Thank you for your reply. Interesting. I grew up around incredible volleyball players. The vertical on some of these men & women you wouldn't believe. Naturally, the compressive stresses on the knees & ankles when the body comes down to the court or sand are intense. OK.
As a chiropractor, I'm going to ask you to think about your body in a different way than if I talked to you like a medical doctor. Instead of just paying all the attention to the one obvious injured joint, let's look at the whole lower body: the spine, the pelvis joints, the hips, the knees both sides, both ankles and both feet.
Back up now. Obviously, the blow-out trauma in the knee needs to be handled by a good ortho medic. "Clean up the meniscus" and all that. (I hear about that surgery all the time.) The lateral collateral ligaments tore loose too, right? Probably had to to allow 45 degrees abnormal rotation. Cruciates? That's the ligaments that keep the tibia from moving too far forward and backward on the femur in the knee joint.
Important note: ligaments tie bone to bone. Tendons tie muscle to bone.
Did you tear quad muscles tendons?
The reason it still hurts is because you body is talking to you. You may still have tissue stress causing the firing-off of mechanoreceptors. (That's nerves that send a message to your brain to tell you something is wrong.) It is not correct to cover up this pain with drugs. Taking pain pills or injecting drugs into the joint covers up the pain, so you don't realize you are perpetuating more tissue damage, and further destruction of the joint.
Major traumas to a major joint, like you have created, often take further study to determine WHY you blew out the knee. In your case, it was the weak-link in the lower extremities sub-assembly. Get what I'm saying here: The whole lower system is designed to work together. The knee gave out probably due to incredible stresses placed upon it during the volleyball game, but also (theory being suggested here) due to the weakness in this knee from precursor factors.
The three precursor factors I suggest are:
1. Add up every earlier injury in your life to the low back, pelvis, hips, knees, ankles and feet. You are a collection of your life's injuries and life experiences. Your body remembers... <grinning> Ask any old man.
2. Trophic nerve supply-The root word "troph" means "to grow" or "life force". The Chinese call this "qi". A component of your nervous system's functions is to send nerve flow energy from your brain, down your spinal cord, out into your extremities, right down to the very muscles, tendons and ligaments that hold you together. We chiros perpetually teach others about the concept of subluxation of the spine (vertebral column). A subluxation can be defined as dysfunction, decreased movability, fixation, abnormal function etc., of any particular inter-vertebral joint (articulation). The spinal nerves that emit from within the vertebral column can become impinged or compressed, creating inflammation and abnormal nerve flow to and from the body. This abnormal condition of qi flow can weaken the integrity or hold-ability of your muscles, tendons and ligaments. Decreased qi flow, over-burden the joint, and the joint blows out.
3. Pre-existing dysfunction in any of the lower extrems including the spine can set you up for injury. And most people and I mean really MOST people do not realize their body is not working up to full potential. Simply put-stuck pelvis can give rise to knee injury during sport stress. It's not just the athletic injury by itself. Or weakened ankle that has had many lateral collateral injuries (common with volleyball players) can give rise to bum knee. Dig it?
It will take many moons to mend the body and the knee. As you note that knee continuing to talk to you, be aware that other parts of your body may need attention. Find a good chiro in Turkey, they work in that country, and have him examine the COMPLETE lower extremities functionality. You'd be amazed what you might be overlooking. Pre-existing conditions that set you up for injury? Common.
Joint work, soft-tissue work (the muscles), comprehensive stretching of all the articulations of the lower back, pelvis, knees and ankles, good nutrition for tissue repair and anti-inflammatory action. These all work well to heal the extrems.
Best of luck fellow diver. If you have any more questions about this, feel free to contact me (broadcast or private message, no problem).
page crow DC