Knee pain
Hello Doctor, I would like to ask you a question.
Many years ago, I was in a car accident and injured my left knee.
At that time, I delayed seeking medical attention, and my entire knee was swollen and bruised, making it impossible to walk.
The doctor drained a significant amount of blood from the knee, and I rested for nearly two months for the wound to heal.
However, even now, I experience discomfort after standing for long periods, and my knee occasionally aches.
Should I get further examinations? Which specialty should I consult, and is there a way to improve my condition? Thank you!
Yangguang, 30~39 year old female. Ask Date: 2007/01/24
Dr. Shi Guozheng reply Orthopedics
You need to see an orthopedic specialist again.
Typically, after a knee injury, there may be a hematoma, and some structures within the joint, such as the anterior cruciate ligament, meniscus, or others, may sustain damage.
If the injury is not severe, it may heal on its own over time.
However, if the damage to the structures is more significant, you may continue to experience discomfort.
It is advisable to have the orthopedic doctor reassess the situation and perform any necessary examinations.
Reply Date: 2007/01/24
More Info
Knee pain following an injury, especially one as significant as a car accident, can have lasting effects that may require further evaluation and treatment. Given your history of trauma to the left knee, which resulted in swelling and bruising, it is not uncommon to experience ongoing discomfort, particularly after prolonged standing or physical activity.
First and foremost, it is essential to understand that knee pain can arise from various structures within the knee joint, including ligaments, tendons, cartilage, and bones. In your case, the initial injury likely caused damage to one or more of these structures, which could lead to chronic pain or discomfort even after the acute phase has resolved. The fact that you experienced significant swelling and required aspiration of the hematoma suggests that there was considerable trauma to the knee, which may have resulted in long-term changes.
If you are experiencing persistent discomfort, especially with activities such as standing for long periods, it would be prudent to seek further medical evaluation. A visit to an orthopedic specialist would be appropriate, as they can conduct a thorough examination and may recommend imaging studies such as X-rays or an MRI to assess the current state of your knee. These imaging studies can help identify any residual damage, such as cartilage wear, ligament injuries, or other structural abnormalities that may be contributing to your pain.
In terms of treatment options, there are several avenues you can explore to improve your knee condition. Physical therapy is often recommended for individuals with knee pain, as it can help strengthen the muscles surrounding the knee, improve flexibility, and enhance overall function. A physical therapist can design a personalized rehabilitation program tailored to your specific needs, focusing on exercises that promote stability and reduce pain.
Additionally, non-steroidal anti-inflammatory drugs (NSAIDs) may be beneficial in managing pain and inflammation. However, it is important to consult with your healthcare provider before starting any medication, especially if you have underlying health conditions or are taking other medications.
In some cases, if conservative measures do not provide sufficient relief, more advanced treatments such as corticosteroid injections or hyaluronic acid injections may be considered. These treatments can help reduce inflammation and provide lubrication to the joint, potentially alleviating pain.
Lastly, lifestyle modifications can also play a significant role in managing knee pain. Maintaining a healthy weight can reduce stress on the knee joint, and incorporating low-impact exercises such as swimming or cycling can help improve overall joint function without exacerbating pain.
In summary, given your history of knee trauma and ongoing discomfort, it is advisable to seek further evaluation from an orthopedic specialist. They can provide a comprehensive assessment and recommend appropriate treatment options to help improve your knee function and alleviate pain. Remember, early intervention can often lead to better outcomes, so do not hesitate to reach out for medical advice.
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