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Fluid on the Knee and Ultrasound-Guided Aspiration in Fort Lauderdale

Evaluation and in-office knee drainage with Dr. Jorge A. Gonzalez, MD, triple board-certified

A swollen knee can feel tight, painful and hard to bend. The swelling is usually extra fluid in the joint, and finding out why it is there is the first step. In some patients, draining the fluid may help ease pressure and helps confirm the cause.

At the Institute of Regenerative Orthopedics & Sports Medicine (IROSM), Dr. Jorge Gonzalez, MD at IROSM in Fort Lauderdale uses ultrasound to look at knee swelling in the office and, for appropriate candidates, to guide a needle and drain the fluid. Watch him demonstrate it in the video; results vary.

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Ultrasound-Guided Knee Aspiration (Draining Fluid) | Fort Lauderdale
Important Notice from IROSM: Knee aspiration is a customized medical treatment performed by Dr. Jorge Gonzalez. A thorough clinical evaluation at IROSM in Fort Lauderdale determines whether ultrasound-guided knee aspiration, treatment of the underlying cause, or an alternative approach best fits your condition.

What causes fluid on the knee?

A swollen knee usually means extra fluid has built up inside the joint. Doctors call this a knee effusion; many patients call it water on the knee. The swelling is a sign that something is irritating the joint, so the goal of an evaluation is to find the cause, not only to remove the fluid.

Arthritis

Knee arthritis is one of the most common reasons for a knee that swells again and again. Gout and pseudogout, where crystals form in the joint, can also cause sudden, painful swelling.

Injury

A twist or fall can damage the meniscus or a ligament. Meniscus tears and knee ligament tears often cause swelling within hours to a day or two. Rapid swelling after an injury can mean bleeding inside the joint.

Cysts and bursitis

Fluid can also collect outside the joint. A Baker’s cyst forms behind the knee, and bursitis can cause a soft swelling over the kneecap. Ultrasound helps tell these apart from true joint fluid.

After knee replacement

Some swelling is expected while healing, but swelling that returns or persists long after surgery should be checked. Read about whether a loose knee replacement can be fixed without surgery.

Seek care the same day if

  • The knee is hot, red and very painful
  • You have a fever or feel unwell
  • You cannot put weight on the leg
  • The knee swelled quickly after an injury

These can be signs of an infection or a serious injury, which need prompt medical attention.

Knee aspiration: draining fluid from the knee

Knee aspiration (also called arthrocentesis) uses a needle to draw fluid out of the joint. It may be recommended for two reasons, and often both apply:

To find the cause

The fluid can be sent to a lab to look for crystals (gout or pseudogout), signs of infection, or blood. This can change which treatment makes sense.

To ease pressure

Removing a large amount of fluid may help reduce pressure, pain and tightness, and may make it easier to bend and straighten the knee.

Draining the fluid may help in the short term, but fluid can build up again if the cause is not addressed. That is why aspiration is usually one part of a wider plan. Whether it is a good option for you is decided at your evaluation.

Why ultrasound-guided knee aspiration?

Dr. Gonzalez uses ultrasound for orthopedics and sports medicine in the office. Ultrasound shows exactly where the fluid is, how much there is, and where nearby structures sit, so the needle can be guided into the fluid pocket in real time. It can also show whether swelling is inside the joint, in a bursa, or in a cyst.

What to expect during the procedure

  • Done in the office, usually in a short visit
  • The skin is cleaned and numbed with local anesthetic
  • Ultrasound guides the needle into the fluid
  • Fluid may be sent to a lab for testing
  • In some cases an injection is given through the same needle
  • A small bandage is placed afterward

The procedure is generally well tolerated. Possible risks include soreness, bruising, bleeding and, rarely, infection. Learn more about how image-guided injections help with accurate needle placement.

Treating the cause of knee swelling

Once the cause is clearer, treatment is matched to it. Depending on the diagnosis, options may include activity changes, a brace, physical therapy, medication for gout or inflammatory arthritis, or an injection. For patients with arthritis or certain soft tissue injuries, regenerative options such as PRP therapy or stem cell injections for knees may be discussed as non-surgical options to consider. Some injuries need a surgical opinion, and Dr. Gonzalez can help you understand when that makes sense.

What the Research Says

  1. Wu T et al., 2016, Seminars in Arthritis and Rheumatism: this systematic review of nine studies (715 patients) compared ultrasound-guided knee aspiration and injection with landmark (feel-based) technique. The authors reported that ultrasound guidance was more accurate, drew off more fluid and was associated with less procedural pain. Individual results vary. Source

Knee Swelling Treatment in Fort Lauderdale

Providing knee swelling evaluation and ultrasound-guided knee aspiration to residents in Fort Lauderdale, Pompano Beach, Plantation, and Broward County. For our Hialeah office, se habla español.

Institute of Regenerative Orthopedics & Sports Medicine (IROSM)
3333 West Commercial Blvd, Suite 101
Fort Lauderdale, FL 33309
Phone: (954) 751-6990

Frequently Asked Questions About Knee Swelling and Aspiration at IROSM

What causes fluid on the knee?

What causes fluid on the knee?
Common causes include knee arthritis, gout or pseudogout, meniscus or ligament injuries, and, less often, infection. Fluid can also collect outside the joint in a Baker’s cyst or a bursa. An exam and ultrasound help find the cause.

Should I get fluid drained from my knee?

Should I get fluid drained from my knee?
Draining fluid may help ease pressure and pain, and testing the fluid can help find the cause. It is not needed for every swollen knee. Whether aspiration is a good option for you is decided after an exam and ultrasound.

Does knee aspiration hurt?

Does knee aspiration hurt?
The skin is numbed with local anesthetic first, and the procedure is generally well tolerated. Some patients feel pressure during the procedure and mild soreness for 24 to 48 hours afterward.

Will the fluid come back after it is drained?

Will the fluid come back after it is drained?
It can. If the cause, such as arthritis or a meniscus tear, is still present, fluid may build up again. That is why aspiration is usually part of a wider plan that treats the cause.

Why use ultrasound for knee aspiration?

Why use ultrasound for knee aspiration?
Ultrasound lets the physician see the fluid and guide the needle into it in real time. It also helps tell joint fluid apart from a cyst or bursitis, which can look similar from the outside.

When is a swollen knee an emergency?

When is a swollen knee an emergency?
Seek same-day care if the knee is hot, red and very painful, if you have a fever, if you cannot put weight on the leg, or if it swelled quickly after an injury. These can be signs of an infection or a serious injury.

Do I need a referral for knee swelling at IROSM?

Do I need a referral for knee swelling at IROSM?
No referral is needed to book an evaluation. Call (954) 751-6990 to schedule a visit at our Fort Lauderdale office.

Could Knee Aspiration Help Your Swollen Knee?

Triple board-certified · Fellowship-trained at the Andrews Institute · No referral needed

Schedule a consultation with Dr. Jorge Gonzalez at IROSM in Fort Lauderdale to find out what is causing the swelling and whether ultrasound-guided knee aspiration is right for your condition.

Book Your Appointment Now: (954) 751-6990 Make an Inquiry Online
Dr. Jorge A. Gonzalez, MD
Medically reviewed by: Dr. Jorge A. Gonzalez, MD
Institute: Institute of Regenerative Orthopedics & Sports Medicine (IROSM)
Last reviewed: September 2026

Disclaimer: This content is for general educational purposes and does not constitute formal medical advice. Individual patient outcomes will vary. Knee aspiration at IROSM in Fort Lauderdale requires a clinical examination by Dr. Jorge Gonzalez to establish candidacy. Serving Fort Lauderdale, Pompano Beach, Plantation, and surrounding Broward County communities.