Widened Joint Pain After ACL Surgery: Causes and Treatments - Orthopedics

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Understanding widened joint pain after ACL surgery can be complex, especially when considering the various factors that contribute to post-operative discomfort and complications. In your case, it appears that you are experiencing pain and discomfort in your left knee, which may be related to improper brace usage during your rehabilitation after your right ACL reconstruction.
Firstly, it’s important to recognize that after an ACL reconstruction, the body undergoes significant changes as it heals. The knee joint is a complex structure that includes ligaments, tendons, cartilage, and bones, all of which can be affected by surgical intervention and rehabilitation practices. If the brace was not fitted or used correctly, it could have led to abnormal stress on the left knee, potentially causing issues such as ligament strain, meniscal tears, or even patellofemoral pain syndrome.

The symptoms you describe, such as the uneven feeling in the left hip when climbing stairs and the pain in the lateral aspect of the knee when extending the leg, could indicate several potential issues. One possibility is that the improper brace usage may have led to compensatory movement patterns, causing overuse of certain muscles and joints. This can lead to muscle imbalances, which may manifest as pain or discomfort in the knee or hip area.

Additionally, the sensation of "摩差不平" (unevenness) when touching the left hip could suggest that there may be some underlying structural issues, such as cartilage damage or inflammation in the joint. The fact that you experience pain that resembles arthritis symptoms, which can fluctuate, further supports the idea that there may be some inflammatory process at play.

In terms of treatment, it is crucial to first obtain a comprehensive evaluation from an orthopedic specialist. An MRI can provide valuable insights into the condition of the ligaments, cartilage, and other structures within the knee joint. This imaging will help determine if there are any tears, inflammation, or other abnormalities that need to be addressed.

Once a diagnosis is established, treatment options may include:
1. Physical Therapy: Engaging in a structured rehabilitation program can help strengthen the muscles around the knee and hip, improve flexibility, and restore normal movement patterns. A physical therapist can design a program tailored to your specific needs, focusing on strengthening exercises for the quadriceps, hamstrings, and hip abductors.

2. Pain Management: Over-the-counter anti-inflammatory medications, such as ibuprofen or naproxen, can help reduce pain and swelling. However, it’s essential to consult with a healthcare provider before starting any medication regimen.

3. Activity Modification: Avoiding activities that exacerbate the pain, such as climbing stairs or high-impact exercises, can help prevent further irritation of the joint. Instead, low-impact activities like swimming or cycling may be more beneficial during the recovery phase.

4. Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation and provide temporary relief from pain.

5. Surgical Intervention: If conservative measures fail to provide relief and significant structural damage is identified, surgical options may be considered. This could involve repairing any torn ligaments or addressing cartilage damage.

In conclusion, while it is not uncommon to experience pain and discomfort following ACL surgery, especially if there have been issues with rehabilitation practices, it is essential to seek a thorough evaluation to determine the underlying cause of your symptoms. Early intervention and appropriate treatment can significantly improve your recovery and overall joint function.