[45F] Experiencing knee pain and weakness post-fall

Patient Description

A 45-year-old female reports intermittent pain and weakness in the right knee, rating the pain as 6-7 on a scale of 1-10. The pain is located on the interior left side of the right knee cap, below the knee cap, and to a lesser extent on the right side. It is described as sharp and sudden, then easing to an ache. Activities such as pushing with the foot, twisting, or stepping exacerbate the pain. The patient fell on stairs and twisted the knee about three weeks ago. While regular walking is often manageable, kneeling tightens the knee, and squatting or getting up triggers intense pain. The knee also feels 'loose' but can bear weight despite feeling unsteady and weak. There is slight swelling by the end of the day and occasional locking or catching sensations. The patient has a history of hyperflexibility, with issues in the right hip and weak ankles dating back to adolescence, exacerbated by a history of dance. Allergies include amoxicillin, codeine, and latex. No medications are currently being taken.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your knee pain:

  • Ligament Injury: Given the history of a fall and twisting injury, it's possible you may have injured one of the ligaments in your knee. The most common of these are the anterior cruciate ligament (ACL) and the medial collateral ligament (MCL). These injuries can cause pain, swelling, and instability of the knee.

    • Treatment for ligament injuries can range from rest, ice, compression, and elevation (RICE) to physical therapy and, in severe cases, surgery.
  • Meniscus Tear: The meniscus is a piece of cartilage that provides a cushion between your femur (thighbone) and tibia (shinbone). A meniscus tear can occur when you suddenly twist your knee while bearing weight on it. This could explain the popping sensation you've been experiencing.

    • Treatment for a meniscus tear often begins with conservative measures, such as RICE and physical therapy. If these don't help, surgery may be necessary.
  • Patellofemoral Pain Syndrome: This is a broad term used to describe pain in the front of the knee and around the kneecap (patella). It's common in people who do a lot of sport, and can be caused by overuse, injury, or problems with the alignment of the kneecap.

    • Treatment usually involves physical therapy and pain management.

What you can do

While waiting to see a healthcare provider, you can try the following to help manage your symptoms:

  1. Rest your knee as much as possible.
  2. Apply ice to your knee for 15-20 minutes every 2-3 hours.
  3. Use an over-the-counter pain reliever, such as ibuprofen, to help manage the pain.
  4. Use a knee brace or bandage to help support your knee and reduce pain.
  5. Elevate your knee when you're sitting or lying down to help reduce swelling.

What you should look out for

You should seek immediate medical attention if:

  • Your knee pain is severe or worsening.
  • You're unable to bear weight on your knee.
  • Your knee is severely swollen.
  • You have a fever, redness, or warmth around the knee, which could indicate an infection.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

Show More

2
 Hugs
1
 Comments

Save

8 mo ago

People Also Ask


What are the common symptoms of a ligament injury in the knee?

Common symptoms of a ligament injury in the knee include pain, swelling, instability, and difficulty bearing weight. The pain may be sharp and sudden, followed by an ache, and activities like twisting or pushing with the foot can exacerbate it.


How can a meniscus tear be diagnosed and treated?

A meniscus tear can be diagnosed through a physical examination and imaging tests like an MRI. Treatment often starts with rest, ice, compression, and elevation (RICE), along with physical therapy. If these measures don't help, surgery may be necessary.


What is Patellofemoral Pain Syndrome and how is it managed?

Patellofemoral Pain Syndrome is characterized by pain in the front of the knee and around the kneecap. It is often caused by overuse, injury, or misalignment of the kneecap. Management typically involves physical therapy to strengthen the muscles around the knee and pain management strategies.


What immediate actions should be taken if knee pain worsens or new symptoms appear?

If knee pain worsens or new symptoms such as severe swelling, inability to bear weight, fever, redness, or warmth around the knee appear, immediate medical attention should be sought as these could indicate a more serious condition or infection.


Preview

Post

1 Comments


Margot#4035

8 mo ago

i think your leg might still be healing as I had a similar experience last year. Doctor did an exam ordered imaging but didn't find much so just recommended "conservative treatment": physical therapy and a tylenol as necessary which i didnt' really take. pain ended up going away, but took like 8 months

1
 Hugs
Reply

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback