Lateral collateral ligament tear of the right knee, patellar dislocation?
Hello, I underwent surgery for a torn lateral collateral ligament and patellar dislocation on September 3rd, and it has been over two months since then.
My knee can still only bend to less than 90 degrees, and I am doing strength training.
Are there any other methods to speed up my recovery? Given my situation, how long do you think it will take for me to walk normally? When bending my knee, I feel a catching sensation; can I bend it further without risking damage to the ligament? Thank you, doctor.
Xiao Yuan, 20~29 year old female. Ask Date: 2020/11/05
Dr. Chen Bochen reply Orthopedics
Hello,
1.
Rehabilitation includes strength training, range of motion training (both active and passive), balance and sensory integration training, physical therapy, and more.
Simply performing strength training is not sufficient; please consult a rehabilitation physician for guidance.
2.
Recovery varies for each individual.
The surgeon who performed your operation will have a better understanding of your condition and will be able to provide you with clearer instructions.
Reply Date: 2020/11/05
More Info
Recovering from a lateral collateral ligament (LCL) tear and patellar dislocation can be a challenging process, especially after surgical intervention. It’s great to hear that you are already engaging in strength training, as this is a crucial part of rehabilitation. Here are some comprehensive recovery tips and insights based on your situation:
1. Physical Therapy:
- Engagement with a Physical Therapist: If you haven't already, consider working closely with a physical therapist who specializes in knee injuries. They can provide tailored exercises that focus on regaining range of motion, strength, and stability.
- Progressive Exercises: Start with gentle range-of-motion exercises, gradually increasing intensity as tolerated. Exercises like heel slides, straight leg raises, and quadriceps sets can be beneficial. As you progress, incorporate more dynamic movements.
2. Strength Training:
- Focus on Quadriceps and Hamstrings: Strengthening the muscles around the knee is essential for stability and support. Incorporate exercises such as leg presses, hamstring curls, and step-ups. Ensure that you are using proper form to avoid further injury.
- Balance and Proprioception Training: Incorporate balance exercises, such as standing on one leg or using a balance board, to improve proprioception, which is crucial for knee stability.
3. Pain Management:
- Ice and Compression: Continue to use ice packs on your knee to reduce swelling and pain, especially after exercises. Compression wraps can also help manage swelling.
- Medication: If you experience significant pain, over-the-counter pain relievers like ibuprofen or acetaminophen can be helpful. Always consult with your doctor before starting any medication.
4. Gradual Increase in Activity:
- Listen to Your Body: It’s important to listen to your body and not push through pain. If you feel a "catching" sensation when bending your knee, it may indicate that you are pushing too hard. Gradually increase your range of motion and strength training as tolerated.
- Walking: Depending on your recovery, you may be able to start walking with assistance (like crutches or a brace) as soon as your doctor advises. Full weight-bearing may take several weeks to months, depending on the severity of the injury and your healing progress.
5. Nutrition and Hydration:
- Healthy Diet: Eating a balanced diet rich in vitamins and minerals can aid in recovery. Focus on foods high in protein, vitamin C, and omega-3 fatty acids, which can help reduce inflammation.
- Stay Hydrated: Proper hydration is crucial for overall health and can aid in the recovery process.
6. Monitoring Progress:
- Regular Follow-ups: Keep regular appointments with your orthopedic surgeon or physical therapist to monitor your progress. They can adjust your rehabilitation program based on your recovery.
- Imaging Studies: If you continue to experience significant limitations or pain, your doctor may recommend imaging studies (like an MRI) to assess the healing of the ligament and surrounding structures.
7. Timeframe for Recovery:
- General Timeline: Recovery from an LCL tear and patellar dislocation can vary widely. Generally, you can expect to regain functional mobility within 3 to 6 months, but full recovery may take up to a year. Factors such as age, overall health, and adherence to rehabilitation protocols play a significant role in recovery time.
8. Avoiding Re-injury:
- Caution with Activities: Be cautious when returning to activities that put stress on the knee, such as running or jumping. Gradually reintroduce these activities only when you have regained sufficient strength and stability.
In summary, your recovery will be a gradual process that requires patience and dedication. By following a structured rehabilitation program, engaging with healthcare professionals, and listening to your body, you can optimize your recovery and work towards returning to your normal activities. Always consult with your healthcare provider before making any changes to your rehabilitation plan.
Similar Q&A
Understanding Patellar Dislocation: Symptoms, Treatment, and Recovery
Hello Doctor, I am 20 years old. Here are the details of my condition: Date: January 19, 2005 How the injury occurred: I was squatting on the ground looking for something, and when I tried to stand up, it felt like I pulled something in my right knee. It was very painful at ...
Dr. Shi Guozheng reply Orthopedics
The lateral displacement of the patella may be caused by an injury or may have been present from the beginning. If it is not severe enough to require surgery, rehabilitation focusing on quadriceps strengthening exercises can help improve the condition. Currently, arthroscopic sur...[Read More] Understanding Patellar Dislocation: Symptoms, Treatment, and Recovery
Understanding Patellar Dislocation: Diagnosis, Treatment, and Recovery Tips
Echo: Musculoskeletal System Ultrasound Examination Chief Complaint: Sonar Diagnosis of left knee MPFL complete rupture from patella MRI: Knee MRI without contrast MRI of left knee using a 1.5 Tesla machine with axial section FSE PD with fat suppression, coronal section FSE...
Dr. Li Yongheng reply Orthopedics
Hello, I have previously responded to some of your questions. Here are my replies one by one: 1. I am allergic to certain NSAIDs, but usually not to all NSAIDs. If I cannot take medication, then I will have to rely on ice packs and rest. 2. If there is no further dislocation, ...[Read More] Understanding Patellar Dislocation: Diagnosis, Treatment, and Recovery Tips
Understanding Loose Knee Ligaments: Treatment Options and Recovery Time
I have dislocated my kneecap twice. On Saturday, I saw a doctor who said that the ligaments in my knee are loose, preventing the bone from stabilizing. The doctor suggested surgery to tighten the knee or resting and wearing a knee brace. However, due to work commitments, I haven&...
Dr. Shi Guozheng reply Orthopedics
Are you referring to patellar lateralization or subluxation? The degree of displacement and the severity of symptoms are important factors to consider. If wearing a knee brace improves the condition, then surgery may not be necessary. However, if there is already joint surface we...[Read More] Understanding Loose Knee Ligaments: Treatment Options and Recovery Time
Managing Pain and Recovery from Medial Collateral Ligament Injury
Hello Doctor: Two months ago, I injured my medial collateral ligament in my right knee. Now, when I try to straighten it, I experience soreness and pain, and I cannot fully squat without shifting my weight to my left leg; otherwise, I feel a pain inside my right knee. Initially, ...
Dr. Shi Guozheng reply Orthopedics
A ligament injury that has healed for about two months is only in the early stages of recovery. To fully regain the range of motion prior to the injury, rehabilitation is typically required, and it may take around three months for complete recovery.[Read More] Managing Pain and Recovery from Medial Collateral Ligament Injury
Related FAQ
(Orthopedics)
Distal Radioulnar Joint Dislocation(Orthopedics)
Ligament Tear(Orthopedics)
Patellar Fracture(Orthopedics)
Knee Ligament(Orthopedics)
Ligament Injury(Rehabilitation)
Elbow Dislocation(Orthopedics)
Dislocation(Rehabilitation)
Post-Ankle Ligament Surgery(Orthopedics)
Ankle Ligament Rupture(Orthopedics)