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Many different factors can contribute to the problem including: Weak or tight thigh muscles Overuse of the knee Trauma or a fracture of the kneecap Arthritis Dislocation or misalignment of the kneecap Not warming up properly before exercise Flat feet Referred pain from the hip or back Why might an ultrasound guided injection be recommended

1 Have you recently felt some disturbing sensation in your hands or feet

The second question to answer is where it is relevant to include vitamin B12 in the nutrition scheme of cancer patients

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Depending on findings, your GP may refer you to a rheumatologist for specialist assessment, particularly if inflammatory arthritis is suspected