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Q. I am getting knee pain even with a simple activity. Please help.

Answered by
Dr. Shakti A. Goel
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 21, 2016 and last reviewed on: Aug 27, 2020

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.

Probable diagnosis:

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.

Regarding follow up:

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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