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Author Topic: Intense Knee Pain X-Ray, MRI and other reports are normal  (Read 172 times)

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Offline ta_a7

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Intense Knee Pain X-Ray, MRI and other reports are normal
« on: October 17, 2019, 05:56:04 PM »
Hello, everyone!

I'm having intense pain in both of my knee joints for the past one year. The pain is more severe in the right joint. It's seemingly radiates from right hip to the knee joint. There is a tingling sensation in my knees and feet while standing.

Other details include:
  • Age: 24
  • Locking of right knee
  • Crepitation
  • History of running and history of fall 3 years back on both knees.
  • Due to severity of the pain, I can't stand even for more than 5 mins.
  • I feel there is something sharp in my knee joints.
  • Moreover, I'm having fever after prolong exertion on and off.
  • No history of rash.
  • No history of mouth ulcer.
  • No history of weight loss.
  • All autoimmune profile is normal.
  • HLA B27 is negative.
  • ANA profile is negative.
  • RA factor is negative.
  • Anti CCP is negative.
  • Vit-D is normal.
  • Serum Calcium, Phosphate, and PTH are normal.
  • X-Ray and MRI are allegedly normal
  • Small Joints not involved only hip and knee joint pain.
  • No morning stiffness.

I've consulted lots of doctors but they can't seemingly diagnose my case. Any help on this forum would be greatly appreciated.

Thank you in advance!
« Last Edit: October 17, 2019, 06:03:52 PM by ta_a7 »

Offline Vickster

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Re: Intense Knee Pain X-Ray, MRI and other reports are normal
« Reply #1 on: October 18, 2019, 09:45:49 AM »
Whereabouts in the knee is the pain? Is is mostly around the kneecap area? If so, it could be a patellofemoral syndrome

You don't say which sort of doctors you've consulted? Presumably a rheumatologist given the tests you've done? Who else?

Have you had your gait, muscle balance, ITB and knee tracking fully assessed by a knee specialist physiotherapist? This might also help explain the hip pain if you're walking funny

Do medications help? Ice? Rest? Any sort of physio exercises? Swimming?

Where in the world are you? US? If so, and if it is potentially kneecap centred, you could consult Scott Dye in California who's an expert in PF syndrome

There are some good resources in the learning portfolio on this site if you have a read through

Good luck :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline ta_a7

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Re: Intense Knee Pain X-Ray, MRI and other reports are normal
« Reply #2 on: October 18, 2019, 10:38:19 AM »
Whereabouts in the knee is the pain? Is is mostly around the kneecap area? If so, it could be a patellofemoral syndrome

You don't say which sort of doctors you've consulted? Presumably a rheumatologist given the tests you've done? Who else?

Have you had your gait, muscle balance, ITB and knee tracking fully assessed by a knee specialist physiotherapist? This might also help explain the hip pain if you're walking funny

Do medications help? Ice? Rest? Any sort of physio exercises? Swimming?

Where in the world are you? US? If so, and if it is potentially kneecap centred, you could consult Scott Dye in California who's an expert in PF syndrome

There are some good resources in the learning portfolio on this site if you have a read through

Good luck :)

Thank you very much for the kind response!

Yes, the pain is usually around the knee cap area mostly but it can't be PF Syndrome because PF Syndrome is not characterized by locking of the knee joint whereas I encounter locking in my right knee.

I've consulted Rheumatologist, Physiotherapist, Orthopedic surgeon, Medical specialist but it seems they weren't interested in examining my knee after discovering that the X-rays and MRIs are allegedly normal.

I do get partial relief with rest, but not complete. I took several physiotherapy sessions, did icing, and hot packs but still the pain intensity wouldn't get decreased. Moreover, it gets further aggravated with exercise.

Unfortunately, I don't live in the U.S. but I would love to explore any resources available related to my problem on this website and seek advice from experienced people like you. It would be great if you could direct me to some links on the website.

Thank you once again!
« Last Edit: October 18, 2019, 11:06:00 AM by ta_a7 »

Offline Vickster

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Re: Intense Knee Pain X-Ray, MRI and other reports are normal
« Reply #3 on: October 18, 2019, 02:48:23 PM »
I think you can get locking with PF due to maltracking, inflammation, even pseudo locking with pain inhibition

Meniscus tears which can cause locking are often missed on MRI, can you get a second opinion from a patellofemoral specialist and a review or repeat of MRI

What country are you in?
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline ta_a7

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Re: Intense Knee Pain X-Ray, MRI and other reports are normal
« Reply #4 on: October 18, 2019, 04:25:57 PM »
I think you can get locking with PF due to maltracking, inflammation, even pseudo locking with pain inhibition

Meniscus tears which can cause locking are often missed on MRI, can you get a second opinion from a patellofemoral specialist and a review or repeat of MRI

What country are you in?

Thank you again, Vickster!

You're right, I think I should repeat the MRI.

Btw, I am located in Pakistan.
« Last Edit: October 18, 2019, 04:54:56 PM by ta_a7 »