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Author Topic: Knee sprain(probable) what exactly have I done and how to rehab (p's and q')  (Read 1277 times)

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Offline malk

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Hi all,

I've recently injured my "good" (right) knee. In a (Tuesday) rugby training session I was caught in the middle of a collapsed maul (a big mess of bodies for non followers). As a wing it was a bit of a shock to be there in the first place and amazingly enough I caught a bit of a knock.

As I remember I landed on my right side with someone underneath me. Some body part or other was under my femur and I'm guessing that would be approximately the pivot. The pressure was applied at about my ankle and I guess pushed from inside (the leg) to outside. At first I thought my leg was going to break around the middle of the tib and fib (very nearly brown trousers time!) and afterwards there was a little bruising there and some pain. Over the next couple of days my knee started to stiffen and I had difficulty particularly going up and down stairs.

It wasn't particularly bad though and I trained the following Thursday and played the full 80 minutes of a match on the Saturday. Following the game the knee was pretty sore and stiffened up causing some pain walking up and down stairs. Again it wasn't too bad and I trained on the Thursday (would have been able to on the Tuesday but my wrist flared up, I am indeed a crock!) and played a full game on Saturday (yesterday).

Today it is very stiff and I'm walking with a bit of a limp. The pain is most pronounced when I try to cross my leg or more precisely, after I cross it and the knee rests towards the ground. I have stopped doing this by the way. There isn't any noticeable swelling and it doesn't hurt at rest. I can fully extend my leg but cannot fully bend it (as in going into a crouch). Probably incidental is some muscle pain in the middle of my quad, about six inches above the knee.

I'm guessing I've sprained a knee ligament but am not sure which one. I've been taking ibuprofen but haven't iced or elevated it as there isn't any swelling. Basically I'd like to know more or less what I've done and the best way to rehab it. My team is pretty banged up at the moment so if at all possible I'll be playing on Saturdays but obviously I don't want it to deteriorate to the point where I'm out for weeks. Also, is it worth bothering my doctor for a diagnosis. MRI is out of the question on the NHS and an x-ray isn't gonna show anything so I'm inclined not to waste his time.

Thanks for any help that you can provide.

Cheers,

Malc.

Offline Kaputt_Knee

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  • [Ed: Sue sadly passed away in 2016]
You say that it is your "good knee" which implies you have had problems with the other one. Even if there is no swelling, RICE does help - the ice helps stimulate blood flow to the region which in turn helps with repairing any damaged tissue. What you describe sounds like you may have a meniscus issue of some kind.

I would go to your doctor or better still to a sports injury specialist, even if you have to go private for a consultation. If nothing else it ensures peace of mind. If they feel an MRI is necessary then you can get yourself on the NHS list.


Sue
1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

Offline malk

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I've had two meniscus surgeries on my left knee. The first was pretty minor but the second was a massive bucket handle tear which led to the entire fat part of the lateral meniscus being removed via athroscopy.

I hadn't considered another meniscus injury tbh. Do you know the likelihood of it needing surgery? I realise it's difficult without any solid info.

Cheers.

Offline Patty0513

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Not sure what damage you may have done to the knee, but the best thing for a sprain (if that is what you have) is rest.

Increased blood flow will help the injured area heal, but I believe that heat increases the blood flow to the area and ice decreases the blood flow, thus reducing swelling.

Since you don't have any swelling, applying heat should be OK and just might feel good.  :)

Continued pain and problems does warrant a trip to see a doctor.

Offline Kaputt_Knee

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  • [Ed: Sue sadly passed away in 2016]
If you cool a part of the body with ice packs, the capillaries in the affected zone contract thus conserving heat. However, as soon as you remove the ice or coolant, the bloody regulates the blood flow again by sending INCREASED supply to raise the body heat in the area that was cooled. Hence it STIMULATES healing. When in doubt it is the safer option to apply a cold compress as it does not cause any swelling and helps to slow down the flow of any fluids from the lymphatic system which do cause swelling, even some hours after the event that caused your problem.

The best advice is to get a correct diagnosis from a specialist. Second guessing, or trying for self or Internet diagnosis can lead to further problems. You need someone to look at your knee if you are concerned enough to come here looking for advice.

1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

Offline malk

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Cool cool. I've noticed something moving around on the lateral side of my knee next to the patella so a meniscus injury sounds like a good shout. I've have a word with my GP and get it looked at.

Thanks for your help.

Offline chrislowe3231

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Hey,

Dont knock the NHS too much.....i used  to, but now they try not to diagnose "badly bruised" knee's when the patient generally thinks he has done something wrong, It only wastes there own time, and yourselfs time because it is only a matter of time before you are back again.

I had football injury, and knee felt give way, carried on as normal, now been told could be cruciate tear.

Just kick up a fuss, and if u get the right person, you will get refered. I went to fracture clinic for 1st consulation last monday, doc said not going to take risks and refered me for MRI, and got letter though today, for a Scan on fri. (yes this fri!) and then appoitment 2 weeks after that.

So in 1 month, i could be diagnosed with exatcly whats wrong, and been told could be in surgery within a month after that.

So best to be safe mate, and try that! but it is entirely up to u, and how u feel comfortable.
August 2008: Ruptured ACL, lateral meniscus tear

August 2009: Hamstring graft to repair ACL, removed Laterel Meniscus.

Offline malk

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You won't hear a peep from me against the NHS! I've generally had great service from them for the numerous minor ops and whatnot that I've needed. Getting an MRI that quickly sounds pretty boss though! When I had my last meniscectomy the consultant went straight into surgery without bothering with one, he figured it was as easy to look that way as to have an MRI! (it was pretty goosed though) and that was private.