What should I do for my right knee injury until my orthopedic (ortho) appointment in 4 weeks?

Management of Right Knee Injury While Awaiting Orthopedic Appointment

For a knee that "gave out" with 4 weeks until your orthopedic appointment, you should follow the PRICE protocol (Protection, Rest, Ice, Compression, Elevation) and begin gentle range of motion exercises within pain limits while using appropriate knee support. 1

Immediate Management (First 72 Hours)

• Protection: Use a knee brace or supportive wrap to stabilize the knee

  • Semi-rigid or lace-up supports provide better stabilization 1
  • Avoid activities that cause pain or instability

• Rest: Reduce weight-bearing as needed

  • Use crutches if walking causes pain or instability
  • Avoid activities that worsen symptoms

• Ice: Apply cold packs for 15-20 minutes every 2-3 hours

  • Place a thin cloth between ice and skin to prevent cold injury
  • Continue for first 48-72 hours to reduce swelling

• Compression: Use an elastic bandage or compression sleeve

  • Apply from below to above the knee
  • Ensure it's snug but not tight enough to impair circulation

• Elevation: Keep the leg elevated above heart level when sitting or lying down

  • Use pillows to prop up the leg
  • Maintain elevation especially during the first 48 hours

Early Rehabilitation (Days 3-14)

• Range of Motion Exercises: Begin gentle exercises within pain limits 1

  • Heel slides: Sitting with leg extended, slowly slide heel toward buttocks
  • Seated knee extensions: Gently straighten knee without forcing
  • Perform 10-15 repetitions, 3 times daily

• Weight-bearing: Progress as tolerated

  • Begin with partial weight-bearing using crutches if needed
  • Gradually increase weight-bearing as pain allows

• Strengthening: Start with isometric exercises

  • Quad sets: Tighten thigh muscles while keeping knee straight
  • Hamstring sets: Gently press heel into floor while sitting
  • Hold contractions for 5-10 seconds, 10 repetitions, 3 times daily

Progressive Rehabilitation (Weeks 2-4)

• Advanced Exercises: Progress as pain allows

  • Straight leg raises in all directions
  • Mini squats (0-30°) with support
  • Step-ups on a low step
  • Balance exercises on stable surface

• Functional Activities: Gradually reintroduce daily activities

  • Begin with short walking distances on level surfaces
  • Avoid pivoting, twisting, or sudden directional changes

Pain Management

• Medications: Consider over-the-counter options

  • NSAIDs (if not contraindicated) for pain and inflammation
  • Acetaminophen as an alternative if NSAIDs are contraindicated

• Cryotherapy: Continue ice application after activities

Warning Signs - Seek Immediate Care If:

• Severe pain that doesn't improve with rest and medication
• Significant swelling that worsens despite PRICE protocol
• Inability to bear any weight on the affected leg
• Obvious deformity or instability of the knee joint
• Signs of infection (increasing warmth, redness, fever)

What to Expect at Your Orthopedic Appointment

• Be prepared to discuss:

  • How the injury occurred
  • Current symptoms and limitations
  • Response to self-management strategies
  • Previous knee injuries or problems

• The orthopedist may recommend:

  • Imaging studies (X-ray, MRI)
  • Formal physical therapy
  • Bracing options
  • Possible interventions based on diagnosis

Common Pitfalls to Avoid

• Returning to activities too quickly: This can worsen the injury and delay healing
• Ignoring pain: Pain is a warning sign; modify activities that increase pain
• Neglecting range of motion: Early gentle movement helps prevent stiffness
• Improper bracing: Ensure any knee support fits properly and provides appropriate stability

Remember that knee strains typically take 2-6 weeks to heal, with more severe strains requiring up to 8 weeks for complete recovery 1. Your orthopedic appointment at 4 weeks is well-timed to assess healing progress and determine if additional interventions are needed.