On 17th this month, i met with a minor bike accident. Since there was a lot of pain and swelling so consult with a nearby ortho surgeon , and later i have undergone an MRI scan in which its been mentioned "Features suggestive of high grade tear involving proximal 1/3rd of ACL" & "Features suggestive of grade 2 tear of MCL".(Please refer attachement for whole report). Does it mean that only surgery is the only way to continue for normal behavior or does physiotherapy also can help ?
PS : I don't play any sport nowadays just i workout daily and sometime running/Cycling/Mountaineering
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Hi surgery is advised considering your age. Don't go on the job profile. Occasional running and sports will be difficult without a surgery. As of now use a long knee brace to avoid bending so that the mcl heals without surgery. Plan surgery after 45 days of injury.
Avoid sitting Cross legged.
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).
Hello there... well you would have to do exercises to strengthn your knee muscles of flexion & extension ( bending the knee jt) weather you go for arthroscopic repair or dont... usually in my practise of NHS and in India i can say that 70% of patients who had colateral and meniscal injury along with ACL tear have opted for arthroscopic repair...but if you want to wait and watch then yes ...go for a ACL rehab protocol from a qualified musculoskeletal physiotherapist,reasses your condition after 1 month from orthopadecian & the treating physio and see if it works for you....usually your pain would go away in a weeks time its the stability issue which can be a problem for you...for the time being avoid unnecessary loading of your affected knee and wear a knee cap/brace for support.
Regards & take care.
Go ahead with good physio and a reassessment after 1 month of physio.you can be better without surgery as majority MCL heal without surgery. Wish you recovery soon. regards dr pankaj agrawal,shoulder and knee surgeon ,Ahmedabad.
After ACL injury, regardless of whether surgery will take place or not you should focus on regaining range of movement, strength, proprioception and stability.You will have to follow your orthopedician advice. Surgery may not be mandatory but a physical examination will reveal if it's unavoidable. However you can begin Knee exercises . Quadriceps, Hamstrings, Ankle PF DF, Glute.etc. You can m eet a Physio for demonstration. But before you start any exercise I assume you would have taken ortho opinion.
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