[39F] With sharp knee pain post misstep

Patient Description

A 39-year-old female reports experiencing sharp pain in the front and inner bottom of her knee for about a week and a half. The pain began suddenly after stepping wrong at work. She rates the pain as a 5 out of 10 and notes that it worsens with movements such as bending, straightening, and putting weight on the knee. She has to be careful with movements like walking, stepping, and getting up. She has difficulty fully bending or straightening her knee. The patient has not tried any treatments or remedies for the pain yet. She has a history of back problems since she was 16 years old but does not have any allergies or take any medications currently.

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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:

  • Knee Sprain or Strain: This occurs when the ligaments or muscles around the knee are overstretched or torn, often due to a sudden movement or awkward step. Symptoms include pain, swelling, and difficulty moving the knee.

    • Treatment: Rest, ice, compression, and elevation (RICE) are commonly recommended. Over-the-counter pain medications like ibuprofen can help reduce pain and inflammation.
  • Meniscus Tear: The meniscus is a piece of cartilage that acts as a cushion between your thigh bone and shin bone. A sudden twist or turn can cause a tear, leading to pain, swelling, and difficulty moving the knee.

    • Treatment: Rest, ice, and physical therapy are often recommended. In some cases, surgery may be necessary.
  • Patellar Tendinitis: This is an injury to the tendon connecting your kneecap (patella) to your shinbone. It is often caused by repetitive stress on the knee, such as jumping or sudden movements.

    • Treatment: Rest, ice, and physical therapy are commonly recommended. Over-the-counter pain medications can help manage pain.

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 alleviate your symptoms:

  1. Rest: Avoid activities that put stress on your knee, such as running, jumping, or heavy lifting.
  2. Ice: Apply ice to your knee for 15-20 minutes every 2-3 hours to reduce pain and swelling.
  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: Consider taking over-the-counter pain medications like ibuprofen or acetaminophen to manage pain and inflammation.
  6. Gentle Exercises: Once the initial pain and swelling have subsided, gentle stretching and strengthening exercises can help improve knee function. Consult a physical therapist for guidance.
  7. 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 if you experience any of the following:

  • Severe pain that does not improve with rest and over-the-counter medications
  • Significant swelling or bruising around the knee
  • Inability to bear weight on the affected leg
  • A feeling of instability or that your knee might give out
  • Signs of infection, such as redness, warmth, or fever

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

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4 mo ago


People Also Ask


What are the common causes of sudden knee pain?

Common causes of sudden knee pain include knee sprains or strains, meniscus tears, and patellar tendinitis. These can occur due to sudden movements, awkward steps, or repetitive stress on the knee.


How can I differentiate between a knee sprain and a meniscus tear?

A knee sprain often involves overstretched or torn ligaments and may cause pain, swelling, and difficulty moving the knee. A meniscus tear typically results from a sudden twist or turn and can cause pain, swelling, and a feeling of the knee locking or catching.


What are the initial steps I can take at home to relieve knee pain?

Initial steps to relieve knee pain at home include resting the knee, applying ice to reduce swelling, using compression with an elastic bandage, elevating the knee, and taking over-the-counter pain medications like ibuprofen.


When should I see a doctor for knee pain?

You should see a doctor if you experience severe pain that doesn't improve with rest and medication, significant swelling or bruising, inability to bear weight, a feeling of instability, or signs of infection such as redness, warmth, or fever.

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