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Why does my knee feel stiff and heavy?

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Patient's Query

Hi doctor,

I am a 42-year-old woman who is a non-smoker and fit person, but I experience pain in my legs and feet. It started with a swollen and stiff knee, and then the pain moved to the other knee, then it goes to my feet. I cannot walk or do sit-ups without feeling constant pain. It goes away, and then it comes back. The swollen knee is warmer than the other when in pain. I have tested negative for rheumatoid factor. I have x-rays and MRIs, but no one can give me a straight answer about what to do. I started walking on the treadmill, which helps with the pain in the legs, but now the pain has moved to my arms. I guess it is some sort of inflammatory process, but I do not know what to do, and because of COVID-19, I cannot go to a specialist.

Hello,

Welcome to icliniq.com.

I understand your concern. It can be due to arthritis only, but sometimes kidney dysfunction can lead to swelling in limbs. I would like to see your MRI (magnetic resonance imaging) and x-ray reports, and then I can let you know if there is any information on soft tissue injuries. What medicine are you taking currently?

Patient's Query

Hello doctor,

Three years ago, my legs started hurting, and the pain was either in one of the legs. I could not understand what caused it and what made it go away. Sometimes at night, I woke up from very severe pain. Two years ago, my knees started to swell, and I could not bend them. Then I started going to a different doctor (endocrinologist, rheumatologist, orthopedist), and they did different tests. But no one could tell me what was wrong. One day my right knee got so swollen that I went to an orthopedist, and he made an infusion of blood into the knee. Another doctor wanted me to hospitalize so they can do more tests, but the pandemic started, and I could not do it. I started moving more, which helps my legs not to hurt as much. But that does not make the pain go away. My left arm started hurting the same way, and it is hard for me to move it (mainly in the shoulder area). I also have strong headaches sometimes, and they do not pass for days. I do not know if that is related to the pain in my limbs. I have not had any other diseases. For the last 10 to 12 years, I have not even gotten the flu, a cold, or anything like that. I am not taking any kind of medicine.

Hello,

Welcome back to icliniq.com.

Thank you for attaching the reports (attachment removed to protect the patient's identity), and I have gone through them. Mam, as we can see from your MRI (magnetic resonance imaging), x-rays, and other blood reports that there is a deficiency of vitamin D3 that is a major concern for bone diseases. The MRI reports are suggestive of femoral subcortical osteitis and synovitis. Both these things are suggestive of bilateral bone marrow edema. Bone marrow edema is a condition where fluid buildup is present inside the bone marrow, and some lesions are seen as well. It can be due to fracture, arthritis, or infection, so I have to treat it accordingly. First of all, I would suggest:

  1. Continue with your vitamin D3 tablets as you were taking previously.
  2. Tablet Ibuprofen (Midol) 400 mg twice a day after meal for seven days.
  3. Tablet Pantoprazole (Protonix) 40 mg once a day before meal for seven days.
  4. In some cases, usually, surgery is required to decompress the bone by drilling, and after that, swelling decreases, which is more beneficial.
  5. Also, do physiotherapy will help reduce pain and swelling as well.

Medically reviewed byiCliniq medical review team

Published At April 6, 2021
Reviewed AtJuly 20, 2023

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