Ligament Injuries: Effective Treatment Options and Recovery - Orthopedics

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Ligament injury


Hello Doctor, in early May, I was riding my motorcycle on a rainy day when the brakes slipped and I collided with a guardrail.
Before hitting the guardrail, I instinctively pushed off with my foot.
After the incident, I noticed pain in the sole of my right foot and my knee, making it difficult to walk.
I initially visited an orthopedic doctor who took X-rays, which showed no bone injuries, but indicated that the periosteum of the knee was injured and I had a sprained right ankle.
The doctor prescribed pain relievers and advised me to observe the situation for a week.
Later, I consulted a traditional Chinese medicine practitioner who diagnosed a ligament injury in my knee and provided herbal applications, electrotherapy, and acupuncture.
However, more than a month has passed, and while I can walk normally now, I still feel discomfort in my right knee.
The front half of the sole of my right foot cannot bear weight properly and is painful, and my knee often feels sore.
I am currently unable to run or jump; any running, jumping, or prolonged standing in a bent position causes discomfort.
Doctor, what treatment should I pursue now?

TMP, 20~29 year old female. Ask Date: 2019/06/24

Dr. Li Yongheng reply Orthopedics


Hello, based on your symptoms, it is possible that you have a right knee meniscus injury.
I recommend that you return to the hospital for a follow-up examination.
If necessary, an MRI may be required (which is covered by health insurance).
Wishing you a speedy recovery.

Reply Date: 2019/06/24

More Info


Hello! It sounds like you've been through quite a challenging experience with your knee and ankle injuries. Based on your description, it seems that you may be dealing with a ligament injury, which can often be complex and require a multifaceted approach to treatment and recovery.


Understanding Ligament Injuries
Ligament injuries, particularly in the knee, can occur due to sudden impacts or twisting motions, as you've experienced during your motorcycle accident. The knee is stabilized by several key ligaments, including the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL). Injuries to these ligaments can lead to pain, swelling, and instability in the joint.


Initial Treatment and Recovery
Initially, the treatment for ligament injuries often follows the R.I.C.E. protocol (Rest, Ice, Compression, Elevation). Since you have already been prescribed pain medication and have undergone acupuncture and electrotherapy, it’s important to continue with these treatments as they can help alleviate pain and promote healing.

1. Physical Therapy: Engaging in a structured physical therapy program is crucial. A physical therapist can guide you through exercises that strengthen the muscles around your knee and improve flexibility. This can help stabilize the joint and reduce discomfort. Focus on exercises that target the quadriceps, hamstrings, and calf muscles.

2. Gradual Return to Activity: Since you mentioned that you can walk normally but still experience discomfort when running or jumping, it's essential to gradually reintroduce these activities. Start with low-impact exercises, such as swimming or cycling, to maintain fitness without putting too much strain on your knee.

3. Knee Bracing: If you feel instability in your knee, using a knee brace during activities may provide additional support and confidence. However, be cautious with the type of brace you choose, as some can restrict movement too much, which may hinder recovery.

4. Pain Management: If you continue to experience pain, consider discussing alternative pain management options with your healthcare provider. This could include non-steroidal anti-inflammatory drugs (NSAIDs), topical analgesics, or even corticosteroid injections if appropriate.


When to Seek Further Evaluation
If your symptoms persist despite conservative treatment, it may be time to consider further evaluation. An MRI can provide a detailed view of the soft tissues in your knee, including ligaments, cartilage, and tendons. This imaging can help determine the extent of any injuries and guide treatment decisions.


Surgical Options
In cases where there is significant ligament damage or if conservative treatments fail to provide relief, surgical intervention may be necessary. Procedures such as arthroscopy can be performed to repair or reconstruct damaged ligaments. However, this is typically considered only after exhausting non-surgical options.


Psychological Aspect of Recovery
It’s also important to address the psychological aspect of recovery. Injuries can be frustrating and may lead to anxiety about returning to sports or physical activities. Consider speaking with a counselor or psychologist who specializes in sports injuries if you find yourself feeling overwhelmed or anxious about your recovery.


Conclusion
In summary, it sounds like you are on the right track with your treatment, but it may take time for your knee to fully recover. Continue with physical therapy, gradually increase your activity level, and consider further evaluation if your symptoms do not improve. Remember, recovery from ligament injuries can be a slow process, but with the right approach, you can regain strength and function in your knee. Always consult with your healthcare provider before making any changes to your treatment plan. Wishing you a smooth recovery!

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