Diagnosis Explanation:

A knee dislocation occurs when the bones of the knee (femur, tibia, and patella) are forced out of alignment due to trauma, a fall, or a sports injury. This is a serious condition that can damage ligaments, blood vessels, and nerves. Symptoms include severe pain, visible deformity, swelling, instability, and difficulty moving the knee. Treatment may involve immobilization, physical therapy, or surgery, depending on the severity.

Specific Work Modifications:

• If your job requires standing or walking: Use a knee brace and crutches (if prescribed). Take breaks to elevate the knee.
• If your job involves lifting: Avoid heavy lifting and any movements that require knee twisting or deep bending.
• If your job is desk-based: Keep the knee elevated when sitting and perform gentle mobility exercises.
• Avoid: Prolonged standing, kneeling, stair climbing, and excessive walking without a brace.

Specific Activity Modifications:

• If you play sports: Avoid running, jumping, or pivoting. Cross-train with swimming or cycling once cleared by a doctor.
• If you hike: Use trekking poles and avoid uneven terrain until full stability is restored.
• If you do weightlifting: Avoid deep squats, lunges, and leg presses. Focus on controlled, low-impact movements.
• Avoid: High-impact activities, sudden direction changes, prolonged standing, and activities that strain the knee.

Recommended Supplements:

• Collagen Peptides – 10g daily for ligament and cartilage repair.
• Glucosamine & Chondroitin – 1500mg/1200mg daily to support joint recovery.
• Vitamin C – 500mg daily to enhance collagen synthesis.
• Omega-3 Fatty Acids – 1000mg daily to reduce inflammation.
• Calcium + Vitamin D – 1000mg/800 IU daily for bone strength.

Recommended Nutrition and Hydration:

• Increase Lean Protein (chicken, fish, tofu, eggs) to support tissue repair.
• Eat Anti-Inflammatory Foods (berries, leafy greens, turmeric, nuts) to reduce swelling.
• Consume Hydrating Foods (cucumber, watermelon, citrus) to maintain joint lubrication.
• Limit Processed Foods & Sugars to prevent inflammation.
• Hydration: Drink 8-10 cups of water daily to support tissue healing and maintain joint lubrication.

Home Exercise Prescription (Based on Recovery Stages):

Early Phase (0-4 Weeks, Pain & Swelling Control, Gentle Mobility):

• RICE Protocol – Rest, Ice (15-20 min, 3x/day), Compression (brace as prescribed), Elevation.
• Ankle Pumps – Move ankle up and down to improve circulation, 10 reps, 3x/day.
• Passive Knee Extensions – Sit with leg straight, gently straighten knee, hold 5 seconds, 10 reps, 3x/day.
• Quadriceps Sets – Tighten thigh muscles, hold for 5 seconds, repeat 10 reps, 3x/day.

Strengthening Phase (4-8 Weeks, Once Pain Improves & Mobility Increases):

• Straight Leg Raises – Keep knee straight, lift leg, hold 5 seconds, repeat 10 reps, 2x/day.
• Seated Knee Extensions – Slowly extend knee, hold for 5 seconds, repeat 10 reps, 2x/day.
• Glute Bridges – Lie on back, lift hips while keeping hamstrings relaxed, 10 reps, 2x/day.

Advanced Phase (8+ Weeks, Stability & Return to Activity):

• Mini Squats (No Deep Bending) – Slight knee bends while keeping weight on heels, 10 reps, 2x/day.
• Step-Ups – Step onto a low platform, push through the heel, repeat 10 reps, 2x/day.
• Stationary Cycling – Low resistance for 10-15 minutes/day.
• Balance Exercises – Stand on injured leg for 10-20 seconds, increase as tolerated.

Helpful Books:

1. The Knee Injury Bible: Everything You Need to Know About Knee Pain, Prevention, and Treatment – Kevin R. Stone, MD.
2. Heal Your Knees: How to Prevent Knee Surgery and What to Do If You Need It – Robert Klapper, MD, and Lynda Huey.

Contact the Key West orthopedic clinic or reach out to Dr. Jason Pirozzolo.