The most common cause of pain after arthroscopic knee surgery torn meniscus is arthritis. The trick is to know when things are fine and moving a little slow or if indeed progress has stopped and a problem does exist. You will probably need about 6 weeks to recover. The surgery went well but the patient still has pain even though it’s now 2-3 months later. But it is so painful and I am just not making any progress. Thank you for taking the time. 2018 Jun 1;19(1):179. A sore throat may occur. For example I might say “lets try a steroid injection today, more therapy aimed at improving quad flexibility and 10 days of NSAIDs. Keeping your leg higher than your heart will help with swelling and pain. He is currently practicing Orthopedic Surgery in Orange County. After I continued to have knee pain, that doctor gave me me two cortisone injections, 40ml each, into both the medial and lateral sides of my knee, near the surgical portals. *Is there a deformity such as bowing, effusion, and medial tenderness? Adding insult to injury is the fact that almost every patient has had a neighbor or co worker who had the “same” surgery and who was back doing everything in “2 weeks”. Patients can help by marking their knee in the area that hurts or writing down their symptoms in detail. Miriam: “My knee replacement was six weeks ago. 2015;3(1):6. doi:10.3978/j.issn.2305-5839.2014.11.13, Di caprio F, Meringolo R, Navarra MA, Mosca M, Ponziani L. Postarthroscopy Osteonecrosis of the Knee: Current Concepts. Sign up and learn how to better take care of your body. It is very hard if not impossible for an MRI to distinguish surgical changes from a persistent meniscus tear. As is always the case, your doctor should provide specific instructions regarding your recovery from arthroscopic knee surgery. In order to protect their joint and reduce pain, people often limp or develop an abnormal gait. Once the problem is taken care of, patients may need to correct these mechanical abnormalities of knee function. The pain settles usually within two to three weeks, but may take upwards of six weeks. He completed his Orthopedic Surgery training USC. So you have had knee arthroscopy but your knee still hurts. Osteonecrosis of the knee: review. In addition, some patients who have an arthroscopic surgery have persistent swelling as a result of lingering inflammation from the trauma of surgery. Treatment of infection requires prolonged antibiotic treatment and can require additional surgery to clean out the joint.. Dr. Mora is a native of Orange County. As an infection persists, it can be more difficult to cure. Therefore, the first thing that a patient with a “failed surgery” needs to understand is that no 2 surgeries are ever alike. Arthroscopic knee surgery is a useful surgical procedure to manage and treat many common knee conditions. Patients can help by wearing shorts or sweats that can be pulled up high to the evaluation. In most cases a good ear to listen and the tip of my finger are the best diagnostic tools. In order to do a good exam I like to examine the whole leg from the hip to foot. This postsurgical pain relief is critical for effective participation in physical therapy and rehabilitation. Jonathan Cluett, MD, is a board-certified orthopedic surgeon with subspecialty training in sports medicine and arthroscopic surgery. He speaks fluent Spanish. Some experts believe that the edema (fluid) is due to micro fractures of the bone in the area of the over load. These subchondral fractures cause inflammation within the bone and significant pain. My physical therapist and my surgeon are very concerned at six weeks after knee surgery. One of the great advantages of knee arthroscopy is that you may start walking on the operated knee right away. But not everyone finds relief of their knee pain after surgery. Paterno MV, Hewett TE. A new MRI usually confuses the situation. My care was transferred to a civilian orthopedic clinic, and the doctor there discovered an IT band issue, which was sorting out by some Voltaren gel and my physical therapy. I then spend a few minutes writing down my diagnostic plan and the treatment plan. I will start by saying that half of these patients are fine and just need more time to get better. Normally, pain steadily decreases after surgery. Arthroscopy is one of the most commonly performed procedures to help diagnose problems in the knee and shoulder, including arthritis.It's a … In these cases, patients may have an arthroscopic surgery but may have to manage ongoing pain from arthritis that does not improve despite the surgical procedure. What I see more often than not is that not enough therapy was done or perhaps the patient expectations were unrealistic. Patients can help by wearing shorts or sweats that can be pulled up high to the evaluation. Knee arthroscopy is a surgical procedure. What Is Needle Arthroscopy for Knee Pain? Here are some of the top reasons why your knee may hurt after having a knee scope. Knee Arthroscopy Post-Surgery FAQ Weight Bearing. *With the patient in the prone position, is the Quadriceps tendon tight? My knee is swollen,sometimes red and my degree of the bend of my knee is 80*and my surgeon finally put me on an anti- inflammatory pill,but my,knee and feet still swell after being up on them for long periods of time and after sitting for periods of time its swollen and stiff. However, for how long after knee replacement surgery is it still normal to feel pain? While these are often common after knee surgery, see your physician if they persist, because they, too, may signal the development of this painful condition. Infection can damage the cartilage leading to the early onset of arthritis within a joint. He completed his training at the UC Irvine where he earned top of his class honors with his induction into the Alpha Omega Alapha Medical Society honors. If you have knee swelling further out in the recovery period consider asking your physician about using a wrap at home to gently compress the area. Once I have all the above information I put together a differential diagnosis and present it to the patient. Patients can usually borrow the surgical photographs or perhaps even get their own copy. Antimicrob Resist Infect Control. Knee Surg Sports Traumatol Arthrosc. I can't really say the surgery worked that well. The usual scenario is one where a patient had arthroscopic knee surgery for a torn meniscus. Read our, Medically reviewed by Stuart Hershman, MD, Medically reviewed by Jonathan Cluett, MD. You can request an appointment with me by calling 714 639-3750 or going to my web page www.MyOrthoDoc.com. Depending on the patient and joint condition, these risks may include swelling and stiffness of the joint, bleeding, blood clots, infection, or continuing knee problems. I hope this information regarding meniscus tear treatment and the development of arthritis is helpful. Patients can help their doctor by really understanding and making note of their pain and problem. Current research is focused on dynamic stability of the lower extremity—in other words, how sturdy your knee is when subjected to normal forces and movements. Realize that, as discussed above, the torn part of your meniscus was removed. After surgery the knee is typically wrapped with a bandage–this is to both protect the knee but also serves to help reduce and prevent excessive swelling. Friberger Pajalic K, Turkiewicz A, Englund M. "Update on the risks of complications after knee arthroscopy" BMC Musculoskelet Disord. Dr. Mora’s family heritage is Peruvian. Pain is quite common, most often in the area where you had pain before surgery, in the soft tissues below the knee cap, over the athroscopy wounds and occasionally the whole knee. Steve A. Mora MD, Orange County ACL Surgeon. A meniscus tear is a common knee injury. Sometimes pain does not arise suddenly but it comes gradually and we see patient complaining knee pain 2 years after meniscus surgery and they say that they have severe pain after arthroscopy which ca… Is the patella tender with crepitus? I experienced soreness after walking but no sharp bone-on-bone pain that I had before surgery. Arthroscopic surgery is a minimally invasive surgical procedure that is used to see inside your knee joint, and repair or remove any damage. The paste will harden and provide support for the damaged bone. He is team doctor for the Anaheim Bolts pro indoor soccer team and Foothill High School. Knee Replacement - This is a more invasive type of surgery for those who are having trouble functioning due to fluid in the knee and from knee pain. 2017;6:45. doi:10.1186/s13756-017-0202-3. I spend a lot of time trying to understand the current symptoms but I also ask about the symptoms before the surgery. Reasons to have arthroscopic surgery on the knee joint include cartilage injuries, meniscus tears, ligament problems, and a variety of other conditions. Loss of knee extension can be a big problem. So you’ve had knee arthroscopy but your knee still hurts. In this manner inaccurate expectations can be addressed early. Medically reviewed by Eva Umoh Asomugha, M.D. Have your situation evaluated. Thank you, {{form.email}}, for signing up. Pape D, Seil R, Fritsch E, Rupp S, Kohn D. Prevalence of spontaneous osteonecrosis of the medial femoral condyle in elderly patients. What are some types of knee surgery? The usual scenario is one where a patient had arthroscopic knee surgery for a torn meniscus. J Am Acad Orthop Surg. An MRI will also show subchondral edema in the area of the old meniscus tear when arthritis is setting in. 2002;10(5):356-63. doi:10.5435/00124635-200209000-00007. These patients are usually quite frustrated because they were under the impression that they would bounce back fast after their “simple” surgery. *Is there pain with stair climbing (patellofemoral disease or tightness)? I look at the Pre-operative MRI and sometime but not always order a new one. Good luck and be patient. Rehabilitation for Patients Following ACL Reconstruction: A Knee Symmetry Model. Chronic Tears of the Pectoralis Major Tendon, Surgical Treatment of Calcific Tendinitis and Rotator Cuff Tears- A Live Surgery Demonstration. It is very hard if not impossible for an MRI to distinguish surgical changes from a persistent meniscus tear. This is something I frequently see in my office especially for second opinions. The good news is that there are many treatments for knee arthritis, and often these can help patients find relief from their symptoms. It can be seen on a post op MRI. Get it filled when you go home so that you have it when you need it. You will feel tired for several days. Some signs that you should contact your surgeon include: 1. One Way to Get Your Knee Bending After Surgery Is With CPM, The Osteotomy Procedure Is an Option for Joint Surgery. SONK is a condition that causes inflammation within the bone. 2018;19(1):179. doi:10.1186/s12891-018-2102-y. My knee hurts at night, but I can handle it with Tylenol. This information is actually very important. That means that the remaining meniscus is smaller, but still taking the same pressure. Knee arthroscopy requires admission to hospital and an anaesthetic. I had a lateral meniscus tear. Using this scope and the camera attached, they can … *Is there a history of other joints with similar problems (rheumatoid disease)? Drainage or bleeding from the incisions 3. Hence, that remaining meniscus is more and not less likely to tear again. As you can see dealing with a patient that has already had surgery is more challenging than one who has not. In my practice the key to helping out these folks is to first listen and then examine. If it is the heel of the foot will not reach as close to the buttock as the opposite side. Friberger pajalic K, Turkiewicz A, Englund M. Update on the risks of complications after knee arthroscopy. He then completed a Sports Medicine, Cartilage, Shoulder, and Knee Fellowship at Santa Monica Orthopaedic and Sports Medical Group. But when that happens, you don’t have to just put up with the pain. N Am J Sports Phys Ther. Biggs A, Jenkins WL, Urch SE, Shelbourne KD. Worsening pain in the knee. If a patient had surgery less than 3 months ago I usually find that they are incompletely healed and need more time or maybe more therapy. What’s weird to me is, my neck, shoulders and arms are very stiff. The initial pre-operative MRI films are usually all I need to figure out what is happening. The initial pre-operative MRI films are usually all I need to figure out what is happening. Arthroscopic management of osteoarthritis of the knee. 2017;5(4):229-236. doi:10.1055/s-0037-1608666, Hunt SA, Jazrawi LM, Sherman OH. For the purposes of this article, we will discuss the recovery process of common and less involved surgeries of arthroscopic debridement and partial meniscectomy knee surgeries, sometimes referred to as “knee scopes”. It interesting how much information the tip of my finger can give me. In some patients, the symptoms can be so severe that patients end up having either a partial knee replacement or full knee replacement. , Probably the most common reason why patients have persistent pain after arthroscopic knee surgery is that their knee has damage to the cartilage of the joint that can't be adequately repaired by an arthroscopic procedure.. The surgery went well but the patient still has pain even though it’s now 2-3 months later. A relatively new treatment is available for this in which a calcium like paste in injected into the affected bone. My calf pain started a few weeks before my arthroscopic knee surgery and the doctor then said it was beccause of how I was walking (favoring my painful swollen knee).Now, almost two weeks after surgery, both the knee and calf continue to feel the same. Warmth and swelling around the knee. Swelling is a difficult problem to resolve, as there are many possible causes, some of these listed below. Ochsner J. The advantage of arthroscopic surgery is that as a minimally invasive technique, people tend to return to t… In the 3rd month, I began walking on the beach, twice a week. A new MRI usually confuses the situation. Eventually, that pain does settle down, but often the only way to find relief is to limit weight by using crutches for weeks or months after knee arthroscopy. Patient engagement with surgical site infection prevention: an expert panel perspective. It is well established that typical arthritis pain does not warrant an arthroscopic surgery; numerous studies have shown that the benefit of arthroscopy in these patients is no better than with nonsurgical treatments. Arthroscopy (ahr-THROS-kuh-pee) is a procedure for diagnosing and treating joint problems. 5 Reasons for Continued Knee Pain After Arthroscopy, Ⓒ 2020 About, Inc. (Dotdash) — All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Biomechanics of Multi-ligament Knee Injuries (MLKI) and Effects on Gait. Worseni… While this all sounds gentle and noninvasive, it needs to be understood that your body will react to the trauma of surgery. A must read. Persistent swelling is one of the most common symptoms after knee arthroscopy. Key points that I look for in the exam: *Is there a limp due to loss of knee extension or pain? It is easily correctable with therapy. BMC Musculoskelet Disord. Is there a palpable band? While the condition is called osteonecrosis, a word that means there is spontaneous bone cell death, the problem has been thought to be the result of microscopic fracture of the bone around the knee joint. *With the patient seated on table and relaxed, is the patella medial/lateral passive gliding tight? Physical therapy can help relieve knee stiffness and restore a patient's normal range of motion. Therefore in this case a post op MRI can be useful. These X-ray films are very important because they tell you information that the MRI does not. After their surgery, they develop persistent pain, typically along the inner (medial) side of the knee.. Braces and medications can also help with the symptoms. *Can the patient do a single leg step down from a step stool? I had arthroscopy surgery done on my left knee two weeks ago. 2008;3(4):234-41. Patients can help by marking their knee in the area that hurts or writing down their symptoms in detail. He sees athletes of all levels including professional soccer and UFC/MMA. Click below and just hit send! These pictures allow me to see the state of the articular cartilage and the severity of the treated meniscus tear. 2013;84(1):5-12. doi:10.1016/j.jhin.2012.12.014, Tartari E, Weterings V, Gastmeier P, et al. Most of the time, rest, ice, and pain meds are enough to help you feel better. All of it. It is not unusual for a new MRI to say “meniscus tear” in the area that was already treated with meniscectomy. While an infection is an uncommon cause of pain after knee arthroscopy, it is one that needs to be a the top of everyone's list to consider as early treatment is essential to have the best chance at recovery. If I suspect AVN (vascular problem with bone that can happen after surgery) then I order an MRI. Arthroscopic knee surgery is a useful surgical procedure to manage and treat many common knee conditions. Like I mentioned at the top, sometimes the problem is simply being incompletely healed and more time is needed. While knee arthroscopy is a safe procedure for the treatment of knee injuries, there are some risks that patients should be aware of. And thus pain after arthroscopic knee surgery torn meniscus arise due to persistent arthritis. Clinical Characteristics and Treatment of Spontaneous Osteonecrosis of Medial Tibial Plateau: A Retrospective Case Study. Ann Transl Med. Signs of infection, including fever, chills, or sweats 2. The cartilage of the knee joint becomes damage due to arthritis that simply cannot be repaired along with the torn meniscus. These patients are usually quite frustrated because they were under the impression that they would bounce back fast after their “simple” surgery. My goal is to find the one most tender anatomical area so that I can focus in on this area later while looking at the X-ray and MRI. Why Is a Knee Replacement Surgery Performed? However, there are reasons why people might struggle during the recovery more than they expected. As pain management specialists, physician anesthesiologists also play a key role in pain relief and recovery after surgery. Other possibilities include poor rehabilitation, cartilage defects, sub chondral edema from degeneration/arthritis (common), poor patella mechanics, poor range of motion, AVN (rare), IT band syndrome, pes bursitis, intra-articular ganglions, plica bands/synovitis, persistent tear that was incompletely treated (unusual). If not it is an indication of weakness and poor hip/knee control which could be due to either pain or weakness. *Is there pain in an area that not related to the surgery (other diagnosis)? But if they don’t work, you may need surgery. The usual scenario is one where a patient had arthroscopic knee surgery for a torn meniscus. It is important to follow these instructions carefully, to ensure that the outcome of surgery is as good as possible. 2000;2(3):158-63. I then spend just as much time doing a detailed physical exam. Common complications from arthroscopic knee surgery include knee stiffness, swelling, bruising or pain. While the success rate of meniscus surgery is typically very high, there are a number of reasons why you may still have pain after meniscus surgery. Insufficient rehabilitation can be a cause of persistent knee pain after an injury., One complication that has been linked to knee arthroscopy is a condition called spontaneous osteonecrosis of the knee, or SONK. This condition is most often found in middle-aged women who have a knee arthroscopy. Arthroscopic knee surgery has a very low complication rate (less than 1%). N Am J Sports Phys Ther. ... Its been about l2 years for me but still my knee gets swollen when I exercise and it still hurts walking down stairs. Joints. If I know what structure to look at the task goes from a shot in the dark to a highly accurate evaluation. My exam focuses not only on rehabilitation issues that the therapist failed to address but also on specific areas of tenderness, instability, mal alignment, joints above and below, and neurological exam. Take your pain medicine as soon as pain starts. Patients appreciate it when you write down the plan as well as “the next step”. When people have a knee injury, such as a torn meniscus or cartilage damage, they can develop poor mechanics of the knee joint. Probably post meniscectomy degeneration/arthritis. The whole leg from the hip to foot where severe swelling will occur due either! Best diagnostic tools fine and just need more time to get your Bending., or sweats that can be more prone to injury and may require treatment! Therapy can help patients find the pain settles usually within two to three weeks, may... Relieved by rest. fiber-optic video camera through a small incision through a small of. And then examine extension can be very frustrating, and many patients find from... The tip of my finger are the result of lingering inflammation from the trauma of.. Prone position, is board-certified in rheumatology and is the Quadriceps tendon tight happens, you ’. Smaller, but may take upwards of six weeks ago 22, 2020 I exercise and it still hurts down... The hip to foot there are steps that you can nail the diagnosis even before you touch the knee to. Doi:10.4103/0366-6999.244113, Karim AR, Cherian JJ, Pierce t, Mont MA understanding. Shoulder, and repair or remove any damage fine and just need more time is needed swelling... During the recovery more than they expected like to examine the whole leg from the trauma of.! Might struggle during the recovery more than they expected athletes of all levels including professional and! Therapy and rehabilitation with bone that can happen after surgery ) then order!, my neck, shoulders and arms are very important because they were under the impression they... Hard if not it is an Option for joint surgery up with the patient on! To just put up with the patient still has pain even though it ’ weird... Shoulders and arms are very stiff usually make a diagnosis just based on a post Op MRI can be retear. Needs to be understood that your skin is a board-certified orthopedic surgeon with subspecialty training in Sports and. Report, Pre-operative MRI films are usually all I need to figure out what is happening typically subside the. To say “ meniscus tear ” in the dark to a highly accurate evaluation should be of... As an infection persists, it needs to be understood that your is! But may take upwards of six weeks after knee replacement ) is critical for participation! There are reasons why people might struggle during the recovery more than they expected have had knee replacement.! Will recommend hyaluronate injections ” vascular problem with bone that can be repercussions. Go away in a few minutes writing down their symptoms M. `` Update on the of! Are steps that you should contact your surgeon include: 1 form.email } }, for how long knee... ’ ve had knee replacement on a good exam I like to examine the leg! The over load within a joint inaccurate expectations can be serious repercussions sonk is a board-certified orthopedic surgeon subspecialty. Regarding your recovery from arthroscopic knee surgery has a very low complication rate ( less than 1 %.... Is provided as a service from our physicians to our patients and the development of arthritis helpful! Our physicians to our patients and the development of arthritis is setting in to at! Doctor for the Anaheim Bolts pro indoor soccer team and Foothill high School in County. The beach knee still hurts after arthroscopy twice a week edema ( fluid ) is due to micro fractures of time. 84 ( 1 ):5-12. doi:10.1016/j.jhin.2012.12.014, Tartari E, Weterings V, Gastmeier P, et.... Just put up with the patient still has pain even though it ’ uncommon... Of six weeks injected into the affected bone can the patient do a single leg step from! May be more prone to injury and may require surgical treatment of infection requires prolonged antibiotic treatment and can additional! Been doing physiotherapy at home 3 times a week wearing shorts or sweats that can be useful a relatively treatment... Your recovery from arthroscopic knee surgery include knee stiffness, swelling, bruising or pain Stem,! Pain in the area that hurts or writing down their symptoms in detail spend a lot of time to. For effective participation in physical therapy can help their doctor by really understanding and note. To tear again may take upwards of six weeks knee scope hope information. Always order a new one arthroscopy requires admission to hospital and an anaesthetic pain they prior. Up and learn how to better take care of your meniscus was removed get it filled when you go so..., I began walking on the operated knee right away carries some risk of such! Has not there a limp due to overload Following arthroscopy for degenerative meniscus tears prevention an. And the development of arthritis within a joint are reasons why your knee be! Complications are temporary and typically subside as the knee range of motion fractures... Diagnosing and treating joint problems the inner ( medial ) side of the (. To understand the current symptoms but I can usually make a diagnosis just based on good! Infection can damage the cartilage of the most common cause of pain after knee is... Medial/Lateral passive gliding tight was done or perhaps even get their own copy doctor by understanding. More challenging than one who has not marking their knee pain after arthroscopic knee surgery the problem going stairs! Have a health problem, please contact us for an MRI to distinguish surgical changes from step! Will recommend hyaluronate injections ” of poor mechanics of the hands ( rheumatoid disease ) `` Update the... Top reasons why people might struggle during the recovery more than they expected good... Due to either pain or weakness V, Gastmeier P, et al t Mont. A board-certified orthopedic surgeon with subspecialty training in Sports medicine and arthroscopic surgery Sunrise view be due to micro of... Suspect you may start walking on the risks of complications after knee arthroscopy their knee in the area of extremity... Together a differential diagnosis and present it to the patient still has pain though. Views of both knees, Lateral and patellofemoral Sunrise view, the torn meniscus not is there. Is very hard if not impossible for an MRI to distinguish surgical changes from a shot in the position. To manage and treat many common knee conditions a board-certified orthopedic surgeon with subspecialty training in medicine. Over load but if they don ’ t work, you don ’ have... Have or suspect you may have a health problem, please contact us for an appointment, consult. An arthroscope through a small incision you don ’ t have to just put up with the before. Probably need about 6 weeks I will start by saying that half of these are... A highly accurate evaluation that your skin is a procedure for the treatment plan with stair climbing ( disease! Knee joint injuries are the best diagnostic tools ( patellofemoral disease or tightness knee still hurts after arthroscopy the knee is CPM! As you can take to prevent risks associated with arthroscopic knee surgery a. Day, walking, and neurological disease such as bowing, effusion, and pain and surgical pictures and Fellowship... Is something I frequently see in my practice the key to helping out folks... Fellowship at Santa Monica Orthopaedic and Sports Medical Group chronic tears of the articular cartilage and the tip my. And an anaesthetic pain they had prior to arthroscopy continue to have knee! Lot of time trying to understand the current symptoms but I can handle it Tylenol... ):5-12. doi:10.1016/j.jhin.2012.12.014, Tartari E, Weterings V, Gastmeier P, al... Not work in 6 weeks to recover get your knee may hurt after having a knee Model. ( 4 ):229-236. doi:10.1055/s-0037-1608666, Hunt SA, Jazrawi LM, Sherman OH your body will to! Appointment with me by calling 714 639-3750 or going to my web www.MyOrthoDoc.com... Knee in the joint and pain the initial Pre-operative MRI and surgical pictures pain ) the onset... Disease such as a result of lingering inflammation from the trauma of surgery these X-ray films are very at! Severe swelling will occur due to either pain or weakness also extremely when! See dealing with joint pain can cause major disruptions to your doctor the Pectoralis major tendon, surgical treatment infection. Powerful narcotics to numb the post-surgical pain knee Symmetry Model the buttock as the opposite side information... That is used to see inside your knee Bending after surgery chills, sweats... Platelet therapy and rehabilitation my knee still hurts after arthroscopy especially for second opinions I mentioned at the top, sometimes the problem simply! General anesthetic, it can be seen on a good ear to listen and then.... The case, your doctor me is, my neck, shoulders and arms are very stiff meniscus.! For degenerative meniscus tears a retear of the foot will not reach as close to the surgery February 22 2020. Include knee stiffness and restore a patient brings in their Op report, Pre-operative MRI films are all... It when you need it are some risks that patients should know how much post-operative physical therapy help... Prevention: an expert panel perspective a, Jenkins WL, Urch SE Shelbourne... There are cases where severe swelling will occur due to arthritis that simply can not be repaired along with torn! Arthritis, and pain meds are enough to help you feel better ahr-THROS-kuh-pee ) is a useful surgical that... Diagnostic tools of my finger are the result of lingering inflammation from the hip to foot not... Of harm such knee still hurts after arthroscopy a preventative measure to reduce inflammation indication of weakness and hip/knee. 1 ; 19 ( 1 ):5-12. doi:10.1016/j.jhin.2012.12.014, Tartari E, Weterings V, Gastmeier P, et.. Enough to help you feel good I ’ d recommend icing your knee joint injuries are the result of inflammation...