Knee Pain After Injury: Expert Insights and Treatment Options - Orthopedics

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Inquiry Consultation


Dear Dr.
Chen,
Hello.
At the end of 2017, I was involved in a motorcycle accident that injured my right knee (resulting in bleeding and bruising).
I went to an orthopedic doctor for an X-ray, and after reviewing the images, the doctor stated that there were no issues with the bones in my right knee (such as fractures, cracks, or dislocations).
However, I believe I may have injured the knee synovium, as I have experienced pain when kneeling on my right knee.
Fortunately, this pain has improved significantly over the past few years.
Recently, however, I have noticed that when I sit and then stand up, I feel pain below my right knee.
Going up and down stairs also causes some discomfort, but walking generally does not hurt unless I exert more force.
I would like to ask Dr.
Chen the following questions:
Q1.
In your opinion, what could be causing the pain below my right knee when I exert force? What might be the underlying reason for this?
Q2.
Additionally, do you think there is a connection between the pain I am experiencing below my right knee and the motorcycle accident that occurred at the end of 2017 (which was about four and a half years ago)?
Q3.
Can I take "Kudona Capsules" (which contain crystalline D-Glucosamine Sulfate as the main ingredient and are primarily used to relieve pain from degenerative arthritis) to address the pain I feel below my right knee when exerting force? The product instructions indicate that continuous treatment (taking the capsules) is required for six weeks, so I would appreciate your guidance on this matter.
Q4.
Furthermore, could you clarify whether "Kudona Capsules" are classified as a dietary supplement or a medication? Do they provide general health benefits or possess anti-inflammatory therapeutic effects?
Thank you, Dr.
Chen.

Axiang, 40~49 year old female. Ask Date: 2022/06/07

Dr. Chen Bochen reply Orthopedics


Hello: Regarding your questions,
Q1: Orthopedic diagnosis must be accompanied by physical examination, ultrasound, X-rays, and MRI, so I cannot provide a diagnosis or the underlying cause.
Common causes include patellar ligament inflammation and cartilage inflammation.

Q2: Unable to determine.

Q3: The effects of the same medication or dietary supplement can vary for each individual.
If there are no contraindications, you may try it within a safe dosage.

Q4: Health supplements.

Reply Date: 2022/06/07

More Info


Knee pain following an injury can be a complex issue, often requiring a thorough understanding of the underlying causes and appropriate treatment options. Based on your description, it appears that you have been experiencing discomfort in your right knee, particularly when applying pressure or during activities such as standing up or climbing stairs. Let's address your questions one by one.

Q1: What could be causing the pain in the lower part of my right knee when applying pressure?
The pain you are experiencing in the lower part of your knee could be attributed to several factors. Given your history of a motorcycle accident in 2017, it is possible that you sustained soft tissue injuries that may not have been visible on X-rays. These could include damage to the ligaments, tendons, or the meniscus, which is the cartilage that cushions the knee joint. Additionally, you may be experiencing patellar tendinopathy, which is inflammation of the tendon connecting the kneecap (patella) to the shinbone (tibia). This condition often results in pain when the knee is under stress, such as when standing up or climbing stairs.

Q2: Is there a connection between my current knee pain and the injury from the motorcycle accident?
Yes, there is likely a connection between your current knee pain and the injury you sustained in the motorcycle accident. Even if the X-rays did not show any fractures or dislocations, soft tissue injuries can lead to long-term changes in the knee joint. Over time, these injuries can result in chronic pain, stiffness, and decreased function. The fact that you have noticed a gradual improvement over the years suggests that your knee has been healing, but the residual effects of the initial injury may still be contributing to your current symptoms.

Q3: Can I take "Kudona Capsules" to alleviate the pain in my knee?
Kudona Capsules, which contain crystalline D-Glucosamine Sulfate, are often used as a dietary supplement to support joint health and alleviate symptoms of osteoarthritis. While some studies suggest that glucosamine may help reduce joint pain and improve function, results can vary from person to person. It is important to note that glucosamine is not a medication but rather a supplement, and its effects may take time to become noticeable. If you decide to try Kudona Capsules, it is advisable to follow the recommended dosage and duration mentioned on the product label, typically around six weeks for initial effects.

Q4: Is "Kudona Capsules" a health supplement or a medication? Does it have anti-inflammatory properties?
Kudona Capsules are classified as a dietary supplement rather than a pharmaceutical medication. While they may provide some benefits for joint health, they are not intended to replace conventional treatments for inflammation or pain relief. The primary function of glucosamine is to support cartilage health and potentially alleviate symptoms associated with degenerative joint conditions. However, it is not a substitute for anti-inflammatory medications, which may be necessary if you are experiencing significant pain or inflammation.

In conclusion, it is essential to consult with a healthcare professional before starting any new supplement, especially if you have ongoing pain. They can provide a comprehensive evaluation of your knee and recommend appropriate treatments, which may include physical therapy, anti-inflammatory medications, or further imaging studies if necessary. Additionally, maintaining a healthy weight, engaging in low-impact exercises, and practicing good knee mechanics can help manage and prevent further knee pain.

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