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A 15 year old overweight boy presents to your office limping with knee pain. What is the most likely diagnosis?

User Muthuh
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Final answer:

The most likely diagnosis for a limping 15-year-old overweight boy with knee pain is Runner's knee, or patellofemoral syndrome. This condition is exacerbated by the added stress of excess body weight on the knee joint. A homeostatic weight and increased low-impact exercise can help manage and prevent worsening of this condition.

Step-by-step explanation:

The most likely diagnosis for a 15-year-old overweight boy presenting with a limping knee pain is patellofemoral syndrome, commonly known as Runner's knee. This condition is a frequent overuse injury among adolescents and young adults, more common in females but certainly not exclusive to them. Considering this individual's overweight status, the excess body weight may contribute to exacerbating knee stress.

Symptoms and Activities that May Worsen Pain

The pain associated with Runner's knee is typically described as a dull, aching sensation around the front of the knee and deep to the patella. It often becomes more prominent during activities such as walking or running, navigating stairs, kneeling, squatting, or after sitting for long periods with the knee bent. Overweight individuals may also have a higher predisposition to other joint-related conditions, such as osteoarthritis, due to the increased force exerted on the joints with every step they take.

Prevention and Management

To help manage and prevent worsening of Runner's knee and other joint issues, maintaining a healthy weight is beneficial since it reduces the overall stress on the knees. Engaging in low-impact exercise and adhering to a regular exercise routine to keep the body fit and muscles toned is advisable. It is also important to reduce the risk of injury by avoiding high-impact activities and ensuring proper body mechanics when lifting or carrying heavy objects.

User OgreSwamp
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