[34F] With chronic knee pain and heavy menstrual periods

Patient Description

A 34-year-old female has been experiencing dull pain on the sides of her knee for approximately 20 years. The pain is rated as a 7 out of 10 in severity and is exacerbated by walking and standing for long periods, particularly during the winter months. Each episode of pain lasts all night and occurs a few times a month. There is no history of knee injury or significant weight changes. The patient also reports having regular but very heavy and painful menstrual periods. There is no family history of joint issues or arthritis, and she has not been evaluated for conditions like endometriosis or fibroids. No known allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your knee pain:

  • Osteoarthritis: This is a common condition where the cartilage in the knee joint wears down over time, leading to pain, stiffness, and swelling. It often worsens with activity and can be more pronounced in colder weather.

  • Patellofemoral Pain Syndrome: This condition involves pain around the kneecap and is often aggravated by activities like walking, standing, or climbing stairs. It can be caused by overuse, muscle imbalances, or alignment issues.

  • Chondromalacia Patella: This involves the softening and breakdown of the cartilage on the underside of the kneecap, leading to pain and inflammation. It is often associated with overuse or injury.

These conditions are not life-threatening, but they can significantly impact your quality of life. It's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment plan.

What you can do

While you wait to see a healthcare professional, here are some steps you can take to manage your knee pain:

  1. Rest and Ice: Give your knee a break from activities that worsen the pain. Applying ice for 15-20 minutes every few hours can help reduce swelling and pain.

  2. Compression and Elevation: Use a knee brace or wrap to provide support and reduce swelling. Elevating your leg can also help decrease swelling.

  3. Over-the-Counter Pain Relief: Non-prescription pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation.

  4. Gentle Exercises: Engage in low-impact exercises like swimming or cycling to maintain joint mobility and strengthen the muscles around your knee.

  5. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider. This can help in identifying patterns and triggers.

What you should look out for

Seek medical attention if you experience any of the following:

  • Sudden increase in pain or swelling
  • Inability to bear weight on your knee
  • Noticeable deformity or instability in the knee
  • Signs of infection, such as redness, warmth, or fever

Remember, while these suggestions can help manage your symptoms, it's important to consult with a healthcare professional for a comprehensive evaluation and personalized treatment plan.

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18 d ago

People Also Ask


What are the common causes of knee pain that worsens in cold weather?

Knee pain that worsens in cold weather can be caused by conditions like osteoarthritis, where the cartilage in the knee joint wears down, leading to increased pain and stiffness in colder temperatures. Other conditions like patellofemoral pain syndrome and chondromalacia patella can also be affected by weather changes.


How can heavy and painful menstrual periods be related to knee pain?

While heavy and painful menstrual periods are not directly related to knee pain, they can indicate underlying conditions like endometriosis or fibroids, which may cause systemic inflammation or hormonal changes that could potentially exacerbate joint pain.


What are some non-surgical treatments for managing chronic knee pain?

Non-surgical treatments for managing chronic knee pain include rest, ice application, compression, elevation, over-the-counter pain relief medications, and engaging in low-impact exercises like swimming or cycling to maintain joint mobility and strengthen surrounding muscles.


When should I seek medical attention for knee pain?

You should seek medical attention for knee pain if you experience a sudden increase in pain or swelling, inability to bear weight on the knee, noticeable deformity or instability, or signs of infection such as redness, warmth, or fever.


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