hi,
thank you for providing the brief history of you.
A thorough neuromuscular assessment is advised.
As you mentioned in the history about swelling in front of the knees and you have
arthritis, i will advice you two things to look ahead - first , take an
MRI of knee to see the soft tissue status - as due to
soft tissue injury the swelling arises and it takes a while for it to go. Second , kindly undergo
physical therapy for the knees, as it will help improve the lower limb mucles and also improve your venous return by which swelling will be avoided.
As, to understand why in arthritis the lower
limbs swell, is simple to understand. Due to pain in the arthritic joints, the functional mobility of the body reduces. By this, the cardiac output also slows down. Which leads to lack of vascular insufficiency and swelling.
In my clinical practice i see cases with such issues, i advice them to undergo physical therapy, get complete ROM of knee to get the normalcy of the biomechanics and muscle property. Strengthening is also needed for the lower limbs, core and
pelvic floor - since body functions as a single
unit, there needs to be a stabilization as well. Also, my patient recover upto 99% in 6-8 weeks of time, post which they can jog, run , jump.
Regards
Jay Indravadan Patel