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Injured Knee Pain, Sprained Knee Ligaments and Knee Treatment Options

September 5, 2010 by drburt

Knee pain is one of the most common orthopedic problems encountered and its rehabilitation depends on the history of its injury. The knee pain can either be chronic or caused by a sudden injury. Runners usually experience pain due to sprain after they run or jog. If it’s a sharp and sudden pain, this could be caused by a torn ligament and this needs an immediate medical response. Other times though, the injury is caused by strain and the treatment for this can start right at home. For strained knee, resting is the first step to take the strain off. Then, apply ice on the area for short intervals at a time, 15 minutes on and 45 minutes off for every waking hour. Do not apply ice for longer then 15 minutes as it could damage your skin and create a reverse effect. After icing the affected area, wrap it with a bandage for compression. Then, elevate the injured area as you rest it. These 4 steps are called the RICE or Rest, Ice, Compression & Elevation method. If following the RICE method does not work, you must see a medical professional for proper knee rehabilitation.

If the knee injury is not caused by strain, it can be caused by rheumatoid arthritis, osteoarthritis, or an injured ligament. If ever you notice stiffness after running, you may need to speak to a medical professional for a proper diagnosis. He will then perform physical examination and perhaps an x-ray or an MRI to see what’s really causing the problem.

If the pain is caused by an injured ligament, you will be prescribed to take proper rest and wearing of a brace. The knee brace is useful as it helps in preventing further injury to the knee which could definitely worsen the problem. The brace would be providing you with support that can reduce your discomfort while doing activities such as walking or while exercising for its rehabilitation. Brace is also used by professional athletes even when there’s no injury as this will prevent them from having the injury in the first place.

Osteoarthritis is unfortunately incurable. Anyone can suffer from this and it is similar to arthritis but affects the knee’s cartilage which then weakens the articulate surface. Treatment for this condition ranges from taking anti-inflammatory drugs to wearing of a knee brace and even surgery. Of course the severity of the condition is greatly considered before going to the last resort which is surgery.

Rheumatoid arthritis is not like the other forms of arthritis. This is caused by a disease in the auto immune system as the body attacks itself. Just like osteoarthritis, anyone can suffer from this, even children. It can be a hereditary disease and kids suffering from knee stiffness after running should consult a doctor. Treatments for this condition are with the use of a support and/or taking of medication.

At my clinic I use PT modalities (Electric Stimulation and Moist Heat combination, Ultrasound, Erchonia PL 5000 Cold Laser, Elastic Wrap, CMT (Certified Massage Therapy) and Manual Chiropractic Adjustment when applicable). Electric Stimulation helps to bring the pain level down in the first couple of week of the therapy and heat brings more blood to the injured area as well as allows it to be more relaxed for the next step. Next modalities are Ultrasound or Erchonia PL5000 Cold Laser. I alternate them with every other session. Next patient sees my CMT for 15 minutes only if there is mucle strain around injured knee. My massage therapist breaks the scar tissue down and moves injured knee through its natural Range of Motion. After massage I adjust knee’s patellar if tendonitis is present and wrap the knee with elastic wrap for a better support.

If you are diagnosed with any of the conditions above, your doctor would go for the most conservative treatment first. This means proper rehabilitation is the first option before they consider surgery. It is a last resort and cannot even guarantee success all the time.

Below is 3D MEDICAL ANIMATION – It is one of the best presentatons on Youtube.

Knee joint is the most complex articulation of the human body. It supports almost the entire body’s weight, while allowing wide flexion and extension movements together with rotation when the knee is in flexion. To accomplish these functional features it has a very complex anatomical structure.

Question: What did you do when you had knee injury? Was the treatment helpful?

Questions/Answers #1-#5

August 17, 2010 by drburt

#1 Falling asleep on arm numbness?

Lately I have been waking up just about every night with a tingling, numb arm because I have been falling asleep on it. I figure it becomes like this because the circulation is cut off. Can this be potentially dangerous or hint toward something of greater significance and severity?

Answer:

Thank you for visiting and asking a question. Sleeping for a prolonged period of time on your arm will cut-off a blood circulation to your upper extremity. As a result you will experience symptoms such as: tingling, numbness and loss of sensation. Central Nervous System (CNS – Brain) has a unique defense mechanism. When it senses that your body is in danger it will alarm you automatically. In your particular case your CNS sent you a wake up message. This is not dangerous if it happens only because of the sleeping position. You have to try to change sleeping positions and patterns and the problem should go away on its own. However, if you have something like TOS (Thoracic Outlet Syndrome) misaligned Clavicle and even Subluxated Vertebrae in the early stage, the symptoms you experience could be because of these conditions. Please have yourself checked by a local chiropractor when you get chance. Hope you feel better.

#2 My ankle is the size of a softball. Help?

Today at camp I rolled my ankle pretty bad in one of my games. It hurts so bad when I stand on it for even a second :/ What are some tips and pointers you can give me to ensure a speedy recovery? And have you ever sprained an ankle really bad before??? Your help will be greatly appreciated thank you!! 🙂

Answer:

Hello, The severity of your injury depends on how badly you have hurt the soft tissue that supports your ankle. From you description it sounds like it is pretty severe due to the size of the swelling you have described. At this point and time I would use ice – 15 minutes on and 45 minutes off every waking hour. This will help to keep inflammation under control. Pick up your phone and make an appointment with your orthopedist or local chiropractor. Most likely your doctor of choice will have XRAYS done on your ankle and order MRI. XRAY will help to rull out a potential fracture and MRI will help to see how sever is the sprain/strain of your ankle. When diagnosis is established you should start rehabilitation process. Assuming you did not rapture your ligaments or tendons I would recommend the following – PT modalities such as Erchonia Cold Laser PL 5000, Ultrasound, and Electric Muscle Stimulation followed by deep tissue massage from CMT.

If your tendon or ligament has severe tear arthroscopic surgery is inevitable.

#3 I thought I pulled a muscle but….?

A couple of weeks ago I was at the gym as usual running on the treadmill, towards the end of my session, I started to feel a pain which is centered on my left buttock. Since then I have not been able to run at all as it is too painful & sometimes I can feel a discomfort just walking around normal or sitting.
At first I thought i pulled a muscle but since it’s now been two weeks… I think it is probably something else.
Thanks

Answer:

From your description it sounds that you have Sacroilliac Joint (SI) misalignment. When SI joint is subluxated symptoms will get worse upon walking. The reason why pain level goes up is because SI joint plays a very important and active biomechanical role in a walking process.

You can self diagnose if your SI joint is misaligned. Stay in front of the mirror with your eyes closed and march in one place for 5 seconds. When you are done marching open your eyes and look at your – 1) ear level, 2) shoulder level, 3) hip level. If one side of your hip is higher than the other your SI joint is misaligned. An even better way is to have someone else take a digital photo of yourself with your eyes closed. You will be able to see it for yourself how the shoulders and neck compensate for your SI joint problem. I would suggest to see your local D.C. and fix the problem in a couple of sessions.

#4 A Fourth Sprained Ankle?

I sprained my ankle twice in the past year. One time I slid on ice and sprained on side in late February and then in March sprained the other side as well as the first side. During June I wore an ankle stabilizer so I would not injure it again in PE but in July the pain came back and went away in a few days. Now I can’t really walk that great on it. I told my Mom but she says it’s fine. After injuring it in Feb and March I was prescribed physical therapy but it isn’t covered by insurance unless it follows a surgery. Does anyone think I may have injured it for a fourth time??
~~~Sorry for the long description.~~~

Answer:

Most likely you have a flare up of an old injury that has never been properly rehabilitated. Weak ligaments and tendons are very easy to injure again. Post traumatic soft tissue fibrosis makes your soft tissue less elastic. Since you do not have insurance I would suggest to find local CMT get some deep tissue done on your ankle. MRI of your ankle would tell the entire story, but it is very expensive. Also Cold Laser therapy by Erchonia PL 5000 and Ultrasound will be able to get some good results. Those modalities should be available in your local D.C. office.

#5 Should I still work if I have a herniated Disc in my back?

I just had an MRI done and found out not only do i have a disc protrusion in the lumbar section of my lower back, I also have chronic arthritis in my spine and degenerative disc disease. Is it good for me to continue at a job that I have to lift heavy objects repeatedly?

Answer:

Repetitive heavy lifting will accelerate the degeneration of your lumbar disc and osteoarthritis. As a result it will cause more pain and your ability to perform Activities of Daily Living. It would be great if you could find a different place of employment that does not require repetitive lifting. You can also ask your employer to provide a modified duty for you if such is available.

What is Whiplash?

July 31, 2010 by drburt

Personal injury is a term often used to describe an injury most commonly caused by a car accident. It may also include other types of injury such as a slip or fall. Whiplash is most commonly associated with rear-end car collisions in which the heads of those in the front car are suddenly snapped back and forth by the impact. It is more accurately called cervical acceleration/deceleration (CAD) trauma or syndrome, which describes the rapid movements that can injure the vertebrae of the neck and the muscles and ligaments that support them.

Who suffers from whiplash?

Anyone can be subjected to whiplash, even in a low-force car crash at speeds as low as 5mph. But injuries associated with whiplash can also result from other mishaps in which the head is pushed or jerked beyond its normal range of motion. Whiplash most commonly causes serious and lingering neck pain, but there may also be back pain, headaches and dizziness. As much as bruising of the brain can sometimes occur in auto accidents. Severe cases of whiplash, may include symptoms such as blurred vision, ringing in the ears, nausea and numbness.
[Read more…]

Car Accident Injury and Chiropractic

June 2, 2010 by drburt

People who got into a car accident and survived should consider themselves very lucky. Some injuries caused by a motor vehicle accident can cause lifetime damage to the body and no amount of treatment could get one back to one old self at 100% copacity. Still, by getting the right treatment, you could get back as much motion and sensitivity to the damaged body part than none.

The severity of the car crash injury varies from the impact and the passenger’s safety while inside of the car, but the most common car accident injuries are on the face and head, brain, neck, arm and shoulders, back, foot, leg and knee as well as with the psychological injury or post traumatic stress disorders. Of course death is also a possible result of a very traumatic car accident injury. For those who had injuries that are non-life threatening, there are many treatments that will help in reducing the pain and swelling as well as for rehabilitation to gain back movements and senses. Such treatments include physical therapy as well as chiropractic treatments.

Whiplash is a very common injury suffered during car accidents where there is a sudden neck distortion. In fact, it’s one of the most common injury when two vehicles collide. Whiplash car accident injury was not easily detected in the past because soft tissue injuries were hard to detect using x-rays or radiographs. Now with MRIs, ultrasounds and CT scans, such injuries are now detected. All of the car insurance companies cover Whiplash injury rehabilitation. However, in the past it was considered as a fraud or a lie when patient complain of pain where no bones were broken.

Chiropractic rehabilitation is a great choice of treatment to remedy whiplash and accident related injuries. Many patients suffering from whiplash reported faster recovery and less pain with the help of chiropractic treatment.

Whiplash injury is evident when the patient feels pain in the neck, shoulders, lower back , jaw, headache, anxiety and fatigue. Chiropractic treatments help the patient by helping in the restoration of the movements of the spine as well as by reducing the muscle spasm, pain, iflammation and avoid fabrotic tissue foramtion. Chiropractic treatment also heals the ligaments and tendons that had been affected by a car accident injury. The chiropractic treatment don’t only relieve the patient of pain but it also helps in preventing any long term effects from the autombile collision.

Please take a look at this High Impact Rear-End Collision – Neck Injury VIDEO:

Most of the time, in order to get the best possible result, chiropractic treatment is combined with other specialists and modalities. After a course of chiropractic rehabilitation a patient can rereferred for therapy sessions of Physical Therapy, Acuputnure and Medical Doctor. In my office each treatment consists of chiropractic manipulation and physiotherapy modalities in the form of menual traction, moist heat, electrical muscle stimulation, ultrasound, Erchona PL5000 laser and myofascial release for the relief of muscle spasm and pain.

Car Accident Statistics –

Car Crash Stats: There were nearly 6,420,000 auto accidents in the United States in 2005. The financial cost of these crashes is more than 230 Billion dollars. 2.9 million people were injured and 42,636 people killed. About 115 people die every day in vehicle crashes in the United States — one death every 13 minutes.

In 2003 there were 6,328,000 car accidents in the US. There were 2.9 million injuries and 42.643 people were killed in auto accidents.

In 2002, there were an estimated 6,316,000 car accidents in the USA. There were about 2.9 million injuries and 42,815 people were killed in auto accidents in 2002.

There were an estimated 6,356,000 car accidents in the US in 2000. There were about 3.2 million injuries and 41,821 people were killed in auto accidents in 2000 based on data collected by the Federal Highway Administration.