Knee Pain After Injury: Causes and Recovery Tips - Rehabilitation

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Knee sharp pain


Six months ago, I had a motorcycle accident.
The external injuries have healed, but my knee still feels sharp pain when I bump it lightly or hit it.
If I hit it harder, the pain becomes unbearable.
Climbing stairs, walking too much, or standing for too long causes a tingling and aching sensation.
Is this due to inflammation in the knee that hasn't healed, or is there another injury?

Wenzi, 20~29 year old female. Ask Date: 2020/08/17

Dr. Li Yanheng reply Rehabilitation


It may be that the internal bones or ligaments of the knee have not healed; consider scheduling an appointment with a rehabilitation specialist for an MRI examination.

Reply Date: 2020/08/17

More Info


Knee pain following an injury, such as a motorcycle accident, can be a complex issue that involves various structures within the knee joint, including ligaments, tendons, cartilage, and the surrounding muscles. Given your description of the pain being sharp when bumped, and the discomfort during activities like climbing stairs or prolonged standing, it is essential to consider several potential causes and recovery strategies.


Causes of Knee Pain After Injury
1. Soft Tissue Injury: After an accident, soft tissues such as ligaments and tendons can be strained or sprained. Even if the external wounds have healed, underlying soft tissue injuries may still cause pain, especially with movement or pressure.

2. Knee Joint Inflammation: Inflammation can occur in response to injury, leading to conditions like bursitis or tendinitis. This inflammation can cause pain during activities that put stress on the knee, such as climbing stairs or standing for long periods.

3. Cartilage Damage: The cartilage in the knee can be damaged during an impact, leading to pain and discomfort. This damage may not always be visible on X-rays but can be assessed through MRI if necessary.

4. Patellar Issues: The patella (kneecap) can become misaligned or irritated after trauma, leading to pain when moving or applying pressure to the knee.

5. Referred Pain: Sometimes, pain in the knee can be referred from other areas, such as the hip or lower back, especially if compensatory movements have occurred due to the initial injury.


Recovery Tips
1. Rest and Activity Modification: It’s crucial to allow your knee to rest, especially after activities that exacerbate the pain. Modify your activities to avoid those that cause discomfort, such as excessive stair climbing or standing for prolonged periods.

2. Ice Therapy: Applying ice to the knee can help reduce inflammation and numb the pain. Ice should be applied for 15-20 minutes every few hours, especially after activities that aggravate the pain.

3. Compression and Elevation: Using a compression bandage can help reduce swelling. Elevating the knee above heart level can also assist in decreasing swelling and discomfort.

4. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the muscles around the knee, improve flexibility, and enhance stability, which can alleviate pain and prevent future injuries.

5. Pain Management: Over-the-counter pain relievers, such as NSAIDs (e.g., ibuprofen), can help manage pain and reduce inflammation. However, consult with a healthcare provider before starting any medication.

6. Gradual Return to Activity: Once the pain subsides, gradually reintroduce activities. Start with low-impact exercises, such as swimming or cycling, which can help maintain fitness without putting excessive strain on the knee.

7. Consultation with a Specialist: If the pain persists despite these measures, it may be wise to consult an orthopedic specialist. They can perform a thorough examination, possibly including imaging studies, to determine if there are any underlying issues that need to be addressed.


Conclusion
Knee pain after an injury can stem from various causes, and understanding these can help in managing and recovering from the pain. It’s essential to listen to your body and avoid pushing through pain, as this can lead to further injury. By following the recovery tips outlined above and seeking professional guidance when necessary, you can work towards regaining full function and alleviating your knee pain. Remember, patience is key in the recovery process, and gradual improvement is often the best approach.

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