Effective Rehabilitation Strategies for Knee Bruising After ACL Injury - Rehabilitation

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Knee sports injuries


Hello Dr.
Lee: Two months ago, I injured myself while playing basketball.
I had X-rays and an MRI at Taichung Veterans General Hospital, and the doctor said there was no bone damage, but I have a torn cruciate ligament and knee contusion.
I am currently undergoing strength rehabilitation, but my knee is still a bit swollen.
What can I do to resolve the issue of knee contusion? Thank you!

A Zhi, 10~19 year old female. Ask Date: 2016/02/21

Dr. Li Weiqiang reply Rehabilitation


Hello: Ultrasound can be used to check for hematoma to determine if drainage is necessary.
If not needed, continue rehabilitation.
Wishing you peace and health.
Sincerely, Dr.
Li Wei-Chiang, Director of the Rehabilitation Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/21

More Info


Hello! Thank you for reaching out with your question regarding effective rehabilitation strategies for knee bruising after an ACL injury. It’s great to hear that you’re already engaged in strength rehabilitation, as this is a crucial part of recovery. Let’s discuss some strategies that can help you manage the bruising and swelling in your knee.

First and foremost, it’s important to understand that knee bruising and swelling are common after an ACL injury. The bruising is typically a result of bleeding under the skin due to the injury, while swelling can occur from inflammation and fluid accumulation in the joint. Here are some effective strategies to help manage these symptoms:
1. R.I.C.E. Method: This is a foundational approach for managing acute injuries:
- Rest: Avoid activities that put strain on your knee. This will help prevent further injury and allow your body to heal.

- Ice: Apply ice packs to the affected area for 15-20 minutes every few hours. This can help reduce swelling and numb the pain. Make sure to wrap the ice pack in a cloth to protect your skin.

- Compression: Use an elastic bandage or compression wrap around your knee to help minimize swelling. Be careful not to wrap it too tightly, as this can impede circulation.

- Elevation: Keep your knee elevated above the level of your heart whenever possible. This can help reduce swelling by allowing fluids to drain away from the knee.

2. Physical Therapy: Since you are already doing strength rehabilitation, it’s beneficial to work closely with a physical therapist. They can provide tailored exercises that focus on improving range of motion, strength, and stability in your knee. Gentle range-of-motion exercises can help reduce stiffness and promote healing.

3. Gradual Return to Activity: As your knee starts to feel better, gradually reintroduce activities. Start with low-impact exercises such as cycling or swimming, which can help maintain fitness without putting too much stress on your knee.

4. Strengthening Exercises: Focus on strengthening the muscles around your knee, including your quadriceps, hamstrings, and calf muscles. Stronger muscles can help support the knee joint and reduce the risk of further injury. Your physical therapist can guide you on the appropriate exercises.

5. Monitor Symptoms: Keep an eye on your symptoms. If the swelling persists or worsens, or if you experience increased pain, it’s important to consult your healthcare provider. They may recommend further imaging or adjustments to your rehabilitation plan.

6. Medication: Over-the-counter anti-inflammatory medications, such as ibuprofen or naproxen, can help reduce pain and swelling. However, consult your doctor before taking any medication to ensure it’s appropriate for your situation.

7. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support your body’s healing process. Foods rich in antioxidants, such as fruits and vegetables, can help reduce inflammation.

8. Patience and Consistency: Recovery from an ACL injury can take time, and it’s important to be patient with your progress. Consistency in your rehabilitation exercises and following your therapist’s recommendations will yield the best results.

In conclusion, managing knee bruising after an ACL injury involves a combination of rest, ice, compression, elevation, and a structured rehabilitation program. Working closely with your healthcare team will ensure that you are on the right track to recovery. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider. Wishing you a smooth and speedy recovery!

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