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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Soreness And Swelling In The Knee?

I have gout and take 300mg of Allupurinol daily and haven t had an attack for years...My knee on the right side, where the joint is, is very sore, been going on for a week or so..it s swelling up a bit as well, my knee seems to be popping when I walk as well...Never had gout in my knee...Is this a sprain or gout related?
Tue, 12 Feb 2019
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General Surgeon 's  Response
Hi,

In your case, there are few possible causes and if there was no injury then some other chronic disorder may be present. Without more information it is not enough to determine the diagnosis.

It could be a hematoma (bleeding in the tissues) or a swollen knee joint capsule. If it's in the back of the knee then it could be a Baker's cyst.

Clinical examination (and perhaps fluid aspiration if there's any) would help to determine the diagnosis. Either an orthopedics specialist or your primary care physician can do that.

Until then you can try to apply ice packs (not directly on the skin - wrap them with a towel) and perhaps use some painkillers starting with paracetamol (acetaminophen) and advancing to NSAID if paracetamol is not enough and there's no contraindication for NSAID.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Soreness And Swelling In The Knee?

Hi, In your case, there are few possible causes and if there was no injury then some other chronic disorder may be present. Without more information it is not enough to determine the diagnosis. It could be a hematoma (bleeding in the tissues) or a swollen knee joint capsule. If it s in the back of the knee then it could be a Baker s cyst. Clinical examination (and perhaps fluid aspiration if there s any) would help to determine the diagnosis. Either an orthopedics specialist or your primary care physician can do that. Until then you can try to apply ice packs (not directly on the skin - wrap them with a towel) and perhaps use some painkillers starting with paracetamol (acetaminophen) and advancing to NSAID if paracetamol is not enough and there s no contraindication for NSAID. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon