What could cause recurred severe pain in knee with history of knee fracture and on brace and ibuprofen?
Patient: bWell, the first time i was trying to run and do exercise movements and all of a sudden...i heard a noise in my right knee area. It hurt a lot and was shooting down my leg and on my side of my top right foot which still hurts a lot. I had gone to the doctor...she sent me for xrays....and about 6 weeks later did an mri. They said nothing except they found a fracture on the knee and did nothing more about it. About a year later...i fell...landed on my knee...it was a different kind of pain....kinda made me sick feeling...couldnt feel anything and for a second or two, i felt like i couldnt move it. Doctor took xrays...she said nothing but a lot of mass. A week later, i fell again and in the same knee. This time doctor thought i was faking it and did nothing...no meds, brace...nothing. A few days later i couldnt stand the pain anymore, so i went into the ER. She took an xray...same old fracture showed up, she put on a brace and is having me take ibprophen and using an icepack and have it higher then my heart. When they put on the brace...it pushed my knee cap back into place. Very painful...will this go away?? What is the problem?? Cartlidge?, tendenitious??, bursitus?? Its numb under my knee cap along with a bump and a bump on each side of the knee. Help me doc...what do you think??? Doctor: Hello,Thank you for your question.From the information that you give I think that you are developing what we call post traumatic arthritis. You say that in X-ray and MRI it was a fracture on the knee that may have been tibial plato or femoral condyle or knee cap. The fracture is healed but since it was an intraarticular (inside the joint) fracture, it heals with some step off and may cause later arthritis.Of course I would like to see the images of the MRI to confirm this diagnosis.If this is the case I would recommend- Loose weight- Physical therapy , range of motion , quadriceps muscle strengthening- Glucosamine and condroitine treatment from mouth- Consider intra-articular injection with Acid Hyaluronic combined with cortisone injection.- cold therapy ( ice packs) against the swelling- anti-inflammatory drugs according to level of pain and knee swellingI hope I helped you