Inner Knee Pain: Recovery Insights and MRI Considerations - Rehabilitation

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Medial side of the knee


Hello Doctor, on March 16th, I suddenly stood up from a cross-legged position and heard a popping sound in my knee.
At that moment, the pain was so severe that I couldn't straighten my leg and needed to use a cane for support.
I went to the hospital for an X-ray, which showed no major issues.
After that, I received massage therapy at a traditional Chinese medicine clinic for two weeks, and I was finally able to put weight on my leg and walk.
However, I still cannot bend my right leg backward as freely as my left leg.
I then visited an orthopedic doctor and took oral medication for three weeks along with physical therapy, but there has been no improvement (in total, it has been 35 days).
As of now, forcing my knee to bend backward causes pain, and while walking doesn't hurt, my knee feels tight (is this a sign of improvement?).
I'm unsure if I need to get an MRI.
How long will the recovery take? The pain point when bending backward is on the inside of my right knee.
Thank you, Doctor!

Lai, 20~29 year old female. Ask Date: 2021/04/20

Dr. Li Yanheng reply Rehabilitation


It is likely a ligament injury without a complete tear.
Consider undergoing ultrasound diagnosis at a rehabilitation clinic.
Generally, recovery from ligament injuries takes about 6 to 8 weeks.

Reply Date: 2021/04/20

More Info


Understanding inner knee pain can be quite complex, especially when it involves acute injuries and the subsequent recovery process. Based on your description, it seems that you experienced a sudden injury to your knee while standing up after sitting cross-legged. The immediate pain and inability to straighten your leg suggest a possible ligament or soft tissue injury, which is common in such scenarios.

Initially, you underwent an X-ray, which did not reveal any significant issues. This is a good first step, as X-rays are useful for identifying fractures or dislocations. However, they do not provide detailed information about soft tissue injuries, such as ligament tears or cartilage damage. Given that you have been experiencing persistent symptoms, including difficulty bending your knee and a tight sensation, it may be prudent to consider an MRI (Magnetic Resonance Imaging) scan.

An MRI is particularly valuable in assessing soft tissue injuries, including ligament tears, meniscus injuries, and cartilage damage. In your case, the tightness and pain when attempting to bend your knee could indicate an underlying issue that might not be visible on an X-ray. An MRI can help clarify whether there is a partial tear of the ligaments, damage to the meniscus, or other soft tissue injuries that could be contributing to your symptoms.

Regarding your recovery timeline, it is important to note that rehabilitation from knee injuries can vary significantly based on the specific injury and individual healing responses. Generally, mild to moderate ligament injuries may take anywhere from 6 to 8 weeks to heal with appropriate rehabilitation. However, if there is a more significant injury, such as a complete tear or associated injuries to other structures in the knee, the recovery could take longer and might require surgical intervention.

You mentioned that you have been undergoing physical therapy and taking oral medications for three weeks without significant improvement. This could be a sign that further diagnostic imaging, such as an MRI, is warranted to ensure that no serious injuries are being overlooked. Additionally, the tightness you are experiencing may indicate that your knee is not functioning optimally, which could lead to compensatory patterns that might affect your overall mobility and increase the risk of further injury.

In summary, considering your ongoing symptoms and the impact they have on your daily activities, it would be advisable to discuss the possibility of an MRI with your healthcare provider. This imaging can provide critical insights into the nature of your injury and guide further treatment options. Recovery times can vary, but with appropriate diagnosis and treatment, many individuals can expect to return to their normal activities within a few months. Always ensure to follow up with your healthcare provider to monitor your progress and make necessary adjustments to your treatment plan.

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