I have had knee pain for a month. Should I see a doctor?
Hello Doctor: At the end of June, I slipped and my knee hit the floor hard.
I felt at that moment that it was serious.
Indeed, it has been over a month since the injury, and I have been using topical analgesics for joint pain.
There has been some improvement, but I am unsure if the knee has been overused, as the pain has recurred and worsened.
It hurts whenever I exert myself, such as going up and down stairs or lifting my lower leg, and I also feel weakness.
I am uncertain whether I need to seek medical attention or if I should continue using the ointment and rest more.
I would greatly appreciate your advice.
Thank you!
QQ, 20~29 year old female. Ask Date: 2006/08/03
Dr. Chu Baijun reply Orthopedics
Hello Miss QQ: When falling, a direct impact of the knee against the floor can lead to serious injuries, including fractures of the patella.
Some types of patellar fractures may allow for basic knee function despite swelling and pain, which can cause patients to overlook the importance of seeking medical attention.
It is recommended that you take the time to visit the orthopedic outpatient clinic for a thorough examination.
Sincerely, Dr.
Chou, Orthopedic Department.
Reply Date: 2006/08/03
More Info
If you've been dealing with knee pain for over a month after a fall, it's definitely time to consider seeing a doctor. While topical treatments like pain-relieving ointments can provide temporary relief, they often do not address the underlying issues that may be causing your pain. Given that you've experienced significant discomfort, weakness, and pain during activities such as climbing stairs or lifting your leg, these symptoms suggest that there may be more serious damage to your knee than just a minor injury.
Knee injuries can involve various structures, including ligaments, tendons, cartilage, and bones. Common injuries from falls include sprains, strains, meniscus tears, and even fractures. The fact that your pain has persisted for over a month and has worsened with activity indicates that the injury may not be healing properly on its own. This could lead to chronic pain or further complications if left untreated.
A healthcare professional can perform a thorough examination, which may include physical assessments and imaging tests such as X-rays or MRI scans. These tests are crucial for diagnosing the specific nature of your injury. For instance, an MRI can reveal soft tissue damage, such as tears in the meniscus or ligaments, which are not visible on X-rays. Identifying the exact cause of your pain is essential for determining the appropriate treatment plan.
In addition to diagnosing the injury, a doctor can provide recommendations for treatment. Depending on the severity of the injury, treatment options may include physical therapy, medications for pain and inflammation, or even surgical interventions if necessary. Physical therapy can be particularly beneficial in strengthening the muscles around the knee, improving stability, and restoring range of motion, which can help alleviate pain and prevent future injuries.
Moreover, ignoring persistent knee pain can lead to long-term consequences, such as the development of osteoarthritis, especially if there is damage to the cartilage. Early intervention can help mitigate these risks and promote better healing outcomes.
In summary, while rest and topical treatments can be helpful in the short term, they are not substitutes for professional medical evaluation, especially when symptoms persist for an extended period. Seeing a doctor will provide you with a clearer understanding of your injury and the best course of action to ensure proper healing and recovery. Don't hesitate to seek medical attention; your knee health is important for maintaining mobility and quality of life.
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