Right Knee Discomfort: Causes and Solutions - Orthopedics

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Discomfort in the right knee?


Hello doctor, my right knee feels sore, specifically in the area just below the right side of the knee that dips in.
When I try to straighten it, I notice that my right leg seems slightly more swollen than my left and I can't fully straighten it, resulting in a slight bend.
I have no issues standing up, squatting, or walking, but sometimes the sole of my foot feels a bit numb.
This has been going on for about three months, and I'm a bit worried whether it could be a ligament injury or inflammation.
What should I do?

LIN, 20~29 year old female. Ask Date: 2016/04/04

Dr. Shi Guozheng reply Orthopedics


It could be a ligament issue, so it's best to see a doctor for an examination.

Reply Date: 2016/04/04

More Info


Understanding discomfort in the right knee, especially after a history of injury, can be quite complex. Based on your description, it seems that you are experiencing pain and swelling on the lower right side of your knee, which may be accompanied by a sensation of tightness or inability to fully straighten your leg. Additionally, you mentioned some numbness in your foot, which could indicate nerve involvement or circulation issues.


Possible Causes of Right Knee Discomfort
1. Ligament Injury: Given your history of a car accident, it's possible that you may have sustained a ligament injury, such as to the anterior cruciate ligament (ACL) or the medial collateral ligament (MCL). These injuries can lead to instability in the knee, causing pain and difficulty in movement.

2. Meniscus Tear: The meniscus is a cartilage structure in the knee that can be torn during traumatic events. Symptoms of a meniscus tear often include pain, swelling, and a feeling of the knee locking or giving way.

3. Patellar Tendonitis: This condition, often referred to as "jumper's knee," can occur due to overuse or injury, leading to pain just below the kneecap.

4. Bursitis: Inflammation of the bursa (small fluid-filled sacs that cushion the knee joint) can cause localized swelling and pain, particularly when bending or straightening the knee.

5. Arthritis: If you are experiencing chronic pain, it could be related to osteoarthritis, especially if there is a history of joint injury. This condition involves the degeneration of cartilage and can lead to pain, swelling, and stiffness.

6. Nerve Compression: The numbness you described in your foot could suggest that a nerve is being compressed, possibly due to swelling or inflammation in the knee area.


Recommended Actions
1. Consult a Specialist: It is crucial to see an orthopedic specialist who can perform a thorough examination, including imaging studies such as MRI, which can provide a clearer picture of soft tissue injuries, including ligaments and cartilage.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can design a rehabilitation program tailored to strengthen the muscles around your knee, improve flexibility, and enhance stability. Exercises may include quadriceps strengthening, hamstring stretches, and balance training.

3. Rest and Ice: If you are experiencing swelling, resting the knee and applying ice can help reduce inflammation. Avoid activities that exacerbate the pain.

4. Medication: Over-the-counter anti-inflammatory medications, such as ibuprofen or naproxen, can help manage pain and reduce swelling. However, consult with a healthcare provider before starting any medication.

5. Activity Modification: While it's important to stay active, you may need to modify your activities to avoid exacerbating your knee pain. Low-impact exercises, such as swimming or cycling, can be good alternatives.

6. Knee Support: Using a knee brace or support can provide additional stability and help alleviate discomfort during activities.


Long-term Considerations
If your symptoms persist despite conservative management, further evaluation may be necessary, including potential surgical options if there is significant damage to ligaments or cartilage. It is also essential to monitor for any changes in symptoms, such as increased swelling, severe pain, or changes in mobility, which should prompt immediate medical attention.

In conclusion, while your symptoms may be concerning, a comprehensive evaluation by a healthcare professional is essential to determine the exact cause and appropriate treatment plan. Early intervention can significantly improve outcomes and help you return to your normal activities.

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