[22M] Experiencing knee pain and numbness post-fall

Patient Description

A 22-year-old male has been experiencing constant sharp pain on the inner side of his knee for the past six months, rated as a 4 out of 10 in severity. The pain worsens with activities such as sitting, going upstairs, and running. Additionally, the patient reports that his leg occasionally goes numb and experiences a pins and needles sensation that comes and goes. The knee also tends to give out and buckle, though no swelling or redness has been observed. The patient mentioned a fall in the shower, but it is unclear if this incident is directly related to the onset of his symptoms. No current medications are being taken, and the patient has no other known pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Medial Meniscus Tear: The meniscus is a piece of cartilage that provides a cushion between your femur (thighbone) and tibia (shinbone). A tear in the medial meniscus, located on the inner side of the knee, can cause pain, swelling, and instability. It can also cause a sensation of the knee giving way or locking. This condition is often caused by a twisting injury, but it can also occur due to wear and tear over time.

    • Treatment may include physical therapy, pain relievers, and in some cases, surgery.
  • Medial Collateral Ligament (MCL) Injury: The MCL is a ligament on the inner side of your knee. It can be injured by a direct blow to the outside of the knee or by a twisting motion. Symptoms can include pain, swelling, and instability.

    • Treatment usually involves rest, ice, compression, and elevation (RICE). Physical therapy and bracing may also be recommended.
  • Nerve Impingement: The pins and needles sensation in your leg could be due to a nerve being pinched or compressed. This could occur in the back (sciatica), in the knee itself, or elsewhere along the nerve's path.

    • Treatment usually involves physical therapy, pain relievers, and possibly surgery if the impingement is severe.

What you can do

  1. Rest your knee as much as possible and avoid activities that make your pain worse.
  2. Apply ice to your knee for 15-20 minutes at a time, several times a day.
  3. Use over-the-counter pain relievers, such as ibuprofen or acetaminophen, to help manage your pain. Always follow the instructions on the label and do not exceed the recommended dose.
  4. Consider wearing a knee brace or using crutches to help stabilize your knee and reduce pain.
  5. Seek medical attention. Your doctor may want to perform an examination and possibly order imaging tests, such as an MRI, to confirm the diagnosis.

What you should look out for

Seek immediate medical attention if:

  • Your knee pain becomes severe or unbearable.
  • You notice a significant increase in swelling or redness around your knee.
  • You develop a fever or other signs of infection, such as warmth or redness around your knee.
  • Your leg becomes weak or numb, or you have difficulty moving it.

Remember, I'm an AI and this advice is based on the information you've provided. It's always best to consult with a healthcare professional for an accurate diagnosis and treatment.

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7 mo ago


People Also Ask


What are the common symptoms of a medial meniscus tear?

Common symptoms of a medial meniscus tear include pain on the inner side of the knee, swelling, a sensation of the knee giving way or locking, and difficulty moving the knee through its full range of motion.


How can a medial collateral ligament (MCL) injury be treated at home?

An MCL injury can be treated at home using the RICE method: Rest the knee, apply Ice to reduce swelling, use Compression with a bandage, and Elevate the leg. Over-the-counter pain relievers and physical therapy may also be helpful.


What might cause a pins and needles sensation in the leg?

A pins and needles sensation in the leg can be caused by nerve impingement, which may occur due to compression or irritation of a nerve in the back (such as sciatica), in the knee, or elsewhere along the nerve's path.


When should I seek immediate medical attention for knee pain?

You should seek immediate medical attention if your knee pain becomes severe, if there is a significant increase in swelling or redness, if you develop a fever or signs of infection, or if your leg becomes weak or numb, making it difficult to move.


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