[43F] Experiencing knee pain and popping sensations

Patient Description

A 43-year-old female reports a couple of months of pain on the left side of her left knee, characterized as achy with occasional shooting sensations up or down the leg. The pain, rated a 5 out of 10 in severity, is exacerbated by walking and standing. The patient also experiences a popping sensation in the knee and ankle, described as a bone settling, rated a 3 out of 10 in severity, and has been present for a couple of months. The knee is stiff but not swollen, and pain sometimes increases with activities like climbing stairs or kneeling. The patient's medical history includes asthma, anxiety, depression, and possible autism and ADHD, with diagnoses dating back to 1995. Current medications include Lisinopril, Amlodipine, Pravastatin, Montelukast, Zyrtec, Buspirone, Atomoxetine, Advair, and Albuterol. There are no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Osteoarthritis: This is a condition that occurs when the protective cartilage that cushions the ends of your bones wears down over time. It commonly affects the knees and can cause pain, stiffness, and a grating or popping sensation.

    • Treatment typically involves a combination of lifestyle changes, physical therapy, and over-the-counter pain relievers. In some cases, surgery may be necessary.
  • Patellofemoral Pain Syndrome (PFPS): This is a broad term used to describe pain in the front of the knee and around the kneecap (patella). It's sometimes called "runner's knee" or "jumper's knee" because it's common in people who participate in sports.

    • Treatment usually involves physical therapy and pain management strategies.
  • Meniscal Tear: This is a tear in the meniscus, which is a piece of cartilage in your knee that cushions and stabilizes the joint. It can cause pain, swelling, and a popping sensation.

    • Treatment may involve physical therapy, or in some cases, surgery.

Please note that these are only potential diagnoses. You should consult with a healthcare professional for an accurate diagnosis.

What you can do

While waiting for your appointment with a healthcare professional, here are some things you can do to manage your symptoms:

  1. Rest: Avoid activities that aggravate your knee pain, such as walking or standing for long periods.
  2. Ice: Apply an ice pack to your knee for 15-20 minutes at a time, several times a day.
  3. Compression: Use a compression bandage or knee brace to help support your knee and reduce swelling.
  4. Elevation: Try to elevate your knee whenever possible to help reduce swelling.
  5. Over-the-counter pain relievers: Non-prescription medications like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help manage pain.

What you should look out for

You should seek immediate medical attention if you experience:

  • An inability to walk or bear weight on your knee
  • Intense pain
  • Sudden swelling
  • A noticeable deformity or change in the shape of your knee
  • Any signs of an infection, such as fever, redness, warmth, or severe pain

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare professional for accurate information.

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11 mo ago

People Also Ask


What are the common symptoms of osteoarthritis in the knee?

Common symptoms of osteoarthritis in the knee include pain, stiffness, a grating or popping sensation, and sometimes swelling. The pain often worsens with activity and improves with rest.


How can Patellofemoral Pain Syndrome be managed at home?

Patellofemoral Pain Syndrome can be managed at home by resting the knee, applying ice, using compression bandages, elevating the leg, and taking over-the-counter pain relievers. Physical therapy exercises can also help strengthen the muscles around the knee.


What are the signs of a meniscal tear in the knee?

Signs of a meniscal tear include pain, swelling, a popping sensation, and difficulty moving the knee. The knee may also feel unstable or lock up.


When should I seek immediate medical attention for knee pain?

You should seek immediate medical attention for knee pain if you experience an inability to walk or bear weight, intense pain, sudden swelling, a noticeable deformity, or signs of infection such as fever, redness, warmth, or severe pain.


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