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September 07, 2008  
EDUCATION CENTER: Knee Conditions
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  • Water on the Knee

    Description

    Also known as Chronic Swelling.

    Water on the Knee refers to any long-term increase in the size of the knee joint. This may, in fact, be from the soft tissue or from fluid inside the knee joint. Swelling can be indicative of a more serious underlying condition of the knee, such as cartilage, tendon or ligament injury, arthritis, or internal bleeding. Swelling has many causes and it is important to have a specific diagnosis to guide specific treatment. Swelling of any type at the knee deserves evaluation by a knee expert.

    Symptoms

    As the name implies, the symptom or compliant to the doctor is most often that the knee is swollen. However, lesser amounts of swelling may not be noticed by the patient. In those cases, the symptoms may be a sensation of tightness or incomplete motion.

    Cause and Risk Factors

    Causes

    • Injury or trauma, including tendon, cartilage or ligament injuries, muscle tears from athletic or automobile accidents.
    • Arthritis
    • Gout or Pseudo-gout
    • Loose bodies floating in the knee
    • Infection
    • Internal bleeding
    • Fracture of one of the bones in the knee
    • Tumor
    • Any source of irritation in or about the knee

    Treatment

    See your doctor...
    Since swelling may be indicative of a serious knee problem, it is important to consult with your doctor as soon as possible. It is hard for a patient to determine the exact cause of swelling. Sometimes, a sample of fluid needs to be taken from the knee to be analyzed. This sample can aid in the evaluation for blood, infection, gout, arthritis and the many other sources of swelling above.

    Procedure
    If there are large amounts of fluid restricting motion, it is often drained from the knee using needle aspiration. This is only a temporary solution, however; it is the duty of the doctor to discover the underlying cause of the swelling.

    Prevention

    Addressing the underlying cause will prevent knee swelling and its recurrence.


    Last updated: 26-Oct-01

       
     
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