Lymph Nodes in the Knee: What You Need to Know - Family Medicine

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Knee lymph nodes


Doctor, excuse me, I would like to ask about some small nodules I felt in my knee a couple of days ago.
They are about 0.3-0.5 mm in size, mobile, and have a soft texture.
They do not have a fixed position, and some feel like a cluster.
Is it normal for a person to feel lymph nodes in the knee area? I am very thin, measuring 164.2 cm and weighing 42 kg, and I have mitral valve prolapse.
Thank you in advance for your response.

Wei Zhe, 10~19 year old female. Ask Date: 2018/03/18

Dr. Huang Xunying reply Family Medicine


Lymph nodes are immune organs in our body that can become activated during infections.
In some individuals, lymph nodes may enlarge in response to the infection, and after they enlarge, they do not always return to their original size.
In some cases, this may be a residual effect after the infection has resolved.
It is still advisable to monitor the corresponding limb for any wounds or signs of infection.
Additionally, if there is pain or hardening of the lymph nodes, it is recommended to follow up with a hematologist for further evaluation.

Reply Date: 2018/03/18

More Info


Lymph nodes are an essential part of the lymphatic system, which plays a crucial role in the body’s immune response. They are small, bean-shaped structures that filter lymph fluid and house immune cells that can help fight infections. While lymph nodes are typically located in specific areas of the body, such as the neck, armpits, and groin, it is not common to palpate lymph nodes directly in the knee region.

In your case, the small, soft, movable lumps you are feeling in your knee may not be lymph nodes. Instead, they could be a variety of other structures, such as:
1. Baker's Cyst: This is a fluid-filled sac that can develop behind the knee, often due to conditions like arthritis or meniscus tears. It can sometimes be felt as a lump and may vary in size.

2. Synovial Plica: This is a fold in the synovial membrane of the knee joint that can become irritated or inflamed, leading to a palpable lump.

3. Fat Pads: The knee joint contains fat pads that can sometimes be felt as soft lumps, especially if there is swelling or inflammation in the area.

4. Ganglion Cysts: These are non-cancerous lumps that can form near joints or tendons, often filled with a jelly-like fluid.

5. Lymphadenopathy: While less common in the knee, lymph nodes can become enlarged due to infections or other medical conditions. However, they are usually not palpable in the knee area.

Given your description of the lumps being soft, movable, and not fixed in place, it is more likely that they are not lymph nodes but rather one of the other structures mentioned above. However, it is essential to consider your overall health and any other symptoms you may be experiencing.

Since you mentioned having mitral valve prolapse, it is crucial to monitor any changes in your body closely. While mitral valve prolapse itself may not directly relate to the lumps in your knee, any new or unusual findings should be discussed with your healthcare provider, especially if you experience symptoms like pain, swelling, or changes in mobility.


Recommendations:
1. Consult a Healthcare Provider: It is advisable to see a doctor, preferably an orthopedic specialist or a primary care physician, to evaluate the lumps in your knee. They may perform a physical examination and possibly imaging studies (like an ultrasound or MRI) to determine the nature of these lumps.

2. Monitor Symptoms: Keep track of any changes in the lumps, such as size, tenderness, or associated symptoms like pain or swelling. This information will be helpful for your healthcare provider.

3. Avoid Self-Diagnosis: While it is natural to seek information online, self-diagnosing can lead to unnecessary anxiety. A professional evaluation is the best way to understand your condition.

4. Maintain a Healthy Lifestyle: Given your slim build and existing health condition, ensure you are eating a balanced diet and staying hydrated. Regular check-ups with your healthcare provider can help manage your overall health.

In conclusion, while it is not typical to feel lymph nodes in the knee, the lumps you are experiencing could be due to various benign conditions. A thorough evaluation by a healthcare professional is essential to determine the exact cause and to ensure appropriate management.

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