Knee pain
Hello Doctor: A few days ago, my spouse was involved in a bicycle accident and was struck by another vehicle, resulting in knee pain and an inability to bend the knee.
After a hospital examination, it was determined that there is a ligament injury, and they have been bandaged and advised to undergo rehabilitation.
I would like to ask the doctor, if the knee continues to experience pain intermittently, what additional measures can be taken to alleviate the pain besides rehabilitation? I would greatly appreciate your guidance.
Thank you.
Wang, 30~39 year old female. Ask Date: 2000/11/08
Dr. Shi Qiming reply Orthopedics
Orthopedic specialist Dr.
Chuang Yong-Ching responds: For joint contusions and sprains, during the acute phase, rest, ice application, compression, and elevation can be used to reduce swelling, pain, and further injury.
However, it is important to be aware of the possibility of open wounds or damage to ligaments, bones, and other structures within the joint cavity.
According to Mr.
Wang's description, he has been diagnosed with a ligament injury at the hospital, and no other examinations or treatments were mentioned.
It is recommended that you seek further evaluation from a sports injury specialist.
Clinic hours are Monday morning and afternoon (Orthopedic Clinic 2) and Thursday afternoon (Orthopedic Clinic 1).
Reply Date: 2000/11/08
More Info
Knee pain following a ligament injury can be quite debilitating, and it’s essential to adopt effective strategies to alleviate discomfort and promote healing. Here are several approaches that can help manage knee pain after a ligament injury:
1. Rest and Activity Modification
Rest is crucial after a ligament injury. Avoid activities that exacerbate pain, such as running, jumping, or any high-impact sports. Instead, engage in low-impact activities like swimming or cycling, which can help maintain fitness without putting undue stress on the knee.
2. Ice Therapy
Applying ice to the injured knee can significantly reduce swelling and numb the pain. Use an ice pack wrapped in a cloth for 15-20 minutes every few hours, especially during the first 48 hours post-injury. This can help minimize inflammation and provide temporary relief from pain.
3. Compression and Elevation
Using a compression bandage can help control swelling. Ensure it’s snug but not too tight to impede circulation. Elevating the knee above heart level when resting can also help reduce swelling and promote fluid drainage.
4. Physical Therapy and Rehabilitation
Engaging in a structured physical therapy program is vital. A physical therapist can design a rehabilitation program tailored to your specific injury, focusing on strengthening the muscles around the knee, improving flexibility, and restoring range of motion. Exercises may include quadriceps strengthening, hamstring stretches, and balance training.
5. Pain Management Medications
While you mentioned an allergy to NSAIDs, there are alternative pain relief options. Acetaminophen (Tylenol) can be effective for pain relief. Additionally, topical analgesics containing menthol or capsaicin may provide localized relief without systemic side effects. Always consult with a healthcare provider before starting any new medication.
6. Assistive Devices
Using a knee brace or support can provide stability and reduce pain during movement. However, if wearing a brace causes discomfort, it may be best to consult with a healthcare provider for alternatives. Crutches or a cane can also help offload weight from the injured knee while walking.
7. Gradual Return to Activity
Once the pain subsides and you regain some strength and mobility, gradually reintroduce activities. Start with low-impact exercises and slowly increase intensity as tolerated. Listen to your body and avoid pushing through pain, as this can lead to further injury.
8. Heat Therapy
After the initial swelling has gone down (typically after 48-72 hours), heat therapy can be beneficial. Applying heat can help relax and loosen tissues and stimulate blood flow to the area. Use a warm towel or heating pad for 15-20 minutes before engaging in rehabilitation exercises.
9. Diet and Nutrition
Maintaining a healthy diet can support the healing process. Foods rich in omega-3 fatty acids (like fish), antioxidants (like berries), and vitamins (like vitamin C and D) can promote tissue repair and reduce inflammation.
10. Consultation with Specialists
If pain persists despite these measures, it may be necessary to consult with an orthopedic specialist. They can evaluate the extent of the injury and determine if further interventions, such as injections or surgery, are warranted.
Conclusion
Knee pain after a ligament injury can be managed effectively through a combination of rest, rehabilitation, and pain management strategies. It’s essential to follow a structured recovery plan and consult healthcare professionals for personalized advice. Remember, patience is key in the recovery process, and gradual progression is crucial to avoid re-injury. Always prioritize your body’s signals and seek help when needed to ensure a safe return to your normal activities.
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