Brief Answer:
I have explained everything in detail sir

Detailed Answer:
Hello once again sir.

Thank you for writing to me.

It was my pleasure entirely to be of assistance to you the last time, and it will be my continued pleasure to assist you now and in the near future.

Let me provide you with some information about all popping/cracking sounds in the knee joint, for your better understanding. There are a few associated symptoms (mostly pain) and history that need to be taken into consideration to assume the kind of condition prevailing in the joint.

1. Popping or cracking sound without the presence of pain or a history of an injury to the joint are absolutely harmless and are nothing to worry about. This has to do with the usual movement of the joint and is nothing abnormal

2. Popping or cracking sound with the presence of pain and a history of an injury, and pain initiated and occurring only after the injury. In this situation, there has occurred some damage to the knee. In most cases, the damage is to the ligaments, tendons or the meniscus. This will have to be confirmed with certain manoeuvres (physical examination) conducted by the doctor. If an abnormality is suspected, an MRI of the knee might be advised or arthroscopy (minor surgical procedure involving two incisions the size of 2-3 cm each on either side of the affected knee).

3. Painful knee with popping and cracking sounds occurring without any history of an injury, but have been symptoms that have developed and worsened over a long period of time. Usually suspected to be bone related conditions (eg. arthritis, etc.)

Now that this is clear to you, in your specific case I am suspecting number 2 on the list which best describes your situation. As mentioned sir, if there is some injury requiring correction at the most an arthroscopy will be done. But if the injury is minor, only medical management will be advised.

I go about arthroscopies on a daily basis and trust me, most patients are laughing and narrating stories all through the procedure. It is a minor procedure and the only pain you will experience after the surgery will be that of a bruise, at the most. So please do not worry and visit a doctor for an evaluation in order to assess the degree of damage to the knee. As your damage is minimal, I do not think anything serious will be advised sir.

I hope you find my response helpful and informative. I am obliged to continue to be of assistance sir, as you already know you can write to me about anything. I am always here to help you.

Best wishes.

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Brief Answer:
God bless

Detailed Answer:
Hi XXXXXXX

Anytime XXXXXXX I am always here to help you.

Best of luck

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