1How to treat a knee injury: what to do if swollen and sore
- 1.1The main symptoms of the disease
- 1.2Severe knee injury
- 1.3Emergency help
- 1.4How is knee injury treated?
2Knee Injury in Fall: Treatment and Recovery
- 2.1The most common injuries of the knee
- 2.2Knee Injuries at Excessive Exercises
- 2.3What knee joint damage can develop after a fall?
- 2.4Injury of the knee: meniscus
- 2.5Injury of the knee: ligaments
- 2.6Fracture of knee bones
- 2.7Treatment of various knee injuries
3Injury of the knee - with a fall, treatment
- 3.1Symptoms of this damage
- 3.2What kind of treatment is needed?
- 3.3What is a knee injury?
- 3.4The main reasons for the fall and not only
- 3.5What can I do at home?
- 3.6Rehabilitation and recovery after trauma
- 3.7The consequences of such injuries
- 4.1Symptoms of injury
- 4.2Diagnosis of knee injury
- 4.3Treatment of knee injury
- 4.4What kind of doctor should I contact?
5How to treat a knee injury at home?
- 5.1When falling on the knee, a tumor or bruise
- 5.2We provide first aid
- 5.3Effective folk remedies
- 5.4Treatment of knees when falling, without leaving home
- 5.5What are the consequences of knee joint injury?
6Knee injury - closed traumatic damage of soft tissues
- 6.1Symptoms of a knee injury
- 6.2Treatment of knee injury
How to treat a knee injury: what to do if swollen and sore
The bruise is quite common among children and adolescents, as they play mobile games, engage in extreme sports and often forget about protecting elbows and knees. Such a trauma is most often caused by a strong fall or impact due to a collision.
Including a bruise can be obtained in the winter with careless movement on the icy road.
Likewise, people are injured by careless running, even if there is no obstacle to jogging.
Especially injured athletes, whose trauma occurs due to a strong and sharp deviation of the shin.
In the medical concept, a bruise is a violation of the soft tissues of a part of the body.
Such a trauma can be easy without fracture and dislocation, and also be accompanied by a fracture of the intraarticular parts of the bones or a dislocation of the knee joint.
In this case, the knee injury can be partial or complete, when all the joints are damaged.
In the case of partial knee injury after a fall, doctors diagnose one of several possible tissue disorders:
- Violation of ligaments of the knee joint;
- Damage to the cartilaginous tissue;
- Violation of the muscles and tendons surrounding the joint.
Knee injury, indicated in the photo, is always associated with injury after falling to the knee, a strong blow to the knee joint area or squeezing limbs as a result of a car accident.
According to the international classification of diseases, this disease is referred to the group in which the diseases obtained under external influence are located.
The main symptoms of the disease
If the knee is bruised, the patient has such basic symptoms as pain and inflammation, you can see that the bruised knee is swollen.
Such an organism reaction, as a rule, develops in any trauma. Doctors diagnose a knee injury based on visible signs.
Also, an X-ray examination is required to exclude fractures and other serious consequences from a fall or stroke if the knee is very sore.
Symptoms may manifestly or poorly, depending on several factors:
- The force of the knee joint;
- The area of the affected surface;
- The angle of the strike;
- Localization of the focus of inflammation.
On how strongly this effect will be expressed, it depends on what symptoms the knee injury will have.
Thus, a knee injury can have the following symptoms:
- Pain sensations in the knee, which become stronger during movement or during palpation.
- The bruised patella is swollen due to swelling and inflammation in the knee joint area.
- Because of the flow of blood that is visible through the skin, the skin surface in the region of the knee joint has a bluish tinge.
- The injured person is very difficult to do leg movements, since the limb is very sore, can not bend and unbend after getting injured.
Severe knee injury
After a severe knee injury, blood is poured into the joint cavity, which has serious consequences if the victim is not given first aid on time.
Therefore, it is necessary to do everything to avoid serious complications and to timely cure the knee joint.
The first symptoms may be that after the fall the knee hurts, and the pain does not pass.
In elderly people, due to trauma, osteoarthritis can develop, which is quite common in people over forty years of age. To prevent the onset of the disease in a timely manner, you should always seek help from a doctor who will prescribe the necessary treatment.
In some cases, the bruise is accompanied by rupture of ligaments within the knee joint. Including with a strong impact, the patient can tear off the patella.
In this case, treatment at home is contraindicated, it is necessary to do the operation. For this reason, if you are severely injured, you can not delay, emergency first aid and a doctor's call are required.
Treatment of a knee joint injury depends on how badly the knee is injured and how quickly the first aid was given immediately after receiving the injury. Therefore, it is important to know what to do with a bruise, so that the trauma does not have serious consequences.
- Emergency assistance to the victim is to maximally immobilize the injured knee and Apply cold to the site of the bruise to prevent hemorrhage to the knee joint and periarticular tissue.
- During transportation of the victim to the medical unit, doctors should introduce an anesthetic drug to stop pain and prevent the development of pathology due to trauma.
- Upon admission to the hospital, the patient is punctured with a knee joint to reveal the accumulated blood in the cavity. During the procedure, blood is sucked through a thin syringe and the joint cavity is rinsed.
- Treatment continues with the introduction of hydrocortisone in the joint to protect the patient from the development of osteoarthritis. Including this drug reduces pain and helps with inflammation.
- In addition, the injured physician can prescribe arthroscopy to visualize the joint cavity with the help of endoscopic equipment. This allows you to find out if the ligaments are damaged inside the joints.
- In the case of rupture of ligaments, an emergency operation is prescribed.
After this treatment continues at home. In order not to damage the knee joint and accelerate the restoration of damaged tissues, it is immobilized with a fixative bandage.
How is knee injury treated?
To bruise finally cure, it is necessary to use the recommendations of a doctor who will tell in detail how to treat a knee injury.
Invaluable help is provided by various ointments and compresses, which must be applied every day to the site of the injury for several weeks.
The most famous drugs are Diclofenac and Indomethacin.
Do not forget about the folk remedies that speed up the treatment. The most effective are ointments with pork fat and plantain leaves.
Also, doctors recommend using an ointment or a decoction from a saber. To prepare the ointment, you need to grind the leaves of plantain, shift them in a similar amount of fat.
The resulting mixture is insisted in a cool place and treated damaged areas three times a day.
The first days after injury, you can apply a cold compress to relieve swelling and relieve pain. If the pain persists for a long time, the doctor can prescribe the analgesic preparation Ketanov, Nurofen and others.
In order to quickly resolve the hematoma, Lyoton ointments or Heparin ointment are used. They help reduce swelling, dilute blood and stop the inflammatory process.
In addition, a week later the doctor appoints a physiotherapy treatment to speed up the rehabilitation process. In particular, methods of alternative medicine that are actively used to repair damaged tissues are considered effective.
If you follow all the rules and recommendations for treating the injury, the injured knee will be fully restored in about a month. With complications, the period of treatment lasts much longer.
After recovery, regular medical exercises are prescribed to the patient, which strengthens the ligaments and muscle tissues, normalizes blood circulation and strengthens the body.
As a recovery of motor activity after injury, it is recommended to visit the pool as often as possible. However, the load needs to be increased gradually so that there is no overstrain.
A source: http://sustav.info/travmy/ushiby/pri-padenii-ushib-kolena-lechenie.html
Knee Injury in Fall: Treatment and Recovery
Knee injury is, perhaps, one of the most frequent troubles that people have to face. After all, the knee joint carries a heavy load and is responsible not only for walking, running and jumping, but also for many other movements.
The most common injuries of the knee
Due to the fact that the knee joint has a rather complex structure, many components can be injured in it - ligaments, muscles, cartilage and bones. Depending on this, the following types of damage are shared:
- the easiest is a bruise that occurs after a stroke or fall;
- a knee injury associated with stretching ligaments or tendons supporting and connecting the knee cap;
- rupture of the meniscus (it is an elastic septum between the upper and lower bones of the joint);
- damage to ligaments;
- cracks or fractures in the kneecap, in the lower part of the femur or in the upper part of the peroneal and tibia, arising after a fall or stroke;
- dislocations in the patella (occurs infrequently).
Knee Injuries at Excessive Exercises
Each knee injury, from the above, arises as an acute condition as a result of physical impact on the joint.
But some of them may be the consequence of prolonged loads or repetitive actions.
For example, cycling, climbing stairs, jumping and running can provoke irritation or inflammation of one or another component in the knee joint.
In medicine, several types of damage are attributed to this type:
- bursitis - inflammation of synovial bags that soften friction between the bones in the knee joint;
- tendonitis (inflammation) or tendonosis (tears) of tendons;
- Plyk syndrome - twisting or thickening of ligaments in the knee;
- the patellar-femoral pain syndrome - occurs after excessive loads, excess weight, trauma or birth defects of the knee cup.
What knee joint damage can develop after a fall?
But the most frequent is a knee injury in the fall, expressed as a bruise, and a crack or fracture of bones.
Bruising, by the way, can be different in severity - from a simple hematoma or abrasion on the skin to a condition in which the blood accumulates in the joint from the blood vessels that burst after the stroke. Such a condition in medicine is called hemarthrosis.
And in this case, the victim, as a rule, complains of pain in the knee and difficulty walking, and the joint significantly increases in volume and under the skin sometimes visible bruise. Often, due to the accumulated content in the joint, the patient can not unbend the knee to the extremity.
Most often the symptoms of a joint injury gradually disappear even in the absence of treatment. If, even after a long time, there is a violation of the knee and impassable soreness, then the victim needs a full examination to determine the consequences of the injury.
Injury of the knee: meniscus
A direct knee strike about something solid or leaping to the feet from a great height can also cause another damage - the crushing of the meniscus between the joint surfaces. And with a sudden movement (during uncoordinated bending or unbending the leg), the meniscus can completely detach from the joint capsule and break.
By the way, lesions of the lateral meniscus (on the inner side of the tibia) are 10 times less common than the medial (from the outer side). In this case, the victim experiences severe pain in the joint, the leg can not be unbent. To this will later join and hemarthrosis, as with a severe bruise.
Injury of the knee: ligaments
Often, in conjunction with damage to one or both menisci, the anterior cruciate and / or tibial collateral ligament protrude.
The reason for this can serve as a blow to the joint, and sharp uncoordinated abduction of the shin in combination with its movement outward.
Externally, sprains or ligament ruptures are manifested by severe diffuse pain in the limb, restriction mobility of the leg, the reflex tension of its muscles, swelling around the joint, the formation of effusion and phenomena hemarthrosis.
After a knee injury involving damage to the ligaments, the injured leg should be kept in a raised position position on the cushion or platen from the clothes, the knee is overlaid with a fixative (but not tight!) dressing and on 15-20 min. Cold compress (during the day it can be applied up to 3 times). The patient should be immediately taken to a traumatologist or orthopedist.
Fracture of knee bones
After a severe knee stroke or when falling from a height, the victim may show fractures of the patella, the lower part of the femur or the upper part of the fibular and tibia.
The named knee injury is expressed by severe pain, aggravated by the slightest movement of the foot, swelling rapidly forms around the joint, it becomes immobile and noticeably deformed. The patient may have a fever and develop a severe bruise.
If you suspect a fracture of the bones, you should always fix the leg with any long straight object in one position to avoid the displacement of bone fragments.
The leg is bandaged to a homemade tire, and the existing wounds are treated with an antiseptic solution.
To reduce edema and pain to the knee, you can apply an ice compress, which, by the way, hold for more than 20 minutes. Not recommended.
The patient should be rushed to the hospital for further assistance.
Treatment of various knee injuries
If the patient has a knee injury, the treatment will depend on what kind of diagnosis the specialists put in - it can be either outpatient or inpatient. The patient must make an x-ray of the damaged joint or his ultrasound examination.
If an obstruction or pinching of the meniscus is detected, the patient is given a procedure for releasing it.
In the case when this is impossible for some reason, the joint is stretched using a special device.
To stop the pain, the patient is prescribed "Indomethacin" tablets, "Diclofenac" ointment, "Promedol" drug intramuscularly or in tablets.
In severe cases, with a meniscus rupture, the patient is shown surgical treatment.
When the ligaments are stretched, anti-inflammatory drugs (Diclofenac ointment or Voltaren ointment), ointments containing anticoagulants ("Lyoton") are used. To these agents, the "Dimexide" ointment is added, which improves the delivery of the main active substance into the tissues.
Fractures are treated by imposing a special bandage that ensures the immobility of the joint, and in the case of the presence of multiple fragments, an operation is performed to compare them in anatomical order. When the cartilage tissue is damaged, the patient is shown the use of chondroprotectors that help restore it ("Chondroitin "Rumalon etc.).
A source: http://.ru/article/193028/travma-kolena-pri-padenii-lechenie-i-vosstanovlenie
Injury of the knee - with a fall, treatment
A knee injury is an unpleasant phenomenon, as joints are necessary for a person to move.
The knee joint is subjected to greater loads than the rest. After all the whole weight of the body falls on him. Loads often lead to knee and ligament injuries.
Depending on the cause of the injury, they are divided into the following types of knee injury:
- The most common and easy damage to the knee is his bruise. It occurs when a slight impact or as a result of a fall.
- Sometimes a large load (with torque) on the joint leads to a dislocation of the knee (patella).
- Gaps or sprains of ligaments, tendons are caused by lifting the load when flexing the joint, unsuccessful jumps. Injury to the lateral ligaments can be obtained by injuring the joint at the moment when the leg was straightened. Slipping, you can get a sprain if there is a torque.
- Injuries to the meniscus are very dangerous. If a rupture may require surgery. This is an intraarticular trauma in which a person experiences a sharp painful impulse in the joint. In addition, there is limited movement, in some cases this kind of trauma leads to blockage of the joint. Sometimes a meniscus rupture occurs simultaneously with the cruciate ligament rupture. A meniscus injury can be isolated or accompany other injuries in the knee joint. Meniscus rupture occurs in those who previously injured the anterior cruciate ligament. Damage to the meniscus occurs not only as a result of trauma. It is caused by degenerative processes in the joint (due to illness or senile changes in the body).
If the meniscus is destroyed by the disease, then it is enough to lift the leg on the stairs or lightly to get a tear of the meniscus tissue.
- Impaired cartilage. Usually a dislocation or fracture leads to changes in the cartilaginous tissue, its jamming.
- Fractures in the joint zone - a frequent injury in athletes. Elderly people encounter such trauma due to the fragility of bone tissue.
- Cracks can occur in the knee bone or in articulated bones in the joint.
If you suspect any kind of knee injury, you should seek medical advice.After all, at the time of the fall it is difficult to assess the whole danger of injury. And it can lead to serious consequences.
Symptoms of this damage
If a dislocation occurs, a person feels a sharp pain in the joint, the knee looks deformed and swollen. When you try to move your knee you hear a crunch. Sometimes the joint is numb, a person can not make any movements.
With a fracture of the knee cap, acute painful sensations arise. There is a bruise. The knee swells, noticeably, that it is deformed. The person is shivering, the temperature rises.
Move the joint does not work, pain accompanies the slightest movement. With the rupture of ligaments, blood accumulates inside the joint, causing swelling and painful symptoms.
There is limited movement.
Mobility may be impaired. Depending on the severity, the symptoms of injury can occur immediately or after several hours.
The pain can be sharp or weak. Almost always the mobility of the knee joint is disturbed.
The knee can be immobilized or, on the contrary, the leg is too mobile (dangles).
What kind of treatment is needed?
If there is a very strong crack in the knee and any injury to the knee, you need to see a doctor.
After carrying out diagnostic measures and determining the extent and type of injury, the specialist will prescribe the treatment.
In severe cases, surgery may be required. It all depends on the nature of the damage.
When a meniscus is injured, when fluid accumulates in the joint, it must be removed. For this, a needle is inserted into the joint. To fix the joint, use a gypsum langet.
If the joint is blocked, the meniscus should be adjusted. The procedure is carried out under local anesthesia. In the fragmentary fragmentation of the meniscus, it is removed surgically.
Damaged joints try to fix. In gypsum, the leg may be about 3 weeks. During this time, the puffiness decreases and internal bleeding stops.
When the kneecap is displaced, when there is no fracture, it is manually adjusted. In the presence of a fracture, a surgical procedure is performed.
To restore the tissue, a tire is applied to the affected joint (term - 21 days).
To reduce swelling to the joint, apply ice or something cold, pre-wrapping the ice pack into the tissue. To relieve pain, you can enter an anesthetic.
In the hospital, a puncture of fluid in the joint is done. It removes bloody contents, it is washed and injected to reduce inflammation.
Then a joint bandage is applied to the joint, which also serves as a warming agent. In addition, ointments that relieve inflammation are used.
For the joint to recover as soon as possible, physiotherapy is used.
What is a knee injury?
The knee joint is intended for the mobile connection of bones (tibia and femur). It has a complex structure: the bones are connected by bundles, there are pads in the form of cartilaginous tissues (menisci) between the bones. They soften friction and perform a cushioning function.
With the help of tendons, the knee joint articulates with the bones. Any uncomfortable movement or stroke results in injury to the knee and ligament. It can be easy when there is no need to resort to surgery and difficult, when a person can become disabled without appropriate treatment.
The main reasons for the fall and not only
Most often knee injuries are received by athletes. Any kind of sport is traumatic: whether it's dancing, gymnastics or football. To protect your knees, there is an effective method - protective knee pads.
They tightly fit the joint, and with any fall soften the load on it. Choose their size. They should tightly cover the leg, but do not squeeze it.
But not only sport - the cause of damage to the knee joints.
Any person can damage it if it fails to jump from a height or falls on a hard surface, hitting a foot.Jumping from a height can not land on elongated legs. This leads to various damages. A direct blow to the joint also leads to its deformation.
What can I do at home?
Easy types of injuries are treated at home. With a slight swelling of the joint, apply ice. In the first day - two must avoid hot compresses, shower. This leads to increased edema. The joint is triturated with ointments. You can prepare an alcohol tincture from plantain, mother-and-stepmother.
Alcohol compresses are placed before sleeping on inflamed joints. The most important thing is to rest your injured leg. If you have to walk, then use crutches or walking stick, so as not to strain the patient's joint.
It can be pharmacy ointments or herbal tinctures on alcohol. Compresses are used for a long time (2-3 weeks).
Rehabilitation and recovery after trauma
After immobilization of the joint follows the rehabilitation period. About full restoration can be said somewhere in a year, when you can return to the previous load.
Rehabilitation includes such procedures:
- To improve blood microcirculation, physiotherapeutic procedures are prescribed: electrophoresis, magnetotherapy, laser therapy, UHF.
- Massage procedures will help to adjust the work of muscles.
- To eliminate muscle hypodynamia, exercise is used. Physiotherapy is the best option. For such exercises use special simulators. The load on the joint is increased gradually.
At home, they perform such exercises:
- sitting on a chair, flexing and unbending the damaged joint (10-15 times);
- You can kick your "bike" (moderate pace);
- small squats (with support);
- to return the stretch to the tendons, sit down on the floor (legs stretched forward) and the trunk try to bend down as low as possible.
All exercises are conducted daily.
At first, 5-10 minutes for exercise.
Visiting the sanatorium allows you to undergo a course of rehabilitation, and restore the mobility of the joint.
The consequences of such injuries
Even a bruise can lead to serious consequences.
They sometimes lead to such consequences:
- Accumulation of liquid. If immobilization and fixation do not give a result, the liquid arrives, it is necessary to pump it out.
- A meniscus rupture can cause a person's disability.
- The rupture of ligaments disrupts the motor activity of the joint.
- Fracture of the kneecap causes loss of support function of the foot.
- Infection of the wound during an injury can cause purulent bursitis. And his treatment requires surgical intervention.
- Stiffness of the joint.
- It is impossible to bend the knee.
The human body is very complex. Therefore, any trauma can lead to unexpected and very serious consequences. While doing sports, do not overload your joints. After all, a trauma can permanently disable even the most inveterate athlete, the option is worse - you can forget about sport forever.
A source: http://GidPain.ru/travma/kolena-vidi.html
A knee injury occurs due to the strong impact of the traumatic factor on the knee cap. Most often, this is a closed trauma, in which the integrity of the skin is not disturbed.
Suffering from knee injury is most often children and athletes, but even an adult can injure the knee accidentally.
As a rule, children can injure the knee during active games, and adults - during ice, when falling from a height, with a domestic trauma, etc.
A severe bruise of the kneecap is a common trauma, but there is no prevention of it.
A knee injury can happen at any time. This injury threatens to deform the cartilage and further loss of physical activity, which is especially important for athletes.
Therefore, if a bruise with complications, or with a bruise, pain from which does not pass more than one week, it is necessary to continue treatment in a medical institution, rather than resort to folk methods.
During any injury, several tissues are involved in the process.When the knee is bruised, soft tissues first take over. They are then quickly restored.
In the knee area, soft tissues have a small thickness, so the impact strength is largely taken by the bone. In addition to the skin and bones, muscles, articular ligaments, cartilaginous tissue and vessels suffer.
Muscles during a stroke are most often in a relaxed state, so during an injury, muscle tissue gets damage of varying severity, to which it responds spasm.
Hence the pain that a person feels. Traumatization of ligaments also arises because of a strong effect, as a result of which they can tear, and the joint will be immobilized.
To a great extent, the cartilage suffers, which act as shock absorbers. And with the rupture of a large vessel, blood can accumulate in the joint cavity.
The amount of such blood is often insignificant (about thirty to fifty milliliters), however in some cases doctors also extract one hundred and fifty milliliters.
Symptoms of injury
Symptomatology with a knee injury is clearly pronounced, so the diagnosis is easy enough. The most common symptoms are:
- severe pain - pain occurs for the first time during an injury to the knee. In the future, the pain becomes noticeably less, and if there is no serious damage, the pain may even subside. If the skin is damaged (a scratch, a wound), then the pain sensations will be further associated with this effect;
- a tumor - it arises practically at any impact, but in some cases it will not be so noticeable. Slight swelling may be associated with skin injury, but a rapidly formed large tumor can be a consequence of hemorrhage (hemarthrosis) or outflow of joint fluid (synovitis);
- restrictions in movement - with a strong knee injury, the victim can not unbend his leg, tries to spare his leg while walking, do not rely on it;
- in some cases, the appearance of a hematoma, if the impact of the impact of blood vessels. As a rule, bleeding from small vessels ends in five to ten minutes, and from a large one - last for more than a day. Fresh bruise will have a blue-pink color, and after a few days the stain will begin to change color from brown to dirty-yellow.
As a rule, the symptoms of a knee injury go away by themselves, but if until the end of the first day after the bruise, one of the above signs is still found, thenit is necessary to address to the traumatologist to exclude more serious consequences of a bruise - cracks and fractures of bones.
Diagnosis of knee injury
Diagnosis of knee injury as such is not difficult. After the injury, the above symptoms occur.
A simple bruise most often occurs when you strike on a straight front surface of the knee, but when you hit the tangent, the possibility of trauma to the meniscus is great.
However, in the diagnosis it is important to assess the condition of the lesion and possible more serious injuries.
For this, first of all the doctor pays attention to the condition of the patella, femoral, fibular and tibia. With diagnostic purpose, the patient is given a radiograph of the knee joint.
Assessing the ligaments, the doctor is based on the physiological mobility of the knee, the absence of edema and severe pain. If the knee is all right, then damage to the ligaments is excluded.
Recent knee injuries are important to distinguish from meniscus damage. Symptomatics are very similar, as soreness and swelling, even from a minor injury, will still persist for a while. The same symptoms also occur in meniscus lesions.
In order to make the correct diagnosis, conduct magnetic resonance imaging of the knee, ultrasound, arthroscopy.
Since these diagnostic measures allow you to assess not only the state of the meniscus, but also the ligaments, then it is also necessary to check the ligaments.
Treatment of knee injury
With a knee injury, it is important to provide first aid. So, the actions after the injury should be as follows:
- Restriction of the load on the knee joint;
- Applying cold to the knee (ice, a bottle of cold water, special packs). This will help not only to relieve the pain, but also will prevent the development of edema. Cold can be applied periodically for two to three days;
- Anesthesia. If the application of cold did not bring results and the pain is still strong, then you can give the victim a tablet of analgin, ibuprofen or ketorol. Helps to relieve pain and diclofenac injection intramuscularly;
- Imposition of a tight bandage for the purpose of complete immobilization. The dressing should not strongly pinch the joint, providing a full flow of blood through the vessels. Well, if you have an elastic bandage at hand, but if you do not have it, you can use any improvised material;
- To give the affected limb an elevated position.
After the first aid is rendered, the victim is transported home with subsequent supervision of the affected limb.
If the next day the soreness persists, then anesthesia can be repeated with the help of non-steroidal anti-inflammatory drugs. They have an excellent analgesic effect.
Among such drugs we note oxygene, indomethacin, diclofenac, ketorol.
If the knee injury is accompanied by a hematoma and a strong tumor, the victim is transported to a medical institution. Most likely, this tumor is a complication of a knee injury called hemarthrosis - the outflow of blood into the joint cavity.
Clinical signs of hemarthrosis appear within two hours, therefore by the time of visiting the medical institution the doctor can easily determine this complication.
As a rule, with hemarthrosis, pain in the knee region is very strong, it swells, swells, the victim can not rest on his leg. If the hemorrhage comes from a large vessel, then it significantly stretches the joint capsule, going there.
With palpation of the knee, one can feel the movement of fluid under the fingers. The general condition of the victim is much heavier than with an uncomplicated injury - the temperature may rise, the patient is restless.
In this situation, timely assistance is very important, otherwise the blood will impregnate the cartilaginous tissue, and the resulting clots will provoke inflammation.
To finally verify the presence of hemorrhage, the doctor does a two-projection X-ray and a test for ballotirovanie calyx (when you click on the patella it seems to drown in the liquid, and then himself pops up).
The fluid from the knee joint is extracted with a puncture, then the knee is tightly fixed using a pressure bandage. It is desirable to wear it for about three weeks.
In addition, the patient is prescribed anti-inflammatory drugs and chondroprotectors to restore faster.
The rehabilitation period after the injury, complicated by hemarthrosis, takes about two months.
To eliminate the effects of edema and restore normal blood flow, the doctor prescribes special ointments- heparin ointment, lyoton-gel, etc.
These funds contribute to the restoration of the structure of the vessels, strengthen their walls, help to destroy the smallest blood clots, thus eliminating the clogging of blood vessels.
You can also use a plaster Nanoplast forte, which has analgesic and anti-inflammatory effects. Thanks to the action of the patch, blood circulation in the bruised area improves.
The application of the patch should be applied from three to nine days, depending on the patient's sensations. In sports medicine, a popular remedy is a night compress of zinc ointment.
A good effect is provided by chondroprotectors, such as fermatron, collagen-ultra. These drugs, due to the elements of the joint fluid contained therein, are able to act on the cartilaginous tissue of the knee joint, helping to restore it.
Approximately a week after the injury, it is possible to start physiotherapeutic methods of treatment - UHF, impact by dynamic currents.
It will be useful therapeutic exercise, a course of massage (begin about ten to twelve days after injury).
Treatment of a bruised knee can take a long time, and the painful consequences of a stroke remain from a month to one year.
What kind of doctor should I contact?
A source: http://www.knigamedika.ru/travmy-i-otravleniya/koleno/ushib-kolena.html
How to treat a knee injury at home?
Treatment at home is a knee injury when falling - this is the right decision, but only if there is an easy degree of injury.
But experts still recommend immediately contact a clinic or a trauma center.
We will talk about all the nuances of knee injury treatment in this article.
When falling on the knee, a tumor or bruise
How to be with a swollen knee or bruise, how to improve health, what consequences can there be? As a rule, this is a question for the traumatologist. Because in this case you need the help of a specialist.
But before the arrival of a doctor, it is necessary to conduct procedures and provide first aid before the doctor comes. There is nothing complicated in this, and the risk of complications will be minimized.
If the injury was strong enough, then you will observe the following symptoms: scratches, bruises, pain, painful cones over the knee, bruising, abrasions, subcutaneous hematomas or a wound in the area of the knee.
Also, posttraumatic synovitis may appear (in other words, it is a reaction to a trauma that accumulates fluid in the lumen of the knee), accumulation of blood in the knee cavities (hemarthrosis) or short-term disruption of joint functions, which often comes from pain, swelling or fluid accumulation in the cavity and blood after injury.
Important! To prevent serious consequences, the most correct thing is to come for the help of a specialist, because self-treatment in some cases can cause harm!
The knee can become swollen due to the ingress of blood into the knee joint if the vessel is damaged. As a result, swelling is observed, the knee increases in size.
If you immediately start treatment, you can prevent the appearance of a bruise and avoid a hemorrhage, etc. With a knee injury, there are strong painful sensations until fainting.
Therefore it is very important to know how to treat a knee injury in the home to immediately begin treatment.
We provide first aid
First aid for a knee injury (code for μb 10) is the first step to a quick recovery. You need to do everything as follows:
- Fix the knee, while choosing the most convenient position.
- Attach a cold towel(moisten with water) or compress with ice cubes, so as to reduce swelling. In addition, in this way it is possible to stop bleeding in the event of occurrence.
- With an open wound, the most important thing is to prevent dirt from entering.
- Apply a tight fixing bandage. To do this, an elastic bandage is suitable, and a special knee joint can also be used.
- Please note that the victim should take a comfortable position to reduce the manifestation of pain.
- To avoid dislocationDo not bend or unbend the damaged leg.
In order not to avoid the appearance of an inflammatory process, first of all take the pill "Paracetamol" or "Analgin." These drugs should be available in every home.
Severe bruise of the knee - what to do, how quickly to cure? In the knee joint there is a large number of nerve endings. After the impact, a severe pain is formed, which does not pass for a long time. Therefore, the very first thing to do is to eliminate the intolerable pain.
Use for this purpose anti-inflammatory non-steroid drugs, for example, "Ketanov". Also, "Fastum Gel" also helps.
Effective folk remedies
Treatment with folk remedies with a knee injury gives a positive result.
For treatment, you need to prepare a homemade ointment according to the following recipe: take the leaves of plantain and grind them well, and after that add as much pork fat and mix.
Apply ointment evenly to the injured knee three times a day.
Treatment of knees when falling, without leaving home
Not many people know what to do with a knee injury. Please see our effective recommendations:
- To remove puffiness, and in order to get rid of the terrible pain, you need to apply a cold compress for a period of at least 3 days (ideally, the procedure is conducted up to five days).
- Apply a tight bandage with an elastic bandage (but try not to overtight, the measure is important). The main thing is that the muscles are relaxed.
- To treat inflammation, an anti-inflammatory, non-steroidal agent should be taken, which should be taken with common medications. For example, the ointment "Indomethacin" can be combined with the drug of the same name.
- To resolve the hematoma, you need to take "Lyoton" or "Heparin ointment". They perfectly relieve swelling, relieve inflammation and promote blood thinning. At the doctor you can get advice about ointments and gels.
- A week after the bruise of the knee, you need to start physiotherapy.
- To restore the lost function, resort to therapeutic gymnastics. The main thing is not to overdo it, because you need to increase the load gradually, and not immediately. It's important not to hurt.
What are the consequences of knee joint injury?
Note that with a knee injury you can be treated at home, but a doctor should be examined necessary, especially for knee injuries in the child and in the elderly, when any stretching dangerous.
What threatens the wrong or untimely treatment: a rupture or inflammation of the meniscus, the accumulation of fluid in the joint cavity, rupture or stretching of knee ligaments, fracture or dislocation of the kneecap, bursitis and this is not the whole list of unpleasant consequences.
Important! In order not to admit the above-described consequences, and in order to get up on your feet - visit a specialist, check the condition of your knee, take a picture as needed.
Consult your doctor about using these or other medications at home. Only a doctor can choose the necessary set of medications for you, and you can already combine it with the use of folk remedies!
A source: http://lechenie-narodom.ru/ushib-kolena-pri-padenii-lechenie-v-domashnix-usloviyax/
Knee injury - closed traumatic damage of soft tissues
Knee injury- Closed traumatic damage of soft tissues in the knee joint area. It is one of the most common injuries, it belongs to the category of light injuries.
The reason is usually a fall or a blow at home or during sports.
Less often, a knee injury is caused due to accidents at work, traffic accidents and falls from a height.
It is manifested by pain, bruising, swelling of the joint, restriction of support and movements. Often accompanied by hemarthrosis. The diagnosis is clarified by X-ray, MRI and arthroscopy. The treatment is conservative.
Knee injury is a closed trauma of soft tissues in the knee joint area, in which there are no obvious damages of intraarticular structures. It can be detected in patients of any age and sex, but children and young people who lead an active lifestyle suffer more often.
A knee injury occurs when a heavy object falls or strikes the area of the knee joint.
In the overwhelming majority of cases, it is a domestic trauma, while the number of adults affected increases in winter (due to ice), and the number of children is during the summer holidays.
In addition, the bruise of the knee often enough becomes a consequence of a sports injury among athletes, football players, hockey players, skaters, etc.
Less often in traumatology knee bruises are diagnosed due to high-energy injuries: traffic accidents, accidents at work, natural disasters, etc.
Contusions obtained in everyday life or when playing sports are usually isolated.
In high-energy injuries, combinations with chest damage, a pelvic fracture, fractures in the bones of the upper and lower extremities, fracture of the spine, CCI, and other injuries are possible. Trauma doctors provide treatment for knee injuries.
Symptoms of a knee injury
The patient is concerned about pain in the knee joint and difficulty while walking. The joint is edematous, its contours are smoothened. On the anterior or anterolateral surface bruises often appear.
An insignificant or moderate restriction of movements is determined.
Despite the fact that there are no serious injuries to internal joint structures with a bruise, the joint tissues react to injury, and this can be manifested by hemarthrosis or synovitis.
With a large and moderate amount of blood in the joint, the fluctuation and balloting of the patella is clearly evident.
With a small amount of fluid, a special method is used: check the symptom of ballotation of the patella, after having compressed the joint from the sides (this helps to increase the severity of the symptom).
The amount of fluid in the joint can vary greatly. On the average during the first puncture it is possible to extract 30-50 ml. blood. In some cases, the hemarthrosis reaches 100-150 ml.
In contrast to hemarthrosis, synovitis with fresh bruises is extremely rare, this symptom is characteristic for stale injuries (prescription over a week). The amount of liquid can also vary.
With a relatively recent damage, exudate is usually liquid, light-straw in color. With old injuries and lack of treatment, the liquid darkens, loses transparency, becomes thicker and more viscous.
Sometimes in the punctate there are gentle delicate flakes.
The primary task in such injuries is the elimination of more severe injuries.
To assess the condition of the patella and articular ends of the tibia, fibula and femur, x-rays of the knee joint are prescribed.
Damage to ligaments is excluded on the basis of anamnesis and clinical examination confirming the absence of pathological mobility, edema and sharp soreness in the projection of ligaments.
Fresh bruises of the knee are often quite difficult to differentiate with meniscus lesions (especially with a fairly pronounced painful syndrome and moderate or significant hemarthrosis), since in the early stages of meniscus ruptures the general nonspecific symptomatology.
Exclusion of meniscus damage is possible with the help of an MRI of the knee joint, joint ultrasound or arthroscopy. These studies allow you to assess the condition of all soft tissue joint structures, so they can be used in the differential diagnosis of bruises with ligament damage. The expediency of prescribing these or those additional studies is determined individually, taking into account specific symptoms.
Treatment of knee injury
The treatment of injuries is symptomatic and generally follows a single pattern. In the absence of hemarthrosis or synovitis, it is sufficient to limit physical activity.
Patients are prescribed a sick leave sheet, recommend walking less and giving their feet an elevated position at rest.
While walking (if this gives a positive effect), you can use an elastic bandage, but only for fixing, not imposing it too tightly to not disturb the blood supply in the area of damage. In rest, the bandage must be removed.
In the first days to the foot should be applied cold (hot water bottle with cold water or an ice pack wrapped in a towel). From the third day you can use dry heat.
In no case can you warm your foot in hot water - this will increase the swelling and can provoke the development of hemarthrosis.
Categorically contraindicated urino therapy! First, this method is unscientific and does not bring practical benefit, but it can provoke irritation and pustular skin lesions.
Secondly, the application of compresses on the knee joint area in some cases causes the development of a recurrent synovitis, and sometimes even a severe "urinary" arthritis.
In severe bruises and bruises of medium gravity, accompanied by hemarthrosis or synovitis, impose a gypsum longevity, recommend limiting the load, prescribe analgesics and UHF.
With hemarthrosis and synovitis, a puncture of the knee joint is shown, during which the fluid is removed and the joint is washed with novocaine solution. If necessary, repeat the puncture in a few days.
After relief of acute phenomena and removal of longa, rehabilitative measures are prescribed to restore the amplitude of the movements, strength and tone of the muscles.
With intense hemarthrosis and intense raspiruyuschih pain can be carried out arthroscopic examination and sanifying lavage joint. In some cases, surgical haemostasis is performed during arthroscopy of the knee joint.
In the process of treatment of professional athletes sometimes carry out processing of damaged hyaline cartilage: the detached fragments are cut off, then the surface of the cartilage is ground.
After manipulation impose a cast, prescribe physiotherapy procedures, and after stopping immobilization, send the patient to the exercise room.
A source: http://www.krasotaimedicina.ru/diseases/traumatology/knee-injury