My knee hurts so much!
Hello, doctor.
A few days ago, I asked a question but didn't see your response, so I would like to ask again! I am 24 years old, and five years ago, I was rear-ended while riding a scooter, causing both of my knees to hit the ground with force.
I was taken to the hospital for treatment and had daily follow-ups, but now, five years later, I experience swelling around both knees.
Sometimes, when the weather is colder, they swell on their own.
I don't know if it's related to the weather, but the swelling occurs irregularly—sometimes in the front of the knee, sometimes in the back.
This makes it difficult for me to squat or stand for long periods, and I experience pain when going up stairs.
Medication has been ineffective, and I can only wait for the swelling to subside, which is really painful! I went to the hospital for examinations, and it wasn't anything like rheumatoid arthritis or gout.
The doctor mentioned that my knees didn't heal properly before and advised me to strengthen my thigh muscles to support my knees.
I also read that young people can easily injure their knees from playing basketball or in accidents, and they might have undiagnosed tears in their meniscus or ligaments, leading to long-term issues as they age.
I've heard that taking glucosamine or eating shellfish (like shrimp) can help.
I wonder if any of you could offer me some advice? This is really painful, and at just 24 years old, I don't want to suffer like this! Working is already tough enough.
Please help me! Thank you!
Kele Xiaozai, 20~29 year old female. Ask Date: 2005/07/06
Dr. Shi Qiming reply Orthopedics
Hello: The symptoms in your knees following the motorcycle accident suggest that there may be internal damage to your knees, and further examination is recommended.
Possible injuries include posterior cruciate ligament (PCL) and anterior cruciate ligament (ACL) injuries, meniscus tears, cartilage damage, or even fractures.
Since a definitive diagnosis cannot be made at this time, it is advised that you visit our orthopedic outpatient clinic for further evaluation to ensure accurate diagnosis and treatment.
Reply Date: 2005/07/06
More Info
Knee pain in young adults can be a significant concern, especially for those who have experienced previous injuries or engage in high-impact sports. Your situation, having sustained injuries from a motorcycle accident five years ago, is particularly relevant as it can lead to chronic knee issues if not properly addressed.
Understanding the Causes of Knee Pain
Knee pain can arise from various causes, including:
1. Previous Injuries: Your history of trauma from the motorcycle accident may have resulted in damage to the ligaments, cartilage, or meniscus in your knees. Even if these injuries were not fully diagnosed or treated at the time, they can lead to ongoing pain and swelling.
2. Patellar Tendonitis: Commonly known as "jumper's knee," this condition is often seen in athletes and can cause pain around the kneecap, especially during activities that involve jumping or running.
3. Osteoarthritis: While more common in older adults, young individuals can develop early signs of arthritis due to previous injuries, leading to pain and swelling.
4. Bursitis: Inflammation of the bursae (small fluid-filled sacs that cushion the knee joint) can cause swelling and pain, particularly during movement.
5. Weather Sensitivity: Some individuals report increased pain and swelling in their joints with changes in weather, particularly in colder temperatures.
Treatment Options
Given your symptoms and history, here are some treatment strategies that may help alleviate your knee pain:
1. Physical Therapy: Engaging in a structured physical therapy program can be beneficial. A physical therapist can guide you through exercises designed to strengthen the muscles around your knee, particularly the quadriceps and hamstrings, which provide support to the joint.
2. Strengthening Exercises: Focus on low-impact exercises that strengthen the muscles around the knee without putting excessive strain on the joint. Exercises such as straight leg raises, wall sits, and gentle cycling can be effective.
3. Rest and Ice: When experiencing swelling, it's essential to rest the knee and apply ice to reduce inflammation. Avoid activities that exacerbate the pain, such as prolonged standing or climbing stairs.
4. Medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and swelling. However, consult with a healthcare provider before starting any medication.
5. Nutritional Supplements: Some individuals find relief with glucosamine and chondroitin supplements, which may support joint health. However, the evidence is mixed, so it's best to discuss this with your doctor.
6. Weight Management: If you're overweight, losing weight can significantly reduce the stress on your knees, potentially alleviating pain.
7. Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation and pain in the knee joint.
8. Surgery: If conservative treatments fail and the pain persists, surgical options may be considered, especially if there is significant damage to the knee structures.
Conclusion
It's crucial to address knee pain early, especially given your age and active lifestyle. While it may feel overwhelming, there are multiple avenues for treatment and management. Consulting with an orthopedic specialist can provide you with a tailored approach to your specific condition, ensuring that you can return to your activities with less pain and improved function. Remember, taking proactive steps now can help prevent further complications in the future.
Similar Q&A
Effective Solutions for Knee Pain: Tips for Relief and Recovery
Whenever I exert force on my knee, it hurts a lot, even when sitting down or standing up. What should I do?
Dr. Shi Qiming reply Orthopedics
Dear Sir/Madam, The issues related to the knee joint vary by age group. In younger individuals, they are often caused by sports injuries, while in older adults, they are typically due to degeneration and arthritis. Therefore, it is advisable for you to visit our outpatient clini...[Read More] Effective Solutions for Knee Pain: Tips for Relief and Recovery
Understanding Knee Pain: Causes, Treatments, and Growth Concerns in Teens
Hello, I would like to ask: Previously, I had knee pain and went to see a doctor. The doctor asked if I had been running or exercising, and I said yes, during physical education class, practicing for a relay race. When I stood up or walked up the stairs, my knee would hurt for a ...
Dr. Shi Guozheng reply Orthopedics
Knee pain can be caused by various conditions, and the location of the pain can help determine the diagnosis. If the pain is located at the front or next to the patella, it may indicate different issues. Pain at the interface between the patella and the femur could suggest a prob...[Read More] Understanding Knee Pain: Causes, Treatments, and Growth Concerns in Teens
Essential Knee Care Tips for Young Professionals Facing Pain
Hello, doctor. I have a few questions: 1. During my student years, I didn't like to exercise and often sat for long periods. Recently, after working as an intern for six months, I started experiencing knee pain and visited a clinic. At that time, I was only prescribed anti...
Dr. Li Yanheng reply Rehabilitation
Based on your age and symptoms, you likely have patellofemoral pain syndrome (which is caused by insufficient strength in the thigh muscles leading to frequent friction between the patella and femur during activity, resulting in acute or chronic inflammation). Medication and reha...[Read More] Essential Knee Care Tips for Young Professionals Facing Pain
Understanding Mysterious Knee Pain: Causes and Solutions for Young Adults
Hello, Doctor. I am a fourth-year student, 22 years old. Recently, for some unknown reason, my knees have been hurting after walking for a while. It started with my right knee, but in the past two days, my left knee has also begun to hurt. I suspect this might be due to compensat...
Dr. Ye Qingnian reply Orthopedics
Hello: It is recommended to seek outpatient care for clearer evaluation. Thank you, and wishing you peace and good health.[Read More] Understanding Mysterious Knee Pain: Causes and Solutions for Young Adults
Related FAQ
(Orthopedics)
Knee Swelling(Orthopedics)
Post-Knee Surgery(Orthopedics)
Femoral Pain(Orthopedics)
Calf Pain(Orthopedics)
Ankle Pain(Orthopedics)
Knee(Surgery)
Patellar Dislocation(Orthopedics)
Muscle Pain(Orthopedics)
Tendonitis(Orthopedics)