Knee problems
Hello, I am currently abroad.
Recently, I jumped from a height of about one meter while working, and since then, my right knee has been experiencing issues.
For the past week and a half, I have been unable to fully extend my right leg while sleeping; if I do, I feel tightness and discomfort in the knee.
When walking, if my right knee bends, my leg becomes weak and unstable.
Additionally, while the knee does not hurt in a normal position, I experience pain when I squat down completely.
I would like to know what these symptoms might indicate and how I should treat them.
Thank you.
Mr. Su, 30~39 year old female. Ask Date: 2010/09/20
Dr. Wang Shouji reply Orthopedics
Mr.
Su: Based on your symptoms and injury status, it is most likely that you have a meniscus injury.
I recommend that you go to the hospital for further examination.
Wishing you a speedy recovery.
Reply Date: 2010/09/20
More Info
Knee pain following an injury, such as jumping from a height, can be indicative of several underlying issues. Based on your description, it seems that you are experiencing symptoms that may suggest a possible injury to the knee joint, particularly involving the ligaments, cartilage, or tendons. The inability to fully extend your knee, the sensation of weakness when bending, and pain during deep squatting are all significant indicators that warrant further investigation.
Possible Symptoms and Diagnoses
1. Meniscus Injury: The meniscus is a C-shaped cartilage in the knee that acts as a cushion between the femur (thigh bone) and tibia (shin bone). A tear in the meniscus can cause pain, swelling, and difficulty in moving the knee. The symptoms you describe, particularly the pain when squatting and the feeling of instability, could suggest a meniscal tear.
2. Ligament Injury: Injuries to the ligaments, such as the anterior cruciate ligament (ACL) or the medial collateral ligament (MCL), can also lead to similar symptoms. These injuries often occur during activities that involve sudden stops or changes in direction, which could be relevant given your jumping incident.
3. Patellar Tendonitis: This condition, often referred to as "jumper's knee," occurs due to overuse of the knee joint, particularly in activities involving jumping. It can cause pain and tenderness around the kneecap, especially when bending or squatting.
4. Patellar Subluxation: If the kneecap (patella) is not tracking properly, it can lead to pain and instability, particularly when bending the knee.
Recommended Treatment Approaches
1. Rest and Ice: Initially, it is crucial to rest the knee and avoid activities that exacerbate the pain. Applying ice to the affected area can help reduce swelling and alleviate pain.
2. Compression and Elevation: Using a compression bandage can help manage swelling. Elevating the knee above heart level can also assist in reducing swelling.
3. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the muscles around the knee, improve flexibility, and restore range of motion.
4. Medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation. However, if you have allergies to NSAIDs, consult with a healthcare provider for alternative pain management options.
5. Knee Brace: Depending on the severity of your symptoms, a knee brace may provide additional support and stability during the healing process.
6. Medical Evaluation: Given the duration and severity of your symptoms, it is advisable to seek a medical evaluation. An orthopedic specialist can perform a thorough examination and may recommend imaging studies, such as an MRI, to assess for any structural damage.
7. Surgical Intervention: In cases where conservative treatments do not provide relief or if there is significant structural damage (like a complete ligament tear or meniscus tear), surgical options may be considered.
Conclusion
In summary, your symptoms suggest a possible knee injury that could involve the meniscus, ligaments, or tendons. It is essential to seek medical attention to obtain an accurate diagnosis and appropriate treatment plan. Early intervention can significantly improve recovery outcomes and help prevent further complications. Remember to listen to your body and avoid activities that cause pain until you have a clearer understanding of your injury.
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