Status post ACL surgery one year ago
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Dear Ask The Doctor: I had ACL surgery almost a year ago, it is still a little swollen all the time. After a night out drinking it swells more, is very warm to the touch, and painful sitting or standing. I also have sharp pains when I am sleeping in the same knee. What could be causing this? should I seek medical attention? I do ice.
Dear Gwen: According to your description the sharp pain that you are experiencing may be due to a nerve irritation or Neuritis, which produces a pain occurring from a peripheral nerve inflammation probably resulting from the surgery, in which the sensitive nerve that supplies sensation to that part of the knee was involuntarily touched. The recovery of the inflammation or lesion of the peripheral nerves takes time. The suggested strategy would be: conservative therapy, such as physical therapy, moist heat application, and anti-inflammatory drugs as Ibuprofen (“Motrin”, “Aleve”) and avoid wearing constrictive garments close to the affected knee, also you can try capsaicin cream locally. If does not get better with these measures it is strongly recommend to be evaluated by a orthopedic surgeon and maybe consider the local corticosteroid injection which might provide more chronic relief of symptoms. |
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Last Updated ( Tuesday, 13 September 2011 )
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