Should I Continue Seeing an Orthopedic Doctor for My Knee Pain? - Orthopedics

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Hello doctor, should I continue seeing an orthopedic specialist?


Hello Doctor, I was in a minor car accident at the end of August last year.
I hit my knee on the ground and went to see an orthopedic doctor the same day.
The doctor said that although my knee was painful, I could straighten it, elevate it, and walk normally, so there should be no bone injury.
He prescribed me medication, but I was busy and didn't take it on time.
Currently, the external wounds have healed, and I don't have major issues walking, but my knee continues to feel more sore than painful.
No matter how I press or massage it, I can't find a specific sore spot; the soreness feels internal.
Sometimes it radiates to the back, above, or below the knee.
Typically, if the weather is rainy or if I stand for a long time, the soreness starts.
Sometimes it even feels sore while sitting.
Doctor, could this be a chronic injury? Is there a way to completely heal it? Should I continue seeing an orthopedic specialist, or would you recommend another specialty that might be more suitable for me? Thank you for your response!

Qre, 20~29 year old female. Ask Date: 2015/06/11

Dr. Chen Yongxue reply Orthopedics


Hello, the symptoms you described may be related to patellar malalignment or chondromalacia, and they are likely not directly related to an injury.
Please consult an orthopedic specialist for further evaluation.
Thank you.

Reply Date: 2015/06/11

More Info


It sounds like you have been experiencing persistent knee discomfort since your minor car accident last August. Given your description of the pain being more of an ache rather than sharp pain, and the fact that it tends to worsen with certain activities or weather changes, it is essential to consider a few factors before deciding whether to continue seeing an orthopedic doctor or to explore other options.

Firstly, the nature of your pain suggests that it could be related to soft tissue injuries rather than bone injuries, especially since you mentioned that you can still extend, lift, and walk without significant issues. Soft tissue injuries, such as ligament strains, tendonitis, or even cartilage issues, can sometimes take longer to heal and may not always present with localized pain points. The fact that your pain is exacerbated by weather changes or prolonged standing might indicate some underlying inflammation or sensitivity in the knee joint.

Considering that you have already seen an orthopedic doctor who assessed your condition and prescribed medication, it may be beneficial to follow up with them, especially if your symptoms have not improved or have changed since your last visit. An orthopedic specialist can perform a thorough evaluation, which may include physical examinations, imaging studies (like X-rays or MRIs), and functional assessments to determine the exact cause of your discomfort. They can also help rule out any potential complications from your accident, such as ligament injuries or cartilage damage.

If your orthopedic doctor determines that your pain is not due to a structural issue, they may recommend a referral to a physical therapist. Physical therapy can be incredibly beneficial for knee pain, as it focuses on strengthening the muscles around the knee, improving flexibility, and enhancing overall joint function. A physical therapist can also provide you with specific exercises tailored to your condition and teach you strategies to manage your pain effectively.

In addition to physical therapy, you might also consider consulting with a sports medicine physician. These specialists focus on the treatment and prevention of sports-related injuries and can offer a different perspective on your knee pain. They may suggest alternative treatments such as corticosteroid injections, platelet-rich plasma (PRP) therapy, or other non-surgical interventions that could alleviate your symptoms.

As for whether this is a "chronic injury," it is possible that your knee pain has evolved into a chronic condition, especially if it has persisted for several months. Chronic knee pain can often be managed effectively with a combination of medical treatment, physical therapy, and lifestyle modifications. It is crucial to address any underlying issues early on to prevent further complications down the line.

In summary, I recommend that you continue seeing an orthopedic doctor, especially if your symptoms persist or worsen. They can provide a comprehensive evaluation and guide you toward the most appropriate treatment options. Additionally, consider seeking a referral to a physical therapist or a sports medicine specialist for further management of your knee pain. With the right approach, there is a good chance that you can find relief and improve your knee function.

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