[24F] With knee pain and instability post-injury

Patient Description

A 24-year-old female presents with sharp, stabbing pain in the frontal inside area of the knee, persisting for a couple of months, particularly when bending. The pain is rated 6-7/10 and began after a knee injury and a physically demanding job involving restraining patients. Symptoms include occasional instability, popping, and locking of the knee, with bruising appearing when the pain is present. An X-ray indicated fluid buildup behind the knee. The patient experiences slight numbness or tingling but no redness or warmth. There is no history of previous knee injuries, surgeries, or family history of joint issues. The patient plans to consult an orthopedic specialist now that insurance is available. Temporary relief is achieved with a knee brace. Medications include occasional gabapentin (800mg) and Tylenol (250mg) as needed for pain.

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Arora's Assessment

What might be happening

Based on your symptoms and history, here are some possible explanations:

  • Meniscus Injury: The meniscus is a piece of cartilage that provides cushioning in your knee. A tear can cause sharp pain, swelling, instability, and locking or popping sensations.

    • Treatment: Rest, physical therapy, and possibly surgery, depending on the severity.

  • Patellofemoral Pain Syndrome: This condition involves pain around the kneecap, often due to overuse or injury. It can cause sharp pain and instability.

    • Treatment: Rest, physical therapy, and exercises to strengthen the muscles around the knee.

  • Knee Bursitis: Inflammation of the bursae, small fluid-filled sacs in the knee, can cause pain and swelling.

    • Treatment: Rest, ice, and anti-inflammatory medications.

What you can do

While waiting to see an orthopedic specialist, you can try the following:

  1. Rest and Ice: Avoid activities that worsen the pain. Apply ice to reduce swelling.
  2. Compression and Elevation: Use a knee brace or wrap to support the knee and elevate it when possible.
  3. Pain Relief: Continue using Tylenol as needed, but follow the recommended dosage.
  4. Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share notes with your provider.

What you should look out for

Seek medical attention if you experience:

  • Increased swelling or severe pain
  • Inability to bear weight on the knee
  • Signs of infection, such as redness or warmth

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask

What are the common symptoms of a meniscus injury?

Common symptoms of a meniscus injury include sharp pain, swelling, a feeling of instability, and sensations of locking or popping in the knee.

How can patellofemoral pain syndrome be managed at home?

Patellofemoral pain syndrome can be managed at home by resting the knee, applying ice to reduce swelling, using a knee brace for support, and performing exercises to strengthen the muscles around the knee.

What is knee bursitis and how is it treated?

Knee bursitis is the inflammation of the bursae, which are small fluid-filled sacs in the knee. It is typically treated with rest, ice application, and anti-inflammatory medications.

When should I seek immediate medical attention for knee pain?

You should seek immediate medical attention for knee pain if you experience increased swelling, severe pain, inability to bear weight on the knee, or signs of infection such as redness or warmth.

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