No symptom: severe chronic knee pain?
Blood tests, bone scan, x-ray, MRI and nine (9) doctors do not know what it is. Predisone did not work. Ibuprofen and Tylenol worked for about a year- now it does not work. Just started Aleve; it works well. The pain is inside one knee. On a scale of 1-10, it gradually goes to a 7. Teenager. There is no history of any sports (except gym) or accidents. Tests show nothing.
There has been a scanogram, which showed a 1cm discrepency (1cm is in the normal range). The pain is in the center, inside the knee. The pain is not worst with any different position or movement, it is not worst in the morning or at night or anytime, there is pain all of the time, and it does not hinder any exercise (except is very difficult to preform any movement when in pain, like sitting straight). No mental problems (no depression, though it's wearing me out; during the points that I'm not on medicine, it gets to an indescribably amount of pain), and social/educational wise, I am an honors student who has close friends.
I've seen a regular doctor, a sports medicine doctor, four (4) reumotologist, an ostiopathic doctor, a neurologist, and an othopedic surgan.
Some theories (from doctors) include: hyperactive nerve, discrepency (ruled out), and refered pain to the knee from the hip (when you're under age nineteen [19] there's something with the brain not being fulling wired).
Public Comments
1. If Ibuprofen worked then it suggests and underlying inflammatory process however this is not always the case (though an increased WBC or ESR would support this).Pain in the medial aspect of the knee is characteristic of Osteoarthritis usually causing a noticeable varus deformity of the legs though OA would be easily picked up on xray.
There are many structures in the medial aspect which often become damaged though this is usually consistent with a history of sports injury or trauma.
The pain could be referred from a neighbouring joint (ankle/hip) and so next line of investigations may be to check these for pathology. There is of course the possibilty that it may be neropathic pain.
A bit more detail may reveal a few more clues; Is there pain present in the morning when you wake up? If so, how long does it last? Is it releaved or exacerbated by exercise? Are there certain movements that are worse than others?
Hope it is resolved soon and keep us all posted!
