I started running again this spring. I started slowly, with intermittent motion. Everything was fine until the day both knees started complaining. A twinge of pain with every step.
This new pain-me came from inside the knee, not below the kneecap, my usual point of pain. The other movement that gave me a flash of pain was deep knee bend did every morning to pick up the dog food.
I knew enough to stop doing the things that cause pain; To stop running and bent over straight legs to reach the dog food. Other movements – walking, stairs – not trigger acute pain, but my knees would get sore at the end of the day. Aspirin helped.
Self-treatment is appropriate for minor knee pain, according to two doctors, Nitin Damle and John Meigs . However, if there is redness or if you have problems with stability or walk, see a doctor.
Another concern came into my mind – and that’s what sent me to the doctor. I live in an area, which houses some of the highest rates of disease Lyme in the nation. My doctor accommodated me with a test Lyme but also examined me and asked me many questions.
PCPs see a lot of people with knee pain, says Meigs . “It is one of the most common complaints of family doctors receive.”
Faced with a painful knee, doctors take a story: a wound is made? Did you change your exercise regimen? “Everyone can lead to inflammation of the knee,” says Damle .
The doctor will examine the knee. “You may see fluid accumulation, decreased range of motion or difficulty weight bearing,” Damle says. These symptoms may indicate a serious injury such as a torn ligament, which can lead to an MRI and a referral to an orthopedic surgeon.
If the plane is not knee injured, the doctor will look for other problems. Mild swelling and pain can arise from what are called overuse injuries. “Sometimes people take running or walking or whatever, and do a little too much and too fast,” says Meigs .
swear I did not do too much too fast. And yet, there are numerous structures in the knee can be injured or inflamed. The most serious things are a fractured kneecap; a torn ACL (anterior cruciate ligament); and a torn meniscus cartilage pad inside the knee. The more run-of-the-mill things are bursitis, an inflammation of the small pockets of fluid that cushion the outside of the knee joint and tendinitis, irritation and inflammation of the tendons that attach muscles leg to leg bones.
Runners, skiers and cyclists are susceptible to bursitis and tendinitis. Treatment is simple: rest, ice, corset and anti-inflammatory medicine. That means you have to stop doing anything that causes pain, ice your knee (most useful in the first two days after injury), use a wrapper athletics or a knee brace to protect against a measure that can re-injure joint murderers, and take the pain.
My doctor told me that if I was negative for Lyme and continual pain, might consider seeing a specialist to check osteoarthritis. The diagnosis becomes increasingly common with age; Studies have found about 20 percent of people aged 45 years and over a third of people over age 60 have osteoarthritis of the knee.
“sharp pain in both knees in older adults: You do not think osteoarthritis,” Damle says. A radiograph can help confirm osteoarthritis by documenting excrescences and / or joint space narrowing bone.
A week after the visit of my doctor, another possibility was presented. A friend told me he had taken his daughters – Two gymnasts – tween pediatrician with knee pain. They were diagnosed with parvovirus, which in his case was not accompanied by the telltale rash or fever. “It’s going around,” the doctor my friend, adding that the symptoms should disappear within a week or two.
In an online search, I discovered a syndrome called viral arthritis, which often causes pain in the large joints, such as knees, and can be triggered by parvovirus, even in adults, and a handful of other viruses, including hepatitis (B and C), enterovirus and rubella. Perhaps I had a risk factor my doctor had not asked for -. Living with a preteen boy in a city where the parvovirus was frequent
Bacteria can infect your knees, so Meigs says. “A hot knee will be red, swollen and tender color,” she says, and worth a visit to the doctor. Antibiotics can eliminate non-viral bacterial infections, but. People tend to blur over time.
Indeed, my pain resolves in about two weeks. But what I had parvovirus? I can not tell.
The good news is that I started running again this week, and I’m pain free. If my pain returns, I can look at specific stretching and strengthening exercises to help better support the knees running and walking.
The Washington Post