Unexplained Knee Pain After Recovery from Foot Infection: Seeking Solutions - Orthopedics

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Unexplained knee pain?


Hello, Director Zhang.
I am 67 years old.
Three weeks ago, I experienced a bacterial infection in the wound of my right toenail, which led to inflammation and swelling in both feet, making it difficult to walk.
I was immediately taken to the hospital, where I was hospitalized for about two weeks for treatment and observation.
My condition has improved, and both feet have recovered, including the wound on my right toenail.
However, I am now experiencing pain in my knees when moving.
After discussing my symptoms with the attending physician at Mennonite Hospital, they conducted an examination and found no signs of inflammation in the joint tissues.
They recommended that I consult an orthopedic specialist to determine the cause.
I hope you can provide some advice.
Currently, I experience pain when transitioning from sitting to standing, and my walking has slowed down due to the pain.
I am unsure if this is another symptom triggered by my previous condition.
I hope you can provide medical assistance.
Thank you! Nearby hospitals include Hualien Mennonite Hospital, Tzu Chi Hospital, and Hualien Hospital.

Amigo, 60~69 year old female. Ask Date: 2007/11/16

Dr. Zhang Shengben reply Orthopedics


Hello, Amigo: 1.
Inflammation in the right foot should not cause swelling in both feet unless it progresses to a systemic infection.
2.
If there is pain in both knees following an infection, and if there is concurrent knee infection, there will be signs of inflammation such as redness, swelling, heat, and pain.
If these symptoms are absent, blood tests and X-rays should be conducted to help determine if there are other types of arthritis present, such as rheumatoid arthritis, gout, or osteoarthritis.

Reply Date: 2007/11/16

More Info


Hello, thank you for reaching out regarding your knee pain following your recovery from a foot infection. It’s understandable to be concerned about new symptoms, especially after a significant health issue like an infection.
From your description, it sounds like you have made a good recovery from the bacterial infection that affected your right foot. However, the onset of knee pain, particularly when transitioning from sitting to standing, can be quite frustrating. It’s important to consider a few potential causes for your knee pain, especially given your recent medical history.

Firstly, it’s not uncommon for individuals who have experienced significant foot or leg injuries to develop compensatory movement patterns. When one part of the body is injured or in pain, other parts may compensate, leading to additional strain or discomfort. In your case, after dealing with the foot infection, you may have altered your gait or the way you move to avoid pain in your foot, which could inadvertently place additional stress on your knees.

Additionally, prolonged immobility during your recovery could lead to stiffness in the joints and surrounding muscles. After being less active for a couple of weeks, your knee joints may not be functioning as smoothly as they did before, leading to discomfort when you start moving again. This is particularly relevant for older adults, as joint stiffness and decreased muscle strength can be more pronounced.

It’s also worth considering that the inflammation from your foot infection could have had a systemic effect on your body, potentially leading to temporary joint pain. While your knee joints were not directly affected by the infection, the body’s inflammatory response can sometimes lead to discomfort in other areas.

Given that your primary care physician did not find any signs of joint inflammation, it may be beneficial to consult with an orthopedic specialist. They can perform a more thorough examination, including imaging studies like X-rays or MRIs, to rule out any underlying issues such as arthritis, meniscus tears, or other joint problems that might not have been evident during your initial evaluation.

In the meantime, here are a few suggestions that may help alleviate your knee pain:
1. Physical Therapy: A physical therapist can help you with exercises to strengthen the muscles around your knee and improve your range of motion. They can also teach you proper movement techniques to reduce strain on your knees.

2. Gentle Stretching and Strengthening: Incorporating gentle stretching and strengthening exercises for your legs can help improve flexibility and support your knee joints. Focus on exercises that strengthen the quadriceps, hamstrings, and calf muscles.

3. Ice and Rest: If you experience swelling or increased pain, applying ice to your knee for 15-20 minutes can help reduce inflammation. Ensure you also allow your body adequate rest to recover.

4. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage discomfort. However, consult with your healthcare provider before starting any new medication.

5. Gradual Activity Increase: As you recover, gradually increase your activity level. Avoid sudden or high-impact movements that could exacerbate your knee pain.

6. Weight Management: If applicable, maintaining a healthy weight can reduce stress on your knees and improve overall joint health.

In conclusion, while your knee pain may be a result of compensatory movements or stiffness following your foot infection, it’s essential to have it evaluated by a specialist to rule out any serious underlying conditions. I encourage you to seek an appointment with an orthopedic doctor at one of the hospitals you mentioned, such as Hualien Mennonite Hospital or Tzu Chi Hospital, for a comprehensive evaluation. Wishing you a smooth recovery and relief from your knee pain soon!

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