How to treat knee pain after fall in child?

Question

Hello doctor,

My daughter went ice skating last month, and she fell a few times, but she was able to stand up and skate again. The next day, saw bruises on her legs, especially the knee area, but those disappeared after a few days. She mentioned that she still feels some pain, but she can walk, move around and jump with it so I thought it is fine.

However, recently, I noticed that she cannot stretch it to its maximum. Although she can move around with it, she says there is still pain when she stretches it too much. What do you think is the problem? It is not broken, right? We cannot have X-rays due to the lockdown.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

If she can walk putting her full weight, she might not have a major fracture. But I want to ask you a few more questions to come to a conclusion. Is there any swelling around the knee now? Is there any history of massaging it every time she fell? Is she able to straighten out her knee completely now?

Probable causes here can be some joint fluid in her knee, which is causing an inability to stretch completely. If she is limping now, if she is complaining of pain with every step, we should think of any ligament injury. Or else if she does not have any pain on walking, do not worry, she does not have any fracture.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Is there any swelling around the knee?

Answer 3

Hello,

Welcome back to icliniq.com.

Repeated bruises can damage the muscles around the knee, especially if they are on the backside of the knee. If she does not have a fever, do not worry. Please follow my advice.

Apply local ice packs.
Gradual stretching of knee muscles. You can check for hamstring stretching exercises.
Please do not massage when she falls or injures her knee in the future.
Please use protective gear around the knee so that it does not get hurt when she falls while skating.
Tablet Ibuprofen 400 mg twice daily after food if she has pain.
You can take this tablet for five days now.
Tablet Ibugesic plus 400 mg twice daily after food for five days, Pantop 40 mg (Pantroprozole) once daily on an empty stomach for five days.

I hope this helps.

Thank you.

Answer 4

Hi,

Welcome back to icliniq.com.

Repeated bruising could cause muscle injury. More likely, it is a muscle injury. Do not worry, give yourself some rest. Apply ice packs if she has pain. Soft tissue injuries, such as muscles and ligaments, will take around two to three months if proper rest is taken. But if we continue to stress our knees with the same activity, it will take longer. Do stretching exercises. If the injury is old, maybe a month or two, we should apply a heat pack. If the injury is recent, I mean immediately after the injury, we should apply an ice pack.

I hope this helps.

Thank you.