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Tears in Meniscus & ACL
Hello Doctor,
I am from Hyderabad and came to know from MRI report that there are tears in my left knee at medial,lateral meniscus and ACL. Here, is the impression comments given in my MRI report:-
1. Oblique tear in posterior horn of medial Meniscus
2. Grade II horizontal tear in posterior horn of lateral meniscus
3. ACL appears bulky with intrasubstance hyperintensities, full thickness mid substance tear, retraction of torn ends and mild laxity of PCL.
I am having 40 years.
I approached 2 orthopedic doctors, the first doctor suggested to undergo arthroscopy surgery for ACL and both Meniscus repairs. But, second doctor said that surgery is required for Meniscus (either suture or clean of tear part) as my lifestyle is related to IT software activities and normal life style.
Attached MRI report for your reference.
Can these meniscus tears will heal themselves with out surgery? Please provide your suggestion on next steps.
Answers (5)
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You need to go under surgery to avoid any further damage as both ligaments helpful in human body and plays important role in making one stand or taking weight on the knee..
So kindly go for surgery followed by physiotherapy.. after surgery it will take around 6 to 8 weeks to heal... take care get well soon for any further query u can contact me
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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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Acl reconstruction should be strongly considered in your case . Always good to have a stable knee whether you are sports person or sedentary worker.
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Dr. Anshu S.R Sachdev
Orthopedist
26 yrs exp
Pune
You have Meniscal tear with ACL tear. PCL shows false buckling due to ACL tear in such cases. You will definitely need Arthroscopic meniscal repair/sos partial menisectomy (to be decided at the time of surgery) along with ACL Recon. Irrespective of your life style a loose knee will continue to give you trouble if ACL is not reconstructed. One opinion that you received was for only meniscus...since you will undergo Anaesthesia and surgery anyways, why not finish both!!
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Ms. S Suganya Devi (PT)
Physiotherapist
15 yrs exp
Coimbatore
Hi.Meniscal tear will not be cleared without surgery. Please mention what type discomfort you have. What was the origin of your problem.
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