Sports Injuries: Knee Pain and Muscle Strain Solutions - Orthopedics

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Sports injuries? Muscle strains?


Hello, Doctor.
I exercised for about an hour yesterday morning, but when I woke up today, I noticed that the area behind my left knee (the popliteal fossa) feels particularly swollen whenever I bend it slightly.
Additionally, the back of my left leg (from the thigh to the calf) is in a tight state.
I also cannot fully extend my left leg or bend it significantly; any effort results in severe pain.
Could this be an exercise-related injury? How should I manage this?

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

Dr. Wang Shouji reply Orthopedics


Hello, if there is no significant impact or twisting of the neck, the chances of a major issue should be minimal.
In this situation, you should first apply ice.
If you still experience pain while moving, you need to seek medical evaluation.
Changhua Hospital cares about your health.
Dr.
Wang Shou-ji.

Reply Date: 2021/03/29

More Info


It sounds like you are experiencing a significant issue with your left knee, particularly around the popliteal area (the back of the knee) and the muscles in your thigh and calf. Based on your description, it is possible that you have sustained a muscle strain or a more serious injury such as a ligament strain or even a meniscal tear. Given the symptoms of swelling, tightness, and pain during movement, it is essential to take this seriously.


Understanding Your Symptoms
1. Swelling and Pain: The swelling you are experiencing in the popliteal area could indicate inflammation, which is often a response to injury. This could be due to a muscle strain, ligament injury, or even a meniscal tear, especially if there was a sudden movement or awkward position during your workout.

2. Tightness in the Thigh and Calf: The tightness you feel from the back of your thigh to your calf could be a result of muscle strain or overuse. When muscles are strained, they can become tight and painful, limiting your range of motion.

3. Inability to Fully Extend or Flex the Knee: The inability to fully straighten or bend your knee without pain is concerning. This could suggest a more serious injury, such as damage to the ligaments or meniscus, which are critical for knee stability and function.


Immediate Steps to Take
1. Rest: Avoid putting weight on the affected leg. Rest is crucial to allow any potential injury to heal.

2. Ice: Apply ice to the swollen area for 15-20 minutes every hour as needed. This can help reduce swelling and numb the pain.

3. Compression: Use an elastic bandage or a knee brace to provide support and reduce swelling.

4. Elevation: Keep your leg elevated above the level of your heart to help reduce swelling.

5. Avoid Painful Movements: Do not attempt to force your knee into positions that cause pain. Listen to your body and avoid activities that exacerbate your symptoms.


When to Seek Medical Attention
If your symptoms do not improve with rest and self-care measures, or if you experience severe pain, significant swelling, or instability in the knee, it is essential to consult a healthcare professional. A visit to an orthopedic specialist may be necessary for a thorough evaluation, which could include imaging studies like an MRI to assess for any tears or significant injuries.


Rehabilitation and Recovery
If diagnosed with a muscle strain or ligament injury, rehabilitation will likely involve:
1. Physical Therapy: A physical therapist can guide you through exercises to strengthen the muscles around your knee, improve flexibility, and restore range of motion.

2. Gradual Return to Activity: Once your symptoms improve, you can gradually return to your normal activities, but it is essential to do so under the guidance of a healthcare professional to avoid re-injury.

3. Strengthening Exercises: Focus on strengthening the quadriceps, hamstrings, and calf muscles to provide better support to the knee joint.

4. Preventive Measures: Once healed, consider incorporating warm-up routines, stretching, and proper techniques during physical activities to prevent future injuries.


Conclusion
In summary, your symptoms suggest a possible sports-related injury that requires attention. Implementing the RICE method (Rest, Ice, Compression, Elevation) is a good first step, but do not hesitate to seek professional medical advice if your condition does not improve. With proper care and rehabilitation, many knee injuries can heal effectively, allowing you to return to your desired activities safely.

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