[56M] Experiencing knee pain with popping noise post-exercise

Patient Description

A 56-year-old male reports aching and stiffness under the kneecap on the left side of the knee, particularly after working out at the gym. The pain, which has been present for a couple of days, is described as a 5 out of 10 in severity and worsens when bending the knee. The patient also notes a popping noise associated with specific movements. There is no mention of any recent injury, swelling, visible deformity, or other symptoms accompanying the knee pain.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Patellofemoral Pain Syndrome (PFPS): This is a common cause of knee pain, particularly under the kneecap. It's often associated with activities that involve bending the knee, such as squatting. The pain is typically aching and is often accompanied by a popping or cracking sensation.

    • Treatment usually involves physical therapy exercises to strengthen the muscles around the knee and improve flexibility.
  • Meniscus Tear: The meniscus is a piece of cartilage that provides a cushion between your femur (thigh bone) and tibia (shin bone). Tears can occur when the knee is twisted or rotated forcefully, often during vigorous physical activities. A popping sensation is common with a meniscus tear.

    • Treatment may involve physical therapy, or in some cases, surgery.
  • Osteoarthritis: This is a degenerative joint disease that affects millions of people. It's more common in older adults and can cause pain and stiffness in the knee.

    • Treatment typically includes a combination of physical therapy, weight loss if the patient is overweight, and pain relievers.

Remember, these are just possibilities and not a definitive diagnosis. You should consult with a healthcare professional for an accurate diagnosis.

What you can do

Here are some general suggestions that may help alleviate your symptoms:

  1. Rest and avoid activities that aggravate your knee pain.
  2. Apply ice to your knee for 15-20 minutes every 2-3 hours to help reduce inflammation.
  3. Over-the-counter pain relievers, such as ibuprofen, may help with the pain.
  4. Gentle stretching and strengthening exercises can help improve flexibility and strength around your knee.

What you should look out for

If you notice any of the following symptoms, you should seek medical attention immediately:

  • Severe pain or swelling
  • Inability to move the knee
  • Inability to bear weight on the affected leg
  • Visible deformity in your leg or knee
  • Fever along with redness, pain, and swelling in the knee, which could indicate an infection.

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What is Patellofemoral Pain Syndrome and how is it treated?

Patellofemoral Pain Syndrome (PFPS) is a condition characterized by pain around or under the kneecap, often worsened by activities that involve knee bending. Treatment typically involves physical therapy exercises to strengthen the muscles around the knee and improve flexibility.


What are the symptoms of a meniscus tear and how is it managed?

A meniscus tear can cause pain, swelling, and a popping sensation in the knee, often following a twisting injury. Management may include physical therapy to strengthen the knee or, in some cases, surgery to repair the tear.


How does osteoarthritis affect the knee and what are the treatment options?

Osteoarthritis is a degenerative joint disease that causes pain and stiffness in the knee due to the breakdown of cartilage. Treatment options include physical therapy, weight management, and pain relievers to manage symptoms.


When should I seek medical attention for knee pain?

You should seek medical attention for knee pain if you experience severe pain or swelling, inability to move the knee, inability to bear weight, visible deformity, or if you have a fever along with redness, pain, and swelling, which could indicate an infection.


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