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Pinching pain, hard lump behind kneecap, painful to touch, pain radiating close to patellar tendon

When bending my leg approx 90 degrees I get a pinching pain and a hard lump (which comes and goes) on the inside of my knee where the quad muscle moves over the head of the femur . The site becomes painful to touch producing a sharp pain. During an episode the pain radiates in the quad area close to patellar tendon above the knee cap usually lasting between 2mins and 1 week.
Asked On : Sat, 12 May 2012
Answers:  1 Views:  272
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Orthopaedic Surgeon 's  Response
1. Seems you are suffering from anterior knee pain. Causes are many depending upon the age and other co-morbid conditions.
2. Usually it is caused by some degeneration of the cartilage beneath the patella. These pain occurs whenever the patella touches the femur and it happens during the 90 degree bending movement.
3. Initially taking an Xray of knee - AP / Lateral / Skyline view can guide us to find out the cause
4. Quadriceps exercises, Knee cap with patella support, along with NSAID's +/- glucosamine / diacerein combination might be helpful
5. If problem persists best would be to undergo Diagnostic arthroscopy which is gold standard for such symptoms. MRI would be the second best option.
Answered: Sat, 12 May 2012
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