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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain And Swelling In Knees

Fell hard on my knees. Left knee didn t hurt much at first, but pain is getting worse. Knee to ankle is slightly swollen, and I get a painful burning feeling around my shin. Pain is worse when I first stand up. Pain also gets bad if I stand on leg too long.
Thu, 14 Mar 2019
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Physical Therapist or Physiotherapist 's  Response
Hello,

As you had a fall directly over the knee, there might be inflammation in the knee joint due to ligament sprain.

You should immobilize the knee and use hot water fermentation, keep it elevated over a pillow while in a lying position.

This procedure will help to reduce the pain as well as the swelling. In case if you are not diabetic then you can even use ice for reducing pain.

Only people who don't have diabetes we advise icing or else only hot water to avoid complications.

Pain will be present and so does the swelling, due to the impact to the joint there will be a soft tissue Inflammation.

In case by doing the above mention procedure the pain & swelling don't come down then you should take an MRI or x-ray of the Injury to figure out if any fracture or which soft tissue is damaged.

But if the pain & swelling comes down than doing static quadriceps and static hamstring along with straight leg raise should get good strength in the muscles with these exercises.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist
I find this answer helpful
Physical Therapist or Physiotherapist Jay Indravadan Patel's  Response
Hello,

As you had a fall directly over the knee there might be chances for having a ligament inflammation so the swelling and the pain is persisting.

As it is also an acute injury I would advise you to do a hot water fomentation and keep the leg elevated over the pillow while in the sleeping position.

Also, you should wait to see if in 7 days of the time the pain does not come down and the swelling does not come down then you should look for taking an MRI or an X-ray to see if any kind of fracture on ligament injury is present.

If there is a change in the pain and swelling then you can start with static quadriceps and static hamstring exercises along with the straight leg raise so the weaker muscles will get the strength and you will be able to walk with his without limping the leg.

Also, I would advise you to stabilize the knee with the kneecap as it will avoid much mobility in the knee joint and avoid giving strain or stress to the internal structures of the knee joint.

In my clinical practice of our 12 years, we always wait to see if there is any small injury or big injury if it's a ligament injury we wait to see for seven days and post that we plan for an X-ray or an MRI and then proceed with treatment accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist
I find this answer helpful

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Suggest Treatment For Pain And Swelling In Knees

Hello, As you had a fall directly over the knee, there might be inflammation in the knee joint due to ligament sprain. You should immobilize the knee and use hot water fermentation, keep it elevated over a pillow while in a lying position. This procedure will help to reduce the pain as well as the swelling. In case if you are not diabetic then you can even use ice for reducing pain. Only people who don t have diabetes we advise icing or else only hot water to avoid complications. Pain will be present and so does the swelling, due to the impact to the joint there will be a soft tissue Inflammation. In case by doing the above mention procedure the pain & swelling don t come down then you should take an MRI or x-ray of the Injury to figure out if any fracture or which soft tissue is damaged. But if the pain & swelling comes down than doing static quadriceps and static hamstring along with straight leg raise should get good strength in the muscles with these exercises. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist