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Doctor insights on: Knee Pain X Ray Vs Mri

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I have cronic knee pain after an accident. The MRI and X-ray results are negative. What can I do to help it without drugs?

I have cronic knee pain after an accident. The MRI and X-ray results are negative. What can I do to help it without drugs?

Aquatics/acupuncture: Injuries after accidents can unfortunately lead to chronic pain (despite normal imaging tests). It's best to stay active, work with a physical therapist to maintain your strength. Consider aquatic therapy as warm water combined with non impact strengthening can be therapeutic. Alternative treatments i.e. Acupuncture may be beneficial. Consider seeing a pain md for further recommendations. ...Read more

Dr. Brad Goldenberg
5 Doctors shared insights

Mri (Definition)

Mri or magnetic resonance imaging is one of the more recently developed imaging modalities available to physicians. It uses powerful magnets to generate images. There is no ionizing radiation which is a major advantage over many other modalities. Mri is the best imaging exam that we have for most soft tissue and joint related problems. There are radiologists ...Read more


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I have severe knee pain in my left knee im in need of some ideas, on what could be wrong and some solutions. I have had an X-ray and MRI and they both were normal so my primary isn't worried, but I am heres my symptoms, locks, sensitive to touch, can't lev

I have severe knee pain in my left knee im in need of some ideas, on what could be wrong and some solutions. I have had an X-ray and MRI and they both were normal so my primary isn't worried, but I am heres my symptoms, locks, sensitive to touch, can't lev

I'm: I'm sorry to hear that you are having such issues with your knee. Has your doctor looked into other causes? Some lower back problems can cause referred symptoms in the knee. The sensitivity to touch would worry me about a "pinched nerve". I also routinely see patients who complain about knee pain who actually have a hip problem. You didn't mention any injury to your knee, however some people develop a condition called rsd (reflex sympathetic dystrophy) after apparent minor injuries which result in significant pain and senstivity of the sking. These are just a few things I would discuss with your doctor. ...Read more

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I have left knee pain and I've had no injury. X-rays and MRI come back negative. What can it be?

I have left knee pain and I've had no injury. X-rays and MRI come back negative. What can it be?

Tendonitis: Rest elevation antinflamatories and time. Soft tissue injuries that are minor can cause pain and do not have to be evident on radiographic studies. ...Read more

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Knee pain for about a year, medications as physical therapy don't help, & nothing shows on x-rays, mri, & bloodwork. What could it be?

Difficult to say: Without a physical exam. However, it sounds like a muscular issue, like specific quad weakness that is not being treated correctly by your pt regimen. Do you have tight hamstrings? That can cause knee pain. Any evidence of patella not tracking correctly? Patella - femoral syndrome is often missed as there are no specific x ray findings. I am assuming they have ruled out osgood schlatter? ...Read more

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Knee pain in both knees, cortisone shot in each didn't help, X-rays showed arthritis, could bursitis be a cause also? Need MRI, right?

Knee pain in both knees, cortisone shot in each didn't help, X-rays showed arthritis, could bursitis be a cause also? Need MRI, right?

Not MRI: The xrays already show the reason for your pain. You have arthritis in your knees. An MRI is not going to add much info that is likely to be of any additional benefit. It's now time to work with your doctor to treat and minimize the effects of your arthritis. It may mean anti-inflammatory meds, weight loss, physical therapy, or many more modalities out there for treatment. You know why. Now act! ...Read more

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I'm 19, terrible knee pain, walking worsens the pain and causes locking and popping noise. Xray normal MRI normal.?

I'm 19, terrible knee pain, walking worsens the pain and causes locking and popping noise. Xray normal MRI normal.?

Knee Pain: A locking of the knee would suggest a mechanical problem. Even though MRI testing is sensitive for evaluating the soft tissue of the knee, it can have false negatvie findings (miss pathology) and a normal MRI dose not definitvly exclude pathology. The persistance of this degree of pain despite conservative treatment and neg imaging would warrant a formal orthopedics evalaution. ...Read more

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If MRI and xray came back clean and RA is ruled what else could knee pain with buckling and severe pain for the past year be?

If MRI and xray came back clean and RA is ruled what else could knee pain with buckling and severe pain for the past year be?

Look outside knee: If knee x-rays, MRI and lab tests are all negative, but knee pain persists and buckling of the leg occurs, look outside the knee for the answer to the problem. Consider a neurological exam, targeting potential pinch nerves from the lower back. Lumbar spine problems, as well as some hip problems, can refer pain to the knee and could also cause leg buckling. ...Read more

Dr. John Ho Dr. Ho
2 doctors agreed:
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After angiogram & stent I have leg swelling for 10 months. Knee pain subsided. Xray, MRI show nothing. Slight arthritis not the cause. Any suggeston?

Dr. John Ho Dr. Ho
2 doctors agreed:
After angiogram & stent I have leg swelling for 10 months. Knee pain subsided. Xray, MRI show nothing. Slight arthritis not the cause. Any suggeston?

Swelling: That's relatively common if your legs had poor blood supply. Recommend elevation of legs and possibly some diuretics ...Read more

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After x-ray, a0.9x1.9 CM osteochondroma arising from the medial aspect of the proximal tibial metaphysics. Knee pain. Do I need MRI and surgery?

After x-ray, a0.9x1.9 CM osteochondroma arising from the medial aspect of the proximal tibial metaphysics. Knee pain. Do I need MRI and surgery?

MRI: Mri is recommended for further characterization of the osteocondroma.
Osteocondromas are benign tumors and can be treated with observation alone. Surgery only if it is causing local problems. ...Read more

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I've seemed to try everything with no improvement w/the chronic knee pain. Only thing Dr. Has diagnosed is bony overgrowths on x-Ray. Suggestions?

I've seemed to try everything with no improvement w/the chronic knee pain. Only thing Dr. Has diagnosed is bony overgrowths on x-Ray. Suggestions?

Modify activities: Anti-inflammatory medications, injections with hyaluronic acid or steriod, activity modification and bracing may help. Maintaining appropriate weight is beneficial if this is an issue. The key is to be as active as possible while not doing anything that will aggravate it. It is also reasonable to believe any improvement in your mental health will allow you to better tolerate any existing pain. ...Read more

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Knee pain, with a clear X-ray and only very slight swelling, What could cause it?

Knee pain, with a clear X-ray and only very slight swelling, What could cause it?

Chondromalacia: This is likely chondromalacia, a tracking abnormality at the interphase between the kneecap and the thigh bone. See an orthopedist ...Read more

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Car accident a week ago. Knee pain, swelling, stiffness, feels like it could give out. X ray shows no breaks. What's causing this? How do I treat?

See details: There are several causes. It may be a simple contusion but plain x rays are not definitive. See an orthopedist and have an MRI done. ...Read more

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My knee pain started over a year ago, at that time I was doing a lot of excercise, got an x ray, looks normal and the pain is worse in hot weather?

My knee pain started over a year ago, at that time I was doing a lot of excercise, got an x ray, looks normal and the pain is worse in hot weather?

Knee pain: Knee pain with a normal X-ray can be due to a variety of issues; the weather really should have no significant effect though. In your age group, overuse can cause joint inflammation, local tendonitis, etc. You can injure the soft tissues in your knee (e.g. meniscus tear, often with twisting motions) and these can take time to repair or need surgery if they are large enough. An MRI can help dx. ...Read more

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Knee pain pos ANA high ESR but normal X-ray so what could be wrong and what should be next step? I am overweight could this be from that?

Knee pain pos ANA high ESR but normal X-ray so what could be wrong and what should be next step? I am overweight could this be from that?

See details: The knee pain is likely unrelated to the ana. Being overweight could certainly play a role. There are several possible causes for knee pain so I would urge that you have the issue evaluated. ...Read more

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Knee pain: back of knee, inner side of knee is sore. If bent it hurts to straighten and vice versa. Hurts to walk at times. X-ray clear?

Knee pain: back of knee, inner side of knee is sore. If bent it hurts to straighten and vice versa. Hurts to walk at times. X-ray clear?

See details: You need to go beyond a plain x ray to an mri, especially if the symptoms are not improving. Have an orthopedist evaluate the problem. ...Read more

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Right acute knee pain, burning and bruise- like feeling. Whole kneecap is worse, along its bottom. Stairs are very difficult to use, and it hurts any time I walk. Had a negative x- ray.

Right acute knee pain, burning and bruise- like feeling. Whole kneecap is worse, along its bottom. Stairs are very difficult to use, and it hurts any time I walk. Had a negative x- ray.

Patellofemoral pain?: Based on your description of the problem, your young age, and a negative x-ray, I'm suspicious that your pain may be patellofemoral in nature. If this is the case, exercises to strengthen the quadriceps can be very helpful. An elastic knee brace may also help. Since the symptoms are acute, it is possible that you have a torn tendon or ligament. Ultrasound or MRI can be very helpful. ...Read more

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Knee pain, clear X-ray clear CT arthrogram, what should I be asking my doctor for next as im still in pain.

Knee pain, clear X-ray clear CT arthrogram, what should I be asking my doctor for next as im still in pain.

MRI: If you have knee pain with a swollen joint, an MRI gets the best look at all of the structures within the knee. ...Read more

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Knee pain and stiffness elevated ESR pos ANA fatigue normal X-ray family history of lupus and ra. Does X-ray rule those out? What could be wrong

Knee pain and stiffness elevated ESR pos ANA fatigue normal X-ray family history of lupus and ra. Does X-ray rule those out? What could be wrong

?: Knee xray only tells us how much gross damage or deformity is present
what you are probably dealing with is inflammation
you should discuss this with pcp and prbably get referral to rheumatologist
could be either lupus or RA or both or possibly something else. ...Read more

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Calf muscle and knee pain from4 mnths did doppler, X-ray for lumbar spine and blood test for vit B12 and D3 but evrything is normal also they r weak?

May need more tests.: X-rays of the spine are useless unless there is a history of trauma. Vitamin tests do no tell you about your pains. Need more info. Did this occur after an injury, or change in activity? Are there bruises? Do you have corresponding tingling and numbness? It may be from your back, or it may be the knee, or it can be an auto immune thing like rheumatoid disease. Get evaluated. ...Read more

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Can bilateral patellar enthesophytes be a factor in my severe chronic knee pain? If so what can be done? Fortunately the x-rays didn't show any arthri

Can bilateral patellar enthesophytes be a factor in my severe chronic knee pain? If so what can be done? Fortunately the x-rays didn't show any arthri

Sign of tendinitis: Entheseophytes (bony protuberences emanating from the insertion sites of tendon onto bone) about the inferior or superior poles of the patella can be a radiographic hallmark or sign of underlying tendinitis involving either the quadriceps tendon (superiorly) or the patellar tendon (inferiorly). Physical therapy focusing on a stretching program and then strengthening can help as 1st line treatment. ...Read more

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Do these x rays look normal? 24 year old female knee pain from injury 2 months ago

Do these x rays look normal? 24 year old female knee pain from injury 2 months ago

Hmmm: X-rays only show bones and alignment. Lots of other things can cause pain that would not show up including meniscus, ligament injury, bursitis, and tendinopathy. ...Read more

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I have knee pain that almost causes me to fall when walking. Doc did x-rays and said its fluid that builds up. What causes knee pain and what helps?

I have knee pain that almost causes me to fall when walking. Doc did x-rays and said its fluid that builds up. What causes knee pain and what helps?

See a rheumatologist: In a 19-year-old, the most likely cause of fluid in the knee is an injury such as a torn ligament or cartilage. If there was no injury, you should see a rheumatologist to rule out inflammatory arthritis such as juvenile idiopathic arthritis (jia) or rheumatoid arthritis causing the fluid build up. Other diseases such as lupus or spondyloarthritis can also cause swelling of a knee. ...Read more

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My knees and legs twist 90 degrees in which causes knee pain. X-rays came back as 'no action required'. What can be the next step to identify problem?

My knees and legs twist 90 degrees in which causes knee pain. X-rays came back as 'no action required'. What can be the next step to identify problem?

Are you certain: That is an xray report? I have never seen a radiologist make such a conclusion. The radiologist describes findings and may make a suggestion about additional tests, but "no action required" is a clinical assessment that is usually beyond the scope of a the radiologist. ...Read more

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I have an ortho appointment to look at my knee. Pain 7-9, no medication relief, burning and numbness. They have my x-rays, nothing has been broken what should I expect as a pt. On my first visit?

Knee pain: There are a number of reasons as to why you may be having knee pain. The orthopedic surgeon will need to have a detailed history followed by a physical examination, which will shed light as to possible causes of your pain. If they deem it necessary they may refer you to physical therapy or consider further imaging with an mri.
Hope that this was helpful. ...Read more

Dr. Frederick Buechel, jr. md
1,163 Doctors shared insights

Knee Pain (Definition)

The knee joint is the joint between three bone of the lower leg: the proximal tibia, the distal femur, and the patella. There are multiple causes of knee pain including degenerative, ...Read more