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Author Topic: Help with knee injury  (Read 617 times)

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Offline PastorSBC

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Help with knee injury
« on: March 15, 2013, 03:55:13 AM »
Last week during track practice my 8th grade daughter twisted her knee while running some stairs.  She did not hear any pop and did not think the injury was a big deal, so she finished out practice.  The next two days she continued to practice running sprints and doing all kinds of jumps, etc.

  She told me at the end of the third day that her knee was hurting a little and maybe we should get a brace or something for it.   The knee  did not swell at all in the beginning and she said it felt pretty good except when she ran hard.  She said it felt pretty stable but a couple times while walking up stairs she said it felt a little unstable.  There has not been much pain involved. The only pain she has when on it is on the inside part of her knee and a little on the back of the knee.  Yesterday morning for the first time since the injury her knee looked a little swelled right about the knee, but it seemed to go away after being up for a couple hours. 

We are waiting to get into a doctor in our area that has a lot of experience with knee issues, but it is taking awhile due to some staffing issues and vacation plans of some of the other doctors.  Hopefully this next week we can see the doctor. 

I guess I am just looking for thoughts from you guys who have so much experience with knee issues.  I have done a bunch of reading on the internet about knee issues and it seems there is such a variety in the thoughts.  Some say the fact that there was no swelling in the first 48 hours is a really good sign and probably means a sprain.  Others say the fact there was no swelling at first is worrisome and may mean a possible tear in the knee. 

We are praying for no tears and no surgery needed. My daughter is huge into basketball and to have to take time off recovering from any surgery would just about be unbearable for her. 

So any thoughts/advice you guys have would be welcomed.

Thanks.

Offline Kaputt_Knee

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Re: Help with knee injury
« Reply #1 on: March 15, 2013, 06:16:52 AM »
Hi,

I think your daughter has not done anything too serious despite the pain. The reasons for saying this you gave yourself - she is in the 8th Grade and she continued to train for a further 2 days "running sprints and doing all kinds of jumps"

Either she has a possible overuse injury and needs to rest and ice whenever she can, or she has a deeper underlying problem that only a qualified person can diagnose by actually looking at the knee in question and carrying out certain physical tests.

Having coached athletics for many years in High Schools though I find her suggestion for the use of a brace interesting. Most students say "I have a pain, let's go see a doctor!" Has one of the older track team (or any other team) recently appeared with a brace following a more serious injury or perhaps had a procedure requiring one? I'm not saying her injury is not real, but I find it unusual that the first request is for a brace, most of my students asked for ice and when can they get back to sports!  :)

You do need to have her knee thoroughly checked out by a specialist who understands not only knees but also developing knees, i.e. a paediatric orthopod would be great if you can get to one! Teenagers go through many growth spurts and physical changes and these do impact on the skeleton and soft tissue associated with it. If you combine that with a highly motivated sports-mad young lady, then injuries do occur as do other pains and problems associated with the transition from a child's body to that of an adult.

But the main thing to do until you see someone knowledgeable is to alleviate as much of her pain as possible by icing when she is not using her leg, while also getting her to use it as normally as possible (without the running and jumping though). If she uses a brace or limps badly then it does have a negative and downward circle effect on whatever the injury may be (if any). It becomes a vicious circle, stiff gait caused by the limp can create as many problems as it helps relieving the pain of one sadly. I would strongly advise AGAINST any kind of bracing or bandaging until you have a definite diagnosis from a hands-on doctor. Wrongly applied these can cause more problems than people think.

Good luck

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 PastorSBC

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Re: Help with knee injury
« Reply #2 on: March 15, 2013, 01:30:00 PM »
Thanks for the thoughts, I appreciate them. 

I think the reason she asked for a brace was because she had some issues with a sprained ankle during basketball season and she got a brace for it.  So  I think she has in her mind that anytime you have an injury if you get a brace for it things will get better.

Thankfully she is not in any pain and she does not have any problems walking.  The biggest frustration is just the waiting to see a doctor. 

Offline PastorSBC

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Re: Help with knee injury
« Reply #3 on: March 16, 2013, 10:56:47 PM »
Every day my daughters knee feels better.

Isn't that a good sign of just a strain over any kind of tear?  If you have a tear things are not going to get better until it gets fixed? 

Offline PastorSBC

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Re: Help with knee injury
« Reply #4 on: March 19, 2013, 06:19:55 PM »
Got into the doctor and she has strained both ligaments on the sides of her knee.   Wants her to keep resting up for another week or so and then she can resume normal activities.