First Aid For Knee Injuries In The First 48 To 72 Hours
- Stop your activity immediately. Dont work through the pain.
- Rest the joint at first.
- Reduce pain, swelling and internal bleeding with icepacks, applied for 15 minutes every couple of hours.
- Bandage the knee firmly and extend the wrapping down the lower leg.
- Elevate the injured leg.
- Dont apply heat to the joint.
- Avoid alcohol, as this encourages bleeding and swelling.
- Dont massage the joint, as this encourages bleeding and swelling.
Expected Range Of Motion
After knee replacement surgery, it is important to work with a physical therapist to achieve the maximal range of motion. Typically, the range of motion will progress quickly during the first three months and can continue to increase for up to two years following surgery.
Normal motion after knee replacement is defined as the ability to get within 5 degrees of a straight knee and the ability to bend the knee back to 90 degrees. Most knee replacements have movement ranging from 0 degrees to 110 degrees or more.
The optimal motion of the replaced knee can be achieved with a combination of stretches, exercises, and gradual resumption of normal activities. Some surgeons will recommend the use of a machine to bend the knee, called a CPM, .
Who Gets Pfp Syndrome
Patellofemoral pain syndrome usually happens in people who do sports that involve a lot of knee bending and straightening, such as running, biking, and skiing. It also can happen to people, particularly young women, who do not do a lot of sports.
PFP syndrome is more common in women and happens most often to teens and young adults.
Tight or weak leg muscles or flat feet can make someone more likely to get PFP syndrome.
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Types Of Knee Pain When Bending
Pain in the Knee, with Locking in the Joint
Inside the knee joint, there are two C shaped pieces of cartilage called menisci, which keep the surfaces of the upper leg bone and lower leg bones from grinding against each other. Injuries to this cartilage usually result from a trauma, like landing a jump or twisting your knee. You may also notice problems with range of motion, walking, or even a locking sensation in the joint. Resting the knee and managing inflammation will help heal minor tears, while physical therapy can help strengthen and stabilize it.
Pain Behind the Kneecap
Patella-Femoral Syndrome is a term that describes joint pain between the kneecap and upper leg bone. Under the kneecap is a smooth cartilage lining that creates a gliding surface between the bones, and if it softens or wears away it can result in pain and inflammation. According to Neuromuscular Specialist and co-founder of the Performance Institute in New York City, major contributing factors to this knee pain are poor alignment when landing, as well as imbalanced quadricep muscles, which can pull the kneecap side to side. Strengthening the quads and stretches to lengthen hamstrings and calfs will help reduce the risk of injury.
Pain and Tenderness on the outside of the Knee
Pain with a Pop
So What Can I Do About It
Stretch, stretch, stretch! Often times one of the major factors contributing to overuse injuries is inflexible muscles. Athletes need to pay particular attention to stretching the muscles surrounding the knees and hips specifically, hamstrings, quadriceps, hip flexors, piriformis, and calf muscles. Hold each stretch steadily for 30 seconds and repeat each 3 to 4 times.
There are also some basic strengthening exercises that can help decrease anterior knee pain:
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The Popularity Of Knee Replacements
Knee replacements are some of the most commonly performed orthopedic surgical procedures. According to OrthoInfo, knee implants are frequently recommended to those patients who have knee joints that have become injured or diseased. The worn out cartilage is removed from the patients knee at the time of the replacement surgery and the ends of the bone are shaped.
A metal implant is then fitted into that location with the idea of allowing the patient to have pain free and smooth movement of the joint. More than 90 percent of recipients who have gotten a knee replacement say that they were able to move their joints freely.
Cant Straighten Knee Without Pain
Often at times especially after a knee injury or a blow to the knee it so happens that we are not able to fully straighten the knee without pain. This usually happens after a twisting injury or a direct blow to the knee.
While some injuries are very mild and cause only temporary inability to straighten the knee without pain but in some cases this becomes more of a chronic problem.
Inability to straighten knee without pain becomes a cause for concern as the motion of the knee can be significantly compromised due to the injury and you may have trouble ambulating as a result of it.
In case if you are not able to straighten your knee without pain for a prolonged period of time then it is possible that you may have incurred a serious knee injury which may require medical intervention.
After sustaining an injury, it is quite common that you will not be able to straighten the knee as a result of pain and inflammation but this condition becomes chronic if the injury is serious. This article gives a brief overview of some of the causes as to why one cannot straighten the knee without pain.
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What Causes Knee Pain
Knee pain can have many different causes. Common causes of knee pain include:
- Overuse injury
Superior Tibiofibular Joint Sprain
The tibiofibular joint is the point in the knee where the tops of the shin bones join. Dislocation of this joint is likely to have been caused by an impact or fall onto the knee, particularly when it is in a fully bent position. Symptoms include:
- Pain and swelling on the outer surface of your shin.
- In addition the top of the fibula bone may appear more prominent than normal on the outside of your knee.
- More on Peroneal nerve injury
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How Do You Prevent Hyperextended Knee
Knowing what leads to hyperextended knee makes it easier to stop it from happening in the first place.
If you play high contact sports, you may not have control over the actions of the other athletes on the field. But doing your part can go a long way. Especially when it comes to practicing adequate technique.
Dont overexert yourself. Know your limits and stay within them. If you havent been active in years, dont start out running miles and miles.
Always stretch and warm up. Skipping stretching is just inviting something to go wrong.
Use good form. And avoid doing cardio on hard surfaces if possible. Because pavement doesnt give under your step, it places more stress on your joints.
Preventing hyperextended knee is extremely important. If it happens to you once, you may permanently damage your ligaments, increasing the chances of it happening again.
How Is Knee Pain On The Outside Of The Knee Diagnosed
When you see a doctor about lateral knee pain, theyll first ask you to describe the location and type of pain, for example is the pain sharp or aching? Theyll also ask you when the pain started and what activity you were doing when your symptoms began.
Theyll then perform a physical examination that will typically involve extending and flexing your knee, as well as moving it gently from side to side. This may reveal whether theres any swelling, areas of tenderness, or looseness in any of the ligaments.
Imaging tests may also be appropriate, including one or more of the following:
- X-ray to see bones
- Magnetic resonance imaging to get detailed images of ligaments, tendons, muscles, and cartilage
- Computed tomography scan provides a more detailed image of the bone than is possible with a standard X-ray
Based on your symptoms, the physical exam and imaging, a doctor should be able to diagnose the cause and severity of your knee injury and propose a treatment plan.
For minor lateral knee injuries, rest and conservative measures are all that are needed to allow them to heal. However, ligament tears, meniscus tears, and advanced arthritis may require surgery.
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Why Would A Teenager Have Knee Pain
Knee pain isnt a condition that only happens to older people. Despite being young, your teenager can develop knee pain too.
Knee pain in teens is a common result of overuse, but also results from specific knee injuries and medical conditions that affect the knee. Knee pain can also be temporary and not related to an injury, but rather a change in your teens level of activity or sport.
Because of the many different reasons for knee pain, if your teen complains of pain, its wise to get it checked. Never think that knee pain in your teen is simply growing pains. This is not a typical cause of knee pain in a teenager.
What Happens If I Begin To Experience Knee Pain
Reporting the side effects and symptoms to a physician is the first step for a patient who is having problems with their existing knee implant. The surgeon will then take several different steps to evaluate the pain. The first of these involves discussing how the pain is affecting your life.
Startup pain usually is resolved within a couple of months, but common diagnostic signs of more serious issues include the sudden appearance of pain, difficulty when navigating stairs, and persistent start up pain. Any severe symptoms that limit the patients ability to live their life normally should be reported to a doctor immediately to rule out a more serious diagnosis, such as total failure of the device.
In many cases involving problems with the initial knee implant, the doctor will recommend that the patient go through revision total knee replacement surgery. This involves the doctor taking out some or all of the original parts and replacing them with new ones. Revision surgery is a different procedure than primary total knee replacement. It is more complex and longer procedure and requires extensive advance planning
Knee replacement failure has led to numerous lawsuits being filed against the makers of the devices, including the Arthrex iBalance. If you or someone you know has experienced problems with the Arthrex iBalance Knee, you could have grounds to pursue compensation by filing a lawsuit.
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Pain And Stiffness A Grinding Sound When The Knee Is Bent Perhaps Swelling Of The Knee And A Feeling Of Instability
These are often the symptoms of arthritis. Although there are many different forms of arthritis, osteoarthritis is the most common. It is more likely to affect women than men, and, if it occurs, it is more prevalent after middle age. It is caused by erosion of the articular cartilage within the synovial joint, so that the bone of the femur and tibia come into contact and rub against each other causing pain and inflammation. Osteoarthritis is often due to normal wear and tear over a period of time, although injury, repetitive activity, obesity and genetics can also be factors. There is no cure for osteoarthritis, and, although various methods can temporarily mollify the symptoms, surgery is the only permanent solution to eliminate pain and increase mobility.
My Knee Hurts When I Bend It And Straighten It
Your knees bend countless times throughout the day. Running up the stairs, down the hall after kids, and getting into the car. You straighten the knee as you walk, descend stairs or get into and out of the car. Bending and straightening the knee is necessary for daily activities. Knee pain with bending or straightening may be a mild, transient irritation or may indicate a more significant problem. Learn more below and avoid further injury and dysfunction.
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I Only Have Pain Behind My Knee When Walking Up Or Down The Stairs What Should I Do
The act of walking up and down stairs involves straightening the knee whilst it is bearing weight, and the the most common cause of pain in this case is chondromalacia patella. This condition is brought about by the cartilage on the underside of the kneecap deteriorating and softening. Some people can ignore the condition, but in the end it will probably need to be surgically addressed. It may be that a flap of cartilage has become unstable, in which case it can be treated by a chondroplasty, repairing the damaged cartilage using keyhole surgery.
Chondromalacia: What Makes Knee Pain Worse
Medical Author: Melissa Conrad Stöppler, MDMedical Editor:Barbara K. Hecht, PhD
Chondromalacia, technically termed chondromalacia patellae, is the most common cause of chronic knee pain. The condition develops due to softening of the cartilage beneath the knee cap , resulting in small areas of breakdown and pain around the knee. Instead of gliding smoothly over the knee, the knee cap rubs against the thigh bone when the knee moves. The changes can range from mild to complete erosion of the cartilage. This process is sometimes referred to as the patellofemoral syndrome.
Chondromalacia commonly occurs in females. Girls in their teens are at elevated risk because the cartilage of the knee is subjected to excessive and uneven pressure due to the structural changes that accompany rapid growth. Chondromalacia may also occur in adults over age 40 as part of the wear-and-tear process that eventually leads to osteoarthritis of the knee joint. Other factors that may precipitate chondromalacia include trauma, overuse, or abnormal forces on the knee joint. It can develop in skiers, runners, cyclists, and soccer players, especially if someone is knock-kneed or flat-footed.
The pain of chondromalacia occurs in the front or inside of the knee. The pain is generally worse with activities such as running, jumping, using stairs, or kneeling. The pain is also typically worse after prolonged sitting with the knees bent. This pain is called the “theater sign” of chondromalacia.
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When Should I See A Doctor
How do you determine if you have a serious knee injury? If you hurt your knee twisting it, or if you were struck by someone else and you have pain trying to straighten it, you may have a serious knee injury. But you may not. There is a difference between someone with pain trying to straighten the knee, and someone who simply cant straighten the knee because they feel like something is blocking their motion.
It turns out that if you lose the ability to straighten the knee fully, or you can not straighten the knee without pain then the risk of having a serious injury increases. Less worrisome are people who simply woke up and now have pain trying to straighten the knee. Often times that might be some inflammation or swelling and is often due to some underlying osteoarthritis.
Determining if you have a severe knee injury is important. After most mild knee injuries we are back on the field fairly quickly. If after a few days you cannot straighten your knee without pain then you cannot return to the playing field. Basically, if your loss of extension persists for more than a few days you should see a doctor for an evaluation.
A bucket handle tear of the meniscus is one of the most common reasons why you will find it impossible to straighten your knee. We have a post dedicated to this unique meniscus tear here.
Transcript: Knee Pain After Meniscus Surgery
Im Dr. Howard Luks. One of the questions I most frequently receive in the office is why does my knee hurt after Ive had meniscus surgery for my meniscus tear? Well, the answer can be complicated and not often straight forward. There are some easy answers and there are some not so easy answers.
First off is that the meniscus tears we see on MRIs are not always a cause of our pain. How is that? Well, if we MRI a significant number of people in their 50s and 60s, yet they have no knee pain, were going to find a fair number of meniscus tears in them. That means that not all meniscus tears hurt. So the meniscus tear may not have been your source of pain to begin with.
Other reasons for knee pain after meniscus surgery is the fact that there is a retained piece or maybe the tear was fixed and the sutures have not held and the repair failed.
So, there are many reasons why you may still have pain following surgery for a meniscus tear. Some of it may be simple to explain. Some of it may not be simple to explain. A new MRI maybe necessary or a new opinion maybe necessary, that ultimately is up to you.
I hope you have a great day. Bye.
Disclaimer: this information is for your education and should not be considered medical advice regarding diagnosis or treatment recommendations. Some links on this page may be affiliate links. Read the full disclaimer.
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