Hi) Please ,help me.I will be so grateful to have answer from you.7 month ago I won a competition ( I was made 11740 times squat without weights) 1,5 hours of squatting 😄 And after till now I have constant pain in different part of right and left knee.On ultrasound diagnostics I always have synovitis ( 4-7 ml of liquid) both knees.On right knee -degeneration of posterior horn of medial meniscus..and pain after some not difficult exercises.Based on analysis it's not rheumatoid aryritis.Also I have a little "genu valgus"..distance between foot 0,22 ft( 7 cm). I'm started training in gym 6 years ago,had 1 year of teakwondo and during 6 months before this competitions I was running in the team ( sprint).I can't leave without sport..I have light exercises that consult my doctor,but everytime when I started to squat a little,running for bus for example the knees became inflammation..what to do?
Post by Glenn Fleisig, Ph.D. on Feb 10, 2017 10:36:34 GMT -6
It is difficult to understand your question, due to translation. Please answer the following questions.
How long have you had this constant pain? Male or female? Height, weight, and age? What country do you live in? If U.S., what city do you live near? What kind of doctor did you see? Any diagnosis in addition to degeneration of posterior horn of medial meniscus in right knee? What was the doctor's specific recommendations, regarding rest, physical therapy, surgery, and anything else?
Okay,I'll try to explain,as I can,Im mediical student now) I'm 21 years old.Height 180 cm,weight 64 kg. I'm from Ukraine,Vinnitca.I went in rheumatologist,traumatologist,rehabilitologyst,physiotherapist.They said I need rest. some light bicycle,light exercise to improve knee strength.And if it's pain,to take some nonsteroidal anti-inflammatory drugs ( injection in muscle or oral). Magnetic resonance imaging: right kee- peripheral tear (4mm) of posterior horn of medial meniscus. medial collateral ligament is swelling. a little bit liquid (synovitis),articular surface of condules of tibia and fibula are thickened and sclerotic. their edges sharpened and sclerotic. left knee: flattening and hardening of the joint surfaces. joint space is narrowed. Objective - I don't have pain when I move,just not painful loud sound of crepitation.Patella is moving normally.
Post by Chris Looze, MD on Feb 19, 2017 12:56:00 GMT -6
Sorry to hear that your knees have been giving you such problems. Establishing a diagnosis is the first line of business. The repeated inflammation and swelling that occurs with activity suggests that there is a structural issue. It is difficult to determine what that issue is without actually being able to examine your knees. Certainly a meniscal tear can create this situation, however would not explain the pain in the left knee. For a meniscus tear, arthroscopic surgery to repair or resect the injured meniscus is typically the answer- particularly in a young person who has not responded to nonoperative measures. Patellar maltracking and patellofemoral pain are common in people with genu valgus or knock knees and may be the source of the issue. For these issues, a good round of physical therapy, quad strengthening and avoidance of activities causing the inflammation are the mainstays of treatment. There are surgical options but are less reliable and really should be only for refractory cases. Lastly- for your left knee, "flattening and hardening of the joint surface. joint space is narrowed" sounds like there may be some osteoarthritic change in your knee. It would be unusual for someone your age to have osteoarthritis, so actually seeing the images would be the only way to confirm if there was in fact a significant amount of osteoarthritis. Treatment for this in a young person is quite complex, but again it would be unusual for you to have a significant amount of arthritis as the cause of your symptoms.