Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Knee Injury Tips

Runner's Knee - What Should You Do To Manage It?

Dr. Shekhar Srivastav 85% (10 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Delhi
Runner's Knee - What Should You Do To Manage It?

Runner's knee is a painful condition that is usually encountered by athletes who indulge in varied exercises like running, jumping, walking, biking and more, on a regular or professional basis. The kneecap is a region that gets affected with aches and pain when a person is suffering from Runner's knee. This condition can occur due to a fall or constant bending of the knee, which can lead to misalignment of the knee joints and knee cap. Also, weak muscles and lack of balance during physical activities can add to the risk of contracting this condition.

Here's how you can deal with it.

  1. Give it Rest: Literally! Suffering from Runner's knee could also mean that your body is trying to ask you to slow down. Wear and tear from excessive levels of physical activity can lead to Runner's knee, and in such cases, the best way to come back to peak physical form is to take some rest so that the knee is free of activity and consequent pain until it is ready to take on exercise again.
  2. The Only Way is 'Up': When you are suffering from pain in the region behind and around the knee cap due to Runner's knee, the best way to alleviate the pain is to place your knee in an elevated position. Get yourself some comfortable cushions and pile a few of them up before placing your knee on top. This position will give support even as blood circulation increases and inflammation, if any, decreases.
  3. Anti-inflammation Medication: See your doctor for chronic Runner's knee and find out if you are suffering from inflammation which may require the help of medication. This medication can bring down and gradually eliminate the inflammation or swelling, to give you relief from the pain. Remember to check for side effects before you take these medicines, though.
  4. Strengthening Exercises: A sure shot way of dealing with chronic pain is to do some muscle strengthening exercises as prescribed by your orthopaedic specialist or a physiotherapist. Doing these exercises will give your muscles the strength to support your knees in a better way while you indulge in athletic activities. Remember to substantiate these exercises with a calcium and protein rich diet as well.
  5. Cold Compress: In case you have had a fall or suffered an injury which has led to Runner's knee, you can make use of a cold compress or an ice pack to relieve the pain for some time. Ice is a well-known treatment for acute and sudden pain.

Runner's knee is a condition that needs care, rest, and medication if it is persistent. If these methods do not help, you should see a doctor for scans and tests. In case you have a concern or query you can always consult an expert & get answers to your questions!

 

4 people found this helpful

Physiotherapy Treatment of Mcl Injuries - Mechanism of Injury

Dr. Vishwas Virmani 91% (18136 ratings)
MPT, BPT
Physiotherapist, Noida
Physiotherapy Treatment of Mcl Injuries - Mechanism of Injury

MECHANISM OF INJURY 

The MCL is often injured as a result of a valgus force or combined valgus and external rotation forces. This injury can be caused by an external force such as a blow to the lateral aspect of the knee or falling to the side with the ipsilateral leg kept firmly fixed. Injury to the MCL is often associated with contact sports such as football in which there are frequent blows to the lateral side of the knee.

The deep portion of the MCL attaches to the periphery of the medial meniscus, and this firm attachment can often cause a peripheral tear due to a valgus force. 

TREATMENT OF MCL INJURIES 

The literature suggests that certain conditions must be met before optimal healing of the MCL can occur: 

1) the torn ligament fibers must remain incontinuity or be confined within a well-vascularized soft tissue bed; 

2)controlled, functional stresses help stimulate and direct the healing process and 

3) there must be some protection against harmful stresses during collagensynthesis and the remodeling or maturation phases. 

Thus we have to come toadopt the following criteria for surgical repair of the medial collateral ligament; 

1) failed conservative non operative treatment; 

2) complete rupture of the MCL with concomitant anterior cruciate ligament instability.

The severity of injury determined on physical examination determines the rehabilitation course and duration. The rehabilitation program is the same for minor to severe (grade 1 to grade 3) MCL sprains. However, the duration of treatment in each phase may be extended. The non operative rehabilitation of MCL sprains is based on five basic rehabilitation of MCL sprains is based on five basic rehabilitation principles: 

  • The effects of  immobilization must be minimized. 
  • Never over stress healing tissue. 
  • The patient must fulfill specific criteria to progress from stage to stage. 
  • The program must be adaptable to each patient. 

With these basic principles in mind, our rehabilitation program is based on early motion, early weight bearing, early control of pain and effusion, and retardation of muscle atrophy (especially the quadriceps).

Torn Cartilage - Is Surgery Required For It?

Dr. Akhilesh Rathi 87% (41 ratings)
MCh Ortho, DNB Ortho, MS Ortho, MBBS
Orthopedist, Delhi
Torn Cartilage - Is Surgery Required For It?

Torn or damage cartilage is not just a problem for the sportsmen. It can occur to anyone. It is generally caused due to a direct hit on the body parts. Its treatment is far more complicated than a simple bone injury. The best sign to know whether or not you have injured your cartilage is to check out your activities. If you have hurt your joint and don’t notice major symptoms, like if you are still capable of putting weight on and move the joint, you might have had a cartilage injury. It doesn’t hurt you a lot in the beginning, but might get worse later. 

Here are the initial care and self-treatment procedure: 

  1. Protection: It is the first thing that has to be kept in mind. You must protect the affected area from any further injury. Thus, providing an external support, for example, use a knee brace. 
  2. Rest: Provide complete rest to the affected joint. The rest is must during the first two or three days. Crutches may help the situation if you’ve got an injury around your knee or ankle. It is then advisable to return back to light activity over the next few days or weeks, as prescribed by the doctor. 
  3. Ice: It is best to apply an ice pack to the injured area for about 15 to 20 minutes in every two to three hours. This must be repeated in the first two to three days. 
  4. Compression: Use a bandage to provide the needed compression to the injured area to avoid any swelling and movement. This will not let things go beyond control. 
  5. Elevation: You must keep the injured area raised. Keep it supported on a pillow to reduce swelling. 

If there is an unbearable pain, take painkillers such as paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs). If your condition doesn’t improve after the initial therapy, you must consult a doctor immediately. 

  1. Physiotherapy: It can be helpful in treating the affected joint. If there is any difficulty in moving the affected joint, you must opt for physiotherapy. A professional will be able to teach you exercises that will strengthen your muscles and provide support to the joint. This will help you in getting rid of the pain. It can be also beneficial at a time when you are recovering from any surgical procedure. 
  2. Surgery: If physiotherapy doesn’t work, it means you have severe cartilage damage. In that case, you might be advised to take up surgical procedures to set things in proper shape. Surgery is done either by opening the joint or by Arthroscopy. There are various types of surgery which can be done. 1st the old and successful surgery wherein damaged part of the cartilage is debrided and filled with normal cartilage from the non-weight bearing part of the joint. 2nd is ACI (Autologous Chondrocyte Implantation) is a 2 stage procedure wherein chondrocyte is grown using stem cell and implanted in defect part in 2nd stage. 3rd is multiple drilling of the area usually done in childrens.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3336 people found this helpful

Sports Injury: What Should You Know About It?

Dr. Gautam Das 92% (1383 ratings)
MD, FIPP
Pain Management Specialist, Kolkata
Sports Injury: What Should You Know About It?

How should you approach pain caused due to sports injuries?

Sports injuries can happen to any person who engages in sporting activities. These affect full-time athletes as well as those who partake in sports and exercising on an occasional basis. Most sports injuries are acute and affect the muscles and skeletal system. Usually, they are not chronic unless caused by a grave accident or left untreated.

The most common types of injuries caused due to sports are as follows:

Treatment of sports injuries depends on a number of factors such as the type of injury, part of the body affected, the intensity of the pain, and the patient's age and medical history.

Accordingly, the most common ways of approaching the pain caused by sports injuries are:

1. Immediate remedies


Several quick aid, home remedies are used to treat pain that is caused by minor injuries to muscles, such as sprains and strains. It involves alleviation of pain through rest, using ice packs and hot water bags, wearing supports and elastic compression bandages.

2. Medication

Many medicines such as painkillers and anti-inflammatory pills, creams and sprays effectively reduce pain caused by sports injuries. In extreme cases, morphine and codeine are also prescribed.

3. Physical therapy

A number of injuries can be treated and cured through certain exercise and workout routines. These aim at stretching and strengthening the affected area to provide pain relief through increased flexibility and muscle activity.

4. Injections

Various substances and chemical compounds can be injected into the injured area which works on the affected ligaments, tendons, and cartilage to reduced inflammation and relieves pain.

5. Surgical procedures

If the injury is too severe and the pain too intense, the best option for treatment is surgery. This is generally resorted to in case of damage to the skeleton in the form of broken bones and cracked ribs.

Devising the exact treatment method requires a thorough examination of the injury. Diagnosis can only be provided after taking into consideration the many factors that affect treatment. The method of treatment varies from case to case and consequently, the recovery time also differs. In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

Ligament Injury Of Knee - How Arthroscopic Surgeries Can Help?

Dr. Vivek Patil 85% (10 ratings)
MS - Orthopaedics
Orthopedist, Hubli-Dharwad
Ligament Injury Of Knee - How Arthroscopic Surgeries Can Help?

Our knee is supported by several ligaments which help in movement. But what happens if you tear a crucial knee ligament? Tears or 'ruptures' in ligaments of the knee are common in sportsmen and/or accident victims, especially of the anterior cruciate ligament (ACL).

Though the ACL is not the only ligament of the knee, it is one of the most crucial to maintain stability of the knee joint. Any tear of this ligament frequently leads to chronic knee instability. When a tear in this ligament happens, patients know it immediately as they report feeling or hearing a “pop” along with pain and a feeling of an unstable knee.

Types of ACL injuries
ACL injuries can be classified by the amount of damage to the ligament. They can be partial or complete tears.

  • Grade I Sprain: In this there is some stretching and micro-tearing of the ACL, but it is otherwise intact. This does not require surgery.
  • Grade II Sprain or partial disruption: In this there is some tearing and separation of the ligament fibres and the ligament is partially disrupted. Usually, the knee joint is also moderately unstable. Arthroscopy surgery may be required.
  • Grade III Sprain or complete disruption: In this, there is total rupture of the ligament and the ligament is completely disrupted and the joint is unstable. Surgery is usually recommended for the young and active.

Treatments
There are many different ways that this ligament can be reconstructed depending on the age, activity level, and gender of the patient. ACL tears can be treated using arthroscopy and minimally invasive surgical techniques.

Though non-surgical methods are available, like rehabilitation and physical therapy, they don’t help much with complete ACL tears.
1. Exercises- this helps to increase the range of motion of the injured knee, decrease the amount of swelling, and maintain muscle control.
2. Arthroscopic surgery for reconstruction of the ACL

It can be of 2 types- Repair and reconstruction of the ACL.

  • A repair means that the injured ligament is left in place and the doctor tries to fix it back to the tibia or femur bones of the leg from which it has torn. This is a half-baked option as it does not restore full knee function.
  • A reconstruction, on the other hand, means that the ACL is substituted by a new ligament. The surgeon creates a soft tissue “graft” and uses it to reestablish knee stability. The body populates the graft with living cells and permanently attaches it in place. And, it usually takes about 4 to 6 months for the graft to start functional like the real ACL. Reconstruction surgeries help patients to get back to the same or higher degree of activity without pain or instability. The ‘graft’ usually comes from 2 sources
    • Taken from elsewhere in the patient’s body, called an autograft
    • Donated by donors, called an allograft

Knee arthroscopic surgery is a minimally invasive surgery which is done using pin hole cameras and under general or local anesthesia. The torn ligament is removed and the graft is introduced in its place and secured.

Post surgery outlook

  • Immediately after the surgery, the patient is placed in a brace. He or she can leave the hospital the same day if he/she wants.
  • The patient has to use crutches for preventing putting weight on the operated leg.
  • After-care is crucial for full functioning of the operated knee. The early postoperative period is devoted to restoring motion and decreasing swelling. After this the focus shifts to strengthening the knee joint.
  • The recovery of function following an arthroscopic ACL reconstruction continues over a few months and it usually takes 2-3 months for the patient to feel normal.

As long as the operated knee is cared for properly and other injuries are avoided, the benefits of the surgery are usually permanent.



 

ACL Reconstruction

3 people found this helpful

Anterior Cruciate Ligament Injury - Know Everything About It!

Dr. Deepak Thakur 88% (105 ratings)
M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Anterior Cruciate Ligament Injury - Know Everything About It!

In general, anterior cruciate ligament injuries, or ACL injuries, are understood to be tears in any of the several knee ligaments joining the upper leg bone and the lower leg bone. This can vary from minor injuries, such as small ligament tears, to more serious cases, like complete tears or when the ligament and one of the bones gets displaced from the other. These injuries usually occur during sports activities, like soccer, basketball, football, gymnastics, tennis, volleyball, etc. An untreated ACL injury can lead to a condition called an ACL deficiency. This can cause a lot of problems with regard to knee movements as the bones may rub against each other, causing a lot of pain. In some cases, the cartilage covering the ends of the bones may get damaged, eventually tearing and trapping the cushion pads supporting the knee joints.

Symptoms

Signs and symptoms of anterior cruciate ligament may include:

  1. You are unable to move properly.
  2. You experience immense pain while walking up and down stairs.
  3. You are unable to engage much in physical activities.
  4. Your knee begins to swell gradually.
  5. You can sense a loud popping sensation when moving your knee.
  6. You experience feelings of instability.

Causes
Anterior cruciate ligament injuries generally occur during sports. Here are some common possible instances that might happen during a game:

  1. Sudden arrest in motion
  2. An unsteady landing from a jump
  3. Direct blows to the knee from tackles
  4. Sudden shifts in direction

Treatment
Treatment of ACL injuries normally involves the following:

  1. Immediate medical attention along with intense first aid care
  2. Sincere adherence to the R.I.C.E model of self care -
    • Rest: Proper rest for a couple of weeks or months depending upon the severity of the injury
    • Ice: Using ice packs to help cool the nerves
    • Compression: Ice treatment further helps in compression
    • Elevation: When lying down in bed, it is strongly recommended that you keep your affected leg at a slightly higher position, through the use of pillows or cushions
  3. Success rehabilitative therapy for several weeks
  4. Anterior cruciate ligament surgery or reconstruction

In case you have a concern or query you can always consult an expert & get answers to your questions!

2611 people found this helpful

Knee Sprain - How It Can Be Treated?

Dr. Nithin Kumar Bejjanki 89% (118 ratings)
Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS), MBBS, Fellow of Academy of General Education (FAGE)
Orthopedist, Hyderabad
Knee Sprain - How It Can Be Treated?

 A knee sprain is a disorder that is characterized by tearing of the ligaments of the knee. The ligaments are tissues in the knee, whose function is to keep the bones together. They also help in keeping the bones and the knee joint in their proper position. In terms of function, they help you walk, turn and twist. Usually ligaments get sprained due to sports or exercise related injuries.

Causes

  1. If the knee is directly hit: Sprains occur when the knee is hit directly by a strong force on the sides, front or back of the knee. It may also occur, if you trip or fall on your knees. Car accidents and football tackles are other instances where the knee may be impacted in this manner.
  2. A sudden twist to the knee joint: If the knee joint is suddenly twisted, then it may result in knee sprain. This usually occurs in situations wherein you plant your foot and then suddenly turn from the knee. This can occur in various sports such as football or hockey where you run and change direction suddenly.

Symptoms
The symptoms of knee sprain are pain in the knee joint, impaired movement and swelling. You will have difficulty while walking as the knee may give out or buckle. In some cases, you may also hear a painful pop from the knee joint.

Treatment
The treatment of a knee sprain begins with a proper diagnosis wherein you may have to undergo various tests such as X-rays or MRI. Once the diagnosis confirms that it is a knee sprain, treatment will begin. The various modes of treatment include:

  1. Acetaminophen: This medication is used to reduce fever and pain resulting from knee sprain.
  2. NSAIDs: Non-steroidal anti-inflammatory drugs such as ibuprofen also reduce swelling and pain.
  3. Physical support devices: You may also use splint or an elastic bandage to provide support to the knee joint so as to allow the area to heal faster.
  4. SurgerySevere ligament tears in young patients will require surgery to regain full and normal function to carry on playing regular sports in future.

In addition to the treatment, plenty of rest is required. Do not carry out tasks that require you to move your knee excessively as it may damage it further. Perform stretches and strengthening exercises to keep the joints strong and mobile. Sometimes ligament injuries are serious and do not settle down with the above measures.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4986 people found this helpful

Torn Meniscus: What You Need To Know About It?

Dr. Naveen Devarajaiah 91% (70 ratings)
Fellowship in Joint Replacement, Fellowship in Hand Surgery, MS - Orthopaedics, MBBS
Orthopedist, Bangalore
Torn Meniscus: What You Need To Know About It?

Your knees are one of the most vulnerable parts of your bodies. In case of strenuous or vigorous activities, knees are more prone to damage and injury than the other parts. Several of the knee tissues are fairly delicate and often are easily impaired. Among the other knee tissue injuries, meniscus tears are perhaps the most frequent. Meniscus is essentially a cartilage that protects and stabilizes the knee joints. However, an untoward twist or a strain can lead to a tear in the meniscus. Meniscus tears are a common phenomenon among athletes and sportsmen. They have been noted to be more recurrent in older individuals. 

Some of the early symptoms that indicate the onset of a meniscus tear are swelling and difficulty in bending or straightening of the leg. Sometimes a "locking sensation" in the knees also forebodes a torn meniscus. The inflammation potentially causes a lot of pain and irritation. While, it is fairly easy to ignore a meniscus tear for a normal knee injury, prolonged overlooking may only aggravate the pain and worsen the condition. The process of diagnosing a meniscus tear usually involves an MRI scan and an X-ray examination, over and above a detailed evaluation of the wound.

Treating meniscus tears vary according to the extent of the injury. Depending upon the location and the depth of the tear, various cures can be tried. The healing process, however, depends upon other allied factors such as age, level of physical activities and one's medical history. An external and minor injury is easily mendable. Whereas, graver injuries are resolved through surgical means. The other non-operative means include certain prescribed medicines and specific exercises. Some of the recommended ways of battling a meniscus tear can be enlisted as:

  1. Resting the knee by limiting the activities that involve excessive use of the legs or they may potentially strain the leg muscles.
  2. Applying ice pack can significantly bring relief to the swelling and the pain in the injured knee. Doctors advice regular use for a duration of at least 15 days.
  3. Compressing the knee using an elastic bandage or neoprene sleeve reduces the swelling in the knee.
  4. Prescribed medicines in the likes of non-steroidal anti-inflammatory drugs can be effective remedies for a meniscus tear. However, one must mandatorily consult a doctor before consuming such medicines.
1 person found this helpful

Best Exercises For Knee Injuries

Dr. Pravin Singh 86% (58 ratings)
MPT - Orthopedic Physiotherapy
Physiotherapist, Mumbai
Best Exercises For Knee Injuries

10 Best knee strengthening exercises with therabands -

1) Calf strengthening
2) Dynamic quads strengthening
3) Static quds
4) Adductor strengthening
5) Abductor strengthening
6) Vmo strengthening
7) Hamstring strengthening
8) Gluteal strengthening
9) Calf stretching 
10) Hamstring stretching 
 

3 people found this helpful

An Insight Into Sports Injuries!

Dr. Nithin Kumar Bejjanki 89% (118 ratings)
Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS), MBBS, Fellow of Academy of General Education (FAGE)
Orthopedist, Hyderabad
An Insight Into Sports Injuries!

Sports Injuries are very common and often results from using improper gear or poor training practices and refers to all those injuries that are faced by an individual while playing a sport. It is essential to understand the preventive measures as well as the therapeutic methods at a basic level.

Types of Sports Injuries
Sports injuries can be categorized as an Acute Injury and a Chronic Injury. Acute Sports Injury occurs suddenly during playing or exercising. Sudden pain, fracture, and strained back are some examples of acute injury. Acute injuries don’t possess any serious threats to one’s life and can be easily healed over a period of time, depending on the injury and the physical conditions of the individual. Chronic Sports Injuries, on the other hand, are those injuries which occur for a long time and is also termed as an overuse injury. Examples include Achilles tendinitis, runner's knee, and swimmer's shoulder.

Steps to follow after an injury
If you have encountered a sports injury, then it is advisable to follow four simple steps.

  1. The first step involves taking adequate rest. One should reduce their regular activities and take as much rest as possible to regain normal condition.
  2. The second step comprises of using ice packs on the affected area for 15-20 minutes. This should be followed at least three times a day. But don’t exceed the limit of 20 minutes, as over application might result in worsening the situation.
  3. The third step involves compression, i.e., exerting even pressure on the affected area, which might help in reducing swelling.
  4. The last step comprises of elevation. Always try to have the affected area at an elevated level to stimulate speedy recovery. Suppose you have hurt your foot badly, then always place your foot on a pillow and then take rest.

If you follow these steps, then you can expect to heal your injuries gradually. But make sure, that in the case of chronic sports injury, you immediately visit a doctor and follow his prescribed medication and measures. The stated steps can help in case of minor acute sports injuries only.

Precautionary measures for sports injuries
If you want to reduce the risk of sports injuries, then include warm up as a mandatory activity before starting off with any sport or exercise. It is believed that proper warm up can reduce the chances of injuries that can occur during playing sports or exercising. Apart from warm up, you can keep few points in mind to avoid sports injuries like never twist your knees while stretching, don’t do overstretching, know your body limits and act accordingly.

Adhering to established standard best practices while involved in sports can minimize the occurrence of an injury to a great extent.

Icon

Book appointment with top doctors for Knee Injury treatment

View fees, clinic timings and reviews