Ligament Injuries: When to See a Specialist - Rehabilitation

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Ligament injury


Dear Dr.
Cheng, my left knee has been bothering me since last week when I had a collision while riding my motorcycle.
My knee hit the side panel of my bike.
The next day, I visited a traditional Chinese medicine clinic, and they mentioned that my ligament was slightly misaligned but not serious.
However, they advised that it would take some time to recover.
I haven't gone back for a follow-up yet, but in the last couple of days, my knee has been itchy, red, and swollen.
I am considering going to the hospital.
Should I see a dermatologist first, or should I go directly to the rehabilitation department?

Weijifen, 10~19 year old female. Ask Date: 2005/07/27

Dr. Zheng Shunping reply Rehabilitation


In response to your question: It is recommended to first consult with a rehabilitation specialist to determine if it is a ligament issue.
Sometimes, a musculoskeletal ultrasound may be necessary to confirm the diagnosis.

Reply Date: 2005/07/27

More Info


When dealing with a knee injury, especially after a collision while riding a motorcycle, it's essential to understand the potential implications of ligament injuries and when to seek specialized medical attention. Based on your description, it seems you have sustained some trauma to your knee, which has led to symptoms such as itching, redness, and swelling. Here’s a comprehensive guide on how to approach this situation.


Understanding Ligament Injuries
Ligaments are tough bands of tissue that connect bones to each other at joints. In the knee, there are several critical ligaments, including the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL). Injuries to these ligaments can occur due to trauma, such as a fall or collision, and can range from mild sprains to complete tears.


Symptoms to Watch For
In your case, the symptoms of itching, redness, and swelling could indicate several things:
1. Injury to the Ligaments: If the ligaments are indeed "slightly off," as suggested by the practitioner you visited, this could lead to instability in the knee joint. Symptoms may include pain, swelling, and difficulty bearing weight.

2. Inflammation: The redness and swelling could be signs of inflammation, which might occur due to the injury itself or as a reaction to any underlying issues, such as a minor infection or irritation.

3. Skin Reaction: The itching could be a response to the injury, possibly due to irritation of the skin or an allergic reaction to something that came into contact with the area.


When to See a Specialist
Given your symptoms and the nature of your injury, it is advisable to see a specialist. Here’s how to proceed:
1. Orthopedic Specialist: Since your injury involves the knee and potential ligament damage, the best course of action is to consult an orthopedic specialist. They can perform a thorough examination, possibly including imaging studies like an MRI, to assess the condition of your ligaments and determine the extent of the injury.

2. Physical Therapy: If the orthopedic evaluation indicates that the injury is not severe, they may recommend physical therapy. A physical therapist can help you regain strength and stability in your knee through targeted exercises.

3. Dermatology Consultation: If the itching and redness persist or worsen, you might also consider seeing a dermatologist. They can assess whether there is a skin condition that needs treatment, especially if there is a rash or other skin-related symptoms.


Immediate Steps to Take
- Rest and Ice: Until you can see a specialist, make sure to rest your knee and apply ice to reduce swelling.

- Avoid Strain: Try to avoid putting weight on the injured knee until you have a clearer understanding of the injury.

- Monitor Symptoms: Keep an eye on your symptoms. If you experience increased pain, swelling, or any signs of infection (such as fever or pus), seek medical attention immediately.


Conclusion
In summary, while it may be tempting to wait and see if the symptoms resolve on their own, given the nature of your injury and the symptoms you are experiencing, it is prudent to seek an evaluation from an orthopedic specialist. They can provide a comprehensive assessment and guide you on the appropriate treatment plan. If skin symptoms persist, a dermatologist can help address those concerns. Taking these steps will ensure that you receive the appropriate care and can help prevent any long-term complications from your injury.

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