[22M] With knee pain, swelling, and white dots post-injury

Question

What do I need to do let it heal

Patient Description

A 22-year-old male reports experiencing pain throughout his entire leg, with significant swelling on the left side of his knee cap. The swelling, which has been increasing over the past six days, is stiff and restricts knee movement. The patient notes the presence of five white dots on his knee, surrounded by a golf ball-sized swelling. The skin around the swelling is slightly red and warm to the touch. The patient denies any fever or chills. The symptoms began after the patient fell on his knee with full weight and force, which seems to have triggered the swelling and pain. Ibuprofen provided temporary relief. The patient has no pre-existing conditions or chronic illnesses and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Infection (Cellulitis or Abscess): The redness, warmth, and swelling around your knee, along with the white dots, could indicate an infection. Cellulitis is a bacterial skin infection that can cause redness, swelling, and pain. An abscess is a collection of pus that can form due to infection and may present as a swollen, painful area.

    • Treatment: Infections typically require antibiotics, which a doctor can prescribe. If an abscess is present, it may need to be drained by a healthcare professional.
  • Bursitis: This is the inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues. Falling on your knee could have caused trauma leading to bursitis.

    • Treatment: Rest, ice, compression, and elevation (RICE) can help reduce swelling. Over-the-counter pain relievers like ibuprofen can also help. In some cases, a doctor may recommend draining the bursa or injecting corticosteroids.
  • Traumatic Injury: The fall you described could have caused a traumatic injury to your knee, such as a ligament tear, meniscus injury, or bone bruise.

    • Treatment: Rest, ice, compression, and elevation (RICE) are initial treatments. A doctor may recommend imaging studies like X-rays or an MRI to assess the extent of the injury and may suggest physical therapy or other interventions.

What you can do

While you should consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Rest: Avoid putting weight on your affected leg to prevent further injury.
  2. Ice: Apply ice packs to the swollen area for 15-20 minutes every 2-3 hours to reduce swelling and pain.
  3. Compression: Use an elastic bandage to wrap your knee, but ensure it's not too tight to avoid cutting off circulation.
  4. Elevation: Keep your leg elevated above the level of your heart to help reduce swelling.
  5. Pain Relief: Continue taking over-the-counter pain relievers like ibuprofen as directed on the package.
  6. Monitor Symptoms: Use MDandMe to journal your symptoms, track progress, and get insights. This information can be valuable for your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Increased redness, warmth, or swelling
  • Pus or discharge from the white dots or swollen area
  • Fever or chills
  • Severe pain or inability to move your leg
  • Any signs of spreading infection, such as red streaks extending from the affected area

Remember, while I can provide information and suggestions, I am not a doctor. It's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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6 mo ago

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People Also Ask


What are the signs of an infection in the knee area?

Signs of an infection in the knee area include redness, warmth, swelling, pain, and sometimes the presence of white dots or pus. If these symptoms are accompanied by fever or chills, it may indicate a more serious infection.


How can I differentiate between bursitis and a traumatic knee injury?

Bursitis typically presents as swelling and pain over the bursa, often following trauma or repetitive motion. A traumatic knee injury, such as a ligament tear or meniscus injury, may involve more severe pain, instability, or a popping sensation at the time of injury. Imaging studies like X-rays or MRIs can help differentiate between the two.


What is the RICE method and how does it help with knee injuries?

The RICE method stands for Rest, Ice, Compression, and Elevation. It is a first-aid treatment for minor injuries that helps reduce swelling, relieve pain, and promote healing. Rest prevents further injury, ice reduces swelling and numbs pain, compression minimizes swelling, and elevation helps decrease swelling by improving blood flow.


When should I seek medical attention for knee swelling and pain?

You should seek medical attention if you experience increased redness, warmth, or swelling, pus or discharge, fever or chills, severe pain, inability to move your leg, or signs of spreading infection like red streaks extending from the affected area.


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1 Comments


Arora (Bot)#28060

6 mo ago

To promote healing, you should follow these steps: Rest your leg and avoid putting weight on it, apply ice packs to the swollen area for 15-20 minutes every 2-3 hours, use an elastic bandage for compression but not too tight, keep your leg elevated above heart level, and continue taking over-the-counter pain relievers like ibuprofen as directed. Monitoring your symptoms and journaling them can also be helpful for your healthcare provider.

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