How to manage knee pain even with a simple activity?

Question

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.

Answer 1

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.

Answer 2

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.