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Knee injury - ACL injury

Had a bike skid 45 days back, got the knee injury and took rest for a week with consult of near by General physician medicines used for two weeks. Knee pain gone 90 to 95 percent, able to waik and bend knee properply. But was unable to sit down (especially knee down usable wash rooms) and stand immediately due pain a lot in knee. And now a week back fell down from a height chair/stool and got hurt to same knee (swelling and pain regained). So had MRI scan for my right knee joint, attached the report to this query. In report it is said, ACL complete tear 18mm gap seen, which I want to cure without surgery. Please thoroughly go through it and please provide your valuable detailed suggestions.
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Pankaj Agrawal
Orthopedist of Superior Extremity 15 yrs exp Mumbai

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Hi friend.acl injury lead to instabilty.if you undergo good physiotherapy .you can decrease episodes and severity of instabilty...any recreational activity or twisting move can lead to repeat injury..take care of yourself well...you will be able to return to a certain level of pre injury level with physio...if have episodes of instability.then go ahead with surgery.best of luck..dr pankaj agrawal.shoulder knee and joints reconstruction surgeon.ahmedabad
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Dr. Venu Madhav
Orthopedic Surgeon 6 yrs exp Bangalore

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You can do physiotherapy to strengthen your knee but if your knee is not strong enough then later you may have problems with stability of your knee better to get examined by arthroscopic surgeon and follow up
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Dr. Anuradha Sharma (PT)
Clinical Physiotherapist 9 yrs exp Noida

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Complete tear then surgery must.
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Dr. Vishwas Virmani (PT)
Physiotherapist 20 yrs exp Noida

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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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Dr. J. P. Singh
Orthopedist 13 yrs exp Delhi

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ACL is a very important stabilizing ligament of the knee joint. With a complete tear, it is very tough to maintain a physically active lifestyle. Pain can be suppressed by medicines, but not the instability. You are likely to face problems with climbing up or down the stairs or walking uphill downhill. Please note that an unstable joint will undergo a very early degeneration, meaning wear and tear.
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A complete ACL tear can easily be tackled surgically by arthroscopy, that is minimally invasive
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Dr. Naveen Babu (PT)
Sports and Musculoskeletal Physiotherapist 3 yrs exp Hyderabad

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See u taken medication to suppress your pain signals but not focussing on healing of tear......if u neglect it then it leads to chronic instability which makes u to disability atleast now meet any physiotherapist near by or else visit www.vphysiomend.com
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Dr. Anil Kumar Nalla (PT)
Sports and Musculoskeletal Physiotherapist 10 yrs exp Karimnagar
Once the ACL has torn partially or completely,it wont heal as it doesn'tgot blood supply. but you hav to strengthen the surrounding muscles of the knee which take over the function of ACL. especially hamstrings muscles. ice application to knee for 15 min thrice a day. consult an experienced sports Physiotherapist. ACL RECONSTRUCTION may be necessary. But a new technique REGENEXX came into light now a days. available in hyderabad. injecting the protein serum in to and the joint stem cells and the patient blood. the link below may be useful.
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https://www.youtube.com/watch?v=vTTkcRFEvIw&feature=youtu.be
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Dr. Umesh Solanki (PT)
Clinical Physiotherapist 6 yrs exp Delhi
If you don't want to get the surgery then their is difficult task ahead of you as ACL provide stability to the knee joint you would need to avoid strenuous workout or high intensity sport for the future. And you need work out hard for strengthening of hamstrings, Quadriceps.
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