Friday, March 05, 2010Ouch!
Your knee hurts
. What causes
the knee injuries? A fall while skiing or gradually increasing pain with your type of Work? Lastly, what type of rehab
should you do? Let’s answer these questions right now.
Which Case are YOU?
Case 1: Long-term Knee Pain
Patient has a work history
that requires repetitive squatting and climbing stairs. The knee pain has increased gradually
and has started to affect the ability to walk normally. The patient should have minimal knee pain and minor instability.
Upon exam and x-ray
, the patient presents with mild swelling and a grinding feeling
around the knee joint. The patient will have full range of the knee,
but pain going from a seated to a standing position. The knee x-rays
may show some joint space lose because of arthritis
or cartilage loss.
: In-office rehab
is prudent for most recoveries. First, the pain should be reduced
through Ultrasound (an inflammation reducing physical therapy machine)
and icing. Surgery
for arthritis in the knee is NOT recommended
because of the study by Veteran Affairs in 2002 that found patient’s knee pain was reduced more by rehab than surgery.
Case 2: Immediate Knee Pain
Patient falls awkwardly
while running, skiing, etc. The patient feels a pop and pain immediately
. The pain increases over the first few hours and it is difficult to stand
and put weight on the injured leg.
Upon exam and x-ray
, the patient presents with severe swelling
around the knee and all ranges of motion cause pain. X-rays will usually show normal joint space and no arthritis
according to age of the patient. In severe cases, a fracture (where a
ligament tears pulling a piece of bone) may be visible on the x-ray.
: The swelling must be
reduced with ice and/ or an anti-inflammatory. Once some motion is
recovered as the swelling reduces, Ultrasound can be effective to
reduce more swelling and pain. If this treatment is NOT effective in
allowing to patient to put full weight on the injured leg, a Surgical Consultation
should be warranted to repair any ligament damage
seen via a MRI.
Once the knee attains pain-free and full rang
e of motion, weight-bearing stress
should be initiated. First with no lateral motion, then add
side-to-side motion slowly. Icing should still be warranted especially
with some pain.
The Knee is a complex joint. When one experiences pain, instability or popping in the knee an exam is warranted to stop any future damage
that may occur.
To attain a FREE
exam and consultation regarding knee injuries, contact us at:
email us: firstname.lastname@example.org