[42F] With severe right knee pain and clicking
Patient Description
A 42-year-old female reports experiencing sharp, severe pain in the right knee for over a month, rated at 10 out of 10. The pain is constant and exacerbated by bending, raising, walking, and sitting still. The knee feels swollen and as if there's a knife in it. The patient has difficulty straightening the knee and walking up stairs. There is a history of 'dashboard knee' from a car accident years ago, but no recent injuries. The patient reports clicking sensations in the knee but no instability or giving way. There is no redness or warmth around the knee. Treatments with ibuprofen, ice, heating pads, Motrin, and Tylenol have provided no relief. The patient has not increased activity levels recently and reports some numbness or tingling around the knee. No pre-existing conditions or current medications are noted.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possible explanations:
-
Meniscus Tear: This occurs when the cartilage in your knee is damaged, often causing sharp pain, swelling, and clicking sounds. It can result from previous injuries or wear and tear over time.
- Treatment typically involves rest, physical therapy, and possibly surgery if the tear is severe.
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Osteoarthritis: This is a common form of arthritis that can cause knee pain, swelling, and stiffness, especially if you've had previous knee injuries.
- Management includes pain relief medications, physical therapy, and lifestyle changes. In some cases, surgery may be considered.
-
Patellar Tendinitis: Inflammation of the tendon connecting the kneecap to the shinbone, often causing sharp pain and swelling.
- Treatment involves rest, ice, and physical therapy to strengthen the knee.
What you can do
- Rest and Protect: Avoid activities that worsen the pain. Use a knee brace if needed.
- Ice and Elevate: Apply ice packs to reduce swelling and elevate your leg when resting.
- Over-the-Counter Pain Relief: Continue with ibuprofen or acetaminophen as directed, but consult a doctor if there's no relief.
- Physical Therapy: Consider seeing a physical therapist for exercises to improve strength and flexibility.
- Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share notes with your healthcare provider.
What you should look out for
Seek medical attention if:
- The pain worsens or doesn't improve with self-care.
- You experience significant swelling, redness, or warmth around the knee.
- You notice instability or your knee gives way.
- You develop a fever or other concerning symptoms.
Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.
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3 mo ago
