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Knee Hurting. Need Help?

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Posted on Sat, 9 Nov 2013
Question: Hi Doc, my knee is hurting me - when ever I sit down and stay for long time. Only my left knee has some problem. Please do needful.
doctor
Answered by Dr. K. Naga Ravi Prasad (1 hour later)
Brief Answer:
Need some more information.

Detailed Answer:
Hi, thanks for writing to XXXXXXX

I need some more information on your symptoms to arrive at a possible diagnosis.

- Your age and gender
- Duration of pain
- Onset of pain (sudden onset or Gradual onset)
- Are you over weight
- Is the pain associated with swelling of the knee joint
- Any history of trauma or injury to the left knee in the recent past
- Nature of pain (stabbing, throbbing, dull aching , sharp shooting etc)
- Is the pain present continuously throughout the day or is it related to any physical activity
- Are you a smoker or Alcoholic
- Do you involve in any sporting activities
- Is the pain present only in the joint or will it move up or down the leg
- Severity of joint pain (mild, moderate or severe)

Please answer all the questions, as each one is relevant in making a proper diagnosis of your condition.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. K. Naga Ravi Prasad (1 hour later)
Am 25 years old, male.
Past three months am facing, gradual pain.
Am 64 kgs weight and 5.8ht.
No swelling no pain. Nothing happened to my leg, if my poster of leg folding continuous for long time without any change, then I will feel pain only for some time. No smoking and drinking alc
doctor
Answered by Dr. K. Naga Ravi Prasad (32 minutes later)
Brief Answer:
It is likely to be Anterior Knee Pain.

Detailed Answer:
Hi, Nice to hear from you.

Based on the feedback provided by you, I feel that it is PATELLO-FEMORAL STRAIN (simply called as Anterior knee pain) which refers to pain over or adjacent to Patella (knee cap bone). Anterior knee pain begins when the kneecap does not move properly and rubs against the lower part of the thigh bone.

Patients with this condition presents with a cluster of symptoms including
- pain behind the knee cap with ascending and descending steps/stair case
- pain with prolonged bent-knee sitting (as in your case)
- pain to squat and pain with running and jumping activities.

Resting the knee for a short period of time and taking nonsteroidal anti inflammatory drugs (NSAIDs) such as ibuprofen, Diclofenac, naproxen or aspirin may help relieve pain.
Anterior knee pain often improves with a change in activity, exercise therapy, and the use of NSAIDs. Avoid sitting with Hyperflexed knee (deep bending of knee) for prolonged periods of time, as this position worsens the pain.

Physiotherapy forms one of the important part of treatment protocol for this condition.
Isometric quadriceps exercises – you push the knee hard back, and hold for a
count of 5. Repeat 10 times before every meal. For additional strength, turn
your feet in towards each other. Consult a physiotherapist to make your job easy.

The average recovery time is 2-6 weeks.

Hope I have addressed your query. Happy to help further

Regards

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. K. Naga Ravi Prasad

Orthopaedic Surgeon, Joint Replacement

Practicing since :1996

Answered : 2148 Questions

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Knee Hurting. Need Help?

Brief Answer:
Need some more information.

Detailed Answer:
Hi, thanks for writing to XXXXXXX

I need some more information on your symptoms to arrive at a possible diagnosis.

- Your age and gender
- Duration of pain
- Onset of pain (sudden onset or Gradual onset)
- Are you over weight
- Is the pain associated with swelling of the knee joint
- Any history of trauma or injury to the left knee in the recent past
- Nature of pain (stabbing, throbbing, dull aching , sharp shooting etc)
- Is the pain present continuously throughout the day or is it related to any physical activity
- Are you a smoker or Alcoholic
- Do you involve in any sporting activities
- Is the pain present only in the joint or will it move up or down the leg
- Severity of joint pain (mild, moderate or severe)

Please answer all the questions, as each one is relevant in making a proper diagnosis of your condition.

Regards