Muscle Stiffness After Knee Injury: When to Seek Rehab - Rehabilitation

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Muscle stiffness


I had a motorcycle accident on October 14, and my right knee was sutured.
The stitches have not been removed yet.
When I walk, I feel a lot of pain and tightness in the muscles on the outer side of my knee.
Bending my knee also causes significant pain, but it doesn't feel like it's coming from the sutured wound; rather, the entire leg's muscles feel very stiff and painful.
What could be the reason for this, and will I likely need rehabilitation afterward?

Lun, 10~19 year old female. Ask Date: 2020/10/24

Dr. Wang Zhaomin reply Rehabilitation


Delayed wound healing, reduced activity, or muscle contusions and tears can all contribute to tightness and pain in the legs.
Online consultations cannot replace an in-person evaluation of your condition.
Please visit an orthopedic or rehabilitation specialist for an accurate diagnosis and appropriate follow-up treatment.

Reply Date: 2020/10/24

More Info


After a knee injury, especially one that involves sutures and potential damage to surrounding tissues, experiencing muscle stiffness and pain is quite common. In your case, the pain and tightness on the outer side of your knee, along with the overall stiffness in your leg, can be attributed to several factors related to the injury and the healing process.

Firstly, after an injury, the body initiates a healing response that includes inflammation. This inflammation can lead to swelling and pain, which may cause the muscles around the knee to tighten up as a protective mechanism. This is often referred to as "muscle guarding," where the muscles contract to stabilize the injured area, preventing further injury. The tightness you feel could be a result of this muscle guarding, as well as the body's natural response to protect the injured knee.

Additionally, immobility following an injury can lead to muscle atrophy and stiffness. When a joint is not moved for an extended period, the muscles surrounding it can weaken and become less flexible. This can create a cycle of pain and stiffness, making it difficult to regain full range of motion. In your case, since you mentioned that you have not yet had your sutures removed, it is likely that you have been limiting your movement to avoid aggravating the injury, which can contribute to the stiffness you are experiencing.

Regarding the need for rehabilitation, it is highly advisable to seek physical therapy once your sutures are removed and your doctor gives you the green light. Rehabilitation can help address the stiffness and pain you are experiencing by focusing on several key areas:
1. Range of Motion Exercises: These exercises will help restore flexibility and mobility in your knee joint. Gentle stretching and mobility exercises can gradually improve your range of motion.

2. Strengthening Exercises: As your knee heals, it is important to strengthen the muscles around the knee to support the joint better. A physical therapist can guide you through exercises that target the quadriceps, hamstrings, and calf muscles.

3. Pain Management Techniques: Physical therapists often use modalities such as heat, ice, ultrasound, or electrical stimulation to help manage pain and reduce inflammation.

4. Functional Training: As you progress, rehabilitation will include exercises that mimic daily activities to help you regain confidence and function in your knee.

5. Education: A physical therapist can provide you with information on how to manage your symptoms, modify activities, and prevent future injuries.

In summary, the stiffness and pain you are experiencing in your knee and leg are likely due to a combination of inflammation, muscle guarding, and immobility following your injury. Once your sutures are removed, it is crucial to consult with your healthcare provider about starting a rehabilitation program. Early intervention with physical therapy can significantly improve your recovery, help restore function, and reduce the risk of long-term complications. Remember to listen to your body and communicate any concerns with your healthcare team as you progress through your recovery.

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