What is my knee injury?

Discussion in 'Health & Fitness' started by mikeler, Apr 30, 2010.

  1. mikeler

    mikeler G.O.A.T.

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    So I hurt my knee 3 years ago and after about a year very rarely even thought about it anymore until last weekend when I got the same exact injury. Both occurred when I intended for my left foot to slide on the clay I was playing on, but hit a dry spot so my foot stopped and my knee turned too far inward.

    It is a left knee injury and my entire knee got swollen, but with ice and ibuprofen the swelling is almost gone. The worst pain is on the outside ligament (maybe tendon?) but I have to really bend my leg to feel it now. I can't read these medical descriptions very well, so I'm just wondering exactly what I did.

    Last time I hurt it, I was out for almost a month. This time, I'm going to try some doubles after an 8 day layoff because it is not nearly as bad. It stiffens up on me when I sit for a while, but once I get moving I barely notice any pain.
     
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  2. corners

    corners Legend

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    I am NOT a doctor. But it sounds like it might be the lateral collateral ligament sprain. I think this is one of the ligaments that doctors will let heal on its own rather than surgically repairing. But they usually put a brace on it and limit activity until it heals. It sounds like you are jumping the gun.

    Ibuprofin will inhibit inflammation and remove swelling, but remember that inflammation is part of the healing process. Swelling prevents you from using the joint too soon and thereby interfering with the healing process - it provides a natural splint. Part of the inflammation process is the proliferation of fibroblasts, which are the little biological machines that actually repair ligament/tendon tissue. My understanding (and this is not authoritative) is that prematurely stopping the inflammation process might interrupt the healing and repair process. There's a school of thought, and this is the minority view, that the aggressive elimination of inflammation post-injury is a big reason why many injuries don't heal properly and become chronic.

    So, by getting rid of inflmmation with advil and ice you may have 1) removed your body's natural splinting and activity-discouraging mechanisms, allowing you to play much too soon, and 2) interfered with the tissue repair process. If I were you (and even if I were, I still wouldn't be a doctor!) I would:

    1) Stop the Advil
    2) Stop playing
    3) If have insurance - go to orthopedist, sports medicine specialist or physiatrist to get accurate diagnosis. If you need surgery you're covered.
    3a) If no insurance - go to physical therapist. They can diagnose and evaluate knee injuries just fine; and if this is a lateral collateral ligament injury, the orthopedist would have sent you here anyway, after charging you $200-500 bucks.
     
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  3. charliefedererer

    charliefedererer Legend

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    Very well stated, although even without insurance, a trip to an orthopod for a precise diagnosis is worth it.

    [​IMG]http://media.summitmedicalgroup.com/media/db/relayhealth-images/lacollig.jpg
     
    #3
  4. mikeler

    mikeler G.O.A.T.

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    Yep, that is where it hurts. A buddy of mine is an orthopedic surgeon and also a tennis player. I'll give him a call.
     
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