Conversation: The conversation between human and AI assistant.
[|Human|] hi um 23 years old , female... recently i have been experiencing a very bad pain in my knees ( like inside the bone on the sides and in the back of the knee) i ran a test for my ESR and it was 49 in the first hour and 74 in the second ... what should i do , b coz um really scared and in pain ( i go to work so i have to be healthy) n.b: i have a history of rheumatoid fever. thank u very much
[|AI|]  Hi, Thanks for your query. There are numerous causes and conditions that produce pain in the knee joint. One of the commonest conditions that affects your age people is Patellofemoral arthritis (wear & tear in the cartilage of the kneecap & thigh-bone)A detailed clinical examination & a few investigations are needed to establish a correct diagnosis of your problem. The general recommendations for Anterior knee pain are as follows -- Avoid any activities that increase the pain such as climbing stairs and deep knee bending movements.- Use over-the-counter pain relievers such as acetaminophen, ibuprofen as & when needed-Weight loss alone will often fix the problem if you are substantially overweight.- Specific exercises can strengthen the muscles that support your knees and control limb alignment, such as your qua Chat Doctor. I suggest you to consult an orthopedic surgeon for further management. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care