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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Knee Pain

My knee and leg blow the knee Is always aching but when I lay down the pain becomes almost unbearable. The aching had started several weeks ago and is getting worse. Like I said the pain from laying down is keeping me up all night. I have used ice packs and numerous over the counter medications with no relief. The bending in my knee while walking doesn t seem to hurt but when I try to to completely bend it like if I was squatting or trying to kneel the pain again is severe
Fri, 6 Sep 2019
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General Surgeon 's  Response
Hi,

In your case, there are few possible causes and if there was no injury then some other chronic disorder may be present. Without more information, it is not enough to determine the diagnosis.

It could be a hematoma (bleeding in the tissues) or a swollen knee joint capsule. If it's in the back of the knee then it could be a Baker's cyst. Clinical examination (and perhaps fluid aspiration if there's any) would help to determine the diagnosis.

Either an orthopedics specialist or your primary care physician can do that. Until then you can try to apply ice packs (not directly on the skin - wrap them with a towel) and perhaps use some painkillers starting with paracetamol (acetaminophen) and advancing to NSAID if paracetamol is not enough and there's no contraindication for NSAID.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Iven Romic Rommstein, General Surgeon
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Suggest Treatment For Severe Knee Pain

Hi, In your case, there are few possible causes and if there was no injury then some other chronic disorder may be present. Without more information, it is not enough to determine the diagnosis. It could be a hematoma (bleeding in the tissues) or a swollen knee joint capsule. If it s in the back of the knee then it could be a Baker s cyst. Clinical examination (and perhaps fluid aspiration if there s any) would help to determine the diagnosis. Either an orthopedics specialist or your primary care physician can do that. Until then you can try to apply ice packs (not directly on the skin - wrap them with a towel) and perhaps use some painkillers starting with paracetamol (acetaminophen) and advancing to NSAID if paracetamol is not enough and there s no contraindication for NSAID. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Iven Romic Rommstein, General Surgeon