Can Rehabilitation Help with Severe Knee Pain After a Fall? - Rehabilitation

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Knee pain


I fell off my motorcycle the day before yesterday, and my knee hit the ground hard.
At first, I didn't feel much, so I applied some adhesive bandages myself.
However, after two days, the pain in my knee has worsened.
It hurts a lot whenever I bend it, walk, or go up and down stairs.
My question is: Can I undergo rehabilitation despite the severe pain? Thank you!

A Yi, 30~39 year old female. Ask Date: 2008/03/30

Dr. Chen Xianchang reply Rehabilitation


Hello, sir: Thank you for your inquiry.
Here are my responses and recommendations:
1.
Generally, I suggest getting an X-ray to determine if there is a fracture in the patella (kneecap).
2.
If the pain is severe, it is advisable to limit walking, especially going up and down stairs, and remember to wear a knee brace.
3.
Deep heat therapy and electrical stimulation therapy should be performed for faster recovery.
4.
If the pain decreases but you feel the need to kneel, there may be a ligament injury, and you should undergo a musculoskeletal ultrasound or MRI for further evaluation.
Lastly, I wish you safety and happiness!

Reply Date: 2008/03/30

More Info


Rehabilitation can indeed play a significant role in managing severe knee pain following a fall, but the approach must be carefully tailored to the individual’s specific condition and the underlying cause of the pain. In your case, it sounds like you experienced a traumatic injury to your knee, which can lead to various complications such as soft tissue damage, ligament injuries, or even fractures. Here’s a comprehensive overview of how rehabilitation can help and what considerations you should keep in mind.


Understanding Your Injury
After a fall, particularly one that results in severe pain, it’s crucial to first assess the extent of the injury. Common injuries that can occur from such trauma include:
1. Contusions: Bruising of the soft tissues around the knee.

2. Ligament Injuries: Damage to the ligaments, such as the ACL (anterior cruciate ligament) or MCL (medial collateral ligament).

3. Meniscus Tears: The meniscus is a cartilage that cushions the knee joint, and it can be torn during a fall.

4. Fractures: In severe cases, the bones around the knee, including the patella (kneecap), can fracture.

Given that your pain has increased over the past two days, it’s essential to seek medical evaluation, preferably through imaging studies like X-rays or an MRI, to determine the exact nature of your injury.


The Role of Rehabilitation
Once a proper diagnosis is made, rehabilitation can begin. Here’s how rehabilitation can help:
1. Pain Management: Initially, rehabilitation may focus on managing pain and inflammation. This can include modalities such as ice therapy, electrical stimulation, or ultrasound therapy.

2. Restoration of Range of Motion: Gentle range-of-motion exercises can help prevent stiffness in the knee joint. However, these should be performed under the guidance of a physical therapist to avoid exacerbating the injury.

3. Strengthening Exercises: As pain decreases and range of motion improves, strengthening exercises targeting the quadriceps, hamstrings, and calf muscles can be introduced. Stronger muscles around the knee can provide better support and stability.

4. Functional Training: Once basic strength and mobility are regained, rehabilitation will focus on functional activities, such as walking, climbing stairs, and returning to sports or daily activities.

5. Education and Prevention: A physical therapist can provide education on proper body mechanics and techniques to prevent future injuries.


When to Start Rehabilitation
The timing of rehabilitation is crucial. If you are experiencing severe pain, it may be advisable to wait until the acute phase of the injury has subsided. This could take a few days to a week, depending on the severity of the injury. During this time, rest, ice, compression, and elevation (RICE) are recommended.

Once the pain begins to decrease, you can start rehabilitation. However, it’s essential to listen to your body; if an exercise causes significant pain, it may be too soon to perform that activity.


Conclusion
In summary, rehabilitation can be highly beneficial for managing severe knee pain after a fall, but it must be approached cautiously and tailored to your specific injury. It’s crucial to consult with a healthcare professional to get a proper diagnosis and develop a rehabilitation plan that suits your needs. With the right approach, many individuals can recover from knee injuries and return to their normal activities. Remember, patience and consistency are key components of the rehabilitation process.

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