Download FREE Practo app
Get ₹200 HealthCash
ACL LEGAMENT TEAR
The MRI report of my ACL ligament tier is attached to this chat please guide me if it will be rehab without operation? I have taken medicine for a month and now have a month ahead of medicine and food, give clear guidance.
can I wait by taking medicine. One more month?
Answers (8)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Yes you can .
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced orthopedist online and get your health questions answered in just 5 minutes.
+193
A recommendation for surgery cannot be made just on mri.
It has to made on your clinical examination.
Acl usually does not heal due to certain factors .
U can consult us.
We will be happy to guide you .
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Yes waiting here is a better option compared to operative method
Next Steps
Rehab to be started in a while not now.For now rest with treatment protocols advised
Health Tips
Long knee brace
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Your MRI shows a partial thickness ACL tear involving approximately 50% of the ACL fibres. The menisci, collateral ligaments and other structures are intact.
A partial ACL tear does not automatically mean surgery. Whether you can be treated successfully with rehabilitation depends mainly on your knee stability, symptoms and activity requirements, which cannot be decided from the MRI alone.
Next Steps
Please consult an orthopaedic specialist for a clinical examination, particularly Lachman and pivot shift testing. If the knee is reasonably stable, a structured physiotherapy programme focusing on range of motion, quadriceps and hamstring strengthening and progressive functional training can often be tried initially.
You do not necessarily need to take medicines for another month just to wait. Medicines mainly help with pain and inflammation and do not heal the ACL tear. The decision regarding surgery should be based on clinical instability, functional demands and response to rehabilitation rather than the MRI percentage alone.
Health Tips
Avoid running, jumping, sudden pivoting and twisting activities until the knee has been assessed and rehabilitation has started. If you have recurrent giving way or instability, get assessed sooner.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Any improvement in 1 month?
Any swelling is there?
Recent complaints?
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Rahul Kumar Pandey
Orthopedic surgeon
10 yrs exp
Lucknow
Yes..you can wait for a month
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Rakesh Kumar
Orthopedic surgeon
6 yrs exp
Coimbatore
Partial thickness tear can be managed with physiotherapy if your demands are not high like sports.
If u have instability of knee then better to discuss with your surgeon and plan arthroscopic bracing/ ligament reconstruction procedure
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Rajendra Soni
Orthopedic Surgeon
10 yrs exp
Bikaner
The MRI description is suggestive of a partial-thickness ACL tear with disruption of the mid-fibers. This does not automatically require surgery.
If the knee is clinically stable and there is no recurrent giving-way, locking or significant associated meniscal/cartilage injury, a trial of structured physiotherapy and rehabilitation is appropriate. The main treatment is progressive strengthening of the quadriceps and hamstrings, restoration of full range of motion and neuromuscular/proprioceptive training.
You may wait another month, but I would recommend using this period for active rehabilitation rather than relying only on medicines. Avoid running, jumping, pivoting and twisting activities during rehabilitation.
After approximately 6–12 weeks of supervised rehabilitation, reassessment is recommended. If there is persistent/recurrent instability, inability to perform desired activities, or significant associated injuries on MRI, consultation with a sports-knee surgeon regarding ACL reconstruction may be appropriate.
Next Steps
Start/continue supervised ACL rehabilitation and arrange an orthopaedic/sports-knee examination to assess ACL stability clinically (Lachman/pivot-shift) and reveiw .
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
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.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
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.