What is a joint effusion? Treatment and prevention

The Joint effusions are common injuries, especially among athletesThey can be painful and debilitating, so it's important to detect them early to avoid aggressive and prolonged treatments. In this article, we'll explain their main causes, symptoms, and treatments for a successful recovery.

What is a joint effusion?

What is a joint effusion?

A Joint effusion is caused by a buildup of fluid within a joint., which causes inflammation and, in many cases, pain. This fluid can be synovial fluid, which normally lubricates and nourishes the internal structures of the joint, or blood, in which case it is called hemarthrosis and is often associated with trauma.

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Under normal circumstances, synovial fluid acts as a cushion and nutrient for cartilage, menisci, and ligaments. When its amount increases significantly, the inflammation characteristic of synovial fluid develops.

Causes of joint effusion

The causes of joint effusion can be very varied, although they can be divided into two large groups: traumatic injuries and injuries caused by intra-articular damage.

First, it often originates from trauma or injuries such as sprains, strains, fractures, ligament tears, or meniscus damage. These types of injuries cause immediate inflammation in the joint and excessive fluid production, either synovial or, in more severe cases, blood.

On the other hand, there are related causes with intra-articular damage, that is, damage or pathologies within the joint, such as infections of the cartilage or ligaments.

It is also common for them to occur joint effusions in patients with autoimmune diseases, for example, lupus or rheumatoid arthritis. And in patients with metabolic diseases, such as gout.

Consult with a sports medicine expert

Risk factors for joint effusions

Several factors can increase the likelihood of joint effusions. One of the most common factors is intense sports practice, especially in disciplines that involve high impact on the joints.

Age can also be a risk factor, as joints tend to wear down over time and become more vulnerable to degenerative processes such as osteoarthritis.

Another important factor is the presence of rheumatic or autoimmune diseases, which cause chronic inflammation and directly affect the synovial membrane responsible for producing joint fluid

Types of joint effusion

Depending on the characteristics of the joint fluid, after analysis, they can be differentiated. three main types of joint effusion.

First of all, the inflammatory effusion, which is caused by inflammation of the joint. This type of effusion commonly occurs as a result of trauma or a fracture.

Secondly, the blood effusion. This type of stroke is characterized because the inflammation is caused by a blood buildup in the joint. And lastly, we differentiate infectious spill. This appears when there is an infection in the joint, either in the ligaments or cartilage.

There are certain joints in our body that are more prone to suffering a joint effusion, the most common are joint effusions of the knee, shoulder, elbow and wrist.

Joints that suffer more joint effusions

Knee synovial fluid effusion

Knee joint effusion is the most common of all. This is because the joint endures great physical activity, causing wear and tear on it. For him treatment of synovial fluid effusion of the knee The same guidelines will be followed as if it were in another joint of the body.

Shoulder joint effusion

When the shoulder suffers from this pathology, the surgical option is shoulder arthrocentesis. There are two approach options: internal or external.

Elbow joint effusion

In the case of diagnosed elbow synovial fluid, the extraction of said effusion may be chosen to relieve the pain it causes the patient.

Symptoms of joint effusion

As for the joint effusion symptomsThe most characteristic thing is that the patient presents inflammation in the joint caused by the accumulation of fluid. Typically, this inflammation causes immobility and stiffness in the area, and, in many cases, the patient experiences acute pain in the area.

In the most severe cases, fever may appear and the patient may feel generally unwell, as a result of the inflammation.

Diagnosis of joint effusion

Diagnosis of joint effusion

Diagnosing a joint effusion is usually not complicated, since the patient normally has inflammation in the joint.

When the patient goes to the specialist, first of all, a history is taken, that is, a prior study of the patient's medical history, in which their general condition and the existence of previous injuries or pathologies are analyzed.

Secondly, a physical examination of the joint is performed, which usually allows us to know whether or not there is a joint effusion. Many times, it is accompanied by a musculoskeletal examination of the joint.

In some cases, it is necessary to perform complementary imaging tests to determine the extent of the injury, for example, x-rays, ultrasounds or magnetic resonance imaging.

Finally, a sample of the patient's synovial fluid is usually extracted for later analysis.

Joint effusion treatment and recovery

The main goals of treating joint effusion are to reduce inflammation, relieve pain, and facilitate the reabsorption of accumulated fluid in the joint. In the initial phase, rest and the temporary suspension of physical activities that could overload or strain the affected joint are usually indicated.

Applying cold compresses or ice packs locally, always wrapped in a cloth to prevent burns, helps reduce inflammation and pain. This type of application is recommended several times a day, in sessions lasting about 15 to 20 minutes. In parallel, the use of nonsteroidal anti-inflammatory drugs or analgesics can be helpful in controlling pain.

In cases where the synovial fluid is not reabsorbed naturally, it is sometimes necessary to perform a arthrocentesis, that is, a puncture through which the fluid is extracted, with the aim of eliminating the pain. This surgical technique is performed by traumatologists who are experts in sports medicine.

Once the acute episode is controlled, a sports rehabilitation physiotherapy treatment, to recover mobility in the area and strengthen the joint.

In patients with underlying causes such as osteoarthritis, gout, or autoimmune diseases, it will be important to treat the underlying pathology to prevent further episodes of stroke.

Knee fluid recovery time

The time required for excess fluid in the knee to be reabsorbed depends on the cause of the effusion, the treatment applied, and the patient's individual characteristics. In mild cases, such as an effusion caused by a specific effort or minor trauma, the swelling can be reduced in a few days with rest, ice application, and anti-inflammatory treatment.

However, when the source of joint fluid is a more complex injury, such as a meniscus tear, a ligament sprain, or arthritis, recovery can take several weeks. In these cases, it may be necessary to combine medical treatment with physical therapy sessions to ensure a full recovery and prevent relapse.

Exercises to treat joint effusion

In the case of joint effusion, it is important to perform rehabilitation exercises that help strengthen the area and help the patient regain mobility. First of all, the knee flexion exercise: The patient stands, resting his hands on a fixed structure, and flexes his knee for short periods of time. The goal is to be able to flex your knee more and for longer periods of time.

On the other hand, lying on the floor, the patient has to perform extension and elevation movements of the injured leg, performing several repetitions.

Finally, on a cushion or soft surface, you should bend your knee and perform downward pushing movements.

How to prevent a joint effusion

How to prevent a joint effusion

In many cases, joint effusion cannot be avoided, as it occurs as a result of trauma or injury. However, there are certain guidelines that can make the joint effusion less painful. patient is less likely to develop a joint effusion.

First of all, eat a healthy diet, which directly influences body weight. The greater your body weight, the more pressure your joints will endure and, therefore, the risk of developing injuries will be greater.

On the other hand, it is important to practice low-impact exercise regularly to strengthen the joints. For patients with pre-existing conditions, regular check-ups with a traumatologist specializing in joint effusions and sports medicine.

Furthermore, it's important to pay attention to the technique used during sports or any physical activity. Wearing appropriate footwear, warming up properly before exercise, and avoiding sudden or forced movements can significantly reduce the risk of injuries that lead to joint effusion.

As has been seen, it is important to treat joint effusions correctly and with the appropriate professional, to prevent them from becoming chronic injuries. Likewise, although it has been seen that many cases are not avoidable, it is advisable to keep the joints in good condition to avoid the appearance of joint effusions.

184 thoughts on “¿Qué es un derrame articular? Tratamiento y prevención”

  1. I have osteoarthritis in my knees. My knees swell so I massage myself. As a result, the swelling goes down and at the same time I have to go to the bathroom several times to urinate.

    Reply
      • Hello, my wife has a blood spill and her foot swells due to trauma. What home treatment can be implemented?

        Reply
          • Hello, in June I had surgery for tarsal syndrome. I remember that the doctor told me, the first to make the diagnosis, that I had two conditions: the first and the second to a lesser degree, synovitis. After having surgery, I feel that the second one has become more relevant. And pain management is complicated and becomes persistent. I have had two leaks and the pain has not subsided. Nowadays my sports shoes are so tight that I can't stand them.

          • Performed two operations for synovial tissue effusion.

            2019 first time
            2020 second time
            ,2022 the discomfort returned and again the MRI showed that I have synovial tissue again.
            I even feel discomfort in my kneecap.

      • I have hip osteoarthritis, the tests determined that there is fluid, the pain only goes away with painkillers, I have been taking it since March, what should I do? Thank you

        Reply
      • Good morning. I have had knee pain for about three years, I became an ex because some days the pain is very strong and I developed osteoarthritis with fluid leakage. I have never been hit, what do you recommend?

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      • Since 2020 I have felt my knees burning and swollen. The MRI shows that there is little joint effusion at the level of the retropatellar recess. The internal meniscus shows intrasubstance hypersignal suggestive of incipient hyaline degeneration. Now the thigh of my right leg burns almost to the groin. This is not constant. But I can't even sunbathe, as soon as I get close to something, or I want to sunbathe and it gets hot and burns. It is a pain that I cannot be in. The doctors all play dumb. I am worried because it feels like it is a liquid, could it be synovial fluid or blood?

        Reply
        • Hello Gustavo
          We are sorry to hear about your situation. The pain and burning could be related to inflammation or tissue damage, but it is unlikely to be synovial fluid or blood. Please consult a rheumatologist or pain specialist for further evaluation.
          Greetings

          Reply
          • I have mild joint effusion, with grade 1 injury to the anterior cruciate ligament, patellar tendonitis and mild deep infrapatellar bursitis, semiembranosus tendinitis, inflammatory changes of the hoffa fat adjacent to the patellar edge, perarticular soft tissue edema in the intrapatellar region

  2. How to proceed when the synovial effusion appears in the form of a "bladder" on the kneecap - upon palpation you feel that it is a pump full of unidentified fluid - But there is no pain, no fever or redness, or limitations of movement. All joint behavior is normal.

    Reply
      • Good evening, I have a synovial fluid spill in my knee. I have already been diagnosed. They have given me pills and injections, but as the days go by, it hurts more. Now my other knee hurts. Can you please recommend 🙏

        Reply
    • These phenomena, you don't have pain because you're partying, the other side of the coin is that the unbearable pain doesn't let you live.
      CONGRATULATIONS

      Reply
  3. Good night:
    I was diagnosed with osteoarthrosis 11 years ago and I went to a rheumatologist for about 2 years. Since March 28, my knee hurts and I have a large stroke and now almost my entire leg hurts.

    Reply
      • Good evening, a question. A few months ago I suffered a slip which at the same time
        When I'm on my knee, it hurts when I walk, I feel unstable. They did an MRI and I only have a joint effusion, but I still have the same symptoms.

        Reply
        • Good morning, Harol.

          We are very sorry for your pain. At Clínica Elgeadi we recommend you go to our knee trauma clinic in Madrid to treat your knee pathology on an individualized basis. Our experts will perform a complete medical examination, offering you the most effective treatments for your injury. You can make an appointment by phone, do not hesitate to contact us.

          All the best.

          Reply
          • Hello, I am a coach of group classes with music and practical recreational trail running and running. I have not hit or fallen but in one of the competitions I felt a pull that was reflected in front of my knee. The ultrasound showed a small senovial effusion, edema in the knee and a grade 1 sprain in the LCL. I took short rest for my job and it took 3 months from the initial injury. Right now I became so swollen after a training session that I had to go to the doctor. I have no pain, fever or discomfort. but the inflammation puts so much pressure on the kneecap that it prevents me from walking well. I feel my leg elevated and in minutes the swelling goes down. What should I do plus what would be the management? They prescribed me 5 days of etoricoxib 120 MG 1 daily and 1000 MG daily of acetaminophen. I have put a lot of ice on it but the problem is when I am only standing, it starts to swell. guide me, thank you

          • Hello Martha, first of all, good luck! The truth is that we cannot prescribe anything without prior examination, the ideal is that you follow your doctor's instructions and if they do not convince you, seek a second opinion. All the best.

  4. Hello, I have been diagnosed with hydra osteoarthritis. I can apply ice and raise my knee. It will be possible for the synovial fluid to be located again. The orthopedic specialist recommends knee arthroscopy surgery for meniscal removal and chondroplasty. I am 63 and have exercised by jogging and walking. I want your concept. Thank you very much

    Reply
  5. Good evening, my question is the following... I fell from a motorcycle and my knee became quite swollen and after a while it is still swollen and there is fluid in my knee and I feel asleep. What could have happened?

    Reply
  6. Good afternoon

    I have just been diagnosed with joint effusion, synovial cyst, osteochondral lesions of the lateral wall of the trochlear groove, grade 1 sprain of the medial collateral ligament, grade 2 meniscopathy and grade 3 chondromalacia, grade 4 chondral injury and femorotibial osteoarthritis, with all this and I can't believe it. They have been disabled, I have an appointment with the orthopedist on May 14, you can't imagine the pain I feel in my knee

    Reply
  7. 1/2/2021 I had a complete knee prosthesis. To date, a lot of pain on 4/18, my calf gets hard, a lot of swelling and bruising from my calf to my toes, you can't see my ankles. They take a syringe of liquid from my knee... it is normal that what went down is the same liquid that went down.
    Thank you

    Reply
  8. Good night
    12 days ago I fell from a motorcycle, I was diagnosed with a knee strain and joint effusion.
    My leg is almost immobile and I cannot walk. The orthopedist recommended rest for 15 more days. What can I do to reduce the inflammation and be able to walk?

    Reply
      • Good morning, 6 months ago I had started working in a restaurant, as the days went by I felt uncomfortable running, to the point of not being able to stand because the pain was unbearable, I went to the doctor and when an x-ray was performed it came out that I had a moderate synovial effusion. . With painkillers the pain went away, my question is if I can go back to work in a place where I have to run and my knee doesn't bother me again or if I can no longer continue with a job like that.

        Reply
        • Hi Brenda!

          The most advisable thing is that you recover activity progressively, that is, avoiding overexertion on the joint. Therefore, going to a physiotherapist may be a good idea, as it will help you regain mobility and strengthen the joint, which will help relieve pain. Write to our email clinicaelgeadi@clinicaelgeadi.com if you have any questions.

          All the best!

          Reply
  9. Good morning, I have had a joint effusion in my knee for a month now, I have had it drained several times (it comes out with blood) but it immediately swells again and is starting to get hard. This is normal?

    Reply
  10. Good evening, I was diagnosed with cervical osteoarthritis. I don't know if I have a joint effusion because I have a lot of pain that extends to my head and shoulder on the side that hurts and a fever. What should I do

    Reply
      • That it is better to use cryotherapy or tephrmotherapy after 5 months of a meniscal protrusion and tenfonitis of the pes of the goose due to a bad movement when climbing a step, I do not want to have arthroscopy or any other procedure, since I do not have and almost had inflammation and now there is heaviness and fatigue and a bit of pain if I slow down a lot without taking painkillers. I have improved a lot in 5 months. There are days when I don't take pain pills.

        Reply
        • I want you to excuse me for not saying hello but I was practicing according to me, what I was going to put is what I published, I would appreciate your response. I'm older but I've never had problems with my knees or pain and I could even run before I sprained them. During the pandemic I was doing a lot of hamstring stretching exercises. And he did them without prior warming up. I use ice or heat and I'm five months old. thank you

          Reply
  11. Hello, I'm Laura and I'm very sad because I've had mild pain in my knees for a long time...
    Two months ago I had x-rays and I had a bulge in my meniscus, and after the x-rays one day my left knee suffered from pain, the pain has left me lame and it hurts all the time now.
    I haven't been able to see an orthopedist or anything, but I would like to know what it could be...

    Reply
      • Hello. I went to a knee clinic and they detected grade II gonarthrosis. At that moment the doctor said I had fluid and he inserted a syringe into me and took it out. Just 7 hours ago. I have discomfort where the needle enters. Was it wrong that it took the liquid out of me?

        Reply
        • Hello Emilia!

          It is normal that in the hours and even days after the puncture you feel discomfort in the area, which will disappear as the days go by. If the discomfort lasts over time, we recommend that you consult with your traumatologist. However, if you have any questions, write to us at our email clinicaelgeadi@clinicaelgeadi.com

          All the best!

          Reply
  12. Hello, approximately 8 years ago I suffered an accident where I ruptured my lateral, anterior and posterior cruciate ligaments. I had surgery 7 years ago with allografts. I felt good but sometimes my knee feels “wet” inside. Is it normal?

    Reply
  13. Hello, look, I went to the doctor for knee pain that now takes up almost the entire leg, it is difficult for me to bend it, they gave me an ultrasound and an x-ray where the result shows signs of ganostrosis, patellofemoral dysfunction, minimal joint effusion, what do you advise me, what should I do, thank you

    Reply
  14. Hello! I had a traffic accident 4 months ago and since then I have had knee pain that has been getting worse and more disabling. They told me I had chondromalacia on the MRI. But I continue to swell a lot and it is disabling, in fact I have had fever on 3 occasions (is it normal?) even taking enantyum 3 times a day and Paracetamol in between with discomfort and almost fainting from the pain when walking. I'm going to rehab and the pool on my own but I can barely walk because it swells with nothing. I'm a little worried because this weekend I had a lot of swelling and it didn't go down with enantyum or ice. Is it normal for it to continue like this after this time? It also stings inside. Any advice? My mother says to force it to walk, that's why it's stuck (and it's because it swells). Is it normal to have a fever? They told me that I would have gotten cold in the center that the insurance sent me, but today, I think it had to do with the knee, is that right?

    Reply
    • Good morning, Ehari!

      Due to the symptoms you mention, the fever may be related to inflammation of the knee. However, we recommend that you go to your trusted traumatologist, as it will probably be necessary to perform some diagnostic tests. If you have any questions, do not hesitate to write to us at our email clinicaelgeadi@clinicaelgeadi.com

      All the best!

      Reply
  15. Good morning, on May 15 they performed an arthroscopy on both knees, additionally on the right knee they evened out my cartilage that was chipped. At the first follow-up appointment, they took ear fluid from both knees. Yesterday, June 7 (24 days after surgery and just with 4 therapy sessions), due to constant fever, swelling and stiffness in my right knee, they did a new puncture in said knee and a mixture of joint fluid and blood came out, What could be due to that? Should I have any additional tests?

    Reply
  16. Hello, There is good information here... but I ask: when analyzing the blood taken from the knee due to the effusion, is it to know if there is any high-risk pathology...????

    Reply
  17. I have a total knee replacement and according to studies I have fluid accumulation since it stiffens the joint with a lot of pain and prevents its normal movement

    Reply
  18. Good morning, thank you very much for your valuable information.
    I wanted to ask you a question that the traumatologist was not clear about.
    I have a moderate suprapateral joint effusion due to a grade 1 knee sprain.
    My question is, should I put a bandage or knee brace on the affected area?
    Thank you and greetings.

    Reply
  19. Hello good. I started exercising more than a month ago. However, one day after eating, when walking to carry the plate, my knee rang, I didn't feel any pain, or anything similar. The day after, my knee felt slightly uncomfortable, so I decided to go to the doctor, and he told me that I had a fluid leak in my knee, and that I should rest for a week. And then he started exercising again. My knee doesn't hurt, but I still have minimal discomfort. Should I go back to exercising?

    Reply
  20. Hello, good afternoon, thank you for your excellent information!! 8 months ago I started with my knee slightly swollen, I had no pain, just stiffness, so I continued exercising, I just warmed up longer than normal before starting weight training, taking classes at the gym or going for a run, it became more and more swollen until a One day I couldn't walk anymore, I went to the traumatologist and he took 4 syringes of liquid, it was an incredible improvement and in 1 week I was recovered, the day before I went to the consultation the doctor was checking me to see where the discomfort was, he bent my knee a little abruptly to the chest and it hurt me, now I'm worse than when he took the liquid out, I'm at rest and in pain. My question is: once I have recovered, how can I keep my joints in good condition so that the stroke doesn't appear again?
    I feel sad because I have been teaching for 25 years, I love sports and I don't know if I can do any physical activity again, again thank you and blessings!!

    Reply
  21. I was working on my knees, I hurt myself, it swelled a lot and it turned red almost to my foot and I don't know if that's a spill, I'm worried. It doesn't hurt but I feel very sorry for how swollen you recommend, thank you

    Reply
  22. Good afternoon, I came out in an MRI that I have a grade 3 sprain of the ligament and with a effusion in the tibiotalar joint, that has a cure since I have been suffering from my ankle for almost 14 years and it no longer supports my foot. I fell out of nowhere, which is recommended for many. thank you

    Reply
  23. Good night. I have had lupus for 15 years. Two years ago I started having pain in my right knee. During an MRI I had a slight non-specific effusion. They have treated me with different drugs but my knee improved and it got worse again now with more pain when I walk and swelling. There is no fever or heat in the area. Any suggestions you can give me. Thank you

    Reply
    • Hello, Virginia!

      We are very sorry for your illness. For your very specific case, it would be necessary to go to a specialist traumatologist, since they will look for the solution that best suits your pathology. You can make an appointment by calling our contact number. All the best!

      Reply
  24. Hello, I am 26 and a month ago my right hand started to swell out of nowhere (I had no bumps, wounds or bites) without pain but with stiffness and burning, I went to the rheumatologist and they saw that I had fluid, with anti-inflammatories and rest I started to go down. My question is whether these types of spills, if there have been no trauma or infections, are always related to other autoimmune diseases or are there cases where the fluid can simply spill out of nowhere? Thanks for the reply.

    Reply
  25. Hello, my name is Carolina and I am 48 years old.
    A week ago while exercising I noticed that I had a small bump on my knee, I didn't have much pain but I went to the doctor and they did an x-ray and they found that I had a fluid leak, they only told me to rest, but then it went away It started to make a small bruise that spread further throughout my knee, it's not painful but it seems strange to me because I didn't have any blows, it was just the liquid spill.

    Reply
    • Good morning Carolina,

      Sometimes it is normal that, after a spill, the liquid is visible from the outside and looks like a bruise. Respect your doctor's rest recommendations and if you do not recover, go back to your doctor's office.

      We hope you recover soon!

      Reply
  26. I suffered a fall and sprained my wrist. I was diagnosed with fluid leakage, they immobilized my hand with a cast but the pain persists and I can't move it much, what should I do?

    Reply
    • Good morning Carlos.

      Thanks for reading our blog. If conventional treatments do not improve your pathology, there is the possibility of opting for a surgical operation. However, you can go to our trauma clinic so that the experts can perform a complete medical study on you. Greetings!

      Reply
  27. Marlene Nieto a few days ago I fell and my knee hit the floor, and it swelled and hurt, I couldn't support it, I just went to a general doctor and he prescribed me an anti-inflammatories, injected and taken, the recovery has been very slow, I also put it on cold water compresses and I'm resting but I still feel some discomfort. Will it be a matter of time?

    Reply
    • Good morning, Marlene!

      If conventional treatments are not effective for you, there are several options you could choose. Physiotherapy and rehabilitation treatment is of great help to treat pathologies and injuries, you can make an appointment with an expert physiotherapist. If even so, your pathology does not improve, we recommend that you go to our team of specialist traumatologists, since we carry out a complete medical study, offering you the best options. As a last alternative, a surgical operation would be resorted to.

      Greetings!

      Reply
  28. The report is very complete. Now I know that I have bloody synovial fluid spilling into my fingers. Sometimes it is very painful and they turn very purple and become very swollen. Luckily it doesn't happen often but it is very annoying because I can't regain strength in my hands quickly.

    Reply
  29. Hello, good evening, I am currently experiencing retropatellar joint effusion... now my question is "is it advisable to use knee pads...?" Because when I have it on it hurts a lot less... I would appreciate your response because my medical appointment is a little far away.

    Reply
  30. Hello, I'm Raúl, I had an MRI and I noticed that I have bone edema in my kneecap and moderate joint effusion. I don't know what to do. My leg is very swollen and it hurts when I bend it.

    Reply
  31. It has been very useful to visit your blog. I have been suffering from my knees for years and in my last appointment with the traumatologist he recommended surgery. I would like to know if I can try other options before and that on the two occasions that they infiltrated me the improvement was incredible and immediate.
    .

    Reply
    • Good morning, Rosario.

      Thank you very much for reading and commenting on our blog. Our specialist traumatologists will study your case, offering you a complete medical diagnosis and the treatment that best suits your needs. If other alternative techniques to surgical intervention were effective, there would be no problem in applying them. You can make an appointment at our Madrid trauma clinic to start treating your pathology.

      All the best.

      Reply
  32. Good morning, under an MRI they detected a torn internal meniscus extrusion and joint effusion, my question is the joint effusion can go down to the ankle, since I sometimes wake up with a swollen ankle.
    Thank you very much and happy holidays

    Reply
  33. Good morning I was riding a motorcycle 🏍 and to avoid falling I put my feet on the ground I was going slowly but my knee hurt a lot when I wanted to walk I fell to the ground and it thundered and my tendons didn't hurt I went to the hospital and they sent me to rest for 15 days pill to reduce inflammation and to put ice packs on me. 15 days have passed and the same pain is always the same. I can stretch my knee but I can't bend it properly. I have a limit limit, so it doesn't happen to me anymore. I decided to go to an orthopedist to do an ultrasound and it turned out that I had a tear in the quadriceps femoris tendon with a defect of approximately 9x7 mm, accompanied by little perilesional fluid with an anechoic pattern. A minimal amount of joint effusion is evident in external collateral of approximately 1.2 ml.
    It's been a month and a half and I'm always the same and inflamed and I take pills to reduce inflammation Melocicam and Arcoxia and voltearen gel what do you recommend I do?

    Reply
    • Good morning, Noel.

      We are very sorry for your pain. The most recommended thing for this is that you go to our Madrid trauma clinic to treat your pathology in a personalized and effective way. Our experts will perform a complete medical examination and offer you the most effective treatments for your injury. You can make an appointment by phone, do not hesitate to contact us.

      A hug.

      Reply
  34. Hello, I'm Rafael, a month ago I felt discomfort in my knee and I had an ultrasound on my knee and the diagnosis was a mild joint effusion. Since then I have been resting and my question is when can I run again without fear of something being done? More serious, I currently have no inflammation, only little pain when contracting the quadriceps.

    Reply
  35. Hello, good morning, with the blessing of God, I am a patient with rheumatoid arthritis and my knee fills with fluid and this Thursday, 04-07-2022, they infiltrated my knee and extracted 10cc of fluid because I had a joint effusion and I want to know what the risks are. I run because that's it, it's not the first time my rheumatologist has done it to me, thank you

    Reply
  36. Hello, several months ago I had a fall while playing sports and hit my knee. It is intense pain in certain positions, although I have continued playing sports, although with a knee brace. I'm worried that it won't stop.
    What could it be? Do you work with insurance?
    Thank you

    Reply
    • Good afternoon, Jaime.

      Thank you very much for commenting on our blog. We are sorry for the situation you are in. The most advisable thing for your case is to consult with a trusted traumatologist so that they can comprehensively detect and diagnose the symptoms you present. You can contact our team of expert traumatologists at the following link: https://clinicaelgeadi.com/contacto/

      All the best.

      Reply
  37. Hello, I know 3 months ago I fell in my bathroom and I suddenly feel stiffness in my forearm and it's swollen when I lie down it goes away but walking my feet feel stiff as if they were full swollen where should I go?

    Reply
  38. Good afternoon, first I want to thank you for the excellent explanation that you provided us, my concern is the following, through an MRI study carried out on my left knee, I presented a meniscus tear for which I went to the orthopedics and surgery specialist, where I was evaluated by him. specialist and I thought he was going to perform the surgery but what he said was rest and not doing physical activities, currently sometimes my knee becomes inflamed and causes me a lot of pain for which I have to apply diclofenac to reduce inflammation and eliminate the pain, my request What can I do to avoid this inflammation and pain that occurs to me from time to time is where I can go to a specialist, thank you very much for your response. God bless you.

    Reply
  39. I retain fluid in my knee, the doctor says it's a bursitis but they gave me exercises but it still hasn't gone down. My knee has been swollen for 4 months and a lot of anti-inflammatory drugs and therapy and nothing is still swollen. Since I was 14 years old, I have been suffering from my knee and even at 36 years every 2 to 3 years my knee swells with fluid plus the x-rays and the exams go well

    Reply
    • Good afternoon Aury,

      Thank you very much for commenting on our blog. We are sorry for the situation you are in. We recommend that you consult with an expert traumatologist so that he or she can perform complementary tests to study your case exhaustively and determine the most appropriate treatment. Do not hesitate to make an appointment with our knee specialist traumatologists for a tailored diagnosis of your pathology in the link provided.

      All the best.

      Reply
  40. Hello, I'm Angie, I was running and I fell, I felt the blow on my knee and it burned quite a bit. Now I feel like I have glass inside. It doesn't hurt. It's just the sensation when I rub it. Will that sensation disappear or will it have serious consequences?

    Reply
    • Good morning Angelica,

      Thank you very much for commenting on our blog. We are sorry for the situation you are in. We recommend that you consult a trusted traumatologist so that he or she can study your case in a personalized way and determine the most appropriate treatment for your pathology. You can contact our team expert knee traumatologists in the link provided.

      All the best.

      Reply
  41. Good evening, I'm José, 42 years old, I spilled fluid on my knee when I fell against the floor. Should it be injected into the knee or does the body produce the liquid again?

    Reply
    • Good morning Jose,

      Thank you for your comment on the Clínica Elgeadi blog. We regret the situation in which you find yourself, for which we recommend that you go to a professional so that they can study your case and determine the appropriate treatment. You can contact our knee trauma experts in the link provided.

      All the best.

      Reply
  42. Hello, I supposedly had a tear while getting on the bus and after a series of ultrasounds and x-rays the diagnosis came out that there are signs of periarticular effusion secondary to a contusive injury.
    I do not know what it is
    But this happens to me all over my body... and I don't know if it has to do with high cholesterol levels.
    I thank you for helping me

    Reply
    • Good afternoon Elina,

      Thank you very much for commenting on the Clínica Elgeadi blog. We are sorry for the situation you are in. We recommend that you consult a trusted traumatologist so that he or she can study your case in a personalized way and determine the most appropriate treatment for your pathology. You can contact our team expert traumatologists in the link provided.

      All the best.

      Reply
  43. Hello, I went to the doctor who extracted the synovial fluid from both knees because according to him I had patellofemoral syndrome type chondromalacia patellar with patellar tendinitis. I felt instability in my left knee and a little discomfort in the right one. With all that, I could do my normal life, jumping, playing soccer and more, since March 2022 I applied four sessions of platelet-rich treatment with ozone 1 weekly along with a supplement that I was taking and the 5th week I applied hyaluronic acid he told me to seal and he told me that the In the 6th week I could lead my normal life, which he told me since the 2nd week that I applied it and I can only walk and with pain and discomfort as if I had cut myself with a knife and that inside it is bleeding and I poured alcohol on it, I was diagnosed with bursitis At the end of August I have lost mass and my muscles are flaccid. I think he scammed me and sold the fluid in my knees. Please, I want to be the same as before when I played soccer. I am communicating this to you so that you can help me from the bottom of my heart and not take the risk. hair and hurt people who give their trust I hope for your prompt response through this medium and publish it thank you very much

    Reply
  44. Hello, how are you, a week ago I had knee surgery, they removed synovial fluid and they told me that I have monoarthritis located only in the knee.
    My question is... after such a recent operation, am I going to have the flexibility I had before? Taking into account exercises and rehabilitation... is it possible to have the flexibility of before? I'm very afraid of staying like this. Without running, flexing, etc. I am the mother of a 3-year-old boy and it breaks my heart not to be able to play with him like before. Just that, thank you very much

    Reply
  45. Hello,
    I had inflammation in my knee and when I went to the doctor he extracted synovial fluid, but the next day it swelled again, I was applying ice to the knee but it is still swollen.

    Reply
  46. What do I do if I have already had several arthrocenteses and the synovial fluid in my knee continues to come out? My injury is a first degree cruciate ligament injury.

    Reply
    • Good morning Cynthia,

      Thank you very much for your comment.

      In your case, we recommend that you consult your symptoms with a specialist, so that they can assess your condition and determine the most appropriate treatment for your pathology. Do not hesitate to contact our team expert knee traumatologists in the link provided.

      All the best!

      Reply
  47. Hi, eight years ago, I had a drain done on my knee. I began to feel discomfort every time it hurts to bend my knee and when I walk a lot, it swells from my knee to my heel. What should I do?

    Reply
  48. I have had a senovial effusion for a year and the orthopedist has not done anything for me and my pain is unbearable. In addition, I have a torn miniscus. I would feel relief with a leak.

    Reply
  49. I have just been diagnosed with a joint effusion in my right knee and prepatellar subcutaneous edema,
    Is it normal for me to have pain below the knee, in the tibia area in front and behind, pain that radiates even to the ankle?
    Thank you so much

    Reply
  50. They told me I have a blood spill in my ankle and they took the blood and I'm already 2 weeks along and the pain doesn't go away, what can I do?

    Reply
    • Hello Miguel,
      We recommend that you visit a specialist physically to be able to directly assess the situation; it is not possible to issue a diagnosis through online means.
      All the best.

      Reply
  51. Today I had a drain on my right knee and I don't understand the diagnosis. I asked for a license and put the closest thing to what I read and they rejected it. What I can do?

    Reply
  52. Hello, 6 weeks ago they detected a joint effusion and a basker cyst in both my knees and on the left I no longer feel pain but how do I know if the fluid disappeared naturally and how long does recovery take because the knees are still swollen but not He had pain, I would like to know how long recovery takes and if a stroke leaves sequelae.

    Reply
    • Hello Lisbeth,
      You have to explore the knees, and see why it has occurred, and if it does not give way, what is the cause. Ordering additional studies such as MRI is sometimes the best diagnostic option.
      A hug.

      Reply
  53. Good afternoon. On July 12, they extracted synovial fluid from my 80-year-old grandfather's left knee. His knee went down almost fifteen days after that procedure. Is it normal for knee pain to still persist? . Is it normal for your legs to feel burning?
    Thank you so much.

    Reply
    • Hello Arely, the truth is that the pain can last for a few weeks but if it is too high I think your grandfather should go to the doctor who operated on him to check that everything is as it should after the operation. All the best.

      Reply
  54. For two months I have had mild medial meniscopathy with intrasubstance rupture in the posterior horn according to MRI. It doesn't hurt when I'm standing, but every time I carry that knee I notice discomfort on the inside of it, but I don't know if it's a leak because I don't notice any inflammation. How can I know that?

    Reply
    • Hello Jose,
      A specialist can detect a stroke with a simple physical examination, although in some cases it is necessary to perform complementary tests to determine the extent of the injury, for example, x-rays, ultrasounds or magnetic resonance imaging. You may have a small spill but cannot detect the inflammation with the naked eye. Likewise, rehabilitation and exercise is essential in this type of case.
      A hug.

      Reply
  55. Hello, good afternoon. Two months ago, my 9-year-old girl had a fluid leak in her knee. They removed it and did tests, but she is in a lot of pain. She feels that her bone is moving and that they are colliding, which causes her pain. The pain is now more. It's already happening to his back and to his head.

    Reply
    • Hello Tania,
      It is difficult to give you an answer only with the data you provide us. We should evaluate the images and perform a clinical examination to make a diagnosis. We invite you to request an appointment by calling 910 053 900 to evaluate your case personally.

      All the best

      Reply
  56. Good morning, I had surgery on my knee due to a torn meniscus and when the stitches were removed, one remained open for 2 days and I was leaking fluid and then they cooked me again and a week later I had a spill that they had to remove the fluid. Going through this, what should I do to not go through this again, it hurts too much.

    Reply
    • Hi Patricia,
      In order to give you an answer we would need to see you in person, perform a physical examination and analyze your medical history. You can come to our specialized clinic and make an appointment at 910 053 900.
      We will wait for you.

      Reply
  57. Hello, I have been suffering first from my shoulders and elbows, they did tests and it was bursitis, they treated me, I improved a little and I live with this. A year later my hip hurt and they told me it was a little wear and tear, and then I started to suffer from my knees, the strange thing is that they hurt very little but they both sound a lot to me like they break eggshells they sound a lot it sounds horrible , I had an x-ray and it shows that there is little bilateral joint detrame. My question is what should I do with these last two discomforts (hip and knees), since I have spent a lot of money on exams and I want to play it safe, where to go? What to do? Since the way I'm going I'm only missing my ankles. Thank you

    Reply
    • Hello Nancy,
      You can come to a consultation with one of our specialists. We will personally evaluate all those exams you have and that way we will be able to know what steps to take in the future.
      Our telephone number is: 91 005 39 00
      Greetings

      Reply
  58. Hello, I was diagnosed with rheumatoid arthritis 16 years ago, I go to check up with a rheumatologist, and I follow the medication instructions, as he tells me, but for 8 days I have had a lot of pain in all my joints, I no longer know what to take, until My head hurts, I don't feel good, my arms seem to be squeezed with the pain in my shoulder, elbows and fingers, and I have an appointment in 6 more months with my rheumatologist, what should I do, please help me,

    Reply
    • Hello Edith,
      It is important to have the entire medical history to be able to give you instructions.
      We recommend that you make an emergency appointment or at least in writing so that I can tell you what to do in these months until I check you again.
      Greetings

      Reply
  59. Good morning

    One question, I had a knee joint effusion, I am already in the therapy phase but it always hurts when I leave the therapies, could I have sex with my partner? What implications could it have? Or what consequences?

    Reply
  60. Good morning

    One question, my partner had a knee joint effusion, and she is undergoing therapy but it always hurts when she leaves therapy. Could I have sex with my partner? What implications could it have? Or what consequences for her?

    Reply
  61. Mon mari m'a quitté, moi et mon fils, et n'est jamais revenu jusqu'à l'intervention du Dr Sunny. My story is not a different story from other people who are within the time of the partager with the world. J'ai eu des problèmes conjugaux avec mon mari à cause desquels il m'a quitté and a voyagé dans une other city. In a moment, you will be deprived and receive the help of nulle part just after you contact me with Dr. Sunny who helped me. I restored love and the connection between me and my partner and after 48 hours, I recovered as soon as possible. Comme tous ceux qui parlent de lui, je suis ici pour dire du bien de lui et le remercier d'avoir ramené la joie dans ma vie. Cela n'échouera pas si vous essayez également de l'aider. WhatsApp: +2348082943805 or you can send an e-mail to: drsunnydsolution1@gmail.com

    Reply
  62. Good morning. I have been resting for 4 months, with the help of a wheelchair and walking and getting up as little as possible as my traumatologist tells me. Due to excessive exercise I have bone edema in both knees and a trabecular fracture in the left and a lump of fat and liquid in the part below the inside of the right knee. Supposedly now only that lump of liquid and fat remains in the right knee. I am still resting but both knees still hurt and I am a little overwhelmed because I consider that many months of rest have passed and I should not have any muscle. I don’t know what to do, I don’t know if I should change doctors, I don’t know what I have… what do you think? Do you think it is normal that I am supposed to recover and that the inner parts below each knee still hurt? I tried to do some exercises from a physiotherapist that I went to on my own for a week but they started to hurt more and so I stopped…

    Reply
  63. Good morning, 5 days ago I started to feel pain in my knee for a few seconds. Since then, every day at exactly 7 in the morning I feel pain on the left side of my knee. After a while, the pain goes away and I am normal for the rest of the day… Yesterday and today I have felt as if a liquid was pouring from the left side of my knee to the heel (calcaneus).

    Reply
  64. Hello, well I'm going to tell you what my mother has. For 1 to 2 years, my mother suffered falls after falls and her knee is forward and crooked and the other is normal. That has recovered and is now normal again.

    Reply
  65. I had a sinus effusion, which I had removed. After a week, it became a little swollen because I was standing for a while. How can I reduce this swelling?

    Reply
    • Hello Cristian,

      After a synovial fluid extraction, the joint may become swollen again, especially if you have been standing for prolonged periods. To help reduce swelling, it's advisable to apply ice to the area, elevate the limb if possible, and avoid overexertion.

      If the inflammation persists or is accompanied by severe pain, it would be advisable to have your case evaluated by a specialist to rule out any other complications.

      Greetings.

      Reply
  66. Good afternoon. In February 2025, I had a synovial fluid effusion removed from my knee. I was in pain and swollen. Then I had injections. The pain went down to 60%. However, to this day, I still have pain, and my knee locks up, and I can't walk normally. The pain is impeding me. I've had therapy sessions with no positive results.
    What should I do? Where should I go? I'm from Peru. Thank you.

    Reply
    • Hello Flor,

      Thank you for sharing your experience. From what you've said, the symptoms that persist after synovial fluid extraction and injection may indicate a structural problem in the knee that should be thoroughly evaluated. In these cases, the best course of action is to see a knee specialist who can assess your situation with up-to-date tests, such as an MRI, and determine the most appropriate treatment.

      Greetings.

      Reply
  67. BS je m'appelle Léonie j'ai 43 ans j'ai passé ma radio du genoux gauche j'ai un empêchement intra articulaire j'ai déjà eu deux infiltration aucun résultat quel solution me proposer vous

    Reply
    • Bonjour Léonie, thank you for your message.

      An intra-articular empêchement au genou nécessite une évaluation précise, et sans examination clinique il n'est pas possible de proposing a reliable solution. The infiltrations may help in certain cases, but all depend on the exact origin of the blockage.

      We recommend a consultation in person with a specialist. If you need a notice to Madrid, you can contact us at +34 910 053 900.

      Reply

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At Clínica Elgeadi we are committed to our community and open to advise and answer any question whenever possible.

To offer an accurate diagnosis to the patient, a personalized evaluation and a thorough review of their medical history will always be necessary. Once the case has been studied individually, the most appropriate treatment will be recommended to the patient according to their pathology and/or illness.

Furthermore, from the Elgeadi clinic, we would like to remind you that no medication will be prescribed without prior consultation.

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