Swollen knee, no fluid, no injury, no abnormal labs

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I'm a 25 year old female. 6 months ago my left knee randomly swelled up. I tried the normal rest, elevation, ice, ibuprofen and it wasn't getting better it was just getting bigger. I saw an urgent care doctor (didn't have insurance at the time) and was given a steroid shot. The swelling went down significantly, about half the size but never went away. 3 months later when I got insurance and my knee started getting bigger again I went to my primary. I had labs done. ESR and CRP and Rheumatoid Factor. All came back normal. I had a sonogram done on my knee. Didn't reveal anything. Had an xray done. Didn't reveal anything. She gave me another steroid shot. Didn't work. She also tried to drain it twice but no fluid is in it. Another month later I noticed the size of my knee started changing daily. I finally got small relief to where it was hardly swollen and then in a day or two it would swell up to a grapefruit. I saw a rheumatologist last month and is very confused. Got more labs done. All seem normal. My biliruben is off just slightly. She gave me a steroid shot directly into my knee. Didn't work. Also tried to drain it but again there's no actual fluid in it. I have no idea why my knee is swollen.

Help!

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8 Replies

  • Posted

    hi have you consider mri done for knee joint? also get your uric acid test done.Might find root cause.
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  • Posted

    Dear Celiza,

    Sounds like you are doing all the right things! Stay on top of things...continue working with your doctors, seek a cond opinion if you can't get answers. And remember the body is amazing and if you listen to it and follow its cues your healing will be maximized. I hope you get some answers and feel better soon! You are young...stay on top of this and get answers and solutions!!!!

    Best wishes for healing.

    Tammy

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  • Posted

    Nowhere in here do I see you have ever been looks at by an orthopedic surgeon or had an mri. For me, that would be the starting point. All the x rays and lab work won't discover soft tissue issues and as a non medical person,

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  • Posted

    OFG1 is correct...in fact, it happened to me four times.  Severe knee pain; x-rays and MRIs showed nothing.  Got scoped four times...twice each knee.  End result was two menisci and two femoral condyles repaired.  Sometimes, the ortho just has to go in and look around when the imaging studies are inconclusive.  Go see amn ortho group that works with your local college and professional sports teams.  They are a great resource.
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  • Posted

    His it how my knee in after a tkr in aug. I'm being sent to the university of Michigan

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