Acute Knee  Injury...

› [Knee Injury]
If the knee appears to be deformed,it needs immediate medical attention because it is a weight bearing joint...

Knee injury in the acute phase is varied and complex, so on this page I will talk about the most common acute conditions and how they most often come about, home treatment and surgery…

Immediate Concerns…

Please visit the Knee Joint Pain page to rule out emergency situations before continuing here…

If there is no suspicion of infection and there is no severe trauma indicating a trip to your physician right away…

You might want to start with some in home treatment if you have not already done so…

Please go to the knee pain relief page for instructions on home care and to read about three things that will keep your knee joint healthy, then come back here to read about acute knee injury...

Immediacy with the knee joint is vital; I have seen a minor tear go to a major one very quickly all in the name of 'manning up'…

Your knee is worth your care…


Please dispose of any macho or macha attitudes if you want to heal your knee injury and get back into action as quickly as possible…

And yes I speak from personal experience…

Me and badly surfaced tennis courts have a history…

So, while you are sitting there with your knee on ice, have a read of the rest of the page to get an idea of what might have happened to cause your knee injury…

You won't have absolute certainty until you get an x-ray or MRI is taken, but the more information you can give your treating physician, the more quickly the right decisions can be made to develop a treatment regime for you...


Muscle Strain Or Tear And
The Affect On The Knee…

Taping adds support to a knee that needs additional support during and after injury...

 If your quadriceps or hamstrings (muscles in the front of your thighs and in the back of your upper thigh) are lacking in flexibility, are imbalanced, or are weak, they are subject to tearing during the rapid acceleration or deceleration in sports such as the ones listed below...

  • American football...
  • Soccer (Footy to the rest of the world)...
  • Ice and field hockey...
  • Basketball...
  • Tennis…
  • Rugby (league and union)

If your sport is not listed, think about the way you move when you are competing, does it involve any of these movements…?

If the quadriceps and hamstring muscle groups are torn or injured in some way, this will change the tension on the knee joint...

These muscle groups are responsible for straightening and bending the knee…

So it stands to reason that if a there is a quadriceps or hamstring tear, you must have the muscle tear treated and, at the same time, the knee given extra support and stabilization...

There may be swelling, bruising and drainage in the area of the muscle tear itself and no swelling around the knee initially…


Knee Injury From
A Meniscus tear…

Meniscal tears come in a wide variety...

There are two menisci, one lateral (on the outside) and one medial (on the inside) of each knee…

The meniscus is a shock absorber made of cartilage that sits between the femur (thigh bone) and tibia (shin/leg bone)…

There are two types of tears…

  • Traumatic…

Here we have athletes doing a sudden pivoting and twisting motion during sport that produces a tear…

This type of knee injury is usually treated with an arthroscopic surgical procedure to clear away fragments of cartilage...

  • Degenerative…

With a degenerative meniscus tear, the cartilage has grown soft and weak, or has been over-used and rips...

It will occur during routine or repetitive movement such as jogging...

This occurs in people:

  • Who are over forty...
  • Have not done regular joint strengthening exercise throughout their lifetime...
  • Who attempt the weekend warrior thing…
  • Who may have a poor or excessive diet…

There may also be an arthritic condition involved...

Pain Management is usually implemented without surgery for a degenerative condition…


Knee Ligament
Sprain Or Tear…

Notice how the ligaments are arranged to keep the femur attached to the tibia and you see why twisting and lateral movement is so hard on them...

Knee pain from a ligament tear or sprain most commonly occurs in the ACL- Anterior Cruciate Ligament...

  • With this particular injury there is usually an absence of direct contact; in other words nothing has hit or run into your knee...
  • It is brought about by cutting and pivoting movements and also from landing from a jump…
  • There are also ACL injuries that do involve impact, and these injuries are specific to sports like football, when the foot gets set into the turf and the leg is straight…

In this situation if the there is impact on the thigh, the ACL of the knee can be torn...

Acute Knee Injury Occurs In both Collateral (medial and lateral) and the Posterior Cruciate Ligaments (PCL)…

  • In these locations knee pain and injury will typically be from getting hit in the knee…
  • And the strike or collision will have been forceful enough to destabilize these ligaments...

Please have a look on the diagram and notice the complexity of the knee joint…

Ligaments are tough, ropy cords that serve to bind the bones…

Holding the joint together, they add stabilizing support during movement…

If the ligaments have been strained or torn, the knee injury will have a feeling of being unstable…

Natural Pain
Relief...

Over the counter as well as prescribed pain relief medications are fast acting and potent, but what happens if you need to take them to manage your pain over a period of years, or for the rest of your life...?

You may wish to do some research and look into some natural pain relief remedies that will not have the toxic effects on your internal organs that most pain medications do after a lengthy period of time...

I have provided some basic information regarding supplementation that provides natural pain relief to help get you started - just click on the link below...

Natural Pain Relief


An ACL Tear Will Require
Surgical Reconstruction...

Because of the nature of the ACL tear, it will always require reconstruction surgery...


The anterior cruciate ligament cannot be repaired if it has been torn due to…

  • The blood supply going to the ligament having been damaged…
  • Damage to cells inside the synovial fluid having been damaged…

ACL injuries tend to show up more in women than men and there is no obvious reason why this is; it is one of those things that would require a census type of survey to figure out…

If ACL requires surgical reconstruction, and this is not carried out, there could be risk of continuing acute knee injury problems down the line…

  • Chronic pain…
  • Decreased ability to remain active...
  • Injury to other parts of the knee...

Please bear in mind that if you have a knee injury of this type, surgery cannot be done until the swelling has been resolved…

This is because if surgery is done with an ACL knee injury while it is still swollen, there is a good chance of scar tissue developing in the joint, reducing the mobility in the knee…

That is why you will need to be able to bend and straighten it easily before you can go into surgery…

If the ACL injury is one of three simultaneous injuries in the knee such as what is known as the 'athletes triad', 'unhappy triad or 'terrible triad'…

Also known as a 'blown knee'

  • ACL-Anterior Cruciate Ligament
  • MCL- Medial Cruciate Ligament
  • Medial Meniscus

All injured at the same time…

This picture illustrates the complex system of blodd vessels in and surrounding the knee joint.

 When this happens there is:

  • Immediate acute swelling to the knee...
  • A popping sound may have been heard…
  • Bruising will occur in about two to three days…
  • There will be an enormous amount of pain if moved…
  • Will feel unstable while standing…

Immediately apply R.I.C.E – go to knee pain relief page if you do not know what that is…

And get yourself seen by a doctor right away…

This one can also be counted as an emergency…

Summing It Up
For These Common
Acute Knee Injuries...

Best treatment for knees after the game...

Knee injury comes in a wide variety as the knee is among the most complicated of your weight bearing joints…

What counts most when you have a knee injury is:

  • R.I.C.E. when there is no infection – if there is just go to the doctor right away...
  • Immediacy in getting care...
  • Getting the right diagnostic imaging done...
  • Proper procedure in your treatment regime…

Its no different for any type of joint pain really, but I consider knees a bit special as they are a main weight bearing joint and are central to allowing us to have the mobility for sport, work and everyday life…

› [Knee Injury]

Disclaimer – This is information on joint pain. I teach, but I do not diagnose, prescibe or treat people who contact me. You are responsible for your condition using your own best judgement combined with what you have learned. Just a heads up - bodies carry unusual differences from time to time, in saying that, you could be one of those rare and unusual beings; if you are in doubt, please contact a physician in your area, so you can rule it out.

Move Freely and Knowledgeably and Be Well!

Dr. Jo

P.S...    “Greater certainty of your condition alone can be a powerful form of pain relief.”