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Had ligament tear in knees. Was prescribed paracetamol and pain relief ointment. Having pain. Suggest? - Online Doctor Chats

Date : 09-Jun-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2549 Questions
Doctor:How can I help you?
User:Hello Doctor
User:I wanted to ask you about my knee
User:Three weeks back, I twisted my knee. I fell down stairs.
User:The pain is still there
User:early this week, i consulted a doctor here and after taking the xray, he told me that, it is ligament tear
User:he asked me to use knee support and gave an oinment for pain relief and paracetamol tablet for anti inflammation
User:the doctor didnt put any restriction except that, i shouldnot sit down or use indian toilet
User:Still the pain has nt come down and sometimes i feel it has gone up
Doctor:Was the doctor you consulted an orthopedic surgeon?
Doctor:May I know your age XXXXXX?
Doctor:Do you have history of diabetes?
Doctor:Let me brief you.
Doctor:Ligament tears are of different grades ranging from partial tear to complete tear.
Doctor:Complete tear needs surgical correction.
Doctor:Partial tears can be managed conservatively with rest, icing and immobilization.
Doctor:What your doctor suggested are the conservative means of treatment.
Doctor:Since ligaments are only for support and not for weight bearing, your doctor has rightly suggested what all things needs to be restricted.
Doctor:In addition to avoiding squatting position, you also need to avoid any twisting movements of the knee.
Doctor:Use the knee braces at all times.
Doctor:Since the pain is persistent, you can get a prescription of better pain killers such as NSAID group of drugs.
Doctor:The average time period of partial ligament injuries ranges from few weeks to few months.
Doctor:If at any point of time, you don't feel comfortable and symptoms are troubling, you can report back to your orthopedician (the same or different).
Doctor:Ideally you will need MRI scan of the knee
Doctor:to identify the grade of tear.
Doctor:We can then be able to decide whether the treatment given to you is sufficient or will you need more aggressive treatments.
Doctor:Have you followed?
User:yes Doctor
User:doctor has suggested Hifenac-P
Doctor:Do you have any query?
User:For first few days i took, as i thought it just a paracetemol for pain relieving i didnt take regularly
Doctor:Hifenac P does contain NSAID group of medications in it.
User:ok, then i will take it
User:Doctor told me that, it will take 3 to 6 weeks to cure
Doctor:The persistent pain could be due to insufficient medication; inadequate immobilization or insufficient treatment.
Doctor:In simple terms - perhaps you haven't taken the medications rightly; or the restrictions given to you was not followed religiously or the treatment provided you is not sufficient (since we do not have MRI results).
Doctor:Therefore at this point, take the medications as advised rightly and follow the restrictions - avoiding squatting and twisting movements.
Doctor:In addition to wearing the knee braces except when you sleep.
User:Knee support I am waring it always except sleeping time
Doctor:If you do not find any changes with this, then report back to your doctor who can consider getting MRI done.
User:otherwise i am not feeling confident to walk
Doctor:Hope it is clear to you.
User:yes doctor
Doctor:Do you have any other query?
User:No.. Thats it thanks doctor for clarification
User:and advice
User:i will continue the medication and wear the knee support
Doctor:And restrict twisting knee movements as well as squatting.
User:yes doctor
Doctor:Report back to your doctor if there pain doesn't improve.
User:one questioin
User:when you say knee movement
User:does that include climbing stairs also
Doctor:If the knee braces is worn adequately, it prevents any bending movements of the knee.
Doctor:If you are able to bend knee without much problems then the braces needs to be rectified with the help of your doctor.
Doctor:And yes, it would be better to avoid stairs as much as possible.
Doctor:Use elevators as and when possible.
Doctor:Have you followed?
User:yes doctor
User:Thanks for your advice. It was very helpful
Doctor:You are welcome.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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