Balanced approach. We try to take each individual patient as a whole. We take the history of the injury as well as overall conditioning very seriously, this goes along with the examination of the ligaments, areas or pain/tenderness, and ability to illicit pain (making it hurt in the office). Together, we take this information and apply it to your individual life situation to formulate a treatment plan.
Variable. A combination of observation, exam and imaging.
THE KNEE EXAM. PATIENT HISTORY. Circumstances surrounding the current need for a valuation. Yesterday a previous & ongoing injuries, treatments and surgeries to the knee. EXAM. Visual inspection of the joint with testing of range of motion and joint stability. This includes processing how long and discomfort associated with movement. TESTING. If indicated, plain x-rays, CT scans, MRIs & even ultrasound.
Xrays. We start with a clinical examination and xrays. Oftentimes that is enough for a doctor to come up with a diagnosis. Sometimes additional information is needed, like an MRI, or sometimes other diagnostic testing.
History, exam. They will ask questions to get the 'story' about the injury to help them get to the diagnosis. They may also ask questions about other joints to see if your knee issue may be associated with biomechanics or possibly be referred from somewhere else. Then they will examine your knee and likely areas above and below. Then they will come up with a diagnosis and tell you how to treat it.
Knee injury. If you have significant pain, swelling, locking or giving way symptoms then you should see an orthopedist.
Swelling. If your knee is swollen, or if you have mechanical locking or catching, or if your knee is causing you to limp. These are good indications for you to see an orthopedic knee special;ist.
Varies. It varies in part based upon your level of confitioning and whether you are able to avoid obvious injury such as a fall. Over use injuries can include tendon injuries to the patellar tendon and hamstrings. Ligaments that can be injured in a fall can include the mcl, lcl, ACL, and PCL.
Have been struggling with a knee injury for few years been sent from doctor to doctor sharp pains on the front of the knee and behind and my leg?
What injuries exist? Too little, information to, give accurate response. But it is clear that using the knee creates pain. Braces are very helpful, to, stabilize or unload the weight. 10 lbs wt loss can be beneficial, or using a cane in the opposite hand. Topical naiads or injections to the knee. We need a better diagnosis to develop, the best treatment plan.
I have recently got a knee injury. Doctors are suspecting that may be my medial maniscal muscle has been damaged or may be ligament. What should I do?
Meniscus ; ligament. Your menisci are crescent shaped cartilages inside the knee joint space that help protect the joints from friction and prevent bone on bone contact. They can be injured along with the ligaments which connect bones to bones. Conservative treatment includes rest, ice initially, compression, elevation, nsaids and physical therapy. If there is joint instability, functional impairment consult ortho.
MRI. If there is a suspicion (after a physical exam by an ortho surgeon), then an MRI would be helpful to determine if a meniscal tear or ligament sprain.
No brace. Unless you are playing the position of a football lineman, the knee brace is not generally found to have an large affect on knee injuries. In linemen, the carbon fiber braces prevent mcl injuries by spreading the load across the thigh and leg. Most other athletes actually get a quadriceps inhibition from use of the braces and in some cases can facilitate an injury.
None. There are no proven braces that help prevent knee injuries. However, we feel that a hinged knee brace may offer some support for the knee. Hinged knee braces can be found at most sporting goods stores.
None. No braces have been found effective in preventing knee injuries.
Not enough info. It depends on the type and extent of the injury. Have an orthopedist evaluate the knee and ask him/her the same question.
Knee pain. They will take a thorough history of your problem 1st. Xrays will likely be taken. A detailed physical exam will be done by the doctor to evaluate your knee. If the problem is clear at this point, treatment recommendations will be given. This can range from exercises or pt, oral or injectable medications, bracing, etc. If further testing is needed, an MRI might be ordered.
Clinical exam. An experienced orthopedic doctor can assess a knee injury pretty well, just with a clinical examination. Xrays are required to assess the skeleton, and your doctor may need an MRI, for specific findings.
Can I help? If injury, heard a pop, have swelling? Think kneecap subluxation/ dislocation, ligament injury or meniscal tear. If injury but no pop, just swelling and pain? Meniscal tear, ligament injury, tendon/muscle strain. If no injury just pain and swelling? Osteochondral defect, arthritis, meniscal damage if redness/swelling/warmth? Infection, arthritis, gout, pseudogout mri or knee aspiration to dx.
Sports medicine. Sports medicine physician (orthopaedic sports medicine, sports physiatrist, or primary care sports medicine). Can look for board-certified sports medicine doctors.
Sports medicine. You're young. You should see an orthopedic sports medicine knee surgeon.