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On and off knee joint pain

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I am 40 yrs , male from India with 6 yrs history of on and off knee joint pain. My general fitness is good and have an active life style. Initially i got the knees checked by doctors, who found it quite ok, and suggested few exercises only. However, I did not continue the physiotherapy for its entire course.
One of the interesting fact about the pain is that at one time only one of the knee is paining, never in the last so many years I have had complaint of both the knees paining simultaneously.
Well, now i really plan to see a doctor very soon to diagnose as it might be causing some damage to my knee internals. Pls. suggest what could it be, runners knee or anything else?
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First Helper User Profile Gaelic
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replied October 17th, 2011
Especially eHealthy
NKC,

Unfortunately, with so little information it is not possible to determine what is causing the discomfort over the internet. There are many, many causes of pain in the knee. Depending upon where, exactly, the knee is hurting, some of the more common causes may be:

Degenerative joint changes in the articular cartilage are a very common cause of knee pain. This usually begins to bother people at about your age. If the patient has had significant injuries to the knees when younger or they have a family history of osteoarthritis, this is a very likely cause.

Tears in the meniscal cartilage can also set up inflammation in the joint, which usually results in knee pain. The menisci, again, begin to degenerate about the 4th or 5th decades of life. A meniscus can be torn from an injury or just due to aging. The type of injury that usually causes a tear, is a twisting type of injury.

Patellofemoral syndrome (PFS) is a disorder that causes pain under the patella (knee cap). These patients complain of pain after sitting for a while, climbing ladders, walking down stairs. Occasionally, the patients will also have some swelling under the patellar tendon.

The are a lot of tendons and bursae around the knee with can become inflamed. This can thing cause discomfort with certain activities.



But, the only way to know for sure what is going on, is to have the knee examined by an orthopedic surgeon. Usually, screening x-rays are taken also. If necessary, an MRI can be obtained for further evaluation.

Good luck.
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replied October 17th, 2011
Thanks Gaelic for your detailed reply. I agree problem can not be figured out without thorough diagnosis. Still I can share some more symptoms...I feel mild pain under the knee cap area and and I don't remember any injuries that might have occurred. The pain is not persistent and goes off for some days then returns back to last for few days.

Anyway, check up will only help. Thanks Gaelic!!!
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replied October 19th, 2011
Especially eHealthy
NKC,

With the pain about the patella, and without an injury, the most likely problem is the patellofemoral syndrome. But, early degenerative arthritis under the patella is also a possibility.

But, as you have stated, the only real way to know it to have someone examine the knee and take some x-rays. Good luck.
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