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.
Bloomingdale Trainer Performing Invaluable Role in Keeping Athletes Playing
By
Pam Shebest
Special for MHSAA.com
November 22, 2022
BLOOMINGDALE — If Scott Allison looks bored during one of Bloomingdale’s sporting events, that is a good thing.
“Trainers like to be behind the scenes and in the shadows,” the certified athletic trainer said. “We’re only needed in emergencies.
“It’s one of those jobs that if we’re sitting around looking bored, then things are going well.”
But if an athlete goes down with an injury, Allison is quick to run onto the court or field.
In his first year at Bloomingdale, he has found that working with middle and high school students is a lot different than his previous work with the minor-league hockey Kalamazoo Wings.
Treating the hockey team, with whom he spent much of his 22 years, “There was a lot of traumatic stuff like lacerations or deep contusions, overuse injuries like hip flexors or core injuries or broken bones.
“Everything’s acute and fast. It’s a different animal. In hockey, they’re all pro athletes so they know their bodies really well.”
However, high school and middle school athletes are still in a growing phase.
“These kids don’t really know what’s going on a lot of times, so it’s a lot more education on what’s happening,” Allison said.
“Is it an injury, or is it just soreness? You get a lot of kids that don’t understand the difference between aches and pains or an injury. We see a lot of ankle sprains or shin splints because they’re just developing. They’re in that awkward range where their bodies try to grow too fast.”
Allison is the Cardinals’ first certified athletic trainer, a new position for which athletic director Jason Hayes campaigned.
“What we notice is that if a kid’s injured, they’re out a lot less if you have a trainer because it speeds up recovery time,” said Hayes, who also coaches varsity football and is an assistant wrestling coach. “It’s like having a built-in physical therapist on your staff, too.”
Studies support Hayes’ statements.
According to information from The Sports Institute at University of Washington, “‘The athletic trainers know the athletes,” says Stan Herring, M.D., cofounder of The Sports Institute at (University of Washington) Medicine and a team physician for the Seattle Seahawks and Seattle Mariners. “They see the athletes frequently, if not every day. They know when something is wrong. They are medical professionals who evaluate, treat and rehabilitate athletes.’”
The article continued: “Three recent studies suggest that athletic trainers are linked to significant improvements in the diagnosis of concussion in young athletes and significant reductions in ‘time-loss’ injuries that require athletes to take time away from sports.”
Allison sees himself as a teacher as well as a trainer.
“We see a lot more strains or growth issues,” he said. “A lot of it is maintenance and teaching kids what’s going on with their bodies or what they need to do to change things.”
He also meets with parents and coaches to talk about the best way to prevent injuries.
Allison’s day begins about 1:30 or 2 p.m., giving athletes a chance to talk with him before practices or games.
During the action, he always has his first aid backpack filled with the basics: air splints for fractures or dislocations, AED, EpiPens, and bench kits (with taping and bandaging supplies, splints, gauze, ACE wraps, ice bags, latex gloves and other basic first aid supplies.)
He travels with the teams when they are involved in high-impact sports, such as football, and many times he is also called to treat an opposing player if that team has no trainer.
Allison is a perfect fit with Bloomingdale, Hayes said.
His wife, Kirsten, coached the Cardinals girls basketball team for seven years. His daughter Emma, now at Glen Oaks Community College, graduated from there, and his daughter Bailey is an eighth grader.
“We are a very lucky town,” Hayes said. “We had Doc (Robert) Stevens, who had been volunteering as our athletic trainer for 15 years. He’s just aging out.
“About a year ago, he came to me and said that it was his last year. Scott has 22 years experience, and he has relationships here. To me, it was a no-brainer.”
Assistant varsity football coach Lance Flynn, who also coaches the middle school football team, saw Allison in action during competition in the fall.
“First quarter in a middle school football game, a kid broke his arm,” Flynn said. “My own son, Ryder, was on the varsity team and he sprained his AC socket and Scott took care of him.
“If something happens during a game, they can go see him and I don’t have to worry much because I know they’re in good hands.”
Allison’s affiliation with Bronson Sports Medicine is also a plus, the trainer said.
“With Bronson, we can offer a lot more and expedite getting in to see doctors or specialists if we need to,” he said. “We’re on the same system as the doctors, so we can diagnose and send notes to the doctors and they can send notes back to us.
“If there’s anybody we need to keep track of with the doctors, I can talk with the doctors and figure out how that’s going. If anybody needs to see me, they know I’m here early if they just want to come down to talk.”
Bronson also provides certified athletic trainers at 21 other southwest Michigan high schools: Brooke Vandepolder (Battle Creek Central), Lindsay Aarseth-Lindhorst (Climax-Scotts), Amanda Monsivaes (Comstock), Makenzie Hodgson (Delton Kellogg), Salvador Robles-Soriano (Gobles), Holly Ives (Richland Gull Lake), Katelyn Baker-Contreras (Kalamazoo Hackett Catholic Prep), Lizzy Smith (Kalamazoo Central), Emma Beener (Kalamazoo Christian), Holly Sisson (Kalamazoo Loy Norrix), Nico Talentino (Mattawan), Aaron Eickhoff (Otsego), Quincey Powell (Parchment), Malorie Most (Paw Paw), Jessica Bakhuyzen (Plainwell), Lance LeTourneau (Portage Central), Janelle Currie (Portage Northern), Carrie Calhoun (Schoolcraft), Chelsea Harrison (South Haven), Alexis Walters (Three Rivers) and Natalie McClish (Vicksburg).
Pam Shebest served as a sportswriter at the Kalamazoo Gazette from 1985-2009 after 11 years part-time with the Gazette while teaching French and English at White Pigeon High School. She can be reached at [email protected] with story ideas for Calhoun, Kalamazoo and Van Buren counties.
PHOTOS (Top) Bloomingdale trainer Scott Allison has several tasks as he works to keep the school’s student-athletes healthy and pain-free. (Middle) Bloomingdale athletic director Jason Hayes, left, and assistant varsity football coach Lance Flynn. (Below) Allison packs his bag for another full afternoon. (Ankle-taping photo by Andreya Robinson; all other photos by Pam Shebest.)