Hi, I am sorry for the knee pain you are having. As it has become more frequently, creating severe pain in both directions, further tests are required including X-ray and MRI of the knee. We should determine if ligaments or soft tissues inside the knee joint have been damaged (trauma) or respective bones of this joint (arthritis). For the moment, until you see orthopedic specialist, I advise to: - apply cold compresses on your knee - take oral analgesic (e.g. ibuprofen, tamoxifen, etc) - apply analgesic cream locally Wish fast recovery.