Knee Injuries: Recovery Time and Treatment Options - Orthopedics

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Knee problems


I injured my knee while playing basketball, and the doctor said it was a ligament injury.
Although my knee swelled up, the swelling has decreased somewhat.
It has been four weeks, and there is still a bit of swelling, and I experience some stiffness when walking (though there is no pain in the knee).
I am applying anti-inflammatory medication, and the clinic doctor mentioned it could take one to two months.
Should I allow it to heal naturally? If so, how many weeks should it take for recovery according to a hospital doctor? (My parents are concerned) (knee contusion)

Yu Xuan, 10~19 year old female. Ask Date: 2017/11/04

Dr. Shi Guozheng reply Orthopedics


It usually takes more than six weeks to recover, so we can observe further.

Reply Date: 2017/11/04

More Info


Knee injuries, particularly those involving ligament damage, can be quite complex and require careful management to ensure proper healing and recovery. Based on your description, it sounds like you have sustained a knee ligament injury, which is common in sports activities, especially those that involve sudden stops, jumps, or changes in direction, like basketball or soccer.


Recovery Time
Typically, the recovery time for ligament injuries can vary significantly based on the severity of the injury. In your case, since you mentioned that it has been four weeks since the injury and you are still experiencing some swelling and instability, it is crucial to continue monitoring your symptoms. Generally, mild to moderate ligament injuries can take anywhere from six weeks to several months to heal fully. However, the timeline can be influenced by various factors, including the specific ligament involved, the extent of the injury, your age, overall health, and adherence to rehabilitation protocols.


Treatment Options
1. Conservative Management: For many ligament injuries, especially if surgery is not indicated, conservative treatment is the first line of action. This typically includes:
- Rest: Avoid activities that exacerbate the pain or swelling.

- Ice: Apply ice packs to reduce swelling and pain. This is particularly effective in the first few days post-injury.

- Compression: Use an elastic bandage or knee brace to help control swelling.

- Elevation: Keep the knee elevated to minimize swelling.

- Anti-inflammatory Medications: Over-the-counter medications like ibuprofen can help reduce pain and inflammation.

2. Physical Therapy: Engaging in a structured rehabilitation program is crucial for recovery. A physical therapist can guide you through exercises designed to restore strength and stability to the knee. This may include:
- Range of motion exercises to prevent stiffness.

- Strengthening exercises for the muscles around the knee, particularly the quadriceps and hamstrings.

- Balance and proprioception training to improve stability.

3. Monitoring Symptoms: It’s important to keep track of your symptoms. If you notice increased swelling, pain, or instability, it may be necessary to consult with a healthcare professional for further evaluation. Sometimes, imaging studies like an MRI may be warranted to assess the extent of the injury.

4. Gradual Return to Activity: As your symptoms improve, you can gradually return to your normal activities. However, it’s essential to listen to your body and avoid pushing through pain. A gradual increase in activity intensity is key to preventing re-injury.


When to Seek Further Medical Attention
If after a couple of months you are still experiencing significant swelling, instability, or pain, it may be advisable to seek a second opinion from an orthopedic specialist. They can provide a more detailed assessment and discuss whether further interventions, such as surgery, might be necessary.


Conclusion
In summary, while it is possible for your knee to heal naturally, it is essential to follow a comprehensive treatment plan that includes rest, rehabilitation, and monitoring of your symptoms. Given that you are already four weeks into your recovery, you may expect gradual improvement over the next several weeks, but patience is key. If your parents are concerned, reassure them that with proper care and attention, many individuals recover well from knee ligament injuries. Always consult with your healthcare provider for personalized advice tailored to your specific situation.

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