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Knee Injuries in Young Athletes: When to Get Help

Dr. Jayesh Patel

By Jayesh Patel, MD

As sports medicine physicians, we frequently see young athletes who suffer knee injuries during competition or practice. While some injuries improve with rest, others require prompt evaluation and treatment. Knowing what to do in the first hours after an injury can help protect an athlete’s long-term health and return-to-play success.

A knee injury should never be ignored or “played through.” If an athlete experiences significant pain, swelling, instability or difficulty bearing weight, they should stop participating immediately. Continuing to play can worsen the injury and prolong recovery.

After an injury, focus on protecting the knee, limiting activity and managing symptoms. Rest, ice, compression and elevation can help reduce pain and swelling. Pay close attention to rapid swelling, a popping sensation, inability to fully move the knee, or a feeling that the knee is giving way. These may indicate a more serious injury such as an ACL tear, meniscus injury, fracture or ligament damage.

Athletes should be evaluated by a sports medicine specialist if they develop significant swelling, worsening pain, difficulty walking, instability, locking or catching of the knee, or symptoms that do not improve with rest. Emergency care is needed if the knee appears deformed, there is severe pain, loss of circulation to the foot or a suspected major fracture.

Perhaps most importantly, feeling better does not mean an athlete is ready to return to sports. A safe return requires proper healing and the ability to run, jump, cut and change direction without pain, swelling or instability.

The bottom line: When in doubt, sit out and get the injury evaluated. Early assessment can help prevent further damage and get athletes back to the activities they love safely.

If you need a sports medicine evaluation, the UT Health East Texas Orthopedic & Sports Medicine Institute offers a walk-in sports medicine clinic Monday through Friday from 7:15-8 a.m., with no appointment necessary.

Jayesh Patel, MD, is a sports medicine fellowship-trained orthopedic surgeon at UT Health East Texas Orthopedic & Sports Medicine Institute. To schedule an appointment, visit uthealtheasttexas.com or call 903-594-2148.

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