Advertisement - Hide this advert





Author Topic: Intense Knee Pain X-Ray, MRI and other reports are normal  (Read 771 times)

0 Members and 1 Guest are viewing this topic.

Offline ta_a7

  • MICROgeek (<20 posts)
  • *
  • Posts: 3
  • Liked: 0
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

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 4698
  • Liked: 380
  • Neelie knee!
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

  • MICROgeek (<20 posts)
  • *
  • Posts: 3
  • Liked: 0
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

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 4698
  • Liked: 380
  • Neelie knee!
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

  • MICROgeek (<20 posts)
  • *
  • Posts: 3
  • Liked: 0
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 »

Offline The KNEEguru

  • Administrator
  • SuperKNEEgeek
  • *****
  • Posts: 2575
  • Liked: 101
  • The KNEEguru
    • The KNEEguru
Re: Intense Knee Pain X-Ray, MRI and other reports are normal
« Reply #5 on: November 22, 2019, 09:03:57 AM »
All we can do here is to give you some ideas that you can explore online. There seem to be two problems that may or may not be related:
1. Pain in both knee joints, and you mention you think there may be some issue with the hip. Associated with feverishness on occasion. Your blood tests suggest that your doctors have been thinking of an immune arthritic disorder, which is generally the case when more than one joint is playing up. But the blood profile is negative (and I would presume something like TB would have some positive results) and as you mention the small joints of the body are not involved (which would be likely in rheumatoid arthritis), so let's focus on the other symptoms...
2. A history of a fall involving both knees, albeit some time ago. Crepitus in the knees. A feeling of something sharp in the knees. Locking in the right knee. All of these suggest some local knee damage, probably to the joint cartilage or meniscus, with a loose body in the knee.

You mention that your many doctors have not found anything relevant on X-ray or MRI, but a loose body may not show on these examinations.
--
KNEEguru

Offline The KNEEguru

  • Administrator
  • SuperKNEEgeek
  • *****
  • Posts: 2575
  • Liked: 101
  • The KNEEguru
    • The KNEEguru
Re: Intense Knee Pain X-Ray, MRI and other reports are normal
« Reply #6 on: November 22, 2019, 09:14:59 AM »
Another possibility, not really a wildcard either, is trauma to a plica from the original fall, which can lead to catching in the joint, joint cartilage damage and even pseudolocking.

Vickster mentions PFS and meniscus, and of course a meniscus tear may lead to pseudolocking and true locking, and joint cartilage damage.

Out of interest you might like to read this course where Tom Smallman shows how disabling problems can be when very sensitive structures are involved in mechanical disturbances  - https://www.kneeguru.co.uk/KNEEnotes/courses/alternative-viewpoint-anterior-knee-pain/introduction-why-anterior-knee-pain-such
--
KNEEguru

Offline BenAldridge0

  • MINIgeek (20-50 posts)
  • **
  • Posts: 40
  • Liked: 2
Re: Intense Knee Pain X-Ray, MRI and other reports are normal
« Reply #7 on: November 22, 2019, 08:49:53 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!

You mentioned the pain can travel up to the hip joint. Based on this, what about speaking with a neurologist to see if you have an issue with your femoral nerve?