<s>[INST] hello doctor i have terrible knee pain when i play football now....im very good at football and this affecting me a lot..i started masturbating at the age of 14 and stopped it at the age of 20...but i still get nightfalls when i twist and turn on the bed...i dont get erections now..i feel miserable.plz help [/INST] Hi, As a first line management you can take analgesics like Paracetamol or Aceclofenac for pain relief. If symptoms persists you can consult an orthopedics and plan for an MRI scan for further assessment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>