Member Case Study: Knee Edema

author : AMSSM

comments : 0

I seem to have developed a benign "mystery " edema on the medial aspects of my knees. But I have absolutely no discomfort whatsoever.

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Member Question from Aquagirl

I seem to have developed a benign "mystery " edema on the medial aspects of my knees...more pronounced on the left. I say benign because I have absolutely no discomfort whatsoever. I am pretty conservative about increasing my run volumes. I bike a lot but nothing out of the ordinary. I assumed perhaps it was a cleat issue, and changed my Look cleats to the red ones which have more float. I do not know if this is an ominous sign or not! 
 

Answer from Dawn Mattern, MD

Member AMSSM

It is a good sign that you have no pain associated with this "edema".  When determining a diagnosis for edema in the medial knee, we tend to worry most about the joint line and the cartilage pad or meniscus that hides there.  Another option is a swollen pes anserine bursa, a fluid cushion for the hamstring tendons as they tie into the medial tibia. Since you are not in pain, I suspect it is the latter.   Be cautious with changing your cleats from Look to Speed play without knowing if the lack of pedal float is contributing to your problem.  I would advise seeing a sports physician to get an accurate diagnosis, particularly one who treats cyclists, especially if the "edema" worsens or becomes associated with pain.

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date: July 24, 2009