What could be wrong with my knee

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I have had chronic knee pain for almost 10 years I've had Drs look at it with ultrasounds and X-rays but they can't seem to find anything.

even after 7 months of physical therapy that didn't seem to help my knee either.

the type of pain my knee gives is it start off as a sharp pain between my kneecap and knee joint then progresses into a ache.

the pain progresses to the point where it starts to cause pain in my ankle.

what could my issue be if anybody has had the same issue.

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