ACL (anterior cruciate ligament) surgery is a reconstruction surgery to replace the torn anterior cruciate ligament of the knee. It is more common in sportspersons. Injury to this ligament occurs during sports and sudden shift in the direction of the knee. Therefore, it is a commonly performed significant surgery yet. It takes two to four weeks to start walking and two to nine to completely recover from the surgery.
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How to deal with a fear of pain even after anesthesia?
Query: Hello doctor, I have to undergo a surgery for ACL tear. However, I am worried that I might wake up mid-surgery and experience pain. Because, previously I had a wisdom tooth extraction and the local anesthesia was ineffective and the tooth was extracted while I was in pain. I am anxious about my s... Read Full »
Answer: Hello, Welcome to icliniq.com. I hope you are doing well. Regarding your query, ACL tear surgery is performed under the sub-arachnoid block, commonly known as spinal anesthesia in which the drug will be injected through a very fine needle into your spinal fluid at the level of lower lumbar vertebrae... Read Full »
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 »
Dr. Geetha Priyadarsini Kamminana
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 »
Query: Hello doctor, I underwent an anterior cruciate ligament (quad graft and meniscus) repair seven days ago. The surgery was performed under an epidural and went smoothly. Of course, the pain 24 hours post-operation was unbearable, but is getting better and I can already put 33 to 40 lbs weight on the ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Thanks for the detailed description of your problem. I encounter similar issues very frequently in my practice. I do not consider 38 degrees as a fever. According to the literature, it is common to have this body temperature after surg... Read Full »
I have a swelling after my ACL reconstruction surgery. What is the management?
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 »
I have swollen knees after ACL meniscus surgery. Why?
Query: Hi doctor, I had an ACL meniscus repair surgery four months ago. I still have some swelling in my knee and still feel weakness in my leg. Is that normal? Can I run now? What to do? Read Full »
Answer: Hello, Welcome to icliniq.com. The knee swelling can even persist till six months after surgery, the more physiotherapy you do and the earlier you achieve full range of movements of the knee, the better it is and faster the swelling will reduce. Weakness can be overcome by physiotherapy again to s... Read Full »
Can I bend my knee after an ACL surgery?
Query: Hi doctor, I had ACL surgery with a graft from my hamstring and a meniscus repair seven weeks ago. I went to my physiotherapist, and she asked me to face down on the bed and bend my knee. I did what I could, and then she started pushing on my ankle, at which point I was in excruciating pain and sta... Read Full »
Answer: Hi, Welcome to icliniq.com. This is unusual in two aspects. Forcible manipulation like this is not recommended. If needed, this should be done by a doctor with an anesthetic. Secondly, the knee should never undergo such manipulation as there should have been some range to begin. Did the knee swell... Read Full »
Why am I unable to exercise after ACL surgery?
Query: Hello doctor, I am 21 years old and had ACL surgery six months ago in my left knee but I am not able to exercise for the previous two months. What will be the consequences? Read Full »
Answer: Hi, Welcome to icliniq.com. Usually, it takes 1 to 2 months for recovery from surgery and 3 to 4 months for muscles to regain their usual strength after ACL (anterior cruciate ligament) surgery. Since you cannot exercise it means that your muscles have not reached their optimal strength till now. ... Read Full »
How long does it take to walk normally after ACL and meniscus surgery?
Query: Hi doctor,I have done ACL and meniscus surgery on my right knee a month back. My doctor advised me to avoid removing my knee braces for two weeks. After two weeks, I removed my braces completely and started walking. Now I started doing few exercises on my own. Still, I am not having steady walking a... Read Full »
Answer: Hi, Welcome to icliniq.com. You have undergone ACL (anterior cruciate ligament) and meniscus repair a month back. You need to have graded exercise therapy before having a normal walk. Your ACL ligament reconstructed site should not be at abnormal stress for the initial 12 weeks and so your doc... 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 »