Yes painful after the pop the MRI is normal unless that statment: "4mm low T1/T2 SIGNAL INTENSITY lesion is noted in the intercondylar aspect of the medial femoral condyle compatible with bony island
you might have a kind of knee arthritis ,
risk factors are
age
obesity
occupation squatting and kneeling
sports or repetitive motions
some of the treatment plan :
Here is the management of knee pain related to osteoarthritis;
1) Knee care in the activities of daily living. Few simple self-care measures can be remarkably effective in ending pain cycle. Avoid prolonged standing and sitting at a single stretch. Respect your pain and avoid painful activities.
2) Rest: Taking a break from your normal activities reduces repetitive strain on your knee, gives the injury time to heal and helps prevent further damage.
3)Anti-inflammatory medications
4) Physical therapy; the goal of physical therapy is to strengthen the muscles around your knee and help you regain knee stability. Ideal is supervised physical therapy.
5) Orthotics and bracing.
6) Glucosamine and chondroitin orally for about 1-2 years.
7) Hyaluronic acid injections in knee.
8) Local sprays and ointments to your skin may help relieve the pain and stiffness of osteoarthritis.
9) Electrotherapy by physical therapist.
all these might help in your case .if not check with your doctor for further inverstigations
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