[52F] Experiencing severe knee pain without injury

Patient Description

A 52-year-old female presents with sudden onset severe knee pain in the right knee, without any preceding injury. The pain is localized to the front of the knee, both above and below the kneecap, and is exacerbated by any movement, especially when attempting to straighten the leg or bear weight. The pain subsides somewhat when the knee is in a bent position. Additionally, the patient reports a dull ache radiating up towards the hip. There is no visible bruising, swelling, or signs of infection, and no locking or clicking sensations in the knee. The patient also experiences muscle tensioning along the soles of both feet, described as a cramping pain that causes toe splay and rigidity, lasting for 3 to 4 minutes before subsiding. This has been occurring for a few years. No known drug allergies, no current medications, and no known pre-existing conditions or family history of joint diseases have been reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Patellofemoral Pain Syndrome (PFPS): This condition is also known as "runner's knee." It causes pain in the front of the knee and around the kneecap. The pain often gets worse when you're active or when you sit for long periods of time. It's not typically associated with swelling or redness.

    • Treatment often involves rest, ice, compression, and elevation (RICE). Physical therapy and exercises to strengthen the muscles around your knee can also be helpful.
  • Osteoarthritis: This is a common form of arthritis that often affects the knees. It causes pain and stiffness in the joints, which can get worse with activity. However, it's usually associated with other symptoms like swelling and a grating sensation when you move the joint.

    • Treatment can involve pain relievers, physical therapy, and in some cases, surgery.
  • Tendinitis: This is inflammation or irritation of a tendon, which can cause pain and tenderness just outside a joint. Your symptoms could potentially be due to patellar tendinitis, also known as "jumper's knee," which affects the tendon connecting your kneecap to your shinbone.

    • Treatment usually involves rest, ice, and over-the-counter pain relievers. Physical therapy can also be beneficial.
  • Muscle cramp or spasm: Your foot symptoms sound like they could be due to a muscle cramp or spasm. These can be caused by muscle fatigue, dehydration, or electrolyte imbalances.

    • Treatment typically involves stretching and massaging the muscle, staying hydrated, and replenishing electrolytes.

Please note that these are just possibilities, and it's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  • Rest and elevate your knee as much as possible.
  • Apply ice to your knee for 15 minutes at a time, several times a day.
  • Over-the-counter pain relievers like ibuprofen or acetaminophen may help with the pain.
  • Gentle stretching and strengthening exercises may help with both your knee and foot symptoms. However, it's important to consult with a healthcare provider before starting any new exercise regimen.
  • Stay hydrated and consider a diet rich in magnesium, potassium, and calcium to help prevent muscle cramps.

What you should look out for

  • If your pain becomes severe or unbearable
  • If you notice any swelling, redness, or warmth around your knee
  • If you develop a fever
  • If your symptoms don't improve after a few days of rest and home treatment

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 accurate information.

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10 mo ago

People Also Ask


What is Patellofemoral Pain Syndrome and how is it treated?

Patellofemoral Pain Syndrome, also known as 'runner's knee,' is a condition that causes pain in the front of the knee and around the kneecap. It often worsens with activity or prolonged sitting. Treatment typically involves rest, ice, compression, and elevation (RICE), along with physical therapy and exercises to strengthen the knee muscles.


What are the common symptoms and treatments for osteoarthritis in the knee?

Osteoarthritis in the knee is characterized by pain and stiffness in the joint, which can worsen with activity. It may also cause swelling and a grating sensation. Treatment options include pain relievers, physical therapy, and in some cases, surgery.


What causes tendinitis in the knee and how can it be managed?

Tendinitis in the knee, such as patellar tendinitis or 'jumper's knee,' is caused by inflammation or irritation of the tendon connecting the kneecap to the shinbone. Management includes rest, ice, over-the-counter pain relievers, and physical therapy.


What might cause muscle cramps in the feet and how can they be prevented?

Muscle cramps in the feet can be caused by muscle fatigue, dehydration, or electrolyte imbalances. Prevention involves stretching, massaging the muscle, staying hydrated, and maintaining a diet rich in magnesium, potassium, and calcium.


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