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

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Knee pain


Four days ago, I tripped over a sunken section of the pavement while walking and fell to my knees.
I quickly applied ice and used an ointment when I got home, but my knees are still swollen.
After walking just a few steps, my knees become sore and painful, even when bending.
Can I undergo rehabilitation? Thank you!

Eric, 20~29 year old female. Ask Date: 2008/11/29

Dr. Chen Xianchang reply Rehabilitation


Hello, Miss: Thank you for your inquiry.
I would like to respond to your question and provide the following suggestions: 1.
Since you are in the acute phase, you may consider undergoing rehabilitation with deep heat therapy and electrical stimulation.
However, if the acute symptoms of redness, swelling, heat, and pain persist, you might consider applying ice for treatment.
2.
Wearing a knee brace can help reduce pressure on the knee.
Finally, I wish you peace and happiness!

Reply Date: 2008/11/29

More Info


Yes, rehabilitation can indeed help with knee pain following a fall, especially if you are experiencing swelling, pain, and difficulty in bending your knee. After an injury, it is common for the knee to become swollen and painful due to inflammation, which can result from soft tissue damage, ligament strain, or even minor fractures. Here’s a comprehensive overview of how rehabilitation can assist in your recovery process.


Understanding Your Condition
When you fell and landed on your knees, the impact could have caused various injuries, including bruising, ligament sprains, or even cartilage damage. The swelling you are experiencing is a natural response of your body to injury, as it sends fluids to the area to help with healing. However, this swelling can also lead to stiffness and pain, making it difficult to move your knee properly.


The Role of Rehabilitation
1. Assessment: The first step in rehabilitation is to have a thorough assessment by a healthcare professional, such as a physical therapist or orthopedic specialist. They will evaluate your knee's range of motion, strength, and stability to determine the extent of your injury.

2. Pain Management: Initially, managing pain and swelling is crucial. This can include:
- Rest: Avoid activities that exacerbate the pain.

- Ice Therapy: Continue to apply ice to reduce swelling.

- Compression: Using a knee brace or wrap can help control swelling.

- Elevation: Keeping your knee elevated can also help reduce swelling.

3. Physical Therapy: Once the acute phase of your injury has passed (usually a few days), a physical therapist can design a rehabilitation program tailored to your needs. This program may include:
- Gentle Range of Motion Exercises: These exercises help maintain flexibility and prevent stiffness. Start with gentle movements that do not cause pain.

- Strengthening Exercises: As your pain decreases, strengthening the muscles around your knee (like the quadriceps and hamstrings) is essential. Strong muscles provide better support to the knee joint.

- Balance and Stability Training: This is particularly important if your fall was due to instability. Exercises that improve your balance can help prevent future falls.

4. Gradual Return to Activity: As your knee improves, your therapist will guide you on how to gradually return to your normal activities. This may include walking, running, or other sports, depending on your recovery progress.

5. Education: Rehabilitation also involves educating you about proper body mechanics and techniques to avoid future injuries. This may include advice on footwear, walking surfaces, and exercises to strengthen your legs.


When to Seek Further Medical Attention
If your knee pain persists despite rehabilitation efforts, or if you experience severe swelling, instability, or inability to bear weight, it is crucial to seek further medical evaluation. Imaging studies, such as X-rays or MRIs, may be necessary to rule out more serious injuries like fractures or ligament tears.


Conclusion
In summary, rehabilitation can significantly aid in your recovery from knee pain after a fall. It is essential to start with a proper assessment and follow a structured rehabilitation program tailored to your specific needs. With time, patience, and the right approach, you can regain strength, flexibility, and function in your knee, allowing you to return to your daily activities pain-free. Always consult with a healthcare professional before starting any rehabilitation program to ensure it is safe and appropriate for your condition.

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