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I have had pain down the outer side of my knee and

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tenderness at the back of...
I have had pain down the outer side of my knee and tenderness at the back of my lower thigh for about two weeks.
The pain is a burning pain and is sensitive to touch. I have no swelling ..just pain. It hurts my back of thigh when I sit or pressure is put on it. My d dimer test is negative. Fed up eith the discomfort.
Submitted: 26 days ago.Category: Health
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Answered in 32 minutes by:
11/18/2017
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 26 days ago
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 36,414
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 26 days ago

Hello Jean,

Your symptoms are suggestive of myofascial trigger point. Trigger points may develop after an initial injury to muscle fibers. This injury may be a noticeable traumatic event or repetitive microtrauma to the muscles. The trigger point causes pain and stress in the muscle or muscle fiber. Myofascial trigger point is a hyperirritable spot, usually within a taut band of skeletal muscle or in the muscle fascia which is painful on compression. The treatment is following;

1) passive stretching of the affected muscle after application of sprayed vapocoolant

2) physical therapy

3) deep electrotherapy; iontophoresis, phonophoresis, short wave diathermy, electrical stimulation

4) local analgesic patch / ointment / spray

5) anti-inflammatory analgesics; Ibuprofen (Motrin / Advil)

6) ischemic compression therapy; pressure on the points

7) massage

8) steroid shots

9) acupuncture.

You may need active assistance of physiotherapist / physical therapist for treatment.

You may get an MRI for the evaluation if the above treatment does not resolve it.


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Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 25 days ago

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