[34F] With acute inner knee pain and swelling
Patient Description
A 34-year-old female presents with sharp and stiff pain in the inner knee, rated 10 out of 10 in severity, persisting for four days. The pain began suddenly and is associated with swelling. It worsens with bending, walking, or lifting the leg. The patient reports occasional instability, locking sensation, and clicking or popping sounds in the knee, along with difficulty bearing weight. Ibuprofen has been used with partial relief. There is a history of degenerative disc disease, but no previous knee injuries or surgeries. No recent changes in physical activity, infections, or other symptoms. The patient is not on any medications.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possible explanations:
-
Meniscus Tear: This is a common knee injury that can cause sharp pain, swelling, and difficulty bending the knee. It often occurs suddenly and can be associated with a locking sensation.
- Treatment typically involves rest, ice, compression, and elevation (RICE), along with physical therapy. In some cases, surgery may be needed.
-
Ligament Injury: Injuries to the ligaments, such as the medial collateral ligament (MCL), can cause sharp pain and swelling. These injuries can occur without a specific incident.
- Treatment may include bracing, physical therapy, and in severe cases, surgery.
-
Bursitis: Inflammation of the bursa near the knee joint can cause pain and swelling.
- Treatment involves rest, ice, and anti-inflammatory medications.
What you can do
- Rest and Protect: Avoid activities that worsen the pain. Use a knee brace if needed.
- Ice and Elevate: Apply ice packs to reduce swelling and elevate your leg when resting.
- Over-the-Counter Pain Relief: Continue with ibuprofen or another anti-inflammatory medication as directed.
- Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share notes with your healthcare provider.
What you should look out for
Seek medical attention if you experience:
- Increased swelling or redness
- Fever or signs of infection
- Inability to bear weight on the leg
- Worsening pain despite home treatment
Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.
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2 mo ago