Managing Recurrent Knee Sprains: Treatment and Concerns for Athletes

Knee sprain

I previously injured my knee while playing basketball.
I went to a clinic and it got better to the point where I could walk normally, but it wasn't completely healed.
However, after that, I played basketball again and got injured.
I haven't seen a doctor since then.
This has happened about five times in total—getting better and then getting injured again.
There was one time when I just squatted down and got injured again.
The last time, I just twisted my foot and got hurt.
It usually takes me three to four weeks to walk normally again.
I'm quite worried about whether this will continue in the future.
What should I do for treatment? Also, can I apply for an exemption from military service because of this? I'm graduating this year (studying in Hsinchu), so I'm quite concerned about this issue.
Thank you.

A Ping, 20~29 year old female. Ask Date: 2003/02/24

Dr. Shi Guozheng reply Orthopedics

Knee joint injuries are the most common type of sports injuries.
The structures within the knee joint include bones, ligaments, and the joint capsule, and any of these tissues can be injured.
Severe injuries may lead to bleeding within the joint.
A detailed assessment should be conducted by a physician to determine the specific condition.
Additionally, there are related articles available online in the orthopedic education section of Hsinchu Hospital, which I authored, for further reference.

Reply Date: 2003/02/24

More Info

Managing recurrent knee sprains, especially for athletes, can be a challenging endeavor. Your experience with multiple knee injuries while playing basketball is not uncommon among athletes, particularly those who engage in high-impact sports. Here’s a comprehensive approach to understanding your situation and addressing your concerns.

Understanding Recurrent Knee Sprains
Recurrent knee sprains often occur due to a combination of factors, including inadequate rehabilitation after the initial injury, muscle imbalances, and improper biomechanics during sports activities. Each time you sprain your knee, the ligaments and surrounding tissues may become weaker, making them more susceptible to future injuries. This cycle can lead to chronic instability and pain, significantly impacting your athletic performance and daily activities.

Treatment Options
1. Rest and Ice: After a sprain, it's crucial to allow your knee to rest. Ice can help reduce swelling and pain. Apply ice for 15-20 minutes every few hours for the first couple of days.

2. Physical Therapy: Engaging in a structured rehabilitation program with a physical therapist can be immensely beneficial. They can help you strengthen the muscles around your knee, improve flexibility, and restore proper movement patterns. Focus on exercises that target the quadriceps, hamstrings, and calf muscles, as well as balance and proprioception training.

3. Bracing: Using a knee brace during activities can provide additional support and stability, reducing the risk of re-injury. However, it's essential to choose a brace that fits well and does not restrict your movement excessively.

4. Gradual Return to Activity: Once you have regained strength and stability, gradually return to basketball or other sports. Start with low-impact activities and progressively increase intensity. Pay attention to your body’s signals; if you feel pain or instability, it’s crucial to stop and reassess.

5. Cross-Training: Consider incorporating cross-training activities that are less stressful on the knees, such as swimming or cycling, to maintain fitness while allowing your knee to recover.

6. Biomechanical Assessment: Sometimes, recurrent injuries can stem from poor biomechanics. A sports medicine specialist can assess your movement patterns and suggest modifications or orthotics to improve your alignment and reduce stress on your knees.

Long-Term Management
To prevent future injuries, it’s essential to maintain a consistent strength and conditioning program even after your knee feels better. Regularly incorporating flexibility and strength training into your routine can help maintain muscle balance and joint stability.

Concerns About Military Service
Regarding your concern about military service, if you have a documented history of recurrent knee injuries, it may be worth discussing this with a medical professional who can provide guidance on how this might affect your eligibility. Each case is evaluated individually, and having a comprehensive medical record can be beneficial.

Conclusion
In summary, managing recurrent knee sprains requires a multifaceted approach that includes proper rehabilitation, strength training, and attention to biomechanics. It’s crucial to address any underlying issues to prevent future injuries. If you continue to experience problems, seeking a second opinion from a sports medicine specialist may provide additional insights and treatment options. Remember, taking the time to properly rehabilitate your knee now can lead to a more successful and injury-free athletic career in the future.

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