Subject had no prior history of knee pain or knee injuries. Subject is 66 year old man, 5' 11" 290lbs in good health. He stated has always liked to walk, ski, dance, and was otherwise active. On August 24, 2008, after about 4 miles walk subject reported he woke up, next morning, with pain in BOTH knees. Subject also reported being in the Middle East in June 2008, and having had a short affair with an attractive woman in her 40s. STD. lyme, other blood tests were negative.
In September he was referred to Orthopedic Sport Clinic's knee specialist, X rays, were negative, but for some minor thinning of the meniscuses' and also the left knee showed a small bone spur, but not associated with the area of pain, i.e., on the interior side of and inside both knees, often causing stiffening of the calf muscles.
At the time of this visit, Subject reported--since August the pain in left knee subsided about 80 percent, but not the right. In a follow-up MRI of the right knee, the Radiologist's report was negative, but for some signs of minor inflammation, which he attributed to arthritis(?). However, 8 weeks later, subject reports pain in right knee has subsided about 70 percent, but now left knee pain has flared up more than ever. Subject reports pain responds well to Naproxin 375mg once a day. Specialist also fitted him with knee braces, Rx exercise and wait loss.
What is troubling no prior history of arthritis, and currently only problem is with both knees and the sudden onset of pain in both knees, overnight.