sudden acute knee pain
25 yr female with sudden pain in rt knee since 3-4 days after doing running.. History Non-veg food 3-4 times a week.. no physical momemts or exercise before at all.. Physical Examination Pain ++ Tenderness++ Investigations ? CBC, ESR, CRP, Uric acid reports awaited.. Diagnosis ? Plzz suggest further to evaluate.. Management Tab. Enzoflam Tab. Enzomac Tab. Pan40 Ice foamentation
Due to tightness of quads. Stretch of quads will ease the pain. And hot water will release the pain too.
Acute Chondromalacia patellae aka runner's knee ?? Delayed onset muscle soreness?? Ligaments sprain ??
Check clinically for meniscal injury and ligament laxity Chondromalacia patella another possibility Quadriceps exercises
Apparently no bony lesion Advise MRI for meniscus / ligaments Physiotherapy
Normal
No definite bony injury. However history in favour of cruciate ligament injury. Suggestion MRI
POSSIBLY MENISCAL INJURY DD CHONDRO MALACIA PATELLA
X ray is normal Check for ligament and meniscal tests clinically. After ruling them out, check for manual muscle testing of quads, hamstring, gmax and gastroc. Accordingly if no result at all then go for MRI
Due to tightness of quads. Stretch of quads will ease the pain. And hot water will release the pain too.
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25/f/chronic knee pain....clicks.no effusion or instability...Work up? management?
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What is Janu Vasti (Jaanu Basti)? The term has 2 terms – Janu – means Knee joint Basti – means to hold (compartment which holds) Thus Janu Vasti means a treatment in which medicated oils are poured and pooled for a fixed duration of time in a compartment or a cabin constructed around the knee joint / joints using wet flour of black gram. In simple words, Janu Vasti is pain relieving oil-pooling treatment conducted for knee pain caused due to many causes Vasti or Basti is a term used to describe the urinary bladder in Ayurveda. Urinary bladder is a bag which holds urine for a certain amount of period till it is voided. Similarly in Janu Vasti a compartment (cabin or compound like structure) is constructed around the knee joint (front or back, depending on where the site of degeneration or inflammation or injury is present) by using flour of black gram and the pain relieving medicated (herbal) oils are pooled and left in place (retained) in this compartment for a fixed duration of time. Therefore the procedure is called Janu Vasti. In which conditions is Janu Vasti beneficial? Jaanu Vasti is highly beneficial in the below said conditions – Most common causes (reasons) for knee pain – Osteoarthritis of knee joint – It is the most common form of arthritis in the knee joint. It is a degenerative wear and tear type of arthritis. It occurs most often in people 50 years of age and older. It may occur in younger people also. In this disease, the cartilage in the knee joint gradually wears away. This leads to pain, stiffness, swelling and disturbance of movements along with click sounds when the joint is mobilised. Iliotibial band syndrome – The ilio-tibial band is a band of rough tissue that runs from your hip down to the outer part of your knee. If it is irritated by overuse or other problems, it becomes inflamed and cause pain on the outer side of the knee. Osgood-Schlatter Disease – This disease causes a painful bump below the knee, where a tendon from the knee-cap connects to the shin. It is usually caused by overuse and irritation at the tendon insertion known as the tibial tubercle. The pain may come and go over time. It is common in teenage boys and girls (ages 13 and 14) Patello-femoral pain syndrome (Chondromalacia patellae) – This often results from issues associated with muscle imbalance, tightness and alignment of the legs, rather than an injury. Pain is present between the patella and the underlying thighbone (femur). It is common in athletes, young adults especially those who have a slight misalignment of kneecap. In older adults develop this condition due to arthritis of kneecap. Loose bodies in the knee joint – Sometimes a knee injury can break loose cartilage. These pieces can get stuck in the joint, causing it to freeze and producing pain and swelling. Runner’s knee – It refers to a number of overuse injuries involving pain around the kneecap (patella), such as Patello-femoral pain syndrome. Knee injuries: ACL (Anterior cruciate ligament) injury – An ACL injury is the tearing of the anterior cruciate ligament – one of the 4 ligaments that connect your shinbone to your thigh bone. An ACL injury is common in people playing basketball, soccer or other sports that require sudden changes in directio
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