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My knee has been in pain on the right side of my right knee. The pain is close to the knee cap, but not quite on it. It mostly hurts when I am walking, bending it, or putting pressure on it. What could it be? and what can I do?

There is a broad differential diagnosis for knee pain. Important factors to consider is the onset, frequency, provocating factors, and intensity of the pain. In addition, it is important to determine if the you have any history of trauma.

Given you are 14 years old without any reports of trauma or additional symptoms (fever, other joint involvement, etc.), one of the most likely causes of your pain is Osgood-Schlatter Disease, otherwise known as “growing pains.” Osgood-Schlatter Disease is one of the most common causes of knee pain in adolescents – estimated to affect up to 20%. The symptoms include pain and swelling at the lateral-inferior side of the knee around the tibial tubercle (the bump below the knee cap on the right side of the right knee). The disease is considered to be benign and is secondary to the bone growth rate exceeding that of the muscle growth rate causing the tendons to be overstretched and inflamed.

Osgood-Schlatter Disease is a self-limited condition that varies in intensity and can take anywhere from months to years for complete resolution. Generally, no medications are needed and daily icing of the knee is sufficient to resolve the swelling. But if pain and swelling persists, nonsteroidal antiinflammatories (NSAIDs) such as Ibuprofen (brand names Motrin or Advil) are prescribed to decrease the swelling and pain.

As Osgood-Schlatter Disease is a diagnosis of exclusion, acute and chronic pathologies should be ruled out by your primary care physician with a physical exam, X-ray imaging or MRI imaging.

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  4. I have been experiencing intense knee and ankle pain. My knee is much worse than my ankle and is almost always in pain, whereas my ankle only hurts in random spurts when I run or dance. It started about 8 weeks ago when I started running and dancing again but I am only doing about a mile a day. I gave it a week off from running and dance but it only got worse. The pain is in the back, right side only and shoots from the knee to my ankle. It hurts when bent or straight, and any pressure on my knee makes it worse. There is no noticeable swelling or bruising. It gradually started, I never popped it, fell on it or twisted it. Will this go away eventually or is something else wrong?
  5. Hello, I am 49 years old and a woman. I have alot of joint pain, in hips, shoulders, and feet hurt also. Told it is osteoarthritus. I took a pack of prednisone. When I took the ten pills for a couple of days, I felt so much better, but then as they tapered down back in alot of pain. I take a lot of Ibuprofen also. The doctor said my bone density test showed I have oseopenia. I am 130 pounds 5’3”. Lately especially at night , my arms near shoulder area will kinda jerk for no reason, sometimes arm jerks back kinda like a spasm, not painful just makes me feel real edgy and upset. Legs do this some too. If I use my arms alot or stand for very long hips hurt and shoulders and hard to raise my hands over my head. I have a 12 year old son and would love to play ball ect. with him but when i even pitch my arms ache really bad and even hard to sleep on them at night. Has a test for Lupus and Rhuematoid arthritus and they said they were negative. Please help. Bones make noise climbing stairs etc, a crinkly sound.