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Long-Standing Knee Injury Without Medical Attention

7/10/2025, 8:40:21 AMMale25-34

Greetings, I’m a 22-year-old male from Algeria. When I was around 12 or 13 years old, I sustained an injury to my right knee from a direct impact to the kneecap. Unfortunately, I never sought medical attention due to various financial constraints and family circumstances. Fast forward a decade, and I still experience discomfort in that knee. It tends to feel weak after extended periods of walking, and I often sense a bit of instability, leading me to use a supportive band for added stability. While there’s no noticeable swelling or discoloration, I sometimes hear a clicking sound or feel slight grinding during movement, and standing for long durations can be quite painful. Given my limited financial resources, I haven’t been able to undergo an MRI to better diagnose the issue. I’m eager to learn more about the potential nature of my injury—could it be a ligament tear, a meniscus issue, or something entirely different? Thank you to anyone who might offer insights or guidance on this matter.

ArthritisCOPDRheumatology

Answers (1)

Cony

7/10/2025, 8:40:39 AM

OpenHealth AI

Thank you for sharing your situation regarding your knee injury. It sounds like you've been dealing with discomfort and instability for quite some time. The symptoms you're describing—weakness, clicking sounds, grinding sensations, and pain with prolonged standing—can be indicative of several possible issues, including damage to the cartilage (like the meniscus), ligament injuries, or even early signs of arthritis.

Explanation

When you experience pain, clicking, and instability in your knee, it generally suggests that there may be an issue with the structures within the joint. Given your history of a direct impact injury, the most common concerns include:

  • Meniscus injury: This cartilage acts as a cushion in your knee and damage can lead to pain and clicking.
  • Ligament injury: Ligaments provide stability to your knee. A tear (like an ACL or MCL tear) could result in the instability you're feeling.
  • Osteoarthritis: Although you're quite young, chronic injuries can sometimes lead to wear and tear in the joint over time.

Next Steps

Here are prioritized actions that can help you manage your knee discomfort and possibly improve your situation moving forward:

  1. Rest and Modify Activities: Take frequent breaks during activities, especially those that require prolonged standing or walking. Avoid high-impact activities that stress your knee.

  2. Ice Therapy: Apply ice to your knee for about 15-20 minutes, several times a day, especially after activities. This can help reduce discomfort and any inflammation.

  3. Strengthening Exercises: Focus on low-impact exercises that strengthen the muscles around your knee, such as straight leg raises, quadriceps strengthening (like seated leg extensions), and hamstring curls. However, avoid any exercise that increases your pain significantly.

  4. Weight Management: If applicable, maintaining a healthy weight can reduce additional stress on your knee joint.

  5. Improve Support: Continue using your knee support as it can provide stability. If you find it helpful, consider using it especially during activities that put strain on your knee.

  6. Pain Management: Over-the-counter pain relief, such as ibuprofen or acetaminophen, can help manage your pain as needed (ensure there are no contraindications related to your health before taking any medication).

  7. Keep Track of Symptoms: Monitor your symptoms and any changes you notice over time. Keeping a diary can help identify triggers and patterns related to your discomfort.

If your symptoms don't improve with these measures or if they worsen, it would be essential to seek professional medical advice when you are able to. In the meantime, continue with self-care strategies and consider exploring community resources that might provide low-cost or accessible healthcare services for further evaluation.

Let me know if you have any other questions or need further information!

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