Severe Pain from Right Knee Ligament Injury: When to Seek Medical Help? - Orthopedics

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Severe pain from the lumbar spine to the toes in the right leg caused by a rupture of the medial collateral ligament of the right knee?


Hello, I had a motorcycle accident on March 22, 2022, and after examinations at a clinic and currently at Mackay Memorial Hospital, it has been confirmed that I have a rupture of the medial collateral ligament of the right knee.
I experience instability while walking, sometimes feeling a catching sensation, and I have difficulty going up and down stairs.
After sitting or standing for a long time, I feel pain from my right hip down to my toes.
The hospital has scheduled an arthroscopic surgery for August 22, but since August 8, I have been experiencing severe pain that has affected my daily life, especially the intense pain when getting up after sitting.
I would like to ask if I should continue taking pain medication to tolerate until the surgery date, or if I should return for a follow-up or go to the emergency room? Currently, I am taking pain medication (Paracetamol), but it is still difficult to alleviate the pain when standing up, which radiates from my right hip down to my right knee and toes, and I find it hard to walk after standing for a while.
Thank you.

Kelly, 30~39 year old female. Ask Date: 2022/08/11

Dr. Chen Yongxue reply Orthopedics


Hello, it seems that your pain may not be a direct symptom of a collateral ligament tear, but rather a result of altered movement due to the ligament injury.
It is recommended to rest, take pain relievers, and minimize walking as much as possible.
Thank you.

Reply Date: 2022/08/11

More Info


Severe pain following a ligament injury, particularly in the knee, can significantly impact daily life and mobility. Given your situation, where you have been diagnosed with a medial collateral ligament (MCL) tear and are experiencing debilitating pain that affects your ability to stand and walk, it is crucial to assess the best course of action.

First and foremost, it is important to recognize that while pain management is essential, it should not come at the expense of your overall health and recovery. If you are currently taking pain medication such as paracetamol (Tylenol) and find that it is not providing adequate relief, it may be time to consider seeking further medical attention. Here are several factors to consider when deciding whether to wait for your scheduled surgery or to seek immediate medical help:
1. Severity of Pain: If your pain has escalated to a level that is unmanageable and is interfering with your daily activities, it is advisable to consult a healthcare professional. Pain that is rated as severe (10/10) can indicate that there may be additional complications, such as inflammation, swelling, or even the possibility of other injuries that may not have been initially diagnosed.

2. Changes in Symptoms: If you notice any new symptoms, such as increased swelling, redness, warmth around the knee, or any signs of infection (fever, chills), these warrant immediate medical evaluation. These symptoms could indicate complications that require urgent intervention.

3. Mobility Issues: Since you mentioned that you are having difficulty standing and walking, this could lead to further complications, such as muscle atrophy or joint stiffness. Prolonged immobility can exacerbate your condition and delay recovery. Seeking medical advice sooner rather than later can help prevent these issues.

4. Medication Efficacy: If the current pain management strategy is not effective, it may be beneficial to discuss alternative medications with your healthcare provider. There are various options available, including non-steroidal anti-inflammatory drugs (NSAIDs), which can help reduce inflammation and pain. However, if you have allergies or contraindications to certain medications, this should be communicated to your doctor.

5. Surgical Considerations: Since you have a surgery scheduled for August 22, it is essential to weigh the risks and benefits of waiting versus seeking immediate care. If your pain is due to a worsening of your injury or if there is a risk of further damage, it may be necessary to expedite your surgical intervention.

6. Physical Therapy: In some cases, physical therapy can be initiated to help manage pain and improve mobility before surgery. A physical therapist can provide exercises that may alleviate some pain and strengthen the surrounding muscles, which can be beneficial for your recovery.

In conclusion, while it may be tempting to wait until your scheduled surgery, your current level of pain and its impact on your daily life suggest that seeking medical help sooner could be beneficial. Contact your healthcare provider or visit an urgent care facility to discuss your symptoms and explore options for pain management and further evaluation. Your health and comfort should always be a priority, and addressing these concerns promptly can lead to a better overall outcome.

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