<s>[INST] Can you herniate your knee around the knee cap? I am 30 yrs old, 5 9 175 lbs and farily active. I noticed my knee had a bit of pain when I crawled on it and some swellining a couple days after hiking. That was over 3 months ago and it has showed no signs of improvment. I did go hiking again a week ago and experienced no pain and no increase in swelling. [/INST] Hello,The symptoms seem to be related to an overuse of the knee. Iliotibial band syndrome, also referred to as IT band syndrome, is a condition in which this tissue becomes inflamed, tight, or swollen. Again, this condition occurs with overuse of the joint. I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also suggest to maintain the knee elevated and rest.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician </s>