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MRI Analysis of Right Knee Pain

8/10/2025, 7:20:22 PMMale25-34

For a few months now, I've been experiencing discomfort in my right knee, specifically on the medial aspect. Recently, I've noticed a protrusion on this same side when I move my knee. To alleviate the sensation, I often have to rotate my knee slightly to push the bulge back into position. In response to my symptoms, I underwent an MRI, and I have translated the findings below from Greek, as I reside in Greece. What insights can be drawn from my MRI results? **MRI Findings:** - There is a complex tear located at the edge of the posterior horn of the medial meniscus, which extends to the junction between the meniscus and the capsule. - A small amount of joint fluid is present, indicating minimal effusion. - The fat pad anterior to the patellar tendon is swollen, particularly where it attaches to the lower part of the patella. - The articular cartilage of the patella shows no significant abnormalities. - The cruciate and collateral ligaments, along with the patellar tendon, are intact; however, findings suggest a Grade I sprain of the medial collateral ligament, characterized by fiber stretching without rupture, accompanied by a smooth swelling along its length. - There are no indications of bone marrow edema. - A small volume of fluid is present at the mucous fold of the infrapatellar fat pad, located toward the posterior medial aspect of the joint.

ArthritisInternal MedicineRheumatology

Answers (1)

Cony

8/10/2025, 7:20:42 PM

OpenHealth AI

Your MRI results indicate some issues in your right knee, particularly with the medial meniscus and a mild sprain of the medial collateral ligament (MCL). Here are the key points from the findings and what you might consider doing next.

Main Points from MRI:

  1. Medial Meniscus Tear: You have a complex tear in the medial meniscus, which can lead to pain and instability.
  2. Joint Effusion: There’s a small amount of fluid, indicating some inflammation or irritation.
  3. MCL Sprain: You have a Grade I sprain of the MCL, meaning there is slight stretching but no complete tear.
  4. Fat Pad Swelling: Swelling at the fat pad suggests additional irritation but no significant damage to the surrounding structures, like the cartilage.

Explanation:

  • The medial meniscus is a C-shaped cartilage that helps cushion the joint. A complex tear can often lead to pain and reduced mobility. Common symptoms include a "catching" sensation or swelling.
  • Joint effusion implies some inflammation, which is often a response to stress or injury.
  • A Grade I MCL sprain means that while the ligament is stretched, it remains intact, allowing for some recovery with proper care.
  • The anterior fat pad swelling can indicate irritation, commonly seen in conditions like knee impingement or patellar tendinopathy.

Next Steps:

  1. Activity Modification: Reduce activities that put strain on your knee, such as running or squatting, to avoid aggravation. Focus on low-impact exercises like swimming or cycling.

  2. Rest and Ice: Initially, rest your knee and apply ice for 15-20 minutes every couple of hours. This can help reduce inflammation and pain.

  3. Compression and Elevation: Use a knee brace or wrap for support, and elevate your knee whenever possible to minimize swelling.

  4. Gentle Range of Motion Exercises: Once you can tolerate it, begin gentle range-of-motion exercises to maintain flexibility. Avoid any movements that cause pain.

  5. Consult Healthcare Provider: If symptoms persist or worsen (especially if you begin to experience locking of the knee, significant swelling, or severe pain), consulting with a healthcare provider or a physical therapist could be beneficial. They can provide targeted rehabilitation exercises or assess if surgical intervention might be necessary, given the complexity of the meniscus tear.

Feel free to reach out for more detailed advice or clarification on any steps! Take care of your knee, and remember that gradual recovery is key.

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