<s>[INST] Four days ago, i was swimming at the beach and a wave pushed me and I twisted my knee. I have put ice packs, knee brace and tried to stay off my foot as much as possible. My knee never swelled. It is only painful when I sit too long or have to move to get up. Please advise. [/INST] Hello, As you were pushed by the wave and twisted the knee joint, with the history it sounds to be a ligament sprain. Due to which you are facing difficulty in getting pain while performing knee movement.  Kindly do hot water fermentation and allow the limb to rest. Use knee brace for 3 weeks or so. Then do simple knee exercises like static Qua Chat Doctor.  You should be fine. As you applied to ice there won't be swelling. So in any injury icing is advised to avoid swelling as it will lead to vasoconstriction of blood capillaries. So you don't have swelling.  Usually, icing is advised if we are planning for some x-ray or MRI. Do the conservative therapy mentioned above, and you should be fine. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In </s>