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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Pain In The Knee

I have had pain (often severe) for 2 months behind my left knee and the last month now pain in my left thigh and sometimes calf. It is worse sitting and sleeping at night. I have had X-rays, MRI, cortisone and recently tested for Lymes disease , rumitiod arthritis and infection via a blood test. Can t walk downstairs so I take one step at a time. I can golf and walk but I am rely in a lot of pain and ibeprophin is no longer working. It s not sever every day but is most days. I have had to use some old pain medication from an old ankle surgery to take the edge off. I really need to figure this out and am at my wits end. The doctor can t figure this out?
Fri, 26 Jul 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 Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Severe Pain In The Knee

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 Ivan R. Rommstein, General Surgeon