Thanks
Exercise Physiologist
Firstly, a more in depth history should be taken by a treating professional to include: mechanism of injury, timeframes and treatment(s) to date. In general, you would first consult your GP. Based on your symptoms they would refer you for appropriate investigation or recommend you are assessed by a physio who may also suggestion appropriate investigation.
Treatment will be best determined once a correct diagnosis is established via physical assessment &/or investigation.
A knee replacement is normally the last resort. As I don't know your history, age, exact diagnosis, injury impact (activities of daily living) etc I cannot comment on this.
All the best!
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Exercise Physiologist, Physiotherapist
Knee pain will be worse when resting when there is an inflammation component
to it, such as osteoarthritis.
With osteoarthritis, usually there is pain when resting or whatever inflammation being such a ruptured Baker cyst or things like that.
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Chiropractor
Further to Massimo's answer, pain that is worse when resting is most likely inflammatory. This is due to the inflammatory mediators “pooling” in the joint. When you are moving, these are “flushed” out, thus no pain.
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