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What do swelling and tightness behind the knee suggest?

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Posted on Tue, 12 May 2015
Question: My son in Florida called. He has swelling and tightnes behind his right knee, aches a lot. No injury. He sits a lot in a truck. Not eating a good diet. He is 43. It started yesterday.
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Answered by Dr. Vaibhav Gandhi (40 minutes later)
Brief Answer:
This can be early osteoarthritis of knee due to excessive sitting in truck.

Detailed Answer:
Hello,

I have studied your case.

This can be early osteoarthritis of knee due to excessive sitting in truck.
You need to take cartilage protecting medication like chondritin sulphate [glucosamine], that you need to take for couple of months.

I will advise to do X ray knee weight bearing and if required MRI knee can be done and if there is severe destruction of menisci then arthroscopic shaving can be done.

Physiotherapy like ultrasound and tens will help, along with knee exercises

Exercises will help to strengthen muscle and joint.
In lying flat supine on back – move your ankle up and down[plantar flexion dorsiflexion],keeping small towel below knee-press your patella[knee cap ] on towel and hold for 15 sec,lift your leg straight alternately [10-15 times].
Lying on your tummy- flex knee alternately, make knee rotation in flexion.
Sitting on chair- extend your legs alternately [hold in extension for 15 sec]
Standing half squat taking support of wall to back..

VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years.
Newer modalities for cartilage injury include autologous chondrocyte implantation[ ACI] which helps in treatment of cartilage destruction.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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What do swelling and tightness behind the knee suggest?

Brief Answer: This can be early osteoarthritis of knee due to excessive sitting in truck. Detailed Answer: Hello, I have studied your case. This can be early osteoarthritis of knee due to excessive sitting in truck. You need to take cartilage protecting medication like chondritin sulphate [glucosamine], that you need to take for couple of months. I will advise to do X ray knee weight bearing and if required MRI knee can be done and if there is severe destruction of menisci then arthroscopic shaving can be done. Physiotherapy like ultrasound and tens will help, along with knee exercises Exercises will help to strengthen muscle and joint. In lying flat supine on back – move your ankle up and down[plantar flexion dorsiflexion],keeping small towel below knee-press your patella[knee cap ] on towel and hold for 15 sec,lift your leg straight alternately [10-15 times]. Lying on your tummy- flex knee alternately, make knee rotation in flexion. Sitting on chair- extend your legs alternately [hold in extension for 15 sec] Standing half squat taking support of wall to back.. VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. Newer modalities for cartilage injury include autologous chondrocyte implantation[ ACI] which helps in treatment of cartilage destruction. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.