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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31326
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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The back of my right knee, in the middle, feels strange. I

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The back of my right knee, in the middle, feels strange. I have enormous difficulty
squating down to put my knee onto the ground and then I have great difficulty getting
back up. There is no swelling and I have not had any direct trauma. I was using
the elyptical trainer in the gym and my hips started to hurt about the same time
the back of my knee started feeling strange. I am 57 years old and have been a bodybuilder for thirty five years. I do not train ballistically in the gym and never
place my knees below a right angle. Thank you!
Hello David,

Following are the possibilities of the diagnosis;

1) Tendonitis
2) Myofascial pain syndrome
3) Osteoarthritis
4) Bursitis

Any of these can occur concomitantly in any of combination due to a strenuous work. The treatment is;

1) passive stretching of the affected muscle after application of sprayed vapocoolant.
2) physical therapy; simple muscle stretch, augmented muscle stretch, post-isometric relaxation.
3) deep electrotherapy; iontophoresis, phonophoresis, short wave diathermy, electrical stimulation, high voltage galvanic stimulation, biofeedback.
4) local analgesic patch / ointment / spray
5) anti-inflammatory analgesics; Ibuprofen (Motrin / Advil)
6) massage
7) steroid shots
8) acupuncture
9) brace
10) rest; avoid exertion or activities which cause pain.

Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
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