knee joint pain since 2 years

[kiran07kk]

my brother 26 yrs old is suffering from both knee joint pain since two years.he has consulted orthopeditian and rheumatologist,what they said is everything is normal(non specific arthritis).even his blood parameters and xray are normal.but he cant stand more than two hours or cant walk even one kilometer.can you suggest the probable diagnosis.

[kiran07kk]

thank you very much sir...
i will work on that.

[S. Kaul, MD]

Hi there!

Well, without an evaluation it would be difficult to determine the cause of the knee pain. Possibilities that may need to be considered include patellar dislocation, chondromalacia patellae, infections/ inflammations, arthritis, bursitis, tendonitis, cyst formation, iliotibial band syndrome, osgood schlatter disease, bone growths/ tumours, nerve impingement/ compression, fractures, injuries to the internal knee ligaments/ menisci, osteopenia, micronutrient deficiencies etc.; just to name a few. While a few of these can be ruled out on the x-ray, most others would require further evaluation. I would suggest consulting an orthopedician for an evaluation, preferably at a university/ teaching hospital. After a cause is diagnosed, it can be managed accordingly.
Hope this helps.

Take care!