Knee Pain After Car Accident: When to Seek Orthopedic Care - Orthopedics

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Knee pain due to injuries from a car accident?


Hello, doctor.
Two months ago, I was in a car accident, and at that time, I had abrasions and slight swelling on my knee.
An X-ray was taken, and it seemed that there were no issues with the bones.
However, in the two weeks following the accident, I was unable to bend my knee or fully straighten it, and it was very painful.
Although the pain has decreased now, I still experience sharp and aching pain when walking for extended periods, turning over in bed, or sitting and bending my knee.
I also have difficulty squatting and cannot exert force with my right knee while riding a bicycle.
I'm unsure what the problem might be.
Should I see a rehabilitation specialist? Thank you!

Sara, 20~29 year old female. Ask Date: 2016/06/05

Dr. Chen Yongxue reply Orthopedics


Hello, I would recommend consulting a specialist for further examination.
Thank you.

Reply Date: 2016/06/05

More Info


After a car accident, experiencing knee pain and limited mobility can be concerning, especially if initial X-rays showed no fractures. Given your symptoms—persistent pain, difficulty bending and straightening your knee, and discomfort during activities like walking or cycling—it's essential to consider a few factors that could be contributing to your condition.

Firstly, while X-rays are excellent for identifying fractures, they may not detect soft tissue injuries, such as ligament sprains, meniscus tears, or damage to the cartilage. These types of injuries can lead to pain and functional limitations similar to what you're experiencing. The knee is a complex joint that relies on various structures, including ligaments, tendons, and cartilage, to function correctly. If any of these components are injured, it can result in pain and restricted movement.

Given that you mentioned your knee was bruised and swollen at the time of the accident, it's possible that you sustained a soft tissue injury that may not have been evident during the initial evaluation. Conditions such as patellar tendinitis, iliotibial band syndrome, or meniscal tears can develop after trauma and may not present symptoms immediately. The fact that your pain has persisted and even worsened with certain activities suggests that further evaluation is warranted.

In your case, seeking care from an orthopedic specialist is advisable. They can perform a thorough physical examination and may recommend imaging studies, such as an MRI, to assess the soft tissues around your knee. An MRI can provide detailed information about the ligaments, cartilage, and other structures, helping to identify any underlying issues that may not have been visible on the X-ray.

Additionally, physical therapy can be beneficial in your recovery process. A physical therapist can design a rehabilitation program tailored to your specific needs, focusing on strengthening the muscles around the knee, improving flexibility, and restoring function. They can also provide modalities to help manage pain and inflammation, such as ice therapy, ultrasound, or electrical stimulation.

It's also important to listen to your body. If certain movements or activities exacerbate your pain, it's wise to modify your activities to avoid further injury. Gradually returning to normal activities while following a structured rehabilitation program can help ensure a safe and effective recovery.

In summary, based on your symptoms and the timeline following your car accident, it would be prudent to seek orthopedic care. An orthopedic specialist can provide a comprehensive evaluation, potentially including imaging studies, to determine the cause of your knee pain. From there, a targeted treatment plan, which may include physical therapy, can be developed to help you regain full function and alleviate pain. Don't hesitate to reach out for the care you need; addressing these issues sooner rather than later can lead to a better outcome and a quicker return to your normal activities.

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