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  • Q&A with Australian Health Practitioners

    After falling 4 weeks ago, should I still be having knee pain?

    Four weeks ago I fell down a few concrete steps and somehow landed on my right knee, scraping it; the fall happened so fast and I thought nothing of it(thinking back there may have been a pop when I fell). The next day I had a dance competition, at this point my knee was swollen and very unstable; though I still decided to dance on it all weekend. Most of the pain is located at the back of my knee. And it hasn't gotten better. I thought that maybe I had pulled something, but should it last this long? I am dancing around 5 days a week, but I've been taking it easy. Today walking up and down stairs I now noticed pain at the top of my kneecap, but most of the pain again is behind my knee. It's usually not an excruciating pain, but it is like a dull ache. And another thing, I'm not sure if this makes sense... But when I straighten my knee (I have hyperextended knees) or bend it past 90 degrees it feels as if my knee needs to pop or is going to snap. My knee has given out and feels weak...
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    Thanks

    Ben Strachan

    Physiotherapist

    Ben Strachan graduated in 2007 with a Bachelor of Physiotherapy from Charles Sturt University. He has over 15,000 hours experience working as a physiotherapist. During … View Profile

    Ben Strachan 
    Physiotherapist 
    www.ownerhealth.com.au/ascot

    ​Firstly, sorry to hear about your knee injury. As a physiotherapist, I see a knee injury almost every day so I'm aware these can be very painful and activity limiting. 

    From your description I am concerned you've injured you anterior cruciate ligament, and/or medial cruciate ligament. 

    The most important thing, you need an accurate diagnosis. I would recommend a visit to your local physiotherapist so they can perform the following physical tests: lachmans, anterior draw, mcmurrays, and varus & valgus stress test. These tests help to diagnose the knee injury and guide if an MRI is required. 

    Last week I had a client with a similar presentation. The Lachman's and Anterior Draw test were slightly unstable so I referred for an MRI scan that reveal a complete tear of the anterior cruciate ligament and partial tear of medical collateral ligament. 

    Unfortunately your pain location (back of the knee), and symptoms with knee extension are non specific. This could be present in lots of knee injuries. 

    My advice, go to your local physiotherapist today to get a check up and they will send for MRI if required. 

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