Hi doctor,
I am a 27 year old male. My weight is 85 kg and height is 179 cm. About 2 years ago, I participated in a half marathon. On that day, I started feeling pain in both knees above the patella. I think in quadriceps tendon. I followed RICE and the pain went off. But, after that, whenever I do some running or exercise it again starts paining and I have to take rest for a week to reduce it. Recently, I have started going gym and doing light exercises. Even for this, it is paining very badly near and just above the patella. I feel pain while running, staircase movement and bending knees. I am not taking any medicine or medical help now. I am just using pain relieving ointment. Please help me.
Hi,
Welcome to icliniq.com.
Considering your symptoms and pain, I have a few points to mention.
- It is possible that the pain is due to quadriceps pull. However, a condition called chondromalacia patellae should also be ruled out.
- Do you have pain in climbing upwards or upstairs?
- I would recommend x-rays of the knee (anteroposterior, lateral and skyline patella view) to further manage it.
- RICE would help (rest, ice, compression and elevation). Knee cap while walking should provide further relief.
- Use of an analgesic and application of analgesic gel would help. I suggest tablet Ibuprofen with tablet Pantoprazole twice a day with local gel application.
- I would recommend physiotherapy such as Q drill (quadriceps drill), QSE (quadriceps setting exercise) and hamstring strengthening along with SWD (shortwave diathermy) to the knee.
Investigations to be done:
X-ray bilateral knee AP (standing), lateral and skyline patella.
Differential diagnosis:1. Quadriceps pull.
2. Chondromalacia patellae.
3. Osteoarthritis.
Chondromalacia Patellae.
Treatment plan:RICE, physiotherapy and medications.
Preventive measures:1. Avoid running.
2. Follow lifestyle modification.
3. Try to lose weight and keep BMI (body mass index) below 25.
Revert back with the x-ray report to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist
Thank you doctor,
Other than running, what shall I do to loss my weight?
Hi,
Welcome back to icliniq.com.
- Swimming and cycling should be more beneficial than running.
- I would recommend your x-rays and follow the precautions as advised.
Revert back with the x-ray reports to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist
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