[55F] Experiencing severe left knee pain with popping sound

Patient Description

A 55-year-old female reports severe pain in the left knee that began after hearing a popping sound while rolling over in bed. The pain, which she rates as an 8 out of 10, has persisted for one day and is exacerbated by walking. There is slight swelling and some difficulty bearing weight, but no instability. The patient has a medical history of hyperthyroidism, managed with Levothyroxine for over 10 years, and an allergy to Penicillin. No other symptoms or medications were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your knee pain include:

  • Meniscal tear: The meniscus is a piece of cartilage that provides a cushion between your thighbone and shinbone. A tear is often caused by a sudden twist or quick turn, and is common in sports. The popping sound you heard, followed by pain, is a common symptom of a meniscal tear.

    • Treatment typically includes rest, ice, compression, and elevation (RICE). In some cases, physical therapy or surgery may be necessary.
  • Ligament injuries: The knee has four main ligaments, and these can be sprained or torn if the knee is twisted or hit with force. This could potentially happen when rolling over in bed.

    • Treatment usually involves RICE, physical therapy, and in some cases, surgery.
  • Patellar dislocation: This is when the kneecap slides out of position, causing knee pain and swelling. This could potentially happen from a strange movement or twist.

    • Treatment typically involves reducing the dislocation, immobilizing the knee, and physical therapy.

Please note that these are possibilities based on the information provided, and only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Rest: Avoid putting weight on your knee as much as possible.
  2. Ice: Apply an ice pack (or a bag of frozen peas) to your knee for 15 minutes every two hours.
  3. Compression: Use a compression bandage to help reduce swelling.
  4. Elevation: Try to keep your knee raised above the level of your heart as much as possible to help reduce swelling.

You should also make an appointment with your healthcare provider as soon as possible for a proper evaluation and diagnosis.

What you should look out for

Please seek immediate medical attention if:

  • Your knee pain is severe or sudden
  • You can't move your knee or leg
  • You can't bear weight on your leg
  • Your knee looks deformed or has an obvious fracture
  • 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, diagnosis, and treatment.

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11 mo ago

People Also Ask


What could cause a popping sound in the knee followed by severe pain?

A popping sound in the knee followed by severe pain could be indicative of a meniscal tear, ligament injury, or patellar dislocation. These conditions often occur due to sudden movements or twists.


How can I manage knee pain at home before seeing a doctor?

To manage knee pain at home, you can follow the RICE method: Rest the knee, apply Ice to reduce swelling, use Compression with a bandage, and Elevate the knee above heart level. Avoid putting weight on the knee as much as possible.


What are the signs that knee pain might require immediate medical attention?

Immediate medical attention is needed if the knee pain is severe or sudden, if you cannot move your knee or leg, if you cannot bear weight on your leg, if the knee looks deformed, or if there is a fever, redness, or warmth around the knee.


Can a history of hyperthyroidism affect knee injuries or their treatment?

Hyperthyroidism itself does not directly affect knee injuries, but it is important to inform your healthcare provider about all medical conditions and medications, as they can influence treatment options and recovery.


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