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ACL Injury
Hi, Assalamu 'alaikum. My brother-in-law, Asib, have been suffering from a right knee pain intermittently with a sign of bending outward for a long time. When it turned more painful, in November 2016, we consulted with an orthopaedic surgeon. As per his suggestion an MRI diagnosis was undergone which suggests 1. Partial interstitial tear of ACL, 2. Discoid lateral meniscus with Grade III tear, 3. Meniscal contusion at posterior horns of medial meniscus and 4. Moderate joint effusion. Following the report, knee specialists advised for ACL surgery. But, there is a major problem underlying in the process: MRI in Bangladesh is not reliable. The suspicion increases when we see the patient, Asib, playing almost all day long without complaining. Moreover, the doctors are also suspicious about the report, though their experiences suggested that he go through operation. We don't want to take any risk as he is very young and active. From where and how can we get a reliable MRI? TIA
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Avoid sitting Cross legged. Avoid Squatting- Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. repeat 10 times, twice a day. Sports Taping- stretch the tape from both ends and apply on the affected area Contrast Fomentation (Hot and Cold).
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He needs to get a good quality  MRI. If it's  just a partial tear and if it is not affecting his activities then just a good physio rehab should be sufficient
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Fresh MRI from a reliable center
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Giving an Opinion on the basis of above is very difficult. It would be best that you would visit a arthroscopic surgeon and discuss it with him. As more and more opinions will just confuse.
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visit an arthroscopic surgeon
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Go for MRI at any centre in new delhi. There are many centre . Till then start with knee pain relieving exercises so that it does not progress.. start with knee strengthening . Follow the link below https://play.google.com/store/apps/details?id=com.technoherpes.kneepain
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Hi, sometimes MRI report doesnt co-relate with clinical picture. If you see, bottom of every report has statement as "Please Co-relate Clinically". So dont worry, if he is strong and has no symptoms no need to undergo surgery. If you want to cross check, please visit nearest MRI scan centre which has 3T imaging (advanced resolution).
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3T MRI image will clear all doubts.
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Remember:- symptoms less no problem, but if he feels pain, discomfort, instability do visit and undergo proper examination and do as adviced. Above advice is based on question asked, physical appearance and examination may differ.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.