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Knee Problems

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The symptoms or pain, swelling, "water" on the knee and stiffness are symptoms heard from young and old. Follow this chart for more information about knee problems, possible diagnoses and self-care.


 

SYMPTOMS   DIAGNOSIS   SELF-CARE
Begin here        
1. Did your knee pain or swelling begin after a fall, twisting injury, or after the knee was hit by an object or person? No --> Go to Question 7.*    
Yes, go down        
2. Is the knee deformed? Yes --> Your knee may be FRACTURED and/or you may have seriously TORN some ligaments in the internal area of the knee. --> EMERGENCY
See your doctor or be seen in an emergency room right away.
No, go down        
3. Is the tenderness over the patella (kneecap)? Yes --> If you fell hard on your kneecap it may be FRACTURED. Otherwise, it may be bruised or you may have PREPATELLAR BURSITIS. --> See your doctor.
No, go down        
4. Is the knee swollen and filled with fluid and is it difficult to walk on the leg? Yes --> Your symptoms may be from TORN CARTILAGE, a TORN LIGAMENT or CHONDROMALACIA PATELLAE. The fluid, or "water," in the knee is a reaction to the injury. It may return at other times. --> See your doctor.
No, go down        
5. Is the tenderness behind the knee, or did you feel something "pop" behind the knee while running? Yes --> You may have a TORN HAMSTRING MUSCLE. --> Start with ice and analgesics. You may also wrap the thigh with an elastic bandage. See your doctor if there's excessive swelling or pain. If you can barely walk, make sure you see your doctor.
No, go down        
6. After the knee is better do you still have a grinding in the joint or does it ever lock? Yes --> This may be from TORN CARTILAGE. --> Use an anti-inflammatory medicine and rest the knee. If it's painful or if the knee becomes swollen, check with your doctor.
No, go down        
*7. Is the knee swollen, red or both? No --> Go to Question 10.**    
Yes, go down        
8. Do you have a fever with the swollen red joints? Yes --> You may have a more serious problem, such as RHEUMATIC FEVER, including infection of the joint or bone. --> URGENT
See your doctor as soon as possible.
No, go down        
9. Is the other knee or any other joint red and swollen? Yes --> You may have RHEUMATOID ARTHRITIS. --> Try an anti-inflammatory medicine. If there's no improvement after taking a few doses of the medicine, see your doctor.
No --> If the swelling is soft and on top of or around the kneecap, you could have PREPATELLAR BURSITIS. --> Try not to kneel on that knee. Use ice and an anti-inflammatory medicine. See your doctor if it doesn't respond quickly to rest and medicine.


 
  No, go down    
    Your symptoms may be from GOUT or from BURSITIS. --> Try an anti-inflammatory medicine. If there's no improvement within a few doses of the medicine, see your doctor.

**10. Has the knee become tender over many months or years? Yes --> Pain and stiffness are often due to overuse or to arthritis, such as OSTEOARTHRITIS. --> Try an anti-inflammatory medicine. If there's no improvement within a few doses of the medicine, see your doctor.
No, go down        
11. Do you have a swelling in the back of the knee? Yes --> The swelling may be from a BAKER'S CYST. --> Try an anti-inflammatory medicine. If there's no improvement, see your doctor.
No, go down        
12. Are you between 12 and 18 years old and have pain below the knee with swelling of the bump below the knee? Yes --> You may have OSGOOD-SCHLATTER DISEASE, a condition that affects the lower leg. --> Start with ice and rest. See your doctor if there's excessive swelling or pain.
No, go down        
13. Are you less than 18 years old with knee pain? Yes --> You may have a hip problem that feels like knee pain. --> See your doctor.
No, go down        
For more information, please consult your doctor. If you think the problem is serious, call right away.  

This tool has been reviewed by doctors and is for general educational purposes only. It is not a substitute for medical advice. The information in this tool should not be relied upon to make decisions about your health. Always consult your family doctor with questions about your individual condition(s) and/or circumstances. Source: American Academy of Family Physicians. Family Health & Medical Guide. Dallas: Word Publishing; 1996.

Copyright © 2006 American Academy of Family Physicians
 


 
 
 

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