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What Causes Pain In The Knee Joint With Swelling?

Posted on Wed, 29 Jun 2016

Question: hi, i have had a problem with my right knee for over a year now. They have done mri showing no knee joint or ligament damage then a cortisozone injections under knee cap. But that didnt change, the knee the calf swell and the leg aches inside and outer muscle tender. It did start to improve with a few exercies from physio but is going backwards at the moment.Its is swollen all the time about 1 inch bigger over the knee cap it looks purple like a brusing cant lean knee on knee in bed without pillow. They want to do a mri again but i thin ct scan be better i know hard to say but they think its ripped muscle from having a eurowave done on my thighs.

Answered by Dr. Dr. Naveen Kumar Sharma (20 minutes later)

Brief Answer:
MRI is better then CT for knee examination

Detailed Answer:
Hello,
I have studied your case. Pain in knee joint with swelling is mostly due to synovitis or arthritis. As you said that condition is not improving even after physio then you need to get a fresh MRI. Till you get MRI done I have following suggestions for you.
1.Avoid squatting and sitting cross leg.
2.Hot water fomentation and volini gel local application.
3.Injection of Synvisc can be given.It is better then steroids and it has less side effects.
4.You can send your MRI report to me. I can offer you some more info after that.
5.Take Calcium and D 3 regularly. Bone strength improvement will also decrease pain.
I hope these steps will be helpful for you. Let me know if there is any other followup questions.
thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Naveen Kumar Sharma (7 minutes later)

Hi thanks.
I can't fully bend my knee or cross legs as causes discomfort.
Muscle strength is weak.
They said no sign of arthritis .
They keep saying muscles have been pushed to the extreme when I had the eurowave. Which is a furradic machine. Similar to tens machine. If that makes sense. What would show the muscle damage more. I did wonder about ultra sound if no to ctscan thanks

Answered by Dr. Dr. Naveen Kumar Sharma (8 minutes later)

Brief Answer:
No ultrasound or CT is not good for muscles

Detailed Answer:
Hello,
Your symptoms are suggestive of knee arthritis. I do not think that this is due to muscle wasting.It can be early cartilage damage so x rays may be normal. A fresh MRI will prove the diagnosis. Ultrasound is not a good test for it. Let me know if there is any other followup questions.
thanks

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