Swollen knee, no pain.

[Wotan]

Good posts JFL! Excellent stuff!!

[Odevans]

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It depends on a number of things:
- Is there any particular exercise that brings it on?
- How often does it swell?
- Is ever painful?
- How long does it take to swell and how long does it take to reduce?
- Does it click, Lock or Give Way? and if so when, what position is the knee in, or exercise?
Without looking at it im a bit limited but if you answer the above i should be able to get an idea. I can say that if it doesn't hurt, you have full range of movement, and swelling has gone and your back to normal then im sure its fine and chances are you have irritated a structure in the joint and its healed but let us know buddy

- It used to come about after squatting. After training, I would notice the swelling when my hips went below parallel.
- It has been back to normal for the last couple of weeks, I'll update if this happens again.
- No pain
- The swelling would normally take 30min - 1 hour to form (from my observation, at least). My knee would reduce to normal size, a few days later.
- No locking, clicking or weakness in the knee at all, or so it would seem.

Thanks for the interest, mate! Hugely appreciated.

[JFLStrongman]

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- It used to come about after squatting. After training, I would notice the swelling when my hips went below parallel.
- It has been back to normal for the last couple of weeks, I'll update if this happens again.
- No pain
- The swelling would normally take 30min - 1 hour to form (from my observation, at least). My knee would reduce to normal size, a few days later.
- No locking, clicking or weakness in the knee at all, or so it would seem.

Thanks for the interest, mate! Hugely appreciated.

Based on the symtoms buddy you could have a patella femoral prob which is common and can be easily treated or irritated ITB which can irritate the capsual, you can settle easily settle this with friction massage proximally to the knee by yourself (the tip is when its quite painful thats the right pressure) and do this for 3x1 min daily or you can do pressure point massage. Once again i would probably need to see it. How is your squatting now??
It doesn't sound like anything intracapsular ie ACL, PCL or meniscal.

[Odevans]

You sir, are a legend!

Just warming up for squats now, so I'll let you know.

Sent from my Desire HD using Tapatalk

[JFLStrongman]

No probs bud

[Wotan]

JFL - can you do Waterfield a favour and have a look at his thread? He's asking a question that might be right up your street. Thanks!

[Waterfield]

Thanks Wotan.

Waterfield's Random Question Thread.

[JFLStrongman]

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Thanks Wotan.

Waterfield's Random Question Thread.

there you go hope it helps

[$hadow]

Ok well, there is no pain, So we can rule out bursitis (as it would be tender/painful to palpate the patellar), tendinitis as this would also be painful, muscle/ligament sprain/strain as pain would be present.

So, I'm going to have a calculated guess and say its a type of joint swelling. there are two main types haemarthosis and synovial effusion.

Haemarthosis

Is from impact, where the joint capsule fills with blood from internal bleeding, it would be very red and hot and painful from the impact.

As you said there isn't much heat if any at times and no pain is present I would say this is very unlikely.

Synovial effusion

This is excess synovial fluid production within the joint, it can happen with no obvious cause, the area would not be hot nor red and not normally painful.

Ice would not help this condition as ice does not effect synovial fluid production.

This would be my guess to what you are presenting, however as I say this is only a calculated guess.

Things which might be the cause are: Overuse, interarticular damage (from inflammation) & joint/capsule inflammation.

However, if you ever feel pain or heat/redness (likely to be inflammation) you can always use the P.R.I.C.E principles highlighted below.

P.S These principles could be implemented as an experiment as no real harm can be done using these to see if it elevates the problem..

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Protection
This usually involves immobilising the injury to reduce pain and prevent disruption of the healing process. This may involve splints, casts, taping or bandaging. All modalities must allow room for swelling without compromising circulation. Crutches can support weight bearing and slings may immobilise an arm or shoulder.

Rest
This is to avoid further injury and disruption of the forming fibrin but also to reduce increased blood flow. After 3 days it is recommended that gentle movements should start but this time may be shorter or longer depending upon the severity of the injury. Many people will start the following day.

Ice
This is an inexpensive form of cryotherapy. A pack of frozen peas is often advocated as a household remedy that provides a cold and deformable application. The temperature of a domestic freezer is around -18 °C. Plain ice and especially anything from a freezer, should not be applied directly to the skin but wrapped in a towel or tea towel. Crushed ice in a plastic bag or commercially available gel bags are other modes of application. Claims for benefits of cold include decrease in pain, decrease in metabolism, decrease in swelling, decrease in muscle spasm, decrease in circulation (but also cold-induced vasodilation) and effects on the inflammatory process. The evidence base for the benefit is very limited or contradictory.2,3 The optimum regime is probably to apply ice for 20 minutes, remove it for 10 minutes and repeat the process over 2 hours. Ice should not be applied for more than 30 minutes without a break for fear of "ice burns".

Compression
This reduces oedema. External compression can stop bleeding, inhibit seepage into underlying tissue spaces and help disperse excess fluid. Fluid is pushed back into the capillaries and lymph vessels. External compression increases the effectiveness of the muscle pump in aiding venous return. A number of devices are available including adhesive and non-adhesive bandages, elastic tubular support and plastic or inflatable splints. Try to apply the pressure uniformly or at least so that it increases from distally to proximally and not vice versa. Compression must be capable of accommodating oedema as it forms after the injury, to prevent ischaemia. Replace the compression after 24 hours and continue for at least 72 hours. If the problem is less severe it is not necessary to be so meticulous and the value of double elastic tubing in grade I or II ankle sprain is dubious.4

Elevation
This gives gravitational aid to other techniques to reduce oedema. As far as possible elevate the injured area above the level of the heart in the first 72 hours and have it comfortably supported. Avoid simultaneous compression and elevation. Beware of letting the elevated limb become immediately dependent as there may be "rebound" with increased oedema.

Hope this help bro!

[Odevans]

Another very insightful post, thanks mate!

Will reply with another knee complaint after my food!