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Submitted by: Bart - SII

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If you have a joint effusion (swelling within the knee joint), then you have caused some type of damage to the internal joint structures - this could be as simple as a joint capsule sprain, or as major as an ACL tear. I would be concerned about the validity of the lachmans test your family physician performed if you had a significant amount of swelling or pain in your knee. It is very hard to get a reliable test when the knee is swollen and when the muscles surrounding the knee are guarding and trying to protect the knee. Nothing against your doctor. I would work on controlling the swelling, reducing your pain, and resting, and then follow up with them in a few days for further evaluation. If you are without injury to the ligaments, you should continue to improve and your knee should feel better daily - if there is internal damage, you will likely be acutely aware of it as the swelling goes down because your knee just won't feel right. Bart

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