[18M] Experiencing knee pain and swelling post-injury

Patient Description

An 18-year-old male reports mild to sharp knee pain localized to the front and inside of the knee, which began a few days ago after tweaking the knee while picking up a basketball. The pain is exacerbated when straightening the knee completely, especially after basketball practice. There is associated swelling, but no redness, locking, catching, or instability in the knee. The patient does not recall hearing a pop at the time of injury. There is no significant past medical history, no known drug allergies, and the only medication being taken is Zyrtec for allergies.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Patellar Tendonitis (Jumper's Knee): This is an injury to the tendon connecting your kneecap (patella) to your shinbone. The patellar tendon works with the muscles at the front of your thigh to extend your knee so you can kick, run and jump. Pain is usually located at the front of the knee and can be exacerbated by activity or when fully straightening the knee.

    • Treatment typically involves rest, ice, and over-the-counter pain relievers. Physical therapy exercises to strengthen the muscles around your knee will also be beneficial.
  • Meniscal Tear: This is a tear in the meniscus, which is cartilage in your knee that cushions and stabilizes the joint. Pain is usually in the middle or side of the knee. Most people can still walk on their injured knee, and many athletes keep playing with a tear. Symptoms of a meniscal tear include swelling and pain, especially when the knee is straightened.

    • Treatment may involve rest, ice, and elevation. In some cases, a brace or crutches may be required. If symptoms persist, surgery may be necessary.
  • Patellofemoral Pain Syndrome (Runner's Knee): This is a broad term used to describe pain in the front of the knee and around the kneecap. It's common in athletes and those who do a lot of running or jumping.

    • Treatment often includes rest, ice, and exercises to strengthen and stretch the muscles around the knee.

What you can do

  1. Rest your knee as much as possible, avoiding activities that cause or worsen pain.
  2. Apply ice to your knee for 15-20 minutes every 2-3 hours to help reduce swelling and pain.
  3. Use over-the-counter pain relievers, such as ibuprofen or acetaminophen, to help manage pain.
  4. Consider using a knee brace or wrap to provide support and ease pain.
  5. Once the pain and swelling have decreased, start gentle exercises to strengthen the muscles around your knee.

What you should look out for

You should seek immediate medical attention if:

  • The pain or swelling in your knee worsens or doesn't improve after a few days of rest and at-home treatment.
  • You have severe pain, even when not bearing weight.
  • You cannot move your knee or it gives way when you try to use it.
  • You have signs of infection, such as redness, warmth, or fever.

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of patellar tendonitis?

Common symptoms of patellar tendonitis include pain and tenderness at the base of the kneecap, swelling, and pain that worsens with activity or when straightening the knee.


How can I differentiate between a meniscal tear and patellofemoral pain syndrome?

A meniscal tear often presents with pain, swelling, and sometimes a catching or locking sensation in the knee, while patellofemoral pain syndrome typically causes pain around the kneecap, especially during activities like running or jumping. A healthcare professional can provide a more accurate diagnosis.


What are the recommended treatments for knee pain caused by sports injuries?

Recommended treatments for knee pain from sports injuries include rest, ice application, over-the-counter pain relievers, and physical therapy exercises to strengthen the knee muscles. In some cases, a knee brace or crutches may be used, and surgery might be necessary if symptoms persist.


When should I seek medical attention for knee pain?

You should seek medical attention if the knee pain or swelling worsens or doesn't improve after a few days, if you experience severe pain even without weight-bearing, if you cannot move your knee, or if there are signs of infection such as redness, warmth, or fever.


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