A 60yr old female with no h/o dm/htn complaining of severe pain with swelling below both knees.. Kindly suggest..

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Its important to know about the activities which aggravates pain as there could be so many possible provisonal daignosis for swelling and pain in knee,we must rule out OA and gout arthritis And from the above picture knock knees can be percieved ( Though the picture is not that well positioned ) and sweling around supra patellar region , lateral and medial knee can be seen.Hence ruling out supra patellar bursitis and anserine bursitis is important.An xray will be helpful however starting a session of home based cryo therapy as regions of tenderness and pain can be helpful as primary measure.
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Pain and swelling inferomedial to knee joint indicates anserine bursitis. May be due to degenerative disease of knee like osteoarthritis or due to obesity. Rest, NSAID and physiotherapy. Intralesional corticosteroid form 2nd line of therapy.
It is mere deposition of fatty tissue underneath the subcutaneous layer secondary to obesity,cushings,hypothyroid,PCOD and other metabolic and endocrinal causes . Anserine bursitis it is pathological ,most often unilateral secondary to sports activities,diabetes,it is more proximal location unless extension distally
HOUSE MAIDS KNEE . XRAY BOTH JOINTS TO EXCLUDR OA. FOR THE BURSITIS APPLY SOFRAMYCIN SKIN CREAM . IT REDUCES SWELLING AND PAIN.TRRAT OA WITH PHYSIO AND PAIN KILLERS
Type of patellar (Sub pattelar) bursitis can be there. Rest,pain killer, physiotherapy...Us/ tens,.. Uric acid should be check.
kindly get standing xrays of knee joint
OA knee bilateral with Genuvalgum The swelling is fat deposition seen in over weight people,especially in women Usg evaluation if in doubt Analgesics Calcium vitD Diacerein will help Physiotherapy Long term solution is TKR Xray both knee
Dr parshuram agarwal Doctor please you need to take an x ray of the above and below knee area.it is impossible to diagnose without loking and palpation consistency.
We should go for xray ap,lateral view in standing position and rule out Osteoarthritis. For pain NSAID n physiotherapy should given for joint mobility.
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