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Suggest Treatment For Pain Above Knee Caused By Stress Fracture
Question: I had a partial knee replacement in January. In April, my leg gave out and I fell. I was told there was no displacement of the implant but that I did have a tibia stress fracture. I also have pain in the area directly above my knee in the quadricep muscle. I cannot bear all my weight on it when rising from a sitting position, nor can I left my leg as to cross over my other leg. Are you able to offer any suggestions as to what this pain could be
Brief Answer:
Can be due to many causes.
Detailed Answer:
Hello,
Thanks for posting your query.
The pain directly above the knee could be due to postural changes caused by the stress fracture. This can be due to a muscle sprain or neuropathic pain, internal scarring (arthrofibrosis), loosening of the prosthesis, patellofemoral instability, postoperative stiffness, etc. A direct clinical examination and investigations like MRI and arthroscopy are needed to identify the exact cause. The treatment usually involves pain killers under guidance of a pain therapist, physiotherapy, occupational therapy, etc.
You need to consult your surgeon for proper diagnosis and further management.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Can be due to many causes.
Detailed Answer:
Hello,
Thanks for posting your query.
The pain directly above the knee could be due to postural changes caused by the stress fracture. This can be due to a muscle sprain or neuropathic pain, internal scarring (arthrofibrosis), loosening of the prosthesis, patellofemoral instability, postoperative stiffness, etc. A direct clinical examination and investigations like MRI and arthroscopy are needed to identify the exact cause. The treatment usually involves pain killers under guidance of a pain therapist, physiotherapy, occupational therapy, etc.
You need to consult your surgeon for proper diagnosis and further management.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Raju A.T
I have had the pain in that area for sometime now not just since the tibia fracture. I had an MRI about 6 weeks ago and it said that the knee was in position. It doesn't feel like a muscle spasm. I did get a cortisone injection on May 22 that helped for a few days but the pain is back with a vengeance. How else can this be diagnosed? What do you do for patellofemoral instability. I wore a brace and was on crutches for 6 weeks. I have an appointment with him on Friday. I want to make sure I ask him the right questions
Brief Answer:
Clinical examination can detect instability.
Detailed Answer:
Hello.
Thanks for writing again.
If the pain was relieved by cortisone injection then it is likely to be due to an inflammation. The patellofemoral instability can be ruled out after a direct examination. If MRI scan is normal then any structural problem is less likely. You can use an elastic brace for good support to the knee and surrounding muscles.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Clinical examination can detect instability.
Detailed Answer:
Hello.
Thanks for writing again.
If the pain was relieved by cortisone injection then it is likely to be due to an inflammation. The patellofemoral instability can be ruled out after a direct examination. If MRI scan is normal then any structural problem is less likely. You can use an elastic brace for good support to the knee and surrounding muscles.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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