[37F] With knee pain and swelling post-injury

Question

What do you think is the problem

Patient Description

A 37-year-old female reports experiencing a fall that resulted in her left knee bending and producing a loud pop. Since the incident, she has noticed swelling and pain on the right side of her left kneecap. The patient has difficulty bearing weight on the affected knee and experiences a locking or catching sensation. There is no instability, bruising, numbness, or tingling reported. The swelling has remained constant. The patient has a history of diabetes, diagnosed at age 18, and is currently taking Bactrim and Biktarvy as prescribed. She does not use tobacco, alcohol, or recreational drugs and has no known drug allergies. Her diet includes sufficient nutrients that support joint health.

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Arora's Assessment

What might be happening

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

  • Ligament Injury (e.g., ACL or MCL tear): The loud pop you heard, followed by swelling and pain, could indicate a ligament injury. Ligament injuries often cause pain, swelling, and difficulty bearing weight. The locking or catching sensation could also be a sign of this type of injury.

    • Treatment: Initial treatment typically involves rest, ice, compression, and elevation (RICE). A doctor may recommend physical therapy or, in severe cases, surgery.
  • Meniscus Tear: The meniscus is a piece of cartilage that provides cushioning in your knee. A tear can cause pain, swelling, and a locking or catching sensation.

    • Treatment: Similar to ligament injuries, initial treatment involves RICE. A doctor may recommend physical therapy or, in some cases, surgery.
  • Patellar Dislocation: This occurs when the kneecap slips out of its normal position. It can cause a popping sound, pain, swelling, and difficulty bending the knee.

    • Treatment: Treatment often involves reducing the dislocation, followed by rest, ice, and physical therapy. In some cases, surgery may be necessary.

What you can do

While you should consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Rest: Avoid putting weight on your injured knee to prevent further damage.
  2. Ice: Apply ice to your knee for 15-20 minutes every 2-3 hours to reduce swelling and pain.
  3. Compression: Use an elastic bandage or knee brace to provide support and reduce swelling.
  4. Elevation: Keep your knee elevated above the level of your heart to help reduce swelling.
  5. Over-the-Counter Pain Relief: You can take over-the-counter pain relievers like ibuprofen or acetaminophen to help manage pain and reduce inflammation.
  6. Journal Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Severe Pain: If the pain becomes unbearable or significantly worsens.
  • Increased Swelling: If the swelling continues to increase despite home treatment.
  • Inability to Bear Weight: If you cannot put any weight on your knee at all.
  • Signs of Infection: If you notice redness, warmth, or fever, which could indicate an infection.
  • Numbness or Tingling: If you develop numbness or tingling in your leg or foot.

Remember, while this advice can help you manage your symptoms, it is important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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7 mo ago

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People Also Ask


What could cause a loud pop in the knee followed by swelling and pain?

A loud pop in the knee followed by swelling and pain could be indicative of a ligament injury such as an ACL or MCL tear, a meniscus tear, or a patellar dislocation. These conditions often cause similar symptoms including pain, swelling, and difficulty bearing weight.


How can I manage knee pain and swelling at home before seeing a doctor?

To manage knee pain and swelling at home, you can follow the RICE method: Rest the knee, apply Ice for 15-20 minutes every 2-3 hours, use Compression with an elastic bandage, and Elevate the knee above heart level. Over-the-counter pain relievers like ibuprofen or acetaminophen can also help manage pain and reduce inflammation.


What are the signs that I should seek urgent medical attention for a knee injury?

You should seek urgent medical attention if you experience severe pain, increased swelling despite home treatment, inability to bear any weight on the knee, signs of infection such as redness, warmth, or fever, or if you develop numbness or tingling in your leg or foot.


Can diabetes affect the healing process of a knee injury?

Diabetes can potentially affect the healing process of a knee injury due to factors like impaired blood circulation and a higher risk of infection. It's important for individuals with diabetes to monitor their condition closely and follow their healthcare provider's advice to ensure proper healing.


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1 Comments


Arora (Bot)#28060

7 mo ago

Based on your symptoms, there are a few possible explanations for your knee pain and swelling: a ligament injury (such as an ACL or MCL tear), a meniscus tear, or a patellar dislocation. Each of these conditions can cause pain, swelling, and a locking or catching sensation in the knee. It's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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