Do ligament injuries fear the cold?

Written by Wang Jing
Pediatric Orthopedics
Updated on September 06, 2024
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Ligament injuries should not naturally be sensitive to cold; however, due to impaired blood circulation in the damaged area or poor blood supply due to scar repair, the circulation in the injured tendons becomes worse compared to other areas. In cold conditions, this can lead to even poorer blood flow. When circulation is poor, it's hard for metabolic byproducts to be removed from the area, leading to their accumulation, which can stimulate the injured site and cause pain. Therefore, areas with ligament injuries often become sensitive to cold, as the cold causes blood vessels to constrict, leading to the accumulation of metabolic by-products and resulting in pain at the affected site.

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Written by Na Hong Wei
Orthopedics
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What should I do if the patellar ligament is injured?

Once a patellar ligament injury occurs, the first step is to immobilize the area; stop all activities to prevent further damage and secondary injuries. Secondly, apply ice. The initial ice application should last from half an hour to an hour, applied directly to the injured patellar ligament. Thirdly, bandage to immobilize the area, primarily using an elastic bandage and cotton padding to compress the knee joint. This can help stop bleeding and limit swelling. Fourth, elevate the injured limb to at least 30 degrees above the level of the heart. After these measures, it's necessary to go to the hospital for further examination including physical assessments by a doctor, X-rays, or an MRI to fully understand the extent of the ligament damage. If there is a partial tear of the ligament without complete discontinuity, conservative treatment such as casting or bracing can be effective, typically for three to four weeks. However, if the ligament is completely torn and surgery is clearly indicated, surgical treatment should be followed by the use of a brace for six weeks. Thus, proper early management of a patellar ligament injury is crucial, followed by hospital evaluation. Additionally, since patellar ligament injuries often coincide with fractures or damage to other structures such as the meniscus or cruciate ligaments, these factors cannot be overlooked.

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Written by Guan Yu Hua
Orthopedic Surgery
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Symptoms of knee ligament injury

The ligaments in the knee joint are quite complex, often resulting from trauma, strain injuries, or lateral impacts. Symptoms such as reluctance to move the knee, pain, and worsened pain after movement usually necessitate a hospital examination. Lateral stress tests examine the medial and lateral collateral ligaments, drawer tests check the anterior and posterior cruciate ligaments, and pivot shift tests or squat walking tests assess the meniscus. If necessary, an MRI is performed for diagnosis. Early detection and treatment are crucial. If trauma is frequent, or instability after injury occurs, one should seek hospital examination. Ligament damage often heals slowly, typically taking around a month to fully recover.

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Post-symptoms of knee ligament injury

The knee joint has four crucial ligaments: the anterior and posterior cruciate ligaments, and the medial and lateral collateral ligaments. They act like four pillars, firmly anchoring the knee joint in a very stable and normal position. If any of these ligaments rupture, this balance is disrupted, causing the knee to move abnormally in a certain direction, leading to increased local wear and tear or compensatory wear in other parts. Therefore, if ligament damage is not repaired, and the balance is disrupted, it can lead to many complications or sequelae. The first is traumatic arthritis. The second is patellar chondromalacia. The third is meniscus damage. The fourth is damage to other ligaments, or even rupture. The fifth is knee arthritis, also known as OA, or degenerative changes. The sixth is knee effusion and synovitis. Thus, the sequelae of knee ligament injuries are numerous and troublesome.

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Can I walk if the ligament injury has been a month old?

If you can walk with a ligament rupture, it generally takes about four to six weeks. Ligament rupture usually requires surgical treatment because it can cause dysfunction of joint mobility, so it is mainly treated through surgical repair. Post-surgery, it generally requires immobilization and rest for about four to six weeks. During this time, under the guidance of a physician or physiotherapist, appropriate functional exercises should be performed. Normally, it takes more than four to six weeks to resume regular activities. Beginning functional rehabilitation exercises as soon as possible can help prevent complications such as joint stiffness and tendon adhesion, and promote recovery of function.

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How to recover from collateral ligament injury of the knee joint

The knee joint has important ligaments on both the inner and outer sides, known as the medial collateral ligament and the lateral collateral ligament. In sports injuries, collateral ligament damage of the knee is very common. If there is an injury, the first step is to conduct a series of examinations to determine the stability of the knee joint. The damage to these ligaments can range from tears to complete ruptures. If there is only a contusion or a tear, the knee can recover its function through the use of supportive braces and the natural healing of the ligament. However, if the collateral ligament is completely ruptured, surgery is necessary for repair. The specific extent of the damage needs to be determined by MRI and physical examinations to decide the best treatment approach for the patient's recovery.