[31F] With chronic knee pain and tightness post-injury

Patient Description

A 31-year-old female presents with chronic pain in the back of her knee on the interior side, accompanied by a feeling of tightness. The pain, rated at 7.5/10, has been persistent since an injury six months ago and worsened significantly around October last year. The tightness, described as a feeling of pressure, is rated at 5/10 and typically occurs after prolonged periods of standing. The patient reports that stretching the knee out facedown provides some relief. Activities such as wearing high heels, running, and sitting with knees bent exacerbate the pain. Additional symptoms include random clicking sensations in the knee, accompanied by sharp pain radiating up the back of the leg, and inflammation localized to the interior side of the knee. The patient also experiences difficulty fully bending the knee. Medical history is significant for lupus and seizures, with an allergy to penicillin.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible conditions that might be causing your knee pain and tightness:

  • Baker's Cyst (Popliteal Cyst): This is a fluid-filled cyst that causes a bulge and a feeling of tightness behind your knee. It can be associated with knee joint problems such as arthritis or a cartilage tear.

    • Treatment typically involves addressing the underlying cause, such as arthritis, and may include draining the cyst or injecting it with corticosteroids to reduce inflammation.
  • Meniscus Tear: A tear in the meniscus, which is the cartilage that cushions your knee joint, can cause pain, swelling, and a feeling of tightness. This might explain the clicking and sharp pain you experience.

    • Treatment can range from rest and physical therapy to surgical repair, depending on the severity of the tear.
  • Patellar Tendinitis: Inflammation of the tendon connecting the kneecap to the shinbone can cause pain and tightness, especially after activities that put stress on the knee.

    • Treatment often includes rest, ice, anti-inflammatory medications, and physical therapy.
  • Osteoarthritis: This is a degenerative joint disease that can cause pain, swelling, and stiffness in the knee.

    • Treatment options include medications, physical therapy, and in some cases, surgery.

What you can do

While waiting to see a healthcare professional, you can try the following to help alleviate your symptoms:

  1. Rest and Ice: Rest your knee as much as possible and apply ice to reduce swelling and pain.
  2. Compression and Elevation: Use a compression bandage to help reduce swelling and elevate your leg when sitting or lying down.
  3. Over-the-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.
  4. Avoid Aggravating Activities: Try to avoid activities that worsen your pain, such as running, wearing high heels, and sitting with your knees bent for long periods.
  5. Gentle Stretching and Strengthening Exercises: Engage in gentle stretching and strengthening exercises for your knee, as recommended by a physical therapist.

What you should look out for

It's important to seek medical attention if you experience any of the following:

  • Severe pain that does not improve with rest and over-the-counter medications
  • Significant swelling or redness around the knee
  • Inability to bear weight on the affected leg
  • Fever or signs of infection
  • Sudden locking of the knee or inability to straighten it

Please remember, this information is not a substitute for professional medical advice. It's important to consult with a healthcare provider to receive a formal diagnosis and appropriate treatment.

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7 mo ago

People Also Ask


What is a Baker's Cyst and how is it treated?

A Baker's Cyst, also known as a popliteal cyst, is a fluid-filled swelling that causes a bulge and a feeling of tightness behind the knee. It is often associated with knee joint problems like arthritis or a cartilage tear. Treatment typically involves addressing the underlying cause, such as arthritis, and may include draining the cyst or injecting it with corticosteroids to reduce inflammation.


How can a meniscus tear cause knee pain and what are the treatment options?

A meniscus tear is a tear in the cartilage that cushions the knee joint, which can cause pain, swelling, and a feeling of tightness. This condition might also lead to clicking and sharp pain. Treatment options range from rest and physical therapy to surgical repair, depending on the severity of the tear.


What are the symptoms of patellar tendinitis and how can it be managed?

Patellar tendinitis is characterized by inflammation of the tendon connecting the kneecap to the shinbone, causing pain and tightness, especially after activities that stress the knee. Management often includes rest, ice, anti-inflammatory medications, and physical therapy to alleviate symptoms.


What are the common signs of osteoarthritis in the knee and how is it treated?

Osteoarthritis in the knee is a degenerative joint disease that causes pain, swelling, and stiffness. Common signs include joint pain during or after movement, tenderness, and loss of flexibility. Treatment options include medications, physical therapy, and in some cases, surgery to manage symptoms and improve joint function.


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