Treatment Options For Knee Injuries
As you can see there are many possible causes of your non-injury related knee pain and swelling! As always, we at OhMy.Health recommend that you see your trusted health care practitioner who should do a through examination of your knee joint.
These exercises for knee pain are safe to do for almost all knee conditions, but if in doubt check in with your physical therapist.
If you have any swelling in your knee joint, you should also follow the tried and trusted RICE protocol. It stands for Rest, Ice, Compression, and Elevation.
If you have been unlucky enough to sustain a knee ligament or meniscal injury, you will find lots of specific knee injury related content covered in our knee meniscus and knee ACL videos where there are great physio approved exercises and loads of good tips and information in Karins videos.
Remember to join up for our newsletter, so that you can keep yourself informed, always be the first to know when our new exercise videos are released and enable you to always be kind to your joints!
References
Can Surgery Be Used To Treat Heart Failure
In heart failure, surgery may sometimes prevent further damage to the heart and improve the heart’s function. Procedures used include:
- Coronary artery bypass grafting surgery. The most common surgery for heart failure caused by coronary artery disease is . Although surgery is more risky for people with heart failure, new strategies before, during, and after surgery have reduced the risks and improved outcomes.
- Heart valve surgery. Diseased heart valves can be treated both surgically and non-surgically .
- Implantable left ventricular assist device . The LVAD is known as the “bridge to transplantation” for patients who haven’t responded to other treatments and are hospitalized with severe systolic heart failure. This device helps your heart pump blood throughout your body. It allows you to be mobile, sometimes returning home to await a heart transplant. It may also be used as destination therapy for long-term support in patients who are not eligible for transplant.
- Heart transplant. A heart transplant is considered when heart failure is so severe that it doesn’t respond to all other therapies, but the person’s health is otherwise good.
Can Knee Pain Radiate Up Leg
When you have sciatica, you may experience the following knee symptoms:
In the front, sides, or back of the knee, a hot sensation, sharp pain, or dull ache may be felt. A person may also experience Having difficulty bearing weight on ones knee.
Knee weakness, especially when trying to straighten the leg, is also a common symptom of sciatica.
If you suffer from sciatica, you may also suffer from knee pain, buttock, thigh, calf muscles, and foot pain. Most frequently, sciatica pain will only affect one leg at a time, so pain in both knees is rare in this case.
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Lower Leg Bone Fracture
A bone break or fracture in one of your lower leg bones may be caused by falling or by a traumatic blow to your leg, such as a car accident.
This injury may cause severe calf pain. Additionally, your lower leg may be quite swollen, making it difficult to walk or bear any weight on your leg.
A complete bone break can cause your leg to look deformed. This can also happen if the broken bone does not heal properly. To prevent this from happening, you may need a cast or, in some cases, surgery.
Treating A Baker’s Cyst
Treatment will not usually be necessary if you have a Baker’s cyst that is not causing any symptoms.
Painkillers such as paracetamol and ibuprofen can be used to reduce the swelling and relieve any pain. Bandages or an ice pack may also help. A bag of frozen peas wrapped in a tea towel works well as an ice pack.
If you have an underlying condition that’s causing your cyst, it’s important that the condition is properly managed. The cyst may disappear when the condition causing it has been treated.
In some cases, it may be possible to drain the cyst. Surgery may also be needed to repair any significant damage around the knee joint.
Page last reviewed: 11 June 2018 Next review due: 11 June 2021
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What Causes Severe Knee Pain
In most cases, severe knee pain comes on suddenly. It is typically accompanied by other symptoms such as swelling, instability, hot, red skin or there may be an obvious deformity of the leg, depending on the underlying cause.
Here we will look at the common causes of severe knee pain. We will look at how they present to help you work out what is going on and then what you can do to treat it.
We will also look at what signs to watch out for that indicate there is something serious going on that requires immediate medical attention.
Discomfort Aching And Tightness In The Knee Grating And Pain Behind The Kneecap When Bending The Knee Or When It Is Exercised After A Period Of Rest
May be due to chondromalacia patella. In this condition the cartilage on the underside of the patella softens and deteriorates. Some people are able to ignore the condition, but it will not improve and will probably need surgery. Sometimes an unstable flap of surface cartilage may cause this pain, and may be curable with simple keyhole surgery and a chondroplasty.
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Muscle Tendon Injuries Mcl And Lcl Injuries Acl Injuries And Meniscus Tears
Muscle Tendon Injuries
Almost all of these strains are treated with ice, elevation, and rest. Sometimes compression with an Ace wrap or knee sleeve is recommended, and crutches may be used for a short time to assist with walking. Ibuprofen or naproxen can be used as an anti-inflammatory medication.
The mechanism of injury is either hyperextension, in which the hamstring muscles can be stretched or torn, or hyperflexion, in which the quadriceps muscle is injured. Uncommonly, with a hyperflexion injury, the patellar or quadriceps tendon can be damaged and rupture. This injury is characterized by the inability to extend or straighten the knee and a defect that can be felt either above or below the patella . Surgery is usually required to repair this injury.
Except for elite athletes, tears of the hamstring muscle are treated conservatively without an operation, allowing time, exercise, and perhaps physical therapy to return the muscle to normal function.
MCL and LCL Injuries
ACL Injuries
Meniscus Tears
My Knee Hurts When I Straighten It And Put Pressure On It
If youre here, youre probably asking: My knee hurts when I straighten it and put pressure on it. Why? Well, we come across this question fairly often and there are at least 9 possible reasons for this.
Some of them are harmless and could resolve on their own with some rest, like patellar tendinitis.
Others need physical therapy and maybe surgery to get better, like a ligament tear.
Whatever the case, this list has you covered with 9 common conditions so you know what to do next.
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Where Is The Sciatic Nerve In The Knee
The sciatic nerve is located between the pelvis and the foot. This nerve is also the largest nerve in the body. Sciatica of the knee occurs when the nerve becomes damaged and causes pain in the knee area. There are two types of sciatica of the knee: acute and chronic .
You only have one nerve that passes through your knee that is at risk of compression. Its the peroneal nerve, a branch of the sciatic nerve.
As the knee moves back and forth, the peroneal nerve travels along with these muscles. Occasionally, a peroneal nerve can be compressed or stuck alongside any of these muscles. When these muscles are stuck, it can cause inflammation or injury and, consequently, pain outside the knee.
Treatment And Prevention Tips For Pain Behind The Knee
When you experience knee pain that doesnt go away within a day or two, you should seriously consider health care. Here are a few tips on protecting your knee in situations where you might have a minor knee injury or experience reoccurring knee problems.
- Avoid activities that cause pain
- Apply ice
- Keep knee raised to bring down any swelling
- Sleep with a pillow underneath or between your knees
- Avoid running up and down stairs walk carefully
- Dont forget to warm up before exercising or engaging in sports
- When you run, do it on smooth, soft surfaces instead of rough pavement
- Swim instead of running
- If you are overweight, consider ways to lose a few pounds
- Make sure you wear well-made running shoes
- Consider shoe inserts for better arch support
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How Does Sciatica Of The Knee Happen
Knee sciatica can have several causes. Prolapsed discs are common culprits for sciatica in the knee. There is a possibility that the material that makes up the vertebral disc can leak out, resulting in pain that can extend down as far as the knee.
Infection, bone disease, spinal stenosis, malignancy, and trauma are just some of the additional causes of sciatica.
Sciatica is characterized by body pain originating in the lumbar spine and spreading to areas along the sciatic nerve path, such as the knee. Depending on the severity of the injury, you may also experience pain in your buttocks, back of your thigh, calves, and feet.
It is essential to consult a professional as soon as you are experiencing symptoms of sciatica of the knee. Several tests might be necessary, including X-rays and MRIs or CT scans.
When Should You Call The Doctor For A Knee Injury
Emergent medical care should be sought if, due to injury,
- there is almost immediate swelling in the knee,
- if the bones appear deformed,
- if there is inability to bear weight,
- if the pain is intolerable,
- if there is loss of sensation below the injury site,
- if the foot and ankle turn cold and no pulses can be felt.
Medical care should be considered if a knee injury does not resolve with routine home care, including rest, ice, compression, and elevation . Other symptoms that may suggest the need for medical care include recurrent pain and swelling.
A swollen joint is never normal, and if it is red and warm or if there is an associated fever, more urgent medical attention should be accessed because of the worry of infection being present. This is particularly a warning sign in infants and children, people who have had knee joint replacements, intravenous drug abusers, and those who have compromised immune systems.
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What Is Hip And Leg Pain
Hip and leg pain can have many different causes. Because the movement of the hip joint, lower back, and leg bones are all connected, pain or inflammation in one area can cause problems in another. This is called referred pain.
Types of damage or injury that could be causing hip and leg pain are:
- Bone fractures.
- Nerve damage. Damage to the nerves can lead to neuropathy , a tingling sensation radiating into the legs and extremities.
- Muscle injury or inflammation . Muscle sprains, tears or strains in the lower back, buttocks, pelvis, and thighs can cause hip and leg pain.
- Joint problems.Arthritis can lead to pain in the hip, lumbar or lower spine, and the knee, causing pain that can be felt throughout the lower body.
Heart Failure Treatment Is A Team Effort
Heart failure management is a team effort, and you are the key player on the team. Your heart doctor will prescribe your medications and manage other medical problems. Other team members — including nurses, dietitians, pharmacists, exercise specialists, and social workers — will help you achieve success. But it is up to YOU to take your medications, make dietary changes, live a healthy lifestyle, keep your follow-up appointments, and be an active member of the team.
If you notice anything unusual, don’t wait until your next appointment to discuss it with your doctor. Call them right away if you have:
- Unexplained weight gain
- Swelling in your ankles, feet, legs, or belly that gets worse
- Shortness of breath that gets worse or happens more often, especially if you wake up feeling that way
- Bloating with a loss of appetite or nausea
- Extreme fatigue or more trouble finishing your daily activities
- A lung infection or a cough that gets worse
- Fast heart rate
- New irregular heartbeat
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Getting A Diagnosis For Swollen Knee
Chronic swelling can cause permanent damage to the joint tissue, cartilage and bone. It is therefore important to ask your doctor for advice if your swelling doesnt go down.
They’ll discuss your symptoms and carry out a physical examination.
They may arrange for you to have some tests. These may include an:
They may also arrange for you to have joint aspiration. This is when a fine needle is inserted into the swollen area to check for blood, bacteria or crystals
Evaluation Of Pain In Many Joints
In evaluating joint pain, doctors first try to decide whether joint pain is caused by a disorder of the joints or a serious bodywide illness. Serious bodywide disorders may need specific immediate treatment. The following information can help people decide when to see a doctor and know what to expect during the evaluation.
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What Medications Should I Avoid If I Have Heart Failure
There are several different types of medications that are best avoided in those with heart failure including:
- Nonsteroidal anti-inflammatory medications such as Motrin or Aleve. For relief of aches, pains, or fever take Tylenol instead.
- Most calcium channel blockers
- Some nutritional supplements, such as salt substitutes, and growth hormone therapies
- Antacids that contain sodium
If youâre taking any of these drugs, discuss them with your doctor.
Itâs important to know the names of your medications, what theyâre used for, and how often and at what times you take them. Keep a list of your medications and bring them with you to each of your doctor visits. Never stop taking your medications without discussing it with your doctor. Even if you have no symptoms, your medications decrease the work of your heart so that it can pump more effectively.
How Is Sciatica In The Knee Diagnosed
To make a diagnosis and determine the cause, your doctor will review your medical history and perform a physical exam.
To diagnose sciatica, your doctor will tap on the area around the top of your tibia. This is where the nerve in your knee is located. You probably have a pinched peroneal nerve if you feel shooting pain down your leg.
Diagnosing sciatica also involves getting an X-ray so that the doctor can check for fractures or abnormal masses in your knee.
A knee MRI can confirm the diagnosis and show details of the fractures or other issues in the bones, including masses within the nerves.
The doctor will also test your muscles using electromyography and do a nerve conduction test to determine how fast signals travel along a nerve for a more accurate diagnosis.
Sciatica can be mistaken for the runners knee. Make to get a proper diagnosis from a doctor or therapist.
This medical condition can have several underlying causes, such as cysts and tumors. Injuries in the hip joint may also cause it. Make sure to seek medical care when pain in the knee is reoccurring more than usual.
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Conditions Associated With Pain Behind The Knee
Two common conditions that cause pain behind the knee are:
- a popliteal cyst, also called Bakers cyst
- posterior cruciate ligament injury
A cyst is a collection of fluid inside a thin layer. A popliteal cyst is a cyst in the shallow depression at the back of the knee. Its often linked to other conditions affecting the knee, including osteoarthritis, rheumatoid arthritis, cartilage injuries and inflammation of the knee joint. Many types of injury can cause a collection of fluid. Often it will be a heavy blow to the front of the knee, from falling forwards or playing a contact sport. The natural mechanism of the knee pushes this excess fluid backwards and it collects in the depression at the back of the knee, over time, causing a cyst to form.
A posterior cruciate ligament injury is caused by overstretching or tearing of this ligament, which runs across the knee from the thigh to the shin bone. It often results from a heavy blow to the front of a bent knee, sometimes from falling forwards or during a contact sport, such as rugby. Other typical injuries can occur when the knee hits the dashboard during a car accident or when the leg is over-straightened and the knee is bent backwards. Doctors call this hyperextension.
You can access a range of treatments on a pay as you go basis, including physiotherapy. Find out more about physiotherapy >
Are There Any Complications That Can Develop
If a Bakers cyst ruptures, it can be quite difficult to tell the difference between the ruptured cyst and a deep vein thrombosis in the leg. A DVT is a blood clot that forms in a leg vein. In these cases, it is important that investigations are carried out to exclude a DVT because it can be a serious condition that needs treatment. See the separate leaflet called Deep Vein Thrombosis for more detail.
Very rarely, a Bakers cyst may become infected.
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