instruction: hi doctor I am 16 years old I am hypermobile especially in my knees and almost every day especially nowadays I get horrible pains in my whole knee deeper than the surface my knees are bent inward so like the opposite of being bow legged and I was just wondering if these were just growing pains or anything more
output: hi your knee pain could be due to certain reasons but common ones are chondromalacia pain due to knee instability inflammation etc if there is no history of any injury and no inflammation or infection like swelling skin redness or local warmth on touching then I will like to advise you for conservative management initially in form of intensive physical therapy with a focus on strengthening of quadriceps and stretching of other groups of muscles gentle anti inflammatory medications like tablet etoshine or paracetamol can be taken in small doses for five to seven days adequate calcium and vitamin supplementation as per the requirement ice packs at home three to four times a day see how it goes for around two weeks time if your condition does not improve then we will have to get certain investigations done including rays of the knee and a few blood tests