A person will definitely know when there's a tear in an ACL! The knee will dislocate when moving horizontally especially if and when one runs or moves quickly! And in such case a surgical procedure is a must! I was a professional Baseball player but my career only lasted 7 game's as I tore the ACL in 1984! And back then it more than not ended a career!
Hey I was playing soccer with my friends and one of my friend pushed me on accident he fall on me while one leg was one the other side and it bent and I heard a pop do you think if it's acl
I been having problem with my knee and I’m not sure what it is my knee feels like a water balloon and the middle is so tender it feel like I tore something I bump my knee on anything and it make me wanna break down
That’s exactly why we put out this video. Many doctors don’t perform these types of tests anymore because MRI is seen as the ultimate diagnostic tool. However, when done properly, these tests can be almost as accurate as an MRI. Nowadays, we really need to take charge of our own care. In my experience, the internet can be a great resource for gathering the information you need to actively participate in your healthcare decisions.
a little knee pain from slipping hiking the other day, better today. Reading comments is tough and I feel bad for some peoples' situations. I hope all heal.
Just recently a week ago had "t.k.r." (total knee replacement) had knee swelling and still doing knee therapy!! I believe I had both severe minicus tears and ruined A.C.L.!!! Thanks so much for breaking the knowledge of the knee problems to an average individual can really understands the do's and don't of pre-opt knee problems!!!!!
Thank you! Glad to hear that. My colleagues Amy and Ashley did a really fun series on exercises you can do at home for recovery after knee replacement. Check them out here if you are interested: th-cam.com/play/PLsYo8ENYsvpxxxVLPxzxVdNPJstIcSZgz.html
a total knee replacement doesnt have anymore any PCL and ACL lol . they are replaced . also there is no meniscus lmao @ Best Practice Health having no clue
Had pain near the meniscus apex in left knee from over a month the pain reduces with icing and ointments but reduce to only minimum and had not been vanishing away, no traumatic event or anything just overtrained a bit and was worried that I might have either a meniscular injury or an acl after doing these 3 test I was relieved that I had neither. Thank you for such succinct videos. I think I need to properly rest and do icing and take care of it more then it'll be fine.
Sounds like you are on the way to a great recovery! Keep it up. Maybe look up some leg strengthening exercises on youtube (like the Bob and Brad channel) to keep the strain off your knee. In particular, the quads.
@Muslims807 true, icing stops or slows circulation if it's not swollen and will cause it to swell again. Increase water intake. Taking turmeric supplement helped also
I am 60 years old. I love to play table tennis competitively at a club. 6 months ago I felt some pain in my left knee after playing 4 consecutive days, then gym(day 5), then hiking(day 6), then played table tennis again (day 7). I hurt my left knee. My knee had some pain and yet it often clicks if I walk a little fast or twist it. I waited 4 month without playing table tennis then went back after I didn't hear clicking anymore and played 2 months. 2 weeks ago, I went to the gym (day1), then played 2 consecutive days. When I got home, the left knee was gradually getting worse. It felt painful around 3 inches below the knee cap and 1 inch towards the inside. I had to use crutches in order to walk for the 9 days. 16 days gone by, the pain in that area has almost gone, but I feel something inside my knee had some injuries on the lower outer part of the knee cap. When I walk, I don't dare to bend my knee too much because it feels like something is torn there. I would feel a sudden sharp pain when I just barely twist my knee. What happened to my knee?
Well - this video was super helpful. I’ve had some knee pain for weeks and based off this exam at home it’s a medial meniscus injury. Off to the doc I go
I watched this video because I have been recovering from knee and leg injury from a fall last year. I have to say the two of you got my full attention with your easy on the eyes video instructions. That said, you conveyed some very helpful information to give me a little better understanding of how those two parts of the knee function normally. I didn't need the actual tests as I did have an ACL tear injury as well as having some meniscus problems. What this video has helped me see is that the majority of my swelling, pain, and problems have come from my ACL tear and not so much from my meniscus. I am hoping you may have some other videos addressing treatment of these injuries. Thanks for sharing you knowledge.
I'm 76 yrs. My left knee pains alot when walking and some funny noise and I have compressed nerves which sometimes I get numbness on the legs. I'm going to try and follow the instructions.
hi, Nancy. I’m sorry you’re having so much trouble. Clearly you have back problems as well as knee issues. That usually requires two very different doctors. The clicking and pain in the knee is potentially from a torn meniscus. Have you had an MRI? The numbness in the legs and pain with walking is more likely spinal stenosis. Unfortunately, you can’t see stenosis or narrowing on an x-ray and MRI is also required of the low back. Have you had the imaging studies you need?
I've had degenerative low Back pain for years but two months ago I was lifting a heavy setvof rims and I felt something in my back. The next two days I had Back pain. The third day began servere back pain and I couldn't walk. I ended up in the emergency room and was diagnosed with SCIATICA on my left side into my pelvis and down my leg to my knee. It also caused swelling on my left side groin and left knee. The pain was excruciating for weeks. I went on medication and a cane. I lead an active life and an arduousjob and active runner. I believe I need the surgery to maintain my lifestyle.
@Museville1 find a bench up against a concrete wall concrete floor too. Put your legs on opposite sides like a motorcycle push your feet HARD into the floor it will push your back against the concrete wall. Now that your back won't budge AT ALL grab the bench with both hands and pull your upper body down. That will reset your back. You should feel one pop! Then you have properly fix it. Lower back injury by pulling or lifting and avoiding further damage before attemp please. If you can't walk or get up then this may not suit.
@@michealfunickrr3717 Thank you, I still feel some pain and discomfort but I'm able to run two miles and workout now, still not where I was prior to but I'm not able to run days in a row like before the injury.
@@Museville1 another advice is me dealing with my back pain it caused me to need food and i was only able to workout intermittenly. i was on verge of being depressed. I found that i could take a small futon bed and since it was small enough to fit in my doorway i hooked it on my pullup bar and i also hooked a toolbelt that i used to clamp my jaw and side of head i stood on the futon that was hanging in the door way, i used it as a ladder and releaved the stress on my lower back. quite the setup but that was when i was on verge to find the above solution. to be specific it not only allowed me to safely pull my spine it also could swing which i can't tell you how much it helped to releave that pressure because i couldn't afford an inversion device. *put the toolbelt on the back of your neck and clamp it to the sides of your head while it's hooked up. the half-futon is essentially just a ladder to put your feet on and it hangs on the pullup bar. *as if in a way someone grabbed you by the head and picked you up that would hurt after a few seconds.
i now go to the gym and do knee curls and sit-ups. an lifting a medium weight with my back muscles. i'm opposed to using machinery to workout my back it gives the illusion you are stronger than you really are and can get injured bad. good luck. i hope you thouroghly read and understand the steps i took to fix my back. my back is my money.
TY for the info. I've got a torn meniscus & ACL from a traumatic knee twist & fall. Just as you said, I heard the pop. The pain was terrible. I've been using homeopathy for just over 2 months & I'm about 70% healed.
You are not healed whatsoever. Homeopathy might feel nice but does absolutely nothing for the knee itself. Your ACL cannot heal, period. Know that without surgery, you will need extensive physical therapy to gain back stability and strength. Even with that, you are at a higher risk for knee injury without having the ACL reconstruction. So please be careful. And save your money with the homeopathy, it's placebo and nothing else. You can get that cheaper elsewhere.
@@thurmanalexander2676 probably a placebo. Saying that, I'm drinking extra milk and having yogurt, bone soup etc. Foods that are helpful for bones and cartilage. Meniscus damage and Achilles tendon both damaged around 10 months apart both from football related trauma.
Excellent presentation, very clear and easy to understand. I did the test on myself while watching and I now know that I have a lateral MENISCUS tear from playing pickleball too aggressively the first time. Thank you for posting.
i heard a pop when i was playing football, and straghting my leg, retracting it, and turning it sideways hurts a lot i have to keep it at a light bend. this event happened today, what do you think happened?@@BestPracticeHealth
I had to cringe during the “test” because I had knee surgery 5 almost 6 years ago and my knee is permanently damaged from the surgery and worse. At least before hand I was able to walk and run and climb stairs, still to this day don’t know what’s wrong with my knee. Was told I damaged cartilage, but don’t know how true that was and I was so young at the time only 17-18 if I knew than what I know now I would have left the practice and never got surgery. I would have dealt with the knee pain. But at last this video was more informative than any of the 6 orthopedics I’ve seen in the last 5 years! Thanks
In Lachman's testing, flex the knee to about 25 degrees. This allows the greatest degree of separation of the joint surfaces and removes the tension in the hamstring group of muscles. Maintaining the knee in an extended position will retain the tension in the hamstring making the test difficult to prove positive or negative. The hamstring group of muscles performs a similar mechanism to that the of the ACL in that they reduce anterior translation of the tibia. Tension in the hamstrings therefore will restrict anterior translation of the tibia. Thus by, flexing the knee, you will remove the tension in the hamstrings and allow for a much more dynamic test and greater degree of efficiency and accuracy.
Went to the hospital after I couldn't walk for two days, I Had been dancing, I heard 3 loud pops, Go through the outside, inside & inner portion of my knee. I went to the doctor, did some x-rays. (They didnt think i needed an MRI) They told me nothing was wrong with my knee. Minus an abnormality underneath my kneecap. I went home, the best way I can describe what happened then, is what I believe to be my meniscus... rolled out, first on the inside. I had to roll/massage it back in to where it came out of, which stopped the pain. Then as of last night, in the same general area on the outside of my knee it rolled out, 🙃 I had to roll it back Into place.
Remember that meniscal tears and ACL tears are not visible on x-ray. How does your doctor know you don't have one of those? It sounds like you need an MRI. th-cam.com/video/w6S7vX1bwZY/w-d-xo.html
I actually have knee pain coming from injuries in both the ACL and the meniscus of my left leg, the doctor that surgery could be an option, but I didn't want to consider it just yet. So far it's manageable.
Thank you so much for your information. I don't know if i have a meniscus tear or a ACL tear but the symptoms are similar to both of them and it happened when i fell from my bed and my knee hit the tile on the ground then my knee then started to swell up and i couldn't even bend my knee because it hurted but a doctor nearby forcefully bent my knee and it's been almost 4 months and i almost fine but i can't stop suddenly while running or walking cause it hurts my leg for a while and i can not walk properly then and in winters i can feel the pain more often. Hope if you can help me with this 😢(The swelling stopped cause i applied both ice and hot pack)
Never felt any popping or movement when I hurt my meniscus in my left knee, I was walking on a treadmill and went to a light jog and suddenly got a piercing pain on the inner part of my left knee. It felt like someone stabbed my knee with a needle! Worst pain I have ever felt in my life!
I think I have a bad meniscus 😭. I am very sad. Now I can not play soccer and run like I used to 🥺. Do you think it can be healed again like it was before? What can I do to heal it? 🤕🥺😩😞
Great question. It depends on the examiner. Here in the US we end up getting an MRI no matter what, so physical exam skills tend to be secondary. However, if you do them right they're both good, and around the same: www.ncbi.nlm.nih.gov/pmc/articles/PMC4151408/.
Hi there! We were able to answer your question on last week's Q&A episode of Best Practice LIVE. You can view it HERE: th-cam.com/video/7WHPRbIoVCM/w-d-xo.html
Spot on video! I got my knee twisted while playing soccer many years back and got plaster on full leg for 3 weeks but so many years have passed and I still feel mild pain in my knee.
Sounds like a little post-traumatic arthritis! Consider an anti-inflammatory diet. Physical therapy (2-3 sessions per week for 3 weeks) at the mild pain stage can make a real difference in the long run as well. If things keep getting worse then your next step is an x-ray to stage the arthritis.
I tested neg on the McMurray's test at my ortho's office, but, MRI showed a complex meniscus tear anyway. Also have a Baker's cyst. tissue edema, bone contusion & loose bodies. Will have surgery in 2 wks after PT, brace & cortisone shot failed to stop the pain or mechanical symptoms. Had no significant swelling.
Oh, no! That may be a false positive McMurray, but it's also possible the loose bodies and Baker's cyst are causing the pain and the torn meniscus was an old and incidental finding on the MRI.
@@BestPracticeHealth On my 1st exam my knee hurt everywhere. 3 days later I called the office to report I had pinpointed the pain, which was below the knee and to the inside(Medial). The pain has always stayed in the same place. I've had 3 hrs of stabbing pain in the area( about drove me nuts). My surgeon said at this point it is unlikely the pain was caused by the cyst, as he can't feel it on exam. The pain is not posterior anymore, but always on the medial side. I had no pain at all in my knee, until the trauma happened and In 10 min I couldn't put any weight or even stand on my leg, and intense pain, so I know the injuries happened all at once. But my surgeon couldn't rule out that some of the mechanical symptoms could be the result of the loose bodies as well as the meniscus. I think I had no swelling due to the Baker's cyst as it was described as moderate. I had a lot of trauma to my knee and my ortho said it was a MESS! A nightmare injury. I hope the surgery will help as I know some don't, but, my surgeon is experience. Thks !
Thank you for the good contents! I have a question though... what if i feel pain on my knee when going up the stairs at the point where the patellar tendon inserts at the tibial bone? Can someone shed any light on this? Thank you
5/17/23: My name is Sue, 61 years old. I played competitive tennis. While I was playing for state champion last 2 weeks, I jumped to hit a ball I heard my left knee popped. I landed on my right leg and looked at my left knee. My bone and knee cap shifted toward to my body. My partner moved it back and told me to hold it. From the first day that I got injuired, I didn't have much pain unless, I didn't walk properly. My surgeon told me I need exercise to get good knee motion before surgery in next 45 days in the swimming pool. My issue is I have cramp on my left knee (my left calf always get cramp), and I can’t do it. I requested for PT to help me but his suggestion is keep it for after surgery which I agreed. I wish I found you before I saw my surgeon. I hope that you can help me for pre ACL surgery. Appreciate any exercise you suggest before my ACL surgery. Here is my MRI report: Procedure Details: Multiplanar, multi sequential MRI evaluation of the left knee Findings: There is periarticular soft tissue edema greatest anteriorly with large patellofemoral fluid collection and joint effusion. Medial popliteal cyst. Retinacula are intact. Tear of posterior horn lateral meniscus extends to the inferior articular surface anterior horn is intact. Full-thickness ACL tear. Buckling of the PCL Medial meniscus appears intact. Patellar and quadriceps tendons appear intact. Full-thickness medial collateral ligament tear with diffuse soft tissue edema. Bone bruise lateral condyle and posterolateral tibial plateau and posterior medial tibial plateau. Lateral collateral ligament complex appears intact para Impression Bone bruise lateral condyle and posterior tibial plateau with full-thickness ACL tear and full thickness ACL tear.
Hello Dr. , I have knee pain and am diagnosed with moderate joint space narrowing with definitive osteophyte presence in lateral compartment. I am 65 years old. would you suggest me a knee surgery or therapy. Thank you
I had swelling on upper side me knee for 2-3 days was not able to move or fold leg in avobe 40 deg angle - it took 3 days for swelling to go but after that i can feel my knee like slips there is a little sound in it and i if i go in squat position my knee area get like pain and like can break its been 10 days is it a serious problem ??? Or will it heal if i give more time?
My pain is located where the medial meniscus is on my left knee. Mobility is a struggle with continuous walking, like going to get my groceries. I take one crutch with me, to only use when discomfort occurs. I can only step forward with my right leg. My left leg steps to get level with my right leg. I know that to try and step forward with my left leg first, would cause a lot of pain. Its been 5 weeks now, with this condition. I will now try to see a GP, a first time for this injury. Hopefully he or she will refer me to a Chiropractor. Fingers crossed.
Oh, man. You don't need a referral to a chiropractor. They will see you without one. With severe pain after 5 weeks and failed conservative care sounds like it's time for an MRI.
My knee feels like its going to give out on me. Especially on stairs. It's swollen some of the time. I have to be super careful when stepping down of curbs, etc. It's a medical meniscal tear confirmed by MRI. Why were these symptoms described as an acl tear in the video?
The kind of symptoms you’re having sometimes go along with knee instability caused by a torn ACL. But there is definite overlap with meniscal tears. The MRI is the answer. Since you know what’s going on, you don’t have to worry about the symptoms, just getting the right treatment.
So I did have an injury, but I was just walking and stopped abruptly. Seemed like at the time that I had overextended it. It was immediately painful and within seconds I was barely able to bear weight. Iced it with 30 mins. It didn't swell a huge amount, but it was very painful. In the following 3-4 days, I continued to have significant pain and was still unable to bear weight. I called my ortho but they couldn't get me in. I should have gone to the ER, but someone convinced me that they wouldn't anything for me. I continued ice and the pain has reduced significantly, however it does seems to have some fluid in it and it does "catch when I'm bending my often. I am going to see the PA for my ortho doctor on the 25th.
Just reinjured my knee last week by squatting down in an awkward position ! The first time i injured it was 1 year ago and I did hear 2 or 3 pops... This recent injury is not as bad and didn't hear the pop sound . Hopefully i won't require surgery !
The issue which I have is that I can do all range of motions even I have been playing football ever since I have got the injury and probably 5-6 months or more time has passed . But I don't feel pain even while playing and doing all types of motion even I can lock and straighten my knee without any pain or issue but the only issue is that when I'm standing straight at that time I can't completely straighten my right knee like I ca do with my left knee. And whenever I do so while standing straight I feel like my knee is rushing back but at that time also I don't feel much pain it's like almost nil it just gives an unusual feeling with a little little pain which doesn't affect at all. But it's clear that there's a issue but I'm unable to understand what to do as I'm not feeling pain in any part of knee it just feels that it'll go back and locks a bit when I straighten it up that also when I stand straight it doesn't happen when I straighten it up at any other angle. And there is no popping sound and no swelling but I do have knocked knee and and flat foot. SO WHAT SHALL I DO PLEASE TELL? If u can atleast tell which part of my knee has been most probably been injured it will be a great help.
Hmm. I don't know. My first though is that one of your ligaments is injured and the pain comes when you maximally activate that ligament. It could be a meniscus as well. If you are playing football without pain its hard to imagine your knee is unstable. It sounds like you need to be sure you are using your knee safely to maximize the chance of a good and full recovery. That's what a physical therapist typically does.
Hello doctor, here is my experience 1. No popping sound 2. Doesn't hurts while walking, sleeping, sitting. 3. No pain while knee extension or folding. 4. But it hurts really sharp while running. Pain location : While knee extension we see two popsup beside both sides of the knee cap, I have pain in the right one (inner side) .
It sounds like you have Runner's knee, also known as patellofemoral pain syndrome. Runner's knee is a common condition among runners that causes pain around the kneecap. The most effective treatment for runner's knee depends on the underlying cause and severity of the condition. Here are some general recommendations: Rest and ice: Give your knee a break from running or any other activities that aggravate the pain. Apply ice to your knee for 15 to 20 minutes at a time, several times a day. Physical therapy: A physical therapist can help you strengthen the muscles around your knee, improve your running form, and correct any imbalances that may be contributing to the pain. Knee brace: Wearing a knee brace can help support your knee and reduce pain while you're running. Anti-inflammatory medication: Over-the-counter medications such as ibuprofen or aspirin can help reduce pain and inflammation. Patellar taping: Taping your kneecap can help stabilize it and reduce pain while you're running. Orthotics: If your runner's knee is caused by foot or ankle problems, wearing orthotics (shoe inserts) may help. Ask you physical therapist whether or not you should see a podiatrist. Surgery: not indicated given the pain is only when you run.
I have ACL and Meniscus tear, 3 of my ligament is torn due to a fall I had down some steps five months ago.. I also have a Baker Cyst behind the knee which is very painful.. I have a Rt ACL RECONSTRUCTION surgery to be done
Good luck with your surgery. The recovery from ACL reconstruction is long and hard, but most people report great outcome and are able to return to their sport. I wish you the best. Hang in there.
I literally just got a couple of days ago and out of knowhere pain ! When I fully bend or lift at certain angles smh . I can still , walk , jog with no pain haven’t tried running yet
I had a longboarding fall at about 25-30mph where I fell off the board directly onto my right knee at maybe 17-18yrs old. The road boted some big holes in the skin around my kneecap in 3 separate places. One directly in the center of the cap, one on the outside of my cap, and one basically where my acl should be. Of course I couldn't hear if there was a pop as I had headphones in. Fast forward maybe a month or so and on a day where I probably walked 10miles or so, my knee gradually got stiffer and stiffer to the point I couldn't bend it because of how intense the pain was. Had to stop walking and call someone to get me pff the trail. Swelling was intense, had to stay home because of the pain for maybe a week or two at least. This was almost 10 years ago now but to this day I've never mentioned it to a doctor. I KNOW that something is wrong, my right doesn't feel the same as my left in any capacity. Strength, flexibility, range of motion, etc. My right hurts after strenuous activity now when my left doesn't. Would that type of impact potentially cause issues with these cartilages and ligaments? Or would you tear a meniscus/acl from twisting/overextending?
You are at risk for post traumatic arthritis. That is where you knee develops arthritis as a result of structural damage that happened in the long-boarding accident. If you do develop knee pain, you should treat it like any arthritis: get an x-ray to stage it then see the right doctor depending on the stage. Grade 1 or 2 is chiro or primary, grade 3 is sports medicine ortho, grade 4 is joint replacement ortho. Make sense?
Im 19 years old and im struggling with back pain. It has gotten a lot better and if I dont overwork it then in practically unnoticeable, but a couple of days ago my knees started hurting almost out of nowhere. At first it was really bad, couldnt squat, hurt with everystep. Stemming from the inside of my knee and my Left side is way worse. My skin didnt swell, but it became very dark and a dry look. Its gotten better but im not at my peak. I had been playing basketball a lot so maybe it had something to do with it but I didn’t really play very hard. Earlier I had been sitting down for an hour and when I got up my knees felt very stiff.
You are welcome. Yes. We have a lot of content about osteoarthritis. Check out the knee pain playlist ont he channel for more. Or visit us at BestPracticeHealth.tv and look under the Knee menu.
Hi docters. I am facing knee problem from last 2 years I can walk sit and run. But with I try to move my legs during running it's hearting. Kindly suggest me what should I do
"Don’t give up on yourself. Your mind will take the shape of what you frequently hold in thought, for the human spirit is colored by such impressions." - Marcus Aurelius. The next step is an MRI. If you are under 50, meniscal repair may be the best option. Once you have the MRI results, see a surgeon who is double board-certified in orthopedics and sports medicine.
The really cool thing about the McMurray test is doing it properly... 🤣🤣🤣 In fact, if you turn the foot outwards, you're testing the medial meniscus; on the contrary, if you turn the foot inwards, you're testing the lateral meniscus.
Great point! That test is really amazing. Like all tests, it does take some experience to get good. Have you seen our knee interactive? It you know how to do the Mcmurray and Lachman you can get a lot out of it. phoenixspineandjoint.com/knee/
I don't have any pain while walking or jumping but when I deep crouch and lean a bit forward my knee starts to hurt, more I lean forward it hurts more and i don't know what it is, is it serious or not...
How long have you had this? If it’s more than 3 weeks and the pain while crouching limits you get an X-ray. It may be low grade arthritis and a short course of physical therapy could help slow the progress.
Told the doctor to explain to me in automotive terms. He said my shock absorbers are blown out . Gradually came on then got to the point I couldn't bend it. Swollen up. Terrible feeling.
My problem is like sometimes I can run Faster than my friend but sometimes I can't even walk it's kinda werid I have gone to a doctor couple of months ago but he said it's not a big problem. THANK YOU
Hmm. Intermittent knee problems can be hard to figure out. Make sure you do your homework and learn all you can. th-cam.com/play/PLsYo8ENYsvpx0kG1ph7j8y1NFbdgGoUML.html
Hello Doc! I now know for sure I have a medial meniscus injury (Left Knee) based on the McMurray test. I argue this because I feel clicks and pain upon testing on the left knee. In addition, I am a soccer athlete, and I think I may have picked up the injury by kicking the ball wrong. My pain scale originally started as a 7 out of 10 (knee). Now, my question is am I able to recovery without getting any surgery on my meniscus? Furthermore, I mean this by resting, icing, and being inactive for a few weeks in the sport. So far, this method has worked, I have been able to subside the pain in my meniscus. Currently, the pain is now 3 out of 10 since the start of the injury. However, it's been almost 2 weeks now and the pain has been able to go away but gradually/slowly. In your opinion, will I be able to fully recover using this resting method? Or is surgery the only way to fixing the pain/discomfort? Thank you, really helpful video !!
Hey! Thanks for the comment. I'm glad you like the video. Most meniscal tears heal on their own. Your pic looks under 50. You should know that meniscal repair is your best option for avoiding arthritis down the line.
I think I had medial meniscus tear after climbing over couch. I planted left foot on seat of couch and stretched my right leg over back of couch then suddenly felt and heard a loud pop in my left knee as I moved my right leg to the left and instantly fell off couch onto ground with incredibly intense ans overwhelming 'funny bone' pain in my left knee. I couldn't straighten it fully for over a month and had to keep my left leg bent and off ground while using crutches to get around for a few days. I didn't have any bruising though and could bend knee fine. I had to use just the left crutch for an extra week or so before I could confidently limp around with left knee constantly bent looking like a zombie.
I felt a "shake" (likea pop) in my left knee twice last Saturday. It didnt hurt at that moment so I continued running, and even riding my bike. The next day, the back of my knee was already painful, but no swelling. I went to the doctor and had an MRI. It came back clean, meniscus and ACL intact. But my knee still hurts when i walk. And I feel like my left knee is weaker now than my right knee. And what about the "shake" that i experienced? What was that? What do you think is the best thing to do?
With your history of trauma and a negative MRI your most likely diagnosis is a strain. I'm sorry this happened, but it should get better over a few weeks time. In the meantime, please check out this video: th-cam.com/video/Zu_MluaxZIs/w-d-xo.html
I suffer from knee pain.My orthopaedic said that i have an issue with my fibula.I can't run as it feels my knee will pop out.But this problem really surfaced after I was diagnosed with osteochondritis dissecans of the talus bone.
it sounds like you have a complex underlying pathology that may be causing functional instability of your knee. Do you want to see an orthopedic surgeon who specializes in sports medicine for this complex problem.
Ok good i have neither just kind of a pinching minor pain in the inner knee. Hopefully it goes away within the next 2 days because i kinda have an important game ahead 😅.
I dislocated my left knee as a child. It healed and went on my merry way for the 30 years. I was dx’ed with RA. I’m mostly managed with rituxan infusions, but my left knee is always sore and swollen. Never really improves. Could this be from the old injury?
Hi, I've got 55 years hold and never had knee problem before... I'm at the gym 7 days a week and push pretty hard on legs day. I train quads twice a week. Few weeks ago , i began to had problems with my left knee. in the morning its hard to unfold or bend my lleft legs. I stop training since two weeks to rest my knee but I still feel feel it (less pain)... Got to say that I work a lot at my job... The pain came gradually... any idee what it could be or what of those test would be the best to do in my case.... thanks
Pain that comes on without a specific injury in your mid-fifties that is worse in the morning is typical of arthritis. Here is a quick review I wrote of the different causes of knee pain and their usual treatments: bestpracticehealth.tv/knee/knee-pain-treatment-options/. If you have no red flags and home care fails after 3 weeks consider seeing a doctor and getting an x-ray. The rest of your treatment options depend on what the x-ray shows. Check out this playlist for more videos on this topic: th-cam.com/play/PLsYo8ENYsvpx0kG1ph7j8y1NFbdgGoUML.html
Last Monday twisted leg violently,heard/felt large pop,fell on back hit head, screaming, screaming. I went to orthopedic doctor yesterday, scheduled MRI Sunday. I thought meniscus but can not bear weight,swollen big time. I am icing and bracing along with cane. It sounds like an ACL . I would not be able to do any of these tests without tremendous pain. 😮 thank you for the video. Life can be very scary.
Yikes. So sorry that happened. Do you have a compression brace? You can get them on amazon or in the drug store. At least they can give some protection while you wait for the diagnosis by MRI. Check out my knee pain playlist as well. I hope you feel better soon. You've got this.
@@BestPracticeHealth sweet of u to respond. Thank u for the encouragement. I'm just waiting for Monday and the doc. I think I'll try some cbd roll on. Some think that works a bit for inflammation. I use a Breg polar ice machine with frozen water bottles and is great.thanks again
I felt a pop in the side of my knee, outer, I think, and it was followed up with pain, quite quickly. Would that happen to cause a meniscus or ACL (or other ligaments) to tear? Mind you, I was sitting down, crossed my left knee over my right, guess my left knee didn’t like that, and popped. There’s no swelling, though I am a healthy teenager, who had a previous knee injury, patellar tendinitis. I was just curious if just ONE minor event would cause all this pain, burning, sharp, achy?
The root caused of my knee injury for many times when l accidentally twisted my left knee playing basketball way back years (2016). I do not go to any therapy or even surgery because its expensive. I decided to rehab it by myself. After a month, it works good and back. I can walk properly, however, if I run so fast l should make an extra cautious not to get injury again. Same thing like if l play basketball when my left foot landed first where l had my knee has history of injuries. It goes to get injured again. What should l do? Is my knee coming from an ACL tear or meniscus injury?
And this happens several times of injuries. I had a x-ray results - its normal. I do not feel any pain but lf I jump and land first my left foot - my knee will get injured then after 3-5 days it heals fast. lol
It sounds like you have a knee injury that resolved with a normal x-ray. That was probably a partial ACL tear, strain, or a meniscus tear that healed. I know money it tight, but even a few session of physical therapy would be a great way to get back in the swing of things and lower the risk of recurrent injury.
My knee has been hurting even a yr after wearing a walking boot from a foot injury on my right foot. The same left knee I had surgery on years ago it hurting and getting stuck bent and hurts when walking.
Complete ACL tears require reconstruction which involves nearly a year of rehabilitation. A meniscus tear can often be repaired, or at least cleaned out (meniscectomy) with immediate pain relief. While torn the knee is unstable and is therefore a t risk of damage with walking and everyday movement. To me, ACL is far worse. What do you think?
@@BestPracticeHealth I meant in the long term. which one of these injuries can cause more damage to an athlete? can they go back to their old state again and perform without a problem and without decrease in the performance?
Mine was both overtime and an event. Had problems off and on with left side of right knee. But then one day when I was not symptomatic I got up from a floor, planted my right leg to stand and that was the event that started severe pain. That was 22 days ago and although after Ice, heat ibuprofen, etc it's much better but still have that little bump on my knee and can't walk over 10 minutes without getting pain . So now what since it was over time and an event that triggered a relapse?
well, it sounds like you have severe knee pain three weeks after an injury and have failed home care. You meet the criteria for an MRI of the knee at this point. Have you had one? A doctor visit and imaging is your next step. You should have an x-ray before the MRI as if it shows moderate to severe arthritis then, the treatment arm of the pathway is different.
Thank you folks for a great instructional video. I would say mine is the inside miniscus torn in the right leg. Too painful to walk on at the present. Hope it heals on its own. It became really bad in November, then healed up about 80% but then I started doing a lot of outside projects including heavy bags of cement etc. Although this has happened to me several times over the years. Yet 2 years ago I was running without pain. But now I can't even walk without pain. Dont have a lot of cash-o-la and not sure how much medicare will pick up of all of this.
Wow! I'm worried you are not getting the care you deserve. Running 2 years ago and now can barely walk? Medicare covers x-ray, MRI, arthroscopic surgery for a torn meniscus, and knee injection. You need to see a sports medicine surgeon. If you live in Phoenix I'd advise Dr. Phil Bennion. Awesome doctor.
@@BestPracticeHealth is it maniscus tear. I only can feel pain when I walk but when I stand it doesn't hurt. It is not swollen it's just pain when I try to walk
Hey I hit my knee on the edge of a desk really really hard and now it hurts badly from the said when I first hit my knee I couldn’t move my leg for like 5 minutes and now it hurts badly from the side
Not me crying late at night bc this video made me realise I’ve likely torn my ACL in my “good knee” 6 years after a lateral meniscal tear in my “bad knee” instead of my initial assumption of a meniscal sprain 😅 My surgeon from 6 years ago has ordered both X-ray and MRI, which apparently they don’t bother with both with a meniscal tear so yippee!! 🤠
Landed on someone’s foot awkwardly playing basketball. Knee twisted but heard no pop. Kept me out about 4-6 weeks but had no swelling. Still feeling slight discomfort where my patella is but I’m thinking it’s because the muscles are a little weak around the knee. Any idea what I might need to do? got x-rays and everything came back fine but I’m getting frustrated. Any advice would be so helpful!!
It sounds like you have no red flags and are making good progress with home care. Check out the Amy and Ashley exercises on the channel for total knee replacement. They are a gentle way to get back to full movement after a sprain.
Welp😊 that solved all of my knee pain questions, I have a sharp pain with clicking and when I’m walking it hurts to pick up off of the ground and bend so I walk with my leg straight… hopefully we will figure out what it is😕
Did I just injure my meniscus or did I also retear my ACL? I had my ACL reconstructed 6 months ago. The injury happened a year ago when I landed awkwardly after a jump and my knee subluxed. There were also minor tears to my MCL and posterior medial meniscus. Now, five days ago I missed a step while walking down the stairs and landed pretty hard on my surgical leg and I felt a crunching/grinding sensation near the inner side of my knee (different spot from my original meniscal injury). When I injured my knee the first time it was so tender that I could not bear to put any pressure on it until a week after the injury. Also, it immediately got super swollen and I had basically no range of motion. With this recent incident I was able to walk on it immediately afterwards but with some noticeable tenderness in the medial region. I did not notice any swelling until several hours later and it was not nearly as bad as with my first injury. Up until today, it had not been painful to the point where I've needed to use crutches and my knee only started to feel slightly unstable the day after. However, while I was adjusting my sleep position last night, I moved my leg into a position (leg bent at 90 degrees with the inside of my knee facing down and my foot pushing up on my covers) which caused my knee to lock or something and immediately caused an intense ache on the inner side of my knee. Since that happened, my knee has been much more tender and difficult to walk on to the point where I might need to start using crutches. Based on the crunch noise I heard during the incident and the area of my knee that is tender, my gut tells me that I did something to my meniscus. But now I'm a bit worried that I may also have retorn my ACL. At first I wasn't worried about a retear since this incident was not as traumatic as the first one, it didn't cause as much pain or swelling and I didn't immediately feel any instability. However, it occurred to me that my body just might not respond as strongly to a second second ACL tear, especially when it's not my native ACL. That thought coupled with the slight instability I've started to feel in my knee has me a bit worried. I have an appointment to see a doctor at my athletic clinic in one week and they will provide the requisition for an MRI. It will likely take another few weeks before I can get the MRI, meaning might be a while before I get a confirmed diagnosis. Since it's another week before I can see a doctor I was wondering what you guys think is wrong with my knee? And what should I do with it while I wait for a diagnosis?
bummer! The symptoms certainly are concerning for a new municipal injury, or less likely a recurrent ACL tear. Have you considered going back to your Orthopedic Surgeon instead of the sports medicine clinic? Once you’ve had a repaired ligament, it’s really a complicated situation, and the best doctor to care for it is an Orthopedic Surgeon board certified in sports medicine.
I would get an x-ray, and if that does not show moderate to severe arthritis then an MRI of my knee. If you can see what is wrong then you have the best chance of getting effective treatment.
I've got both of the symptoms ,I was kneeling on the kitchen floor for 20min when I got up my knee hurt , the pain would come and go over 2 months when I got on my knee ,then last week I was on my knee for 10 min and I could feel a slight ripping was I went down on my knee ,then a hour later it felt like it was going to give out ,I've been to A&E and they said I need a scan and ga e me a full leg brace ,now waiting for a MRI ,my knee feels solid now and I can't stand for more than a few minutes, also getting static pains above and below the knee?
I had a meniscus tear repair in June. I am in more pain now than before and now walk with a limp. I can’t do anything I used to do. I would never do this again
I'm truly sorry to hear about your continued knee pain six months post-arthroscopic meniscal tear repair. It's frustrating to endure surgery and then find yourself in more pain. Your meniscus should have healed by now, allowing you to resume normal activities. Have you had an MRI of the knee since surgery? It may help show what is wrong. In any even,t since you're still experiencing discomfort, here are some possible reasons: Incomplete Healing: The meniscus might not have fully healed, either due to infection or a technical error in surgery, leading to persistent pain. Re-Injury: It's possible that you re-injured the area, hindering the healing process. Other Structural Issues: There might be other undetected issues in your knee joint. In situations like this, it's crucial to consult a board-certified orthopedic surgeon specializing in sports medicine. If your current surgeon fits this criteria, persist in seeking their expertise. If not, consider obtaining a second opinion from a qualified orthopedic surgeon specializing in sports medicine. Don't hesitate to advocate for your health and find the right solution to alleviate your pain.
Ten years ago I was squatting like a catcher and all of a sudden, my knee felt hot and swollen. Next couple of weeks were the same. Today, I squat like a catcher and after about a minute, when I stand up, the inside of my knee hurts and I can’t straighten it until walk it off. After 15 seconds of walking around I’m back to normal. No pain or anything while walking, running or cycling. You think my ACL is damaged? Torn meniscus? When I stand up I feel pain like something is pinched
It's hard to tell. The confusion with a partial ACL (anterior cruciate ligament) tear arises because both conditions can produce similar symptoms, such as pain and instability in the knee. Physical examination tests, such as the McMurray's test for meniscal tears or the Lachman test for ACL integrity in the video, can be very helpful in diagnosing knee injuries. These tests are often part of a comprehensive examination performed by a healthcare provider to assess knee stability and pinpoint the source of pain. Honestly, given your injury history, whatever happened happened. What you need to worry about is the future. If arthritis is beginning to develop, physical therapy can be very beneficial. Therapists can design a program that helps maintain or improve joint function, reduce pain, and possibly slow the progression of arthritis. For meniscal tears, physical therapy focuses on strengthening the muscles around the knee, improving flexibility, and reducing the load on the knee. Lifestyle changes such as weight management, regular moderate exercise, and joint protection techniques can also play a significant role in managing symptoms and maintaining joint health.
what if i have both? i was competing in a basketball tournament when it happened. for the first few days i cant walk, i cant even bend my knee let alone walk. after the sweeling stopped, i went to the doctor to get it checked and my left knee MRI test shows that i have a full torn ACL, partial torn PCL, and also a torn in both of my lateral meniscus (anterior & posterior). my local doctor said i have to get surgery for both my ACL and meniscus tear, but not for the torn PCL. whats the best course of action for such occasion?
A complete tear of the anterior cruciate ligament (ACL) is typically managed with arthroscopic ACL reconstruction, regardless of any associated meniscus injuries. Given that surgery is necessary, it's an opportune time for the orthopedic surgeon to address any meniscal issues. To ensure you receive the best care, it's crucial to schedule an appointment with a sports medicine orthopedic surgeon as soon as possible. Look for a surgeon who is board-certified and has extensive experience in arthroscopic knee surgery. They will be well-equipped to assess your condition and recommend the most appropriate treatment, which may include meniscectomy or meniscal repair if feasible.
what would cause a knee to catch on the medial posterior Knee when performing flexion to extension. it only happens when the knee is bent beyond 90 degrees, so about 30-45. mechanism of injury was using a seated hamstring curl machine with not very much weight but enough that I think I strained the hamstrings /tendons. when I get the catching sensation I usually put pressure on the hamstring tendon and it releases. Kind of feels like the posterior medial tibia is catching on a tendon as it rotates. There is some tenderness but no sharp pains
i had a similar knee catching sensation when activating the hamstrings and it was due to a complex tear of medial meniscus. i had a partial menisectomy to clean it up
hey, recently i have been having pain in knee for weeks since i accidently bumped it against a wall, i dont know how to fix it, what is it, every time i add weight to it, it hurts, its a very subtle pain with no inflamation, how can i fix it
Clicks, pops, and locking are all signs of a torn meniscus. It could also be the ACL, it’s hard to tell for certain based on this information. I would say it’s been three weeks, if you’re still having considerable pain and you’re not getting better better than it’s really time to consider an MRI scan of the knee. That is the only way to know for sure. The MRI will help you understand if you need additional treatment now, or should we wait it out and give your body more time to heal.
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Crazy how in HS Ashley helped me rehab my knee and now she's helping me again 😂 glad you're doing good Ashley !
Thank you I started therapy yesterday, and I have surgery in 2 week times
A person will definitely know when there's a tear in an ACL! The knee will dislocate when moving horizontally especially if and when one runs or moves quickly! And in such case a surgical procedure is a must! I was a professional Baseball player but my career only lasted 7 game's as I tore the ACL in 1984! And back then it more than not ended a career!
Hey I was playing soccer with my friends and one of my friend pushed me on accident he fall on me while one leg was one the other side and it bent and I heard a pop do you think if it's acl
My knee is not swollen it just I can't move when walking but when I stand up it doesn't hurt. Only when I walk
@@footballlife745maybe mcl or meniscal
@@kriegerhelton1293 thank you
I been having problem with my knee and I’m not sure what it is my knee feels like a water balloon and the middle is so tender it feel like I tore something I bump my knee on anything and it make me wanna break down
This is amazing to me. Went to several doctors with knee pain and not one doctor did any of these test. 😮
That’s exactly why we put out this video. Many doctors don’t perform these types of tests anymore because MRI is seen as the ultimate diagnostic tool. However, when done properly, these tests can be almost as accurate as an MRI. Nowadays, we really need to take charge of our own care. In my experience, the internet can be a great resource for gathering the information you need to actively participate in your healthcare decisions.
a little knee pain from slipping hiking the other day, better today. Reading comments is tough and I feel bad for some peoples' situations. I hope all heal.
That is very kind. Thanks so much for commenting.
Lochman test and Anterior Drawer for ACL. Mc Murray test for Meniscus.
Thanks Dr for elaborate demonstration.
Yes!
Just recently a week ago had "t.k.r." (total knee replacement) had knee swelling and still doing knee therapy!! I believe I had both severe minicus tears and ruined A.C.L.!!! Thanks so much for breaking the knowledge of the knee problems to an average individual can really understands the do's and don't of pre-opt knee problems!!!!!
Thank you! Glad to hear that. My colleagues Amy and Ashley did a really fun series on exercises you can do at home for recovery after knee replacement. Check them out here if you are interested:
th-cam.com/play/PLsYo8ENYsvpxxxVLPxzxVdNPJstIcSZgz.html
You would know if they redid ur acl, trust me…
a total knee replacement doesnt have anymore any PCL and ACL lol . they are replaced . also there is no meniscus lmao @
Best Practice Health
having no clue
For the mcmurray's test an internal rotation of the tibia tests for the lateral meniscus, and an external rotation tests for the medial meniscus.
I really appreciate this video. Watching the meniscus test actually physically hurts me so I probably have a meniscus tear. Thank you
Had pain near the meniscus apex in left knee from over a month the pain reduces with icing and ointments but reduce to only minimum and had not been vanishing away, no traumatic event or anything just overtrained a bit and was worried that I might have either a meniscular injury or an acl after doing these 3 test I was relieved that I had neither. Thank you for such succinct videos. I think I need to properly rest and do icing and take care of it more then it'll be fine.
Sounds like you are on the way to a great recovery! Keep it up. Maybe look up some leg strengthening exercises on youtube (like the Bob and Brad channel) to keep the strain off your knee. In particular, the quads.
I'm really going through that pain right now don't know what to do I'm so worried about it ,,,,too much pain on my knee
Bruh stop using ice on your injured part ice delay the healing process
@Muslims807 true, icing stops or slows circulation if it's not swollen and will cause it to swell again.
Increase water intake. Taking turmeric supplement helped also
@@hardwiredtoself-destructio7614 turmeric works very well!
I am 60 years old. I love to play table tennis competitively at a club. 6 months ago I felt some pain in my left knee after playing 4 consecutive days, then gym(day 5), then hiking(day 6), then played table tennis again (day 7). I hurt my left knee. My knee had some pain and yet it often clicks if I walk a little fast or twist it. I waited 4 month without playing table tennis then went back after I didn't hear clicking anymore and played 2 months. 2 weeks ago, I went to the gym (day1), then played 2 consecutive days. When I got home, the left knee was gradually getting worse. It felt painful around 3 inches below the knee cap and 1 inch towards the inside. I had to use crutches in order to walk for the 9 days. 16 days gone by, the pain in that area has almost gone, but I feel something inside my knee had some injuries on the lower outer part of the knee cap. When I walk, I don't dare to bend my knee too much because it feels like something is torn there. I would feel a sudden sharp pain when I just barely twist my knee. What happened to my knee?
did you ever find out. This is exactly how my knee is right now.
@@skydancerforever I believe I tored the lower MCL and it's very slow to heal.
u need to get on TRT if u want to keep your knees
the torn can get not allow get away
Well - this video was super helpful. I’ve had some knee pain for weeks and based off this exam at home it’s a medial meniscus injury. Off to the doc I go
How is your condition now?
I watched this video because I have been recovering from knee and leg injury from a fall last year. I have to say the two of you got my full attention with your easy on the eyes video instructions. That said, you conveyed some very helpful information to give me a little better understanding of how those two parts of the knee function normally. I didn't need the actual tests as I did have an ACL tear injury as well as having some meniscus problems. What this video has helped me see is that the majority of my swelling, pain, and problems have come from my ACL tear and not so much from my meniscus. I am hoping you may have some other videos addressing treatment of these injuries. Thanks for sharing you knowledge.
Thanks very much for watching! We do have a whole playlist on knee pain. Please check it out.
I'm 76 yrs. My left knee pains alot when walking and some funny noise and I have compressed nerves which sometimes I get numbness on the legs. I'm going to try and follow the instructions.
hi, Nancy. I’m sorry you’re having so much trouble. Clearly you have back problems as well as knee issues. That usually requires two very different doctors. The clicking and pain in the knee is potentially from a torn meniscus. Have you had an MRI? The numbness in the legs and pain with walking is more likely spinal stenosis. Unfortunately, you can’t see stenosis or narrowing on an x-ray and MRI is also required of the low back. Have you had the imaging studies you need?
I've had degenerative low Back pain for years but two months ago I was lifting a heavy setvof rims and I felt something in my back. The next two days I had Back pain. The third day began servere back pain and I couldn't walk. I ended up in the emergency room and was diagnosed with SCIATICA on my left side into my pelvis and down my leg to my knee. It also caused swelling on my left side groin and left knee. The pain was excruciating for weeks. I went on medication and a cane. I lead an active life and an arduousjob and active runner. I believe I need the surgery to maintain my lifestyle.
@Museville1 find a bench up against a concrete wall concrete floor too. Put your legs on opposite sides like a motorcycle push your feet HARD into the floor it will push your back against the concrete wall. Now that your back won't budge AT ALL grab the bench with both hands and pull your upper body down. That will reset your back. You should feel one pop! Then you have properly fix it. Lower back injury by pulling or lifting and avoiding further damage before attemp please. If you can't walk or get up then this may not suit.
@@michealfunickrr3717 Thank you, I still feel some pain and discomfort but I'm able to run two miles and workout now, still not where I was prior to but I'm not able to run days in a row like before the injury.
@@Museville1 another advice is me dealing with my back pain it caused me to need food and i was only able to workout intermittenly. i was on verge of being depressed. I found that i could take a small futon bed and since it was small enough to fit in my doorway i hooked it on my pullup bar and i also hooked a toolbelt that i used to clamp my jaw and side of head i stood on the futon that was hanging in the door way, i used it as a ladder and releaved the stress on my lower back. quite the setup but that was when i was on verge to find the above solution. to be specific it not only allowed me to safely pull my spine it also could swing which i can't tell you how much it helped to releave that pressure because i couldn't afford an inversion device.
*put the toolbelt on the back of your neck and clamp it to the sides of your head while it's hooked up. the half-futon is essentially just a ladder to put your feet on and it hangs on the pullup bar.
*as if in a way someone grabbed you by the head and picked you up that would hurt after a few seconds.
i now go to the gym and do knee curls and sit-ups. an lifting a medium weight with my back muscles. i'm opposed to using machinery to workout my back it gives the illusion you are stronger than you really are and can get injured bad. good luck. i hope you thouroghly read and understand the steps i took to fix my back. my back is my money.
Sorry I missed this. It sounds like you are better? No surgery, right? Give it time and you should get back to full function.
TY for the info. I've got a torn meniscus & ACL from a traumatic knee twist & fall. Just as you said, I heard the pop. The pain was terrible. I've been using homeopathy for just over 2 months & I'm about 70% healed.
You are not healed whatsoever. Homeopathy might feel nice but does absolutely nothing for the knee itself.
Your ACL cannot heal, period. Know that without surgery, you will need extensive physical therapy to gain back stability and strength. Even with that, you are at a higher risk for knee injury without having the ACL reconstruction. So please be careful. And save your money with the homeopathy, it's placebo and nothing else. You can get that cheaper elsewhere.
I'm glad to hear you are doing better. As a science based person I'm not on board with homeopathy. Have you had an MRI?
What medicine has used doing homeopathy to help u heal?
@@thurmanalexander2676 probably a placebo. Saying that, I'm drinking extra milk and having yogurt, bone soup etc. Foods that are helpful for bones and cartilage.
Meniscus damage and Achilles tendon both damaged around 10 months apart both from football related trauma.
Great video! Thank you. I have a torn meniscus and have to have surgery. Thank you!
helpful but it's not possible to do this easily by yourself ... but thanks, it helped
Thank you very much. Appreciate this video.
Glad it was helpful!
Excellent presentation, very clear and easy to understand. I did the test on myself while watching and I now know that I have a lateral MENISCUS tear from playing pickleball too aggressively the first time. Thank you for posting.
Another pickleball victim! You are in good company.
i heard a pop when i was playing football, and straghting my leg, retracting it, and turning it sideways hurts a lot i have to keep it at a light bend. this event happened today, what do you think happened?@@BestPracticeHealth
Great info presented in a totally understandable way.
Great to hear!
I had to cringe during the “test” because I had knee surgery 5 almost 6 years ago and my knee is permanently damaged from the surgery and worse. At least before hand I was able to walk and run and climb stairs, still to this day don’t know what’s wrong with my knee. Was told I damaged cartilage, but don’t know how true that was and I was so young at the time only 17-18 if I knew than what I know now I would have left the practice and never got surgery. I would have dealt with the knee pain. But at last this video was more informative than any of the 6 orthopedics I’ve seen in the last 5 years! Thanks
Oh, Cassidy, I'm so sorry for all the suffering that knee has caused you. Hang in there. I hope you feel better soon. All my best.
I love this.., I've been an accident before running with high heels and running always in 820steps stairways every day
Superstar!!
In Lachman's testing, flex the knee to about 25 degrees. This allows the greatest degree of separation of the joint surfaces and removes the tension in the hamstring group of muscles. Maintaining the knee in an extended position will retain the tension in the hamstring making the test difficult to prove positive or negative. The hamstring group of muscles performs a similar mechanism to that the of the ACL in that they reduce anterior translation of the tibia. Tension in the hamstrings therefore will restrict anterior translation of the tibia. Thus by, flexing the knee, you will remove the tension in the hamstrings and allow for a much more dynamic test and greater degree of efficiency and accuracy.
Thanks for the tip!
Went to the hospital after I couldn't walk for two days, I Had been dancing, I heard 3 loud pops, Go through the outside, inside & inner portion of my knee. I went to the doctor, did some x-rays. (They didnt think i needed an MRI) They told me nothing was wrong with my knee. Minus an abnormality underneath my kneecap.
I went home, the best way I can describe what happened then, is what I believe to be my meniscus... rolled out, first on the inside. I had to roll/massage it back in to where it came out of, which stopped the pain. Then as of last night, in the same general area on the outside of my knee it rolled out, 🙃 I had to roll it back Into place.
Remember that meniscal tears and ACL tears are not visible on x-ray. How does your doctor know you don't have one of those? It sounds like you need an MRI.
th-cam.com/video/w6S7vX1bwZY/w-d-xo.html
@@BestPracticeHealth and a new doctor. An MRI is needed but they gave you an x-ray?? run to the exit
I actually have knee pain coming from injuries in both the ACL and the meniscus of my left leg, the doctor that surgery could be an option, but I didn't want to consider it just yet. So far it's manageable.
Thank you so much for your information. I don't know if i have a meniscus tear or a ACL tear but the symptoms are similar to both of them and it happened when i fell from my bed and my knee hit the tile on the ground then my knee then started to swell up and i couldn't even bend my knee because it hurted but a doctor nearby forcefully bent my knee and it's been almost 4 months and i almost fine but i can't stop suddenly while running or walking cause it hurts my leg for a while and i can not walk properly then and in winters i can feel the pain more often. Hope if you can help me with this 😢(The swelling stopped cause i applied both ice and hot pack)
Never felt any popping or movement when I hurt my meniscus in my left knee, I was walking on a treadmill and went to a light jog and suddenly got a piercing pain on the inner part of my left knee. It felt like someone stabbed my knee with a needle! Worst pain I have ever felt in my life!
Dang! Sorry to hear that.
What treatment did you have?
What abt you?? I am having excruciating knee pain even when I didn't feel any sudden pain while jogging @@shinnthant2211
I think I have a bad meniscus 😭. I am very sad. Now I can not play soccer and run like I used to 🥺. Do you think it can be healed again like it was before? What can I do to heal it? 🤕🥺😩😞
That was a really nice explanation. Which test is more accurate for ACL Lachman or Anterior drawer?
Great question. It depends on the examiner. Here in the US we end up getting an MRI no matter what, so physical exam skills tend to be secondary.
However, if you do them right they're both good, and around the same:
www.ncbi.nlm.nih.gov/pmc/articles/PMC4151408/.
Hi there! We were able to answer your question on last week's Q&A episode of Best Practice LIVE. You can view it HERE: th-cam.com/video/7WHPRbIoVCM/w-d-xo.html
Spot on video! I got my knee twisted while playing soccer many years back and got plaster on full leg for 3 weeks but so many years have passed and I still feel mild pain in my knee.
Sounds like a little post-traumatic arthritis! Consider an anti-inflammatory diet. Physical therapy (2-3 sessions per week for 3 weeks) at the mild pain stage can make a real difference in the long run as well. If things keep getting worse then your next step is an x-ray to stage the arthritis.
@@BestPracticeHealth Thanks , if the knee cap got twisted then it must have been a ACL tear back then. Right?
@@karankaul1639yes
@@BestPracticeHealth mine is on the side what kind of injury is it
Carnivore diet fixed my knee pain u should look into the studies not take my word for it
I tested neg on the McMurray's test at my ortho's office, but, MRI showed a complex meniscus tear anyway. Also have a Baker's cyst. tissue edema, bone contusion & loose bodies. Will have surgery in 2 wks after PT, brace & cortisone shot failed to stop the pain or mechanical symptoms. Had no significant swelling.
Oh, no! That may be a false positive McMurray, but it's also possible the loose bodies and Baker's cyst are causing the pain and the torn meniscus was an old and incidental finding on the MRI.
@@BestPracticeHealth On my 1st exam my knee hurt everywhere. 3 days later I called the office to report I had pinpointed the pain, which was below the knee and to the inside(Medial). The pain has always stayed in the same place. I've had 3 hrs of stabbing pain in the area( about drove me nuts). My surgeon said at this point it is unlikely the pain was caused by the cyst, as he can't feel it on exam. The pain is not posterior anymore, but always on the medial side. I had no pain at all in my knee, until the trauma happened and In 10 min I couldn't put any weight or even stand on my leg, and intense pain, so I know the injuries happened all at once. But my surgeon couldn't rule out that some of the mechanical symptoms could be the result of the loose bodies as well as the meniscus. I think I had no swelling due to the Baker's cyst as it was described as moderate. I had a lot of trauma to my knee and my ortho said it was a MESS! A nightmare injury. I hope the surgery will help as I know some don't, but, my surgeon is experience. Thks !
Glad I found this video - Dr.'s are telling me I have Arthritis!! although I have explained the kind of pains I am experiencing!
Glad it was helpful!
Thank you for the good contents! I have a question though... what if i feel pain on my knee when going up the stairs at the point where the patellar tendon inserts at the tibial bone? Can someone shed any light on this? Thank you
Tenderness is also positive when I press on that area too
5/17/23: My name is Sue, 61 years old. I played competitive tennis. While I was playing for state champion last 2 weeks, I jumped to hit a ball I heard my left knee popped. I landed on my right leg and looked at my left knee. My bone and knee cap shifted toward to my body. My partner moved it back and told me to hold it. From the first day that I got injuired, I didn't have much pain unless, I didn't walk properly.
My surgeon told me I need exercise to get good knee motion before surgery in next 45 days in the swimming pool. My issue is I have cramp on my left knee (my left calf always get cramp), and I can’t do it. I requested for PT to help me but his suggestion is keep it for after surgery which I agreed. I wish I found you before I saw my surgeon. I hope that you can help me for pre ACL surgery. Appreciate any exercise you suggest before my ACL surgery.
Here is my MRI report:
Procedure Details: Multiplanar, multi sequential MRI evaluation of the left knee
Findings: There is periarticular soft tissue edema greatest anteriorly with large patellofemoral fluid collection and joint effusion. Medial popliteal cyst. Retinacula are intact.
Tear of posterior horn lateral meniscus extends to the inferior articular surface anterior horn is intact.
Full-thickness ACL tear. Buckling of the PCL
Medial meniscus appears intact.
Patellar and quadriceps tendons appear intact.
Full-thickness medial collateral ligament tear with diffuse soft tissue edema. Bone bruise lateral condyle and posterolateral tibial plateau and posterior medial tibial plateau. Lateral collateral ligament complex appears intact para
Impression
Bone bruise lateral condyle and posterior tibial plateau with full-thickness ACL tear and full thickness ACL tear.
BEST PRACTICE is to have ACL reconstruction done by a board certified orthopedic surgeon who specializes in sports medicine. Do you have one?
Hello Dr. , I have knee pain and am diagnosed with moderate joint space narrowing
with definitive osteophyte presence in lateral compartment. I am 65 years old. would you suggest me a knee surgery or therapy. Thank you
I had swelling on upper side me knee for 2-3 days was not able to move or fold leg in avobe 40 deg angle - it took 3 days for swelling to go but after that i can feel my knee like slips there is a little sound in it and i if i go in squat position my knee area get like pain and like can break its been 10 days is it a serious problem ??? Or will it heal if i give more time?
Hows your knee now
It's good to have a MRI done. You will be completely transparent with if you actually have a issue or not.
My pain is located where the medial meniscus is on my left knee. Mobility is a struggle with continuous walking, like going to get my groceries. I take one crutch with me, to only use when discomfort occurs. I can only step forward with my right leg. My left leg steps to get level with my right leg. I know that to try and step forward with my left leg first, would cause a lot of pain. Its been 5 weeks now, with this condition. I will now try to see a GP, a first time for this injury. Hopefully he or she will refer me to a Chiropractor. Fingers crossed.
Oh, man. You don't need a referral to a chiropractor. They will see you without one. With severe pain after 5 weeks and failed conservative care sounds like it's time for an MRI.
@@BestPracticeHealthmRI are expensive that’s why they just did X-rays on me! I found out I have OA !
My knee feels like its going to give out on me. Especially on stairs. It's swollen some of the time. I have to be super careful when stepping down of curbs, etc. It's a medical meniscal tear confirmed by MRI. Why were these symptoms described as an acl tear in the video?
The kind of symptoms you’re having sometimes go along with knee instability caused by a torn ACL. But there is definite overlap with meniscal tears. The MRI is the answer. Since you know what’s going on, you don’t have to worry about the symptoms, just getting the right treatment.
So I did have an injury, but I was just walking and stopped abruptly. Seemed like at the time that I had overextended it. It was immediately painful and within seconds I was barely able to bear weight. Iced it with 30 mins. It didn't swell a huge amount, but it was very painful. In the following 3-4 days, I continued to have significant pain and was still unable to bear weight. I called my ortho but they couldn't get me in. I should have gone to the ER, but someone convinced me that they wouldn't anything for me. I continued ice and the pain has reduced significantly, however it does seems to have some fluid in it and it does "catch when I'm bending my often. I am going to see the PA for my ortho doctor on the 25th.
Tell the PA to order an MRI.
Just reinjured my knee last week by squatting down in an awkward position ! The first time i injured it was 1 year ago and I did hear 2 or 3 pops... This recent injury is not as bad and didn't hear the pop sound . Hopefully i won't require surgery !
I hope you are OK, too! Check this out: th-cam.com/video/tBSar1T7czE/w-d-xo.html
The issue which I have is that I can do all range of motions even I have been playing football ever since I have got the injury and probably 5-6 months or more time has passed . But I don't feel pain even while playing and doing all types of motion even I can lock and straighten my knee without any pain or issue but the only issue is that when I'm standing straight at that time I can't completely straighten my right knee like I ca do with my left knee. And whenever I do so while standing straight I feel like my knee is rushing back but at that time also I don't feel much pain it's like almost nil it just gives an unusual feeling with a little little pain which doesn't affect at all. But it's clear that there's a issue but I'm unable to understand what to do as I'm not feeling pain in any part of knee it just feels that it'll go back and locks a bit when I straighten it up that also when I stand straight it doesn't happen when I straighten it up at any other angle. And there is no popping sound and no swelling but I do have knocked knee and and flat foot. SO WHAT SHALL I DO PLEASE TELL? If u can atleast tell which part of my knee has been most probably been injured it will be a great help.
Hmm. I don't know. My first though is that one of your ligaments is injured and the pain comes when you maximally activate that ligament. It could be a meniscus as well. If you are playing football without pain its hard to imagine your knee is unstable. It sounds like you need to be sure you are using your knee safely to maximize the chance of a good and full recovery. That's what a physical therapist typically does.
I was hearing a clicking and popping so what should I do now its had knee pain for a few months now but it only hurts after exercising
Hmm. At a bare minimum someone should be looking at your form during exercise. Is a trainer an option for a few sessions?
Would it make sense to have an ACL tear but still be able to do weightlifting exercises?
Hello doctor, here is my experience
1. No popping sound
2. Doesn't hurts while walking, sleeping, sitting.
3. No pain while knee extension or folding.
4. But it hurts really sharp while running.
Pain location : While knee extension we see two popsup beside both sides of the knee cap, I have pain in the right one (inner side) .
It sounds like you have Runner's knee, also known as patellofemoral pain syndrome. Runner's knee is a common condition among runners that causes pain around the kneecap. The most effective treatment for runner's knee depends on the underlying cause and severity of the condition. Here are some general recommendations:
Rest and ice: Give your knee a break from running or any other activities that aggravate the pain. Apply ice to your knee for 15 to 20 minutes at a time, several times a day.
Physical therapy: A physical therapist can help you strengthen the muscles around your knee, improve your running form, and correct any imbalances that may be contributing to the pain.
Knee brace: Wearing a knee brace can help support your knee and reduce pain while you're running.
Anti-inflammatory medication: Over-the-counter medications such as ibuprofen or aspirin can help reduce pain and inflammation.
Patellar taping: Taping your kneecap can help stabilize it and reduce pain while you're running.
Orthotics: If your runner's knee is caused by foot or ankle problems, wearing orthotics (shoe inserts) may help. Ask you physical therapist whether or not you should see a podiatrist.
Surgery: not indicated given the pain is only when you run.
@@BestPracticeHealth Thank you very much for your response❤ , this information is really helpful. Thank you ❤.
Thank you.
I have a patient with scoliosis with a curvature angle of 15*0. I have tried a few therapies, but it’s not improving, how can I help her?
How old?
If the patient is an adult, then RFA is usually something to consider. Referral to a pain management doctor may be the next best step.
I have ACL and Meniscus tear, 3 of my ligament is torn due to a fall I had down some steps five months ago.. I also have a Baker Cyst behind the knee which is very painful.. I have a Rt ACL RECONSTRUCTION surgery to be done
Good luck with your surgery. The recovery from ACL reconstruction is long and hard, but most people report great outcome and are able to return to their sport. I wish you the best. Hang in there.
I literally just got a couple of days ago and out of knowhere pain ! When I fully bend or lift at certain angles smh . I can still , walk , jog with no pain haven’t tried running yet
I had a longboarding fall at about 25-30mph where I fell off the board directly onto my right knee at maybe 17-18yrs old. The road boted some big holes in the skin around my kneecap in 3 separate places. One directly in the center of the cap, one on the outside of my cap, and one basically where my acl should be. Of course I couldn't hear if there was a pop as I had headphones in. Fast forward maybe a month or so and on a day where I probably walked 10miles or so, my knee gradually got stiffer and stiffer to the point I couldn't bend it because of how intense the pain was. Had to stop walking and call someone to get me pff the trail. Swelling was intense, had to stay home because of the pain for maybe a week or two at least. This was almost 10 years ago now but to this day I've never mentioned it to a doctor. I KNOW that something is wrong, my right doesn't feel the same as my left in any capacity. Strength, flexibility, range of motion, etc. My right hurts after strenuous activity now when my left doesn't. Would that type of impact potentially cause issues with these cartilages and ligaments? Or would you tear a meniscus/acl from twisting/overextending?
You are at risk for post traumatic arthritis. That is where you knee develops arthritis as a result of structural damage that happened in the long-boarding accident. If you do develop knee pain, you should treat it like any arthritis: get an x-ray to stage it then see the right doctor depending on the stage. Grade 1 or 2 is chiro or primary, grade 3 is sports medicine ortho, grade 4 is joint replacement ortho. Make sense?
can you have the feeling of the knee giving out but without a tear? like maybe a sprain?
Im 19 years old and im struggling with back pain. It has gotten a lot better and if I dont overwork it then in practically unnoticeable, but a couple of days ago my knees started hurting almost out of nowhere. At first it was really bad, couldnt squat, hurt with everystep. Stemming from the inside of my knee and my Left side is way worse. My skin didnt swell, but it became very dark and a dry look. Its gotten better but im not at my peak. I had been playing basketball a lot so maybe it had something to do with it but I didn’t really play very hard. Earlier I had been sitting down for an hour and when I got up my knees felt very stiff.
Thank you for the video! Do you have any info about OA because I fell and something poped in my knee and ankles!
You are welcome. Yes. We have a lot of content about osteoarthritis. Check out the knee pain playlist ont he channel for more. Or visit us at BestPracticeHealth.tv and look under the Knee menu.
Hi docters. I am facing knee problem from last 2 years I can walk sit and run. But with I try to move my legs during running it's hearting. Kindly suggest me what should I do
I'm on my 3rd month my acl and mcl tear i wount be going tru surgery but this video help me alot
Why won’t you do surgery?
Well, my medial meniscus is f**ked. Thank you. Please do let me know if there's anything I can do should I just give up on my knee
"Don’t give up on yourself. Your mind will take the shape of what you frequently hold in thought, for the human spirit is colored by such impressions." - Marcus Aurelius.
The next step is an MRI. If you are under 50, meniscal repair may be the best option. Once you have the MRI results, see a surgeon who is double board-certified in orthopedics and sports medicine.
The really cool thing about the McMurray test is doing it properly... 🤣🤣🤣
In fact, if you turn the foot outwards, you're testing the medial meniscus; on the contrary, if you turn the foot inwards, you're testing the lateral meniscus.
Great point! That test is really amazing. Like all tests, it does take some experience to get good. Have you seen our knee interactive? It you know how to do the Mcmurray and Lachman you can get a lot out of it. phoenixspineandjoint.com/knee/
I don't have any pain while walking or jumping but when I deep crouch and lean a bit forward my knee starts to hurt, more I lean forward it hurts more and i don't know what it is, is it serious or not...
How long have you had this? If it’s more than 3 weeks and the pain while crouching limits you get an X-ray. It may be low grade arthritis and a short course of physical therapy could help slow the progress.
I've had it for a month now but its only in my right leg. And I can stil crouch normally its just when i really really deep crouch if you get me.
Told the doctor to explain to me in automotive terms. He said my shock absorbers are blown out . Gradually came on then got to the point I couldn't bend it. Swollen up. Terrible feeling.
So awesome! I answered your question on the live show 11/11. Here's the link:
th-cam.com/video/ER6iVtEtpTk/w-d-xo.html
I did it myself and it’s positive for meniscus tear. 😢
Yikes, Brian. Check out our knee playlist for more direction.
My problem is like sometimes I can run
Faster than my friend but sometimes I can't even walk it's kinda werid I have gone to a doctor couple of months ago but he said it's not a big problem.
THANK YOU
Hmm. Intermittent knee problems can be hard to figure out. Make sure you do your homework and learn all you can. th-cam.com/play/PLsYo8ENYsvpx0kG1ph7j8y1NFbdgGoUML.html
Great, informative vidro. Thanks!
Glad it was helpful!
Interesting and informative.
Thanks for watching.
Great video. Are you still answering questions? I need help 👀
Thanks! Yep. Come on the show... phoenixspineandjoint.com/resources/best-practice/
Hello Doc! I now know for sure I have a medial meniscus injury (Left Knee) based on the McMurray test. I argue this because I feel clicks and pain upon testing on the left knee. In addition, I am a soccer athlete, and I think I may have picked up the injury by kicking the ball wrong. My pain scale originally started as a 7 out of 10 (knee). Now, my question is am I able to recovery without getting any surgery on my meniscus? Furthermore, I mean this by resting, icing, and being inactive for a few weeks in the sport. So far, this method has worked, I have been able to subside the pain in my meniscus. Currently, the pain is now 3 out of 10 since the start of the injury. However, it's been almost 2 weeks now and the pain has been able to go away but gradually/slowly. In your opinion, will I be able to fully recover using this resting method? Or is surgery the only way to fixing the pain/discomfort? Thank you, really helpful video !!
Hey! Thanks for the comment. I'm glad you like the video. Most meniscal tears heal on their own. Your pic looks under 50. You should know that meniscal repair is your best option for avoiding arthritis down the line.
I think I had medial meniscus tear after climbing over couch. I planted left foot on seat of couch and stretched my right leg over back of couch then suddenly felt and heard a loud pop in my left knee as I moved my right leg to the left and instantly fell off couch onto ground with incredibly intense ans overwhelming 'funny bone' pain in my left knee.
I couldn't straighten it fully for over a month and had to keep my left leg bent and off ground while using crutches to get around for a few days. I didn't have any bruising though and could bend knee fine. I had to use just the left crutch for an extra week or so before I could confidently limp around with left knee constantly bent looking like a zombie.
It sounds awful!
But if you had a meniscus tear, how did you just recover without more intervention?
I can’t Bend my knee 90 degrees so what would I do?
I felt a "shake" (likea pop) in my left knee twice last Saturday. It didnt hurt at that moment so I continued running, and even riding my bike. The next day, the back of my knee was already painful, but no swelling.
I went to the doctor and had an MRI. It came back clean, meniscus and ACL intact. But my knee still hurts when i walk. And I feel like my left knee is weaker now than my right knee. And what about the "shake" that i experienced? What was that? What do you think is the best thing to do?
With your history of trauma and a negative MRI your most likely diagnosis is a strain. I'm sorry this happened, but it should get better over a few weeks time. In the meantime, please check out this video: th-cam.com/video/Zu_MluaxZIs/w-d-xo.html
I suffer from knee pain.My orthopaedic said that i have an issue with my fibula.I can't run as it feels my knee will pop out.But this problem really surfaced after I was diagnosed with osteochondritis dissecans of the talus bone.
it sounds like you have a complex underlying pathology that may be causing functional instability of your knee. Do you want to see an orthopedic surgeon who specializes in sports medicine for this complex problem.
Ok good i have neither just kind of a pinching minor pain in the inner knee. Hopefully it goes away within the next 2 days because i kinda have an important game ahead 😅.
I dislocated my left knee as a child. It healed and went on my merry way for the 30 years. I was dx’ed with RA. I’m mostly managed with rituxan infusions, but my left knee is always sore and swollen. Never really improves. Could this be from the old injury?
Yes. You may have post-traumatic arthritis in addition to the RA on the left, with just RA on the right.
Hi, I've got 55 years hold and never had knee problem before... I'm at the gym 7 days a week and push pretty hard on legs day. I train quads twice a week. Few weeks ago , i began to had problems with my left knee. in the morning its hard to unfold or bend my lleft legs. I stop training since two weeks to rest my knee but I still feel feel it (less pain)... Got to say that I work a lot at my job... The pain came gradually... any idee what it could be or what of those test would be the best to do in my case.... thanks
Pain that comes on without a specific injury in your mid-fifties that is worse in the morning is typical of arthritis. Here is a quick review I wrote of the different causes of knee pain and their usual treatments: bestpracticehealth.tv/knee/knee-pain-treatment-options/. If you have no red flags and home care fails after 3 weeks consider seeing a doctor and getting an x-ray. The rest of your treatment options depend on what the x-ray shows. Check out this playlist for more videos on this topic: th-cam.com/play/PLsYo8ENYsvpx0kG1ph7j8y1NFbdgGoUML.html
Last Monday twisted leg violently,heard/felt large pop,fell on back hit head, screaming, screaming. I went to orthopedic doctor yesterday, scheduled MRI Sunday. I thought meniscus but can not bear weight,swollen big time. I am icing and bracing along with cane. It sounds like an ACL . I would not be able to do any of these tests without tremendous pain. 😮 thank you for the video. Life can be very scary.
Yikes. So sorry that happened. Do you have a compression brace? You can get them on amazon or in the drug store. At least they can give some protection while you wait for the diagnosis by MRI. Check out my knee pain playlist as well. I hope you feel better soon. You've got this.
@@BestPracticeHealth sweet of u to respond. Thank u for the encouragement. I'm just waiting for Monday and the doc. I think I'll try some cbd roll on. Some think that works a bit for inflammation. I use a Breg polar ice machine with frozen water bottles and is great.thanks again
So what did the doctor tell you?
I felt a pop in the side of my knee, outer, I think, and it was followed up with pain, quite quickly. Would that happen to cause a meniscus or ACL (or other ligaments) to tear? Mind you, I was sitting down, crossed my left knee over my right, guess my left knee didn’t like that, and popped. There’s no swelling, though I am a healthy teenager, who had a previous knee injury, patellar tendinitis. I was just curious if just ONE minor event would cause all this pain, burning, sharp, achy?
We think of these events as major injuries, but often times it's just the "straw that broke the camel's back."
The root caused of my knee injury for many times when l accidentally twisted my left knee playing basketball way back years (2016). I do not go to any therapy or even surgery because its expensive. I decided to rehab it by myself. After a month, it works good and back. I can walk properly, however, if I run so fast l should make an extra cautious not to get injury again. Same thing like if l play basketball when my left foot landed first where l had my knee has history of injuries. It goes to get injured again. What should l do? Is my knee coming from an ACL tear or meniscus injury?
And this happens several times of injuries. I had a x-ray results - its normal. I do not feel any pain but lf I jump and land first my left foot - my knee will get injured then after 3-5 days it heals fast. lol
It sounds like you have a knee injury that resolved with a normal x-ray. That was probably a partial ACL tear, strain, or a meniscus tear that healed. I know money it tight, but even a few session of physical therapy would be a great way to get back in the swing of things and lower the risk of recurrent injury.
@@BestPracticeHealth Planning to go to ortho to have a check up Sir. Ask some advice
My knee has been hurting even a yr after wearing a walking boot from a foot injury on my right foot. The same left knee I had surgery on years ago it hurting and getting stuck bent and hurts when walking.
hi I wanted to know which injury is worse for an athlete? acl or meniscus? which can cause more demage
Complete ACL tears require reconstruction which involves nearly a year of rehabilitation. A meniscus tear can often be repaired, or at least cleaned out (meniscectomy) with immediate pain relief. While torn the knee is unstable and is therefore a t risk of damage with walking and everyday movement. To me, ACL is far worse. What do you think?
@@BestPracticeHealth I meant in the long term. which one of these injuries can cause more damage to an athlete? can they go back to their old state again and perform without a problem and without decrease in the performance?
Mine was both overtime and an event. Had problems off and on with left side of right knee. But then one day when I was not symptomatic I got up from a floor, planted my right leg to stand and that was the event that started severe pain. That was 22 days ago and although after Ice, heat ibuprofen, etc it's much better but still have that little bump on my knee and can't walk over 10 minutes without getting pain . So now what since it was over time and an event that triggered a relapse?
well, it sounds like you have severe knee pain three weeks after an injury and have failed home care. You meet the criteria for an MRI of the knee at this point. Have you had one? A doctor visit and imaging is your next step. You should have an x-ray before the MRI as if it shows moderate to severe arthritis then, the treatment arm of the pathway is different.
Thank you folks for a great instructional video. I would say mine is the inside miniscus torn in the right leg. Too painful to walk on at the present. Hope it heals on its own. It became really bad in November, then healed up about 80% but then I started doing a lot of outside projects including heavy bags of cement etc. Although this has happened to me several times over the years. Yet 2 years ago I was running without pain. But now I can't even walk without pain. Dont have a lot of cash-o-la and not sure how much medicare will pick up of all of this.
Wow! I'm worried you are not getting the care you deserve. Running 2 years ago and now can barely walk? Medicare covers x-ray, MRI, arthroscopic surgery for a torn meniscus, and knee injection. You need to see a sports medicine surgeon. If you live in Phoenix I'd advise Dr. Phil Bennion. Awesome doctor.
@@BestPracticeHealth Beware, they are obviously getting kickbacks. You don't want orthopeadic surgery, I've had it, I promise you you don't want it.
@youubik not even for the shoulder surgery?
@@BestPracticeHealth is it maniscus tear. I only can feel pain when I walk but when I stand it doesn't hurt. It is not swollen it's just pain when I try to walk
1) Lachman test, not lochman
2) McMurray's test- internal rotation will test lateral meniscus, not medial..
Hey I hit my knee on the edge of a desk really really hard and now it hurts badly from the said when I first hit my knee I couldn’t move my leg for like 5 minutes and now it hurts badly from the side
Not me crying late at night bc this video made me realise I’ve likely torn my ACL in my “good knee” 6 years after a lateral meniscal tear in my “bad knee” instead of my initial assumption of a meniscal sprain 😅
My surgeon from 6 years ago has ordered both X-ray and MRI, which apparently they don’t bother with both with a meniscal tear so yippee!! 🤠
Landed on someone’s foot awkwardly playing basketball. Knee twisted but heard no pop. Kept me out about 4-6 weeks but had no swelling. Still feeling slight discomfort where my patella is but I’m thinking it’s because the muscles are a little weak around the knee. Any idea what I might need to do? got x-rays and everything came back fine but I’m getting frustrated. Any advice would be so helpful!!
It sounds like you have no red flags and are making good progress with home care. Check out the Amy and Ashley exercises on the channel for total knee replacement. They are a gentle way to get back to full movement after a sprain.
Welp😊 that solved all of my knee pain questions, I have a sharp pain with clicking and when I’m walking it hurts to pick up off of the ground and bend so I walk with my leg straight… hopefully we will figure out what it is😕
Did I just injure my meniscus or did I also retear my ACL? I had my ACL reconstructed 6 months ago. The injury happened a year ago when I landed awkwardly after a jump and my knee subluxed. There were also minor tears to my MCL and posterior medial meniscus. Now, five days ago I missed a step while walking down the stairs and landed pretty hard on my surgical leg and I felt a crunching/grinding sensation near the inner side of my knee (different spot from my original meniscal injury). When I injured my knee the first time it was so tender that I could not bear to put any pressure on it until a week after the injury. Also, it immediately got super swollen and I had basically no range of motion. With this recent incident I was able to walk on it immediately afterwards but with some noticeable tenderness in the medial region. I did not notice any swelling until several hours later and it was not nearly as bad as with my first injury. Up until today, it had not been painful to the point where I've needed to use crutches and my knee only started to feel slightly unstable the day after. However, while I was adjusting my sleep position last night, I moved my leg into a position (leg bent at 90 degrees with the inside of my knee facing down and my foot pushing up on my covers) which caused my knee to lock or something and immediately caused an intense ache on the inner side of my knee. Since that happened, my knee has been much more tender and difficult to walk on to the point where I might need to start using crutches. Based on the crunch noise I heard during the incident and the area of my knee that is tender, my gut tells me that I did something to my meniscus. But now I'm a bit worried that I may also have retorn my ACL. At first I wasn't worried about a retear since this incident was not as traumatic as the first one, it didn't cause as much pain or swelling and I didn't immediately feel any instability. However, it occurred to me that my body just might not respond as strongly to a second second ACL tear, especially when it's not my native ACL. That thought coupled with the slight instability I've started to feel in my knee has me a bit worried. I have an appointment to see a doctor at my athletic clinic in one week and they will provide the requisition for an MRI. It will likely take another few weeks before I can get the MRI, meaning might be a while before I get a confirmed diagnosis. Since it's another week before I can see a doctor I was wondering what you guys think is wrong with my knee? And what should I do with it while I wait for a diagnosis?
bummer! The symptoms certainly are concerning for a new municipal injury, or less likely a recurrent ACL tear. Have you considered going back to your Orthopedic Surgeon instead of the sports medicine clinic? Once you’ve had a repaired ligament, it’s really a complicated situation, and the best doctor to care for it is an Orthopedic Surgeon board certified in sports medicine.
I have a torn miniscus 5 years back now it hurts at knee upper side not like before outer part below knee cap.
I have been facing this issue from long getting a bit knee pain and popping sound wt do you suggest to do? Any home remedy plss tell
I would get an x-ray, and if that does not show moderate to severe arthritis then an MRI of my knee. If you can see what is wrong then you have the best chance of getting effective treatment.
I've got both of the symptoms ,I was kneeling on the kitchen floor for 20min when I got up my knee hurt , the pain would come and go over 2 months when I got on my knee ,then last week I was on my knee for 10 min and I could feel a slight ripping was I went down on my knee ,then a hour later it felt like it was going to give out ,I've been to A&E and they said I need a scan and ga e me a full leg brace ,now waiting for a MRI ,my knee feels solid now and I can't stand for more than a few minutes, also getting static pains above and below the knee?
Great video
Thanks!
Thanks a lot for this video
Most welcome
If you have a knee issue and these tests cleared both issues, that it's neither of these, what else is there? What's not ruled out?
I had a meniscus tear repair in June. I am in more pain now than before and now walk with a limp. I can’t do anything I used to do. I would never do this again
I'm truly sorry to hear about your continued knee pain six months post-arthroscopic meniscal tear repair. It's frustrating to endure surgery and then find yourself in more pain. Your meniscus should have healed by now, allowing you to resume normal activities. Have you had an MRI of the knee since surgery? It may help show what is wrong. In any even,t since you're still experiencing discomfort, here are some possible reasons:
Incomplete Healing: The meniscus might not have fully healed, either due to infection or a technical error in surgery, leading to persistent pain.
Re-Injury: It's possible that you re-injured the area, hindering the healing process.
Other Structural Issues: There might be other undetected issues in your knee joint.
In situations like this, it's crucial to consult a board-certified orthopedic surgeon specializing in sports medicine. If your current surgeon fits this criteria, persist in seeking their expertise. If not, consider obtaining a second opinion from a qualified orthopedic surgeon specializing in sports medicine. Don't hesitate to advocate for your health and find the right solution to alleviate your pain.
I have a very small pain doing the anterior drawer test, but my knee doesn't lock.
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Ten years ago I was squatting like a catcher and all of a sudden, my knee felt hot and swollen. Next couple of weeks were the same.
Today, I squat like a catcher and after about a minute, when I stand up, the inside of my knee hurts and I can’t straighten it until walk it off. After 15 seconds of walking around I’m back to normal. No pain or anything while walking, running or cycling.
You think my ACL is damaged?
Torn meniscus?
When I stand up I feel pain like something is pinched
It's hard to tell. The confusion with a partial ACL (anterior cruciate ligament) tear arises because both conditions can produce similar symptoms, such as pain and instability in the knee. Physical examination tests, such as the McMurray's test for meniscal tears or the Lachman test for ACL integrity in the video, can be very helpful in diagnosing knee injuries. These tests are often part of a comprehensive examination performed by a healthcare provider to assess knee stability and pinpoint the source of pain.
Honestly, given your injury history, whatever happened happened. What you need to worry about is the future. If arthritis is beginning to develop, physical therapy can be very beneficial. Therapists can design a program that helps maintain or improve joint function, reduce pain, and possibly slow the progression of arthritis. For meniscal tears, physical therapy focuses on strengthening the muscles around the knee, improving flexibility, and reducing the load on the knee. Lifestyle changes such as weight management, regular moderate exercise, and joint protection techniques can also play a significant role in managing symptoms and maintaining joint health.
what if i have both? i was competing in a basketball tournament when it happened. for the first few days i cant walk, i cant even bend my knee let alone walk. after the sweeling stopped, i went to the doctor to get it checked and my left knee MRI test shows that i have a full torn ACL, partial torn PCL, and also a torn in both of my lateral meniscus (anterior & posterior). my local doctor said i have to get surgery for both my ACL and meniscus tear, but not for the torn PCL. whats the best course of action for such occasion?
A complete tear of the anterior cruciate ligament (ACL) is typically managed with arthroscopic ACL reconstruction, regardless of any associated meniscus injuries. Given that surgery is necessary, it's an opportune time for the orthopedic surgeon to address any meniscal issues. To ensure you receive the best care, it's crucial to schedule an appointment with a sports medicine orthopedic surgeon as soon as possible.
Look for a surgeon who is board-certified and has extensive experience in arthroscopic knee surgery. They will be well-equipped to assess your condition and recommend the most appropriate treatment, which may include meniscectomy or meniscal repair if feasible.
what would cause a knee to catch on the medial posterior Knee when performing flexion to extension. it only happens when the knee is bent beyond 90 degrees, so about 30-45. mechanism of injury was using a seated hamstring curl machine with not very much weight but enough that I think I strained the hamstrings /tendons. when I get the catching sensation I usually put pressure on the hamstring tendon and it releases. Kind of feels like the posterior medial tibia is catching on a tendon as it rotates. There is some tenderness but no sharp pains
i had a similar knee catching sensation when activating the hamstrings and it was due to a complex tear of medial meniscus. i had a partial menisectomy to clean it up
I was thinking the same thing. Have you had an MRI?
Best video I've been so far!!!!
Ah, shucks! Thanks for the comment. We appreciate you.
That boney knob is called the tibal plateau
Thanks for the tip!
hey, recently i have been having pain in knee for weeks since i accidently bumped it against a wall, i dont know how to fix it, what is it, every time i add weight to it, it hurts, its a very subtle pain with no inflamation, how can i fix it
I only had popping when my foot was turned outwards and lengthening my left leg. I fell on it almost a month ago. Who do I need to see to fully heal?
Clicks, pops, and locking are all signs of a torn meniscus. It could also be the ACL, it’s hard to tell for certain based on this information. I would say it’s been three weeks, if you’re still having considerable pain and you’re not getting better better than it’s really time to consider an MRI scan of the knee. That is the only way to know for sure. The MRI will help you understand if you need additional treatment now, or should we wait it out and give your body more time to heal.
@@BestPracticeHealth I got an MRI and I have a partial tear of my PCL.
@@tjnelson2143so did u get surgery
I have my ACL tear diagnosed in MRI.. can be it recovered without surgery by any medication
No. Complete ACL tears are typically treated by reconstruction. I recommend an orthopedic surgeon who specializes in sports medicine.