[23F] Experiencing knee pain, swelling, and stiffness

Patient Description

A 23-year-old female reports suffering from knee pain, swelling, stiffness, and a clicking sound when bending the knees for approximately one year. The pain, rated 8 out of 10 in severity, is localized to the front of the knee, particularly under the kneecap, and is described as tender to the touch. The symptoms worsen with bending, working, and in the afternoon. The patient experiences tightness under the kneecap, knee locking, and pain when pressing along the joint line or squatting. There is no reported redness, warmth, fever, or history of knee injuries or surgeries. The patient is not on any medications and has no known allergies or adverse reactions to medications. There is a family history of arthritis, but the patient has not been diagnosed with the condition.

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Arora's Assessment

What might be happening

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

  • Patellofemoral Pain Syndrome (PFPS): Also known as "runner's knee," this condition is characterized by pain in the front of the knee and around the kneecap. It's often caused by imbalances in the muscles around the knee and can be exacerbated by activities that put stress on the knee joint, like bending or squatting.

    • Treatment typically involves physical therapy to strengthen the muscles around the knee and improve balance. Pain relievers and anti-inflammatory medications may also be recommended.
  • Osteoarthritis: This is a degenerative joint disease that can cause pain, swelling, and stiffness in the knee. It's more common in older adults, but can occur in younger people, especially if there's a family history.

    • Treatment usually involves a combination of lifestyle changes (like exercise and weight loss), physical therapy, and medications to manage pain and inflammation. In severe cases, surgery may be necessary.
  • Meniscal Tear: The meniscus is a piece of cartilage that provides a cushion between your femur (thigh bone) and tibia (shin bone). A tear can cause pain, swelling, and a clicking or locking sensation in the knee.

    • Treatment depends on the severity and location of the tear, but may include rest, physical therapy, and in some cases, surgery.

Remember, I'm an AI and not a doctor, so these are just possibilities based on the information you've provided. You should consult a healthcare professional for a formal diagnosis.

What you can do

In the meantime, here are some things you can try to manage your symptoms:

  1. Rest: Avoid activities that make your knee pain worse.
  2. Ice: Apply an ice pack to your knee for 15-20 minutes at a time, several times a day.
  3. Compression: Use a knee brace or bandage to help support your knee and reduce swelling.
  4. Elevation: Try to keep your knee elevated as much as possible to help reduce swelling.
  5. Over-the-counter pain relievers: Non-prescription medications like ibuprofen or acetaminophen can help manage pain and reduce inflammation.

What you should look out for

Here are some signs that you should seek medical attention immediately:

  • Severe pain or swelling
  • Inability to move or bear weight on your knee
  • Significant deformity or instability of the knee
  • Fever, redness, or warmth around the knee, which could indicate an infection
  • Symptoms that don't improve with rest and home treatment, or that get worse over time.

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10 mo ago

People Also Ask


What is Patellofemoral Pain Syndrome and how is it treated?

Patellofemoral Pain Syndrome (PFPS), also known as 'runner's knee,' is characterized by pain in the front of the knee and around the kneecap. It is often caused by muscle imbalances around the knee. Treatment typically involves physical therapy to strengthen the knee muscles, pain relievers, and anti-inflammatory medications.


Can young people develop osteoarthritis, and what are the treatment options?

Yes, young people can develop osteoarthritis, especially if there is a family history. Treatment usually involves lifestyle changes like exercise and weight management, physical therapy, and medications to manage pain and inflammation. In severe cases, surgery may be necessary.


What are the symptoms of a meniscal tear and how is it treated?

A meniscal tear can cause pain, swelling, and a clicking or locking sensation in the knee. Treatment depends on the severity and location of the tear and may include rest, physical therapy, and sometimes surgery.


What home remedies can help alleviate knee pain and swelling?

Home remedies for knee pain and swelling include resting the knee, applying ice packs for 15-20 minutes several times a day, using compression bandages or knee braces, elevating the knee, and taking over-the-counter pain relievers like ibuprofen or acetaminophen.


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