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Knee Pain (32yrs, not arthritis)
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jona45 posted:
I am 32 years old and having knee pain since last 8 months. I went to see an orthopaedic surgeon and he has advised me only physiotherapy of hamstring and quadriceps and some medicines. Xrays are absolutely fine adn blood tests dont show any bad results.

Although I am taking pain killers, Vitamin D and calcium tablets and getting physiotherapy done since 16 days continuous, I still am having knee pain while walking and sitting on the floor with folded legs.

What can be the reason of this pain at my age and also how can I find relief from this pain. Thanks.
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_swank_ responded:
The first thing you need to do is get a diagnosis. X-rays are useless for seeing anything but bone. They do not see soft tissue and that is where most of the problems in the knee are. Go back to the surgeon and ask him to send you for an MRI. That will give you a better idea of what's going on. Knees don't hurt for no reason.
 
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jona45 replied to _swank_'s response:
According to the surgeon, and his clinical examination by movement of leg and knees and identifying pain areas (no pain in movement, except when I sit down resulting in legs being folded and sitting on my toes as well as floor), he doesnt think I need an MRI. I have gotten advice from 2 renowned specialists (FRCS) and also my physiotherapist said the same thing, but yet I am feeling the pain.
 
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annette030 replied to jona45's response:
I do not really think that at 16 weeks one should expect the pain to be completely gone. My left knee has swollen up and hurt severely twice about five years apart, seemingly for no reason, at least no trauma.

The first time I saw my rheumy and after examining me and ordering xrays, he was not really worried about it and it did go away after 8-12 weeks. The second time was about five years later, same thing, swelling and pain, but no trauma. My PCP repeated the xrays (they looked the same), and suggested I see an orthopedist. I talked her into some oral steroids, and finally saw the orthopedist when I finished them and was taking OTC NSAIDs. He explained why they do MRIs and did not really think one was needed yet. He said there was one ligament that the MRI does not show, so even if the MRI were normal, I could have damaged that one ligament, and surgery to take a look see would be necessary. He did agree to watchful waiting. This time the pain and swelling lasted about 24 weeks total, but did go away, and it has been more than ten years since the last time it bothered me. I am a good bit older than you, I am 61, and have FMS which can alter my pain response (not the swelling though) while healing.

If you trust your healthcare providers, I would just do what they suggest.

What have all these specialists told you to do about the pain you are having? Can you avoid the situations that cause pain for awhile?

Take care, Annette
 
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_swank_ replied to jona45's response:
Honestly, if you only have pain when you fold your legs and "sit on your toes" (I'm not sure what you mean by that) then I'm not sure you need to worry too much. As we grow older we lose our flexibility and the ability to sit in certain positions. So just don't sit in those positions. I lost the ability to sit cross-legged on the floor, or sit with my legs folded under me long ago. It really hasn't impacted my life at all.
 
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jona45 replied to _swank_'s response:
It started off while saying prayers when I need to fold my legs. I had pain only while sitting on the floor with folded legs for around 6 months. After that, it started to get worse very rapidly.
Around the 6th month, I started to have this tingling feeling in my knees, resulting in not being able to sit with calves at 90 degrees of thighs (the usual sitting position), so I had to straighten up my legs to get some relief. Then after sometime, it got to the point that I couldnt find relief in even straightened up legs while sitting.
I saw the ortho specialist and he advised me to just get physiotherapy done, there is nothing wrong with you, you just need to strengthen your hamstrings and quadriceps (your muscles are soft by way of touching).
He has asked me to meet again in about 3 weeks now, and get physio and have pain killers when needed.

As far as avoiding the position is concerned, well now I do avoid the position for the last one month and am saying my prayers on a seat. But its embarrassing for me since when I go to a mosque, the only people who say their prayers on a seat are really old men with white or no hair.
 
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David Maine, MD responded:
Thank you for your post. There are a number of indications for a knee MRI such as findings suggestive of instability, persistent locking of the knee, and/or suspected bone infection. Most of the time a clinical exam will elude to the diagnosis. Conservative measures such as PT, ICE, Anti-inflammatories can be very helpful for common injuries but take time and patience. I would follow the advice of your doctor and follow-up in 6-8 weeks or certainly sooner should there be any changes in your symptoms. Good luck!
 
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annette030 replied to jona45's response:
Allah does not care if you kneel while praying or not. He will hear your prayers no matter what position you are in. Please do not feel embarrassed, probably no one notices but you.

It takes a long time to strengthen muscles, do the exercises that the PT suggests, and see your doctor when he wants you to.

My Hero, is my nephew, he was born with orthopedic problems and cannot kneel at all, he has never been able to. His knees only bend to about 85-90 degrees ever. He is a great drummer though. He is 18 now, and I am so proud of him.

Take care, Annette
 
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jona45 replied to annette030's response:
Thanks Annette and everyone else for the hope. I am getting physio done and one thing I forgot to mention is that my left knee (just below the knee cap) is aching very bad while walking as well. Perhaps due to driving a manual car (pressing the clutch may be) with weak muscles, which I have stopped doing so now.
I will see the doc in a few days. Keep me in ur prayers.

Regds,
 
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annette030 replied to jona45's response:
Best of luck to you.

I prefer a stick shift, but gave them up some years ago due to health issues. I am used to an automatic now, but it took getting used to.

Take care, Annette
 
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Geminione6374 responded:
It sounds like I have the exact same problem. I am 39 and have had intense knee pain for the past 9 months or so. I am without health insurance, so I tried to brave through it hoping it would resolve itself. It got worse. At one point, I could walk on it. I broke down and went to the orthopedic surgeon who thought it was bursitis. He said bursitis usually clears up in 3 months, so it concerned him. He injected cortisone. This helped enough to where I could walk. A second injection 6 weeks later did not help. He ordered a MRI, but I can't afford it. I am not sure what else to do. Do you also have sharp pain when you kneel? I do. I also have swelling above my knee.
 
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kennedyronna responded:
According to me you should not continue with that treatment if you are not getting relief with the pain. I was also struggling for th same kind but then my family doctor suggested me to wear jumper's knee on the knee cap to keep my knee compressed whenever i am required to do any activity. he also asked me to apply ice in every 6 hours actually..and now after 3 months i am completely fine. !!
 
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jona45 replied to Geminione6374's response:
Well sometimes doctors screw up. As i mentioned in my initial post, none of the doctors asked me to get a vitamin D3 test done. After moving from one doc to the next, till I checked out with a new 4th one, who asked me to get it done. The results said my vitamin D3 is 9.1 and the scale showed that ideally it should be 30 . So he advised to get an injection of vitamin D3 and then later on continue taking cod liver oil (which has vitamin D3 and omega3).

I got my second test done after getting 2 injections and the results improved to 29.1

After continuing for 3 months, I am 95 % cured. I can drive my manual car (which I could not since it resulted in extreme pain in left knee which is used for clutch).

I can say my prayers, but sitting with folded legs for a while gets uncomfortable, but remembering that I couldnt even do this some months back, gives me a lot of relief.
 
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Tomthumb47 replied to jona45's response:
I'm wondering if you've had progress and what route you took? I am having some knee pain, mainly from driving a clutch. The pain is located below my knee cap. It went away almost completely when I drove my roommate's automatic for a week. I hate to have to sell my car! Any suggestions based on your experience?


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