Dear Assunta,
I would not, nor do I believe anyone would, presume to diff diagnose
or suggest treatment plan on-line. I suggest you contact your school's
Orthpedic PT prof for advice on how/where to seek diagnosis &
treatment.
I can review the basic rule for recent injuy & swollen joint: PRICE
Protect
Rest
Ice
Compress
Elevate
Good luck.
Sarah Fern Striffler, PT
Assunta Berardocco wrote:
> I have a question for the mailbase. I am a 1st year physio student and I
> haven't learned about the knee yet. Hopefully some treatment ideas can be
> provided (I don't have time to be broken)!!. As a weekend warrior, I went
> out today and played 4 vs. 4 volleyball. It was the last hit of the game. In
> the air, I felt my knee pop out of alignment and upon landing I experienced
> a squishy feeling. After hitting the ground (hard) I was able to bend the
> knee through almost full ROM however I felt a bit of numbness in my
> gastroc/soleus. 4 hours later, there is no longer numbness in the calf
> muscles. Main complaint is stiffness.
>
> I have been icing the joint almost every other hour for 20-30 mins. but
> definite swelling is evident.
>
> Limited AROM flexion - limited by tightness on lateral aspect of joint
> Limited PROM flexion- limited by a thick-like endfeel (perhaps caused by
> edema)
> Pain on full AROM extension
> Pain on full PROM extension
> Little or no pain with isometric resisted ROM
> Pain when palpating lateral aspect of knee
>
> Any differential diagnosis would be appreciated as well as treatment plan.
> So far this evening, other than ice, I have been doing isometric exercises
> and trying to complete full range extension.
>
> Looking forward to your replies,
> Assunta
>
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