Post-Injury Recovery: Knee and Wrist Pain After Accident

Another question?

Thank you for your response.
I have one more question.
My mother, who is 56 years old, was in the car accident with me.
She had surgery for osteoarthritis at National Taiwan University Hospital over ten years ago, and the area of her recent injury is right above the surgical site, near the knee joint.
The wound took over a month to heal, but the scar is somewhat dark due to the iodine ointment she applied for a while.
I'm not sure if this will have any impact.
She had an X-ray, and she feels a bit of pain when kneeling on her right knee, but it doesn't hurt when squatting.
I wonder if there is any connection.

As for my wrist, I am currently using heat therapy and applying medication, but both sides of the wrist still hurt, and I cannot lift anything heavy.
Will using a wrist brace help improve the condition? It has been 58 days, and I am quite worried.
I heard that shaking the hand is not advisable as it can cause swelling.
Right now, my wrist only moves occasionally and hangs down, but lifting it causes pain on both sides.
Is a wrist injury difficult to treat? Sometimes my elbow also hurts.

angela, 20~29 year old female. Ask Date: 2003/05/23

Dr. Shi Guozheng reply Orthopedics

The injured area near the old wound may not necessarily affect the wrist pain, which might persist for some time.
Performing some rehabilitation exercises can help, and using a wrist brace may provide some relief.

Reply Date: 2003/05/23

More Info

In the context of post-injury recovery, particularly after a car accident, it is essential to understand the complexities of knee and wrist pain, especially considering your mother's history of osteoarthritis and the recent injuries sustained.
Firstly, regarding your mother's knee pain, it is not uncommon for individuals with a history of joint issues, such as osteoarthritis, to experience exacerbated symptoms following trauma. The fact that the injury occurred near a previous surgical site can complicate recovery. The blackened appearance of the scar may be due to various factors, including the healing process, the use of antiseptics like iodine, and the overall health of the skin. It is crucial to monitor the scar for signs of infection or abnormal healing, and if there are concerns, a follow-up with a healthcare provider is advisable.

The pain experienced when kneeling but not when squatting could indicate that certain movements are placing stress on specific structures within the knee joint, such as ligaments or tendons that may have been affected by the accident. It is essential to ensure that the knee is adequately assessed for any underlying injuries that may not have been visible on X-rays, such as soft tissue injuries or meniscal tears. Physical therapy can be beneficial in this regard, focusing on strengthening the muscles around the knee and improving flexibility.

As for the wrist pain, it is common for wrist injuries to take time to heal, especially if there is any involvement of ligaments or tendons. The use of heat therapy can help alleviate pain and stiffness, but it is crucial to balance this with rest and appropriate immobilization if necessary. A wrist brace may provide support and help reduce pain during activities, but it is essential to ensure that it is not too restrictive, as this could impede healing.

The concern about swelling when moving the wrist is valid. It is crucial to avoid activities that exacerbate the pain, such as lifting heavy objects or performing repetitive motions that strain the wrist. Gentle range-of-motion exercises can be beneficial, but they should be performed within a pain-free range. If the pain persists or worsens, it may be necessary to consult with a healthcare professional for further evaluation, which may include imaging studies to rule out fractures or other injuries.

In summary, both knee and wrist pain following an accident can be multifactorial, particularly in individuals with pre-existing conditions. It is essential to approach recovery with a comprehensive plan that includes physical therapy, pain management strategies, and regular follow-ups with healthcare providers to monitor healing and adjust treatment as necessary. Encouraging your mother to engage in gentle rehabilitation exercises, while being mindful of her pain levels, can significantly aid in her recovery process.

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