Knee Pain After Skiing: Should I Choose Western or Traditional Medicine? - Orthopedics

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Knee pain after skiing can be a frustrating experience, especially when it interferes with your daily activities and future plans, such as hiking. Based on your description, it seems that your knee pain may have originated from the fall while skiing, which could have caused some soft tissue injury or strain that has resurfaced later.
When it comes to choosing between Western medicine and Traditional Chinese Medicine (TCM), there are several factors to consider. Western medicine typically focuses on diagnosing and treating the underlying causes of pain through imaging studies, physical examinations, and medications. In your case, since you have already seen an orthopedic specialist who prescribed medication that alleviated your pain, it indicates that there may have been an acute inflammatory response or injury that responded well to anti-inflammatory drugs.

However, you mentioned experiencing side effects from the medication, such as diarrhea and concerns about gastrointestinal issues. This is a common concern with nonsteroidal anti-inflammatory drugs (NSAIDs), which can irritate the stomach lining. If you are considering returning to Western medicine, you might discuss alternative medications with your doctor, such as acetaminophen (Tylenol), which is generally easier on the stomach, or topical NSAIDs that can be applied directly to the knee to minimize systemic side effects.

On the other hand, Traditional Chinese Medicine offers a holistic approach that may include herbal remedies, acupuncture, and dietary changes. TCM aims to restore balance and promote healing through natural means. If you have found some relief with TCM but are still experiencing pain, it might be beneficial to combine both approaches. For instance, you could continue with TCM while using Western medications as needed for acute pain relief.

Regarding the question of whether your current knee pain is related to the previous injury from skiing, it is plausible. Injuries can sometimes lead to chronic conditions, such as patellar tendinitis or bursitis, which may not present symptoms immediately but can flare up later, especially with activities that put stress on the knee, like climbing stairs or hiking.

In preparation for your upcoming hike, consider the following recommendations:
1. Consult a Specialist: If your pain persists or worsens, it may be wise to consult an orthopedic specialist again for a thorough evaluation. Imaging studies like an MRI can help rule out any structural damage that may have occurred.

2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around your knee, improve flexibility, and reduce the risk of future injuries. A physical therapist can provide tailored exercises that suit your condition.

3. Pain Management: If you choose to continue with TCM, discuss with your practitioner about specific herbs or treatments that can help with knee pain. Acupuncture may also provide relief by promoting blood flow and reducing inflammation.

4. Activity Modification: Be mindful of your activities leading up to the hike. Gradually increase your activity level and incorporate low-impact exercises to build strength without overloading your knee.

5. Listen to Your Body: Pay attention to how your knee responds to different activities. If you experience pain, it may be a sign to rest or modify your movements.

Ultimately, the decision between Western and Traditional medicine should be based on your personal preferences, the severity of your symptoms, and how each approach aligns with your health goals. Combining both methods may provide a comprehensive strategy for managing your knee pain effectively.