Chronic knee pain my sister is 13 years old and has been complaining of knee pain for almost 2 years. she has had numerous x-rays and they all come up completely normal and she has also had blood work done and it comes back normal. she also will wake up w

At : At her age, knee cap problems (mostly inflammation) are very common. This is known as patella femoral pain syndrome or chondromalacia patella. Without any injury or trauma, this is the most likely diagnosis. This can usually be treated conservatively with anti-inflammatory meds, ice, exercises to strengthen your leg and balance the muscles supporting the knee cap (often guided by a physical therapist), and sometimes bracing. It is certainly comforting that she has had normal xrays (and mris?) and blood work, as these are generally normal with patella femoral pain syndrome. Most of the time, girls will eventually grow out of these problems with time. Occasionally, arthroscopic surgery can be of benefit if all other options have been exhausted. The new bruises do not fit with anything obvious, although Ibuprofen and Naproxen both thin the blood and could be causing this. Be careful and make sure her doctors are aware of this.

Rehab: knee pain in young girls is common as they grow- physical therapy almost always solves the issue- it is balance of strength and flexibility