[32F] Experiencing knee pain with instability

Patient Description

A 32-year-old female presents with knee pain located below the kneecap to the right, inside the knee. The pain has been persistent for 2 months, is tender, worsens with weight-bearing, and occurs when the knee is both straight and bent. The patient reports the pain exacerbates when walking extensively or sitting for long periods, and is particularly worse when descending stairs. There is minor swelling and episodes of the knee giving way and instability, but no fever, redness, or severe locking of the joint. The patient has a history of asthma diagnosed at age 5, ADHD diagnosed at age 25, and PCOS diagnosed at age 18. The patient reports allergies that cause hives but has not specified the allergens or triggers. No recent injuries or accidents have been reported that could be related to the knee pain.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible causes for your knee pain:

  • Patellofemoral Pain Syndrome: This condition is often caused by overuse, injury, or muscle imbalances and can cause pain around the kneecap. It's often worse when going down stairs or after sitting for a long time.

    • Treatment usually involves physical therapy to strengthen the muscles around your knee and improve flexibility.
  • Meniscus Tear: The meniscus is a piece of cartilage that provides a cushion between your femur (thighbone) and tibia (shinbone). Tears are often caused by twisting or turning quickly, with the foot planted while the knee is bent. Meniscus tears often cause pain, swelling, stiffness, and a tendency for your knee to give way or lock up.

    • Treatment may involve physical therapy, or in some cases, surgery.
  • Osteoarthritis: This is a common form of arthritis that occurs when the protective cartilage on the ends of your bones wears down over time. It can cause pain, swelling, and reduced motion in your joints.

    • Treatment usually involves medication to reduce pain and inflammation, physical therapy, and in some cases, surgery.

Please note that these are potential causes based on the symptoms you've described. It's important to see a healthcare professional for a proper diagnosis.

What you can do

While waiting for your appointment, here are some things you can do to help manage your knee pain:

  1. Rest and elevate your knee when possible, especially if it's swollen.
  2. Apply a cold pack to your knee for 15 minutes at a time, several times a day.
  3. Over-the-counter pain relievers such as ibuprofen can help reduce pain and inflammation.
  4. Gentle exercises can help strengthen the muscles around your knee. Try straight-leg raises and other low-impact aerobic exercises.

What you should look out for

Please seek immediate medical attention if you experience:

  • An inability to bear weight on your knee
  • Noticeable deformity in your leg or knee
  • Unbearable pain
  • Sudden swelling
  • Signs of an infection, including fever, redness, warmth

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare professional who can evaluate your condition and provide a formal diagnosis.

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11 mo ago

People Also Ask


What is Patellofemoral Pain Syndrome and how is it treated?

Patellofemoral Pain Syndrome is a condition characterized by pain around the kneecap, often caused by overuse, injury, or muscle imbalances. It is typically treated with physical therapy to strengthen the muscles around the knee and improve flexibility.


What are the symptoms of a meniscus tear and how is it managed?

A meniscus tear can cause pain, swelling, stiffness, and a tendency for the knee to give way or lock up. Management may include physical therapy to strengthen the knee and improve range of motion, and in some cases, surgery may be necessary.


How does osteoarthritis affect the knee and what are the treatment options?

Osteoarthritis in the knee occurs when the protective cartilage on the ends of the bones wears down, leading to pain, swelling, and reduced motion. Treatment options include medication to reduce pain and inflammation, physical therapy, and possibly surgery.


What self-care measures can help alleviate knee pain before seeing a doctor?

To alleviate knee pain before seeing a doctor, you can rest and elevate the knee, apply a cold pack for 15 minutes several times a day, take over-the-counter pain relievers like ibuprofen, and perform gentle exercises such as straight-leg raises.


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