Knee problems
Hello Dr.
Lee, yesterday I was in a hurry to get to work and while running down the stairs, my left foot got caught on the stairs.
At that moment, my left foot was on the ground supporting me, and although I didn't fall, my knee buckled and became weak.
After that, I experienced soreness on the right side of my left knee and my walking feels off (there's a sense of instability and slight weakness, but it's not too severe).
I would like to ask Dr.
Lee if this could possibly be an injury to the cruciate ligament, or if there might be another injury.
How should I properly manage this? Thank you for your response.
CN, 30~39 year old female. Ask Date: 2022/02/24
Dr. Li Yanheng reply Rehabilitation
It is recommended to apply ice, rest, elevate the affected area, and monitor the condition.
If discomfort persists, please visit the rehabilitation or orthopedic department for further evaluation.
Reply Date: 2022/02/24
More Info
Hello! Based on your description of the incident where you stumbled on the stairs and experienced immediate pain and a feeling of instability in your left knee, it is indeed possible that you may have sustained an injury to your knee, potentially involving the cruciate ligaments or other structures within the knee joint.
Signs and Symptoms of Knee Injuries
1. Pain: The pain you are experiencing on the right side of your left knee is a common symptom of various knee injuries. It can be localized or diffuse, depending on the specific injury.
2. Instability: The feeling of instability or weakness in the knee is particularly concerning for a possible injury to the anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL). These ligaments are crucial for maintaining knee stability during movement.
3. Swelling: Although you did not mention significant swelling, it is important to note that swelling can occur after an injury due to inflammation or bleeding within the joint.
4. Limited Range of Motion: You may also experience difficulty fully bending or straightening your knee, which can be a result of pain or mechanical blockage due to injury.
Possible Causes of Your Symptoms
1. Ligament Injury: The ACL is commonly injured during activities that involve sudden stops, changes in direction, or awkward landings. If your knee felt unstable after the incident, it could indicate a sprain or tear of the ACL.
2. Meniscus Tear: The meniscus is a cartilage structure in the knee that can be torn during twisting motions or sudden impacts. Symptoms of a meniscus tear often include pain, swelling, and a locking sensation in the knee.
3. Patellar Injury: Injuries to the patellar tendon or the patella itself can also cause pain and instability, especially if there was a sudden force applied to the knee.
4. Contusion or Bruising: A direct impact or awkward landing can lead to bruising of the bone or soft tissues around the knee, which may cause pain and discomfort.
Recommended Actions
1. Rest and Ice: Initially, it is crucial to rest the knee and apply ice to reduce swelling and pain. Avoid putting weight on the injured leg as much as possible.
2. Compression and Elevation: Using a compression bandage can help manage swelling. Elevating the knee can also assist in reducing inflammation.
3. Seek Medical Evaluation: Given your symptoms, it would be prudent to consult with a healthcare professional, preferably an orthopedic specialist. They may recommend imaging studies, such as an MRI, to assess the integrity of the ligaments and other structures within the knee.
4. Physical Therapy: If a ligament injury is confirmed, physical therapy may be recommended to strengthen the muscles around the knee and improve stability.
5. Surgical Consideration: In cases of significant ligament tears, surgical intervention may be necessary to restore knee stability, especially if you are active or participate in sports.
Conclusion
In summary, your symptoms could indicate a knee injury, potentially involving the cruciate ligaments or other structures. It is essential to take your symptoms seriously and seek a thorough evaluation from a medical professional. Early diagnosis and appropriate management can significantly impact your recovery and return to normal activities. Remember to listen to your body and avoid activities that exacerbate your symptoms until you receive a proper diagnosis.
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