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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Knee Pain And Swelling After Injury?

Hi! I injured my knee at a football game 2 days ago, mechanism of injury=I kept falling on my knees,high impact. No instant swelling that I noted (adrenalin) but did feel pain, I admit I kept playing so did weightbear after falls..first fall of significance in first half. Knee started to stiffen up and get more painful towards end of match, knee noticeably swelling and real discomfort on car home and painful to sleep, ache walking and stairs or kneeling painful...used price technique straight away..iced it straight away, tubrigrip compression and elevated..knee now feels better..widespread bruising tender on palpation of joint line/bruises, knee not as stiff but still an ache at end range flexion swelling has reduced. I think when the bruising goes the dull ache in my knee should go too, I feel I dont need physio or medical intervention as its only been 3 days since injury and to let healing process take its course? Am I foolish or should I check if ligaments/cartilage isnt Injured even though the symptoms/mechanism don t match? Thanks
Fri, 7 Aug 2015
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case.

As per your history there is possibility of soft tissue injury in knee.
Most commonly meniscus injury occurs may be associated collateral ligament injury.
If pain persists then you may need to do MRI knee to see for any functional defect.

As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion.
Rest and ice fomentation along with supportive brace will help to reduce swelling and pain.

Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS.
Meniscus injury can be managed by arthroscopic repair.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.
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What Causes Knee Pain And Swelling After Injury?

Hello, I have studied your case. As per your history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.