Why is the pain not going away?
It is not uncommon for a patella to “pop back” by itself after sustaining a subluxation. This is known as a transient dislocation. Although anatomically corrected , the patella-femoral complex , surrounding ligaments and entire knee joint capsule will continue to be painful , swollen and could still have limited range. It is imperative that even with a transient patella dislocation – one should NOT ignore the symptoms. We have years of expertise in these types of conditions , so rather get it assessed before it worsens.
What happens when my patella dislocates?
When a patella dislocates , it’s not just as simple as a “sled going off the tracks.” There are multiple surrounding structures such as the joint capsule , ligaments , muscles , tendons and nerves that needs to be assessed , cleared and allowed time to heal before returning to your full capacity. Research has shown that up to 58% of patients struggle with strenuous activities 6 months after sustaining their first knee cap dislocation. Furthermore 50% of patella dislocations have complications following a first-time dislocation including re-dislocation, subluxation and patello-femoral pain with instability.
How long does it need to heal?
Healing is a process and any injury needs time to recover and become strong again. As the knee complex is responsible for weight bearing and walking , the structures that are affected when a patella dislocates needs sufficient time to rest , recover and heal. It will not help continuing to walk , squat , run or climb stairs with the injured knee as the structures that are bruised , swollen and tender will not be allowed the necessary time to sufficiently heal. The medial patella femoral ligament (MPFL) is one of the primary ligaments that provides stability to the patella. The MPFL needs to regain its tensile strength through optimal loading via rehabilitation. Without this , there will be complications arising that could potentially lead to chronic patella-femoral instability. The same concept can be applied to the other surrounding structures such as the quadricep muscles. The muscles need to be loaded and put through a strengthening process as to be able to avoid the patella from mal-tracking in the future. Ligaments can get worse by being loaded when sprained , this will develop into a tear if not approached with caution.
I’m resting but the pain is still there?
The more you walk or run through the pain, the longer it will take to heal. If the pain returns every time you go from sitting to standing , walking , climbing stairs or even getting in and out of your car , you have missed the most vital aspect of the healing process. We are skilled to deal with the loading and phases of healing , do not hesitate getting in contact with us so you can rather be safe than sorry.