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Why do I have pain and clicking sound in my knee. Kindly provide a second opinion.

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

Patient's Query

Hello doctor,

My MRI scan says that the menisci is normal but I still experience pain even after exercising for two months with the same intensity and I can hear clicking sounds in my knee. So I need to confirm that the MRI report is accurate by having a second opinion. I am also aware that the meniscus tear is not being found on the MRI.

Thank you.

Answered by Dr. Vivek Chail

Hello,

Welcome to icliniq.com.

I can understand your concern. Your MRI (magnetic resonance imaging) right knee images are reviewed (attachments removed to protect the patient's identity) and my comments are as follows. The medial and lateral meniscus do not show any type of tear or signal changes and are confirmed in PDFS and T2 images. There is no bone contusion. The anterior and posterior cruciate ligament attachments are maintained and there is a possible mild strain in the anterior inferior part of the anterior cruciate ligament as mentioned. Additionally, the medial and lateral collateral ligaments are intact. If you have pain in the inner part of the knee then I will have a suspicion of a mild strain of the medial collateral ligament. If not then this is not a significant finding.

Sometimes it is difficult to pinpoint the cause of pain without knowing the exact pain location.

If you can please share details on the pain area then I will review the images again and let you know if there are any more areas of concern.

I hope this helps you.

Thank you.

Regards,

Patient's Query

Hello doctor,

Thank you for your reply,

I am experiencing pain in the inferior lateral portion of my right knee. This pain worsens during vibrations when traveling, mild twisting movements, and walking.

Thank you.

Answered by Dr. Vivek Chail

Hello,

Welcome back to icliniq.com.

I have reviewed your images (attachments removed to protect the patient's identity) in view of the problems. There is mild hyperintensity in the femur attachment of the lateral collateral ligament and this is in the superior lateral part of the knee and in many people it is normal. If there is pain in the area after any stress then it might be a strain in the ligament. The inferior part of the lateral collateral ligament is completely normal. There is no other obvious imaging finding in the area.

I hope this helps you.

Thank you.

Regards.

Answered byDr. Vivek Chail

Medically reviewed byiCliniq medical review team

Published At December 31, 2023
Reviewed AtFebruary 2, 2024

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