sharp pain-always Patella?

[chefsalad]

having pain behind both knees I asumed I might be getting varacose veins. My primary says no, but suspects I have Artritis in both knees. X-Ray tomorrow, awaiting insurance pre-cert for MRI. Well, since yesterday, the left knee has been having constant sharp, shooting, extremely painful "stab" like feelings now come from the front. Walking, sitting ,doesn't matter. More than ever though when I stand the pain (pain, but not quite a "stab") really comes stronger from behind my knee. The last 2 days it seems it's gotten worse. I'm 46, active and concerned about what is happening. I really don't know anythng about joint health and would appreciate any feedback. Thank yo for your time.Carolyn

[S. Kaul, MD]

Hi again!

On a general principle, ice-packs are useful for acute/ sudden conditions like injuries etc.; while warm compresses are helpful for conditions that have been present for some time. Another way to differentiate is; if it’s red and swollen it’s better to use ice-packs and after the redness and swelling subsides, warm compresses are helpful in providing relief.
Hope this is helpful.

Take care!

[chefsalad]

Thank you for your response. I had bi-laterral X-rays on both knees yesterday and next step is possibly MRI. Yesterday I felt pain free. I am learning how to take my rests and elevate my legs when needed. Origanlly on Naproxen SOD 550 mg., I needed something stronger 2 days ago and was given a different anti inflammatory. Honestly, I needed a pain killer as the pain all day was that intense. I wasn't sure if ice or heat were best so thanks for that tip. Hopefully my Dr. will have my X-ray results by the begining of the week and we can go from there. Thanks again, Carolyn

[S. Kaul, MD]

Hey Carolyn!

Pin behind the knee is unlikely to be due to varicose veins and is more likely to be due to knee related issues. Without a physical examination and probably a few tests, it would be difficult to pint out the cause in your case. Possibilities include infections/ inflammations, nerve impingement/ pressure, tendon/ ligamental tears, meniscal injuries, fractures, patellar dislocation, bursitis, tendonitis etc. It would be best to get this evaluated by an orthopedician, for an accurate diagnosis and appropriate management. Meanwhile you may try resting the knee and some warm compresses. OTC NSAIDS may be used if the pain is severe.
Hope this is helpful.

Take care!