Knee injury after hitting the floor?
Hello Dr.
Chen, my mother slipped and fell while riding a scooter on a rainy day two weeks ago, landing on her knee.
That night, she experienced pain while walking, but after 4 to 5 days, she was able to walk normally.
However, she still feels pain when going up and down stairs or bending her knee, and she experiences some tightness after standing for a long time.
Is this a normal phenomenon? Should she continue with ice or heat therapy? Additionally, do you have any recommended rehabilitation methods? Thank you.
Yueyuexingqi, 20~29 year old female. Ask Date: 2020/09/07
Dr. Chen Bochen reply Orthopedics
1.
Switch to heat therapy one week after the injury.
2.
Wear a knee brace for 2-3 weeks and minimize walking.
3.
It is common to experience tightness immediately after the injury.
If pain persists for more than two weeks, seek medical attention and get an X-ray.
Wishing you a speedy recovery!
Reply Date: 2020/09/07
More Info
Knee pain following a fall, especially after a direct impact like landing on the knee, is a common issue that can arise from various injuries, including bruising, ligament sprains, or even minor fractures. Given your mother's situation, where she experienced immediate pain after the fall but has since improved to the point of walking normally, it is a positive sign. However, the persistent pain during activities such as climbing stairs or bending the knee indicates that there may still be some underlying issues that need to be addressed.
Is This Normal?
Yes, experiencing pain and tightness in the knee after a fall can be normal, especially in the days or weeks following the injury. The knee joint is complex, and it can take time for the soft tissues, including ligaments, tendons, and muscles, to heal. The pain during specific movements, like bending or going up and down stairs, suggests that the knee may still be inflamed or that there is some residual stiffness.
Ice vs. Heat Therapy
For the first few days after an injury, ice therapy is typically recommended to reduce swelling and numb the pain. Applying ice for 15-20 minutes every couple of hours can help manage inflammation. After the initial swelling has decreased, heat therapy can be beneficial for relaxing and loosening tissues and stimulating blood flow to the area. Heat can be applied using a warm towel or heating pad for similar durations.
In your mother's case, since she is experiencing ongoing discomfort, alternating between ice and heat may be beneficial. Ice can help manage any inflammation that may still be present, while heat can assist in alleviating stiffness and promoting mobility.
Recommended Rehabilitation Methods
1. Gentle Range of Motion Exercises: Start with gentle movements to maintain flexibility. Simple exercises like straight leg raises, heel slides, and knee bends can help. It’s important to perform these exercises within a pain-free range.
2. Strengthening Exercises: Once the pain allows, focus on strengthening the muscles around the knee. Exercises such as quadriceps sets, hamstring curls, and calf raises can be beneficial. These exercises help stabilize the knee and reduce the risk of future injuries.
3. Balance and Proprioception Training: Incorporating balance exercises can help improve stability. Simple activities like standing on one leg or using a balance board can be effective.
4. Stretching: Gentle stretching of the quadriceps, hamstrings, and calf muscles can help alleviate tightness and improve overall knee function.
5. Low-Impact Activities: Encourage activities that are gentle on the knee, such as swimming or cycling, as these can help maintain fitness without placing excessive strain on the joint.
When to Seek Further Medical Attention
If your mother’s symptoms persist or worsen, or if she experiences significant swelling, instability, or inability to bear weight on the knee, it would be prudent to consult a healthcare professional. They may recommend imaging studies, such as an X-ray or MRI, to rule out any serious injuries like fractures or ligament tears.
Conclusion
In summary, while some pain and tightness in the knee after a fall can be normal, it’s essential to monitor the situation closely. Utilizing ice and heat therapy appropriately, engaging in gentle rehabilitation exercises, and being mindful of any worsening symptoms will aid in recovery. If there are any concerns about the healing process, seeking further medical advice is always a good step.
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