Knee Injuries from Falls: Symptoms and Treatment Options - Orthopedics

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Falls and knee problems?


Hello, doctor.
Today I fell due to the wet ground; my left foot slipped and my right knee hit the ground hard.
My knee is sore, swollen, and bruised.
I'm worried if I might have injured my kneecap and whether it's serious.
My right leg is also sore.
How can I alleviate the pain? Is there a possibility of nerve damage? Should I go to a major hospital for treatment?

Zhenzhen, 10~19 year old female. Ask Date: 2016/12/09

Dr. Shi Guozheng reply Orthopedics


Knee joint contusions typically occur when there is impact to the patella and the surrounding soft tissues, leading to swelling.
The bone may also be cracked or fractured.
If a fracture is present, the level of pain is usually more severe, and an X-ray is necessary to confirm the diagnosis and determine the appropriate treatment.

Reply Date: 2016/12/09

More Info


Knee injuries from falls can vary significantly in severity, and understanding the symptoms and treatment options is crucial for effective recovery. Based on your description of slipping and landing heavily on your knee, it is essential to assess the potential damage to the knee joint, including the bones, ligaments, tendons, and surrounding soft tissues.


Symptoms to Monitor
1. Pain and Swelling: The immediate pain and swelling you are experiencing are common after a knee injury. Swelling can indicate inflammation or bleeding within the joint, which may occur if there is damage to the ligaments or cartilage.

2. Bruising: The presence of bruising suggests that there may be soft tissue injury. Bruising occurs when small blood vessels break, leading to bleeding under the skin.

3. Limited Range of Motion: If you find it difficult to bend or straighten your knee, this could indicate damage to the ligaments or meniscus.

4. Instability: If your knee feels unstable or gives way when you try to put weight on it, this could suggest a ligament injury.

5. Numbness or Tingling: If you experience any numbness or tingling in your leg or foot, this could indicate nerve involvement, which may require immediate medical attention.


Treatment Options
1. Rest: Avoid putting weight on the injured knee as much as possible. Rest is crucial for healing.

2. Ice: Apply ice packs to the knee for 15-20 minutes every hour as needed. This can help reduce swelling and numb the pain.

3. Compression: Use an elastic bandage or knee brace to provide support and reduce swelling. However, ensure it is not too tight, as this could impede circulation.

4. Elevation: Keep your knee elevated above the level of your heart to help reduce swelling.

5. Over-the-Counter Pain Relief: If you are not allergic to NSAIDs (non-steroidal anti-inflammatory drugs), medications like ibuprofen can help alleviate pain and reduce inflammation. If you are allergic, consider acetaminophen as an alternative.

6. Physical Therapy: Once the acute pain and swelling have subsided, physical therapy may be beneficial to strengthen the muscles around the knee and improve flexibility.


When to Seek Medical Attention
Given your symptoms of pain, swelling, and bruising, it is advisable to seek medical attention, especially if:
- The pain is severe and does not improve with home treatment.

- You cannot bear weight on the knee.

- You notice significant swelling or deformity.

- You experience numbness or tingling in your leg or foot.

A healthcare professional may perform a physical examination and possibly imaging studies, such as X-rays or an MRI, to assess for fractures, ligament tears, or other injuries.


Conclusion
In summary, while your knee injury may not be severe, it is essential to monitor your symptoms closely. Implementing RICE (Rest, Ice, Compression, Elevation) can help manage your symptoms initially. However, if your condition does not improve or worsens, do not hesitate to visit a healthcare provider for a thorough evaluation and appropriate treatment. Early intervention can prevent further complications and promote a quicker recovery, allowing you to return to your normal activities.

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