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Go for a orthopedists opinion on it, but AVOID arthroscopy. It may become necessary, but you should try anything else before. I've heard some very bad stories from friends who got big problems afther arthroscopy.
I've had big time trouble and real bad pain after my left knee which had been damaged by a childhood accident developed arthrosis. I got excellent results from taking up regular bicycling (EVERY day). That made the previous problems almost go away. I still feel my knee, occasionally, and will probably never be able to trek through the himalayas ... but I can walk quite some distance without trouble and ride my bicycle for 70 miles. The "secret" is both the strengthening of muscular support (thus stabilizing the joint) and the "greasing" of the knee through movement without pressure (which you apply when walking or, even worse, running). However, my cycling technique has to avoid heavy pedalling, instead, I go with high frequency. Otherwise, I'll get knee trouble by cycling!
I'm very happy that this has helped me, since I was feeling very shitty about not even being able to walk for a mile without pain when I was not even 35 years old.
However, your problem might need another long term solution. I would also suggest you try osthepathic treatment - I can't grasp how it works, but can confirm that it did help very well with shoulder problems I got from computer work.
For short term treating of symptoms:
If your knee is hot and/or swollen, you might take some meds to soothe the inflammation. Since I prefer as little chemicals inside me as possible, I only take some Aspirine for pain/anti-inflammatory effects. Creams containing comfrey (Symphytum officinale) are working very well for me and can also be used as precaution (BTW, the German name for this plant is Beinwell, meaning "leg well").
A natural remedy that I have not tried but which was recommended in a medical paper recently is a package of cabbage. You cut away the ribs, crush the leaves somehow with a bottle or rolling pin, and apply them around the knee for some hours (an old sock with cut off tip could do). The cabbage contains some sulfur compounds that are are anti-inflammatory.
Hope you get better soon!
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