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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)
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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.
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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
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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 .
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