Knee Pain: Causes, Diagnosis, and Treatment Options - Orthopedics

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Knee pain can be a complex issue, often stemming from various causes, including previous injuries, overuse, and degenerative changes. In your case, the pain located above the kneecap, especially with tenderness upon touch and exacerbation during weather changes or inactivity, suggests a few potential underlying conditions.

One possible cause of your symptoms is patellar tendinopathy, commonly known as "jumper's knee," which occurs due to repetitive stress on the patellar tendon. This condition can lead to inflammation and pain, particularly in individuals who engage in activities that involve jumping or running. Given your history of a bike accident at age 18, it’s plausible that this injury may have contributed to long-term changes in your knee structure or function, leading to your current symptoms.

Another consideration is patellofemoral pain syndrome, which is characterized by pain around the kneecap and can be aggravated by activities such as climbing stairs, squatting, or sitting for prolonged periods. This condition often arises from muscle imbalances, overuse, or issues with the alignment of the kneecap.

In terms of diagnosis, it would be prudent to undergo a thorough evaluation by an orthopedic specialist. This evaluation typically includes a physical examination, where the doctor will assess your range of motion, strength, and any areas of tenderness. Imaging studies, such as X-rays or an MRI, may also be recommended to visualize the structures of the knee and rule out any significant injuries, such as meniscal tears or cartilage damage.

For treatment options, initial management often involves conservative measures. These may include:
1. Rest and Activity Modification: Avoiding activities that exacerbate the pain, such as running or jumping, can help reduce inflammation and allow healing.

2. Ice Therapy: Applying ice to the affected area can help alleviate pain and reduce swelling, especially after activities that provoke symptoms.

3. Physical Therapy: A physical therapist can design a rehabilitation program focusing on strengthening the muscles around the knee, improving flexibility, and correcting any biomechanical issues. This may include exercises targeting the quadriceps, hamstrings, and hip muscles.

4. Medication: Non-steroidal anti-inflammatory drugs (NSAIDs) can be used to manage pain and inflammation.

5. Bracing or Taping: In some cases, a knee brace or taping techniques may provide additional support and alleviate pain during activities.

If conservative treatments do not provide relief, further interventions may be necessary. These could include corticosteroid injections to reduce inflammation or, in more severe cases, surgical options to repair any structural damage.

Regarding your request for hospital recommendations in the Greater Taipei area, I suggest seeking out reputable orthopedic clinics or hospitals known for their sports medicine departments. Institutions such as National Taiwan University Hospital or Taipei Medical University Hospital have specialized orthopedic services and can provide comprehensive care for knee-related issues.

In summary, knee pain can arise from various factors, and a thorough evaluation is essential for accurate diagnosis and effective treatment. By addressing the underlying causes and following a structured rehabilitation program, you can work towards alleviating your symptoms and improving your knee function.