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Doctor insights on: Chronic Synovitis Knee

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I have chronic left knee swelling and pain (for 3 years!) after extensive testing diagnosis is synovitis. Any recommendations?

I have chronic left knee swelling and pain (for 3 years!) after extensive testing diagnosis is synovitis.  Any recommendations?

Injection or surgery: I'm assuming after 3 years you have tried pt and antiinflammatories. Draining the knee followed by a cortisone injection (assuming the fluid doesn't look infected) could help. If there is any suspicion for infection, hold off on the cortisone until the synovial fluid has been evaluated. Last resort is to see an ortho surgeon about a synovectomy. ...Read more

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Dr. Ana Adelstein
80 doctors shared insights

Synovitis (Definition)

The synovial membrane is the lining of a joint and synovitis is inflammation of that lining. It can cause joint pain, swelling, and stiffness. When inflamed, the lining will create excessive joint fluid, causing swelling and increased joint pressure. The lining can also become thickened and cause apparent joint enlargement. Commonly associated with ...Read more


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What to do and not to do for knee synovitis?

What to do and not to do for knee synovitis?

Get diagnosis: The first step in treating knee problems is to determine the cause. The treatment of knee synovitis will vary depending upon the disease. If you have synovitis from rheumatoid arthritis the treatment is very different than if it is from pseudo gout. Please see a doc. Ask again if you can provide more details and/or need more info. Sorry I cannot be more help. ...Read more

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What can I do to relieve the pain of synovitis in the ankle and arthritis in the knee?

What can I do to relieve the pain of synovitis in the ankle and arthritis in the knee?

No enough info: What is the cause of the synovitis of the ankle? That answer will dictate the proper treatment. The same goes for the knee issue. See a rheumatologist. ...Read more

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Pain in back of knee, doc said traumatic synovitis, how do I heal it?Got hit by ftbal on the back of the shin and knee acted as pivot.

Pain in back of knee, doc said traumatic synovitis, how do I heal it?Got hit by ftbal on the back of the shin and knee acted as pivot.

Torn cartilage: Ther synovitis is probably because of a torn cartilage or a torn ligament in the knee. Prolotherapy resolves these issue faster than any other method. Visit www.Getprolo.Com or www.Aaomed.Org to learn about this method and to find a doctor to help you. ...Read more

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Siderotic synovitis unknown origin, subtotal synovectomy 8/2013, rt knee, good rom but always stiff, often sore down stairs, no arthritis, normal??

Siderotic synovitis unknown origin, subtotal synovectomy 8/2013, rt knee, good rom but always stiff, often sore down stairs, no arthritis, normal??

This is due to bleed: Since not all of the synovium was removed there may be persistent synovitis. The question also is do you still have bleeding into the joint. Have you had a post operative MRI to see if synovitis persists? You of course also need persistent exercise to make certain the surrounding musculature is good and stays strong to support the knee. You need to discuss with your doctor. ...Read more

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Pigmented villonodular synovitis in knee size of a finger. Surgeon said to cut 20cm and then remove, as keyhole will be too small. Any other methods?

Pigmented villonodular synovitis in knee size of a finger. Surgeon said to cut 20cm and then remove, as keyhole will be too small. Any other methods?

PVNS: Pvns is described as "focal" or "diffuse." if focal or diffuse an arthroscopic approach to the knee is probably the best approach. Pvns can involve other joints as well including the shoulder and hip. A skilled surgeon should be able to remove pvns from "behind" the knee through designated posteromedial and posterolateral portals. Unfortunately, there is a significant recurrence rate. ...Read more

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I have a grade 3 ankle sprain and synovitis from the sprain. Surgery is required but being disputed. Also have arthritis in knee. Need pain relief!

I have a grade 3 ankle sprain and synovitis from the sprain. Surgery is required but being disputed. Also have arthritis in knee. Need pain relief!

Grade 3=surgery: Appeal it rapidly, if not done early it becomes a need 4 reconstruction later, especially at ur age. An unstable ankle will lead 2 early arthritis. ...Read more

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MRI report of knee says...the popliteal fossa cyst which probably represents proliferative synovitis. Does this mean I have RA?

MRI report of knee says...the popliteal fossa cyst which probably represents proliferative synovitis. Does this mean I have RA?

Not necessarily: An MRI doesn't give an RA diagnosis anyway. Findings could b consistent with those found in RA but the diagnosis is not made thru an MRI ...Read more

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Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?

Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?

Numerous : The most definitive option is a knee replacement. Knee arthroscopy is not likely to be helpful at this point. Various injections such as cortisone, hyaluronic acid/joint fluid or platelet-rich plasma are reasonable options. Meds, braces and PT are considerations. If I can help, then join my care team and virtual practice at www.healthtap.com/dr-clarkeholmes ...Read more

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How do you treat chronic knee pain?

How do you treat chronic knee pain?

Physical Therapy: The most common cause of chronic knee pain is a condition called patellofemoral pain syndrome. This condition causes pain in the front of your knees. Its due to muscle weakness in the hip flexors, and quadriceps, along with a tight it band. Usually best treated with physical therapy. A home exercise program can be a good start. See this link for such a program http://nycsportsmed.Com/knee-foot-and-ankle.Html. ...Read more

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What to do about chronic knee pain?

What to do about chronic knee pain?

Knee pain: The knee can be caused by arthritis, ligament injury, tendon tears, muscle strain ... If your pain persists, seek help from a health care provider. You might benefit from a comprehensive evaluation. ...Read more

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What can I do for chronic knee pains?

What can I do for chronic knee pains?

Several things: Anti-inflammatories, ice, a elastic knee sleeve type brace, stretching of the quads and hamstrings, and strengthening of the quads and hamstrings without deep knee flexion exercises. But first get evaluated and find the specific reason for your chronic knee pain to get the correct treatement. ...Read more

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What should a teen do for chronic knee pain?

What should a teen do for chronic knee pain?

Rest, stretch, NSAID: Teens can have a variety of reasons for knee pain. Get checked by an orthopaedic surgeon for a definitive diagnosis. It can be growth related and self limiting requiring activity reduction at times and rest or anti-inflammatories. But, you much get checked to make sure its not a rare serious problem. ...Read more

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What should I do about a chronic knee injury?

What should I do about a chronic knee injury?

See an orthopedic su: The short answer is to see an orthopedic surgeon this would be your best course of action. ...Read more

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Chronic knee pain without a cause. What do I do?

Chronic knee pain without a cause. What do I do?

Knee Pain: This could be a sign of arthritis in the knee. Seeing an orthopedic physician will help confirm a diagnosis and provide a treatment plan for you symptoms. ...Read more

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