Knee injury
Hello Dr.
Wang, about two weeks ago, I fell and bruised both of my knees, which were painful.
After a week, the bruising has healed, but I still experience knee pain when squatting and cannot squat for long periods.
Could this be related to the fall? Should I schedule a follow-up appointment, or can I just monitor the situation? I appreciate your professional advice, thank you!
Miss Wang, 30~39 year old female. Ask Date: 2011/08/22
Dr. Wang Shouji reply Orthopedics
Ms.
Wang: Squatting puts significant pressure on the knee joints.
If there is any inflammation or issue with the knee, prolonged squatting should be avoided, but walking is generally not a problem.
If there are concerns, it is advisable to visit a hospital for further examination to determine the severity of the injury.
Wishing you a speedy recovery.
Reply Date: 2011/08/22
More Info
When it comes to knee injuries, understanding when to seek medical attention is crucial for proper recovery and to prevent long-term complications. Based on your description, it seems that you experienced a fall that resulted in bruising and pain in both knees. While the bruising has healed, the persistent pain and difficulty squatting could indicate underlying issues that may require further evaluation.
Knee injuries can range from minor soft tissue damage to more severe ligament tears or cartilage injuries. The fact that you are experiencing pain when squatting suggests that there may be some residual effects from the fall, potentially involving the ligaments, tendons, or cartilage in your knee. Here are some key points to consider regarding your situation:
1. Symptoms to Monitor: If you experience swelling, instability, or a sensation of your knee giving way, these are signs that you should seek medical attention. Additionally, if the pain worsens or does not improve with rest and home care, it would be wise to consult a healthcare professional.
2. Initial Management: In the immediate aftermath of a knee injury, the RICE method (Rest, Ice, Compression, Elevation) is often recommended. This can help reduce swelling and alleviate pain. Over-the-counter pain relievers, such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs), can also be beneficial unless you have allergies or contraindications.
3. Physical Examination: A thorough physical examination by a healthcare provider can help determine the extent of your injury. They may assess your range of motion, stability, and any areas of tenderness. This examination is crucial in identifying whether there is a more significant injury, such as a ligament tear or meniscus damage.
4. Imaging Studies: If your symptoms persist or worsen, your doctor may recommend imaging studies, such as an X-ray or MRI. An X-ray can rule out fractures, while an MRI provides a detailed view of soft tissues, including ligaments and cartilage, which are not visible on X-rays.
5. Follow-Up Care: If your pain continues, it is advisable to follow up with an orthopedic specialist. They can provide a more comprehensive evaluation and discuss potential treatment options, which may include physical therapy, bracing, or, in some cases, surgical intervention if there is significant damage.
6. Preventive Measures: To prevent further injury, consider modifying your activities to avoid excessive strain on your knees. Strengthening the muscles around the knee through targeted exercises can also provide additional support and stability.
In summary, while it may be tempting to wait and see if your symptoms improve, persistent pain and functional limitations warrant further evaluation. It is always better to err on the side of caution when it comes to joint injuries. Seeking medical attention can help ensure that any underlying issues are addressed promptly, allowing for a more effective recovery and return to your normal activities. If you have any doubts or if your symptoms change, do not hesitate to reach out to a healthcare professional for guidance.
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