HomeAnswersOrthopedician and Traumatologyknee painPlease provide a clear diagnosis of my knee MRI.

What could cause bilateral knee pain?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Anuj Nigam

Medically reviewed by

iCliniq medical review team

Published At April 3, 2023
Reviewed AtOctober 10, 2023

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


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.

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

Dr. Anuj Nigam
Dr. Anuj Nigam

Orthopedician and Traumatology

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