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Knee swelling and pain. - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2380 Questions
User :   I am having extreme pain in the back and outside of my knee. I am unable to put pressure on the knee without feeling like I am going to fall to the floor. I was in the E.R. on Monday and all they did was send me home in a knee brace on crutches and gave me pain medication. I am currently on 500 mg of lortab and still feel pain as if I am not on any pain medications. Should I return to the E.R.?
Doctor :   hi
User :   hi
Doctor :  
please give me sometime to read what you have typed
User :   ok
Doctor :  
since when you are having the pain?
Doctor :  
how did the pain start?
User :   I have been in pain since Monday. I was standing and my knee shifted and I was unable to put any pressure on it at all. The pain during the medication started tonight.
Doctor :  
ok
Doctor :  
please provide your age, gender, location, occupation, height and current weight
Doctor :  
have you taken orthopedic consultation?
Doctor :   was any x-ray or MRI of knee taken?
User :   21, female, 5 feet, 194. I have had an MRI.
Doctor :  
what movements of the knee are most painful?
User :   bending, straightening, lifting, putting pressure, most movement hurts.
Doctor :  
is the pain in both the knees or is it affecting only one knee?
User :   only one knee
Doctor :  
ok
Doctor :  
compared to the other knee, upto what extent can you flex, extend the affected knee?
User :   about half way.
Doctor :  
is there any swelling in the affected knee ?
User :   yes
Doctor :  
where is this swelling located?
Doctor :  
could you describe the appearance of the affected knee?
User :   the back of my knee and under and over my kneecap is swollen, but still appears to be in place.
Doctor :  
have you had similar episodes in the past?
User :   no
Doctor :   ok
Doctor :  
was there a snapping or popping sound heard when the knee shifted and pain started?
User :   there was no popping sound heard, but I felt something snap in the middle of my knee
Doctor :  
when you attempt to move the knee, does it give you a grinding feeling?
User :   yes
Doctor :   ok
Doctor :  
where is the pain location in the knee? is it all over or is it localized to any part?
Doctor :  
when is the pain intensity maximum during the day?
User :   it's mainly in the back middle of my knee and directly below the kneecap out to the outside of my leg. The pain intensity is usually the same all day.
Doctor :   ok
Doctor :  
since you felt a snap and the swelling is also present, there is a probability of the injury to the cruciate ligaments
Doctor :   it can be confirmed by special tests that a orthopedician wil do
Doctor :  
and with a MRI of the affected knee
User :   ok. I am waiting on MRI results.
Doctor :   you will need a examination by an orthopedician along with the MRI results
Doctor :   ok
Doctor :  
so once the MRI results are ready you can request an orthopedist opinion
User :   ok
Doctor :  
meanwhile avoid all movements that cause pain
User :   ok
Doctor :  
continue the medications as prescribed
Doctor :  
and do ice compression, it will help in reducing the inflammation and the pain.
User :   ok
Doctor :   do ice compression evry 20-30 minutes for 10 minutes duration
Doctor :  
and keep the knee brace in place
Doctor :   Is there any thing else I can help you with?
User :   no, thank you very much
Doctor :   Please fill the feedback form say done when done.
User :   done
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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