Family, Internal Medicine, General Medical Questions/Knees


I injured both knees playing soccer two years ago. BTW I am 55, overweight, hypertension.
The x-rays showed no damage to either knee, and my doc said to take pain relievers. I saw a therapist who was able, with accupuncture, to relieve the pain and stifness in both knees.After two years, one knee has more or less normalized, but the other becomes very stiff and painfull after 20 minutes or more of walking. Ten more  treatments of accupuncture got me no relief. In fact the pain has increased, which is affecting my ability to work. Obviously this knee has a more seroius injury. Could this be a meniscus injury? If so, why didnt it show up on the initial x-ray? Is surgery an oprtion? I had arthroscopic done on an ankle for arthritis which resolved the problem. Do I have to wait for the knee to become arthritic?
Thank you very much.

Dear Bud,

Your symptoms indicate a possible meniscal tear. Cartilage is not viewable by an X-ray. An MRI needs to be ordered. However, by physical exam alone, many orthopedic surgeons are able to identify a meniscal tear. I recommend an appointment with orthopedics.  

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Dr. Pamela M. Cipriano, DNP, APRN


My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.


I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

Society of Hospital Medicine American Association of Critical Care Nurses American Association of Nurse Practitioners Connecticut Advance Nurse Practitioner Society

Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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Named as a World Wide Leader in Healthcare and was included in the 2013-2014 edition by the International Nurses Association.

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