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Question:
I am 45,6",180 lbs,had ACL surgery 15 years ago. My right knee rotates outward (my right foot points slightly sideways. how should I treat this. I walk 45 minutes a day and my knee swells and stiffens but there isn't any significant pain . The treads on my shoes wear unevenly, is there a light derotation brace that will correct this?
Question submitted by:
rocket1323@aol.com
| Dr. Golden |
Dr. Golden is an orthopedic surgeon and the author of the "Knee Pain" chapter in the upcoming "Manual of Pain Management". He has presented numerous scientific studies at orthopedic conferences. In addition, Dr. Golden is a member of the American Academy of Orthopaedic Surgeons (AAOS),the American Medical Association (AMA), and the Arthroscopy Association of North America (AANA).
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Answer:
The asymmetry of your legs/feet probably cannot be corrected with braces. The treatment depends on the exact cause of the turning out of the foot. The source may be in the foot or the leg or the knee or any combination of them. A detailed exam is needed. An excellent clue to the imbalance is the uneven tread wear on the running shoes. Be sure to bring those into your doctor when you are evaluated.
There may be shoe inserts that can help but that may not lend itself to treating the pain and swelling in the knee. Previous ACL repair may have included meniscal removal, especially if performed 15 years ago. It is possible that arthritic changes have onset and an x-ray will help determine if arthritis has affected the knee. Until you are able to see your doctor, rest, activity modification and non-steroidal anti-inflammatory medications may help with the pain. Appropriate icing after activity may also provide some benefit.
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