Knee contusion is one of the most common injuries, not only among children, but also among adults. Not everyone understands the seriousness of such an injury, believing that and so will pass. But this condition is fraught with complications. That is why, if there was a knee bruise, the treatment cannot be ignored.
Primary care is:
- in protecting the joint from stress;
- in anesthesia;
- in laying cold on the bruised place;
- in the imposition of a pressure bandage;
- in giving a limb an exalted position.
Proper treatment at the very beginning of the injury greatly affects the effectiveness of further recovery. That is why you can not waste time, and immediately proceed to medical measures.
Rest and rest
Therapeutic measures should be started immediately after the injury. First of all, it is necessary for the victim to provide rest to protect the injured joint from loads. The sore joint must be protected not only from active, but also from passive movements.
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If the injury occurred on the street and the bruised limb is severely restricted in movement, an ambulance should be called. In the meantime, before the arrival of the doctors, you need to sit down somewhere and raise your injured leg higher. So the blood flow will decrease.
Then you should apply a cold compress to the hurt place. Thanks to this measure, hematoma and swelling will decrease, and the pain will subside. After all, the cooling of the injury site is known as the classic method of pain relief. From the cold, the narrowing of small vessels occurs, which helps to reduce the scale of internal hemorrhage.
If the pain does not go away, you should take an anesthetic anti-inflammatory agent, for example, analgin, oksigan, ketanov and other non-steroid drugs.
To reduce hemorrhage and swelling, you should definitely put a pressure bandage. For this purpose you need to use an elastic bandage. Meanwhile, in the first minutes of assistance, the use of a regular bandage, garments (shirts, scarves) or pieces of elastic fabric is permissible. Before applying the bandage, the injured leg should be conveniently positioned and controlled to relax all muscles.
When applying a bandage, you first need to grab the upper third of the tibia layer after layer. Each layer goes up and then down. A new turn of the bandage is applied so that it covers one third of the previous one. After applying the bandage, the leg should be lifted, for which purpose place a soft object under it, for example, a ottoman or pillow.
If fluid has appeared in the joint, the limb should be fixed with a plaster longitudinal bandage, which is applied from the ankle to the top of the thigh. The dressing must be present before the fluid disappears.
Outpatient treatment concerns light bruises that are not accompanied by a large accumulation of blood. A serious injury with hemarthrosis requires the patient to be taken to hospital. Before that, immobilization of the limb from the toes to the upper thigh is used as first aid. This is done by the transport bus. The patient is put on a stretcher and sent to the hospital.
Treatment in the clinic
Therapy for knee injury in the hospital includes the following activities:
- joint puncture;
- taking nonsteroidal anti-inflammatory drugs;
- local therapy;
Puncture of the knee
First, the specialist must carefully examine the injured joint. He feels it, determines the amplitude of movements, examines radiographic images. If blood or joint fluid has accumulated in the injured joint, the limb will be fixed with a permeable plaster cast.
The accumulated blood and inflammatory fluid is removed by a special puncture – puncture of the knee joint. Soft tissue and cavity of the joint are punctured with a thin needle. Then suction of accumulated fluid and blood is done. If required, the drug is injected to wash and disinfect the joint cavity. The treatment is carried out by a traumatologist or surgeon.
Acceptance of nonsteroidal drugs is justified in case of severe pain syndrome. In addition, they help relieve inflammation and swelling of the tissues surrounding the knee. The most common among these drugs are analgin, voltaren, indomethacin.
The essence of local therapy is a local effect on the hurt joint. Ointments or creams that act locally, relieve many of the symptoms that accompany the contusion. The tactics of treatment include the use of: local NSAIDs (which act in the same way as general ones);
- hemodynamic enhancements;
- chondroprotective drugs.
Indomethacin, Traumel C, Diclofenac, Fastum gel, Diclac, etc. are local NSAIDs. They contain analgesic and anti-inflammatory components.
Since microcirculation is disturbed in the event of a knee bruise, the use of local remedies restores blood flow to damaged vessels. Using Lioton ointment or Heparin ointment, you can restore the structure of the vessels, strengthen their walls due to the destruction of microthrombus.
Chondroprotective agents improve healing and promote rapid joint repair (for example, Collagen Ultra gel or cream). Having an analgesic effect, these drugs purposefully act on the destroyed connective tissue, nourish it and restore it. The achievement of this effect is due to the presence in the composition of a natural metabolite of cartilage tissue, blood vessels, skin – collagen. Enhance the effect contributes to the ingestion of supplements Collagen Ultra. The active effect of preparations containing collagen, in the shortest possible time reduces pain and restores the efficiency of the knee.
Approximately a week after the injury of the joint, you can start physiotherapy methods. UHF-therapy gives a good result. It is conducted by courses. For the desired effect is carried out 1015 courses. In addition to UHF, electric current is also used by dynamic current.
Due to the therapeutic effect of physiotherapeutic procedures on the damaged tissues, their accelerated regeneration occurs.
Approximately ten days later, the patient will be able to perform active movements under the supervision of a specialist. From this time you can begin therapeutic massage and physical education.
After treatment procedures, rehabilitation does not take much time, depending on the severity of the injury. Symptoms usually disappear through the week. Only hematoma remains strongly pronounced for some time. But gradually and it disappears.
Treatment of contusion by prescription of traditional medicine
Knee injury is treated with ointments that can be prepared by yourself. There is a huge number of popular ointment recipes, which effectively relieve symptoms accompanying knee contusion.
- To prepare the ointment, you should mix pureed leaves of plantain with pork fat until you get the consistency of sour cream. This ointment significantly cope with pain.
- According to another recipe, you need to steam the sabelnik stems, boil the semolina and mix everything. This mixture is applied to the sore knee and wrapped with a warm cloth.
- Also good effect on the joint has tincture of flowers of wild rosemary. It needs to be rubbed into the knee twice a day.
- An excellent healer for bruises is fresh wormwood. From herbal need to cook gruel and skip this mass through a meat grinder. Then it is applied to the hurt joint and closed with a bandage. Change until the pain passes.
The tasks of therapeutic gymnastics and massage are:
- activation of local lymphatic and blood circulation;
- reduction of pain;
- increased metabolism in the bruised zone;
- resorption of hematomas;
- stimulation of tissue regeneration;
- recovery in the joints range of motion;
- muscle recovery;
- formation of temporary compensation for lost functions.
Therapeutic exercises should be performed in a lying or sitting position. The amplitude of movements in the knee joint is gradually increasing. Then increase the pace and number of repetitions. It is very important to remember about the inadmissibility of large loads on the joint in the form of squats, jumps and others. Through the week, movement in the joint is complemented by exercises on simulators (classes on the apparatus are effective) along with cryo-massage.
Hydrokinesitotherapy, which consists in exercises in water and swimming, leads to a good therapeutic effect.
Massage is carried out according to the following method. First, the reflex zones are massaged (lumbar or cervical chest). Then proceed to massage the muscles located above and below the hurt joint using kneading techniques. At the very joint perform stroking. If muscle atrophy is strongly pronounced, the following massage techniques are absolutely unacceptable:
With vigorous rubbing, an increase in effusion in the joint, that is, synovitis, occurs. Massage lasts 10-15 minutes. One course is equal to 15-20 sessions.
Therapeutic procedures in combination with drugs usually give good results with the achievement of a complete cure. However, in the future, before intense loads, competitions, increased leg activity and traumatic activities, the knees should be protected with special clamps, knee pads, fixing bandages (elastic bandages).