Burning knee pain and swelling above the kneecap for past 2 months. MRI and PT. patella subluxation.
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I didn't have any injury. I started a walking routine in the month if August in the steep hilly roads. I did it for a month. the knee pain started in September. It started like burning pain above the kneecap. after a month, i see some swelling above the right kneecap. then i went to an ortho doctor in october. they did an xray and ordered an mri. the first MRI didn't cover the area properly. the area above the kneecap. But the ortho didn't want me to redo the MRI as there was no much issue other than PFPS. She told me to start PT and prescribed voltaren gel for topical application for the swelling. She said it can be done inflammation.
I started PT and it's been 6 weeks. There is no improvement in the symptoms. Its the same. I still have the burning pain above the knee. the swelling is the same too. So, i did contact there doctor and she told me to take MRI for the area which is not covered in the first time.
I did MRI second time to cover that area. doctor told me ti continue the PT. Its been 6 weeks of PT, i really don't see any improvement.
How long does it take for patella subluxation to heal? what to do for the recovery?
Anterior compartment: Mild lateral patellar subluxation is present with no patellar tilt. There is developmental prominence of the lateral trochlear ridge. The trochlear groove tibial tubercle distance is within normal measuring 1.4 centimeter. The quadriceps and patellar tendons and retinacula are intact. The patellar tendon is congenitally elongated with high patellar position (patella Alta). There is no evidence of fatty impingement.
Fluid collections: No sizable knee joint effusion or popliteal cyst.
Ligaments/tendons: The cruciate and collateral ligaments are intact. The popliteus tendon and iliotibial band are intact.
Medial meniscus: No tear is identified.
Lateral meniscus: No tear is identified.
Osseous/articular: No arthropathy, osteochondral defect, stress fracture, or suspicious bone lesion. An incidental small subcortical benign bone lesion is present in the medial tibial metaphysis which may represent an old nonossifying fibroma or bone island.
Other: Superficial varices are present in the posterior medial subcutaneous soft tissues.
Markers have been placed over the distal quadriceps tendon and superior patella to indicate
the site of clinical concern. No soft tissue mass, hematoma, or localized inflammatory process is seen
in this region. Specifically, there is no evidence of inflammation involving the pre femoral or quadriceps
fat pads which lie above the patella. The quadriceps tendon appears normal with no evidence of
tendinopathy. There is mild lateral patellar subluxation, a congenitally prominent lateral trochlear ridge,
mild chondromalacia patella, and a developmentally high patellar tendon (patella Alta) which likely serve
as the etiology for the suprapatellar pain, per provided history.
please let me know if you have any inputs. how long does it take to heal and recover from this? what to do for this?
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