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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Leg Pain After Injury, Done Physiotherapy, Have Weak Hamstring

About 8 weeks ago I hurt my left knee playing soccer. I am a goal keeper in a women’s team. I did a slide tackle to save the goal. I ran a fair distance and slid into the attacker with my right leg under my left. I felt pain instantly and the pain seemed to have travelled down my calf a bit. I kept playing. I couldn’t put too much pressure on my left leg though. I also could not kick the ball off the ground, but could still kick when I dropped the ball on to my foot (I am left footed). The next few days I was still in pain and walked with a limp. I could not straighten my leg when sitting without it hurting, and standing up after sitting for long periods of time caused pain in my knee. I played soccer again the following week. I could not kick the ball off the ground at all and I had to be carried off the field half way through the game because of the pain I felt when I went down on my right knee at a 90degree angle. The next day I was walking fine and went to the doctor. He thought I had either torn or strained my LCL. He was going to wait a week until he sent me for scans. The following week I played soccer again, this time I was careful. There was still pain though. The next day I went and saw my physiotherapist . He said my left hamstring was weak (I have since strengthened it) and he did not say anything about my LCL. I have continued to see the physiotherapist and have continued playing soccer. When I am playing soccer, my knee hurts most when I slide tackle to save a goal. I usually cannot move that knee for a short period of time. My knee will hover over the ground because the pressure of putting it down on the ground hurts. At home and just in general, I am walking fine, I can walk up and down stairs fine, but when I am lying down and cross my left leg over my right leg I will get pain after some time. Twisting my leg particular ways also hurts. The pain is short and sharp. My leg feels stiff afterwards too, but not for long. I am not sure what is wrong and I am confused as to what I should be doing. The physiotherapist has given me strengthening exercises and I am currently just following through with those, but I do not feel as though they are helping.
Thu, 25 Jul 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

After going through the description , I suspect MENISCAL TEAR in your knee joint.

This can be ruled out only by an MRI scan of knee joint.

Not all meniscal tears needs surgical managment.

The initial management is as follows -
* activity modification by avoiding impact sports which causes more strain on the knee joint
* using an elastic compression bandage to reduce the swelling
* Ice packing to alleviate the pain
* Physiotherapy to strengthen the quadriceps muscle

If the above measures fail to provide you pain relief, get MRI done and consult an orthopedic surgeon for further management.

Hope this information is helpful. Good day
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Leg Pain After Injury, Done Physiotherapy, Have Weak Hamstring

Hi, thanks for writing to HCM. After going through the description , I suspect MENISCAL TEAR in your knee joint. This can be ruled out only by an MRI scan of knee joint. Not all meniscal tears needs surgical managment. The initial management is as follows - * activity modification by avoiding impact sports which causes more strain on the knee joint * using an elastic compression bandage to reduce the swelling * Ice packing to alleviate the pain * Physiotherapy to strengthen the quadriceps muscle If the above measures fail to provide you pain relief, get MRI done and consult an orthopedic surgeon for further management. Hope this information is helpful. Good day