Managing Discomfort in the Right Knee After Injury: Tips for Recovery - Rehabilitation

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Discomfort in the right knee upon contact with the ground?


Hello, doctor.
About six months ago, I was in a car accident that resulted in a large laceration on the left side of my right knee.
Fortunately, there was no bone injury, and the wound has healed, allowing me to run and jump normally.
However, I experience noticeable discomfort when my right knee makes contact with the ground, and there is even pain at the moment of impact.
What can I do to improve this issue? Thank you!

Jiao, 20~29 year old female. Ask Date: 2022/01/04

Dr. Wang Zhaomin reply Rehabilitation


After an injury, there may be minor damage to soft tissues such as muscles and ligaments, or chronic inflammation.
The use of medication, physical therapy, and stretching exercises, along with appropriate strength training as needed, should gradually alleviate the symptoms.
If the symptoms persist without improvement, it is advisable to consult an orthopedic or rehabilitation specialist for an accurate diagnosis and appropriate treatment.

Reply Date: 2022/01/04

More Info


Managing discomfort in the knee after an injury can be a complex process, especially when the injury involves soft tissue damage, such as a large laceration. Given your history of a car accident six months ago, it’s important to understand that while the skin may have healed, underlying structures such as ligaments, tendons, and cartilage may still be affected. Here are some strategies and considerations for your recovery:

1. Understanding the Pain
The discomfort you're experiencing when your knee makes contact with the ground could be due to several factors:
- Soft Tissue Damage: The initial injury may have caused damage to the ligaments or tendons around the knee, which can lead to lingering pain even after the skin has healed.

- Inflammation: Post-injury inflammation can persist for months, causing sensitivity in the area.

- Knee Mechanics: If the injury altered your gait or the way you use your knee, this could lead to discomfort when pressure is applied.


2. Rehabilitation Exercises
Engaging in a structured rehabilitation program is crucial. Here are some exercises that may help:
- Strengthening Exercises: Focus on strengthening the muscles around the knee, particularly the quadriceps and hamstrings. Exercises like straight leg raises, wall sits, and step-ups can be beneficial.

- Range of Motion Exercises: Gentle stretching and range of motion exercises can help improve flexibility and reduce stiffness. Try heel slides and gentle knee bends.

- Balance Training: Incorporate balance exercises to enhance stability. Standing on one leg or using a balance board can help.


3. Physical Therapy
Consider consulting a physical therapist who can provide a tailored rehabilitation program. They can assess your knee mechanics and help you with specific exercises to strengthen the knee and improve function. They may also use modalities such as ultrasound or electrical stimulation to reduce pain and inflammation.


4. Pain Management Techniques
- Ice Therapy: Applying ice to the knee after activity can help reduce inflammation and numb pain. Aim for 15-20 minutes of ice therapy several times a day, especially after activities that aggravate your knee.

- Heat Therapy: Once the initial inflammation has subsided, heat can be beneficial to relax and loosen tissues. Use heat before exercises to warm up the muscles.

- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and reduce inflammation. Always consult with a healthcare provider before starting any medication.


5. Activity Modification
While you may be able to run and jump, it’s important to listen to your body. If certain activities cause pain, consider modifying them or reducing their intensity. Avoid high-impact activities until you feel more stable and pain-free.


6. Gradual Return to Activity
As you progress, gradually increase the intensity and duration of your activities. Pay attention to how your knee responds and adjust accordingly. If you experience increased pain, it may be a sign that you need to scale back.


7. Consultation with a Specialist
If your discomfort persists despite these measures, it may be worthwhile to consult an orthopedic specialist. They can conduct imaging studies, such as an MRI, to evaluate the soft tissues and determine if there are any underlying issues that need to be addressed.


Conclusion
Recovery from a knee injury, especially one involving soft tissue, can take time and patience. By following a structured rehabilitation program, managing pain effectively, and modifying activities, you can improve your knee function and reduce discomfort. Always consult with healthcare professionals to ensure that your recovery plan is appropriate for your specific situation.

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