Sports injuries. What do you do to come back quickly after an injury in the knee?
Generally there are two types of sports injuries. Acute injuries or overuse injuries, which have built up over time. The damage is typically localized to the fingers, shoulder, groin, knee and ankle, depending on the sport. Injuries often require consultation with sports clinic, medical or physiological processes, and how treatment can be lengthy. Sometimes the required reorientation of training, technique, joint flexion position or the like and other times it must be a medical or surgical treatment. Depending on the type of injury can it be necessary to set physical activity, which many fail, which could make the situation much to be.
Acute knee injury
An acute injury to the knee can occur in many different situations such as crash on a bike, physical activity or other. The pain will usually occur abruptly at the moment you are injured, but they can also show itself in the hours after the swelling when the knee comes. It is important to correct the damage is treated to reduce the complexity of the process after the injury. Always make sure to compress the knee, ie putting elastic Vol circular on the knee and put ice on top of this compression in increments of approximately 15 min. Search doctor to clarify the extent of damage.
Damaged cruciate ligament
The damage can be caused by a full or partial tearing of the ligaments of the knee such as ligaments. In this case, you will initially see swelling in the knee and later feel a looseness in the knee. This means that you have difficulty controlling it during weight-bearing functions such as walking, climbing stairs and the like. If you missed the anterior cruciate ligament will typically find it difficult to control the knee during stair walk down the stairs and has damaged the posterior cruciate ligament will typically have problems up the stairs. Cross band need not be completely skipped to have these problems. By a partial lesion of the ligament is also often laxity in the knee. In connection with a cruciate ligament injury, there may also have been an injury to the ligaments on the sides of the knee, which can be examined in a test of doctor or physiotherapist.
Operation of the cruciate ligament
The aim of surgery is to make the knee more stable, so you avoid other injuries. If you are bothered by knee pain, do not expect that this change in operation, with less pain because you have such a meniscus injury or that the damaged ligament is trapped. The operation is performed as keyhole surgery, which means that the new ligament is inserted in the knee guided through a camera. You will then only have 5 small scars. The new wrapper is taken from the tendon between the kneecap and the tibia bone. The middle third of the tendon plus a small piece of bone from both patella and tibia, will serve as your new ACL. It's called 'BTB'. The sampled tendon inserted into the knee joint through a drill canal in the tibia bone and femur bone and attached with two screws. The screws will disappear within 1½ years and will not be removed at a later date. The surgery gives immediately a good stable knee, but you should still be careful and do not cultivate contact sports for about 9 months after surgery. The surgery is performed under general anesthesia.
Rehabilitation after ACL surgery
You can, and must immediately post-operatively using knee What is important is unloaded knæbevægelser. Therefore, to avoid overloading. It is recommended that you stay home home the first day and gradually increase activity as you get better. Listen to your knees. After 2 weeks you can start light training on the exercise bike, so the muscles of the lower legs and thighs are trained. Exercise at least 3 times a week for the first month. After about 4 months you can start jogging, but you should only resume your usual sports activity after about 9 months. After surgery you can because of swelling in the knee and pain expect you to be off sick from work for 3 weeks or longer - depending on the profession. The knee can still raise after several days. This is dealt with corsets, which is placed on the knee in the morning and by night. If there is redness, increased warmth, growing, throbbing pain or fever, you should contact your clinic, family doctor or any hospital. - click to read more about cruciate ligament and other knee injuries >>
The meniscus, which is a cartilage plate lying in two crescents each side between the femur and tibia, it may also be damaged. One can have sustained a tear in the meniscus or torn a part of it loose from its attachment. In such type of injury will be in the process often have trouble "locking tendency" the knee, ie knee gets stuck in a particular position. This is very painful and some may "break" the knee in place to get it moving again. It can also provide a snap in the knee during movement, as if there truly is "one point" you have to in order to perform the movement. When pronounced damage to the meniscus can be in a keyhole surgery "patch" the meniscus with an "arrow". Doctor and physiotherapist can make a series of tests of the knee, which can give an idea of which structures may be damaged, but a scan or laparoscopy may be necessary to turn this quite clearly.
Treatment and surgery of the meniscus
Treatment includes in doubt, relief and rehabilitation of the knee. If the symptoms slowly disappear if there is Locking or if it is obvious that menisklæsionen is a great example, assessed by ultrasound scanning, you have to consider surgery. It will occasionally be possible to put a partially torn meniscus firmly in keyhole surgery. By operation tries to sew the torn meniscal piece solid, which will require a significantly longer rehabilitation period, but probably in the long term reduce the risk of degenerative arthritis of the knee. Usually, removed the torn-off portion of the meniscus. In rare cases, removing the entire meniscus.
Don-Joy and rehabilitation after meniscus surgery
After surgery, you get a shine, an "'Don Joy", on the leg to relieve. The first 2 weeks, a DonJoy be set to the knee can bend 30 degrees and stretch completely. You get crutches home as you do not have to support the leg. DonJoy also be used at night. You must remove it when bathing. In swimming it is a good idea to sit on a chair so you do not slip. The next 4 weeks will be set as your DonJoy knee can bend 90 degrees and stretch out completely. You may now begin to support the leg. It is important to obtain the correct time function as quickly as possible, that is not lame. From 6 weeks to at least 3 months after surgery, avoid movements that strain the meniscus, such as twisting the knee, cycling, climbing stairs with plain "leg switch" and squatting position. And no sports activity during the first 6 months after surgery.
This damage often turn slowly. Ie the pain comes intermittently in small increments at first after longer intervals. They can be provoked by specific activities such as running, climbing stairs or similar. To set the correct diagnosis is important that you can describe the pain and give a picture of how the pain provoked. There may be image of the knee, either by X-ray or scan that can confirm or refute a diagnosis. Typical injuries of this nature is osteoarthritis of the knee, then wear on the articular cartilage and in particularly bad also on bone tissue. The four head knees stretches, as the name says, the muscle that extends the knee and the muscle is divided into four muscle heads. The asymmetry in the operation of these muscles for example 4 where the muscles on the side away from the femur and the knee is stronger than those on the inside, one can incur a wear of the patella back. The diagnosis is called condro-mallacia and is seen frequently in young girls. Pain located on the front of the knee and appears both at rest and during activity. Here it is important to first get retrained thigh muscle symmetrically by making the muscle on the inside stronger. Has arisen wear on the back of the kneecap does not often something about it, but there is a very crooked pull the kneecap, one can make an operation that causes the muscle pull direction on the kneecap becomes less stressful for him. Have you had a sore knee for a longer period, it may be a good idea to consult your doctor for an evaluation - possibly referral to a physiotherapist.
Rehabilitation after congestion
If you have problems with the knee may be useful to work out the structures around the knee and functions of the knee. Prior to such an exercise it is important that, made a thorough examination of the knee. This can be done by a Doctor, Chiropractor or Physiotherapist. One examines the structures in and around the knee and features like mobility, stability and strength. This gives a picture of what to put in with the training. Through training, the functions of the knee recover and possibly pain may be alleviated thereby. For most problems in the knee is a good idea to cycle on an exercise bike with light to moderate load to ensure a good blood circulation in the knee.
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