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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stiffness And Severe Pain In Knees While Kneeling?

I was walking rapidly through a museum and walked into a marble bench. It hit the left side of my knee. The spot had a very large bruise but not much swelling. A week later noticed a stiffness and severe pain if I try to kneel on my knee. I have the sensation of kneeling on a large piece of glass. Do I need an x-Ray?
Mon, 15 Sep 2014
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Addiction Medicine Specialist,  's  Response
X-ray won't help.
It only shows the bone and that is unlikely to be the issue:
not enough of a hit to cause a fracture
Movement generally is NOT affected nor range of motion per se
The only thing that an x-ray MIGHT be helpful is if a bone chip were knocked into the joint.
ON the Other Hand.... if a tendon or cartilage edge were involved they WILL show up on an MRI.
A tendon that is bruised is not a big deal, gets better with rest, anti-inflammatories, maybe an ace wrap.
If carilage is injured, damaged, or a part broken off, surgery is helpful and the knee is truly damaged.
Cannot say in your particular case. Exam would sort it out (if tendon sore to touch, if the support/movement of the joint is no longer normal, if there is still a lot of effusion, if there are awful clicks inside the knee when it is moved... all exam findings of considerable value).
So... NO on x-ray.
Yes on evaluation (possibly after a couple days of resting to see if everything gets better)
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What Causes Stiffness And Severe Pain In Knees While Kneeling?

X-ray won t help. It only shows the bone and that is unlikely to be the issue: not enough of a hit to cause a fracture Movement generally is NOT affected nor range of motion per se The only thing that an x-ray MIGHT be helpful is if a bone chip were knocked into the joint. ON the Other Hand.... if a tendon or cartilage edge were involved they WILL show up on an MRI. A tendon that is bruised is not a big deal, gets better with rest, anti-inflammatories, maybe an ace wrap. If carilage is injured, damaged, or a part broken off, surgery is helpful and the knee is truly damaged. Cannot say in your particular case. Exam would sort it out (if tendon sore to touch, if the support/movement of the joint is no longer normal, if there is still a lot of effusion, if there are awful clicks inside the knee when it is moved... all exam findings of considerable value). So... NO on x-ray. Yes on evaluation (possibly after a couple days of resting to see if everything gets better)