Managing Knee Injuries and Relapses of Tailbone Pain: Effective Strategies - Orthopedics

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Knee contusion and old coccyx injury?


I injured my right knee after being knocked down while riding a bicycle, and it has been over six months.
It seems that my right leg is also affected.
I have undergone acupuncture, chiropractic treatment, and X-rays, which showed no bone issues.
The doctor mentioned that my ligaments are loose, but I can walk normally.
However, I experience pain after walking for a short period.
What can I do to improve this? Are there any light exercises I can try? When I bend or straighten my legs, both knees make a cracking sound, but it doesn't hurt.
Is this a normal phenomenon? Additionally, my knee injury has caused a recurrence of an old tailbone injury from a previous incident where I was accidentally kicked.
Now, sitting or standing for too long causes pain, and during severe episodes, I feel a slight pain that makes it hard to exert strength.
What should I do?

A-Dai, 20~29 year old female. Ask Date: 2015/08/10

Dr. Luo Zhongwei reply Orthopedics


It is recommended that you schedule an appointment for further examination and evaluation.

Reply Date: 2015/08/10

More Info


Managing knee injuries and relapses of tailbone pain can be quite challenging, especially when these issues persist over time and affect your daily life. Based on your description, it seems that you are dealing with a combination of knee pain due to a past injury and a recurrence of tailbone pain, which can be exacerbated by your knee condition. Here are some effective strategies to manage these issues:

1. Physical Therapy:
Engaging in physical therapy is one of the most effective ways to address both knee and tailbone pain. A physical therapist can design a personalized rehabilitation program that focuses on strengthening the muscles around your knee, improving flexibility, and enhancing your overall mobility. They may also incorporate specific exercises to alleviate tailbone pain, such as pelvic tilts and gentle stretching.


2. Gentle Exercise:
While you may be hesitant to engage in physical activity due to pain, gentle exercises can be beneficial. Low-impact activities like swimming, cycling, or walking can help maintain joint mobility without putting excessive strain on your knee or tailbone. Start with short sessions and gradually increase the duration as tolerated. Always listen to your body and stop if you experience significant pain.


3. Pain Management Techniques:
For managing pain, consider using over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) as recommended by your healthcare provider. Additionally, applying ice to the affected areas can help reduce inflammation and numb pain. Heat therapy, such as warm baths or heating pads, may also provide relief, especially for muscle tension around the tailbone.


4. Posture and Ergonomics:
Pay attention to your posture when sitting or standing. Using a cushion or a specialized tailbone pillow can help alleviate pressure on the coccyx when sitting. When standing, ensure that your weight is evenly distributed on both legs to avoid additional strain on your knee.


5. Avoid Prolonged Sitting:
If sitting for extended periods aggravates your tailbone pain, try to take regular breaks to stand and stretch. This can help relieve pressure on the coccyx and improve circulation in your legs.


6. Knee Support:
Consider using a knee brace or support during activities that may strain your knee. This can provide additional stability and reduce discomfort while walking or engaging in physical activities.


7. Consult a Specialist:
If your symptoms persist or worsen, it may be beneficial to consult an orthopedic specialist or a pain management specialist. They can conduct further evaluations, such as imaging studies, to rule out any underlying issues and recommend advanced treatment options, including injections or other interventions.


8. Mind-Body Techniques:
Incorporating mind-body techniques such as yoga or meditation can help manage pain and improve your overall well-being. These practices can enhance your body awareness, reduce stress, and promote relaxation, which may indirectly alleviate pain.


9. Monitor Symptoms:
Keep a journal of your symptoms, noting when pain occurs and what activities may trigger it. This information can be valuable for your healthcare provider in tailoring a treatment plan that addresses your specific needs.


Conclusion:
Managing knee injuries and tailbone pain requires a multifaceted approach that includes physical therapy, gentle exercise, pain management, and lifestyle modifications. By taking proactive steps and seeking appropriate medical guidance, you can improve your quality of life and reduce the impact of these conditions on your daily activities. Always consult with your healthcare provider before starting any new treatment or exercise program to ensure it is safe and appropriate for your specific situation.

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