[39F] With a bump on knee years after injury

Patient Description

A 39-year-old female reports developing a bump on the side of her knee several years after a significant fall on the same knee. Despite initial management with rest, ice, elevation, and over-the-counter pain relief, the bump has recently appeared. The patient is concerned about the new development and seeks further evaluation. Possible causes include chronic bursitis, cyst formation, bone spur, osteoarthritis, scar tissue, or less commonly, a tumor. A medical evaluation with imaging studies such as an X-ray or MRI is recommended to determine the cause.

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Arora's Assessment

What might be happening

Given the information you provided, here are some possible explanations for the bump on your knee:

  1. Bursa Inflammation (Bursitis): Chronic irritation or inflammation of the bursa, a fluid-filled sac that reduces friction in your knee, can cause a bump to form. This is common in people who have had previous knee injuries.
  2. Cyst Formation: A Baker's cyst or other types of cysts can develop in the knee area and present as a bump. These cysts are often filled with fluid and can vary in size.
  3. Bone Spur or Osteoarthritis: Long-term changes in the knee joint, such as bone spurs or osteoarthritis, can cause new bumps or growths. These are more common as we age and can be related to previous injuries.
  4. Scar Tissue: Accumulation of scar tissue from the old injury could also present as a bump. This is usually not painful but can be noticeable.
  5. Tumor: Though less common, benign or malignant tumors can develop in the knee area. These would typically require medical imaging to diagnose.

Typical Treatments or Testing

  • Imaging Studies: An X-ray, MRI, or ultrasound may be recommended to get a clearer picture of what is causing the bump.
  • Aspiration: If the bump is fluid-filled, a doctor might aspirate it to relieve pressure and analyze the fluid.
  • Physical Therapy: If the bump is related to scar tissue or bursitis, physical therapy might help.
  • Surgical Intervention: In rare cases, surgery might be needed to remove a cyst or tumor.

What you can do

For the bump on your knee:

  • Consult a Healthcare Provider: Given that the bump has been present for a long time and has developed years after the initial injury, it is important to consult a healthcare provider for a thorough evaluation. They may recommend imaging studies like an X-ray or MRI to determine the cause.
  • Monitor Symptoms: Keep an eye on any changes in size, pain, or function of the knee. Note any new symptoms such as redness, warmth, or increased swelling.
  • Avoid Aggravating Activities: Try to avoid activities that put excessive strain on your knee until you have a clearer understanding of what is causing the bump.

What you should look out for

  • Changes in Size or Pain: If the bump increases in size or becomes painful, seek medical attention promptly.
  • Redness or Warmth: These could be signs of infection or inflammation and should be evaluated by a healthcare provider.
  • Difficulty Moving the Knee: If you experience difficulty moving your knee or bearing weight on it, consult a healthcare provider.
  • New Symptoms: Any new symptoms such as fever, chills, or unexplained weight loss should be reported to a healthcare provider.

Remember, while this information can help guide you, it is important to seek care from real health professionals to receive a formal diagnosis and treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

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6 mo ago

People Also Ask


What are the common causes of a bump on the knee after an old injury?

Common causes of a bump on the knee after an old injury include chronic bursitis, cyst formation, bone spurs, osteoarthritis, scar tissue, or, less commonly, a tumor.


How can imaging studies help in diagnosing a knee bump?

Imaging studies like X-rays, MRIs, or ultrasounds can help determine the cause of a knee bump by providing detailed images of the bone, soft tissues, and any fluid-filled areas.


What are the treatment options for a bump on the knee?

Treatment options for a bump on the knee may include rest, physical therapy, aspiration of fluid if present, and in some cases, surgical intervention. The specific treatment depends on the underlying cause.


When should I be concerned about a bump on my knee?

You should be concerned about a bump on your knee if it increases in size, becomes painful, shows signs of infection (redness or warmth), or if you experience difficulty moving the knee or new systemic symptoms like fever.


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