When Can I Walk Off Knee Pain — And When Should I See A Doctor?
June 7, 2022
Whether you wake up with a stiff knee, sustain an injury, or start feeling knee pain for seemingly no good reason, you might wonder what to do. Should you immediately rush off to the doctor? Can you just ignore it and hope it will get better? Can you treat it yourself? Knowing when you need a doctor’s intervention can be a tricky decision to make.
We see people at the start of injuries and after they’ve been ongoing,” says Nancy White, M.D., a sports medicine physician at Henry Ford Health. “While the sooner you see an expert, the better, there’s really no right or wrong to it. However, there are a few key signs that it’s a good idea to get it checked out.”
Dr. White recommends seeing a doctor if:
► You are waking up with consistent knee stiffness. If there’s no history of an injury involved, it could be due to osteoarthritis or rheumatoid arthritis.
► If your knee pain isn’t going away.
► Your knee is swollen and you can’t bear weight on it.
► You can’t fully flex or extend your knee.
► Your knee is warm to the touch. This could signal inflammation.
If your pain is mild — or you’re trying to decide whether to see someone — Dr. White recommends icing it on a scheduled basis. “That means two to three times a day,” she says. “Apply the ice to your knee. It will get cold. It will burn, then it will get numb. Remove the ice when it gets to the numb stage.”
She also recommends elevating your leg and putting a compression wrap or sleeve on your knee. If the pain is bad, you can try taking ibuprofen or naproxen for a few days.
Common Causes of Knee Pain
But if your knee is not getting better, it’s a good idea to see a doctor, as common causes of knee pain include:
► ACL sprains and tears. Short for anterior cruciate ligament, the ACL is one of four ligaments in the knee that allows it to flex and extend. The ACL can tear when your foot is firmly planted in place, and the knee locks and twists or pivots at the same time.
► MCL sprains and tears. Short for medial collateral ligament, the MCL connects your shinbone to your thighbone. It can tear when landing after a jump, or after an exterior blow to the knee (usually during contact sports). Luckily, most MCL injuries heal on their own.
► Meniscal tears. The menisci are your knee’s shock absorbers; they're two discs made of soft cartilage. Abrupt movements (like pivots, stops, turns, squats or lifts) can cause them to tear.
► Kneecap dislocation. A direct hit to the knee — or a sudden twist or pivoting of the leg — can make the kneecap can shift out of place.
► Patellar tendonitis. This is also known as Jumper’s Knee, as it’s a common injury in basketball and volleyball players. The patellar tendon connects the bottom of the kneecap to the top of the shinbone, and can become inflamed from overuse, excessive force or repetitive stress.
Knee bursitis. The bursa is a small, fluid-filled sac located near the knee joint. Knee bursitis occurs when the bursa becomes inflamed, often because of a knee injury or overuse from frequent kneeling.
How to Help Prevent Knee Pain
And if you want to help prevent knee pain in the future? “Exercise regularly so that you’re strengthening your quadriceps, hamstrings and gluteal muscles,” says Dr. White. “It’s also important to stretch to increase quadricep and hamstring flexibility.”
Wearing shoes with sturdy soles and proper arch support can also help ease pain and issues you may already have, says Dr. White. “I would say the top reasons people get into trouble with their knees are things they could prevent by changing lifestyle habits. This includes maintaining a healthy weight, as being overweight can also lead to increased wear and tear on the joints.
To learn more about your orthopedic condition or to find a provider, visit henryford.com/ortho.
Dr. Nancy White is a sports medicine physician at Henry Ford Health. She sees patients at Henry Ford Medical Center – Novi, and Henry Ford Medical Center — Bloomfield Township.
Survey Shows Multi-Sport Participation Holding Steady, Led by Consistent High Achievers
By
Geoff Kimmerly
MHSAA.com senior editor
December 14, 2023
The MHSAA's fifth Multi-Sport Participation Survey, conducted this spring for the 2022-23 school year, showed for the second-consecutive year that 44 percent of athletes at member high schools participated in more than one sport, and with several schools retaining high rankings in their respective Classes for the percentage of their athletes playing multiple sports.
Early and intense sport specialization has become one of the most serious issues related to health and safety at all levels of youth sports, as overuse injuries and burnout among athletes have been tied to chronic injuries and health-related problems later in life.
This past year’s survey showed 44.7 percent of athletes at MHSAA member high schools participating in two or more sports, a slight increase from the 44.3 percent who were multi-sport athletes in 2021-22 – and 1.9 percent higher than the percentage measured with the first survey in 2017-18.
For 2022-23, 47.5 percent of male athletes and 41.2 percent of female athletes played multiple sports. Class D has enjoyed the highest percentage of multi-sport athletes over all five years of surveys, this time at 62.5 percent, followed by Class C (59.0), Class B (49.6) and Class A (36.9).
Similar results for overall sport participation and multi-sport participation relative to enrollment size were seen by further breaking down Class A into schools of fewer than 1,000 students, 1,000-1,500 students, 1,501-2,000 students and more than 2,000 students. For both sport participation as a whole and multi-sport participation specifically, the smallest Class A schools continued to enjoy the highest percentages, while percentages then decreased for every larger size group of schools. This has remained consistent over the last five surveys.
Since 2018-19, the survey also has shown a slight increase in three-sport athletes across all four Classes and overall with 12.6 percent of athletes at MHSAA member high schools playing at least that many in 2022-23.
In early 2016, the MHSAA appointed a Task Force on Multi-Sport Participation as part of a continued effort to promote and protect participant health and address the issues leading to early sport specialization. The annual Multi-Sport Participation Survey was among results of the task force’s work. The 2022-23 Multi-Sport Participation Survey received responses from 85.2 percent of member high schools, a few tenths more than in 2021-22 in setting a survey response record for the second-straight year. (No survey was conducted for 2019-20 as spring sports were canceled due to COVID-19.)
The MHSAA Task Force also recommended measuring multi-sport participation in MHSAA member schools to recognize “achievers” – that is, schools that surpass the norm given their enrollment and other factors that affect school sports participation.
Battle Creek Harper Creek, Detroit Cody and Grand Rapids Northview have appeared among the top 10 percent of their respective Classes four of the five years the survey has been conducted. Several more have appeared among the top 10 percent of their Classes three of the five years: Athens, Decatur, Detroit Douglass, East Grand Rapids, Gibraltar Carlson, Hamtramck, Hillsdale Academy, Holland Calvary, Kinross Maplewood Baptist, Livonia Franklin, Manton, Marquette, New Baltimore Anchor Bay, Ovid-Elsie, Parma Western, Warren Fitzgerald, Warren Lincoln and Warren Michigan Collegiate.
In Class A, Sterling Heights (85.7 percent) and Grand Rapids Union (84.0) posted the highest percentages of multi-sport athletes in 2022-23, with Livonia Franklin (73.1) and Battle Creek Harper Creek (71.3) also reaching 70 percent. In Class B, three schools achieved at least 80 percent multi-sport participation –Warren Michigan Collegiate (85.2), Detroit Cody (84.2) and Battle Creek Pennfield (81.5).
Class C saw eight schools reach 80 percent – Jackson Lumen Christi (92.5), Delton Kellogg (92.3), Decatur (86.2), Muskegon Western Michigan Christian (84.0), Indian River Inland Lakes (83.3), Detroit Crockett Midtown Science & Medicine (82.4), Martin (80.6) and LeRoy Pine River (80.0). Two Class D schools responded at higher than 90 percent multi-sport participation – Coldwater Pansophia Academy with 100 percent for the second-straight year and Carney-Nadeau (94.0) – followed by Brighton Livingston Christian (88.9), Carsonville-Port Sanilac (88.6) and Holland Calvary (87.0).
The full summary report on the Multi-Sport Participation Survey is available on the Multi-Sports Benefits page of MHSAA.com