[28F] Experiencing severe knee pain

Patient Description

A 28-year-old female is experiencing severe sharp pain in the front of her knee, rated 10/10, which worsens with walking and stair navigation. The pain onset occurred 2 weeks ago and is accompanied by swelling, but no redness, fever, or other systemic symptoms. There is no recent history of injury, and the pain does not cause the knee to lock or give way. The patient is currently taking Spironolactone and Vitamin D3, with no other medications or supplements reported. There is no family history of joint or musculoskeletal disorders, and the patient has no other pre-existing conditions.

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Arora's Assessment

What might be happening

Based on the information provided, the following conditions might be causing your knee pain:

  • Patellofemoral Pain Syndrome: This is a common cause of knee pain, particularly in the front of the knee. It's often related to overuse, injury, or muscle imbalances. The pain typically worsens when going up or down stairs, kneeling, squatting, or sitting with the knee bent for a long time.

    • Treatment usually involves physical therapy to strengthen the muscles around your knee and improve your knee's alignment. Pain relievers might also be recommended.
  • Osteoarthritis: This is a degenerative joint disease that can cause pain and swelling in your knee. It's more common in older adults, but can occur in younger people as well.

    • Treatment often includes physical therapy, over-the-counter pain relievers, and lifestyle changes like losing weight and exercising regularly.
  • Tendonitis: This is inflammation or irritation of a tendon, the thick fibrous cords that attach muscle to bone. It can cause pain and tenderness just outside a joint.

    • Treatment usually involves rest, physical therapy, and pain relievers.

What you can do

While waiting for your appointment with a healthcare provider, you can try the following to help manage your symptoms:

  1. Rest: Avoid activities that worsen your knee pain, especially the ones that put pressure on your knee joint, like running and jumping.
  2. Ice: Apply ice to your knee for 15-20 minutes every 2-3 hours to help reduce pain and swelling.
  3. Compression: Use a compression bandage or knee brace to help support your knee and reduce swelling.
  4. Elevation: Try to elevate your knee when you're sitting or lying down.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Intense pain or swelling in your knee
  • An obvious deformity in your leg or knee
  • Inability to walk or bear weight on your knee
  • Fever, redness, or warmth around your knee

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.

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8 mo ago

People Also Ask


What is Patellofemoral Pain Syndrome and how is it treated?

Patellofemoral Pain Syndrome is a condition that causes pain in the front of the knee, often due to overuse, injury, or muscle imbalances. Treatment typically involves physical therapy to strengthen the muscles around the knee and improve alignment, along with pain relievers.


Can young adults experience osteoarthritis, and what are the symptoms?

Yes, young adults can experience osteoarthritis, although it is more common in older adults. Symptoms include joint pain, swelling, and stiffness. Treatment often includes physical therapy, pain relievers, and lifestyle changes such as weight management and regular exercise.


What are the common causes and treatments for tendonitis in the knee?

Tendonitis in the knee is caused by inflammation or irritation of the tendons, often due to overuse or repetitive motion. Treatment usually involves rest, physical therapy, and pain relievers to reduce inflammation and pain.


What immediate actions can be taken at home to alleviate knee pain and swelling?

To alleviate knee pain and swelling at home, you can rest the knee, apply ice for 15-20 minutes every 2-3 hours, use a compression bandage or knee brace, and elevate the knee when sitting or lying down.


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