[39F] With enlarging bump on left knee cap post-fall

Patient Description

A 39-year-old female reports developing a bump on her left knee cap after a fall some time ago. The bump has recently increased in size over the past week but is not painful. There is no associated redness, warmth, pain, or limited range of motion. The patient has not experienced any fever or general malaise. There is no history of knee problems, surgeries, or family history of knee issues. The patient uses weed and is not on any medications or supplements. She has a job that requires her to be on her feet a lot, involving significant walking. No chronic illnesses reported.

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Arora's Assessment

What might be happening

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

  • Bursitis: This is the inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues. Bursitis can develop after an injury or due to repetitive stress on the knee. It often presents as a painless or slightly painful bump.

    • Treatment: Rest, ice, compression, and elevation (RICE) can help reduce inflammation. Over-the-counter anti-inflammatory medications may also be helpful. In some cases, a doctor may recommend draining the bursa or injecting corticosteroids.
  • Cyst Formation: A cyst, such as a Baker's cyst, can form behind the knee and may become more noticeable over time. These cysts are usually filled with fluid and can be painless.

    • Treatment: Cysts often resolve on their own, but if they cause discomfort or restrict movement, a doctor may drain the fluid or recommend physical therapy.
  • Bone Spur or Osteoarthritis: Over time, wear and tear on the knee joint can lead to the formation of bone spurs or osteoarthritis. This can cause a bony bump to develop.

    • Treatment: Managing symptoms with pain relief, physical therapy, and lifestyle changes can help. In severe cases, surgical intervention may be necessary.
  • Scar Tissue: After an injury, scar tissue can form and create a noticeable bump. This is usually harmless but can sometimes cause discomfort.

    • Treatment: Physical therapy and massage can help break down scar tissue and improve mobility.
  • Tumor (Less Common): Although rare, a tumor can develop in the knee area. It is important to rule out this possibility with a medical evaluation.

    • Treatment: If a tumor is suspected, a doctor will perform imaging studies and possibly a biopsy to determine the appropriate course of action.

What you can do

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

  1. Rest and Protect Your Knee: Avoid activities that put stress on your knee. Use a knee brace or support if necessary.
  2. Apply Ice: Ice the bump for 15-20 minutes several times a day to reduce swelling.
  3. Elevate Your Leg: Keep your leg elevated when resting to help reduce swelling.
  4. Over-the-Counter Pain Relief: If you experience any discomfort, consider taking over-the-counter pain relievers like ibuprofen or acetaminophen.
  5. Monitor the Bump: Keep an eye on the size and appearance of the bump. Take note of any changes or new symptoms.
  6. Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider for a more comprehensive evaluation.

What you should look out for

Seek medical attention if you notice any of the following:

  • Rapid increase in the size of the bump
  • Redness, warmth, or tenderness around the bump
  • Pain that interferes with your daily activities
  • Fever or general feeling of being unwell
  • Limited range of motion in your knee

Remember, while this advice can help you manage your symptoms, it is important to see a healthcare professional for a proper diagnosis and treatment plan.

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6 mo ago

People Also Ask


What is bursitis and how can it be treated?

Bursitis is the inflammation of the bursa, a fluid-filled sac that cushions bones and soft tissues. It can be treated with rest, ice, compression, and elevation (RICE), as well as over-the-counter anti-inflammatory medications. In some cases, a doctor may drain the bursa or inject corticosteroids.


Can a cyst on the knee resolve on its own, and what are the treatment options?

Yes, a cyst on the knee, such as a Baker's cyst, can often resolve on its own. If it causes discomfort or restricts movement, treatment options include draining the fluid or undergoing physical therapy.


What are the signs that a knee bump might be a tumor?

Signs that a knee bump might be a tumor include rapid increase in size, redness, warmth, tenderness, pain that interferes with daily activities, fever, or a general feeling of being unwell. A medical evaluation is necessary to rule out this possibility.


How can I differentiate between a bone spur and other types of knee bumps?

A bone spur is a bony growth that can develop due to wear and tear on the knee joint, often associated with osteoarthritis. It may feel hard and bony compared to other types of knee bumps, which might be softer or fluid-filled. A healthcare professional can provide a proper diagnosis through imaging studies.


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