Q: When the knee initially dislocates (followed by EXCRUCIATING pain) the initial treatment is only to relieve the symptoms. This can include immobilization in a brace, crutches for pain, and possibly draining fluid off the knee with a needle--not quite as painful as the initial dislocation, but not as pleasant as a Club-Med vacation. Ice, and possibly anti-inflammatory medications may be prescribed to keep the knee from swelling to the size of a watermelon.
After the initial pain and swelling have subsided, aggressive physiotherapy, based on the "McConnell" approach, is the most important aspect of treatment. This physiotherapy program involves special techniques to help in strengthening and 'retraining' the knee. In particular, the muscles of the knee are taught how to better keep the kneecap in place. These techniques must be taught be a physiotherapist, who may give you some exercise to use at home as well.
It is unlikely that you will require surgery, but it is used in some special situation. Especially is the 'vastus medialis' (a muscle on the inside of the leg attaching to the kneecap) is ruptured.
Return to activity, should proceed at a pace that is comfortable to you. Your physiotherapist should be able to advise you on the details.