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What could cause bilateral knee pain?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have had bilateral knee pain. I had an MRI that showed changes and articular full-thickness cartilage loss. I have had increased pain so had another MRI done one week ago.

The report states:

Mild OA changes with spiky tibial tubercles and small osteophytic lipping formations were seen.

Small patellar subchondral bone marrow edematous changes.

Evidence of two small femoral subchondral cystic changes.

Mild joint effusion.

I had a doctor look at the MRI images and he said it was lateral patellar subluxation and I needed hamstring and quad drills for stretching he did not mention the OA or the other changes above mentioned.

Do cystic changes suggest bone cysts?

Can you please reply with a clear straightforward diagnosis that I can understand?

Answered by Dr. Anuj Nigam

Education:

DNB

Professional Bio:

Dr. Anuj Nigam is an orthopedician and traumatologist specializing in bone, joint, and spine health. He focuses on treating fractures, sports injuries, and chronic pain conditions through evidence-based and minimally invasive techniques, helping patients regain mobility and live pain-free, active lives.    

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

In terms of straightforward words, this report (attachment removed for patient identity protection) says stage 2 or 3 osteoarthritis. Your bone is getting damaged. A subchondral cyst is formed when bone tries to cover up the damages by rebuilding the bone in a fast manner but fails and forms a hollow bone (cyst). You will need surgery in stage 4. Follow up with MRI (magnetic resonance imaging) images so that I can explain better.

Thank you.

Answered by Dr. Anuj Nigam
Medically reviewed by iCliniq medical review team
Published At April 3, 2023
Reviewed At October 10, 2023

Education:

DNB

Professional Bio:

Dr. Anuj Nigam is an orthopedician and traumatologist specializing in bone, joint, and spine health. He focuses on treating fractures, sports injuries, and chronic pain conditions through evidence-based and minimally invasive techniques, helping patients regain mobility and live pain-free, active lives.    

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Anuj Nigam
Dr. Anuj Nigam

Orthopedician and Traumatology

Education:

DNB

Professional Bio:

Dr. Anuj Nigam is an orthopedician and traumatologist specializing in bone, joint, and spine health. He focuses on treating fractures, sports injuries, and chronic pain conditions through evidence-based and minimally invasive techniques, helping patients regain mobility and live pain-free, active lives.    

This doctor is not available for online consultations on the platform anymore.

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