[26F] With knee popping, swelling, and pain

Patient Description

A 26-year-old female reports experiencing popping and swelling in the right knee, which began earlier today. The knee popping started first, followed by swelling, and is associated with significant pain rated as 8 out of 10. The patient denies any recent physical activity or trauma preceding these symptoms. There is difficulty in fully extending or flexing the knee, along with clicking or grinding sensations during movement. No instability or sensation of the knee giving out is reported. There is no redness or warmth around the swollen area. The patient has no history of previous injuries or surgeries on the right knee and is not currently taking any medications. Family history of joint issues or arthritis is unknown. No known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Meniscus Injury: The meniscus is a piece of cartilage that provides a cushion between your thigh bone and shinbone. A tear in the meniscus can cause knee pain, swelling, and a popping sensation. This can occur even without a specific injury or trauma.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). In some cases, physical therapy or surgery may be necessary.
  • Ligament Strain or Sprain: Ligaments are the tissues that connect bones to other bones. A strain or sprain can cause pain, swelling, and a popping sensation. This can happen due to sudden movements or overuse.

    • Treatment often includes RICE, anti-inflammatory medications, and sometimes physical therapy.
  • Patellofemoral Pain Syndrome: This condition is characterized by pain around the kneecap and can be associated with a popping or grinding sensation. It is often due to overuse or misalignment of the knee joint.

    • Treatment usually involves rest, physical therapy, and exercises to strengthen the muscles around the knee.

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 in the meantime:

  1. Rest and Protect Your Knee: Avoid activities that put stress on your knee, such as running or jumping. Consider using a knee brace for added support.

  2. Apply Ice: Use an ice pack on your knee for 15-20 minutes every few hours to help reduce swelling and pain.

  3. Elevate Your Leg: When sitting or lying down, prop your leg up on pillows to help decrease swelling.

  4. Over-the-Counter Pain Relief: Consider taking non-prescription pain relievers, such as ibuprofen or acetaminophen, to help manage pain and inflammation.

  5. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider. This can help in identifying patterns and determining the best course of action.

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 care
  • Inability to bear weight on your knee or a feeling of instability
  • Significant swelling or redness around the knee
  • Fever or signs of infection

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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26 d ago


People Also Ask


What could cause a popping sensation in the knee without recent injury?

A popping sensation in the knee without recent injury could be due to a meniscus injury, ligament strain or sprain, or patellofemoral pain syndrome. These conditions can occur even without a specific trauma.


How can I manage knee swelling and pain at home?

To manage knee swelling and pain at home, you can rest the knee, apply ice for 15-20 minutes every few hours, elevate the leg, and take over-the-counter pain relievers like ibuprofen or acetaminophen.


When should I seek medical attention for knee issues?

You should seek medical attention if you experience severe pain that doesn't improve with rest, inability to bear weight on the knee, significant swelling or redness, or signs of infection such as fever.


What are the potential treatments for a meniscus injury?

Potential treatments for a meniscus injury include rest, ice, compression, and elevation (RICE). In some cases, physical therapy or surgery may be necessary to repair the tear.


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