[38F] With knee pain and history of seizures and migraines

Patient Description

A 38-year-old female presents with intense, throbbing knee pain that has been ongoing for about two weeks. The pain is located in the middle of the knee and is exacerbated by sitting, bending the knee, walking for long periods, and climbing stairs. The patient reports that the knee sometimes locks, making it painful to straighten, with one episode lasting a few minutes. There is associated swelling but no redness. The pain developed gradually over time. The patient has tried over-the-counter medication and a knee brace for relief. There is no history of knee injuries, previous knee problems, or surgeries. The patient's medical history includes seizures and migraines, diagnosed in 2018. There are no known drug allergies, and the patient is not currently taking any medications.

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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 knee pain:

  • Patellofemoral Pain Syndrome (Runner's Knee): This condition is characterized by pain around the kneecap, often due to overuse, muscle imbalances, or improper knee alignment. It can cause pain when sitting, bending, or walking for long periods, and may be accompanied by swelling.

    • Treatment typically involves rest, physical therapy, and exercises to strengthen the muscles around the knee.
  • Meniscus Tear: The meniscus is a piece of cartilage that provides cushioning in your knee joint. A tear can occur due to sudden twisting or overuse, leading to pain, swelling, and episodes of the knee locking.

    • Treatment may include rest, ice, physical therapy, and in some cases, surgery.
  • Osteoarthritis: This is a degenerative joint disease that can cause knee pain, swelling, and stiffness, especially after activity or prolonged sitting.

    • Management includes lifestyle modifications, physical therapy, and medications to manage pain and inflammation.

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 manage your symptoms:

  1. Rest and Elevate: Avoid activities that worsen the pain and try to keep your knee elevated to reduce swelling.
  2. Ice Therapy: Apply ice packs to your knee for 15-20 minutes every few hours to help reduce swelling and pain.
  3. Compression: Use a knee brace or wrap to provide support and reduce swelling.
  4. Over-the-Counter Pain Relief: Continue using over-the-counter pain medications as needed, but follow the recommended dosage.
  5. Gentle Exercises: Engage in low-impact exercises, such as swimming or cycling, to maintain mobility without putting too much strain on your knee.
  6. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe pain that does not improve with rest or medication
  • Inability to bear weight on your knee
  • Significant swelling or redness around the knee
  • Fever or signs of infection

Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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28 d ago

People Also Ask


What are the common causes of knee pain that worsens with activity?

Common causes of knee pain that worsens with activity include patellofemoral pain syndrome, meniscus tears, and osteoarthritis. These conditions can be due to overuse, improper alignment, or degenerative changes in the knee joint.


How can I differentiate between a meniscus tear and patellofemoral pain syndrome?

A meniscus tear often presents with pain, swelling, and episodes of the knee locking, especially after a twisting injury. Patellofemoral pain syndrome typically causes pain around the kneecap, worsened by activities like sitting or climbing stairs, and is often due to muscle imbalances or overuse.


What are some effective home remedies for managing knee pain and swelling?

Effective home remedies for managing knee pain and swelling include resting the knee, applying ice packs for 15-20 minutes every few hours, using a knee brace for support, and taking over-the-counter pain medications as needed. Gentle exercises like swimming or cycling can also help maintain mobility.


When should I seek medical attention for knee pain?

You should seek medical attention for knee pain if you experience severe pain that does not improve with rest or medication, inability to bear weight on the knee, significant swelling or redness, or if you have a fever or signs of infection.


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