Knee Pain After Minor Injury: What You Should Know - Orthopedics

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Knee issues


Hello, on April 8th, I had a minor collision while riding my scooter.
At that time, my left foot hit the ground first, resulting in a scraped left knee, bruising, and slight swelling.
I had an X-ray taken, and the doctor said there was no bone injury.
I was advised to change the dressing myself and that a follow-up visit was not necessary.
However, in the past few days, I occasionally feel some pain in my knee while walking.
Is this a normal situation? Thank you.

L, 20~29 year old female. Ask Date: 2016/04/20

Dr. Shi Guozheng reply Orthopedics


It is considered normal for swelling to subside in about two to four weeks.
If there is significant pain, you may take some pain relievers to help alleviate it.

Reply Date: 2016/04/20

More Info


Knee pain after a minor injury, such as a fall or a minor collision, can be a common occurrence, even when X-rays show no fractures or significant damage to the bones. In your case, where you experienced a minor motorcycle accident that resulted in a bruise and some swelling around the left knee, it is not unusual to feel pain during the healing process. Here’s what you should know about knee pain following such an incident.


Understanding the Pain
1. Soft Tissue Injury: While your X-ray results showed no bone injury, it is possible that you sustained soft tissue damage. This can include injuries to ligaments, tendons, or muscles surrounding the knee joint. Soft tissue injuries often take longer to heal than bone injuries and can cause pain, swelling, and stiffness.

2. Bruising and Swelling: The bruising and swelling you experienced are signs of inflammation, which is a natural response of the body to injury. Inflammation can lead to pain and discomfort, especially when moving the knee. It is essential to allow time for the swelling to subside, which can take several days to weeks, depending on the severity of the injury.

3. Knee Mechanics: The knee joint is complex, and even minor injuries can disrupt its normal mechanics. Pain during movement, especially when bending or straightening the knee, can occur as the body adjusts to the injury. This adjustment can lead to compensatory movements that may cause additional discomfort.


Is Pain Normal?
Yes, experiencing some pain after a minor injury is normal. However, if the pain persists or worsens, it may indicate that further evaluation is necessary. Here are some signs that you should seek medical attention:
- Increased Pain: If the pain becomes more intense or does not improve with rest and over-the-counter pain relief.

- Persistent Swelling: If the swelling does not decrease over time or worsens.

- Limited Range of Motion: If you find it increasingly difficult to bend or straighten your knee.

- Instability: If you feel that your knee is unstable or gives way when you try to walk.


Management and Recovery
1. Rest and Ice: Initially, it is crucial to rest the knee and apply ice to reduce swelling. Ice should be applied for 15-20 minutes every few hours, especially in the first 48 hours after the injury.

2. Compression and Elevation: Using a compression bandage can help manage swelling. Elevating the leg above heart level can also assist in reducing swelling.

3. Gentle Movement: While rest is important, gentle movement is also beneficial. Gradually increasing the range of motion through gentle stretching and bending can help prevent stiffness.

4. Pain Relief: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help manage pain and inflammation. Always follow the recommended dosage and consult with a healthcare provider if you have any concerns.

5. Physical Therapy: If pain persists, consider consulting a physical therapist. They can provide tailored exercises to strengthen the knee and improve flexibility, which can aid in recovery.


Conclusion
In summary, experiencing knee pain after a minor injury is common and often part of the healing process. While some discomfort is expected, monitoring your symptoms is essential. If the pain does not improve or worsens, seeking further medical evaluation is advisable. Remember to take care of your knee by resting, applying ice, and gradually reintroducing movement. With time and appropriate care, you should see improvement in your symptoms.

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