Should You See a Doctor for Knee Bruises from Sports Injuries?

Sports Injuries (Knee)

Recently, during a competition, I wore knee pads with sponge padding.
However, while diving for the ball, I knelt down several times, and the edge of the sponge padding pressed against my knee, causing a bruise on the front side of my knee (it hurt so much at the moment that I almost cried).
However, I do not feel pain when walking.
Should I see a doctor for this?

Renee, 10~19 year old female. Ask Date: 2016/12/26

Dr. Hong Ximing reply Orthopedics

Due to kneeling on the ground, the stitching of the knee pad was compressed, resulting in bruising, which is likely a contusion.
You can apply heat therapy to promote circulation and absorption.

Reply Date: 2016/12/26

More Info

When it comes to knee bruises resulting from sports injuries, it's essential to assess the situation carefully. Based on your description, it seems that you experienced a significant impact to your knee while playing, leading to a bruise on the front side of your knee. While you are currently not experiencing pain while walking, there are several factors to consider before deciding whether to see a doctor.

When to See a Doctor
1. Severity of the Bruise: If the bruise is extensive, discolored, or accompanied by swelling, it may indicate a more severe injury, such as a hematoma or even damage to underlying structures like ligaments or cartilage.

2. Pain Levels: Although you mentioned that you do not feel pain while walking, if you experience increased pain with movement, bending, or putting weight on the knee, it could be a sign of a more serious injury that requires medical evaluation.

3. Range of Motion: If you find it difficult to fully extend or flex your knee, or if you experience a locking sensation, it’s advisable to consult a healthcare professional. These symptoms could indicate damage to the knee joint or surrounding tissues.

4. Swelling and Inflammation: If you notice significant swelling or if the area becomes warm to the touch, these could be signs of inflammation or injury that might need medical attention.

5. History of Previous Injuries: If you have a history of knee injuries or conditions, it’s wise to be more cautious. Previous injuries can predispose you to further damage, and what seems like a minor bruise could be more complicated.

Self-Care Measures
If you decide not to see a doctor immediately, there are several self-care measures you can take to manage the bruise:
- Rest: Avoid putting too much weight on the knee and give it time to heal.

- Ice: Apply ice packs to the bruised area for 15-20 minutes every few hours to reduce swelling and pain.

- Compression: Use a compression bandage to help minimize swelling.

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

- Over-the-Counter Pain Relief: If you experience discomfort, non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation.

Conclusion
In summary, while it may not be necessary to see a doctor immediately for a knee bruise, it is crucial to monitor your symptoms closely. If you notice any worsening of your condition or if you develop new symptoms, it would be wise to seek medical attention. A healthcare professional can perform a thorough examination, potentially including imaging studies like X-rays or MRIs, to rule out any serious injuries. Remember, early intervention can often lead to better outcomes, especially in sports-related injuries. If in doubt, it’s always better to err on the side of caution and consult with a medical professional.

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