[36M] With upper front knee cap soreness and clunking feeling

What might be happening

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

• Patellofemoral Pain Syndrome (Runner's Knee): This condition is common and involves pain around the kneecap. It can be caused by overuse, muscle imbalances, or improper alignment of the knee. The clunking feeling you describe could be due to the kneecap not tracking properly.

  • Treatment: Rest, ice, compression, and elevation (RICE) can help reduce pain and swelling. Physical therapy exercises to strengthen the muscles around the knee and improve alignment are often recommended.

• Chondromalacia Patella: This condition involves the softening and breakdown of the cartilage on the underside of the kneecap, leading to pain and a grinding sensation.

  • Treatment: Similar to patellofemoral pain syndrome, treatment includes RICE, physical therapy, and sometimes anti-inflammatory medications.

• Patellar Tendinitis (Jumper's Knee): This condition involves inflammation of the tendon connecting the kneecap to the shinbone. It is often caused by repetitive stress or overuse.

  • Treatment: Rest, ice, and anti-inflammatory medications can help. Physical therapy to strengthen the tendon and surrounding muscles is also beneficial.

• Osteoarthritis: Although less common in younger individuals, osteoarthritis can cause knee pain and a feeling of instability or clunking.

  • Treatment: Management includes weight management, physical therapy, pain relief medications, and sometimes injections or surgery.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help alleviate your symptoms:

1. Rest and Avoid Aggravating Activities: Try to limit activities that worsen your knee pain, such as walking long distances or turning your leg.
2. Ice: Apply ice to your knee for 15-20 minutes several times a day to reduce pain and inflammation.
3. Compression: Use a knee brace or wrap to provide support and reduce swelling.
4. Elevation: Elevate your leg when sitting or lying down to help reduce swelling.
5. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.
6. Physical Therapy Exercises: Strengthening the muscles around your knee can improve stability and reduce pain. Consider seeing a physical therapist for a personalized exercise plan.
7. Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider for better insights and management.

What you should look out for

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, redness, or warmth around the knee
• Inability to bear weight on the affected leg
• Knee instability or a feeling that your knee is giving out
• Any new or worsening symptoms

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.