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A knee tendon injury occurs when the tendons connecting the muscles to the bones in the knee joint are damaged. This damage can manifest as tendinopathy (a chronic condition characterized by pain and swelling), tears (which could be partial or complete), or strains (overstretched or torn tendon fibres). Such injuries often emerge due to overuse, particularly in sports involving jumping or running, or from acute trauma like falls or sudden impacts.
In India, knee tendon injuries are prevalent, significantly affecting individuals engaged in sports activities. Notably, the knee joint houses 11 ligaments critical for its movement and stability; any injury to these can cause significant pain, discomfort, and impaired mobility. It’s essential to seek prompt medical attention for accurate diagnosis and effective treatment to prevent further complications.
Knee tendon injuries can arise from various factors:
The knee joint is a complex organ composed of 11 ligaments, all working together to ensure smooth movement. However, it’s not uncommon for injuries to occur in this area due to overuse or acute trauma. Here, we delve into the most common types of knee ligament injuries:
A knee ligament injury can manifest through various symptoms; below are some common ones:
Diagnosing a knee ligament injury begins with a physical examination where doctors assess tenderness, swelling, and range of motion in the affected knee.
Imaging tests like an MRI or ultrasound scan can provide detailed images of the soft tissues, assisting in identifying the extent of tendon damage and ruling out other injuries. In addition, X-rays might be utilised to identify any associated bone injuries or fractures.
Treatment for knee ligament injury depends upon its severity. Non-surgical or ‘conservative’ treatments often include rest and applying ice to help alleviate pain and swelling. Physical therapy involving a structured rehabilitation programme can aid in strengthening the knee and improving flexibility. Medications, specifically non-steroidal anti-inflammatory drugs (NSAIDs), are commonly used to reduce pain and inflammation.
In chronic cases, corticosteroid injections might be administered to reduce inflammation. Alternatively, platelet-rich plasma (PRP) injections that utilise components from the patient’s blood may be used to promote healing.
In severe cases where conservative treatments fail, surgical intervention might be necessary to repair the damaged tendon. Shockwave therapy, a non-invasive treatment (uses sound waves), can also be considered to promote healing in the affected tendon.
A knee tendon injury, particularly involving the 11 ligaments of the knee joint, becomes a cause for concern when:
If you experience any of these symptoms, seek immediate medical attention to prevent further complications.
While it’s impossible to entirely prevent knee tendon injuries, especially for individuals involved in sports or those wearing a sports knee cap, certain measures can significantly reduce your risk. Maintaining a healthy weight will limit stress on your knees. Regular exercises focused on enhancing leg muscle strength can provide better support for the knee joint. Warming up before physical activity reduces the risk of injuries to the knee joint ligaments. Ensure you wear appropriate footwear and use protective equipment during sporting activities. If you notice consistent pain below your knee, consult your family doctor or an orthopaedic specialist who can advise you on preventive strategies.
Several myths and misconceptions surround knee tendon injuries:
Myths:
Facts:
Should you experience persistent or severe pain below the knee, difficulty in movement, or a sensation of instability in your knee, it’s advisable to see a doctor promptly. Consulting an orthopaedic specialist is crucial for accurate diagnosis and suitable treatment options like physical therapy, medications or possibly surgery.
When diagnosed with a knee tendon injury, it’s important to ask your doctor:
A knee ligament injury usually takes place when the knee joint is twisted or stretched beyond its capacity. This commonly happens during sports activities, particularly in games that involve a lot of sudden changes in direction, jumping, or running. The knee joint ligaments get strained, leading to an injury.
You might be able to walk even with a knee ligament injury, but it’s not advisable. Walking can cause more damage and increase the pain below the knee. Moreover, walking on an injured knee could lead to issues with balance and stability due to weakened knee joint ligaments.
Symptoms of a knee ligament injury can vary depending on the severity of the damage. However, some common signs include severe pain below the knee, swelling, inability to move the knee joint freely, instability when bearing weight on the affected leg, and hearing or feeling a ‘pop’ at the time of injury.
A sports knee cap provides support and stability to your knees while you’re engaged in sports activities. It helps keep the 11 ligaments of the knee joint in their proper alignment and restricts any abnormal movement that could lead to an injury.
While severe cases of knee ligament injuries require professional medical attention, minor injuries can be treated at home using the RICE method: Rest, Ice, Compression and Elevation. Over-the-counter pain medications can also help manage pain below the knee.
Treatment for a knee ligament injury depends largely on the extent of the damage. A partially torn ligament might heal on its own with time and proper care, while a completely torn ligament usually requires surgery in an operation theatre. Physical therapy is also a crucial part of knee ligament injury treatment.
Yes, certain exercises can help strengthen the knee joint and its ligaments. These primarily include lower body exercises such as squats, lunges, leg presses and hamstring curls. It’s advisable to consult with a physiotherapist before beginning any exercise regimen.
The recovery time from a knee ligament injury varies depending on the severity of the injury, the individual’s overall health, and their adherence to the prescribed treatment programme. It can range from a few weeks for minor injuries to several months or even a year for more serious injuries that require surgery.
While not all knee ligament injuries can be prevented, certain measures such as wearing a sports knee cap, warming up before physical activities, and strengthening the muscles around the knee joint can significantly reduce your risk of sustaining such an injury.
Recovering fully from a severe knee ligament injury can be challenging. However, with proper treatment and rehabilitation, most individuals can regain near-normal function of the injured knee.