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Instability from 2018, knee got twisted
I have some sort of twitching sensation in my knee joint while standing or carrying little weight , I have done MRI and attached here reports, there was a mild ACL edema, Doctor have done physical examination like ACL draw test there he found some pop up and coming out little, he said if instability continues , we need to go for reconstruction surgery, surgery is mandatory or any alternative suggest me.
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Obtain a neurologist opinion. This treatment is being suggested on bases of the information provided. However I would like to examine & investigate you  in detail. -Control  Hypertension, Diabetes or  metabolic disorder, if there is any. --. Sleep on a hard bed with soft bedding. --. Keep a  pillow under the knee. --. Avoid painful acts & activities. --. Fomentation with warm water. Let the part not be exposed to cold. -- .Do mild exercises for &the affected part.- lower limbs. --.(Take help of physiotherapist or you can visit my YouTube channel Dr. N. C. Gupta and watch 'Me & My Yoga' and 'Yoga Simplified'. Kindly subscribe to the channel to get continuous guidence & notifications. It is free. https://youtube.com/channel/ucpeqc6b1ywzwin048jsu6rw -Any way it may be tried, --. Ugesic (Piroxicam) 20mg 1 tab once a day x 5days --. Caldikind plus  (Mankind) 1 tab Once  a day x 10 days. -(You may need help of your local doctor to get these medicines.) Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. --Wish you a quick recovery & good health. Dr N C Gupta MS (ortho.) DMC no.3624 Thanks.
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Diagnostic arthroscopy after proper rehabilitation.
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If you have instability Over the years You will need Physotherapy to rehabilitate the Acl Following this, we nee to assess for instability after 6/8 weeks to see if any surgical intervention is needed
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Just do knee strengthening excercises Wait for 1 month
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if not resolved undergo diagnostic knee arthroscopy because can't rely on MRI report depending on arthroscopic report further proceed to surgical or non surgical treatment
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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.