Q. Why do I hear clicking sound only when I twist my knee?

Answered by
Dr. Chirag Ashok Berry
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 06, 2017 and last reviewed on: Oct 09, 2018

Hello doctor,

I am a 25 year old and a triathlete. 3 months ago, I suffered from knee pain. Doctor checked McMurray test, and Apley grind test result was negative. Only when I twist (rotate) my knee I hear some clicking or popping sound. I took MRI and the result was shown anterior torn of lateral meniscus. It is very small tear. But, my symptoms are matching with patellofemoral compression syndrome. I am really confused. I am having Glucosamine and fish oil at present. I have attached my MRI report for your reference. Now I am doing swimming and simple knee strengthening exercise. After 2 months rest, I feel free when running continuously. When I rotate my knee, I here click or popping sound and no pain. I ran for 10 days and feel pain at the top of the knee cap. Would you recommend surgery or it will cure naturally? And can I do cycling? Does cycling affect meniscus? Please suggest.

#

Hi,

Welcome to icliniq.com.

Thank you for giving me an opportunity to assist you.

It looks like you injured your knee three months ago during an athletic activity, and have been having some mechanical symptoms of clicking and popping since then. Since the knee pain has come down, it is likely that your body is trying to take care of the tear for you.

While it is often difficult to know from just an MRI report (attachment removed to protect patient identity) as to where exactly the tear is (which zone, etc), it is advisable to consult an orthopedic sports medicine specialist to see if a diagnostic arthroscopy is right for you.

This procedure being minimally invasive can allow you to get back to activity very early in the postoperative period. Also, any minor tears and cysts that are causing mechanical obstacle to the normal frictionless movement of your knee joint can be taken care of during the procedure.

If the clicking does not bother you much and does not prevent you from athletic activity, I would recommend only strengthening exercise for now.

The location that you point out maybe related to a different source of pain. Anterior knee pain is commonly seen in athletes like you with overuse of the patellofemoral joint.

  • Any excessive knee activity in flexion with active quadriceps like cycling and walking upstairs can be painful.
  • A diagnostic arthroscopy will also be able to look into the back of your patella to see for any structural abnormalities or any dynamic maltracking of your patella that may be responsible for the pain.
  • If you want to be able to continue your triathlon activities in future then it may be prudent to have your knee looked at arthroscopically.
  • Avoiding cycling and other such activities may help in reducing pain, but may delay your return to full athletic activity.
  • I would recommend continuing quad strengthening exercises preferably under a physiotherapist's supervision.

Probable diagnosis:

1. Lateral meniscal tear.
2. cyst.
3. Patellofemoral pain syndrome (PFPS).

Treatment plan:

1. Diagnostic arthroscopy if affecting activity level
2. Physiotherapy supervised quad strengthening.

Regarding follow up:

For further information consult an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist


Was this answer helpful?

 | 

Related Questions:
Knee Pain in Old Age - Osteoarthritis

.. in elderly people. It is the commonest of all the conditions that affect the joints in particular. Here, I have discussed about OA in detail .. ...   Read full

Dr.Debanjan Mondal

M.P.T in MUSCULOSKELETAL.,M.phil.,Certified manual therapist.,Certificate in Ergonomics   Read full

How can knee pain be prevented?

.. is a common complaint that affects people of all ages. Knee pain may be the result of an injury or some other medical conditions including arthritis, patellar tendinitis, ACL (anterior cruciate ligament) injury, knee bursitis, torn meniscus, gout...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Kindly explain MRI taken for soreness of anterior knee.

Query: Hello doctor, I am a 28-year-old male, weight around 78 kg and have been having soreness on my left anterior knee for the last three to four months (not an accident or anything just started getting sore). I finally got an MRI and was told the following (but I do not really understand the terminolog...  Read Full »

What can be the reason for lack of sleep and weight gain?

Query: Hello doctor, My mother is 60 years old. She recently got her tests done. She is not able to sleep properly. She is unable to regain her sleep if she wakes up during the night. Can you please go through the reports and let me know what the actual problem is? I am attaching a copy of the test resul...  Read Full »

Also Read


I am suffering from dry and scaly scalp. Is that scalp psoriasis?
Hello doctor, I am suffering from dry, scaly patches on the scalp for the last six to eight months. Since childhood, I h...  Read more»
Birth Control Methods - Facts, and Types
Devices or treatments done to prevent unwanted pregnancy are called birth control methods.In this article, I am going to...  Read more»
Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»

Ask your health query to a doctor online?

Ask an Orthopaedician & Traumatologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.