<s>[INST] Hiya I ve had really bad knee pain all my life since I was a child and always been told it s growing pain my brother also suffers with the same thing and he gets told the same and my little boys also complain about there knees hurting too it gets so bad sometime I can t move and I m just stuck I can t go to the toilet get dressed or anything I m just stuck and I was wondering if you had any idea as to what it could be I m 19 years old but have a very high pain threshold Thank Louise [/INST] Hello, I have studied your case. As per your age and history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. </s>