Doctor insights on:
Chipped Kneecap Treatment
Should I get surgery or physical therapy again after dislocating my patella twice in 4 months? I also might've chipped a piece of cartilage inside.
Patella dislocation: Difficult question. If you were adequately and completely rehabilitated following the first episode and dislocated again then surgery may be a better and more conservative answer to prevent further damage. If there is possibility of loose body from chipping surgery is highly appropriate. You need to talk frankly with your orthopedist. ...Read more
R.I.C.E: Rest, ice, compression and elevation are the basic things for trauma. Homeopathic arnica can really help as can homeopathic bryonia. Keeping leg elevated helps a lot to keep blood circulating and decreasing discomfort. If pain continues or you have significant swelling you will need to be evaluated. You may find that traumeel also helps. ...Read more
Treatments vary: Treatment of symptomatic patellar cartilage lesions is dependent on a variety of factors, which require a book chapter. Briefly, treatments range from soft tissue balancing and realignment alone to chondroplasty to cartilage restoration ( marrow stimulation, autograft, allograft, cell therapy). Consult with a patellofemoral cartilage restoration specialist. ...Read more
I dislocated my kneecap for the second time in 4 months. Is surgery the main treatment or is rehab still an option?
Depends: Is this due to unusual trauma, contact sports, everyday activities such as climbing stairs, etc. What do the x-rays or M.R.I.s show. Has surgery been suggested or has rehab treatment been ordered by a physical therapist? Do you have hypereleasticity?' As a generalization, in your age group, if feasible, rehab would be preferred to surgery. ...Read more
This depends on ...: What kind of dislocation? I would guess your knee cap slid out of position and when it came back a piece of the knee cap fractured. In this case the knee cap fracture dictates the treatment course. If the fracture is out of position you may need surgery. If it is not, bracing followed by pt can be helpful. Ultimately if knee cap is unstable you may need surgery to repair ligaments. ...Read more
I had total knee revision March. By end April kneecap subluxes. Cause and treatment now.? In brace medial side pull
Exercise/brace/docto: Straight leg raise exercises will strengthen your quadriceps and pull the patella (kneecap) into place. I am sure that you were instructed how to do these after your operation. Lie on the floor and lift your leg up 18 inches with your leg locked straight. Hopefully do this wear combat boot or a weight of some king and hold it there for 40 seconds and repeat. Do both legs and see doctor ...Read more
I fell a week ago&hit right kneecap. Large bruise to left of knee.Hard quarter size lump in middle of bruise. Painful &itching around. Need treatment?
Knee cap injury: Can u still bend the knee at least 90 degrees with minimal pain? Can you lift your leg up off the ground with the knee straight and using only your thigh ( quad ) muscles to accomplish this ? Is it improving with less pain and swelling ? If yes than u can treat with RICE ( rest ,ice. , compression, exercise like simple stretching ) ,if not u should see an orthopaedist. ...Read more
I fell onto my right knee and kneeCAP is numb. Calf and foot are NOT numb. Knee is very bruised but still has full range of motion. Treatment advice?
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