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Suggest treatment for pain in knees after an injury - Online Doctor Chats

Date : 22-Oct-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1559 Questions
Doctor:
Please proceed with your query
User:Hi Doctor
User:I am 41 years old around 6 months back I had injured my knee in a contact sport. It was on left inside of knee joint and there was swelling for 3 days followed by pain for 5 days. After which swelling and pain subsided but while walking there was click in my knee which eventually subsided but every now and then while am walking I feel my joint moves very minutely on the left inside of the knee. I am able to run normally do all tasks normally like jumping and all. but once in a while this discomfort rises again.
User:I was asked by HealthCareMagic to get an MRI done
Doctor:OK, i've gone through your info
User:Please suggest what this report suggest
Doctor:one minute let e bring up the MRI results
User:ok
Doctor:OK, the report shows a few things
Doctor:but the most likely cause of your pain is the damage to the medial Meniscus
User:ok
Doctor:That would cause pain when you try and strain the knee
User:so what is the way forward
Doctor:Ok, so first things first is that you need to rest that knee and provide support
User:I don't have any pain as of now
Doctor:Buy an external support sleeve for the knee from a surgical shop and wear it.
User:and am able to perform my daily tasks normally
User:I did that when I was in pain
Doctor:Good, i expect that the pain would be there only when you put stress on the knee
Doctor:Keep using the sleeve
User:no I can do squats with weights too
User:without any pain
Doctor:don't stop, it will help the Meniscus heal
User:it is when I mis step
Doctor:Ok. I get it now
User:that I feel the knee joint like it has moved a milimeter
User:and I get this inline
User:and am back normal
Doctor:right, when your knee straightens out and you put pressure on that damaged meniscus, that is when you will have trouble
User:there is no visible movement in joint but I can feel that some thing in the joint moved
User:if don't warm up before starting a run
User:if I warm up am able to run quiet easily
Doctor:Great,
User:for a good distance of 10 km without any pain during or after the run
User:but how to resolve the issue
User:with damaged ligament
Doctor:all of this is good. My point is that you should not make the issue worse
User:right
Doctor:Right, you need to take the scan to a good orthopedic specialist who can see if they need to do anything
Doctor:Most of the time, with rest, these things resolve on their own and you just need to get another scan in 6-9 months
User:will it Ortho or some sports specialist
User:Ortho usually don't undrstand ligaments
Doctor:but sometime, if the tear is repairable, then they will do an arthroscopic surgery and repair the damaged meniscus
Doctor:The meniscus is not a ligament, it's a layer of cartilage on the inside of the joint
User:oh ok
Doctor:in my opinion, find an ortho who specializes in knee issues
User:ok
User:any suggestions in XXXXXXX
User:any knee specialist you can suggest
Doctor:The whole issue here is that the meniscus is NOT replaceable. If it is damaged beyond repair, then you will have worsening pain until you need a knee replacement
Doctor:Hmm, let me ask around
Doctor:one moment
User:sure thanks
Doctor:How do you feel about Fortis HealthCare in Shalimar Bhag?
User:yes I know that but it will too far from my place
User:am in central XXXXXXX
Doctor:ok
User:if there are any other options that will be good else I might go to Fortis Shalimar Bag
Doctor:Is that near Karol bhag (i have no idea about XXXXXXX am in XXXXXXX myself)
User:yes
Doctor:ok, one min
Doctor: XXXXXXX XXXXXXX XXXXXXX is a knee specialist there, he goes to Jessa XXXXXXX Hospital
User:ok great
User:that will be a great help
User:thanks a lot doctor
Doctor:No problem
User:but is there any reference to how much the damage is in the report?
Doctor:not really, no
Doctor:the effusions and arthritic issues in the knee are mild
User:thanks a lot
Doctor:Happy to help
Doctor:Do you have any more queries?
Doctor:I have to close the window as you are not responding. Please chat with our doctors for medical queries or use 'ASK A DOCTOR' option
User:one last one as you suggested
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