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Knee Injury Tips

Anterior Cruciate Ligament Injury - Know Everything About It!

Dr. Deepak Thakur 89% (99 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
2 people found this helpful

Knee Sprain - How It Can Be Treated?

Dr. Nithin Kumar Bejjanki 89% (103 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. If the problem persists, you must visit your nearest sports injury specialist.

1 person found this helpful

Torn Meniscus: What You Need To Know About It?

Dr. Naveen Devarajaiah 91% (60 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.

Best Exercises For Knee Injuries

Dr. Pravin Singh 89% (52 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% (103 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.

Torn Meniscus - What you Need To Know?

Dr. Himanshu Gupta 89% (39 ratings)
Fellow Adult Knee Reconstruction and Sports Injuries, Fellowship in Interventional Pain Practice, MS - Orthopaedics, MBBS
Orthopedist, Gurgaon
Torn Meniscus - What you Need To Know?

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.
2507 people found this helpful

How You Can Protect Your Knees From Damage and Injury?

Dr. Nithin Kumar Bejjanki 89% (103 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
How You Can Protect Your Knees From Damage and Injury?

The knee is known as the largest and one of the most complex joints in the human body, and also one of the most vulnerable, as it supports the weight of the entire body. The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain. So how can you protect your knee from damage and injury? Take a look at these three points!

  • Dealing with Load: Weight is a big one. Carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
  • Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
  • Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to see a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury. Also, it is important to take a bone density test regularly, especially after the age of 40 or for women going through menopause, as this will point to any deficiencies and even warn you in case there is any trace of osteoporosis.

Rest, exercise, and food should be kept in fine balance for a healthy body. These are a few measures that one can take to keep knee pain at bay. Yet, it is also advisable to speak with a doctor at length regarding measures to protect your knees.

Remember to ask us for a private consultation today!

How To Protect Your Knees?

Dr. Deepak Thakur 89% (99 ratings)
M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
How To Protect Your Knees?

The knee is known as the largest and one of the most complex joints in the human body, and also one of the most vulnerable, as it supports the weight of the entire body. The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain. So how can you protect your knee from damage and injury? Take a look at these three points!

Dealing with Load: Weight is a big one. Carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to see a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury. Also, it is important to take a bone density test regularly, especially after the age of 40 or for women going through menopause, as this will point to any deficiencies and even warn you in case there is any trace of osteoporosis.

Rest, exercise, and food should be kept in fine balance for a healthy body. These are a few measures that one can take to keep knee pain at bay. Yet, it is also advisable to speak with a doctor at length regarding measures to protect your knees. If you wish to discuss about any specific problem, you can consult an Orthopedist.
 

2814 people found this helpful

Surgical and Non-Surgical Treatment for Anterior Cruciate Ligament Tear!

Dr. Nakul Shah 89% (21 ratings)
MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Pune
Surgical and Non-Surgical Treatment for Anterior Cruciate Ligament Tear!

The Anterior Cruciate Ligament or ACL tear is a very common problem with athletes and with people who have an active lifestyle. In fact, this can also be caused by any accident due to sudden movement.

Importance of ACL-

The ACL is the supporting ligament, which runs diagonally from back to front right in the middle of the knee, connecting the femur bone and the tibia, and helps the tibia not to come before the femur. Thus the balance of the knee during back and forth movements and the entire stability of the knee joint is secured by this very important piece of ligament.

What leads to an injury to the ACL?

Here are a few actions that may result in a ligament tear.

  1. Sudden stopping while running or slowing down from a fast speed

  2. Sudden change in direction

  3. Uncontrolled jumping from a height

  4. Direct hitting with an object or person

What happens when the ACL is torn?

If the ACL is torn, the stability of your knee is gone, and you feel as if you have no control over the joint. Moreover, it causes extreme pain and instant swelling. Swelling usually appears within 24 hours of the injury.

Treatment of ACL Injury-

Recovery from an ACL tear is possible only after a surgery. Without surgery, the affected will not be able to return to sports or athletics, or may not be able to run and make swift movements again as before. However, to avoid surgery, there are non-invasive treatments for the aged and people who require moving less.

  • Non-invasive Treatment: Bracing is one treatment where braces are given to support the knee joint during movement and also to avoid further injury. This is effective for the elderly who need minimum movement and may manage daily activities with a braced knee. Also, crutches add to the support and let the weaker knee get rest. This is followed by physical therapy. But the swelling has to reduce before starting it. Many exercises and controlled movements over a long time help in getting back agility in movement gradually.

  • Surgical Treatment: Once the swelling subsides, doctors would plan for an Arthroscopic (Key-Hole Surgery) ACL reconstruction. In this Doctor make a graft of a tendon. This graft is inserted into the joint and fixed in anatomical position in femur and tibia Arthroscopically so that the newly created ACL functions like the natural one. This is the only way to get back the ligament in whole as the torn ligament cannot be stitched. Surgery is done through arthroscope and recovery time is 15 days for resuming day to day activities and 3 to 6 month for resuming sports activities with continued physical therapy after the surgery. If you wish to discuss about any specific problem, you can consult an Orthopedist.
3922 people found this helpful

Health Tip!

Physiotherapist, Mumbai
Health Tip!

Five mintutes fitness
Today, due to the demanding professional lifestyle many working women choose to adopt dieting and various other weight loss remedies which tend to give temporary results and sometimes have an adverse effect on the mind and body.

A healthy mind and body is achieved by having right balance of proper food and regular workout. Basic alteration in the daily routine like reducing the intake of oil and fatty foods and sweets with five minutes of simple cardio exercises can bring a lot of difference and could lower the risk of health issues like breast cancer, heart problems, osteoporosis and other aliments in women.
With the increasing awareness of these and other health issues some women have managed to alter their lifestyle. But, many are still seeking a quick way to remain healthy for them; health experts have shared some quick five minute workout regimes especially for working women.

High knees: this basic and simple exercise can be done while on the move or while running in a place. 
Method: step 1) stand with your feet hip-width apart.
Step 2) bring your right knee near your chest and quickly bring it back on the floor. 
Step 3) now, bring your left knee near your chest and quickly bring it back on the floor. 
Continue to do the alternative knees at a fast pace.
Jumping jacks: jumping jack is a full body workout. This aerobic exercise can help you get a toned body at the comfort of your home. Jumping jack improves the cardiovascular fitness of the body.
Method: step 1) stand with your feet together and hands at your sides.
Step 2) slowly, raise your arms above your head and jump to spread your feet out wide.
Step 3) reverse the movement to the start position by landing gently with your knees bent a little and repeat.
Elbow plank: planks are a cardio workout as it uses your own weight it tones the core muscles of the body by burning the calories and working your abs, arms, back muscles.
Method: step 1) get down and facing the floor resting on your forearms and knees.
Step2) slowly, push your knees and place your weight entirely on your toes and elbows. Contract the abdominal muscles and keep your back flat.
Step3) hold on to this position for atleast 30 seconds initially and increase the duration as you progress.


Lunges: lunges are excellent for people who want to shed those unwanted extra kilos and boost their metabolism level as well. This exercise also strengthens the cores of the lower body and helps in toning of the muscles.
Method: step 1) step forward with your right leg and slowly lower the body bending the front knee at 90 degrees.
Step 2) push yourself back to the start position and repeat the lunges with the leg.
It is important to make sure that your back must be straight and the back knee should never touch the floor while dong the lunges 

Squats: it is an intensive and effective full body workout that can help in quick weight loss if done regularly. Squats help in toning and strengthen the thigh muscles. This cardio could integrate small jumps as that would burn more calories and reflect better results.

Method: step 1) stand tall with your back straight and your feet spread a width apart. Bend your knees and as you lower you upper body push your hips keeping your back erect. 
Step 2) hold yourself in the same position for 15-20 seconds and then slowly push yourself back to the start position.
 Increase the counts and speed as you repeat this exercise and time duration as you progress.
There are certain things to bear in mind before starting any intensive cardio exercises some of which are:
1) it is necessary to hydrate yourself with sufficient intake of water atleast an hour before starting any intensive workout as it would help in flushing out the toxins from the body and it also helps you to stay energized.
2) start with warm ups like; jogging in one place.
3) take short breaks after each exercise as it maintains the heart rate.
4) stretch your body as it helps in relaxing the body and makes it less prone to injury like muscle soreness.
Although, such intense cardio workout are good for weight loss and toning of the body. People dealing with overweight issues are advised to consult a doctor before starting any rigorous cardio exercises. Exercising is not just for those who want to lose weight. It must be adapted as a regular routine for an overall healthy living.