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Swelling on right knee - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3572 Questions
User :   My right knee is swollen for 3 days know(since thursday). I went to my doctor on friday she said its fine i just overused it. she recommended elevate it, ice, ace bandage but it hasn't been working. I didn't bump me knee, hit it or fall on it. I do jog 3 miles 4 times a week AND i go to the gym 4 times a week(zumba,hip-hop,and kickboxing classes). I would appreciate if you could help me. if maybe i should go to a different doctor or maybe im just expecting recover to soon. But my knee is still swollen and it hurts(not alot but pain is still there). Thank you
Doctor :   hi
Doctor :  
ok
Doctor :  
please give me sometime to read through what you have typed
User :   ok, thanks
Doctor :   i will need to ask you few more questions. can I proceed?
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   im here
Doctor :   ok
Doctor :  
are you there?
Doctor :  
It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   yeah im here
Doctor :   please avoid navigating away from the page to be able to continue discussing your problem
User :   sorry pop ups are coming up which is wierd because i have a pop up blocker
Doctor :  
i will need to ask you few more questions. can I proceed?
Doctor :   ok
Doctor :  
what pop-ups are you getting?
User :   idk i close them as soon as i get them
Doctor :  
if you are facing problem with your browser, i suggest you to log in using another browser
User :   you can ask me questions now
User :   they seem to have stopped
Doctor :  
if you are fine, shall we proceed with the discussion?
Doctor :  
ok
User :   yeah lets proceed
Doctor :  
please provide your age, gender, location, occupation, height and current weight?
User :   19 years old+120 lbs, female, fulltime student
User :   5'4
Doctor :  
is the swelling of the knee diffuse swelling or localised to any one area?
User :   just my right knee, a little bit above it and below it
User :   sorry again
Doctor :   its ok, shall we continue the discussion?
User :   yes
Doctor :  
ok
Doctor :  
does it pain while movement of the knee?
User :   yes
Doctor :   which movements produce the pain?
Doctor :  
are you able to flex and extend right knee the same way as the left knee?
User :   stairs, running and sometime walking
Doctor :  
ok
User :   pain is moderate though
User :   i can bend and flex my left knee but my right knee i can't bend it fully
Doctor :  
could you rate you pain on a scale of 0-10 with 10 being the maximum pain?
User :   3 or 4
Doctor :  
ok
Doctor :  
are you on any pain medication?
User :   aleve
Doctor :  
has the ice and ace wrap helped you?
User :   a little
Doctor :  
was any imaging done for the right knee?
User :   can't really tell if it has helped
Doctor :  
i mean to ask if any x-ray/MRI was done for right knee?
User :   no, none
Doctor :  
ok
Doctor :  
what could possibly have happened is a sports injury causing effusion in the joint bursa which are present around the knee joint
User :   whats that?
Doctor :  
and to confirm that we would require a MRI which is better than x-ray in defining the soft tissues and spaces around the knee joint
User :   should i go to a different doctor?
Doctor :  
a bursa is a empty space like our sinues (sinuses have bony margins, bursa do not have bony marging) bursa is like a air bag
Doctor :  
which helps in protection
Doctor :  
considering to seek a different doctor is the last option. Usually these kind of injuries take abour 2 weeks of complete rest and symptomatic treatment
Doctor :  
to heal
User :   2 weeks?
Doctor :  
but takeing and MRI will make sure that there is no fracture or ligament injury has occured
User :   what about the swellling? will it go down?
Doctor :  
in the meantime, give complete rest to the right knee
Doctor :   avoid any movements apart from going to the restroom
Doctor :  
the swelling will take time to reduce as the fluid takes time to get absorbed back
User :   for how long?
Doctor :  
2 weeks rest should do fine, but a MRI is recommended
User :   what about exercising?
Doctor :   avoid any major movements, just minimal walking and bed rest
Doctor :  
with ice every 20-30 minutes time for 10-15 minutes duration
User :   fine no exercise
Doctor :   and the ace wrap as prescribed to you
Doctor :  
will help the swelling to come down faster
User :   i have a follow up on monday ill bring up the mri
Doctor :   sure, that would be great, get the MRI prescription from your doctor
Doctor :  
and after that also one for physiotherapy if the MRI comes out to be fine
User :   like massage therapy?
Doctor :  
it will give you better pain relief and will enable you to be back to normal soon.
Doctor :  
no not exactly massage therapy, its physical therapy, consisiting of massage, ultrasonica masage, few mobilising exercises, IFT etc.
Doctor :  
the modalities decision can be taken after seeing the MRI
Doctor :  
have you followed what i have said?
User :   yeah all of it
User :   thats exactly what my doctor said
Doctor :  
Is there any thing else I can help you with?
User :   no thats its, thanks
Doctor :   ok
Doctor :  
you will see specialist second opinion poped on right side of your chat window
Doctor :  
these specialists are our panel specialists
Doctor :  
after the MRI, you can choose to take second opinion from them
Doctor :  
to help clear any doubts that you might still have
User :   ok
Doctor :  
Please fill the feedback form, and comment box, and say done when done.
User :   done
User :   bye
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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