Can Rehabilitation Help Relieve Knee Pain After Dislocation?

Knee misalignment?

Last week, when I got out of bed using one leg, my right knee got stuck and couldn't straighten.
However, it doesn't hurt when I bend it; I just feel like I can't straighten it, and forcing it to straighten causes pain.
Later, I managed to force my knee straight, and it can be straightened now, but I feel pain and soreness in my knee when walking normally.
I went to the hospital for an X-ray, and it showed that my knee is misaligned, with the patella (the kneecap) not sitting in its groove.
The doctor advised me to do rehabilitation exercises for my thigh muscles and prescribed pain relief and anti-inflammatory medication.
I would like to know if rehabilitation can help me walk without pain in my knee.
I just want to be able to walk normally without pain, as I understand that realigning the bone may not be possible.
Can rehabilitation achieve this? How long will it take to see results from rehabilitation? Thank you.

Niming, 30~39 year old female. Ask Date: 2016/08/21

Dr. Shi Guozheng reply Orthopedics

This phenomenon is called patellar valgus (the patella, also known as the kneecap, is the bone that protrudes at the front of the knee joint).
The doctor's advice is correct; it is recommended to continue treatment for about six months to see results.
Mild valgus does not require surgical intervention.
If there is significant pain, medication can be used for treatment, or a knee brace can be worn to protect the knee joint.

Reply Date: 2016/08/21

More Info

Rehabilitation can indeed play a crucial role in relieving knee pain after a dislocation. When a knee dislocation occurs, it can lead to various complications, including damage to ligaments, cartilage, and surrounding tissues. This can result in pain, swelling, and a limited range of motion, which can significantly affect mobility and quality of life.

In your case, it sounds like you experienced a dislocation that has led to misalignment of the knee joint, specifically with the patella (kneecap) not sitting properly in its groove. This misalignment can cause pain and discomfort, especially during movement. The fact that you can bend your knee without pain but experience difficulty and discomfort when trying to straighten it suggests that there may be underlying issues related to muscle strength, joint stability, or even scar tissue formation from the injury.

Rehabilitation exercises, particularly those focusing on strengthening the quadriceps and hamstring muscles, are essential. Strong muscles around the knee can help stabilize the joint and improve its alignment, which may alleviate pain during walking and other activities. Additionally, rehabilitation can include flexibility exercises to improve the range of motion, as well as proprioceptive training to enhance balance and coordination.

The timeline for rehabilitation can vary significantly based on the severity of the injury, your overall health, and how consistently you engage in the prescribed exercises. Generally, with a dedicated rehabilitation program, many patients start to notice improvements within a few weeks. However, achieving full recovery and returning to normal activities may take several months. It's important to follow your healthcare provider's recommendations closely and to communicate any persistent pain or discomfort during your rehabilitation exercises.

In addition to physical therapy, your doctor has prescribed anti-inflammatory medications, which can help reduce swelling and pain, making it easier for you to engage in rehabilitation exercises. It's crucial to take these medications as directed and to discuss any concerns you have about their effects or side effects with your healthcare provider.

In summary, rehabilitation can significantly help in relieving knee pain after a dislocation by strengthening the muscles around the knee, improving joint stability, and enhancing your range of motion. While the exact duration of rehabilitation varies, consistent effort and adherence to your rehabilitation program can lead to improved function and reduced pain, allowing you to walk normally again. Always consult with your healthcare provider or physical therapist for personalized guidance and to ensure that your rehabilitation plan is tailored to your specific needs.

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