[28F] Experiencing knee pain and burning sensation

Patient Description

A 28-year-old female has been experiencing a constant, sharp knee pain rated 7 out of 10 in severity for approximately one week. The pain seems to come and go and is exacerbated by standing. The pain is described as being inside the knee and feels like it affects the whole knee. There is also a reported burning sensation associated with the pain. The patient is not currently pregnant and has not indicated any recent injury or specific event that may have triggered the symptoms.

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Arora's Assessment

What might be happening

Based on the information you provided, possible diagnoses include:

  • Patellofemoral Pain Syndrome: This is a common knee condition that causes pain under and around the kneecap. The pain usually gets worse with activities like climbing stairs, squatting, or sitting for long periods of time. It can be caused by overuse, injury, or muscle imbalances.

    • Treatment usually involves physical therapy exercises to improve muscle balance and flexibility. Pain relievers and anti-inflammatory medications may also be helpful.
  • Osteoarthritis: This is a degenerative joint disease that can cause pain and stiffness in any joint in the body, but is most commonly affects the knees. It occurs when the protective cartilage that cushions the ends of your bones wears down over time. It's more common in older people, but can occur in younger people too, especially if they've had a knee injury.

    • Treatment can include physical therapy, medications to relieve pain and inflammation, and in severe cases, surgery.
  • Iliotibial Band Syndrome: This is a common knee injury that causes pain on the outside of the knee. The iliotibial band is a tough group of fibers that run along the outside of the thigh, from the hip to the shin. If it's tight or inflamed, it can rub against the outside of the knee and cause pain.

    • Treatment usually involves rest, ice, and stretching and strengthening exercises. In severe cases, corticosteroid injections or surgery may be needed.

What you can do

  1. Rest and avoid activities that make your knee pain worse.
  2. Apply ice to your knee for 15 minutes at a time, several times a day.
  3. Use over-the-counter pain relievers like ibuprofen or acetaminophen, if your doctor says it's okay.
  4. Do gentle stretching and strengthening exercises for your knee, if they don't cause pain. A physical therapist can show you what exercises to do.
  5. Wear supportive shoes and avoid high heels.

What you should look out for

Please seek immediate medical attention if:

  • Your knee is swollen or red
  • You have severe knee pain
  • You can't put weight on your knee
  • Your knee locks or gives out
  • You have a fever

Remember, you should consult with a healthcare professional for a formal diagnosis and treatment options.

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11 mo ago

People Also Ask


What are common causes of knee pain in young adults?

Common causes of knee pain in young adults include patellofemoral pain syndrome, iliotibial band syndrome, injuries such as sprains or strains, and less commonly, early onset osteoarthritis.


How can I differentiate between patellofemoral pain syndrome and osteoarthritis?

Patellofemoral pain syndrome typically causes pain around or under the kneecap, especially during activities like climbing stairs or sitting for long periods. Osteoarthritis, on the other hand, often causes joint stiffness and pain that worsens with activity and improves with rest. A healthcare professional can provide a definitive diagnosis.


What are some effective home remedies for knee pain relief?

Effective home remedies for knee pain include resting the knee, applying ice to reduce swelling, using over-the-counter pain relievers like ibuprofen, and performing gentle stretching and strengthening exercises. Wearing supportive footwear can also help.


When should I see a doctor for knee pain?

You should see a doctor for knee pain if you experience severe pain, swelling, redness, inability to bear weight, knee locking or giving out, or if you have a fever, as these could indicate a more serious condition.


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