Knee problems can be quite inconvenient for individuals living abroad?
Hello doctor, I bought some heavy items the weekend before last and walked for a long time.
When I returned, my legs (knees and below) felt extremely sore, as if they were about to break.
At that time, my left knee didn't hurt, but last week and this week, I started to feel pain.
Yesterday, when going downstairs, I noticed my left knee was shaking, which made me concerned, so I came here to ask for advice.
I am currently abroad and won't be back for another two months.
What should I do?
Symptoms abroad: My right knee is completely fine, but my left knee doesn't hurt when sitting or standing, but it does hurt after standing for a long time or walking.
The pain is located just below the left knee, and this area seems more prominent compared to the right.
I suspect it might be inflammation.
Pressing on it is tolerable, and I can straighten my left leg.
However, I also experienced pain when I elevated my left leg while sleeping, and certain positions while walking or sitting cause pain.
Currently, I bought over-the-counter medication for sprains and a topical cream for my knee at the pharmacy.
I'm not sure if this is effective.
Can I wait for two months to return home for treatment? Is it serious? What should I do now to help with the recovery of my knee? Thank you very much for your response!
Lin Qi, 20~29 year old female. Ask Date: 2017/03/04
Dr. Shi Guozheng reply Orthopedics
The most likely cause is inflammation of the ligaments around the knee joint, which typically reduces knee mobility.
Resting and taking some pain relievers may improve the condition, suggesting it is not too severe.
If it does not improve, you can consult a physician later.
You might also consider wearing a knee brace.
Reply Date: 2017/03/04
More Info
Dealing with knee pain, especially while abroad, can be quite challenging. Based on your description, it seems that you are experiencing discomfort in your left knee, particularly after prolonged standing and walking. This could be indicative of inflammation or strain, especially if you felt discomfort after carrying heavy items and walking for an extended period. Here are some tips and recommendations for managing your knee pain and facilitating recovery while you are away from home.
Immediate Steps for Relief
1. Rest and Modify Activity: Since you are experiencing pain during prolonged standing and walking, it is crucial to rest your knee as much as possible. Try to avoid activities that exacerbate the pain. If you need to walk, consider using supportive footwear and take frequent breaks to sit down.
2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb the pain. Use an ice pack wrapped in a cloth and apply it to your knee for 15-20 minutes every couple of hours, especially after activities that aggravate the pain.
3. Compression and Elevation: If you have access to an elastic bandage or knee brace, consider using it to provide compression to the knee. This can help reduce swelling. Additionally, when resting, elevate your leg by propping it up on pillows to help decrease swelling.
4. Over-the-Counter Pain Relief: Since you mentioned purchasing oral medication for sprains, ensure that it contains non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, which can help alleviate pain and reduce inflammation. Always follow the recommended dosage on the package.
5. Topical Treatments: The knee ointment you bought may provide temporary relief. Look for products containing menthol or capsaicin, which can help soothe pain when applied to the skin.
Rehabilitation and Recovery
1. Gentle Range of Motion Exercises: While resting is essential, gentle exercises can help maintain mobility in your knee. Try to perform simple range-of-motion exercises, such as slowly bending and straightening your knee while seated. Avoid any movements that cause pain.
2. Strengthening Exercises: Once the acute pain subsides, you can start incorporating strengthening exercises for the muscles around the knee. Exercises like straight leg raises, quadriceps sets, and hamstring curls can help support the knee joint.
3. Physical Therapy: If your symptoms persist or worsen, consider seeking physical therapy services in your current location. A physical therapist can provide tailored exercises and treatments to aid your recovery.
Monitoring Symptoms
- Watch for Red Flags: If you experience severe swelling, significant bruising, inability to bear weight, or if the pain worsens, it may be necessary to seek medical attention. These could be signs of a more serious injury, such as a ligament tear or fracture.
- Follow-Up Care: Once you return home, it is advisable to consult with a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an MRI, to assess any underlying injuries that may not be apparent through physical examination alone.
Conclusion
While it is understandable to want to wait until you return home for treatment, managing your symptoms effectively while abroad is essential. By resting, using ice, taking anti-inflammatory medications, and performing gentle exercises, you can help alleviate your knee pain and promote healing. However, if your symptoms do not improve or worsen, do not hesitate to seek medical attention in your current location. Your health is paramount, and addressing knee pain early can prevent further complications down the line. Safe travels, and take care of your knee!
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