Why Does My Knee Feel Tight After a Recent Injury? - Orthopedics

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Feeling tightness when bending the knee?


About a month ago, I had a motorcycle accident and scraped the skin above my knee.
Recently, I've been hesitant to bend my knee.
As the wound has started to heal, I've noticed that bending my knee feels very tight.
Is this tightness due to the injury and my intentional straightening while walking, which has caused my knee to not be used for a long time? I thought I only had soft tissue injuries from the fall...
I did hit my knee, but at the time, it didn't seem serious.
I'm not sure why the area where I bend my knee feels tight.
Should I go to the hospital for an examination, or would some stretching exercises be sufficient to aid in recovery?

Niming, 30~39 year old female. Ask Date: 2016/03/11

Dr. Li Wenhong reply Orthopedics


Hello! Please return to the hospital for a consultation.
Changhua Hospital, Orthopedics, Dr.
Li Wen-Hong.

Reply Date: 2016/03/11

More Info


After a recent knee injury, experiencing tightness in the knee joint is a common concern, especially if you have sustained a superficial injury like a scrape or abrasion. The tightness you are feeling could be attributed to several factors related to the injury and the subsequent healing process.

Firstly, when you sustain an injury, even if it seems minor, your body initiates a healing response. This response often includes inflammation, which can lead to swelling and stiffness in the affected area. In your case, the tightness in your knee could be a result of inflammation in the soft tissues surrounding the joint, which can restrict the range of motion and create a sensation of tightness when you attempt to bend your knee.

Additionally, if you have been avoiding bending your knee due to pain or discomfort from the injury, this can lead to a condition known as "joint stiffness." When a joint is not used regularly, the surrounding muscles and connective tissues can become tight and less flexible. This is particularly true for the knee, which relies on a balance of muscle strength and flexibility to function properly. If you have been keeping your knee straight and avoiding movement, the muscles and tendons may have tightened up, contributing to the sensation of tightness when you try to bend your knee.

Moreover, psychological factors can also play a role in how you perceive pain and tightness after an injury. If you are apprehensive about bending your knee due to fear of re-injury, this can create a cycle of avoidance that exacerbates the tightness and discomfort.

In terms of management, it is essential to strike a balance between rest and gentle movement. While it is crucial to allow your knee to heal, engaging in gentle stretching and strengthening exercises can help restore flexibility and strength to the joint. Simple exercises such as heel slides, where you sit with your leg extended and slowly slide your heel towards your buttocks, can help improve your range of motion without putting too much strain on the knee. Additionally, quadriceps and hamstring stretches can help alleviate tightness in the muscles surrounding the knee.

If the tightness persists or worsens, or if you experience significant pain, swelling, or instability in the knee, it would be wise to consult a healthcare professional. A physical therapist can provide a tailored rehabilitation program that addresses your specific needs and helps you regain full function of your knee. They can also assess for any underlying issues, such as ligament injuries or meniscal tears, which may not be immediately apparent but could contribute to your symptoms.

In summary, the tightness in your knee after your recent injury is likely a combination of inflammation, disuse, and possibly psychological factors. Engaging in gentle stretching and strengthening exercises can aid in recovery, but do not hesitate to seek professional advice if your symptoms do not improve or if you have concerns about your knee's condition.

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