What Causes Severe Knee Pain Despite A Normal X-ray Report?
Found the xray report: "The bones appear intact without evidence of fracture or acute osseous abnormalities. Joint spaces appear maintained without significant degeneration. there appears to be some fluid present in the suprapatellar recess."
Then doctor's mpression: Probable joint effusion.
Suggested possible causes:
Synovial effusion. ok, seems likely. Limited range of motion, bend to about 100 degrees, straighten to about 170 degrees.
Hemarthrosis, Bursitis, - but no injury, pain is above knee. Only mild tenderness to touch most of the time.
Possible Ortho referral.
I think you have acute knee synovitis
Detailed Answer:
Hello,
Have studied your case and I think you are having knee synovitis. In this condition there is sudden onset of severe pain in knee joint in a pre existing arthritis. This can be triggered by walking, knee bending or some time there is no obvious causes. I have few suggestions for you.
1.Ice application is good.
2.You need to visit a orthopaedic surgeon and get steroid and synvisc injection in knee joint.This will give you immediate pain relief and it will last more then three months to nine months.
3.Avodi squatting, sitting cross leg and stairs. Also you can take physiotherapy.
4.In cases when you have multiple episodes then get MRI of the knee joint as there can be loose body or meniscus tear inside. It will improve with arthroscopic debridement.
I hope these steps will be helpful for you.Let me know if there is any other followup questions.
thanks
Answered by
Dr. Dr. Naveen Kumar Sharma
Orthopaedic Surgeon, Joint Replacement
Practicing since :2002
Answered : 4486 Questions