Knee Swelling and Pain: Can I Start Walking? - Orthopedics

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Thank you for your inquiry regarding your knee swelling and pain, and the potential to start walking. Based on your description, it appears that you are experiencing significant discomfort and limitations in mobility, which is understandably concerning.
Firstly, it's important to recognize that knee swelling and pain can be caused by a variety of factors, including but not limited to inflammation, injury, or underlying conditions such as arthritis. The fact that your knee remains swollen two months post-injury suggests that there may be ongoing inflammation or other issues that need to be addressed. Since your doctor has indicated that the swelling is not due to water retention, it could be related to synovitis (inflammation of the synovial membrane), meniscal tears, ligament injuries, or even post-surgical changes if you have had a procedure done.

Regarding your ability to walk, it is crucial to listen to your body. If you are experiencing severe pain in your ankle, foot, and toes, this could indicate that your body is compensating for the knee issue, leading to additional strain on these areas. Walking under these conditions may exacerbate your pain and potentially lead to further injury. It is advisable to consult with your physician or a physical therapist to assess your current state and determine the safest approach to mobility. They may recommend starting with partial weight-bearing exercises or using assistive devices like crutches or a walker to minimize stress on your knee and ankle.

In terms of rehabilitation, gentle range-of-motion exercises can be beneficial, but they should be performed within a pain-free range. If you can only bend your knee to 100 degrees, it may be beneficial to work on gradually increasing that range with the guidance of a physical therapist. They can provide tailored exercises that focus on improving flexibility and strength without causing additional pain.

As for the persistent swelling, it is essential to investigate further. Chronic swelling can be due to various reasons, including:
1. Inflammation: Persistent inflammation can occur due to ongoing injury or an autoimmune response.

2. Injury: If there is a meniscal tear or ligament injury, the knee may continue to swell as the body attempts to heal.

3. Infection: Although less common, an infection in the joint can lead to swelling and pain.

4. Post-surgical changes: If you have had surgery, the body may still be in the healing phase, which can include swelling.

To manage your symptoms, consider the following strategies:
- Rest: Allow your knee to rest and avoid activities that exacerbate the pain.

- Ice Therapy: Applying ice to the swollen area can help reduce inflammation and numb pain.

- Elevation: Keeping your knee elevated can assist in reducing swelling.

- Compression: Using a knee brace or wrap can provide support and help manage swelling.

Ultimately, the best course of action is to have a thorough evaluation by your healthcare provider. They may recommend imaging studies, such as an MRI, to assess for any structural issues that could be contributing to your symptoms. Based on the findings, they can develop a comprehensive treatment plan that may include physical therapy, medication for pain and inflammation, or other interventions.

In summary, while it is important to begin moving as part of your recovery, it must be done cautiously and under professional guidance, especially given your current symptoms. Prioritizing your safety and well-being is paramount, and a tailored rehabilitation program will be essential in helping you regain function and alleviate pain.