Knee instability / Hypermobility
Rehab for the injury
Rehab 1 – Rehab 2 – Rehab 3 – Rehab 4
Focus on training the rest of the body, so you do not lose your current mobility, stability and strength. Then find out what you can do from workout programs and work out according to the level you have. Exercise of the rest of the body accelerates healing of your injury, among other things due to increased nerve activity and circuits.
Description of knee instability
Due to the complex ligament system that stabilizes the knee on multiple levels, and the important muscle groups that actively stabilize the knee, there may be several reasons for a knee instability. Most often, it is a result of a trauma, but other factors can play an important role, for example hypermobility, muscle mass loss, growth and age degeneration. Doing a complete knee test can be very difficult even for an expert, as it can be difficult to both investigate in several planes while keeping in mind the biomechanical factors that are involved.
Symptoms of knee instability
- Noticed or heard a popping or clicking in the knee.
- Leg is collapsing.
- Lack of control of the knee.
- Pain and swelling, especially after exertion.
- Atrophy, (decrease of muscle mass).
- The knee feels hot.
- Pain and stiffness can be experienced when moving from sitting to standing position after a rest period. The pain worsens in a squatting position.
Examination of knee instability
Most importantly before embarking on an examination of knee stability is to rule out swelling and internal bleeding, which could give a false negative to any of the tests. Lack of doing so is often times the biggest mistake made by clinics and hospitals when examining an acute knee trauma or a fluid-filled knee. Remember therefore, stability can’t be investigated in case of acute injury.
- Analysis / Inspection / Palpation / ROM, visual and physical comparison to opposite side.
- Stability test.
- Measurement of atrophy.
- Inspection of the joint through arthroscopy provides the final diagnosis.
If the tests are positive, it is recommended that an orthopedic surgeon examines the patient to assess the extent of the injury, and may also, if necessary, operate and reconstruct.
Treatment of knee instability
- Rehab.
- Active rest.
- Ultrasound (pulsating), 3 Mhz, 2 W cm2.
- TNS.
- Cryotherapy (ice massage).
- Thermal treatment (heat).
- Traumeel (2tabl. 3 g. daily for 9 days).
- Kinesiology taping (stability).
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