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203342 tn?1328737207

20 year old with knee problems

Hello. My 20 year old son went to the doctor a couple of months ago because his knee was so swollen. The doctor seemed surprised that he didn't do sports because he thought it seemed like a sports injury. They took x-rays and didn't see anything. He gave him Motrin and that was pretty much it. Lately, he's been complaining that his knees hurt again especially when he's bending down or on his knees.
He doesn't play sports. He goes to college and works part time. He is not at all overweight, if anything he is very slim. Any ideas what could be going on? Should he go back to the doctor? They didn't find anything before or seem to know what the matter was. Would PT help? Does he just have "bad knees"? He seems kind of young for this. Thanks.
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563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,

Three possibilities are there.First and foremost is chondromalacia patellae. This is a softening of the cartilage that lines the back of  the kneecap.Diagnopsed by physical examination and MRI knee.Blood tests and x-rays are unhelpful since cartilage does not show up on x-rays.

Other possibilities are of tibial apophysitis, or Osgood-Schlatter lesion and Jumper's knee (irritation and inflammation of the patellar tendon).

Without clinical examination,diagnosis is tough.Pls discuss these possibilities with an orthopedcian as treatment is diagnosis specific.

Take care and do keep posting on how your son is doing.
Helpful - 0
144586 tn?1284666164
Could be a torn miniscus, which can be identified by an MRI. Often, the cause is fluid in the joint, which is removed by a hypodermic syringe (not that painful, actually). PT would NOT help, and he has a torn miniscus would likely make him a cripple for life. You should go to a physician experienced in sports medicine.
Helpful - 0
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