I have pain in both knees and my tibia is dilating. What does this mean and what treatment is needed?
Pain in both knees, along with tibial widening or dilating, may occur due to bone stress, arthritis, vitamin D deficiency, calcium imbalance, old injury, abnormal bone growth, or pressure changes around the knee joint. In some people, the upper part of the tibia near the knee can appear enlarged due to chronic wear and tear or changes in bone structure over time. The pain may become worse while walking, climbing stairs, standing for long periods, or bending the knees. Treatment depends on the actual cause seen on examination and imaging tests. Doctors may recommend X-rays, vitamin D and calcium testing, or scans if the bone shape is changing noticeably. Management often includes weight control, physiotherapy, muscle-strengthening exercises, supportive knee braces, and medicines to reduce pain and inflammation. If there is severe joint damage, deformity, or difficulty walking, orthopaedic procedures may sometimes be considered. Persistent swelling, increasing deformity, fever, or sudden inability to bear weight should be checked carefully.