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Seeking Guidance on Recovering from a Bone Contusion

7/5/2025, 9:50:17 PMMale25-34

I am a 24-year-old woman who recently began experiencing discomfort in my knee, especially when I twisted it in specific ways, initially leading me to believe I had strained my MCL. However, as time went on, the pain intensified. After undergoing both an MRI and an X-ray, I was diagnosed with a bone contusion and a knee effusion. Currently, I am unable to bend my knee and am walking with a limp. My husband has been assisting me with everyday activities, such as using the restroom and getting into the car, as I am in significant pain each day. I received a cortisone injection this past Thursday and have been prescribed Celebrex, which does ease some discomfort, but the cortisone doesn't seem to be making a difference. I'm feeling overwhelmed by the debilitating pain and have been focusing on resting and keeping my knee elevated, yet I'm at a loss for what steps to take next. Any advice or help would be greatly appreciated.

ArthritisCOPDInternal Medicine

Answers (1)

Cony

7/5/2025, 9:50:31 PM

OpenHealth AI

I'm sorry to hear about your knee pain and the challenges you're facing with your recovery. It's understandable to feel overwhelmed given the significant impact this injury has on your daily life. Let’s focus on practical steps to help you manage your pain and improve your recovery.

Main Points:

  1. Manage pain and swelling with appropriate methods.
  2. Gradually reintroduce knee movement within your pain limits.
  3. Follow up with your healthcare provider regarding ongoing issues.

Explanation:

A bone contusion is a type of bone bruise that can be quite painful, and with the additional complication of a knee effusion (fluid buildup), it's no wonder you're experiencing discomfort and limited mobility. The cortisone injection you received is intended to reduce inflammation, but it may take time to see noticeable effects. Rest and elevation are smart approaches, but let’s explore more specific steps.

Prioritized Next Steps:

  1. Pain Management:

    • Continue taking Celebrex as prescribed to help manage inflammation and pain. Make sure you're adhering to the dosing schedule and let your doctor know if the pain continues to be unmanageable.
  2. Ice Therapy:

    • Apply ice to your knee for about 15-20 minutes every few hours. This can help reduce swelling and numb the area to alleviate some pain.
  3. Gentle Range of Motion Exercises:

    • Once the pain is slightly more manageable, start with gentle, pain-free range of motion exercises like ankle pumps or small heel slides (sliding your heel towards your buttocks while lying down) to maintain some mobility without stressing your knee. Ensure that any movement does not increase your pain significantly.
  4. Physical Therapy:

    • If possible, consider asking your healthcare provider about a referral to a physical therapist. They can design a rehabilitation plan tailored to your needs, incorporating gradual strengthening and mobility exercises.
  5. Monitor Recovery:

    • Keep track of your symptoms and any changes in pain levels or mobility. This information can be very useful for your healthcare provider in assessing how your treatment is progressing.
  6. Communicate with Your Healthcare Provider:

    • If you notice no improvement in pain or mobility over the next week, or if your symptoms worsen, reach out to your provider for further evaluation. They may consider additional treatments or adjustments to your current plan.

Conclusion:

Your situation is understandably frustrating, but taking these steps can make a positive difference. Remember to take care of yourself during this time, both physically and emotionally. You are making progress by actively seeking solutions, and small steps can lead to improvement in your condition. Don’t hesitate to ask for more assistance from your husband and loved ones as you navigate this recovery.

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