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data-src="https://familydoctor.org/wp-content/themes/familydoctor-child/images/arrow-down.png" data-srcset="https://familydoctor.org/wp-content/themes/familydoctor-child/images/arrow-down@2x.png 2x" alt="Arrow Down" src="data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==" class="lazyload" /></span><span class="arrow-box has-svg" id="arrow-up"><img aria-hidden="true" data-src="https://familydoctor.org/wp-content/themes/familydoctor-child/images/arrow-up.png" data-srcset="https://familydoctor.org/wp-content/themes/familydoctor-child/images/arrow-up@2x.png 2x" alt="Arrow Up" src="data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==" class="lazyload" /></span></div></div><nav id="table-of-contents-nav" role="navigation" class="container"><ul id="cloned-menu"><li><a href='#overview' title='Overview'>1. Overview</a></li><li><a href='#symptoms' title='Symptoms'>2. Symptoms</a></li><li><a href='#causes' title='Causes'>3. Causes</a></li><li><a href='#diagnosis' title='Diagnosis'>4. Diagnosis</a></li><li><a href='#prevention' title='Prevention'>5. Prevention</a></li><li><a href='#treatment' title='Treatment'>6. Treatment</a></li><li><a href='#everyday-life' title='Everyday Life'>7. Everyday Life</a></li><li><a href='#questions' title='Questions'>8. Questions</a></li></ul></nav></div></div>  <article class="clearfix single-post-standard post-13537 condition type-condition status-publish has-post-thumbnail category-men tag-joint-pain tag-puffiness tag-pvns tag-soreness tag-synovitis medical_review_panel-beth-oller-md" id="13537" > <section class="page-content container"> <div class="row"> <div class="content-wrap col-md-8 clearfix"> <meta itemprop="mainEntityOfPage" content="https://familydoctor.org/condition/pigmented-villonodular-synovitis/"> <div class="featured-image"> <span itemprop="image" itemscope itemtype="http://schema.org/ImageObject"> <img itemprop="contentUrl" data-src="https://familydoctor.org/wp-content/uploads/1999/10/synovitis-848x566.jpg" height="566" width="848" alt="" src="data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==" class="lazyload" style="--smush-placeholder-width: 848px; --smush-placeholder-aspect-ratio: 848/566;" /> <meta itemprop="url" content="https://familydoctor.org/wp-content/uploads/1999/10/synovitis-848x566.jpg"> <meta itemprop="height" content="566"> <meta itemprop="width" content="848"> </span> </div> <div class="row pb-row"> <div class="body-text entry-content">  <section id="overview" data-rowname="Overview" data-header-style="" class="row fw-row" itemprop="description"> <div class="spb-row-container spb-row-standard-width col-sm-12 text-" data-v-center="false" data-top-style="none" data-bottom-style="none" style="margin-top: 0px;margin-bottom: 0px;"> <div class="spb_content_element clearfix" style=""> <section class="container"><div class="row"> <div class="spb_content_element col-sm-12 spb_text_column"> <div class="spb-asset-content" style="margin-top: 0px;margin-bottom: 0px;"> <h2>What is pigmented villonodular synovitis (PVNS)?</h2> <p>Pigmented villonodular synovitis (PVNS) is a joint problem that usually affects the hip or knee. It also can occur in the shoulder, ankle, elbow, hand or foot.</p> <p>When you have PVNS, the lining of a joint becomes swollen and grows. This growth harms the bone around the joint. The lining also makes extra fluid that can cause swelling and make movement very painful.</p> <p>PVNS isn’t common. It can affect anyone, but it is most common in people 20 to 45 years old. It may happen slightly more often in men.</p> </div> </div> </div></section> </div> </div></section> <section id="symptoms" data-rowname="Symptoms" data-header-style="" class="row fw-row"> <div class="spb-row-container spb-row-standard-width col-sm-12 text-" data-v-center="false" data-top-style="none" data-bottom-style="none" style="margin-top: 0px;margin-bottom: 0px;"> <div class="spb_content_element clearfix" style=""> <section class="container"><div class="row"> <div class="spb_content_element col-sm-12 spb_text_column"> <div class="spb-asset-content" style="margin-top: 0px;margin-bottom: 0px;"> <h2>Symptoms of pigmented villonodular synovitis</h2> <p>If you have PVNS, you’ll notice swelling and stiffness in a joint, most often your knee. The joint may hurt. You may have a “popping” feeling when you move the joint. The symptoms usually appear gradually and may come and go over time.</p> </div> </div> </div></section> </div> </div></section> <section id="causes" data-rowname="Causes" data-header-style="" class="row fw-row"> <div class="spb-row-container spb-row-full-width-contained col-sm-12 text-" data-v-center="false" data-top-style="none" data-bottom-style="none" style="margin-top:0px;margin-bottom:0px;"> <div class="spb_content_element clearfix" style=""> <section class="container"><div class="row"> <div class="spb_content_element col-sm-12 spb_text_column"> <div class="spb-asset-content" style="margin-top: 0px;margin-bottom: 0px;"> <h2>What causes pigmented villonodular synovitis?</h2> <p>Doctors don’t know exactly what causes PVNS. It doesn’t seem to run in families. It doesn’t seem to be caused by certain jobs or activities.</p> </div> </div> </div></section> </div> </div></section> <section id="diagnosis" data-rowname="Diagnosis" data-header-style="" class="row fw-row"> <div class="spb-row-container spb-row-full-width-contained col-sm-12 text-" data-v-center="false" data-top-style="none" data-bottom-style="none" style="margin-top:0px;margin-bottom:0px;"> <div class="spb_content_element clearfix" style=""> <section class="container"><div class="row"> <div class="spb_content_element col-sm-12 spb_text_column"> <div class="spb-asset-content" style="margin-top: 0px;margin-bottom: 0px;"> <h2>How is pigmented villonodular synovitis diagnosed?</h2> <p>PVNS can look like <a href="https://familydoctor.org/condition/rheumatoid-arthritis/">arthritis</a> and some other joint conditions. Your doctor may use tests to check for these conditions. After a physical exam, your doctor may want to take an X-ray of the affected joint.</p> <p>Your doctor may also want to take some fluid from the joint and test it. He or she may also want to perform a magnetic resonance imaging (MRI) scan, which takes a picture of the joint.</p> </div> </div> </div></section> </div> </div></section> <section id="prevention" data-rowname="Prevention" data-header-style="" class="row fw-row"> <div class="spb-row-container spb-row-standard-width col-sm-12 text-" data-v-center="false" data-top-style="none" data-bottom-style="none" style="margin-top: 0px;margin-bottom: 0px;"> <div class="spb_content_element clearfix" style=""> <section class="container"><div class="row"> <div class="spb_content_element col-sm-12 spb_text_column"> <div class="spb-asset-content" style="margin-top: 0px;margin-bottom: 0px;"> <h2>Can pigmented villonodular synovitis be prevented or avoided?</h2> <p>Doctors don’t know exactly what causes PVNS, so it currently cannot be prevented or avoided.</p> </div> </div> </div></section> </div> </div></section> <section id="treatment" data-rowname="Treatment" data-header-style="" class="row fw-row"> <div class="spb-row-container spb-row-full-width-contained col-sm-12 text-" data-v-center="false" data-top-style="none" data-bottom-style="none" style="margin-top:0px;margin-bottom:0px;"> <div class="spb_content_element clearfix" style=""> <section class="container"><div class="row"> <div class="spb_content_element col-sm-12 spb_text_column"> <div class="spb-asset-content" style="margin-top: 0px;margin-bottom: 0px;"> <h2>Pigmented villonodular synovitis treatment</h2> <p>The best way to treat PVNS is to remove the lining of the joint. This can be done with traditional surgery or with arthroscopy. In arthroscopy, the doctor makes a tiny cut in the skin over your joint. Then a thin tube is put into the joint to remove the lining.</p> <p>You can ease the pressure on the affected joint by resting it. For example, you might use crutches to keep weight off your sore knee or hip. Or you might need to stay off your feet. This may also relieve swelling. You can take an over-the-counter anti-inflammatory medicine such as ibuprofen (some brands: Advil, Motrin), aspirin and naproxen (one brand: Aleve) to ease the pain and swelling.</p> </div> </div> </div></section> </div> </div></section> <section id="everyday-life" data-rowname="Everyday Life" data-header-style="" class="row fw-row"> <div class="spb-row-container spb-row-standard-width col-sm-12 text-" data-v-center="false" data-top-style="none" data-bottom-style="none" style="margin-top: 0px;margin-bottom: 0px;"> <div class="spb_content_element clearfix" style=""> <section class="container"><div class="row"> <div class="spb_content_element col-sm-12 spb_text_column"> <div class="spb-asset-content" style="margin-top: 0px;margin-bottom: 0px;"> <h2>Living with pigmented villonodular synovitis</h2> <p>Even with treatment, PVNS comes back about half the time. If the pain comes back again and again, radiation therapy may help. Sometimes, the only real remedy comes by completely replacing the joint.</p> </div> </div> </div></section> </div> </div></section> <section id="questions" data-rowname="Questions" data-header-style="" class="row fw-row"> <div class="spb-row-container spb-row-full-width-contained col-sm-12 text-" data-v-center="false" data-top-style="none" data-bottom-style="none" style="margin-top:0px;margin-bottom:0px;"> <div class="spb_content_element clearfix" style=""> <section class="container"><div class="row"> <div class="spb_content_element col-sm-12 spb_text_column"> <div class="spb-asset-content" style="margin-top: 0px;margin-bottom: 0px;"> <h2>Questions to ask your doctor</h2> <ul> <li>What could have caused my symptoms?</li> <li>What is the best treatment option for me?</li> <li>How long before I can expect relief from my symptoms?</li> <li>What are the chances that my symptoms will return?</li> <li>Is it safe for me to exercise? What kind of exercise should I do?</li> </ul> </div> </div> </div></section> </div> </div></section> </div> <div class="col-sm-12"> <div class="post-footer-info"> <p>Last Updated: <time datetime="2024-09-04" class="post-date updated">September 4, 2024</time></p> <p>This article was contributed by: <span rel="author"><span class="vcard author post-author"><span class="fn">familydoctor.org editorial staff</span></span></span></p> <div class='article-categories'>Categories: <span class='category'><a href="https://familydoctor.org/category/family-health/men/" rel="tag">Men</a></span></div><div class='article-tags'>Tags: <span class='tag'><a href="https://familydoctor.org/tag/joint-pain/" rel="tag">joint pain</a></span>, <span class='tag'><a href="https://familydoctor.org/tag/puffiness/" rel="tag">puffiness</a></span>, <span class='tag'><a href="https://familydoctor.org/tag/pvns/" rel="tag">pvns</a></span>, <span class='tag'><a href="https://familydoctor.org/tag/soreness/" rel="tag">soreness</a></span>, <span class='tag'><a href="https://familydoctor.org/tag/synovitis/" rel="tag">synovitis</a></span></div> </div> <div class="content-copyright"><p><img decoding="async" class="alignnone size-full wp-image-20248 lazyload" data-src="https://familydoctor.org/wp-content/uploads/2010/01/admin-logo.png" data-sizes="(max-width: 100px) 100vw, 100px" data-srcset="https://familydoctor.org/wp-content/uploads/2010/01/admin-logo.png 100w, https://familydoctor.org/wp-content/uploads/2010/01/admin-logo-96x32.png 96w" alt="Family Doctor Logo" width="100" height="32" src="data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==" style="--smush-placeholder-width: 100px; --smush-placeholder-aspect-ratio: 100/32;" /></p> <p>Copyright © American Academy of Family Physicians</p> <p><i>This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.</i></p> </div></div></div> <div class="link-pages"></div> </div> <aside class="sidebar col-md-4 single-sidebar right-sidebar"> <div class="sidebar-container"> <div class="home-symptom-checker"> <div class="symptom-checker-card"> <a href="https://familydoctor.org/your-health-resources/health-tools/symptom-checker/" title="Visit the symptom checker"> <span class="accessibility-text">Visit our interactive symptom checker</span>  <div class="symptom-checker-card-cta symptom-card-background bg-lazy-load" aria-hidden="true"> <p class="SymptomCheckTitle">Health Tool</p> <p class="SystomCheckHeadline">Visit Our Interactive Symptom Checker</p> <p class="SystomCheckText">Choose a symptom and answer simple questions using our physician-reviewed Symptom Checker to find a possible diagnosis for your health issue.</p> <div class="sf-button white">Visit the Symptom Checker</div> </div> </a> </div> </div> </div> </aside> </div> </section>  </article> <section class="article-extras clearfix"> <div class="spb_content_element spb_related_content row"><div class="related-title-bg"><div class="container"><h5 class="title">Related Articles</h5></div></div><div class="related-bg-img"><div class="triangle-background" ></div><div class="container"><div class="container-inner" id="only-single-condition"><div class="col-sm-6 col-lg-4"><a href="https://familydoctor.org/condition/de-quervains-tenosynovitis/" title="Read more about De Quervain’s Tenosynovitis"><span class="accessibility-text">De Quervain’s Tenosynovitis</span><div class="feed-card" aria-hidden="true"><div class="image-wrap bg-lazy-load lazyload" style="background-image:inherit;" data-bg-image="url(https://familydoctor.org/wp-content/uploads/2009/11/42814068_l-395x255.jpg)"><div class="hover-overlay"><span>Read Article >></span></div></div><div class="feed-card-content"><h3>De Quervain’s Tenosynovitis</h3><div class="excerpt ellipsis-4"><p>De Quervain’s tenosynovitis is a painful condition that affects the tendons in your wrist.</p></div></div></div></a></div><div class="col-sm-6 col-lg-4"><a href="https://familydoctor.org/condition/transient-synovitis-of-the-hip/" title="Read more about Toxic Synovitis, or Transient Synovitis of the Hip"><span class="accessibility-text">Toxic Synovitis, or Transient Synovitis of the Hip</span><div class="feed-card" aria-hidden="true"><div class="image-wrap bg-lazy-load lazyload" style="background-image:inherit;" data-bg-image="url(https://familydoctor.org/wp-content/uploads/1996/10/hip-synovitis-395x255.jpg)"><div class="hover-overlay"><span>Read Article >></span></div></div><div class="feed-card-content"><h3>Toxic Synovitis, or Transient Synovitis of the Hip</h3><div class="excerpt ellipsis-4"><p>Learn about the symptoms, causes, diagnosis and treatment of transient synovitis of the hip, a condition that causes sudden…</p></div></div></div></a></div><div class="col-sm-12 col-lg-4"><a href="https://familydoctor.org/condition/osgood-schlatter-disease/" title="Read more about Osgood-Schlatter Disease"><span class="accessibility-text">Osgood-Schlatter Disease</span><div class="feed-card" aria-hidden="true"><div class="image-wrap bg-lazy-load lazyload" style="background-image:inherit;" data-bg-image="url(https://familydoctor.org/wp-content/uploads/1995/06/81862042_l-395x255.jpg)"><div class="hover-overlay"><span>Read Article >></span></div></div><div class="feed-card-content"><div class="primary-cat">Kids and Teens</div><h3>Osgood-Schlatter Disease</h3><div class="excerpt ellipsis-4"><p>Osgood-Schlatter disease is one of the most common causes of knee pain in young children and athletes. 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