Knee Ligament Issues: Causes and Treatment Options - Orthopedics

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Knee ligament issues


Hello doctor, I injured my knee while playing basketball three months ago.
I have seen both traditional Chinese medicine and Western medicine, but my knee still feels unstable when applying force.
When I squat down to a certain angle (when my calf is almost touching my thigh), I experience pain on the inner side of my knee.
What could be the cause, and how should I treat it? Thank you.

A Xin, 30~39 year old female. Ask Date: 2012/03/18

Dr. Hong Ximing reply Orthopedics


Knee ligament injuries should be initially protected, and if symptoms persist after some time, consideration can be given to using arthroscopy or magnetic resonance imaging (MRI) for diagnosis.
It is advisable to consult an orthopedic specialist to avoid any delay in treatment.

Reply Date: 2012/03/18

More Info


Knee ligament issues can arise from various causes, including acute injuries, chronic wear and tear, or underlying medical conditions. In your case, having sustained a knee injury while playing basketball three months ago, it is essential to understand the potential causes of your symptoms and explore appropriate treatment options.


Causes of Knee Ligament Issues
1. Acute Injury: The mechanism of injury during sports, such as sudden stops, changes in direction, or direct impact, can lead to ligament sprains or tears. The most commonly affected ligaments are the anterior cruciate ligament (ACL) and the medial collateral ligament (MCL).

2. Chronic Overuse: Repetitive stress on the knee joint from activities like basketball can lead to chronic conditions such as tendinitis or bursitis, which may cause pain and discomfort.

3. Biomechanical Factors: Poor alignment of the knee joint, muscle imbalances, or previous injuries can predispose individuals to ligament issues.

4. Degenerative Changes: In older adults or those with a history of knee problems, degenerative changes in the ligaments and cartilage can lead to pain and instability.


Symptoms
Your description of pain on the inner side of the knee when squatting suggests possible involvement of the MCL or other structures within the knee joint. Symptoms may include:
- Pain and tenderness along the inner knee
- Swelling and stiffness
- Instability or a feeling of the knee "giving way"
- Difficulty with activities that require bending the knee, such as squatting or climbing stairs

Treatment Options
1. Rest and Activity Modification: Avoid activities that exacerbate your symptoms. Resting the knee can help reduce inflammation and allow healing.

2. Physical Therapy: Engaging in a structured rehabilitation program can strengthen the muscles around the knee, improve flexibility, and restore function. A physical therapist can design a program tailored to your specific needs.

3. Ice and Compression: Applying ice to the affected area can help reduce swelling and pain. Compression wraps can also provide support and limit swelling.

4. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): If you are allergic to certain NSAIDs, consult your doctor for alternative pain relief options, such as acetaminophen or topical analgesics.

5. Bracing: A knee brace may provide additional support and stability, especially during activities. However, it is essential to ensure that the brace fits properly and does not cause discomfort.

6. Injections: In some cases, corticosteroid injections may be considered to reduce inflammation and pain. However, this should be discussed with your healthcare provider, especially if you have sensitivities to medications.

7. Surgery: If conservative treatments fail and there is significant ligament damage, surgical intervention may be necessary. This could involve repairing or reconstructing the damaged ligament.


Prognosis and Recovery
The recovery time for knee ligament injuries varies depending on the severity of the injury and the treatment approach. Mild sprains may heal within a few weeks, while more severe injuries could take several months. Engaging in physical therapy and following your doctor's recommendations will be crucial for a successful recovery.


Conclusion
It is essential to consult with an orthopedic specialist who can perform a thorough evaluation, including imaging studies like an MRI if necessary, to determine the exact nature of your injury. They can provide a tailored treatment plan based on your specific condition and activity level. Remember, early intervention and appropriate management can significantly improve your chances of returning to sports and daily activities without pain.

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