joint itself. The pain began 1 day ago and is accompanied by swelling and cramping, particularly noticeable when bending the knee. There is also a purple discoloration in the same area. The patient denies any recent injuries or accidents and is not currently pregnant. No other symptoms or medical history have been provided.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing one of the following conditions:

  • Baker's Cyst: This is a fluid-filled cyst that causes a bulge and a feeling of tightness behind your knee. The pain can get worse when you fully flex or extend your knee or when you're active.

    • Treatment typically involves physical therapy and medication to relieve pain. In some cases, your doctor may suggest using a needle to draw the fluid out of the cyst.
  • Deep Vein Thrombosis (DVT): This is a blood clot in a deep vein, often in your leg. It can cause pain, swelling, warmth, and discoloration in the affected area.

    • Treatment typically involves anticoagulant medications to prevent the clot from getting bigger and to reduce your risk of getting more clots.
  • Hamstring Injury: This is an injury to one of the three different hamstring muscles in the back of the thigh. The main symptom is a sudden, sharp pain at the back of the thigh.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Physical therapy and exercises to strengthen the muscles may also be recommended.

What you can do

You should seek immediate medical attention to get a proper diagnosis and treatment. In the meantime, here are some things you can do:

  1. Rest and elevate your leg.
  2. Apply a cold pack to the area for 15 minutes at a time to help reduce swelling.
  3. Avoid putting weight on the leg if it's painful.

What you should look out for

Seek immediate medical attention if:

  • The pain or swelling gets worse
  • You have difficulty walking or bearing weight on the leg
  • You have a fever
  • The leg becomes warm, red or discolored

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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1 yr ago

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People Also Ask


What is a Baker's Cyst and how is it treated?

A Baker's Cyst is a fluid-filled cyst that causes a bulge and a feeling of tightness behind the knee. It can cause pain, especially when bending the knee. Treatment often involves physical therapy and pain relief medications, and sometimes fluid drainage by a doctor.


What are the symptoms of Deep Vein Thrombosis (DVT) and how is it managed?

Deep Vein Thrombosis (DVT) is characterized by pain, swelling, warmth, and discoloration in the affected leg. It is managed with anticoagulant medications to prevent the clot from enlarging and to reduce the risk of further clots.


How can you differentiate between a hamstring injury and other knee-related issues?

A hamstring injury typically presents as a sudden, sharp pain at the back of the thigh, often after physical activity. It can be differentiated from other knee issues by the location and nature of the pain, and is usually treated with rest, ice, compression, and elevation.


What immediate steps should be taken if you experience knee pain with swelling and discoloration?

If you experience knee pain with swelling and discoloration, you should rest and elevate your leg, apply a cold pack to reduce swelling, and avoid putting weight on the leg. Seek immediate medical attention if symptoms worsen or if you have difficulty walking.


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