Question:
Hi, 2 months ago I’ve been hit by a cyclist, his pedal gave quite a shock to the inner part of my knee. The patella absorbed almost all the shock. I had no much pain right after the shock, but now, 2 months later, I still feel some symptoms that come and go. I feel discomfort, or light patella pain when I squat, go down stairs, or sit or stand without holding myself to something. I also feel soreness when I touch the knee while sitting for very long, and occasionally a deep pain "burst" that stay just for a second and go, if I do some special movement. Physically, the patella seems pushed inside (wrt other knee) on the inner side, and there is also a little bump. So its shape has been modified. I’ve seen 2 doctors… with 2 different answers 
Doctor 1: do some stretching exercises, and if they don’t work, then physiotherapy. Doctor 2: nothing to do: it will cure with time. Exercises may worsen your case. I’ve done the exercises for some time: the discomfort and light "rubbing" pain when I squat kept coming and going. It didn’t seem to resolve the problem, even after nearly 1 month of hamstring and quadricep stretches. I stopped these exercises 3 days ago, and then the soreness came back, and sometimes more discomfort come haunting me like 2 months ago. I’m starting to be impatient and worried. How long should these ennoying symptoms take to go? Can anyone out there help me? I don’t deserve that; that cyclist ran his red light, therefore I want to get rid of that pain to get out of this nightmare… HELP! Thanks in advance Louis-Luc
Response:
I have no answers for you Louis, but did want you to know that I saw your note. Which kind of doctors have you seen? Were they both PCP’s or was one a sports guy and one a surgeon or ortho or rheumatologist???? Duckie – Hide quoted text — Show quoted text -> From: legue…@canr.hydro.qc.ca > Organization: IREQ http://www.ireq.ca/ > Newsgroups: > alt.support.trauma-ptsd,alt.support.arthritis,alt.support.chronic-pain > Date: Wed, 11 Sep 2002 22:43:21 GMT > Subject: Shock on patella: varying pain > Hi, > 2 months ago I’ve been hit by a cyclist, his pedal gave quite a shock to the > inner part of my knee. The patella absorbed almost all the shock. I had no > much pain right after the shock, but now, 2 months later, I still feel some > symptoms that come and go. I feel discomfort, or light patella pain when I > squat, go down stairs, or sit or stand without holding myself to something. > I also feel soreness when I touch the knee while sitting for very long, and > occasionally a deep pain "burst" that stay just for a second and go, if I > do some special movement. > Physically, the patella seems pushed inside (wrt other knee) on the inner > side, and there is also a little bump. So its shape has been modified. > I’ve seen 2 doctors… with 2 different answers > Doctor 1: do some stretching exercises, and if they don’t work, then > physiotherapy. > Doctor 2: nothing to do: it will cure with time. Exercises may worsen your > case. > I’ve done the exercises for some time: the discomfort and light "rubbing" > pain when I squat kept coming and going. It didn’t seem to resolve the > problem, even after nearly 1 month of hamstring and quadricep stretches. > I stopped these exercises 3 days ago, and then the soreness came back, and > sometimes more discomfort come haunting me like 2 months ago. > I’m starting to be impatient and worried. How long should these ennoying > symptoms take to go? > Can anyone out there help me? I don’t deserve that; that cyclist ran his > red light, therefore I want to get rid of that pain to get out of this > nightmare… HELP! > Thanks in advance > Louis-Luc
Response:
louis-luc, you mentioned seeing two doctors, what was the diagnosis and prognosis? was it diagnosed as a bone bruise, a contusion, a patella tendon bruise, menial bruise or what? does it swell? did either recommend alternating ice and heat? or exercising your knee a hot whirlpool? it is difficult to say what will help you. i do hope it gets better for you. kate <legue…@canr.hydro.qc.ca> wrote in message
news:dGPf9.161$Go6.54306@charlie.risq.qc.ca… – Hide quoted text — Show quoted text -> Hi, > 2 months ago I’ve been hit by a cyclist, his pedal gave quite a shock to the > inner part of my knee. The patella absorbed almost all the shock. I had no > much pain right after the shock, but now, 2 months later, I still feel some > symptoms that come and go. I feel discomfort, or light patella pain when I > squat, go down stairs, or sit or stand without holding myself to something. > I also feel soreness when I touch the knee while sitting for very long, and > occasionally a deep pain "burst" that stay just for a second and go, if I > do some special movement. > Physically, the patella seems pushed inside (wrt other knee) on the inner > side, and there is also a little bump. So its shape has been modified. > I’ve seen 2 doctors… with 2 different answers > Doctor 1: do some stretching exercises, and if they don’t work, then > physiotherapy. > Doctor 2: nothing to do: it will cure with time. Exercises may worsen your > case. > I’ve done the exercises for some time: the discomfort and light "rubbing" > pain when I squat kept coming and going. It didn’t seem to resolve the > problem, even after nearly 1 month of hamstring and quadricep stretches. > I stopped these exercises 3 days ago, and then the soreness came back, and > sometimes more discomfort come haunting me like 2 months ago. > I’m starting to be impatient and worried. How long should these ennoying > symptoms take to go? > Can anyone out there help me? I don’t deserve that; that cyclist ran his > red light, therefore I want to get rid of that pain to get out of this > nightmare… HELP! > Thanks in advance > Louis-Luc
Response:
Louis, you may have damaged the medial meniscus. You can do this by yourself, extend your leg fully then rotate your foot to the center next step is to try to flex your knee, also do the same with the foot rotated outwardly if you feel pain in the knee you will have a clue as to having meniscus problems either medial or lateral.Next test is to place your hand over your Patella find the bottom edge then find the top place your fingers in position to hold the patella in place, now try to flex your quadriceps muscle while keeping the patella from moving if the pain is to great and you cannot hold the patella in place you have probably damaged the underside.At any rate, if any of these test are positive you may need to have an arthrogram or CT and possibly arthroscopic surgery. See an ORTHOPEDIC DOC. Best of luck,NSAIDS will give some relief, the stronger the quadricep the better the knee functions!! John De
Response:
BOLOID27 <boloi…@aol.com> wrote: > Louis, you may have damaged the medial meniscus. You can do this by yourself, > extend your leg fully then rotate your foot to the center next step is to try > to flex your knee, also do the same with the foot rotated outwardly if you feel > pain in the knee you will have a clue as to having meniscus problems either > medial or lateral.Next test is to place your hand over your Patella find the > bottom edge then find the top place your fingers in position to hold the > patella in place, now try to flex your quadriceps muscle while keeping the > patella from moving if the pain is to great and you cannot hold the patella in > place you have probably damaged the underside.At any rate, if any of these test > are positive you may need to have an arthrogram or CT and possibly arthroscopic > surgery. See an ORTHOPEDIC DOC. Best of luck,NSAIDS will give some relief, the > stronger the quadricep the better the knee functions!! John De
Hi John. The orthopedist doctor I’ve seen made the 2 first knee flexes (foot outwards and foot to center) for me and I didn’t feel pain. Can you explain me more in details the movement to try while holding the patella in place? Do I stand up, sit or lay down to do this movement? Is it like normal quadricep stretches (bending the knee), but while holding the patella? Can I hold it quite firmly? Thanks for precisions. Meanwhile, pain has gone! I only feel some light rubbing sometimes (not always) when I squat, go down stairs or sit w/o holding, or sometimes when moving my leg after it’s been bent tight for a long time. If I redo any of these movement right after, it’s perfect, so when there’s rubbing it’s always at the first occurence. If I stand up and alternatively bend each knee, I feel some light asymetry as how each knee bend. I mean I have a feeling one leg might be a bit longer than the other (the one shocked), or some light unbalance, but I don’t remember whether I was like this already before the shock. Louis-Luc
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