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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does A Fall Causes Pain And Swollen Joints

I was running after a student at work and fell on concrete. I went to the a local hospital they took x rays and said nothing is broken. I am off work on workers comp, but I need to get back to work as soon as possible. I am concern because I tried applying pressure by walking on it but my knee keeps popping and pain runs from my knee to my ankle. I am really concern that something is wrong they diagnose me with a sprain, but why cant I walk on it/ My knee is swollen I tried staying off of it for a week and I still cant bind my knee my hamstring is in pain also in the back of my knee.
Wed, 20 Apr 2016
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Physical Therapist or Physiotherapist 's  Response
hi,

thank-you for providing the brief description of your injury.

As mentioned by you the history I will advice to take a complete neuromuscular assessment. Also in x-ray one can not find the ligament sprain. So for the same the need of the MRI is there to see if any soft tissue damage is there. Also, you had a fall on concrete and now the pain is behind the knee and inside as well, you need an MRI to look into the soft tissues. Incase the pain and swelling don't come down in 72 hours I will advice to undergo an MRI. After which the précision of treatment can be planned. Also at current stage, undergoing physical therapy should help you as by using the therapeutic ultrasound therapy and TENS therapy your pain and swelling will come under control. On a later stages exercises will be focussing on ROM and strengthening the knee joint.

Just make a small note.
1. x-ray cannot confirm the ligament sprain , as one cannot see in x-ray.
2. if the pain and swelling doesn't come down along with restrictions of knee movements in 72 hours than please take an MRI.
3. treatment will be guided with physcial therapy mostly and your active life style will be achieved.

in my clinical practice we do follow the same protocol and get the 100% success rate in patients.

Regards
Jay Indravadan Patel
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Does A Fall Causes Pain And Swollen Joints

hi, thank-you for providing the brief description of your injury. As mentioned by you the history I will advice to take a complete neuromuscular assessment. Also in x-ray one can not find the ligament sprain. So for the same the need of the MRI is there to see if any soft tissue damage is there. Also, you had a fall on concrete and now the pain is behind the knee and inside as well, you need an MRI to look into the soft tissues. Incase the pain and swelling don t come down in 72 hours I will advice to undergo an MRI. After which the précision of treatment can be planned. Also at current stage, undergoing physical therapy should help you as by using the therapeutic ultrasound therapy and TENS therapy your pain and swelling will come under control. On a later stages exercises will be focussing on ROM and strengthening the knee joint. Just make a small note. 1. x-ray cannot confirm the ligament sprain , as one cannot see in x-ray. 2. if the pain and swelling doesn t come down along with restrictions of knee movements in 72 hours than please take an MRI. 3. treatment will be guided with physcial therapy mostly and your active life style will be achieved. in my clinical practice we do follow the same protocol and get the 100% success rate in patients. Regards Jay Indravadan Patel