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Stinging pain in knee cap. What could be the reason?

Jul 2013
User rating for this question
Very Good
Answered by

Orthopaedic Surgeon, Joint Replacement
Practicing since : 1996
Answered : 2148 Questions
I am having a strange off and on stinging pain in my knee cap. It feels like a bee sting, shocking me every once in awhile.
Posted Thu, 24 Oct 2013 in Bones, Muscles and Joints
Answered by Dr. K. Naga Ravi Prasad 14 minutes later
Brief Answer:
Need some more information on your symptoms.

Detailed Answer:
Hi, thanks for writing to XXXXXXX

Some more information regarding your symptoms is needed to arrive at a possible diagnosis.

Please answer the questions in an elaborate manner and add any other relevant information, if possible -
- duration of your pain (since how many days are you experiencing the pain
- is the pain present even at rest or occuring only during specific movements
- any history of injury/trauma
- exact location of pain (whether on the centre of knee cap or onto the sides)
- any aggravating factors (like knee movement causing more pain etc) & relieving factors (medicines, ice packs etc)
- Frequency of pain (occuring once in a day , a week, a month etc) and how long is it persisting
- any underlying diseases like Diabetes, Thyroid etc
- any associated swelling in the knee or involvement of other joints

Above answer was peer-reviewed by
Follow-up: Stinging pain in knee cap. What could be the reason? 6 minutes later
This stinging on my knee cap occurs out of the blue.
Definitely when I am stressed more than usual.
No knee pain. Otherwise pretty healthy. Occasional herpes flair ups.
The sting is right in the top center of knee cap.
It occurs randomly, 5 sharp stings an hour or so.
Answered by Dr. K. Naga Ravi Prasad 1 hour later
Brief Answer:
It could be Neuropathic pain.

Detailed Answer:
Hi, Nice to hear from you.

Based on the information provided, most propably it could be neurogenic pain. Herpes may also be contributing to the pain (as it mostly affects the neural elements).

This pain can be effectively controlled by using medictions like Gabapentin or Pregabalin.
- Lidocaine patch -This patch contains the topical anesthetic lidocaine (Xylocaine). You apply it to the area where your pain is most severe, and you can use up to four patches a day to relieve pain. Lidocaine may help reduce pain from peripheral neuropathy.
- Local application of Capsaicin cream can cause modest improvements in peripheral neuropathy symptoms
- Transcutaneous electrical nerve stimulation (TENS) may help to relieve symptoms.

I suggest you to consult a Neurophysician for futher management.

Hope I have justified your query. Have a great day
Above answer was peer-reviewed by
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