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Real members of MyLupusTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
August 31
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A MyLupusTeam Member

Thanks Niranjana- it is just swollen above the knees -
Nowhere else - except my left elbow for a short while
it's been for awhile now- I've read new research that says that enthesitis in the quadriceps is pretty common in lupus patients
I don't have real pain just achy and tight but swollen and feels like actual tissue under the skin

September 1
A MyLupusTeam Member

I haven't, Cathy, but it may indicate a flare. Do you have other flare symptoms? If not, I would first try icing the area. If your doctor is okay with trying NSAIDs, that's an option. A localized steroid injection may give you relief, too.

If you have other flare symptoms, please see your doctor.

September 1
MyLupusTeam

Enthesitis (inflammation where tendons or ligaments attach to bone) in the quadriceps area above the knee is something some people with lupus do experience. Muscle and joint pain are among the most common lupus symptoms, and they can definitely signal a flare — especially if other familiar symptoms are showing up alongside Show Full Answer

Enthesitis (inflammation where tendons or ligaments attach to bone) in the quadriceps area above the knee is something some people with lupus do experience. Muscle and joint pain are among the most common lupus symptoms, and they can definitely signal a flare — especially if other familiar symptoms are showing up alongside it.

During a flare, muscle inflammation (myositis) can contribute to that kind of localized soreness and pain around the joints and tendons. Some things that MyLupusTeam members and health guidance suggest for managing this type of muscle and tendon pain include:

- Resting the area as much as possible to avoid further strain
- Applying a cold compress — wrapped in a towel for up to 20 minutes, repeated every couple of hours
- Using compression like a wrap or bandage to help with swelling
- Lidocaine patches — one MyLupusTeam member shared they used these along with compression wrapping for arm and muscle pain
- Gentle stretching when tolerable

It's really important to flag new or worsening pain like this to your rheumatologist, especially if other flare symptoms (fatigue, fever, joint pain) are appearing at the same time. They can help determine if it's flare-related or something else going on that needs specific treatment.

August 31

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