Download FREE Practo app
Get ₹200 HealthCash
Heavy pain in knee
Suffering from heavy pain in knee for last 10 days. Couldn't even move her right leg . However no fracture detected in xray. Doctor said there are a blood clod in vain. How long will it take to recover ?
Answers (7)
Is there any swelling , raised temprature and redness of skin ???
If present then go for blood investigation CBC ,ESR , CRP and visit to nearest orthopedic center.
If only swelling present , get an Knee x ray done ( Both AP and Lateral view ) and share with me for further treatment .
Wish you speedy recovery 🙏
Answered
Let others know if this answer was helpful
Didn't find the answer you are looking for?
Talk to experienced orthopedist online and get your health questions answered in just 5 minutes.
Get your cbc , rbs, esr crp to r/o septic arthritis of knee ,
Next Steps
get the blood investigations done
Answered
Let others know if this answer was helpful
This treatment is being suggested on bases of the information provided. However I would like to examine & investigate you in detail.
-Control Hypertension, Diabetes or metabolic disorder, if there is any.
- Sleep on a hard bed with soft bedding.
- Keep a pillow under the knee.
- Avoid painful acts & activities.
- Fomentation with warm water. -Let the part not be exposed cold.
-Do mild exercises for the affected part.- back and lower limbs
-Any way it may be tried,
--. Ugesic (Piroxicam) 20mg 1tab once a day x 5days
--. Caldikind plus (Mankind) 1tab Once a day x 10 days.
Kindly make sure, there is no allergy to any of these medicines.
--For emergency treatment visit nearest hospital.
-For exercises you may visit my YouTube channel- Dr. N C gupta.
-Wish you a quick recovery & good health
kindly like & subscribe to the channel to get notification for subsequent videos of your intrest.
it is free.
Dr N C Gupta MS (ortho)
DMC 3624
Answered
Let others know if this answer was helpful
Possible Differential Diagnoses
1. Ligamentous Injury: - Anterior Cruciate Ligament (ACL) Sprain or Tear: Can occur without obvious X-ray findings. - Medial or Lateral Collateral Ligament Injury: Typically presents with localized pain on the side of the knee.
2. Meniscal Injury: - Meniscal Tear: Often characterized by pain, swelling, and mechanical symptoms like locking or clicking.
3. Patellofemoral Pain Syndrome: - Pain around the kneecap, often exacerbated by activities like climbing stairs or squatting.
4. Bursitis: - Prepatellar or Pes Anserine Bursitis: Inflammation of the bursa, causing pain and swelling.
5. Tendinitis or Tendinopathy: - Patellar Tendinitis: Pain in the front of the knee, just below the kneecap.
6. Transient Synovitis: - Temporary inflammation of the synovium, leading to pain and stiffness.
7. Gout or Pseudogout: - Acute inflammatory arthritis due to crystal deposition, which may not show up on X-rays.
8. Infection: - Septic Arthritis: Requires urgent attention if suspected; presents with severe pain, swelling, and fever.
9. Referred Pain: - From hip or lumbar spine pathology.
Next Steps
Investigations
1. Magnetic Resonance Imaging (MRI): - Preferred for assessing soft tissue structures like ligaments, menisci, tendons, and cartilage.
2. Ultrasound: - Useful for evaluating superficial soft tissue structures and guiding aspiration if needed.
3. Blood Tests: - Complete blood count (CBC), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) to assess for infection or inflammation. - Uric acid levels if gout is suspected.
4. Joint Aspiration (Arthrocentesis): - If there is a suspicion of infection or gout, analyzing the synovial fluid can provide valuable diagnostic information.
5. Further Imaging: - CT scan if bony abnormalities or detailed joint structure visualization is needed.
Health Tips
1. Initial Conservative Management: - Rest: Avoid activities that aggravate the pain. - Ice: Apply ice packs to reduce swelling and pain. - Compression: Use a knee brace or wrap to provide support and reduce swelling. - Elevation: Elevate the leg to decrease swelling.
2. Medications: - Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Such as ibuprofen or naproxen for pain and inflammation. - Analgesics: Acetaminophen for pain relief if NSAIDs are contraindicated.
3. Physical Therapy: - Once pain subsides, initiate a physical therapy program to improve range of motion, strength, and function.
4. Referral: - Consider referral to an orthopedic specialist if symptoms persist or if there is a need for further diagnostic evaluation.
5. Surgical Intervention: - May be considered based on specific diagnoses, such as a significant meniscal tear or ligament rupture.
Conclusion
A thorough clinical evaluation, including a detailed history and physical examination, is essential to guide the investigative and management approach. Timely and appropriate treatment can prevent complications and promote optimal recovery.
Answered
Let others know if this answer was helpful
Articles you may like
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.