After a knee injury, pain is experienced with standing or walking?
Hello, I fell while rollerblading four days ago and sustained multiple abrasions.
The most severe wound is covered with artificial skin, while the others are dressed with oil cloth and gauze.
The wounds have improved significantly, but the injury on my left foot feels abnormally painful when standing or walking, although there is no discomfort when sitting or bending, which is quite strange.
My left knee is slightly swollen.
Should I just wait for the swelling to subside for improvement, or should I see an orthopedic specialist?
Zhang Zhenzhen, 20~29 year old female. Ask Date: 2016/04/10
Dr. Shi Guozheng reply Orthopedics
You should see a doctor.
Typically, bruises heal in about one to two weeks.
If the pain persists, you should seek medical attention.
Reply Date: 2016/04/10
More Info
It sounds like you are experiencing significant knee pain after your rollerblading injury, which is not uncommon given the nature of such falls. The fact that you have abrasions and a more serious wound that is healing is a good sign, but the persistent pain and swelling in your knee warrant further attention.
Firstly, the pain you are experiencing while standing or walking, but not when sitting or bending, could indicate a few different issues. The swelling in your knee suggests that there may be some inflammation or injury to the structures within the knee joint itself. This could include soft tissue injuries such as sprains or strains of the ligaments, tendons, or muscles surrounding the knee. Additionally, there could be a possibility of a minor meniscus tear or other cartilage issues, which can cause pain during weight-bearing activities.
Here are some steps you can take to manage your symptoms:
1. Rest and Ice: Continue to rest your knee as much as possible. Ice the area for 15-20 minutes every few hours to help reduce swelling and alleviate pain. Make sure to wrap the ice pack in a cloth to avoid direct contact with the skin.
2. Elevation: Elevate your leg when resting to help reduce swelling. Keeping your knee above the level of your heart can assist in decreasing fluid accumulation.
3. Compression: If you have not already, consider using a compression bandage or knee brace to provide support and help manage swelling. Just be careful not to wrap it too tightly, as this can impede circulation.
4. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage your pain and reduce inflammation. Be sure to follow the recommended dosages on the packaging.
5. Monitor Symptoms: Keep an eye on your symptoms. If the swelling does not decrease, or if the pain worsens, it is advisable to seek medical attention.
6. Consult a Specialist: Given that your pain persists and is affecting your ability to stand and walk, it would be wise to consult an orthopedic specialist. They can perform a thorough examination and may recommend imaging studies, such as an X-ray or MRI, to rule out any fractures or more serious injuries.
7. Physical Therapy: If your doctor recommends it, physical therapy can be beneficial in restoring strength and mobility to your knee. A physical therapist can provide you with specific exercises tailored to your recovery.
In terms of your concern about whether the swelling will resolve on its own, while minor swelling can sometimes improve with rest and conservative measures, persistent swelling or pain often indicates that further evaluation is necessary. It’s important to address these symptoms early to prevent potential complications or chronic issues.
Lastly, it’s completely normal to feel anxious about injuries and their recovery. Focus on following your treatment plan and give your body the time it needs to heal. If you find yourself feeling overwhelmed, consider discussing your feelings with a healthcare professional who can provide support and guidance.
In summary, while some swelling and pain can be expected after an injury, persistent symptoms should not be ignored. Taking proactive steps to manage your condition and seeking professional advice will help ensure a smoother recovery.
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