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Difficulty in bending and straightening the knee. Swelling and heat. Sprain?

Hi, i dont know what is wrong with my knee . I cant fuLly bend or straighten it without pain. It is a little swollen and warm to touch, but no discolorization. This happened overnight, i woke up and it was like this, no prior symptoms before. I dont know if it is related but also my ankle on the opposite leg is acting like it is sprained. Same thing, slept, woke up, and now this, same night infact. I feel like im falling apart and need some advice
Asked On : Tue, 19 Mar 2013
Answers:  2 Views:  87
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Lab Tests
General & Family Physician 's  Response
Hello Good Evening,

It seems to septic arthritis, brief details as follows:

Septic arthritis is the purulent invasion of a joint by an infectious agent which produces arthritis, and is considered a medical emergency.
The usual etiology of septic arthritis is bacterial, but viral, mycobacterial, and fungal arthritis occur occasionally.

Septic arthritis should be considered whenever one is assessing a patient with rapid onset of joint pain.
Usually only one joint is affected (monoarthritis).
Pain can be significant with any movement.
May have associated swelling, redness & warmth.
In the case of gonorrhea the knee or wrist may be chronically affected.

Following tests should be done:
-Aspiration (giving a turbid, non-viscous fluid), Gram stain and culture of fluid from the joint.
-X-ray of the joint
-Ultrasound of the joint

So go to the orthopedic surgeon for further management including intravenous antibiotics, analgesia and may be washout/aspiration of the joint.


Dr. Naresh Jain.
Answered: Sun, 28 Jul 2013
I find this answer helpful
Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Hello and Welcome to HCM,
Thanks for writing to us.
According to your description , pain and swelling over your knees seems to be inflammatory in nature.
I advice you to give you rest to the part affected, take anti-inflammatory drug like motrin 1 tablet with food as and when required (upto 4 tablets daily) to reduce pain and inflammation and consult your doctor for thorough examination of knees and rule out any infective cause.
Hope this helps you.
Wishing you good health...
Dr Saurabh Gupta.
Answered: Sun, 28 Jul 2013
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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