Recovering from a Right Knee Sprain: Rehabilitation Tips and Advice - Orthopedics

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Right knee sprain?


Hello Doctor: Four weeks ago, I was playing basketball and my right knee was bumped from the side by another player.
I went to the hospital at that time, and an X-ray showed no bone issues.
The doctor diagnosed a sprain of the medial collateral ligament (MCL).
I can walk normally (with a slight limp), perform a half squat, and fully extend my leg.
However, I cannot fully bend my knee; when I try to bend it completely, it feels stuck, tight, and somewhat painful.
There is a soreness when I fully extend my leg.
Pressing on certain areas on the sides of my knee causes pain.
Should I start rehabilitation now, or should I continue to rest? What should I pay attention to? Thank you, Doctor.

Max, 20~29 year old female. Ask Date: 2015/12/11

Dr. Hong Ximing reply Orthopedics


Hello: It has been 4 weeks since the knee sprain involving the medial collateral ligament, and rehabilitation exercises should be possible.
However, it is still recommended to wear a knee brace for protection and to temporarily avoid running and jumping activities.
Hong Hsi-Ming

Reply Date: 2015/12/11

More Info


Recovering from a right knee sprain, especially one involving the medial collateral ligament (MCL), requires a structured rehabilitation approach to ensure proper healing and to regain full function. Given your situation, where you have experienced some pain, tightness, and limited range of motion, it is crucial to follow a rehabilitation plan that addresses these issues.


Rehabilitation Tips and Advice
1. Consult a Physical Therapist: Since you are experiencing pain and limited mobility, it is advisable to consult a physical therapist. They can provide a tailored rehabilitation program that focuses on your specific needs, ensuring that you recover safely and effectively.

2. Rest and Ice: Initially, it is important to allow your knee some rest, especially if you are experiencing pain. Ice therapy can help reduce swelling and alleviate pain. Apply ice for 15-20 minutes every couple of hours, especially after activities.

3. Gentle Range of Motion Exercises: Start with gentle range of motion exercises to improve flexibility. These can include:
- Heel Slides: While lying down, slide your heel towards your buttocks and then back down. This helps in bending the knee without putting too much strain on it.

- Quadriceps Sets: While sitting or lying down, tighten your thigh muscle (quadriceps) and hold for a few seconds, then relax. This helps strengthen the muscles around the knee.

4. Strengthening Exercises: Once you can perform range of motion exercises without pain, gradually introduce strengthening exercises. Focus on the muscles around the knee, including:
- Straight Leg Raises: While lying down, keep one leg straight and lift it to the height of the opposite knee. Hold for a few seconds and lower it back down.

- Wall Sits: Stand with your back against a wall and slide down into a sitting position, holding for 10-15 seconds. This helps strengthen the quadriceps.

5. Balance and Proprioception Training: As you progress, incorporate balance exercises to improve stability. Simple exercises like standing on one leg or using a balance board can be beneficial.

6. Gradual Return to Activity: Once you have regained strength and range of motion, gradually return to basketball and other activities. Start with low-impact exercises, such as swimming or cycling, before progressing to more intense activities.

7. Listen to Your Body: Pay attention to your body’s signals. If you experience increased pain or swelling after exercises, it may be a sign to scale back and allow more rest.

8. Avoid High-Impact Activities Initially: Activities that put excessive strain on the knee, such as running or jumping, should be avoided until you have fully recovered.
9. Use of Knee Brace: Depending on your doctor’s advice, using a knee brace during activities may provide additional support and stability as you recover.

10. Follow-Up with Your Doctor: Regular follow-ups with your healthcare provider are essential to monitor your progress. They can assess your knee's stability and provide guidance on when it's safe to return to full activity.


Conclusion
In summary, rehabilitation from a right knee sprain, particularly involving the MCL, is a gradual process that requires patience and diligence. By following a structured rehabilitation program, focusing on range of motion, strength, and balance, you can effectively recover and return to your desired activities. Always consult with healthcare professionals to ensure that your rehabilitation plan is safe and appropriate for your specific condition. Remember, the goal is not just to return to activity but to do so safely and sustainably, minimizing the risk of re-injury.

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