I had a painful left knee fall on cement concrete tile of a railway station 3 years back while I was off boarding myself from a running local train. I feel the pain whenever I walk, run, climb or even stand using left knee support. I fear of internal bone injury as the cause of pain. Please suggest treatment, if x-ray or any test needed.

Dr. Julie Mercy J DavidPhysiotherapist25yrs exp

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You can go for ultrasound therapy for about 30 minutes which will help you to heal the old injury of the knee as that is called contusion injury of the knee. You can protect your knee with knee cap, provided you don't damage the knee further. If you want knee cap you can convey us we can help you in finding the right size and also we can send it by courier.  

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Dr. Karuna ChawlaHomeopathy Doctor26yrs exp

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Do x-ray of knee. Follow these dos and don’ts to help your knees feel their best. 1. Don’t rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knees and stick with it. If you're not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist. 2. Do exercise. Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and stretching do, too. For cardio, some good choices include walking, swimming, water aerobics, stationary cycling, and elliptical machines. 3. Don’t risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. 4. Rest, ice, compression, and elevation (rice) is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated. 5. Don't overlook your weight. If you're overweight, losing weight reduces the stress on your knee. You don’t even need to get to your "ideal" weight. Smaller changes still make a difference. 6. Don't be shy about using a walking aid. A crutch or cane can take the stress off of your knee. Knee splints and braces can also help you stay stable. 7. Don't let your shoes make matters worse. Cushioned insoles can reduce stress on your knees. 8. Do play with temperature. For the first 48 to 72 hours after a knee injury, use a cold pack to ease swelling and numb the pain. A plastic bag of ice or frozen peas works well. Use it for 15 to 20 minutes three or four times a day. Wrap your ice pack in a towel to be kind to your skin. After that, you can heat things up with a warm bath, heating pad, or warm towel for 15 to 20 minutes, three or four times a day. 9. Don’t jar your joint (s). High-impact exercises can further injure painful knees. Avoid jarring exercises such as running, jumping, and kickboxing. Also avoid doing exercises such as lunges and deep squats that put a lot of stress on your knees. These can worsen pain and, if not done correctly, cause injury.  

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Regards Lybrate user. I understand your concern as the injury had occurred 3 years prior. Sometimes injuries may reposition our bones in a very subtle manner and thus alter their way of loading (i.e. Taking body weight). Imagine having a 1 kg weight in your palm which ideally doesn't hurt but if the same 1 kg is placed on a pin & the pin is placed on your palm, it hurts bad. Similarly, when the body weight is overloaded in some places of the joint, not much in other area, they may complain. An orthopedic manual therapist may be able to examine carefully to find the cause & suggest you treatment techniques. You may reach out to us for an online consult if you prefer, so we can try to help you get better.  

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