Welcome at Doctorspring.
I have read your with due diligence.
Will you please answer me some questions,so that I can help you better.
A.Is there any presence of morning stiffness in his knee and other joints?
B.Does work/exercise aggravates or relieves his problem?
C.Is there any history of locking sensation at his knee?
4. Does he have pain in any other joints ?
Please reply as a followup
Patient replied :
Yes he has morning stiffness. (This is not normal for him otherwise.)
Work does make the pain worse (Though right now it hurts no matter what he does)
No history of locking at the knee.
No pain elsewhere.
Thanks for information.
From the details it is likely that he may be suffering from synovitis. This an inflammation of the lining of knee joint which is generally found in Von Willebrands disease.At present he may benefit from the use of a mild analgesic & anti inflammatory agent.One can have them before draining the knee. You can give him the OTC drug Ibuprofen.
If there is locking sensation(which is present at his posterior part of knee) then he should have a MRI investigation to rule out meniscus injury.Depending on the report of the MRI treatment plan can be decided. .
You can get back to me with the MRI report.
Hope this has helped.