The patella is not fractured, but there is difficulty in running and jumping?
Hello Doctor: I am a high school student.
Two weeks ago, it was dark and raining, and a motorcyclist may not have noticed me when I was crossing the street, resulting in a collision that impacted the right side of my right knee, causing me to fall.
After two days of discomfort while walking, I visited an orthopedic doctor.
The orthopedic doctor performed an ultrasound and informed me that my knee was slightly swollen, prescribing medication for rheumatoid arthritis, but I did not feel any improvement.
Later, I consulted another doctor who suggested acupuncture for faster recovery, and I agreed.
Although after two sessions of acupuncture, walking and climbing stairs have become more comfortable, there are still times when my knee hurts at certain angles.
I then went to a traditional Chinese medicine clinic for bone manipulation, but the area just below my knee still feels uncomfortable the next day.
What should I do? Does it just need time to heal, or could there be another underlying issue? Thank you, Doctor, for your patience in reading this!
xuesheng, 10~19 year old female. Ask Date: 2018/09/30
Dr. Wang Zhaomin reply Rehabilitation
Knee joints may experience subsequent swelling and inflammation due to contusions.
It is advisable to continue medication and undergo physical rehabilitation while using protective braces to prevent secondary injuries.
It is recommended to visit a qualified medical institution's orthopedic or rehabilitation department for further diagnosis and treatment.
Reply Date: 2018/09/30
More Info
Knee pain following an injury, especially in high school athletes, is a common concern and can be quite distressing. Your experience of being hit by a motorcycle while crossing the street has likely resulted in a soft tissue injury, which can include damage to ligaments, tendons, or cartilage in the knee. Given that you have already sought medical attention and undergone ultrasound imaging, it’s crucial to understand the recovery process and what steps you can take to facilitate healing.
Understanding Your Injury
From your description, it seems that you have experienced swelling in the knee, which is a typical response to injury. Swelling can indicate inflammation, which is the body’s natural response to injury. The fact that you were prescribed medication for rheumatoid arthritis suggests that your doctor wanted to manage inflammation and pain, although it may not have provided the relief you were hoping for.
The subsequent treatments you have tried, including acupuncture and manipulation at a traditional Chinese medicine clinic, can be beneficial for some individuals. Acupuncture may help reduce pain and improve mobility by promoting blood flow and reducing inflammation. However, if you are still experiencing pain at certain angles, it may indicate that the injury has not fully healed or that there is an underlying issue that needs to be addressed.
Recovery Tips
1. Rest and Activity Modification: It’s essential to allow your knee to rest, especially after an injury. Avoid activities that exacerbate the pain, such as running or jumping. Instead, focus on low-impact activities like swimming or cycling, which can help maintain fitness without putting undue stress on the knee.
2. Ice and Compression: Continue to use ice on your knee to reduce swelling and pain. Applying ice for 15-20 minutes every few hours can be effective. Additionally, using a compression bandage can help manage swelling.
3. Physical Therapy: If you haven’t already, consider consulting a physical therapist. They can provide a tailored rehabilitation program that focuses on strengthening the muscles around the knee, improving flexibility, and restoring function. This is crucial for preventing future injuries.
4. Gradual Return to Activity: Once you start feeling better, gradually reintroduce activities. Start with gentle range-of-motion exercises and progress to strengthening exercises as tolerated. Pay attention to your body’s signals; if you experience pain, it’s a sign to back off.
5. Pain Management: If you continue to experience pain, over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort. However, consult your doctor before taking any medication.
6. Monitor Symptoms: Keep track of your symptoms. If the pain persists or worsens, or if you experience additional symptoms such as locking of the knee, instability, or significant swelling, it’s essential to follow up with your healthcare provider. They may recommend further imaging studies, such as an MRI, to assess for any ligament tears or cartilage damage.
Psychological Aspects
It’s also important to address the psychological impact of your injury. Anxiety about re-injury or the fear of not returning to your previous level of activity can be overwhelming. Here are some strategies to help manage these feelings:
- Education: Understanding your injury and the recovery process can reduce anxiety. Ask your healthcare provider questions about your condition and what to expect during recovery.
- Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing, or yoga can help manage stress and improve your mental well-being.
- Support System: Talk to friends, family, or teammates about your feelings. Having a support system can provide encouragement and help you cope with the emotional aspects of recovery.
Conclusion
In summary, recovery from knee pain after an injury takes time and patience. It’s essential to follow a structured rehabilitation program, listen to your body, and seek professional guidance when needed. With appropriate care and management, many individuals can return to their previous levels of activity without long-term issues. If you have ongoing concerns, don’t hesitate to reach out to your healthcare provider for further evaluation and support.
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