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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should Be Done For Severe Knee Pain For A Long Time Along With Swelling?

My left knee has been bothering for several months - hurts to bend it - esp when I am lying down in bed - this weekend it has gotten worst with the pain. Also what feels like a tightness at the back of my knee. My Knee area is now swollen and I have a swollen bulge on the lateral side of my knee below the patella. Stangely it doesn t hurt to walk in the leg - just feel a tightness around the knee. I am assuming I have a bloodclot. we are having an ice storm so going to the er is not an option tonight.
Thu, 9 Jan 2014
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Orthopaedic Surgeon 's  Response
Hi there .

As per your query I assess that you have had no history of any injury .
Such a swelling in a single knee could be either due to Synovitis or due to Hematoma ( blood collection)

Currently I would suggest the RICE therapy .:
Rest
Ice packs to the knee
Compression with crepe bandage
Elevation in lying down position with 2 pillows under leg .

If you have some antibiotic and analgesic-anti inflammatory at home then kindly take those.

Rest of the management can be done when you reach the ER.

I hope my advice has helped
Goodluck
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General & Family Physician Dr. Vakul Aren's  Response
You probably have bursitis,this would be aggravated by undue exertions and the cold weather.A DVT or a clot in the leg vessels would cause a swollen and tender calf,not the knee.Taking NSAIDs like motrin would help ease the inflammation and pain till you can see your doctor/PCP.
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What Should Be Done For Severe Knee Pain For A Long Time Along With Swelling?

Hi there . As per your query I assess that you have had no history of any injury . Such a swelling in a single knee could be either due to Synovitis or due to Hematoma ( blood collection) Currently I would suggest the RICE therapy .: Rest Ice packs to the knee Compression with crepe bandage Elevation in lying down position with 2 pillows under leg . If you have some antibiotic and analgesic-anti inflammatory at home then kindly take those. Rest of the management can be done when you reach the ER. I hope my advice has helped Goodluck