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Should I Go to the Emergency Room for Knee Pain?

September 30, 2021

The knees are largest joints in the body. Because of that, the knees are extremely susceptible to injury and daily wear and tear. Anyone can suffer from knee pain depending on lifestyle, daily activities, age, and injuries. But frequent or sudden knee pain may make you wonder: should I go to the emergency room for knee pain, or should I try to treat this at home? The Pain Relief Center in Plano not only wants to help you answer this question, but to get rid of your knee pain for good. To expedite your healing and manage your pain, call us today at 214-709-1904.

What Causes Knee Pain?

Knee pain is generally caused by an injury or some kind of inflammation. Listed below are the most common types of injuries and conditions that cause knee pain.

Knee Sprain or Strain

A knee sprain and a strain can sound like the exact same injury, but they are different. A sprain happens when you injure the ligaments around your knee. Meanwhile, a strain happens when you injure the tendons or muscles surrounding the knee. Both types of injuries can be the result of strenuous activity or an accident. Additionally, both injuries can cause pain and swelling.

Hyperextension

Another common cause of knee pain is hyperextension, which is when your knee bends backwards during exercise or strenuous activities. The two ligaments that are usually injured during hyperextension are the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). If you heard a popping sound during your accident, this can indicate hyperextension or torn ligaments.

Runner’s Knee

Poorly aligned knee joints, trauma, and overuse can cause patellofemoral syndrome, also known as runner’s knee. As suggested by the name, runner’s knee is very common among athletes who participate in high-impact sports for years on end. Pain from this type of knee injury generally worsens when squatting, kneeling, or sitting cross-legged. Runner’s knee is commonly treated with rest, pain medicine, and physical therapy. If these treatments are unsuccessful, your doctor may suggest surgery.

Torn Meniscus

The meniscus is a piece of cartilage between your shin and thigh bones that absorbs shock. You may tear your meniscus if you twist your knee unexpectedly. Its shock-absorbing properties will be lost if it’s ripped. This causes discomfort as well as harm to the surrounding areas.

Knee Dislocation

A dislocation happens when the knee bones pop out of place due to an accident. A severe dislocation can also stretch or tear the knee ligaments, arteries, and nerves. Inability to walk, extreme pain, and an obvious deformity can indicate a dislocated knee.

One of four ligaments that links your thigh and shin is the anterior cruciate ligament (ACL). ACL tears are typical among athletes, specifically basketball, soccer, or football players because they quickly change direction.

Bursae are little fluid-filled sacs that cushion your joints’ bones, tendons, and muscles. Bursae become inflamed in people with bursitis. The inflammation naturally causes discomfort.

Patellar Tendonitis

Patellar tendonitis happens when the kneecap, also known as the patella, and the tendons surrounding it become inflamed.

You can break or fracture the bones around your knee in a variety of ways. Fractures are more common in people who have osteoporosis. Additionally, broken bones are common in athletes and children.

There are numerous types of arthritis, but the types that generally cause knee pain are gout and pseudogout. Gout is a painful disorder caused by the formation of uric acid crystals around a joint. It affects the feet and knees the most. Meanwhile, calcium pyrophosphate dihydrate crystals causes pseudogout.

Can I Treat Knee Pain at Home?

Some knee pain is minor and can resolve on its own with at-home-care. You can manage these kinds of knee pain at home:

Mild to moderate pain after running or walking
Knee pain from preexisting minor injuries such as mild knee strains
Mild to moderate pain that appears slowly

How to Treat Knee Pain at Home

The best at home treatment for mild to moderate knee pain is the RICE treatment: rest, ice, compression, and elevation. This treatment is effective for reducing swelling and pain as well as for expediting healing.

Both light movement and rest are crucial when it comes to healing a minor knee injury. In other words, it’s important to avoid high impact activities such as running and jumping. Instead, try low impact activities like walking, swimming, yoga, or biking. When you’re not moving, it’s important to rest and stay off your feet.

Make sure to ice your knee a few times per day for approximately 15 to 20 minutes at a time. Icing your knee will help reduce swelling.

Compression

Wrapping an ACE bandage around your injured knee will also help reduce swelling. The bandage should be tight, but not tight enough to cause more pain or swelling.

Laying down with your knee elevated on a couple pillows also helps with pain and swelling. Make sure to elevate your knee a few times a day for 15 to 20 minutes.

Pain Medication

Alongside the RICE treatment, you can take over-the-counter NSAIDs to control pain and swelling as well. Common NSAIDs include Advil, Motrin, and Aspirin.

Sometimes knee pain can indicate a severe injury that you can’t treat at home. But how can you differentiate a minor injury from a major, emergent injury? Both minor and major injuries can cause pain, swelling, and general discomfort that makes you ask yourself: should I go to the emergency room for knee pain? If you have any of the five symptoms listed below, you should certainly see a doctor as soon as possible.

You Can’t Walk Normally

If you can’t walk normally, you can’t put weight on your knee without unbearable pain, or you feel like fainting when you stand, you should go to the ER. Severe pain that prevents you from walking can indicate a broken bone which deserves immediate medical attention. However, if your knee only hurts when you walk on it, you may have sprained or strained your knee instead of breaking it. In this case, you should go to urgent care instead of the ER.

The Pain Doesn’t Go Away

Another red flag when it comes to knee injuries is pain that doesn’t go away after a few days of at home treatment. This doesn’t warrant an ER visit, but you should certainly go to urgent care.

The Pain Gets Worse

If your knee pain gets even worse after the RICE treatment along with pain medications, this is a sign that at home treatment isn’t the right approach. Pain that gradually gets worse indicates a more serious injury. In this case, you should go to urgent care.

The Pain Keeps Coming Back

Knee pain that keeps coming back after extensive at home treatment is certainly worthy of an urgent care visit. Runner’s knee is a common type of knee injury that causes pain to come and go.

Your Knee is Misshapen, Swollen, or Hot

A warm, swollen knee can indicate an infection, especially if you also have a fever. Meanwhile, a misshapen knee indicates a serious injury that won’t heal with at home care. In both of these situations, you should certainly go to the ER because they indicate serious injuries.

What to Expect at an ER Visit for Knee Pain

An ER visit is generally stressful for anyone, especially when you’re in pain from a knee injury. What can make an ER visit worse is not knowing what to expect from the doctors.

Detailed History

Firstly, a doctor will ask for a detailed history to determine the nature and cause of your pain. They will ask questions such as: where is the pain in your knee? What does the pain feel like? How long have you been in pain? How active are you?

Physical Exam

Next, an ER doctor will physically examine your knee to check for swelling, discoloration, temperature, and deformities. Your doctor will also touch around your knee to determine which areas are tender and which areas aren’t.

Scans and Tests

Following the physical exam, your doctor will likely order an X-ray, a CT scan , or an MRI depending on the type of injury they suspect. X-rays show knee fractures and dislocations as well as arthritis. A CT scan is basically a three dimensional X-ray and also shows knee fractures. If your doctor doesn’t suspect a fracture or a dislocation, they may order an MRI because it can show injured ligaments and tendons in the knee.

Fluid Removal

Lastly, your doctor may suggest fluid removal from the knee if necessary. This procedure would only be necessary if you have a joint infection, gout, or arthritis. Fluid removal is usually performed under local anesthesia and can decrease swelling and pain. Additionally, the fluid that a doctor removes can be tested to determine a definite diagnosis.

Call The Pain Relief Center Today

Knee pain specialists at The Pain Relief Center want to make sure that you never have to ask yourself: should I go to the emergency room for knee pain? You may need physical therapy or pain management following your at home or ER treatment, and that’s what we’re here for. Call us today at 214-709-1904 to speak with a joint pain specialist and to begin your journey to a pain-free life.

Should I Go to the Emergency Room for Knee Pain?

If you are experiencing knee pain, the first question you may ask is should I go to the emergency room for knee pain? The answer to this question depends on a number of factors, including the severity of your pain and your overall health. In this blog post, we will discuss the symptoms of knee pain that may warrant a visit to the ER and what you can expect if you decide to go.

The Knee Joint

Before making an informed decision on whether or not you should go to the emergency room for your knee pain , it is imperative you know about the joint in question.

The knee joint is the largest joint in the body. A hinge joint allows the leg to bend and straighten. This movement occurs at the point where the thigh bone (femur) meets the shinbone (tibia). The femur and tibia are connected by ligaments, which are strong bands of tissue that provide stability to the knee.

The knee joint has four main ligaments:

– The medial collateral ligament (MCL) is located on the inner side of the knee.

– The lateral collateral ligament (LCL) is located on the outer side of the knee.

– The anterior cruciate ligament (ACL) crosses in the middle of the knee from the front to the back.

– The posterior cruciate ligament (PCL) crosses in the middle of the knee from the back to the front.

These ligaments provide stability while the meniscus, a crescent-shaped piece of cartilage, cushions the knee. The shock absorption that the meniscus provides is essential to protecting the knee joint.

Conditions That Cause Knee Pain

There are many conditions that can cause knee pain. Some of the more common conditions include:

Arthritis : Arthritis is the inflammation of a joint. There are many different types of arthritis, but the two most common types that affect the knee are osteoarthritis and rheumatoid arthritis.

Osteoarthritis is caused by the wear and tear of the cartilage that cushions the knee joint. This can be a result of age, injury, or obesity. Rheumatoid arthritis is an autoimmune disorder that causes inflammation of the joint lining (synovium).

Broken bone : A broken bone (fracture) in the knee can occur as a result of a fall, car accident, or other high-impact trauma.

Patellofemoral pain syndrome : Also known as “runner’s knee,” this condition is caused by the repetitive stress of impact activities, such as running or jumping. It is characterized by pain in the front of the knee and around the patella (knee cap). As you would expect this injury is common to the lower leg of individuals with a high activity level.

Dislocated knee : A dislocated knee occurs when the bones that make up the joint are no longer in alignment. This can be a very painful injury and may require surgery to correct.

Knee bursitis : Bursae are small, fluid-filled sacs that act as cushions between the bones and tissues of the body. Knee bursitis is the inflammation of one or more of these bursae. This condition is often caused by overuse or repetitive motion.

Meniscus tear : As we mentioned before, the meniscus is a crescent-shaped piece of cartilage that cushions the knee joint. A meniscus tear is a common knee injury that can occur when the knee is twisted or turned abruptly.

Tendonitis : Tendonitis is the inflammation of a tendon. The tendons are the tissues that connect the muscles to the bones. Tendonitis of the knee is often caused by overuse or repetitive motion.

Torn ligament : A torn ligament is a very serious knee injury that can occur as a result of a fall, a non-contact sports injury, car accident, or other high-impact trauma.

Symptoms That May Warrant a Trip to the ER

There are many different symptoms of knee pain, but some of the more common symptoms include:

– severe pain

– swelling

– redness

– warmth to the touch

– difficulty walking or bearing weight on the affected leg

If you are experiencing any of these symptoms, it is important to seek medical attention right away. While knee pain is often the result of a minor injury or condition, it can also be a sign of something more serious.

If you are unsure whether or not you should go to the emergency room, you should always err on the side of caution and seek medical attention. The doctors and nurses at the ER will be able to evaluate your symptoms and determine the best course of treatment.

An ER visit for knee pain is often not a life-threatening situation, but it is always better to be safe than sorry. So, if you are experiencing any of the above symptoms, don’t hesitate to head to the nearest emergency room.

KeagenHadley-emergency-healthcare-worker

Types of Knee Pain

There are two main types of knee pain:

– Acute : Acute knee pain is the result of a sudden or serious injury, such as a fall or car accident. This type of pain is often severe and can make it difficult to walk or bear weight on the affected leg.

– Chronic : Chronic knee pain is usually the result of an underlying condition, such as arthritis or patellofemoral pain syndrome. This type of pain is often less severe than acute pain, but it can still be debilitating.

While both types can produce severe pain, the sharp pain associated with acute pain is generally designated as “severe”. It is safe to say that the persistent and nagging pain associated with chronic knee pain can also be very severe, and heavily impact patients’ lives.

Should I go to the Emergency Room For Knee Pain?

The main reason that you should go to the emergency department for knee pain is if you suspect it is a medical emergency. This means that to deal with the pain you would need highly specialized personnel like an orthopedic surgeon, orthopedic doctors, and relatively immediate medical attention.

An orthopedic specialist should only be seen in an emergency room for knee pain if the pain is so severe that it keeps you from being able to walk, or if there is an open wound on your knee. If you have a very high fever or red streaks going up your leg, those are also signs that you should seek emergency medical attention for your knee pain.

In general, if the pain is manageable and does not feel like an emergency, it is best to seek an appointment with your primary care physician or an orthopedic specialist to get an accurate diagnosis and treatment plan. Many times x-rays or MRIs will be ordered to rule out any serious knee conditions. If you have had previous injuries to your knee, be sure to mention this to your physician, as it can help with diagnosis.

Treatment for Knee Pain

There are many different treatment options for knee pain, depending on the underlying cause. Some common treatments include:

– rest

– ice

– heat

– physical therapy

– exercise

– weight loss

– braces or supports

– pain medication

– injections

– surgery

If you are experiencing knee pain, the best course of action is to consult with a medical professional. They will be able to evaluate your symptoms and determine the best course of treatment for you.

KeagenHadley-yellow-ambulance-picking-up-patient

Physical Therapy for Knee Pain

One of the most common treatments for knee pain is physical therapy. Physical therapy can help to reduce pain, improve range of motion, and increase strength. A physical therapist will design a customized treatment plan based on your individual needs.

The goal of physical therapy is to help you return to your normal activities as soon as possible. Treatment may include exercises, stretches, electrical stimulation, and ultrasound. Physical therapy can be performed in a clinic or at home.

If you are experiencing knee pain, contact your doctor to discuss whether physical therapy may be right for you.

Exercise for Knee Pain

Exercise is often recommended as a treatment for knee pain. Exercise can help to improve range of motion, increase strength, and reduce pain.

When starting an exercise program for knee pain, it is important to start slowly and gradually increase the intensity and duration of your workouts. It is also important to choose low-impact activities that will not put too much stress on your knees. Some good exercises for knee pain include walking, swimming, and cycling.

If you are unsure of what exercises to do, or how to start an exercise program, talk to your doctor or a physical therapist. They can help you create a safe and effective workout plan.

Surgery for Knee Pain

In some cases, surgery may be necessary to treat knee pain. Surgery is typically only recommended if other treatments have not been successful in relieving pain.

There are many different types of knee surgery, and the type that you will need will depend on the underlying cause of your pain. Some common types of knee surgery include:

– total knee replacement

– partial knee replacement

– arthroscopy

– ligament reconstruction

If you are considering surgery for knee pain, talk to your doctor about the risks and benefits. They will be able to help you decide if surgery is right for you.

Overview of Emergency Room Visit for Knee Pain

Before going to the ER room it is important to know what to expect. When arriving at the urgent care facility, you will be asked to fill out forms identifying the issue that brought you to the hospital. After completing the forms you will patiently complete the rest of your wait time, prior to being treated for your injured knee.

Then the physician will come into the room and ask more specific questions about your knee pain. After listening to your answers they will order tests, which may include an x-ray, MRI, or CT scan. The results of these tests will help the doctor determine if you need to be seen by a specialist or if you can be treated with medication and/or physical therapy.

While getting these answers may seem daunting and time-consuming it is a good idea to receive all the necessary information from the medical personnel to get a clear answer on what is wrong with your knee. These clear answers will ensure you get the appropriate treatment plan based on the type or severity of the injury you are dealing with.

Other Medical Facilities You Could Utilize

There are other medical facilities that can provide answers to your knee pain such as an orthopedic doctor, sports medicine doctor, or rheumatologist.

These doctors will also be able to order tests and give you a clear diagnosis of what is going on with your knee. After getting a diagnosis from one of these specialists they may also treat you or refer you to someone who can help treat your knee pain.

It is a good idea to consult with your primary care physician to see what type of doctor you should be seeing for your knee pain. They will likely have a referral for you to see an orthopedic or sports medicine doctor in your area.

If you are experiencing knee pain, it is important to consult with a medical professional. They will be able to evaluate your symptoms and determine the best course of treatment for you. Physical therapy and exercise are often recommended as treatments for knee pain.

In some cases, surgery may be necessary to treat knee pain. If you are considering surgery, talk to your doctor about the risks and benefits. They will be able to help you decide if surgery is right for you.

About the Author

Hi there! I’m Dr. Keagen Hadley, OTD, OTR/L. Straight out of the University of Mary , I’m all about blending my know-how in knee health, well-being, and medical technology. As a licensed occupational therapy doc, I’m here to translate complex concepts into clear, actionable insights – whether it’s knee care or groundbreaking healthcare tech.

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Flu or flu-like symptoms, such as fever, headache and body aches
Acute joint pain and swelling not typical of a flare
Mouth sores
Bruising and easy bleeding
High fever with rash
Red, hot, swollen joints
Unusual pain and swelling in a joint, especially with a fever, that could be septic arthritis
Severe and sudden abdominal pain
A severe, atypical disease flare
Sudden spine pain, which may signal a vertebral fracture ( Rheumatoid and psoriatic arthritis are risk factors for both osteoporosis and fractures; corticosteroid use raises the risk.)

When It's Time to See a Doctor for Joint Pain

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When to See a Healthcare Provider About Knee Pain

Most athletes will experience some knee pain from time to time. Overuse, long training days , or bumps and bruises from contact sports often result in minor knee pain that resolves within a day or two with some rest and ice .

However, some clues indicate more serious knee pain and injuries that may need to be seen by a healthcare provider for a complete evaluation and treatment plan. Get to know the warning signs so you don't put off necessary treatment.

Pain that lasts more than 48 hours
Swelling that lasts more than 48 hours
Instability or reduced range of motion

Pain for More Than 48 Hours

If you have pain in the knee joint that prevents you from walking normally for more than a day or two you should get checked by a healthcare provider.

Some of the causes of pain deep within the joint include abnormalities of the meniscus or cartilage that covers and supports the joint.

The meniscus is referred to as the shock absorber of the knee. It consists of articular cartilage that covers the ends of the leg bones to allow smooth flexion and extension of the knee during walking and running.

Abnormalities of either the meniscus or cartilage can not only limit the smooth range of motion of the joint, but it may contribute to a feeling of deep knee pain.

Beyond the pain itself, a meniscus tear will often cause a popping sensation (sometimes audible) and may make it feel as if your knee is locked in place when you try to move it.

Swelling That's Worsening After 48 Hours

The first thing that can happen after an acute injury is swelling around the site of the injury.

When the knee is injured, it can swell as a result of inflammation or possibly bleeding into the knee joint. This swelling can causes pain and loss of motion, which limits the use of the knee.

Swelling is usually obvious and can be seen, but occasionally you may just feel as though something is swollen even though it looks normal. Often swelling peaks around 24 to 48 hours after an injury. If swelling is still getting worse after 48 hours, you should seek medical attention.

Swelling within a joint can also cause pain and stiffness. It may sometimes lead to a clicking sound as the tendons snap over one another after having been pushed into a new position from the swelling.

If the knee looks deformed or misaligned, don't delay in seeking treatment. It could be a sign of a fracture or dislocation. These injuries should be evaluated and addressed in a timely fashion to address the source of injury and prevent long term effects.

Instability or Reduced Range of Motion

Reduced range of motion can be related to swelling in the knee, as well as other joint injuries. If you have limited range of motion that does not begin to improve within a few days, you should contact your healthcare provider.

Instability in the knee joint or a sensation that the knee is bending or moving in the wrong direction may suggest a ligament injury to the knee.

The knee ligaments provide support and stability to the joint; if they are stretched or torn due to an injury, instability is one of the most obvious warning signs.

A difference in your ability to support your full body weight on one leg, compared to the other, is another tip-off to an injury that requires attention.

A Word From Verywell

If you have any of these signs,see your primary care healthcare provider or a sports medicine specialist for a complete evaluation and treatment plan. Depending on the injury, you might be referred to an orthopedic surgeon.

Prepare for your visit so you know the symptoms to report and the questions to ask to hasten your diagnosis and treatment.

Patel DR, Villalobos A. Evaluation and management of knee pain in young athletes: overuse injuries of the knee . Transl Pediatr . 2017;6(3):190-198. doi:10.21037/tp.2017.04.05

Song SJ, Park CH, Liang H, Kim SJ. Noise around the knee . Clin Orthop Surg . 2018;10(1):1-8. doi:10.4055/cios.2018.10.1.1

Evans J, Nielson Jl. Anterior Cruciate Ligament (ACL) Knee Injuries . In: StatPearls. Treasure Island (FL): StatPearls Publishing.

Medline Plus Medical Encyclopedia. Knee Pain .

By Elizabeth Quinn Elizabeth Quinn is an exercise physiologist, sports medicine writer, and fitness consultant for corporate wellness and rehabilitation clinics.

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6 Tips for Getting the Most Out of Your Emergency Room Visit, From an ER Doctor

By Esther Choo, M.D., M.P.H.

As an emergency medicine physician, being in the emergency room (ER) is my comfort zone. But I’ve also experienced the ER as a worried spouse and mother, so I know it can be a mysterious, frightening, and frustrating place for most people. Because life is so unpredictable, it’s a safe bet that you or a loved one will find yourself in an ER at some point. With that in mind, I’ve assembled a number of tips to maximize the likelihood that your next trip there goes smoothly and that you get the best care possible.

To supplement my own opinions on this topic, I polled an online group I’m part of called EM Docs, which is made up of more than 15,000 emergency physicians from around the country. They’re the doctors I go to when I have a tough case or when I need to brainstorm ways to improve the care we give.

The following six tips are what we came up with, so keep them in mind next time you or a loved one find yourselves in the ER.

Having a full understanding of your medical history helps us doctors provide care that fits your needs. If you have the option, seek emergency treatment at a hospital where you’ve previously received care, since it will already have your records. Even in the age of electronic medical records, hospitals may not have direct access to information about visits that occurred outside their own system. You may have a long-time auto mechanic who knows the quirks of your car. Similarly, if you’ve had an operation or other specialty treatment, your previous doctors who’ve been “under the hood” have a familiarity with your case, and that may be quite important to your care.

Obviously in an emergency, going to your regular hospital isn’t always possible. So, at a minimum, always bring with you a list of your medical issues , medications (including dosages), allergies , and names of the doctors who provide you with routine care. Having this information printed out on a single card that you carry in your wallet will make sure you’re prepared for any unexpected hospital visit.

There’s no way around it: Waiting is part of the emergency care experience. Emergency medicine doctors are the least patient people on the planet ( trust me , we hate waiting even more than you do). Unfortunately, the system is designed to keep each doctor and nurse maximally busy, and too often, the sheer number of patients (and the really dire cases) take a lot of our time and push us beyond comfortable capacity. We’re simply unable to get to everyone quickly. I’m optimistic that advances in hospital flow (like figuring out better predictive models to help us identify surges in patient volume ahead of time and respond to them quickly) will minimize these waits eventually. In the meantime, there are some ways to make good use of your time in the waiting room:

Notify your primary care physician about your emergency visit, and arrange a follow up appointment for after your ER treatment.
Think through all of your symptoms, and how you can relay them to the nurses and physicians succinctly and completely.
If you can’t recall your medications or allergies, it’s a good time to call home or your pharmacy to make sure you have a complete list.
In some cases, we may ask about your end of life wishes . If you don’t have this paperwork, think about who might have it.
Make some phone calls to work out logistics ahead of time: Who can give you a ride home if you receive medications that make you too groggy to drive home? Who can feed your cat or pick up your kid in case the visit takes longer than you anticipated or you need to be admitted? Is there someone who can come spend some time in the ER with you to help relay information to the doctors and nurses, and be a second set of ears about test results and the care plan?
If you’re really upset about the wait and want someone to know about it, write an email to the hospital administration while you’re waiting. That way, you have filed a complaint, and can use your face time with the doctors and nurses focusing on what brought you to the hospital.

We understand you’re feeling awful, and have probably been waiting for too long while feeling that way. If you’re grumpy by the time you see us, we get it. In fact, we’re braced to face much worse—angry, intoxicated, and even violent patients. But the longer the wait, the more likely the doctors and nurses have been running their tails off without a chance to attend to their own basic biologic needs (e.g., eating and peeing). So when we’re met with patience and respect, it is so awesome. It allows the staff to use all their emotional energy focusing on the most pressing problem at hand: your health.

Emergency training gives us a certain approach that’s fairly routine and focused on making sure you, well, don’t die. However, the things that are foremost on our minds may not align with the actual concerns you have. I’ll give you an example: I once cared for a young man with acute, severe knee pain who’d been in the ER for three hours. I evaluated him for a host of things that would require immediate treatment and hospitalization. The workup did not reveal anything concerning and I decided that it was just muscular inflammation from a recent strenuous workout. I gave him instructions for taking care of the injury, said goodbye, and was leaving the room when he said, with a little embarrassment, “So, doctor, just to be sure…it’s not cancer?”

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It turns out the patient had a nephew who died from bone cancer and he’d linked his mysterious knee pain to that diagnosis, which is what brought him to the ER in the middle of the night. He didn’t mention it when he arrived or during my initial evaluation, and it was such an unlikely diagnosis that it didn’t make it onto my list of suspects. Once he mentioned it, I was able to sit down with him and go over all the reasons I did not think that it was cancer , to his great relief.

So don’t be embarrassed to express your fears up front, even if you think they sound crazy or weird. Trust me, we’ve heard stranger things, and it helps us to know what’s motivating your visit to us. That way we can address your biggest concerns up front.

ER doctors are very good at certain things, like recognizing when people are vitally sick with life- or limb-threatening conditions, staying cool when people are in the process of dying, and stabilizing severely injured patients. We are, admittedly, not so good at other things. We may not hand you a tidy diagnosis. At the end of your visit, we may tell you a list of things we are pretty sure you don’t have, rather than telling you what you do have. The longer your symptoms have been going on, the more likely it is that it is not something common or straightforward, so the less likely it is that we will be able to crack the puzzle during your ER visit.

Also, we can’t just run any test at any time. I wish we could! We’re always on the lookout for when we need to get special tests, like MRIs , but we generally can only get them in a handful of truly dire situations. The everyday tools of the emergency physician are the simple stuff: listening to your symptoms, reviewing your vital signs, and doing a physical examination. After that, we may advise that you receive some immediate testing.

But as often as not, we may feel that you need no further testing at all, at least not during your ER visit. While we do admit some patients who are too sick to manage at home, or who need an immediate therapy or a procedure that can only happen in the hospital, the majority of patients get discharged home with an initial course of treatment (e.g., pain medications or antibiotics) and are advised to follow up with a primary care physician. For those without primary care, we’ll provide a list of local clinics and physicians so they can establish care.

Similarly, we don’t always have specialists on call who can come in at any time. Someone out there—someone who obviously doesn’t work in an ER—created the myth that you can walk into any emergency department and get a plastic surgeon to sew up a simple facial laceration. That’s not how it works. Part of our job is to determine which conditions require a specialist, and which we can manage by ourselves. Often, the answer is that the emergency doc can handle it—and if we can’t, we’ll give you the next steps to get the care you need.

Oh, and we don’t pull teeth.

In almost any ER, we'll ask patients to rate their pain on a scale of 1 to 10. There’s a common misperception about the pain scale; namely, that you need to use the very top of the scale in order to be taken seriously. Almost every shift, someone tells me their pain is “a 12” on a scale of 1 to 10. Ten, to be clear, represents the worst pain possible in human experience; a 10 means a baby is exiting your uterus or a knife has been lodged in your back. Please don’t give us a 10 unless one of these conditions is present.

The pain scale is something we use in conjunction with your physical exam, vital signs, and other clinical data, to characterize your pain, guide your workup, and track the trajectory of your pain and your response to treatment. It's not used as a device to blow you off or to be stingy treating your pain. We never say, “Oh, just a 8? It must be nothing.” Eight is very bad. So is six and in fact, so is four—this is a pain scale, after all, not a fun scale. Picking the right number helps us get an accurate sense of what you are experiencing.

Many people do not have a good understanding of the instructions they are given when they are discharged from the ER. You may be very eager to get home after a long stretch there, and you may feel tired, groggy, and not fully recovered from whatever landed you in the ER in the first place. However, make sure you receive the printed-out discharge instructions, that someone (a nurse or doctor) goes over them with you carefully, and that it all makes sense to you. If you have a friend or family member with you, they should also listen in, as they may be able to help you remember some of the details of your care plan later.

The instructions should include, in general: the doctor’s impression about what may have caused your symptoms; suggested treatments for your symptoms; who to follow up with and when; and what kinds of symptoms should bring you back to the ER, rather than waiting for outpatient follow-up. If you're prescribed medications, make sure you understand what each one is for, how long you should take them, if they are to be taken on a set schedule, or if you only take them as needed. Ensure you receive the physical prescription or that it's faxed to your pharmacy. If you're told to follow up with a specialist, ask if you need to call for the appointment or if that clinic will be calling you. A few extra minutes making sure you understand the plan before you leave the hospital may give you peace of mind later.

We work in a system with some inherent limitations that doesn’t always conform to people’s hopes and expectations, and I can’t promise it’ll be as smooth or as quick as you would like. But I promise we’ll do our best to work with you and make sure you get the care you need, especially if you follow these guidelines straight from emergency doctors.

Esther Choo, M.D., M.P.H, is currently an associate professor in the Department of Emergency Medicine at Oregon Health and Science University.

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Knee Pain: Causes, Diagnosis and Treatment

Knee problems are very common. At their worst, they cause pain that interferes with daily activities, including walking. You may feel this pain when bending your knee, while putting weight on it, or all the time.

Do you experience chronic or acute knee pain? If so, you aren’t alone, visit the emergency room near to you. ER of Texas has top-rated freestanding emergency rooms in the DFW area, including Highland Village , Little Elm , Frisco , Hurst , Colleyville , Mansfield , Hillcrest , Sherman , and Uptown . According to the American Academy of Orthopaedic Surgeons , more than 12 million visits to the doctor’s office each year are due to knee pain. In addition, more people visit an orthopedic surgeon in the U.S. for knee pain than any other complaint.

What Causes Knee Pain?

There are many potential causes for knee pain, including knee osteoarthritis, a torn meniscus, and other injuries . While you cannot stop the aging process, there are several actions you can take to help decrease the risk of knee pain and injuries.

Your knee joint is made of bone, cartilage, ligaments, and fluid. Muscles and tendons help the knee joint move. When any of these structures is damaged, you have knee problems.

These are some of the more common causes of knee pain:

Osteoarthritis. The cartilage in the knee gradually wears away.
Rheumatoid arthritis. The knee may become swollen and cartilage may be destroyed.
Ligament injuries. Anterior cruciate ligament (ACL) injuries usually result from a sudden twisting motion. Injuries to the posterior cruciate ligament (PCL) are usually caused by a direct impact, like impact from a car accident or sports activities.
Tendon injuries. These can range from inflammation to a tear, most likely from overuse in sports or from a fall.
Cartilage injuries and disorders. Injury, overuse, muscle weakness, or misalignment of the knee can soften the cartilage of the kneecap, or a blow to the knee may tear off a piece of cartilage.
Broken kneecap. The small, round bone (patella) that sits over the front of your knee joint breaks, usually as the result of a fall or a direct blow to the knee.

Additional Causes of Knee Pain Might Include:

Baker cyst — A fluid-filled swelling behind your knee that may occur with swelling from arthritis or other causes.
Bursitis — Inflammation from continual pressure on the knee due to overuse, injury, or kneeling for an extended time.
Fracture of the kneecap or other bones .
Patellofemoral syndrome — Pain in the front of your knee around the kneecap.
Dislocation of the kneecap.
Iliotibial band syndrome — Injury to the thick band that runs from your hip to the outside of your knee.
Cancers that either begin in the bones or spread to your bones.
Osgood-Schlatter disease — A condition that causes pain and swelling below the knee joint, where the patellar tendon attaches to the top of the shinbone (the tibial tuberosity).
Infection in the bones of the knee.
Infection in the knee joint.

What Treatments Can Provide Knee Pain?

The nature of your injury will guide the treatment. So will your preferences. It is best to consider the full menu of options available. These include:

RICE (rest, ice, compression, and elevation). This can work for acute pain, but treatment is different for chronic pain. For chronic pain, rest may weaken muscles that need strengthening to reduce or eliminate the pain.
Exercise and physical therapy. Some exercises help build or stretch muscles and ease pain. You also need to know which exercises should be avoided because they could cause further damage to your knee.
Lifestyle changes. There are changes you can make to reduce your pain. For example, maintaining a healthy weight lessens stress on your knees. You may also need to avoid activities, such as running, that exert too much force on the knees.
Genicular nerve blocks. This treatment blocks pain signals that the genicular nerves transmit between the knee joint and the brain. This is first done with an injection of an anesthetic for short-term relief. If it is effective, the patient can get longer-term relief with a nonsurgical procedure called radiofrequency ablation. This procedure generates heat to coagulate the proteins in the nerve, which stops the pain signals.
Peripheral nerve stimulation. A surgeon implants electrodes and a small battery pack near the peripheral nerves that transmit pain signals from the knee. The electrodes deliver a weak electrical current to the nerve (producing a tingling sensation) that tricks it into turning off pain signals to the brain. The patient controls the frequency of electrical stimulation.
Complementary therapies. Some people find relief using massage, biofeedback, relaxation, meditation, acupuncture, yoga, or visualization.
Medication. This includes over-the-counter remedies, such as acetaminophen and nonsteroidal anti-inflammatory drugs, and more powerful drugs like opioids. Other medications can help too, including steroids. Because opioids can be addictive, it’s important to have a qualified pain management specialist oversee your medication plan. Some caution is also required with anti-inflammatory medications and steroids, which can weaken cartilage and knee joints.
Surgery. This is primarily used to fix structural damage. Surgery should not be the first choice, but sometimes it is the only solution. The Made for This Moment knee surgery page provides details on options and pain management considerations.
Regenerative therapies. Researchers continue to explore options such as plasma injections and stem cell treatments. The research is still in its early stages and is not yet conclusive.

When to Visit ER for Knee Pain

As with most injuries, it can be difficult to know when to go to the ER for knee pain or if you should schedule an appointment with your doctor or specialist. If the pain and swelling intensify, pain is severe, or you cannot reach your doctor, visit your nearest ER of Texas emergency center emergency room immediately.

Other signs you need an ER visit include:

You experience severe pain, even when not bearing weight.
Your knee is deformed or misshapen.
You cannot bear any weight on your knee.
Your knee clicks, buckles, or locks.
You cannot straighten your knee all the way out or flex it.
You have a fever , redness, or warmth around the knee.
You experience pain and swelling, bluish discoloration, tingling, or numbness in the calf below the injured knee.
You still experience pain after two to three days of treatment.

Sometimes, your knee injury can’t wait for a doctor’s visit, and knowing when to go to the ER for knee pain can make a significant difference long term. ER of Texas offers no wait time and superior concierge service. Emergency treatment is available for both children and adults anytime you need it.

Our ER is open 24/7 to help treat and diagnose your knee pain or injury. Schedule an emergency room appointment with us. Our board-certified physicians are available 24 hours.

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Clin Exp Emerg Med
v.8(4); 2021 Dec

Pain management in the emergency department: a clinical review

Sergey m. motov.

1 Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY, USA

Katherine Vlasica

2 Department of Emergency Medicine, St. Joseph’s Hospital and Medical Center, Patterson, NJ, USA

Igor Middlebrook

Alexis lapietra.

Pain is one of the most common reasons for patients to visit the emergency department. The ever-growing research on emergency department analgesia has challenged the current practices with respect to the optimal analgesic regimen for acute musculoskeletal pain, safe and judicious opioid prescribing, appropriate utilization of non-opioid therapeutics, and non-pharmacological treatment modalities. This clinical review is set to provide evidence-based answers to these challenging questions.

INTRODUCTION

Pain is one of the most common reasons for patients to visit the emergency department (ED) [ 1 ]. Due to the extensive number of visits to the ED related to pain, emergency medicine (EM) physicians and midlevel providers should be experts in providing safe, effective, and timely pain management. Given the ongoing opioid epidemic across the country, EM clinicians are uniquely positioned to combat this crisis by broader utilization of non-opioid analgesia, thoughtful prescribing of parenteral and oral opioids in the ED and at discharge and identifying and treating patients with opioid use disorder in the ED [ 2 ]. The research related to ED analgesia has grown exponentially over the past 10 years, frequently challenging dogmatic approaches to pain and numerous current pain management practices.

This focused clinical review is set to provide evidence-based answers to the following questions: What is the optimal analgesic treatment for musculoskeletal (MSK) pain that includes ibuprofen, acetaminophen, and opioids? When are opioids indicated and which drug(s), dose(s), and routes of administration are preferred? What is the role of non-opioid alternatives for managing pain in the ED? Is over-the-counter topical lidocaine 4% patch as good as prescription 5% lidocaine patch? What non-pharmacological interventions alleviate pain in the ED?

WHAT IS THE OPTIMAL ANALGESIC TREATMENT FOR MSK PAIN?

Non-opioid therapeutic agents (acetaminophen and non-steroidal anti-inflammatory drug [NSAID]’s) and opioids are frequently administered in combinations in the ED and at discharge for patients with MSK and soft tissue injuries (STIs) pain due to synergistic effects on pain relief [ 2 , 3 ]. The efficacy of combination therapies and analgesic superiority of a single class has been challenged recently by numerous clinical trials. A combination of acetaminophen (1 g) and ibuprofen (400 mg) has been found to lack analgesic and functional superiority over ibuprofen alone in managing acute MSK pain and back pain [ 4 , 5 ]. Similarly, this combination was not better than paracetamol (acetaminophen) alone in ED patients with minor acute MSK injuries [ 6 ]. The ibuprofen/acetaminophen combination was found to be as effective as oxycodone/acetaminophen, hydrocodone/acetaminophen, and codeine/acetaminophen for short-term pain relief (up to 2 hours) in ED patients with acute MSK pain including fractures [ 7 ]. A head-to-head comparison of NSAID’s (valdecoxib) to an opioid/acetaminophen combination demonstrated similar pain relief for short-term analgesia (up to 60 minutes) in ED patients with acute MSK [ 8 ].

In patients with acute STIs (sprain, strain, or joint, ligament, tendon, or muscle contusion), NSAID’s provided similar analgesic efficacy to acetaminophen at 1 to 2 hours and at 2 to 3 days (high certainty evidence), and to opioids at one hour (moderate certainty evidence) and at 4 to 7 days (low-certainty evidence) [ 9 ]. Similarly, oral paracetamol (acetaminophen), ibuprofen or a combination of both resulted in similar analgesic efficacy at the initial 2 hours and in the first 3 days in ED patients with mild to moderate STI pain [ 10 ].

Based on available evidence, oral acetaminophen or ibuprofen administered alone are equally effective for initial pain management in the ED and up to 2 to 3 days post-discharge in ED patients presenting with acute MSK and STI painful conditions. Patients with acute fracture might require a short 2 to 3 day course of opioids.

WHEN ARE OPIOIDS INDICATED AND WHICH DRUG(S), DOSE(S), AND ROUTES OF ADMINISTRATION ARE PREFERRED?

Opioids exert their clinical analgesic effect by binding to the opioid receptors (mu, delta, kappa) in the brain, spinal cord, and peripheral nervous system [ 11 ]. Parenteral and oral opioids are effective in controlling a variety of acute painful conditions of moderate to severe intensity [ 11 , 12 ]. However, a balance between the benefits and harms related to opioids should be thoughtfully considered prior to initiating opioid therapy in the ED [ 3 , 12 ]. The current opioid epidemic has led to several challenges in opioid administration, including optimal opioid selection, dosing regimen, and route in the ED and at discharge [ 3 , 13 ].

Indications

Opioid analgesics provide rapid and effective pain relief to patients presenting to the ED with a variety of acute painful syndromes, several chronic painful syndromes, and cancer-related pain syndromes ( Table 1 ) [ 11 ]. Opioids should be used in the ED as a part of multimodal analgesia in conjunction with non-pharmacological and non-opioid therapies when the likelihood of their analgesic benefit is judged to exceed the likelihood of harm [ 12 ]. Opioids should not be used as first-line analgesics in the ED or at discharge in patients with acute back pain [ 14 ], acute headache [ 15 - 17 ], acute MSK pain (with the exception of fractures) [ 7 ], and acute dental pain [ 18 ] as the risks associated with their use (misuse, overdose, addiction) are significantly higher than the marginal, if any, pain relief provided.

Indications for opioid administration in the ED

ED, emergency department.

Data supporting the use of opioids in the ED for treatment of acute exacerbation of chronic, non-cancer pain demonstrates higher likelihood of harm rather than benefit [ 19 ]. Opioid analgesics should not be routinely used in the ED for chronic non-cancer pain with a notable exception of vaso-occlusive crisis of sickle cell disease [ 20 ].

Choice of opioids

ED clinicians must recognize that commonly used opioids in the ED significantly differ from each other with respect to their ability to induce euphoria potentially leading to addiction ( Table 2 ) [ 21 ]. Based on the available evidence, morphine sulfate administered either parenterally or orally in the ED and at discharge provides better balance of adequate analgesia and reduced euphoria and should be considered as the opioid of choice. In the situation when morphine is contraindicated and opioid analgesia is still warranted, parenteral fentanyl and oral hydrocodone are suitable alternatives in the ED and at discharge [ 11 , 12 ]. Parenteral and oral hydromorphone should be avoided as a first line opioid in the ED due to increased rates of respiratory and central nervous system depression (compared to morphine) as well as due to severe euphorigenic properties [ 22 , 23 ]. Oxycodone should not be used in the ED or at discharge due to greater potential for misuse, diversion, overdose, and the development of addiction with a lack of analgesic superiority to morphine and hydrocodone [ 21 , 24 ]. Similarly, tramadol should not be used in the ED and at discharge due to its modest, at best, analgesic efficacy, high potential for misuse, and host of numerous adverse effects (e.g., hypoglycemia, hyponatremia, seizures, serotonergic syndrome) [ 11 , 21 ]. Lastly, codeine plays no role in managing pain in the ED as it provides sub-optimal pain relief with significant genetic variability in analgesic response [ 11 , 21 ].

Dosing, routes, and clinical properties of commonly used opioids in the ED

ED, emergency department; BBB, blood-brain barrier; MAD, mucosal atomization device; CNS, central nervous system.

Dosing ranges and routes of administration

Pure mu-receptor agonists lack an analgesic ceiling, and their doses can be titrated upwards until pain is controlled, or side effects become intolerable or dangerous [ 11 ]. Parenteral opioid administration via an intravenous (IV) route achieves rapid, titratable, and effective pain relief in the ED and serves as a preferred route of opioid delivery [ 3 , 11 ]. When intravascular access is not readily available, ED clinicians should consider administration of opioids via intranasal (IN) route (fentanyl, hydromorphone), inhalation (via nebulizer) route (fentanyl, morphine), subcutaneous injection (morphine, hydromorphone), or transmucosal route (rapidly dissolvable fentanyl tablets) [ 3 ]. Intramuscular (IM) delivery of opioids in the ED should be avoided as it is associated with severe pain at the injection site, unpredictable absorption rates, soft tissue infection, and myofibrosis leading to a dose escalation and higher rates of adverse effects [ 3 ]. The oral route of opioid administration in the ED should be considered when feasible, even though it results in poor oral bioavailability (with the exception of oxycodone) and delayed onset of analgesia in the ED limiting its utility for rapid pain control [ 2 , 3 , 25 ].

WHAT IS THE ROLE OF NON-OPIOID ALTERNATIVES FOR MANAGING PAIN IN THE ED?

A variety of non-opioid alternatives have been broadly utilized in the ED for managing numerous painful syndromes with great success supported by a large body of literature.

Ketamine is a non-competitive N-methyl-D-aspartate (NMDA)/glutamate receptor complex antagonist and potent analgesic suitable for the management of acute and chronic pain in the ED endorsed by the American College of Emergency Physicians and the American Academy of Emergency Medicine [ 2 , 26 ]. When administered in subdissociative (SDK) doses, the common IV dosing regimen is 0.1 to 0.3 mg/kg, or a 15 to 30 mg fixed dose administered over 15 minutes to reduce psycho-perceptual adverse effects [ 27 - 29 ]. SDK at 0.3 mg/kg IV has been shown to have similar efficacy in comparison to morphine 0.1 mg/kg IV for managing pain in the ED [ 28 - 31 ]. In the absence of IV access, SDK can be administered IN at 0.5 to 1 mg/kg with analgesia similar to IM and IN administration of opioids [ 32 , 33 ]. Additionally, nebulized ketamine at dosing range of 0.75 to 1.5 mg/kg was found to be effective in reducing acute pain in adult and pediatric ED patient with acute painful conditions [ 34 ]. Recently, a randomized clinical trial of 120 patients demonstrated similar analgesic efficacy of nebulized ketamine given at three different dosing regimens: 0.75, 1, and 1.5 mg/kg [ 35 ].

For chronic pain management, data on SDK is limited to case reports and case series. Ketamine can be a potential choice as part of an opioid sparing strategy in patients with tolerance or opioid dependence requiring management of acute or chronic pain management [ 12 ]. The current EM literature supports the administration of SDK as a safe and effective agent for use in ED pain management ( Table 3 ).

Routes and dosing regimens for ketamine administration for pain in the emergency department

IV, intravenous.

Nitrous oxide

Nitrous oxide is a tasteless colorless gas administered in combination with oxygen via inhalation and is used as an anxiolytic, analgesic, and sedative agent. The mechanism of action involves NMDA receptor antagonism and release of endogenous opioid via opioid receptor agonism in the central nervous system [ 36 ]. Nitrous oxide is administered via facemask or nasal hood, is easily titratable, and has rapid onset and elimination making it an ideal agent for pain control in the ED [ 37 ]. The most common concentration is 50% to 70% nitrous oxide (30%–50% oxygen) via an on demand inhalation mechanism or continuous flow device [ 37 , 38 ]. Nitrous oxide is a potent, safe, effective inhalational anesthetic that provides quick and titratable pain relief for a variety of acutely painful complaints or procedures performed in the pediatric and adult ED population [ 37 , 38 ] ( Table 4 ). Administration of nitrous oxide in concentrations higher than 70% or in combinations with opioids or benzodiazepines requires full cardiopulmonary monitoring. There are no fasting requirements or restrictions postadministration when nitrous oxide is given as a single agent in the ED [ 39 ].

Indications and contraindications for emergency medicine nitrous oxide use

Intravenous (IV) lidocaine

Lidocaine non-competitively blocks voltage-gated sodium channels as well as NMDA receptors and reduces hyperalgesia and central sensitization [ 40 ]. When administered IV at 1 to 1.5 mg/kg dose over 10 to 15 minutes, lidocaine causes minimal adverse effects (dizziness, tinnitus, periorbital and perioral numbness) that are transient and rapidly reversible [ 40 , 41 ]. Despite promising data from the earlier studies for renal colic [ 41 ], subsequent studies demonstrated analgesic inferiority of IV lidocaine to IV ketorolac alone and to IV ketorolac/lidocaine combination [ 42 ]. Similarly, IV lidocaine failed to demonstrate significant pain relief in ED patients presenting with acute headache [ 43 ], acute low back pain [ 44 ], and abdominal pain [ 45 ]. A recent systematic review found no definitive evidence to recommend IV lidocaine use and recommended further research within a larger and older population to assess the efficacy and safety in specific painful syndromes [ 46 ]. At present, IV lidocaine cannot be recommended for routine use in the ED and its administration should be based on a case by case basis.

Neuroleptics (antidopaminergic medications)

Haloperidol is a butyrophenone derivative that exerts its effects through dopamine receptor blockade (D2-R antagonist). Additionally, haloperidol binds to the histamine receptors, alpha-2 adrenergic receptors, 5HT-2 receptors and NMDA receptors and decreases hyperalgesia produced by chronic opioid use [ 47 ]. Droperidol is a butyrophenone derivative with potent dopamine D2 antagonist actions with additional actions such as A2 adrenoceptor agonist and 5HT-3, muscarinic and nicotinic receptors antagonist [ 48 ].

Haloperidol and droperidol have been used in the ED as an adjunct in treatment of headache [ 49 ], abdominal pain associated with cannabinoid hyperemesis syndrome [ 50 ], gastroparesis and cyclic vomiting syndrome [ 51 ], and chronic pain not responsive to opioids [ 52 ]. Traditional dosing regimens and routes include haloperidol: 2.5–5 mg IV, 5–10 mg IM; droperidol: 1.25–2.5 mg IV, 2.5–5 mg IM.

Ultrasound-guided regional anesthesia

The most common ultrasound-guided regional anesthesia (UGRA) application in the ED is for management of patients presenting with hip/femur/upper extremity fractures followed by truncal and cervico-cranial applications ( Table 5 ). UGRA provides significant pain reduction, alleviates the need for rescue opioid analgesia, and decreases the length of stay in the ED when compared to procedural sedation with no appreciable differences in analgesic efficacy and patient’s satisfaction. Furthermore, the utilization of UGRA in geriatric patients and patients with substance use disorder may eliminate any untoward side effects of parenteral opioid medications and reduce the dose of opioids [ 53 , 54 ]. Ultrasound guidance, calculation of maximum/lowest effective dose, aspiration before injection of 3 to 5 mL aliquots of local anesthetic of choice, and hydrolocation of structures with sterile saline at the start of infiltration are recommendations to prevent UGRA-related complications including local anesthetic systemic toxicity (LAST) [ 55 ].

Commonly performed ultrasound-guided nerve blocks in the emergency department

UGRA, ultrasound-guided regional anesthesia; DIP, distal interphalangeal joint; IJ, internal jugular.

An IV lipid emulsion (intralipid) therapy should be readily available when using UGRA to manage a LAST. Symptoms of LAST are typically progressive, from minor (tongue, perioral numbness, restlessness, muscle fasciculations, hypertension, tachycardia) to moderate (seizures, global central nervous system depression/confusion) to signs of impending cardiovascular collapse (bradycardia, conduction block, hypotension) [ 56 ].

If the patient is above 70 kg, an initial bolus of 100 mL 20% lipid emulsion should be administered over 2 to 3 minutes followed by a 20% lipid emulsion infusion of 200 to 250 mL over 15 to 20 minutes. For patients below 70 kg, the bolus dose is a weight-based 1.5 mL/kg followed by a 0.25 mL/kg/min infusion. If circulatory stability is not attained, rebolusing up to two further times and increasing the infusion to 0.5 mL/kg/min is suggested. The maximum recommended dose of lipid emulsion is 12 mL/kg [ 57 ].

IS OVER-THE-COUNTER TOPICAL LIDOCAINE 4% PATCH AS GOOD AS PRESCRIPTION 5% LIDOCAINE PATCH?

Topical lidocaine has been used in patients with herpetic neuralgia, diabetic polyneuropathy, osteoarthritis, and MSK pain including low back pain [ 58 , 59 ]. Its use is contraindicated in patients with hypersensitivity to amide anesthetics, open wounds, and skin eczema. The most common adverse effects include skin erythema, edema, and occasional burning at the application site [ 58 , 59 ]. The dosing regimens are 1 to 3 patches daily with a 12-hour free period with a maximum dose of three patches daily [ 58 ]. A 5% topical lidocaine plaster was found to be more effective than capsaicin, gabapentin, pregabalin, and placebo and with fewer adverse effects in patients with postherpetic neuralgia [ 60 ]. However, the cost of a pack of six patches that ranges from 45 to 150 US dollars in the US is prohibitive for the majority of patients [ 61 , 62 ]. In contrast, overthe-counter 4% lidocaine patch with average cost (pack of 6) of 6 to 12 US dollars might represent a suitable alternative as it was found to be non-inferior to the 5% patch with respect to efficacy, side effects, and impact on quality of life [ 61 , 62 ].

WHAT NON-PHARMACOLOGICAL INTERVENTIONS ALLEVIATE PAIN IN THE ED?

ED pain management for the most part heavily depends on pharmacological pain management where benefits of the pain relief must be carefully balanced against the adverse effects. Non-pharmacological pain management modalities are often effective in alleviating pain in the ED despite the limited number of studies with small sample sizes [ 63 ].

Cryotherapy

Multiple mechanisms have been proposed to explain the physiological basis for cryotherapy effectiveness, including inhibition of nociceptors, reducing the metabolic enzymatic activity of the injured tissue, and decreasing the nerve conduction velocity [ 64 ]. Cryotherapy is frequently used for managing acute MSK and soft tissue painful syndromes [ 65 - 68 ]. A common ED practice of applying a cold pack or ice pack to the skin with 10 minutes on, 10 minutes off can result in rapid analgesia in the ED and outpatient setting [ 66 ]. Another technique such as intensive targeted cryotherapy (wetted crushed ice in the plastic bag) was found to produce lower skin temperature than the application of the cold pack [ 67 ] and recently, has demonstrated more effective analgesia than chemical cold packs for acute MSK injuries in the ED [ 66 ]. Cryotherapy has been shown to be effective in the treatment of low back pain, neck pain, and a multitude of other sports-related injuries [ 66 - 69 ].

Heat therapy

When used in the context of a multimodal pain management, application of heat has shown moderate benefit in improving pain associated with acute neck and back strain in the ED [ 70 ]. Use of heat packs for treatment of chronic neck pain in the elderly population has been shown to decrease pain and improve range of motion [ 71 ]. Use of superficial heat was shown to be beneficial for the treatment of pain associated with temporomandibular disorders [ 72 ].

A systematic review provided tentative evidence that transcutaneous electrical nerve stimulation (TENS) provided mild to moderate improvement in acute pain (back pain, fractures, headache, MSK pain, and procedural pain) as a stand-alone treatment modality in adult patients. The evidence suffered from high risk of bias and inadequate sample sizes [ 73 ]. Specifically to the ED, in a single center pilot study, TENS was found to be effective (average pain relief by 40% from the baseline) in 99% of patients with a variety of acute and chronic painful conditions, and to result in functional improvement in 83% of patients [ 74 ]. At present, however, robust data is lacking to support widespread use of TENS in the ED setting.

Acupuncture

The evidence for acupuncture is markedly heterogeneous, with a dearth of large, well designed, randomized controlled trials primarily supporting its use for chronic painful syndromes (back pain, osteoarthritis, and headache) [ 75 ]. Data on utilization of acupuncture (battlefield acupuncture) in the ED is limited with preliminary case series and smaller pilot studies showing promising results for pain control [ 76 ] but with larger, randomized studies demonstrating markedly mixed outcomes [ 77 , 78 ] that do not support widespread use of acupuncture in the ED.

Osteopathic manipulative treatment

Osteopathic manipulative treatment (OMT) is therapeutic maneuvers employed by osteopathic physicians to address dysfunctions in the MSK, myofascial, lymphatic, vascular or neurological structures. Studies looking at the application of OMT in the ED demonstrate analgesic improvement in MSK painful syndrome, reduction in the amount of parenteral analgesia [ 79 , 80 ] and decrease in length of stay [ 81 ]. However, there is a significant lack of large, randomized controlled trials. OMT is reimbursable as a procedure via five distinct codes in the American Medical Associations Current Procedural Terminology, making the utilization of this low risk [ 79 ], non-pharmacologic intervention more palatable in the hands of an OMT trained emergency physicians.

ED clinicians have a great responsibility to alleviate pain by all available means in a timely, efficient, and safe manner. The improved knowledge and set of skills of ED clinicians in managing pain have led to broader utilization of non-pharmacological and non-opioid treatment modalities as well as refined and judicious use of opioids. ED clinicians are uniquely positioned to perfect patient-centered, pain syndrome-targeted analgesia by relying on and incorporating evidence-based pain management into their daily practice.

Capsule Summary

What is already known

Pain is one of the most common reasons for patients to visit the emergency department (ED). Due to the extensive number of visits to the ED related to pain, emergency medicine physicians and mid-level providers should be experts in providing safe, effective, and timely pain management.

What is new in the current study

This focused clinical review is set to provide evidence-based answers to the following questions: What is the optimal analgesic treatment for musculoskeletal pain that includes ibuprofen, acetaminophen, and opioids? When are opioids indicated and which drug(s), dose(s), and routes of administration are preferred? What is the role of non-opioid alternatives for managing pain in the ED? Is over-the-counter topical lidocaine 4% patch as good as prescription 5% lidocaine patch? What non-pharmacological interventions alleviate pain in the ED?

No potential conflict of interest relevant to this article was reported.

When to Go to the ER for Knee Pain

Common Injuries

Jan 18, 2024

It can be difficult for many people to know when to go to the ER for knee pain versus when your injury is not a medical emergency. Knee pain is a common complaint — especially from athletes and other active people — that can arise from various causes, from aging to minor strains to severe injuries. As we get older, our knees begin to creak and click, no matter how physically fit or young we are. It’s just a part of life!

However, being able to spot knee injury symptoms and scenarios that require urgent medical attention can help you know when to go to the ER for knee pain to get the proper and timely treatment you need.

The emergency medical staff at Complete Care are here to help you determine when medical care for knee pain is necessary and when you can use at-home remedies to ease your pain.

Knee injury symptoms

When discussing knee injury symptoms, it’s important to understand the difference between acute pain symptoms and more severe symptoms. A little pain here and there is not too much cause for concern, but sudden and persistent pain is not normal.

The following symptoms can indicate various injuries such as a knee sprain , ligament tears, meniscus damage, or fractures:

Redness (can also be warm to the touch)
Instability or weakness
Difficulty straightening or bending the knee
Popping or crunching noises

If you are having trouble putting weight on your knee or it looks visibly swollen, it would be a good idea to have it checked out by a medical professional to ensure that the damage isn’t severe and that surgical intervention isn’t necessary.

When should I go to the ER for a knee injury?

If the injury occurred during a high-impact event like a fall, sports mishap ( gymnastics knee injuries are particularly brutal), or hiking accident that resulted in one of the common severe hiking injuries , seeking prompt medical evaluation is advisable.

How do I know if my knee pain is serious? Here are some signs of when to go to the ER for knee pain:

The knee injury was a result of a high-impact blow
You heard an audible pop! or snap! at the time of the injury
Your pain is severe
You’re experiencing chronic or persistent pain (knee pain that won’t go away for a few weeks)
The knee appears deformed
The knee has a wound that is open and/or bleeding
You can’t put any weight or pressure on the knee
You have difficulty walking
The pain doesn’t improve with rest, ice, compression, and elevation (R.I.C.E) or over-the-counter medications

When in doubt, it’s always safest to seek help when an injury or accident occurs. Sometimes at-home remedies such as hot or cold packs and rest can only help manage the pain but not get to the root of the problem.

Seeking emergency treatment from a freestanding emergency room like Complete Care can help you quickly establish a personalized treatment plan and prevent any further complications from developing with your knee

What will the ER do for knee pain?

When you arrive at a Complete Care facility, we will run diagnostic tests using X-rays and CT scans to figure out what damage was done to your knee. After getting your results in just a few minutes, we will determine exactly what type of treatment plan you need. Treatments may involve immobilization with a brace, splint, or crutches, and pain management.

Complete Care staff member with digital imaging equipment.

“I went into this ER with a swollen knee of unknown cause, every person I met (the one who checked me in, both nurses that took vitals and set up my IV, and Dr. Miranda) was so kind and gentle and explained every step when it came to draining my knee and sending in blood for testing! They’re amazing!” Cassidy D. | Complete Care Colorado Springs Patient

Trust Complete Care with your knee pain symptoms

While knee pain can be a normal part of life, it should not be ignored under certain circumstances. Understanding when to go to the ER for knee pain can help you avoid making the condition or symptoms worse.

Experiencing knee pain that won’t go away, sudden and severe pain, significant swelling, the inability to bear weight, or any injury causing an obvious deformity will require a trip to the emergency room. Also, if you hear any audible popping or snapping noises at the impact of the injury, that is a clear sign that damage has been done to your knee and it should be examined. If you’re looking for the right ER to entrust with your knee care, Complete Care has you covered.

Our patients say that Complete Care is the best emergency room due to our low wait times, fully-equipped, hospital-grade facilities, and compassionate staff. We can provide quality, efficient care for almost any injury or condition, especially knee injury symptoms. You and your loved ones deserve the best care possible.

With multiple locations in Texas ( Austin , Corpus Christi , Dallas/Fort Worth , East Texas , Lubbock , and San Antonio ) and in Colorado Springs , we are open 24/7 to help you when you need us most.

Schedule an appointment today

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Urgent Care, ER or Orthopedic Injury Clinic: Where To Go For Care

June 28, 2020

When serious injury or illness occurs, many people head straight to an emergency room. But that may not be the best choice for your condition – or your wallet.

An estimated 13 percent to 27 percent of emergency department visits in the United States could be managed instead in physician offices, clinics and urgent care centers, at a savings of $4.4 billion annually.

Read on to learn about the differences among these three types of immediate care facilities.

What Is an Urgent Care?

An urgent care provides quick, convenient and affordable healthcare. Staffed by board-certified medical providers, they are open every day, including nights and weekends. Appointments are not necessary, but you can reserve online to reduce wait times.

An urgent care can handle non-life-threatening illnesses and minor injuries for adults and children – at significant cost-savings when compared to a visit to the emergency room. On-site services include X-ray and lab.

Some of the illnesses and injuries treated at an urgent care include:

Respiratory illnesses, such as a sinus infection
Sore or strep throat
Bladder and kidney infections, such as a urinary tract infection
Earaches, such as an ear infection or swimmer’s ear
Eye irritations and infection
Gastrointestinal illness, such as a stomach ache, food poisoning, diarrhea or emesis
Minor injuries and accidents
Sprains, strains, bumps and bruises
Cuts and lacerations
Suspected fracture
Skin issues such as poison ivy or sunburn

What is an Orthopedic Injury Clinic?

An orthopedic injury clinic provides urgent care for children and adult for for issues that affect the bones, joints or muscles. These specialized clinics offer specialized diagnosis and prompt treatment by trained orthopedic specialists.

An orthopedic injury clinic is the ideal place to go for serious injuries such as broken bones, sprains and strains. You can simply walk in – no appointment is needed. And the cost is much less than going to an emergency room. On-site services include X-ray, casting, splinting, bracing and injections. If your injury warrants surgery, one can be scheduled for the next day.

Some of the conditions treated at an orthopedic injury clinic include:

Broken bones, sprained wrists or ankles
Fractures and dislocations
Sprains and strains
Joint and tendon pain
Acute back and neck injuries
Sports-related injuries
ACL tears/knee pain
Muscle injuries

When To Go To an Emergency Department

Any symptom that is extreme, such as chest pain, or not relieved with an over-the-counter medicine, such as severe vomiting or headache, warrants a trip to the emergency room.

Visit the nearest ER when you feel symptoms such as:

Very high or very low vital signs, such as blood pressure, heart rate, breathing rate and temperature
Signs of heart attack or irregular heartbeat rhythm, such as chest pain or fainting
Stroke symptoms, including sudden onset of numbness or weakness of the face or body; confusion; changes in vision; dizziness or loss of coordination
Vision loss
Nose bleeds that don’t stop
Shortness of breath, wheezing or high-pitched breathing sounds
A large, distended or rigid belly
Bleeding during pregnancy
Suicidal thoughts
Complications from recent surgery or procedures

Not an Emergency? Consider Virtual Visits

University Hospitals virtual visits provide a convenient, simple way to see a clinician without having to go into a doctor's office. This option is available 24/7 for non-emergency conditions such as allergies, digestive problems, flu, respiratory issues, skin conditions, sore throats and more.

Our virtual visit services include online video and telephone appointments. With virtual visits, you can access many of the same services you receive during a traditional in-person appointment. These include remote symptom monitoring, diagnosis and treatment, prescriptions and other medical services.

Make a medical appointment

Make an appointment with your health care team if your knee pain happened after forceful impact or injury. Or if your knee joint is:

Badly swollen.
Warm and tender.
Very painful.

Also, call your care team if you have a fever or other symptoms of sickness. You could have an underlying illness. Some minor, ongoing knee pain should be checked as well. If your knee pain bothers your sleep or daily tasks, call a medical professional.

Self-care for knee pain

Start with self-care if your knee pain has no clear signs of trauma and you can still go about daily life. Maybe your knee pain came on slowly over time. Maybe you moved differently, changed routines or had a small injury. In these cases, self-care at home may help relieve your knee pain.

Long-term knee pain is often due to arthritis. Arthritis can happen due to age, past trauma or heavy use. Also, it can happen when the knee joint is unstable or carries too much weight. Low-impact exercise and weight loss may help treat painful arthritis of the knee. Exercise helps strengthen the joint. Weight loss, if needed, lightens pressure. To care for your knee pain at home:

Rest your knee joint. Stay off your feet as much as possible. Use a cane, walker or other form of mobile support until your knee is healed.
Switch to low-impact movement. Stay active but try movement that's easy on your knee joints. You might swim instead of jogging, or cycle instead of playing tennis.
Ice your knee. Wrap a bag of ice cubes or frozen vegetables in a towel. Then, place it on your knee for 15 to 20 minutes. Do this a few times every day.
Wrap your knee. Wrap an elastic bandage around your knee. Or use a knee brace for support. This is called compression. The wrap should be snug but not too tight. The right compression should control swelling of the knee. But it should not cause pain or swelling in other parts of the leg.
Prop your knee up. Lie down and place pillows underneath your knee. Your knee should be above your heart. This is called elevation. It may help control pain and swelling.
Try pain relievers. Many pain relievers you can buy without a prescription. Begin with topical creams or gels. Products with 10% menthol (Icy Hot, BenGay), or diclofenac (Voltaren) may relieve pain without pills. If those don't work, try NSAIDs, also called nonsteroidal anti-inflammatory drugs, or Tylenol, also called acetaminophen. NSAIDs help reduce pain and swelling. They include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). But NSAIDs aren't right for everyone. Take Tylenol if you have kidney trouble, high blood pressure, are over 75 or are prone to stomach upset.

Show References

Firestein GS, et al. Hip and knee pain. In: Firestein & Kelley's Textbook of Rheumatology. 11th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed April 25, 2023.
Covey CJ, et al. Approach to the adult with unspecified knee pain. https://www.uptodate.com/contents/search. Accessed April 25, 2023.
AskMayoExpert. Knee Osteoarthritis. Mayo Clinic; 2022
AskMayoExpert. Knee Bursitis. Mayo Clinic; 2022.
Auerbach PS, et al., eds. Sprains and strains. In: Field Guide to Wilderness Medicine. 5th ed. Elsevier; 2019. https://www.clinicalkey.com. Accessed May 1, 2023.
Osteoarthritis of the knee. Arthritis Foundation. https://www.arthritis.org/diseases/more-about/osteoarthritis-of-the-knee. Accessed May 1, 2023.
Takahashi, PY (expert opinion). Mayo Clinic. May 5, 2023.

Original article: https://www.mayoclinic.org/symptoms/knee-pain/basics/when-to-see-doctor/sym-20050688

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When To See Your Doctor For Knee Pain

Knee pain can make everyday tasks difficult. While not all knee pain is serious, Virtua orthopedic surgeon Scott Schoifet, MD, says some conditions do require attention from a health care provider.

man sitting on the sofa massaging his knee

By Scott Schoifet, MD , Orthopedic Surgeon We all experience knee pain at some in our lives, whether it’s from coming down awkwardly while playing basketball, carrying too much weight to support our joints, or wear and tear leading to osteoarthritis. Knee pain can be caused by an injury to the bones within the knee (such as the patella, femur, or tibia), or a problem with any of the ligaments, tendons, meniscus (the cartilage “bumpers” between the bones), and bursae (fluid-filled sacs between the bones and tendons). While not all knee pain is serious and can be effectively treated at home, some conditions do require attention from a health care provider. Schedule an appointment if your injury is caused by a forceful impact or is accompanied by:

Significant pain or swelling that does not improve within 48 hours
Persistent tenderness or warmth around the joint
Increasing swelling or redness around the joint

Seek immediate treatment at an urgent care or emergency room if you:

Can’t put weight on your knee or you feel your knee is going to give out
Are unable to flex or fully extend your knee
Heard a popping noise when your injury occurred
See a deformity around the joint
Have intense pain or sudden swelling

Also see a doctor if your knee discomfort, such as from osteoarthritis, rheumatoid arthritis, or gout, has worsened to the point previous treatments are no longer effective or you are unable to perform normal daily activities. Treatment will depend on the cause of your knee pain. Medication, physical therapy, cortisone injections, and braces or other supports all may help relieve your symptoms. Depending on your condition, joint replacement surgery may be an option as well. Don’t Let Joint Pain Hold You Back From pain management and physical therapy, to surgery and rehabilitation, the joint specialists at Virtua Orthopedics & Spine can help you get back to living your life the way you want. Our board-certified and fellowship-trained orthopedic surgeons are with you every step of the way. Learn more about joint care at Virtua Orthopedics & Spine program or call 856-517-8812 to request an appointment.

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Urgent Care for Knee Pain: When to Seek Medical Attention

Knee pain's causes: injuries, arthritis, gout, tendonitis, and strain.
Urgent care for knee pain: evaluation, diagnostic tests, treatment options.
Self-care measures: RICE method, pain relievers, exercises, weight management, knee braces.

Anatomy of the Knee Joint

Common causes of knee pain, what knee pain symptoms could mean for you, when to seek urgent care for knee pain, what to expect when you go to urgent care for knee pain, non-urgent care options for knee pain, self-care measures for knee pain, surgical options for knee pain.

Frequently Asked Questions

If you're experiencing knee pain, you're not alone. Knee pain is a common issue that affects people of all ages, from children to seniors. According to the Mayo Clinic, it can be caused by a variety of factors, including:

Injuries, such as a torn ligament or cartilage
Muscle strain

Fortunately, many cases of knee pain can be treated at an urgent care clinic , which can save you money by avoiding an emergency room visit. There are several types of urgent care facilities, including standalone clinics, hospital-affiliated centers, and private clinics. Each one will be slightly different in the level of care they can provide, but all of them are equipped with licensed medical providers. Urgent care providers will have the knowledge and skills to evaluate knee pain and recommend the best course of treatment.

When it comes to knee pain, understanding which symptoms warrant a visit to the doctor and knowing your treatment options can help you take control of your health and get back to your daily activities faster. Let’s take a closer look at what could be causing your knee pain and when to seek care at urgent care.

Urgent Care for Knee Pain: When to Seek Medical Attention

The knee joint is the largest joint in your body and connects the thigh bone (femur) to the shinbone (tibia). The kneecap (also called the patella) sits on the front of the knee joint and helps protect the joint. The knee joint is also surrounded by ligaments, tendons, and muscles that provide stability and movement.

There are two main components to the knee joint: the femorotibial joint and the patellofemoral joint. The femorotibial joint is the hinge joint that allows for flexion and extension of the knee. The patellofemoral joint is the gliding joint between the kneecap and the femur that helps with knee movement.

How the Knee Joint Works and Moves

The knee joint works like a hinge, allowing for one-way flexion and extension of the lower leg. The joint is also capable of rotation and gliding movements. The knee joint is supported by several major ligaments, including the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL).

There are also several supporting muscles attached to the knee, including the quadriceps, hamstrings, and calf muscles. These muscles work together to provide stability and movement to the knee joint.

Common Injuries and Conditions That Affect the Knee Joint

The knee joint is susceptible to a variety of injuries and conditions, as outlined by the Mayo Clinic. Some common knee joint injuries include:

ACL tear : a tear in the anterior cruciate ligament, often caused by sudden stops or changes in direction
Meniscus tear : a tear in the cartilage that cushions the knee joint, often caused by twisting or rotating the knee
Patellar tendinitis : inflammation of the tendon that connects the kneecap to the shinbone, often caused by overuse or repetitive jumping
Osteoarthritis : a degenerative joint disease that can cause pain and stiffness in the knee joint

In addition to these injuries and conditions, knee pain can also be caused by overuse, improper form during exercise, or underlying medical conditions such as gout or rheumatoid arthritis.

If you are experiencing knee pain, understanding the symptoms of common causes can help you determine what kind of care you may need. Knee pain can be caused by a variety of factors, including injuries, arthritis, bursitis, tendinitis, and more. Below we list some of the most common causes of knee pain, as outlined by the Mayo Clinic and Johns Hopkins.

Knee injuries

Knee injuries are a leading cause of knee pain. Common knee injuries include sprains, strains, and fractures . These injuries can occur as a result of sports activities, accidents, or falls. Symptoms of knee injuries can include pain, swelling, and difficulty moving the knee.

Osteoarthritis of the knee

Osteoarthritis is a degenerative joint disease that can affect any joint, including the knee. According to the Mayo Clinic, this condition occurs when the cartilage in the knee joint wears down over time. This can happen from repetitive stress (walking or running a lot), genetics, aging, or being overweight. Symptoms of knee osteoarthritis include pain, stiffness, and swelling.

Rheumatoid arthritis

Rheumatoid arthritis is an autoimmune disorder that can cause knee pain. This condition occurs when the immune system attacks the joints, causing inflammation. Symptoms of rheumatoid arthritis can include pain, swelling, and stiffness.

According to the Mayo Clinic, bursitis is a condition that occurs when the bursae (small fluid-filled sacs that cushion the knee joint) become inflamed. Bursitis can be caused by frequent or prolonged pressure such as kneeling on hard surfaces, strenuous activities, direct trauma to the knee, or a bacterial infection . Symptoms of bursitis include pain and swelling.

Tendinitis is a condition that occurs when the tendons that attach the muscles to the knee joint become inflamed. This can happen from repetitive stress on the knee (usually from sports) and can cause knee pain and stiffness.

Risk factors for knee pain

There are several factors that can increase your risk of developing a condition that causes knee pain, according to the CDC. These risk factors include age, obesity, and sports involvement. If you are experiencing knee pain, it is important to talk to your healthcare provider about any risk factors that may be contributing to your discomfort, and what you can do to help alleviate the stress on your knee.

Prevalence of knee pain in the population

Knee pain is a common condition that affects many people. According to the CDC, around 23% (or 1 in every 4) adults have arthritis of the joints. If you are experiencing knee pain, it is important to talk to your healthcare provider about your symptoms and treatment options. Ignoring knee pain can lead to irreversible damage, according to the Cleveland Clinic.

If you are experiencing knee pain, it is important to get treatment as soon as possible. Here is what some of the most common knee pain symptoms could mean, as noted by the Mayo Clinic and Cleveland Clinic.

Pain, swelling, and stiffness in the knee

Pain, swelling, or stiffness in your knee may be caused by an injury, infection, or overuse. The Mayo Clinic recommends seeking medical evaluation if the symptoms persist despite home treatments. Occasionally, these symptoms can be cured with:

Ice and elevation
Compression (wrapping the knee with an elastic bandage)
Supportive shoes

Difficulty bearing weight on the affected knee

The Mayo Clinic notes that this symptom is a serious symptom that should be evaluated by a doctor as soon as possible. You can use ice and compression for temporary relief until you can get to urgent care.

Limited range of motion

A limited range of motion can make it difficult to perform everyday activities, such as bending down or getting up from a chair. This can happen suddenly if it is caused by an injury, or progress slowly if you have arthritis of the knee. Either way, the Mayo Clinic recommends being evaluated by a doctor. Many times, physical therapy can help gain back some range of motion or prevent further loss of range of motion.

Clicking or popping sounds in the knee

Clicking or popping sounds in your knee can be caused by a variety of factors, including injury or overuse. This is a common ailment for people who are overweight, according to the Cleveland Clinic. Getting a medical evaluation can help you find the source of the clicking or popping, and help you understand how to fix it.

Redness and warmth around the knee joint

If you are experiencing redness and warmth around your knee joint, it may be a sign of an injury or infection inside the knee joint. An infection of the knee joint can be a very serious condition, so a prompt medical evaluation is important, recommends the Mayo Clinic.

Some knee pain symptoms indicate a serious condition that requires immediate medical attention. These are some signs that the Mayo Clinic notes could indicate an urgent matter.

Severe pain or swelling - If you are experiencing pain or swelling that does not get better with rest, ice, elevation, and compression then you may have a serious injury.
Inability to bear weight on the affected knee - The inability to bear weight on an affected knee can indicate a serious injury or infection according to the Mayo Clinic.
Visible deformity or misalignment of the knee joint - This is a symptom that can indicate a bone fracture or dislocation according to the Mayo Clinic. Only a medical evaluation can determine if you have a broken bone or dislocation.
Signs of infection - The signs of infection in the knee joint according to the Mayo Clinic include knee pain, swelling, fever , chills , redness, and warmth of the knee. An infection of the knee joint can be very serious and needs medical evaluation right away, according to the Mayo Clinic.
Symptoms that do not improve with rest and self-care measures - Regardless of what knee pain symptoms you are experiencing, if they do not improve with self-care measures, you should have a medical evaluation. Urgent care is a great option for getting a quick and cost-effective medical evaluation. You can use Solv to find top-rated urgent care near you.

Once you decide to get your knee pain checked out at urgent care, understanding the process can help you be more prepared and at ease about your visit. Here’s what you can expect from most knee pain visits at urgent care.

Physical Examination

When you arrive at the urgent care clinic, you will be checked in through a reception area. They will likely ask about your current symptoms, as well as for your ID and insurance card. After getting checked in, a medical provider will ask for more details about your symptoms and past medical history. A healthcare provider will also conduct a physical examination of your knee to assess the severity of your pain and identify any visible signs of injury or inflammation. They may also ask you to perform certain movements to evaluate your range of motion and any changes in the level of your pain, based on movement.

Diagnostic Tests

Depending on the results of your physical examination, your healthcare provider may order diagnostic tests such as X-rays or an MRI to get a closer look at your knee. These tests can help identify any fractures, dislocations, or other underlying conditions that may be causing your pain.

Treatment Options

Once your healthcare provider has determined the cause of your knee pain, they will recommend a treatment plan. This may include pain management techniques such as ice, heat, or pain relievers. Immobilization with a brace or crutches may also be necessary to prevent further injury. Physical therapy may also be recommended to help you regain strength and flexibility in your knee. In serious cases, surgical repairs may be necessary.

Referral to a Specialist

If your knee pain is severe or requires specialized treatment, your healthcare provider may refer you to a specialist such as an orthopedic surgeon or physical therapist . They will work with you to develop a comprehensive treatment plan that meets your individual needs.

Insurance Coverage for Urgent Care and Knee Pain Treatment

Most insurance plans cover urgent care visits and knee pain treatment. However, it is important to check with your insurance provider to determine what services are covered and what your out-of-pocket costs may be.

If you are experiencing knee pain, there are many ways you can get care. Urgent care clinics are one way to see a doctor and get treatment quickly, but you also have several non-urgent care options to manage pain and improve your knee joint health. Here are some options you can consider.

Primary Care Physician

Your primary care physician is a great option for managing knee pain. They can evaluate your symptoms, recommend treatment options, and refer you to specialists if surgery or physical therapy is necessary. Your primary care physician can also monitor your progress and adjust your treatment plan as needed.

Physical Therapy

Physical therapy can help you manage knee pain and improve your overall knee function. A physical therapist can design a personalized exercise program to help you strengthen the muscles around your knee and improve your range of motion. They can also teach you techniques to reduce pain and inflammation. You may need a referral from a physician for PT.

Common Misconceptions about Knee Pain and Treatment Options

There are several misconceptions about knee pain and associated treatment options. The most common misconceptions, as outlined by UC Health are:

Knee pain is almost always caused by arthritis - There are actually many reasons why you may be experiencing knee pain. Sometimes, injuries can cause knee pain for months and even years if they are not addressed and fixed.
The best way to deal with knee pain is to power through it - This cannot be further from the truth. Inflammation, injuries, and lifestyle habits play a huge role in knee pain, and will not get better unless you have the proper treatment.
Steroid injections are the only treatment for knee pain - This is a common and false misconception. Steroid injections are used occasionally for reducing inflammation, according to the Mayo Clinic. However, they are not used in many other cases. There are many treatment options for knee pain.
Surgery is the only way to cure knee pain - There are many non-surgical options available for knee pain. However, the need for surgery really depends on your individual situation and what the root cause of your knee pain is.

It is important to be aware of common misconceptions about knee pain and treatment options to make informed decisions about your care and treatment options.

There are several self-care measures you can take to alleviate discomfort and promote healing. However, it is important to note that if the knee pain persists or if you cannot bear weight on your knee, you should get a medical evaluation right away.

Rest, Ice, Compression, and Elevation (RICE)

One of the most common ways to treat knee pain is through the RICE method. According to the Mayo Clinic, the RICE method involves resting the knee, applying ice, wrapping the knee in a compression bandage, and elevating the leg. These steps help to reduce swelling and inflammation—as well as reduce pain and promote healing.

Over-the-Counter Pain Relievers

Over-the-counter pain relievers such as ibuprofen or acetaminophen can also help relieve knee pain, according to the Mayo Clinic. These medications can help reduce inflammation and alleviate discomfort. However, it is important to follow the recommended dosage and consult with a healthcare professional if you have any concerns. Long-term use of these medications can lead to other health problems, so if your knee pain persists you should seek medical evaluation.

Stretching and Strengthening Exercises

Stretching and strengthening exercises can help improve flexibility and reduce knee pain. Exercises such as knee extensions, hamstring stretches, and leg lifts can help strengthen the muscles surrounding the knee and improve overall knee function. However, it is important to consult with a healthcare professional before beginning these exercises.

Weight Management and Healthy Lifestyle Habits

Maintaining a healthy weight and engaging in healthy lifestyle habits can also help alleviate knee pain. Excess weight can put extra pressure on the knees, leading to pain and discomfort according to the Mayo Clinic.

Knee Braces and Supports

There are several different types of knee braces and supports available that can help alleviate knee pain. These braces and supports include:

Compression sleeves
Knee braces
Patellar stabilizers

These devices can help provide support and reduce pressure on the knee joint, thus relieving pain and promoting healing. Many braces and support devices are sold at drugstore pharmacy locations.

If your knee pain is severe and not responding to non-surgical treatments, your doctor may recommend surgery. There are several surgical options available for knee pain, including arthroscopy and knee replacement.

Arthroscopy

Arthroscopy is a minimally invasive surgical procedure that involves inserting a small camera into your knee joint, according to the American Academy of Orthopaedic Surgeons (AAOS). This procedure allows your surgeon to see inside your knee and diagnose and treat any problems. During arthroscopy, your surgeon may remove damaged tissue, repair torn ligaments, or smooth rough cartilage.

Arthroscopy is typically performed on an outpatient basis, which means you can go home the same day as the surgery. Recovery time varies depending on the severity of your condition, but most people can return to normal activities within a few weeks according to the AAOS.

Knee Replacement

Knee replacement surgery involves removing damaged or diseased parts of your knee joint and replacing them with artificial parts, according to the AAOS. This can relieve pain and improve mobility in people who have severe or irreversible knee damage.

There are several types of knee replacement surgery, including partial knee replacement and total knee replacement. Your surgeon will determine which type of surgery is best for you based on your condition and medical history.

Knee replacement surgery requires a hospital stay and several weeks of recovery time, according to the AAOS. Physical therapy is usually recommended to help you regain strength and mobility in your knee.

Case Studies of Successful Knee Pain Treatment

Many people have found relief from knee pain through surgical and non-surgical treatments. Here are a few examples of successful knee pain treatment:

One case study from Cortho.org describes the success of a total knee replacement in a 63-year-old female patient who suffered from knee osteoarthritis. The patient had a history of knee pain and stiffness for several years, which progressively worsened until it eventually affected her daily activities and mobility.

The surgical procedure involved removing the damaged knee joint and replacing it with an artificial knee implant. The surgeon used a minimally invasive technique to reduce pain and scarring, and the patient was given local anesthesia to avoid complications associated with general anesthesia.

After surgery, the patient received pain management medication and physical therapy to aid in her recovery. She was discharged from the hospital after two days and underwent a home exercise program to regain strength and flexibility in her knee.

The patient reported significant improvement in knee function and quality of life post-surgery. She was able to walk without pain or difficulty and resume her daily activities with ease.

Another case study, found on ClinicalAdvisor.com, describes the case of a 45-year-old male patient with pain and swelling in his left knee. The patient had a history of knee pain and swelling for several years, which had progressively worsened and was now causing difficulty walking and performing daily activities.

The initial evaluation included imaging tests, which revealed a large osteochondral lesion in the patient's left knee joint. The patient underwent arthroscopic surgery to remove the lesion, followed by a course of physical therapy to aid in his recovery.

Keep in mind that every person's experience with knee pain treatment is unique, and results may vary. It's important to discuss your treatment options with your doctor so you can make an informed decision about the best course of treatment for you.

Self-Care Measures That Can Help Knee Pain

Before you seek medical attention, there are steps you can take to help relieve your pain and start you on the path to recovery. Self-care measures for knee pain, as outlined by the Mayo Clinic, include:

Resting the knee
Applying ice to the knee
Elevating the knee
Using over-the-counter pain medication, such as ibuprofen or acetaminophen

The Mayo Clinic also notes that it is important to note that these measures not be used as a substitute for medical treatment.

Importance of Seeking Prompt Medical Attention for Knee Pain

If you experience knee pain that is not resolved by self-care measures, it is important to seek prompt medical attention. Chronic knee pain can be a symptom of a serious condition, such as a torn ligament, meniscus tear, or arthritis—and delaying treatment can lead to further damage and potentially more invasive treatments in the future.

Urgent care centers provide knee pain patients with effective medical attention. They have the necessary equipment and expertise to diagnose and treat knee pain quickly. They can also refer you to a specialist if needed.

Knee pain can hold you back from being able to do what you want to do—and ignoring knee pain can end up causing more damage to the joint. Urgent care clinics offer a great solution for those who are suffering from knee pain. Use Solv to find an urgent care near you.

Frequently asked questions

What are some common causes of knee pain, what are the symptoms that warrant a visit to the doctor for knee pain, how does the knee joint work and move, how can knee pain be treated at an urgent care clinic, what are some self-care measures for knee pain, what are the surgical options for severe knee pain, what are some misconceptions about knee pain and treatment options, what can i expect when i go to urgent care for knee pain.

Michael is an experienced healthcare marketer, husband and father of three. He has worked alongside healthcare leaders at Johns Hopkins, Cleveland Clinic, St. Luke's, Baylor Scott and White, HCA, and many more, and currently leads strategic growth at Solv.

Dr. Rob Rohatsch leverages his vast experience in ambulatory medicine, on-demand healthcare, and consumerism to spearhead strategic initiatives. With expertise in operations, revenue cycle management, and clinical practices, he also contributes his knowledge to the academic world, having served in the US Air Force and earned an MD from Jefferson Medical College. Presently, he is part of the faculty at the University of Tennessee's Haslam School of Business, teaching in the Executive MBA Program, and holds positions on various boards, including chairing The TJ Lobraico Foundation.

Solv has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

Knee Pain. (April 28, 2023) https://www.mayoclinic.org/diseases-conditions/knee-pain/symptoms-causes/syc-20350849
Knee Pain and Problems. (April 28, 2023) https://www.hopkinsmedicine.org/health/conditions-and-diseases/knee-pain-and-problems
Knee Joint. (April 28, 2023) https://my.clevelandclinic.org/health/body/24777-knee-joint
Prevalence of Arthritis. (April 28, 2023) https://www.cdc.gov/arthritis/data_statistics/national-statistics.html
Knee Pain Misconceptions. (April 28, 2023) https://www.uchealth.org/today/top-10-myths-about-knee-pain/
Arthroscopy. (April 28, 2023) https://orthoinfo.aaos.org/en/treatment/arthroscopy/
Knee Replacement. (April 28, 2023) https://orthoinfo.aaos.org/en/treatment/total-knee-replacement
Case Study 1. (April 28, 2023) https://www.cortho.org/case-studies/knee/left-total-knee-replacement-63yo-female/
Case Study 2. (April 28, 2023) https://www.clinicaladvisor.com/home/features/clinical-challenge/case-study-pain-and-swelling-in-the-left-knee/
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10 Symptoms That Warrant A Trip To The ER

It can be hard to tell when your best bet is to rush to the emergency room.

When you wake up in the middle of the night with an alarming symptom—maybe it's a high fever or splitting headache—it's hard to know whether to rush to the emergency room or not. You don't want to overact, but you definitely don't want to underreact either. So how do you know when that stomach pain needs to be treated ASAP or if that numb feeling can wait until morning to deal with? We spoke to Ryan Stanton, MD, a board-certified emergency physician and spokesman for the American College of Emergency Physicians to find out.

While you may be used to an occasional headache from stress or one too many drinks, certain types of headaches can be cause for more concern. The three most common—and not dangerous—types of headaches are tension, cluster, and migraines , but "there are a couple of characteristics we look for as emergency doctors that tip us off that a headache is more than the average headache," explains Stanton.

Head to the ER if... the pain is intense and sudden. "Is it the worst headache of your life? Did it come on suddenly like you were struck by lightning or hit in the head with a hammer?" says Stanton. "These are the two major questions we will ask to gauge the risk for a potentially deadly cause of headache known as subarachnoid hemorrhage." A headache is also worrisome if it is accompanied by a fever, neck pain, or stiffness and a rash, which could signal meningitis.

Abdominal Pain

From tummy aches to belly bloat, abdominal pain is the number one non-injury reason for adult emergency room visits, according to the National Hospital Ambulatory Medical Care Survey. The pain can be caused by a number of factors from gas or a pulled muscle to the stomach flu or more serious conditions like appendicitis or urinary tract infections.

Head to the ER if... you're experiencing intense localized pain, especially in the right lower part of your abdomen or your right upper region, explains Stanton, as this could hint at an issue with your appendix or gallbladder that may require immediate surgery. Other concerning symptoms are abdominal pain accompanied by an inability to keep down any food or fluids; blood in the stool; or a severe and sudden onset of the pain.

With heart attacks as the number one killer for both American men and women, it's no surprise that sudden chest pain can be scary and is one of the leading causes of emergency room visits for adults. "Heart attacks are at the top of the list due to their frequency and potential risk," says Stanton.

Head to the ER if... you are experiencing chest pain along with shortness of breath, decreased activity tolerance, sweating, or pain that radiates to the neck, jaw, or arms—especially if your age or family history puts you at a higher risk for heart attacks. "This is not a time for the walk-in or urgent care clinic," says Stanton. "They will just take a look and send you to the ER since they don't have the ability to deal with cardiac-related issues."

Infection can run the spectrum from a simple infected skin wound to serious forms such as kidney infections. The vast majority of infections are viral, which means they won't respond to antibiotics and can be treated at home with over-the-counter symptom management until the virus passes. The key then is to look at the severity of the symptoms. "The more severe infections are sepsis (infection throughout the body), pneumonia , meningitis, and infections in people who have weakened immune systems," says Stanton.

Head to the ER... based on the severity of your symptoms. "You want to show up at the ER if there are any concerns, such as confusion, lethargy, low blood pressure , or inability to tolerate any oral fluids," says Stanton. "These may suggest a more sinister infection or may just need a little emergency room TLC, such as medications to help with symptom management, fluids, or possibly antibiotics, to turn the corner."

Blood in your stool or urine

Blood shouldn't ever be found in your stool or urine, so even if your symptoms don't require a trip to the ER, it's important to make an appointment with your physician as soon as possible to determine the source and decide on a treatment plan. "Blood in the urine is usually caused by some kind of infection such as a urinary tract or kidney infection or kidney stones," says Stanton. "When it comes to stool, it's often benign, but it can be the sign of something very dangerous." The number one cause is hemorrhoids followed by fissures, infections, inflammation, ulcers, or cancer. If you have a little blood with no other symptoms, make an appointment to talk with your doctor.

Head to the ER if... you have large amounts of blood in your stool or urine, or if you have blood in your stool or urine in addition to other symptoms such as a fever, rash or fatigue, intense pain, or evidence of a blockage.

Difficulty Breathing

"Shortness of breath is one of the most common emergency department presentations," says Stanton. The most common causes are asthma, Chronic Obstructive Pulmonary Disease ( COPD ) from smoking or infections such as pneumonia. When it comes to shortness of breath, it's pretty straightforward, says Stanton. "If you can't breathe, get to the ER."

Head to the ER ... always.

Cuts, Bumps & Falls

Whether it's a knife accident chopping veggies for dinner or a misstep off the deck stairs, many cuts, bumps, and bruises can be handled at home with ice or a home first aid kit supplies.

Head to the ER if... what's supposed to be on the inside is on the outside, or what's supposed to be on the outside is on the inside, says Stanton. If you can see muscle, tendons, or bone, it requires more than just a BandAid. "It's important to get these addressed because they are fraught with potential secondary complications from infection to loss of function and ischemia [reduced blood flow]," warns Stanton.

While not pleasant, vomiting is a common symptom that can be caused by various conditions, most often viral gastroenteritis ("stomach flu") or food poisoning. Usually, vomiting can be managed with home care and a check-in with your primary care doctor.

Head to the ER if... there is blood in the vomit, significant stomach pain, or dark green bilious vomit which could suggest bowel obstruction. Another important factor with vomiting is dehydration. "If you are unable to keep anything down, you will need to get medication or treatments to help you stay hydrated," explains Stanton. "Young children can become dehydrated rather quickly, but most healthy adults can go several days before significant dehydration becomes an issue."

"Rarely is a fever anything other than an indication that you are ill," Stanton explains. It's actually a healthy sign that your body is responding to an infection. The concern then is not with the fever itself, but with what infection is causing the fever. Don't hesitate to treat it with over-the-counter medicines such as ibuprofen.

Head to the ER if... a fever is accompanied by extreme lethargy or there are other symptoms of infection present. Most concerning to Stanton are "fevers in kids with lethargy, fevers in adults with altered mental status, and fevers with headache and neck pain ."

Loss Of Function

Numbness in your legs, slack facial muscles, a loss of bowel control—if a certain body part or body function stops working suddenly or over time, it's worth finding out why.

Head to the ER... always, recommends Stanton. "Whether it is due to a trauma or just develops over time, any loss of function requires immediate evaluation." The two most common causes are physical trauma and stroke, both of which are serious and require medical attention. "When something is not working, don't try to 'sleep it off'," advises Stanton. "If it doesn't work, there is a reason, and we need to see if we can diagnose, reverse, or prevent ongoing problems."

The bottom line for any symptom: If you truly can't decide what to do, it's better to be safe than sorry. "Any time you have a concern or emergency, it's always better to get checked than to wait until the problem escalates," recommends Stanton.

Other things to consider

While not symptoms, per say, according to the National Institutes of Health , you should always head to the ER if you:

Inhaled smoke or poisonous fumes
Consumed a toxic substance or overdosed on a medication or drug
Possibly broke a bone
Are having seizures
Suffered a serious burn
Had a severe allergic reaction and are have trouble breathing, swelling, or hives
Are having suicidal thoughts

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Home » Coral Springs FL 5 Situations in Which Medical Attention Is Necessary for Knee Pain

5 Situations in Which Medical Attention Is Necessary for Knee Pain

Are you confused about when to seek medical for your knee pain read our article below. for more information, call us or schedule an appointment online. we serve patients from coral springs fl , parkland fl, tamarac fl, margate fl, north lauderdale fl, and coconut creek fl..

If you have a profusely bleeding leg or a broken bone, you probably will call 911. But if your knee pain isn’t quite that dramatic, how do you make the distinction between something that a doctor should definitely look at right now and a minor strain that just needs to be iced?

Here are five situations in which you should seek medical attention for your knee pain.

1. You Can’t Walk Normally

Is your knee pain severe? Does trying to walk hurts more than you can stand or makes you feel like you will pass out or fall over? Stop walking on that knee and then seek medical attention. If your knee pain is that bad, you might have a broken bone. In this case, go to the ER.

However, if your knee only hurts when you walk on it, and you don’t think it’s broken, avoid the expense of the ER by having a family member or friend help you to urgent care instead.

2. The Pain Doesn’t Go Away

Living in pain for a week until your regular doctor can schedule you in isn’t a great option. That’s what urgent care is for: to let you get treatment quickly when you need it. If you have knee pain that’s persisted for more than a couple of days, the logical next step is to go to urgent care.

3. The Pain Keeps Coming Back

Maybe at first you don’t think your knee pain is worth taking to a doctor. If you don’t think you injured the knee and the pain is just an ache that goes away after a gentle ice treatment and some rest, you might have just let the pain keep going. But if your knee hurts mysteriously on a regular basis, you need to have a doctor check your knee out. Patellofemoral syndrome often causes mysterious knee pain.

Going to urgent care while you have an episode of knee pain may be the most practical solution. After all, if you make an appointment with your doctor, the pain may be gone again by the time of the appointment. And your doctor is likely to ask you to move your leg around and tell them if it hurts, which will be much more productive if you’re in the middle of an episode at the time.

4. The Knee is Misshapen, Swollen, or Hot

A warm, swollen knee can mean you have an infection or a serious injury. If the knee is misshapen, that can indicate a physical injury such as a dislocation. In that case, your knee won’t heal normally with just home care. Kneecap dislocation is also a possibility. In either of these cases, you need to seek medical care at once.

5. The Pain Gets Worse Instead of Better

If you iced the knee, put it up for a few hours, and took some ibuprofen and the knee hurts even worse a few hours later, that can be an indication that home treatments aren’t going to cut it in this case. Maybe you have a more serious injury than you thought at first that a professional needs to diagnose.

These are five situations where the practical and safe thing to do is to seek immediate medical attention. But whether you decide on an emergency room visit or stick with urgent care, remember to let someone else drive. Driving with undiagnosed knee pain is unsafe, especially if it’s in the leg you use to drive with.

If you’re in the Coral Springs area, Walking Urgent Clinic is available for both you and your whole family for any urgent care needs. Check our website for directions and hours.

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Should I go to the emergency room for knee pain?

knee pain relief
knee pain treatment

Posted on February 22 2019

If the knee pain is mild to moderate, it is enough if you try a few home remedies, rest, therapy, compression and elevation of the foot. If the pain persists after one or two weeks, go for medications, and if it is not cured, you have to go for further tests and treatment.

If the knee pain is from moderate to severe, it is better to get a medical examination done immediately. If the knee pain is due to an injury, you should directly go to the emergency room in case the damage may have resulted in a fracture, bone dislocation or ligament tear that may cause the pain. For some instances, immediate surgery will be suggested by the doctor.

If you are not able to put weight on your knee or if you feel sudden sickness, fatigue or nausea, immediately rush to the emergency room because the knee pain, in this case, may be due to fracture dislocation or infection.

If there is hemorrhage or blood loss due to sudden injury to the knee which significantly damages the knee joint, an immediate visit to the emergency room is advisable. Septic arthritis, which gives acute knee pain, also needs a quick rush to the emergency room.

You should go to an emergency room in the following cases:

If you cannot place weight on your knee at all
If you have pain even when you're not putting weight on your knee
If your knee locks or painfully clacks
If you have a deformity in your knees
If you have a fever, swelling, redness or a sense of hotness surrounding the knee
If you have:
Tingling of the calf below the affected knee

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Knee Pain: Causes, Diagnosis, and Treatment
Knee Pain Location Chart
Outpatient Evaluation of Knee Pain
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Knee Pain diagnosis and Exercises
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Are you struggling with knee pain?

COMMENTS

Knee pain: Symptom When to see a doctor
Long-term knee pain is often due to arthritis. Arthritis can happen due to age, past trauma or heavy use. Also, it can happen when the knee joint is unstable or carries too much weight. Low-impact exercise and weight loss may help treat painful arthritis of the knee. Exercise helps strengthen the joint. Weight loss, if needed, lightens pressure.
Should I Go to the Emergency Room for Knee Pain?
What to Expect at an ER Visit for Knee Pain. An ER visit is generally stressful for anyone, especially when you're in pain from a knee injury. What can make an ER visit worse is not knowing what to expect from the doctors. Detailed History. Firstly, a doctor will ask for a detailed history to determine the nature and cause of your pain.
Should I Go To The Emergency Room For Knee Pain?
An ER visit for knee pain is often not a life-threatening situation, but it is always better to be safe than sorry. So, if you are experiencing any of the above symptoms, don't hesitate to head to the nearest emergency room. Types of Knee Pain. There are two main types of knee pain:
Know When to Go to the Emergency Room
Go directly to urgent care if you have these symptoms: High fever with rash. Red, hot, swollen joints. Unusual pain and swelling in a joint, especially with a fever, that could be septic arthritis. Severe and sudden abdominal pain. A severe, atypical disease flare. Sudden spine pain, which may signal a vertebral fracture ( Rheumatoid and ...
Knee pain
Overview. Knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. Medical conditions — including arthritis, gout and infections — also can cause knee pain. Many types of minor knee pain respond well to self-care measures.
Knee Pain: Causes & Treatment
Visit a healthcare provider if you have knee pain all the time, or if the pain is intense enough that you change your daily routine or avoid some of your usual activities. Go to the emergency room or call 911 (or your local emergency services number) if you've experienced a trauma like a car accident or severe fall.
Knee pain
Diagnosis. During the physical exam, your doctor is likely to: Inspect your knee for swelling, pain, tenderness, warmth and visible bruising. Check to see how far you can move your lower leg in different directions. Push on or pull the joint to evaluate the integrity of the structures in your knee.
When to See a Healthcare Provider About Knee Pain
If you have pain in the knee joint that prevents you from walking normally for more than a day or two you should get checked by a healthcare provider. Some of the causes of pain deep within the joint include abnormalities of the meniscus or cartilage that covers and supports the joint. The meniscus is referred to as the shock absorber of the ...
When to See a Doctor for Knee Pain
Any time knee pain occurs as a result of trauma, such as a car accident or a sports injury, you should see a doctor to rule out structural joint damage as the cause of the pain. You also should consult a doctor if your knee pain persists, even off-and-on, for more than a couple of weeks. You should seek immediate medical attention or call 911 ...
6 Tips for Getting the Most Out of Your Emergency Room Visit ...
Oh, and we don't pull teeth. 5. Be as accurate as possible about your pain symptoms. In almost any ER, we'll ask patients to rate their pain on a scale of 1 to 10. There's a common ...
Knee Pain: Causes, Diagnosis and Treatment
When to Visit ER for Knee Pain. As with most injuries, it can be difficult to know when to go to the ER for knee pain or if you should schedule an appointment with your doctor or specialist. If the pain and swelling intensify, pain is severe, or you cannot reach your doctor, visit your nearest ER of Texas emergency center emergency room ...
Pain management in the emergency department: a clinical review
Pain is one of the most common reasons for patients to visit the emergency department. The ever-growing research on emergency department analgesia has challenged the current practices with respect to the optimal analgesic regimen for acute musculoskeletal pain, safe and judicious opioid prescribing, appropriate utilization of non-opioid therapeutics, and non-pharmacological treatment modalities.
When to Go to the ER for Knee Pain
Here are some signs of when to go to the ER for knee pain: The knee injury was a result of a high-impact blow. You heard an audible pop! or snap! at the time of the injury. Your pain is severe. You're experiencing chronic or persistent pain (knee pain that won't go away for a few weeks) The knee appears deformed.
Urgent Care, ER or Orthopedic Injury Clinic: Where To Go For Care
ACL tears/knee pain; Muscle injuries ; When To Go To an Emergency Department. Any symptom that is extreme, such as chest pain, or not relieved with an over-the-counter medicine, such as severe vomiting or headache, warrants a trip to the emergency room. Visit the nearest ER when you feel symptoms such as:
Visiting the ER for Chronic Pain
Patients with chronic pain visit the ER for various complaints, he says. "Some of these patients have demonstrable disease, like sickle cell disease or chronic pancreatitis. I think that ...
Knee Pain Location Chart: What Knee Pain May Indicate
Many causes of lateral knee pain are similar to those of inner knee pain:. meniscus tear; knee contusion; arthritis; Other causes include: Iliotibial band syndrome (ITBS): The iliotibial band is a ...
Knee pain: Symptom When to see a doctor
Or you may feel knee pain even while sitting still. For some, the pain is a slight twinge. For others, the pain gets in the way of daily life. Often, self-care steps can help to relieve knee pain. Knee pain causes include: Get a ride to urgent care or the emergency room if your knee pain is caused by a major injury. You need urgent medical ...
When To See Your Doctor For Knee Pain
Heard a popping noise when your injury occurred. See a deformity around the joint. Have intense pain or sudden swelling. Also see a doctor if your knee discomfort, such as from osteoarthritis, rheumatoid arthritis, or gout, has worsened to the point previous treatments are no longer effective or you are unable to perform normal daily activities.
Urgent Care for Knee Pain: When to Seek Medical Attention
Fortunately, many cases of knee pain can be treated at an urgent care clinic, which can save you money by avoiding an emergency room visit. There are several types of urgent care facilities, including standalone clinics, hospital-affiliated centers, and private clinics. ... Most insurance plans cover urgent care visits and knee pain treatment ...
Acute Pain: Should You Go to the ER?
Secure your spot in one of our urgent care facilities or emergency rooms. Select Arrival Time. Acute pain occurs abruptly and is a physical symptom of an injury, such as an ankle sprain, or an infection, such as strep throat. Although it doesn't typically last long, it can be quite severe and uncomfortable, leading patients to seek relief quickly.
10 Symptoms That Warrant A Trip To The ER
From tummy aches to belly bloat, abdominal pain is the number one non-injury reason for adult emergency room visits, according to the National Hospital Ambulatory Medical Care Survey.
5 Situations in Which Medical Attention Is Necessary for Knee Pain
4. The Knee is Misshapen, Swollen, or Hot. A warm, swollen knee can mean you have an infection or a serious injury. If the knee is misshapen, that can indicate a physical injury such as a dislocation. In that case, your knee won't heal normally with just home care. Kneecap dislocation is also a possibility.
Should I go to the emergency room for knee pain?
You should go to an emergency room in the following cases: If the knee pain is mild to moderate, it is enough if you try a few home remedies, rest, therapy, compression and elevation of the foot. If the pain persists after one or two weeks, go for medications, and if it is not cured, you have to go for further tests and treatment. If the knee ...

PAIN MANAGEMENT DOCTOR IN PLANO, TX

What Causes Knee Pain?

Knee Sprain or Strain

Hyperextension

Runner’s Knee

Torn Meniscus

Knee Dislocation

Patellar Tendonitis

Can I Treat Knee Pain at Home?

How to Treat Knee Pain at Home

Compression

Pain Medication

You Can’t Walk Normally

The Pain Doesn’t Go Away

The Pain Gets Worse

The Pain Keeps Coming Back

Your Knee is Misshapen, Swollen, or Hot

What to Expect at an ER Visit for Knee Pain

Detailed History

Physical Exam

Scans and Tests

Fluid Removal

Call The Pain Relief Center Today

Recent Posts

Should I Go to the Emergency Room for Knee Pain?

Table of Contents

The Knee Joint

Conditions That Cause Knee Pain

Symptoms That May Warrant a Trip to the ER

Types of Knee Pain

Should I go to the Emergency Room For Knee Pain?

Treatment for Knee Pain

Physical Therapy for Knee Pain

Exercise for Knee Pain

Surgery for Knee Pain

Overview of Emergency Room Visit for Knee Pain

Other Medical Facilities You Could Utilize

About the Author

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Knee Pain: Causes, Diagnosis and Treatment

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Pain management in the emergency department: a clinical review

Katherine Vlasica

Igor Middlebrook

INTRODUCTION

WHAT IS THE OPTIMAL ANALGESIC TREATMENT FOR MSK PAIN?

WHEN ARE OPIOIDS INDICATED AND WHICH DRUG(S), DOSE(S), AND ROUTES OF ADMINISTRATION ARE PREFERRED?

Indications

Choice of opioids

Dosing ranges and routes of administration

WHAT IS THE ROLE OF NON-OPIOID ALTERNATIVES FOR MANAGING PAIN IN THE ED?

Nitrous oxide

Intravenous (IV) lidocaine

Neuroleptics (antidopaminergic medications)

Ultrasound-guided regional anesthesia

IS OVER-THE-COUNTER TOPICAL LIDOCAINE 4% PATCH AS GOOD AS PRESCRIPTION 5% LIDOCAINE PATCH?

WHAT NON-PHARMACOLOGICAL INTERVENTIONS ALLEVIATE PAIN IN THE ED?

Cryotherapy

Heat therapy

Acupuncture

Osteopathic manipulative treatment

Capsule Summary