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I've been like this for years, possibly since I was 16.
No other symptoms.
No chronic problems other than knee joints.
I'm not taking any medication at all.
I think it got worse a few years ago, but not for any reason I can think of. I'm very embarrassed by it, but can't work myself up to face my Doctor. Living in Scotland, it is very frowned on to be a grown man who cries.