Knee Ligamentitis and Mild Meniscus Injury: Diagnosis and Recovery Insights - Orthopedics

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Patellar ligamentitis and mild meniscal injury?


Dear Dr.
Shi,
I apologize for the intrusion.
Since the beginning of last month, I have been experiencing sharp pain on the inner side of my knee.
There have been no records of falls or injuries during this period.
After a week, the sharp pain spread to the area just below the patella, occurring intermittently and making it difficult for me to walk normally.
This has been ongoing for a month now.
I currently have no issues with short-distance walking, but if I walk for an extended period or distance, the sharp pain recurs.
As I am currently working in Japan, I have sought diagnoses from several hospitals.
Some diagnosed me with knee ligamentitis, while others diagnosed it as pes anserinus bursitis.
I underwent a self-funded MRI, which revealed mild damage to the medial meniscus, but the examining physician assessed that surgery is not necessary.
Five years ago, I sustained an injury to the inner side of my knee due to an accident, which was only evaluated with an X-ray at that time.
It took five months to heal, and I had no records of knee pain during those five years.
Given that this recent injury occurred without any trauma, could it be related to the previous injury on the inner side of my knee from five years ago?
If the medial meniscus is mildly damaged and surgery is not required, how long might it take to recover to the point of walking normally in daily life? Thank you for your response, and I look forward to hearing from you.
Best regards.

miyabi, 20~29 year old female. Ask Date: 2021/03/08

Dr. Shi Guozheng reply Orthopedics


1.
May be related to previous knee injuries.

2.
May require approximately six weeks.

Reply Date: 2021/03/08

More Info


Knee ligamentitis and mild meniscus injuries can be quite challenging to manage, especially when they arise without a clear traumatic event, as in your case. Based on your description, it seems you are experiencing persistent pain and discomfort in your knee, particularly on the inner side, which has been ongoing for about a month. The diagnosis of knee ligamentitis and mild meniscus injury, as indicated by your MRI results, suggests that there is some inflammation and possibly minor damage to the structures within your knee.


Understanding Your Condition
Knee ligamentitis, often referred to as patellar tendinitis or jumper's knee, is an inflammation of the tendons around the knee joint. This condition can occur due to overuse, repetitive strain, or even biomechanical issues, such as improper alignment or muscle imbalances. Given that you have a history of knee injury from five years ago, it is possible that the previous trauma could have predisposed your knee to develop issues later on, even without a new injury.

The mild meniscus injury you mentioned indicates that there is some degree of damage to the cartilage in your knee. The meniscus acts as a cushion and stabilizer for the knee joint, and even minor tears can lead to pain, swelling, and difficulty with movement. The fact that your MRI did not indicate the need for surgical intervention is a positive sign, as many mild meniscus injuries can heal with conservative treatment.


Recovery Insights
In terms of recovery, the timeline can vary significantly based on the severity of the injury and your adherence to rehabilitation protocols. Generally, for mild meniscus injuries and ligamentitis, the following recovery strategies are recommended:
1. Rest and Activity Modification: It’s crucial to avoid activities that exacerbate your pain. While short distances may be manageable, longer walks seem to trigger discomfort. Gradually increase your activity level as tolerated.

2. Physical Therapy: Engaging in a structured physical therapy program can be immensely beneficial. A physical therapist can guide you through exercises that strengthen the muscles around the knee, improve flexibility, and enhance overall joint stability. This is particularly important for addressing any underlying biomechanical issues.

3. Ice and Anti-Inflammatory Measures: Applying ice to the affected area can help reduce swelling and alleviate pain. If you are allergic to NSAIDs, consider discussing alternative pain relief options with your healthcare provider.

4. Gradual Return to Activity: As your symptoms improve, slowly reintroduce activities. Focus on low-impact exercises, such as swimming or cycling, which can help maintain fitness without placing excessive strain on your knee.

5. Monitoring Symptoms: Keep track of your symptoms. If you notice increased pain or swelling, it may be necessary to adjust your activity levels or consult with a healthcare professional for further evaluation.


Expected Recovery Time
The recovery time for mild meniscus injuries and ligamentitis can vary widely. Generally, with appropriate management, many individuals can expect to return to normal activities within 4 to 8 weeks. However, this timeline can be longer if there are complications or if the injury is not managed effectively.


Conclusion
In summary, while your current symptoms and MRI findings suggest a mild injury, it is essential to approach recovery with a comprehensive plan that includes rest, physical therapy, and gradual reintroduction of activities. Given your previous knee injury, it is wise to be vigilant about your knee health and seek further evaluation if symptoms persist or worsen. Always consult with a healthcare professional for personalized advice tailored to your specific situation.

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