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Author Topic: Karate Injury  (Read 789 times)

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Offline rhian_keo

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Karate Injury
« on: February 15, 2014, 05:35:02 PM »
Hey guys, I came across this forum looking for some advice about an injury that happened a couple of days ago, wonder if you could give me some advice please?

I did something to my knee whilst at karate - I was throwing a round kick and felt a snap (and a lot of pain!) in the leg I was standing on, and my knee gave out. It was (and still is) very painful, it's swollen (but there's no bruising) and I can't put much weight on it - it feels like it would give out again if I try putting to much weight on it.  It's also making a lovely creeking noise! 

I went to the doctor who wasn't particularly helpful - she said its a possible ligament strain and has sent me for an X-ray next Thursday (but from what I've read on the internet I'm not sure this would show on an X-ray??)  I'm tempted to go to a&e for a second opinion as I'm anxious to find out what exactly it is to make sure I'm not doing anything I shouldn't be etc... At the moment I can't put weight on it so my usual level of exercise isn't an option but I need to get back to competition level as quickly as possible, and need my knee to do that!!

Do you think it's worth going in for a 2nd opinion, and is there anything I should be doing in the meantime to help recovery?

Thanks for your help


Offline rnm37

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Re: Karate Injury
« Reply #1 on: February 15, 2014, 05:54:51 PM »
Hearing a snap and having the symptoms you describe isnt a good sign unfortunately. You are right that any potential ligament/cartilage damage would not show up on an x-ray - in my experience of the nhs (i assume you are in the UK from your use of the term A&E?) the x-ray is always done as a check though for any bone damage. The best way of fnding out what the issue is with your knee is through an MRI scan, you can usually request that your GP refers you to a hospital for this.
In the meantime, the most important thing is to get your knee functioning in a normal(ish) manner - Rest, Ice, Compression, Elevation. Aim to get full range of motion back and all of the swelling down. If (God forbid) you have done yourself some damage to ligaments etc then you may have some recurrent instability, in that case you will want to focus on keeping your leg muscles strong once you are able to (exercise bike, squats etc). Also probably best to keep away from contact sports and cutting/twisting manoeuvres until you get to the bottom of this. Do you have access to a sports physio? They will be able to examine your knee ansd advise you on the best course of action to take.

All the best and hope its nothing serious.

Ross
« Last Edit: February 15, 2014, 05:57:14 PM by rnm37 »
June 2012 - ACL rupture and lateral meniscus tear

December 2012 - ACL recon (hamstring autograft) and meniscus trim

October 2013 - Retore ACL and tore medial meniscus :(!

January 2014 - Revision ACL recon (hamstring)

Offline Vickster

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Re: Karate Injury
« Reply #2 on: February 15, 2014, 06:02:32 PM »
Rest Ice Compression Elevation (RICE) is the standard starter for knee injuries...and patience as knee injuries can take a long time to resolve.

A&E might help, but you need to see a knee specialist. If reliant on NHS, you would wait (up to) 18 week for the appointment once the GP has referred you. If concerned, go to the hospital, only you can make that decision

X rays only show bony damage, MRI for soft tissue but you need the specialist. 



Good luck :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline rhian_keo

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Re: Karate Injury
« Reply #3 on: February 21, 2014, 03:40:04 PM »
Thanks both for your help and advice :)

I ended up going to a&e at the weekend (you're right I am in the UK!) as even after resting it was still really painful and swollen.  They did an xray and confirmed no bone damage but said they could see some "damage" around the front and outside of my knee, which is roughly where I am feeling the pain too.  They did a (pretty painful!) examination and said they didn't think anything was torn, but referred me to a physio who happened to be a knee specialist!

She said she thinks it's a meniscus strain and that I've damaged the tendon - I've been given lots of exercises to strengthen my knee and stretch my hamstrings as she thinks that may have been the cause of the injury, and she's said up to 6 weeks for healing time but I can reintroduce exercise before that as long as it doesn't involve sudden twisting and contact (so sadly no sparring at karate!).  I've got an open appointment so she said to go back in 4 weeks time if there's still any pain there. 

Thanks again for your help,

Rhian :)

Offline rhian_keo

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Re: Karate Injury
« Reply #4 on: July 19, 2014, 11:13:18 PM »
Hey guys, it's been a while since I posted, am after some advice again please!

So after 4 months I was referred for an MRI scan... all of the swelling had gone, and day to day walking about etc I am fine with, but my knee was (and still is) giving out (and very painful) if I do any kind of weight bearing and twisting movement, which has ruled out me going back to karate just yet :( plus things like walking up the stairs, walking a bit too fast etc make it feel like its "twanging" which again is really painful.   I still can't bend my leg fully (it kills down the front of my knee and deep in the back when I try to stretch it, which is one of the exercises I've been shown by the physio)

But the MRI has come back clear!  The doctor has told me to carry on doing what I'm doing for an indefinite period of time and not to do martial arts until it's 100% better (I've been working with a sports physio and PT on strengthening work and to try not to lose my fitness too much) but I don't understand what's going on with it if the MRI hasn't shown anything! 

Are MRIs always accurate, do you think something could have been missed?  Or do you think it's simply that whatever was damaged has healed but isn't quite 100% yet? 

Thanks for your help

Rhian x

Offline LAS

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Re: Karate Injury
« Reply #5 on: July 21, 2014, 02:23:56 AM »
The MRI is a good diagnostic tool buts are not always accurate.   In fact according to my OS here in the US about 20% of meniscus injuries do not show up on MRI's.  Sometimes a tear will show up and looks small on the scan and then when they do arthroscopic surgery and  it's a lot bigger and more complicated.  If you still have symptoms and pain they may offer an MRI with the contrast or arthroscopic surgery.  The fact that it is giving out and having difficulty with the stairs is a sign of a meniscus tear.   I had the same symptoms with a meniscus tear among not being able to walk, a lot of pain and it was keeping me up all night.   The MRI showed a small oblique tear.  The OS said after the arthroscopy  the tear was rather big and turned under.  So the whole picture was not seen on MRI.    For now I would do what the doctor says and give it the time it needs to heal.   I think too that maybe a knee brace would help as well.  It won't hurt.    Hope this helps you.   LAS















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