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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.Probable diagnosis:
2. Chondromalacia patellae.
Chondromalacia Patellae.Treatment plan:
RICE, physiotherapy and medications.Preventive measures:
1. Avoid running.Regarding follow up:
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