Symptoms of femoral head ligament injury

Written by Cheng Bin
Orthopedics
Updated on November 26, 2024
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The clinical symptoms of a femoral head ligament injury mainly manifest as significant local pain. Severe cases may affect the patient's joint mobility and normal ability to move about, which are the clinical manifestations of a femoral head ligament injury. Usually, within a recent period, it is necessary to strictly rest in bed to protect the area, reducing local stimulation, which is the best condition for patient recovery. If the patient is not allergic to plasters, topical plasters that invigorate blood and dissolve stasis can be used, along with oral non-steroidal anti-inflammatory and pain-relieving drugs, and drugs that invigorate blood and dissolve stasis for treatment. After 48 hours post-injury, local heat application should be actively performed. Most patients will gradually recover through these active treatment methods. (The use of medications should be under the guidance of a professional doctor.)

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What is the best way to recover from meniscus injury and ligament tear with conservative treatment?

For a meniscus injury and ligament tear in the knee joint, if the condition is not very severe, we can manage it with conservative treatment. This means using immobilization, physical therapy, heat application, and anti-inflammatory pain relief. If the knee has been immobilized for a period, say two months, it will obviously become somewhat stiff. In this case, if rehabilitation is to be performed, the first step should be to seek guidance at a formal rehabilitation medical institution. If a therapist is available to assist with training, that would be the ideal best case scenario. If no therapist is available, care must be taken during activities not to excessively tear the healed ligaments or meniscus. During the rehabilitation process, when performing bending and flexing exercises, it's crucial to be mindful of the extent of movement. Additionally, it's important to consistently strengthen the quadriceps muscles.

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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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How to recover from ligament damage

Recovery from ligament damage should be divided into two phases. The first phase is the acute phase of the ligament injury, which generally occurs within three weeks after the injury. During these three weeks, it is recommended to immobilize and minimize movement to create favorable conditions for the growth and repair of the ligament. During this period, heat application can be beneficial, and oral medications that promote blood circulation, remove blood stasis, reduce swelling, and relieve pain can be taken to facilitate the repair of the ligament. After three weeks, the continuity of the ligament is usually established. During this period, it is necessary to enhance functional exercises to prevent joint adhesion. Under the guidance of a physician, joint movements should be strengthened, combined with oral medications for promoting blood circulation, removing blood stasis, reducing swelling, and relieving pain, and also include local heat application and possibly physical therapy. With these comprehensive treatment measures, generally, a good recovery outcome can be achieved.

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Are calcium tablets useful for ligament injuries?

Calcium supplements do not have a significant effect on the repair of ligament injuries. There are established principles for dealing with ligament injuries. Generally, for minor injuries, reducing movement and stabilizing the affected limb are recommended to allow the ligaments to heal on their own. In cases of severe ligament injuries, such as significant or complete tears that affect joint stability, surgical repair or reconstruction may be necessary. Of course, in the most severe cases, ligament injuries can be accompanied by fractures or other concurrent injuries. While healing fractures require calcium, and during these times the calcium from calcium supplements can serve as a source for fracture repair, typically the calcium intake from a daily diet is sufficient to meet the needs during fracture healing. Therefore, taking calcium supplements for ligament injuries does not have a significant effect.

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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.