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.
5 Ways Acupuncture Can Enhance Athletic Performance
May 9, 2023
In the ancient Chinese medicine of acupuncture, thin needles are gently inserted into specific areas of the body, stimulating blood flow to speed the recovery of certain ailments.
It can be used as a treatment for everything from headaches and unbalanced hormones to joint pain and weakened immune systems. Acupuncture is also popular among athletes, as many of them incorporate it into their wellness regimens to stay in peak physical condition.
“Back in the day, athletes ate steak, smoked cigars and drank whiskey during the week and then played football on Sunday,” says Thomas Betts, a sports medicine acupuncturist with Henry Ford Health System. “But today, to improve their performance, athletes are attacking the body from every angle possible with diet, lifestyle and exercise. NBA players, for example, have talked about how acupuncture keeps them feeling their best.”
But you don’t have to be an NBA star to reap the benefits of acupuncture. Whether you’re a professional or student athlete, or you exercise and play sports for fun or to challenge yourself, here are ways acupuncture can boost your game:
- Acupuncture can help you recover more quickly from an injury. “If a muscle is torn, acupuncture won’t put it back together, but for sprains and strains, muscle soreness and tendonitis, acupuncture can decrease inflammation and speed the healing process,” says Betts.
- Acupuncture can reduce the need for “rest days.” If you just had an intense workout and your muscles are sore, getting acupuncture afterward can loosen the muscles and decrease soreness so you don’t have to take a day off to recuperate before training again.
- Acupuncture can improve flexibility, decrease muscle tension and increase muscle activation. “This is done with motor point acupuncture,” says Betts. “The motor point is where the brain attaches to the muscle via the motor nerve. By using needles to stimulate a motor point, it is like rebooting a phone or computer that isn’t working well: Motor point acupuncture is autoregulating, in that it can deactivate a tight muscle or reactivate an inhibited or weak muscle.”
- Acupuncture can provide immediate pain relief. “Some studies show that acupuncture can provide as much as, if not more pain relief than medication,” Betts says. “It differs for everyone, and it depends on what is being treated, but some people say they feel a difference right after a session, and others say they feel better about 20 to 30 minutes later.” Pain relief can last from a few hours to a few days.
- Acupuncture can help prevent injury. Because acupuncture can reactivate weak muscles and decrease muscle tension, it can also be used as a preventative measure against injury, Betts says. But you should always still stretch before and after exercising!
Learn more about acupuncture and other integrative medicine services at Henry Ford. To make an appointment, you can request one online or by calling 1-833-246-4347.
Thomas Betts, DOAM, RAc, is a certified sports acupuncturist with Henry Ford Health. He sees patients at the Henry Ford Center for Athletic Medicine in Detroit.