[24M] With right knee pain exacerbated by physical activity

Patient Description

A 24-year-old male reports experiencing pain in the right knee, which has been present for a long time but has worsened over the past week. The pain is triggered by sudden pressure, jumping, and running, particularly during basketball practice. There was minor swelling initially, but it has since subsided. The patient has tried ice and elevation as treatments. The pain does not occur during squatting or climbing stairs.

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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 knee pain:

  • Patellar Tendinitis (Jumper's Knee): This condition is common in athletes who engage in sports that involve frequent jumping, such as basketball. It is characterized by pain in the tendon connecting the kneecap (patella) to the shinbone. The pain typically worsens with activity and improves with rest.

    • Treatment: Rest, ice, and over-the-counter pain relievers can help manage the symptoms. Physical therapy exercises to strengthen the muscles around the knee and improve flexibility can also be beneficial.
  • Patellofemoral Pain Syndrome (Runner's Knee): This condition is caused by the misalignment of the kneecap as it moves over the femur. It can result in pain during activities that put stress on the knee, such as running, jumping, or squatting.

    • Treatment: Rest, ice, and anti-inflammatory medications can help reduce pain and swelling. Physical therapy to improve the alignment and strength of the knee joint is often recommended.
  • Meniscus Tear: This is a tear in the cartilage that cushions the knee joint. It can occur due to sudden twisting or turning movements, which are common in sports like basketball. Symptoms include pain, swelling, and difficulty moving the knee.

    • Treatment: Rest, ice, compression, and elevation (RICE) are initial treatments. In some cases, physical therapy or even surgery may be necessary.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your knee pain:

  1. Rest: Avoid activities that aggravate your knee pain, such as jumping and running. Give your knee time to heal.
  2. Ice: Apply ice to your knee for 15-20 minutes several times a day to reduce pain and swelling.
  3. Compression: Use an elastic bandage or knee brace to provide support and reduce swelling.
  4. Elevation: Elevate your knee above the level of your heart to help reduce swelling.
  5. Over-the-counter pain relievers: Medications like ibuprofen or acetaminophen can help manage pain and inflammation.
  6. Physical therapy: Consider seeing a physical therapist for exercises to strengthen the muscles around your knee and improve flexibility.
  7. Use MDandMe: Journal your symptoms, track your progress, get insights, and share your medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe pain that does not improve with rest and home treatments
  • Significant swelling or redness around the knee
  • Inability to bear weight on the affected leg
  • A feeling of instability or the knee giving out
  • Any signs of infection, such as fever or warmth around the knee

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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3 mo ago


People Also Ask


What is patellar tendinitis and how is it treated?

Patellar tendinitis, also known as jumper's knee, is a condition common in athletes that involves pain in the tendon connecting the kneecap to the shinbone. It is typically treated with rest, ice, over-the-counter pain relievers, and physical therapy exercises to strengthen the knee muscles and improve flexibility.


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

Patellofemoral pain syndrome is often characterized by pain around the kneecap and is associated with misalignment, while a meniscus tear involves a tear in the knee cartilage and may cause pain, swelling, and difficulty moving the knee. A healthcare professional can provide a proper diagnosis through physical examination and imaging tests.


What are the initial steps I can take at home to manage knee pain?

To manage knee pain at home, you can rest the knee, apply ice for 15-20 minutes several times a day, use compression with an elastic bandage or knee brace, elevate the knee above heart level, and take over-the-counter pain relievers like ibuprofen or acetaminophen.


When should I seek medical attention for knee pain?

You should seek medical attention if you experience severe pain that does not improve with rest and home treatments, significant swelling or redness, inability to bear weight, a feeling of instability, or any signs of infection such as fever or warmth around the knee.


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