The anterior cruciate ligament (ACL) connects the femur (thigh bone) to the tibia (shin bone). Tear in this ligament leads to an ACL injury in sports activities like jumping and landing in basketball, soccer, skiing, etc. Symptoms include pain, swelling, instability, and inability to move the leg. Adequate rest and painkillers can resolve minor injury and pain. Surgery may be needed in case of a major injury.
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Is surgery required for an ACL ligament injury?
Query: Hello doctor, I met with an accident after which the ACL ligament of my right leg is completely ruptured. Does it need any surgery? Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I have a few questions. 1. Is your MRI (magnetic resonance imaging) done? 2. Does it show other injuries like the involvement of the meniscus or articulate cartilage? 3. What is your degree of functional disabil... Read Full »
I have a swelling after ACL reconstruction surgery. please help.
Query: Hello doctor,I had ACL reconstruction surgery on my right knee for five years. At the same time, the medial meniscus was completely repaired and the lateral meniscus was partially repaired. After some time doctor opened my bandage and the knee healed nicely. I had been advised to do some physical ex... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly were you running fever three weeks post-surgery? Secondly, your first ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) were raised, but within my comfort zone as post-surgery, they will usually be built up to six weeks to three months. The se... Read Full »
Is it a must to operate type 2 ligament tear?
Query: Hi doctor, I got an accident before a month. I got a right knee ACL ligament type 2 tear. Is it possible for the type 2 ligament to get cured by itself without operation and if so, how many days does it take to heal? Read Full »
Answer: Hi, Welcome to icliniq.com. ACL (anterior cruciate ligament) tears will not heal on its own as they are inside the joint. To bring the ends together, you need surgery, but even that too is not successful. It is the reason for doing ACL reconstruction. It is not recommended for everyone. Only if yo... Read Full »
Do I have to do surgery for the infection caused due to ACL reconstruction surgery?
Query: Hi doctor,I got an ACL reconstruction surgery done two weeks back. There was an infection in the operated site, so they did re-surgery and lavage, three days back. After this, physiotherapy was done for 10 days. So, the pain stopped, but there is still swelling in the knee. Today, the doctor asked m... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen the attached reports and photo (attachment removed to protect patient identity). The knee looks to be still infected. Lavage needs to be done till the knee becomes normal and the ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) values drop to ... Read Full »
How long can ACL surgery be postponded?
Query: Hello doctor, This is a request to analyze my MRI report. I would expect detailed guidance with what kind of treatment we have to proceed? What is the prescription for the condition and how long to use the prescribed medication? Please reply with the prescription as soon as possible. Please let me... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. I have gone through the report you have attached. (attachment removed to protect patient identity). You need urgent immobilization of knee by cast or slab along with painkiller, and anti-inflammatory drugs. The next step is an arthroscop... Read Full »
How long will it take for the laceration in the knees and tears in the medial meniscus to heal?
Query: Hello doctor, I got a deep cut on the top of my knee, that is, a laceration. In the MRI, it says that there is a partial ACL tear, an LCL sprain, and a longitudinal tear in the medial meniscus. I have 15 stitches on top of my knee. Currently, I am taking rest with braces on my knee. I have kept the... Read Full »
Answer: Hello, Welcome to icliniq.com. Hello, Welcome to icliniq.com. There are two things that you need to be aware of. The damage outside the knee, that is, the cut you are mentioning will take two weeks to heal, and sutures should have been taken out by now if the wound healed without an infec... Read Full »
Will multi-ligament knee injury likely to cause foot drop in later years?
Query: Hello doctor, I have a chronic onset of symptoms of foot drop, diagnosed by podiatrist last month. I would like to know if this could be caused by the original knee injury, which was diagnosed as a severe multi-ligament knee injury. Is it possible for a severe multi-ligament knee injury, with a co... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand that the ACL (anterior cruciate ligament) surgery was done in 1980 whereas the injury was in 1969. It must be ACL reconstruction surgery or some other augmentation surgery. The original ligament cannot be repaired after 11 years. It will be beneficial to... Read Full »
What could be the severe knee pain above patella that subsides on painkillers?
Query: Hello doctor, We are looking for a second opinion on my friend's MRI scan of both the knee joints as he is experiencing excruciating pain just above the patella. He has a sudden onset of severe pain on both the knee joints about two weeks ago. Previously he had a similar episode about two to thr... Read Full »
Answer: Hi, Welcome to icliniq.com. I viewed the right and left knee MRI images. (attachment removed to protect patient identity). Left knee: The MRI, left knee joint shows a complex tear in the posterior horn of the medial meniscus area and mild left knee joint effusion. There is some fluid between the... Read Full »
I have knee pain while walking and standing. Why?
Query: Hello doctor, There is dull knee pain while standing and walking for one month. What can be the cause of this? Read Full »
Answer: Hello, Welcome to icliniq.com. Knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury or some other medical conditions including arthritis, patellar tendinitis, ACL (anterior cruciate ligament) injury, knee bursitis, torn meniscus, gout, and infec... Read Full »
I have had knee problems for six years. Kindly help.
Query: Hello doctor, I have been having knee problems after hurting my left knee in cheerleading six years ago. It still is causing me problems. Kindly help. Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Depending on the symptoms mentioned by you, It can be an ACL (Anterior cruciate ligament) sprain or can be generalized ligamentous laxity. I suggest you follow the below-mentioned instructions. Take a tablet of Ibuprofen 400mg tw... Read Full »
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