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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Knee. Active LIfestyle. No Insole Problem. Advice

I am 60year old female recently having pain in the front of my knee - Six months ago I started to wear insoles (made to measure by podiatrist) due to having arch pain etc in my right foot. Shortly afterwards the pain started in my knee- I have been back to the podiatrist several times and have been assured that the pain is nothing to do with the insoles - I walk ever day approx. 3 milles and further at the weekends (Approx4-5) -swim and dance once a week- I would describe myself as moderately active -( I never have been to a gymn) I do pilates each morning - my knee would not be stiff or sore in the mornings but as the day progresses it get worse and especially going up the stairs or uphill
Mon, 22 Apr 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hello, thanks for writing. Your description is highly suggestive of "Patello femoral arthritis" ( worn out joint between the thigh bone -femur and the knee cap bone -patella ). This condition typically hurts while climbing staircase. Generally for your age, osteoarthritis of knee (worn out joint between femur & tibia) is common. I am ruling out this diagnosis because osteoarthritic knees generally hurts a lot in the morning hours (when the soft tissues around the knee will be stiff) and as the day progresses the pain gets better. And in your case, its exactly the reverse. The main stay of treatment for this Anterior knee pain would be "Quadriceps strengthening exercises" which your physio will teach you. Hope this helps you. Regards
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Pain In Knee. Active LIfestyle. No Insole Problem. Advice

Hello, thanks for writing. Your description is highly suggestive of Patello femoral arthritis ( worn out joint between the thigh bone -femur and the knee cap bone -patella ). This condition typically hurts while climbing staircase. Generally for your age, osteoarthritis of knee (worn out joint between femur & tibia) is common. I am ruling out this diagnosis because osteoarthritic knees generally hurts a lot in the morning hours (when the soft tissues around the knee will be stiff) and as the day progresses the pain gets better. And in your case, its exactly the reverse. The main stay of treatment for this Anterior knee pain would be Quadriceps strengthening exercises which your physio will teach you. Hope this helps you. Regards