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Knee Pain - should I see a dr?

post #1 of 14
Thread Starter 
I fell hard on my first run this morning (idk how) and twisted my knee. I did not want to call it quits, so I sucked it up and skied the rest of the day. The pain was fairly high so I took 6 ibuprofens at lunch, which helped a ton. I still skied pretty intense terrain (E.g. eagles nest @ alta). I didn't feel like my knee was "loose", but a right hand hockey stop really hurt. My knee is now pretty swollen/stiff and walking is slow. I've been icing it to try to help with swelling.

Given I was able to keep skiing, should I still be concerned that I might have a more serious injury? Should I go see a dr?

FYI-this was my last day of this trip but I'll be going to Steamboat in just over 3 weeks...I will do whatever rest/rehab is necessary so I can ski there!

Thanks!
post #2 of 14
I did the same about 3 weeks ago. Skied rest of day and then it stiffened up. Pretty sure it was a mild MCL sprain. I wore a basic compression brace, which helped a lot, plus iced for 3 days off and on, plus aspirin. Pretty stiff and slow walking for about a week. I have skied twice since then and yoga helped with preserving range of motion.

I think if I didn't feel like I was >50% recovered in a week I would get checked out - a mild sprain should be good in a couple weeks. But if OTC anti-inflammatory and ice is working and it feels stable.......I dunno.....I wore the brace as insurance against re tweaking just in case it was more serious. I am about 95% now so I'm going to forget about it.

The swelling if decent is a bit of a concern. I had almost none, just tenderness. So yeah, the conservative route is see a doc.
post #3 of 14
If it actually takes 1200mg of ibuprofen to be comfortable, I might not wait a full week to call the doctor, because that's very stiff pain. The highest dose I've ever been prescribed was 800, and that was for an acute and exquisitely painful injury that put me under the knife. But if you just dropped that amount out of an excess of caution, and can get by with 600mg and some ice, never mind me.
post #4 of 14
Quote:
Originally Posted by dshack89 View Post

I fell hard on my first run this morning (idk how) and twisted my knee. I did not want to call it quits, so I sucked it up and skied the rest of the day. The pain was fairly high so I took 6 ibuprofens at lunch, which helped a ton. I still skied pretty intense terrain (E.g. eagles nest @ alta). I didn't feel like my knee was "loose", but a right hand hockey stop really hurt. My knee is now pretty swollen/stiff and walking is slow. I've been icing it to try to help with swelling.

Given I was able to keep skiing, should I still be concerned that I might have a more serious injury? Should I go see a dr?

FYI-this was my last day of this trip but I'll be going to Steamboat in just over 3 weeks...I will do whatever rest/rehab is necessary so I can ski there!

Thanks!

If you decide to see a doctor, probably get much more useful info from a specialist than a family practice doc.  When I had fully ruptured my ACL (not skiing), my family doc couldn't tell anything.  The PA at the orthopedic surgery group a couple days later could tell that the ACL was probably gone.  Took him about 5 min.  That was confirmed by the MRI taken that day.  But couldn't get an appt with the surgeon to review the MRI for a couple weeks.  Note that in my case, there was very little laxity and not much swelling after a couple weeks since the collateral damage to the MCL and meniscus was limited.  I was fully weight bearing even right after the injury.  Walking normally a month after, with the help of a couple formal PT sessions.

post #5 of 14

What kind of fall?

 

If you want to ski again in three weeks, I'd get an Ortho appointment ligety-split.  He'll check for ACL tear and order an MRI and you'll know your actual condition.

 

Depending on your health insurance, if you have a high deductible, you can negotiate a cheap knee MRI for cash and bring it to the Ortho's office to speed things up.  You'll need an MD's order for the MRI. You can get your primary care MD to fax it to the MRI place.

post #6 of 14
Thread Starter 

Thanks for the responses--incredibly helpful!!  I'm on a business trip through Thursday, so I'm planning to make an appointment for first thing Friday, and will cancel if my knee starts feeling much better.

 

In response to Eagles Pdx, I was skiing down Nina's Curve at Alta (the "chute" near Collins) and tried to slough some speed where it narrows.  I'm not entirely positive, but I believe I hit a lurking bump under the fresh (heavy) snow and my momentum took me head over boots.  My left ski released, but my right did not.  I've got Look Pivots that are setup properly, so it must have just been bad luck.

post #7 of 14
post #8 of 14
Quote:
Originally Posted by dshack89 View Post

I fell hard on my first run this morning (idk how) and twisted my knee. I did not want to call it quits, so I sucked it up and skied the rest of the day. The pain was fairly high so I took 6 ibuprofens at lunch, which helped a ton. I still skied pretty intense terrain (E.g. eagles nest @ alta). I didn't feel like my knee was "loose", but a right hand hockey stop really hurt. My knee is now pretty swollen/stiff and walking is slow. I've been icing it to try to help with swelling.

Given I was able to keep skiing, should I still be concerned that I might have a more serious injury? Should I go see a dr?

FYI-this was my last day of this trip but I'll be going to Steamboat in just over 3 weeks...I will do whatever rest/rehab is necessary so I can ski there!

Thanks!

No, of course not. Just ask some random strangers on the internet. Some of them might even have stayed at a holiday inn! rolleyes.gif
post #9 of 14
Thread Starter 
Quote:
Originally Posted by ScotsSkier View Post


No, of course not. Just ask some random strangers on the internet. Some of them might even have stayed at a holiday inn! rolleyes.gif

 

Haha, I'm surprised it took this long to get this comment :)

post #10 of 14
Quote:
Originally Posted by ScotsSkier View Post


No, of course not. Just ask some random strangers on the internet. Some of them might even have stayed at a holiday inn! rolleyes.gif

 

I think you have to stay at a Holiday Inn Express to give orthopedic advice on the web.   And I think we qualify as specific strangers.  But then I stayed at the Ritz.

post #11 of 14

Sprains are tears.

 

Taking more than 800mg of ibuprofen not good for the liver, especially if drinking alchohol.

post #12 of 14
Thread Starter 
Quote:
Originally Posted by cc1 View Post
 

Taking more than 800mg of ibuprofen not good for the liver, especially if drinking alchohol.

 

I'm 6'3" 220 and in solid shape, so I don't think it's quite as big of an issue for me. But, point taken.

post #13 of 14

SOP for knee injuries is for the doctor to examine, and if an injury may be present, he will order X-rays.  These won't show anything in soft tissue, but are generally a prerequisite to MRI.  A lot of this delay actually allows initial swelling to go down and most minor tears and sprains will clear up on their own.

 

Keep ice on it and see where your range of motion goes.  If strength and feel return to normal, I'd just call it good.  If you develop further swelling, a click or catch, or serious weakness in any plane, then you have a legitimate concern.  Meniscus injuries are often left alone anymore unless they show grade 3 tears or cause other problems.  Tendon or ligament separations are another matter.

post #14 of 14

My guess is that  OP (dshack89) has a non-major sprain/injury of some kind, not a full tear of a ligament; I'm inclined to agree with cirque.  Let us know if you recover, or other diagnosis if a more serious issue.

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