Family Health Expert Forum
Pain behind the knees
About This Forum:

Questions in the Family / Internal Medicine forum are answered by medical professionals and experts. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Pain behind the knees

I am a healthy, active 54-year old, 5'10" 140 lbs.  I exercise regularly, have a healthy diet, sleep well, and have no history of chronic pain or any other medical conditions.  I own a small ad agency; most of my work is at the desk & computer, but I am up & down the stairs & moving around the office quite a bit.  I awoke 2 days ago with lower back pain, which felt like a pinched nerve.  Aspirin or aleve provided adequate relief & it subsided.

Yesterday, the pain (related I assume?) seemed to move down to behind my knees.  It is not responding to aspirin & became strong enough it woke me out of a sleep.  I have just spent about an hour at 4am on the computer searching for this topic & was led to your website.  None of the matches I found made any sense (lupus, arthritis, RLS, etc) because this came on so suddenly and there is a total lack of other syptoms (symptoms).  

The pain in dull, throbbing, and is not relieved by changing positions--pretty constant whether I'm lying down in any position or sitting.  It's better standing but I can't sleep or work standing.  There is still some pain in the hips/lower back.  I have had no change in activity, no unusual exercise or movement or change in routine.  

This is so uncharacteristic for me--the pain, the reading about med issues online--I want to see if this is possibly symptomatic of something serious, but mostly what I can do to relieve the pain so I can sleep & work.  Any suggestions?

Related Discussions
233190_tn?1278553401
Whenever I hear about pain behind the knees, you want to rule out a blood clot (deep venous thrombosis).  This is unlikely, but certainly possible.  A simple ultrasound would be a reasonable test for this.

Assuming that's negative, then you can look at less serious diseases.  They can include a Baker's cyst (a fluid filled collection behind the knee) as well as various types of muscle strains or nerve impingements.  These can be treated with anti-inflammatories and physical therapy if these causes are suspected.  Further testing can include plain films or an MRI of the back, as well as referrals to an orthopedist or neurologist.

I would discuss these options with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b
3 Comments
Blank
Avatar_n_tn
Pain has now extended to groin, feels exactly the same in the crease between torso & thigh as it does in the crease behind the knee--as though someone were putting strong pressure across the crease.
Blank
Avatar_n_tn
if i were you , i'd go to the emergency room to rule out a clot...is your leg bigger on that side than the other?
Blank
Avatar_n_tn
There are a few self-tests that you can do to determine if you have a DVT (Deep Vein Thrombosis).  You need only compare the temperature of your left vs. right leg and the coloration between the two.

I had a DVT a couple of years ago.  I had back pain for about 4 days before my right leg went completely dead.  It wasn't until I consulted a nurse the day my leg completely died, that I noticed that my right leg was purple!  At any rate, I got to stay in the ICU for about 4 days, so it is very very dangerous.

Do you take estrogen, smoke or take anything else that could thicken the blood?  These, along with a birth defect and ephedra, caused my DVT when I was only 22 and now I am never allowed to have any hormones again.

Good luck and I truly hope you do not have a DVT.
Blank
Continue discussion Blank
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank