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Sudden knee pain

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THIS Q UESTION IF FOR AN ORTHOPEDIST. I AM AN 82 YEAR OLD FEMALE WHO HAD A SUDDEN ONSET OF LEFT KNEE PAIN; NO INJURY. THIS WAS APROX 40 DAYS AGO AND WHILE THE PAIN IS BETTER IT HAS NEVERY COMPLETELY LEFT. I HAD AN MRI 12/19/2013 AND THE IMPRESSION WAS
1. SMALL SUBCHONDRAL INSUFFICIENCY FRACTURE OF THE MEDIAL TIBIAL PLATEAU.
2. COMPLEX DEGENARATIVE TEAR OF THE MEDIAL MENISCUS.
3. SMAL VERTICAL TEAR OF THE LATERAL MENISCUS. THE LATERAL MENISCUS HAS A
DISCOID APPEARANCE.
4. TRICOMPARTMENTAL OSTEOARTHROSIS, WORSE IN THE PATELLOFEMORAL
COMPARTMENT.
5. LARGE LEAKING POPLITEAL CYST WITH INTERNAL LOOSE BODY.















Category: Orthopedic Surgeon

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Category: Spine Surgeon
 26 Doctors Online

Hello,
Thank you for your consult at DoctorSpring.com. I have read your question with diligence.

To answer your questions best, I would need the following medical history -

1.Is there any history of any injury to your knee?

2.What are the aggravating or relieving factors for your knee pain ,like some position of your knee or some actions which affects this pain?

3.Is there any history of giving away or locking at your knee?

Please reply as follow-up.

Regards


Patient replied :

there is no history of injury.It seems to hurt more when the leg is streight. My knee gave way once and I fell. I am now using a walker.


Thank you for the additional information.

Most probable reason for your pain looks to be Insufficuency subchondral fracture & patellofemoral arthritis. I recommend the following measures :

-Avoid excessive strain on your knee at least for next 2-3 weeks.

-Take a mild analgesic like tylenol as and when required.

-You may have some drugs like glucosamine & chondroitin sulfate .These are available OTC.

-Avoid cross leg movements.

I do not think any other active measures are needed now. Give it some rest and the pain should start resolving.

Hope this will help you.

With best wishes.
Thank you


Dr. Mukesh Tiwari
Category: Spine Surgeon
Experience: 
Fellowship - Khandaka Hospital, Jaipur
Residency - MS, Rabindranath Tagore Medical College, Udaipur, 2000
Medical School, Internship - MBBS, SMS Medical College, Jaipur, 1995
Dr. Mukesh Tiwari and 4 other Medical Specialists are ready to help you

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