Knee Pain: ACL Injuries and Related Issues in Volleyball - Orthopedics

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Sports injuries, knee issues, ligaments?


I play volleyball, and after jumping down, I felt pain inside my left knee, similar to a strain.
I visited a traditional Chinese medicine doctor, who diagnosed it as a cruciate ligament strain.
There is no pain or swelling when standing, but I can feel discomfort when I squat.
Additionally, I have scoliosis, and when lying down, the left side of my body is lower.
Recently, I've also noticed some odd sensations on the inner side of my knee while walking.
Could you please tell me what might be causing this pain?

yun, 10~19 year old female. Ask Date: 2016/11/25

Dr. Hong Ximing reply Orthopedics


Knee joint sports injuries, such as anterior cruciate ligament (ACL) tears or meniscus tears, are quite common.
If you are experiencing symptoms, please consult an orthopedic specialist for a thorough examination to prevent any impact on your future athletic function.

Reply Date: 2016/11/25

More Info


Knee pain, particularly in athletes such as volleyball players, can often be attributed to injuries involving the anterior cruciate ligament (ACL) or other structures within the knee joint. Your description of pain in the inner part of your left knee after jumping and landing suggests a possible ACL injury, which is common in sports that involve sudden stops, jumps, and changes in direction.

The ACL is one of the key ligaments that help stabilize the knee joint. It connects the femur (thigh bone) to the tibia (shin bone) and plays a crucial role in maintaining knee stability, especially during activities that require pivoting or jumping. When the ACL is injured, it can lead to pain, swelling, and instability in the knee. In your case, the fact that you do not experience pain while standing but feel discomfort when squatting could indicate that the knee is struggling to maintain stability under certain movements, which is a common symptom of ACL injuries.

Additionally, the presence of scoliosis (spinal curvature) may contribute to uneven weight distribution and altered biomechanics during movement, potentially exacerbating knee pain. This could explain why you are experiencing discomfort not only in the knee but also in the inner side of the knee when walking. The knee joint is complex, and pain can arise from various structures, including ligaments, tendons, cartilage, and even the bones themselves.

It is also worth considering the possibility of a meniscus tear, which can occur alongside ACL injuries. The meniscus is a C-shaped cartilage that acts as a cushion between the femur and tibia. Symptoms of a meniscus tear can include pain, swelling, and a sensation of the knee locking or catching during movement.

Given your symptoms and the potential for a serious injury, it is crucial to seek a comprehensive evaluation from an orthopedic specialist. They may recommend imaging studies such as an MRI to assess the condition of the ACL, meniscus, and other structures within the knee. Early diagnosis and treatment are essential to prevent further damage and to facilitate a proper recovery.

In terms of management, if an ACL injury is confirmed, treatment options may vary depending on the severity of the injury. Conservative management may include physical therapy to strengthen the muscles around the knee, improve flexibility, and enhance stability. In some cases, surgical intervention may be necessary, especially if the injury is severe or if you wish to return to high-level sports.

In the meantime, it is advisable to avoid activities that exacerbate your knee pain, such as jumping or heavy squatting. Ice application can help reduce any swelling, and over-the-counter anti-inflammatory medications may alleviate pain. Additionally, using a knee brace may provide extra support during activities.

Lastly, addressing your concerns about the psychological impact of injury is also important. It is common for athletes to feel anxious or fearful about their injuries and recovery. Engaging in open discussions with healthcare providers, seeking support from fellow athletes, or even consulting a sports psychologist can help manage these feelings and improve your mental well-being during the recovery process.

In summary, your knee pain following volleyball activities could be indicative of an ACL injury or related knee issues. A thorough evaluation by an orthopedic specialist is essential for accurate diagnosis and appropriate management. Early intervention can significantly enhance your chances of a full recovery and return to the sport you love.

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