[46F] With acute knee pain post-overstretching

Patient Description

A 46-year-old female reports experiencing sharp pain in the left lower side of her knee for the past day. The pain is rated at 7 out of 10 in severity and worsens with activities such as squatting and walking. The pain started suddenly after an overstretching incident. The patient has noticed swelling over a larger area of the knee, bruising, redness, and locking or clicking sounds. She also has difficulty fully straightening or bending the knee but has not experienced any instability or giving way. The patient has a history of arthritis in the knee and is currently taking glucosamine chondroitin. For the current knee pain, she has taken ibuprofen and Tylenol, which provide temporary relief. Additional medications include Protonix taken twice a day, and daily supplements of Iron, Vitamin B6, Calcium, Vitamin D, a Daily Vitamin, Probiotics, and Vitamin C, although the exact dosages are unknown. No tobacco, alcohol, or recreational drug use is reported. There is no family history of arthritis or other joint-related conditions, and no other pre-existing conditions or chronic illnesses are noted.

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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:

  • Meniscus Tear: A meniscus tear is a common knee injury that can occur from twisting or overstretching the knee. Symptoms often include sharp pain, swelling, difficulty straightening the knee, and sometimes locking or clicking sounds.

    • Treatment: Initial treatment often includes rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers like ibuprofen can help manage pain and swelling. In some cases, physical therapy or even surgery may be necessary.
  • Ligament Injury (e.g., MCL or ACL): Ligament injuries can also result from overstretching or twisting the knee. These injuries can cause sharp pain, swelling, and difficulty moving the knee.

    • Treatment: Similar to a meniscus tear, initial treatment includes RICE and pain relievers. Severe ligament injuries may require physical therapy or surgical intervention.
  • Arthritis Flare-Up: Given your history of arthritis, it's possible that the overstretching has triggered a flare-up. Arthritis can cause pain, swelling, and difficulty moving the joint.

    • Treatment: Managing an arthritis flare-up often involves anti-inflammatory medications, rest, and sometimes physical therapy. Supplements like glucosamine chondroitin can also be helpful.

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 in the meantime:

  1. Rest and Protect Your Knee: Avoid activities that worsen the pain, such as squatting and excessive walking.
  2. Apply Ice: Use an ice pack on your knee for 15-20 minutes every 2-3 hours to reduce swelling.
  3. Elevate Your Leg: Keep your leg elevated to help reduce swelling.
  4. Over-the-Counter Pain Relief: Continue taking ibuprofen and Tylenol as needed, following the dosage instructions.
  5. Compression: Consider using a knee brace or compression bandage to support your knee.
  6. Track 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 more urgently if you experience any of the following:

  • Severe Pain: If the pain becomes unbearable or significantly worsens.
  • Increased Swelling: If the swelling does not improve or gets worse.
  • Instability: If your knee starts to feel unstable or gives way.
  • Fever: If you develop a fever, which could indicate an infection.
  • Inability to Move Your Knee: If you cannot straighten or bend your knee at all.

Remember, while these tips can help manage your symptoms, it's crucial to consult a healthcare professional for a proper diagnosis and treatment plan.

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3 mo ago


People Also Ask


What are the common symptoms of a meniscus tear?

Common symptoms of a meniscus tear include sharp pain in the knee, swelling, difficulty straightening the knee, and sometimes locking or clicking sounds.


How can I differentiate between a ligament injury and an arthritis flare-up?

A ligament injury often results from a sudden twist or overstretching and can cause sharp pain, swelling, and difficulty moving the knee. An arthritis flare-up, especially if you have a history of arthritis, may be triggered by overstretching and can cause similar symptoms, but it is often associated with a history of joint pain and stiffness.


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

Initial steps to manage knee pain at home include resting the knee, applying ice to reduce swelling, elevating the leg, using over-the-counter pain relievers like ibuprofen or Tylenol, and using a knee brace or compression bandage for support.


When should I seek medical attention for knee pain?

You should seek medical attention if you experience severe pain, increased swelling, knee instability, develop a fever, or if you are unable to move your knee at all.


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