Get E-Book on COVID-19

Q. I am suffering from swelling that occurred after ACL reconstruction surgery. Kindly help.

Answered by
Dr. Atul Prakash
and medically reviewed by Dr.Nithila A
This is a premium question & answer published on Sep 22, 2019

Hello doctor,

I had the ACL reconstruction surgery of my right knee before five years. At the same time, the medial meniscus was completely repaired and lateral meniscus partially repaired. After some time doctor opened my bandage and the knee was healed nicely. I had been advised to do some physical exercise (such as extension, flexion, etc.) and I was doing the same correctly up to nine days.

But unfortunately, my knee started swelling, and the doctor advised not to do any physical exercise and did some medical examination. As appeared from the report, there was no infection found from culture and sensitivity tests of fluid. Although it is found that my ESR was little high, i.e. 40 and C -Reactive protein was 14.5. However, the latest medical examination revealed that ESR is 35, and C-Reactive protein is 2.5. Doctor advised me some antibiotics (Ciprofloxacin and Flucloxacillin), and I took the same.

It has seven (07) weeks have passed. Still, there is swelling in my knee, and I could not do any exercise. Now, I feel stiffness and move with the assist of an elbow stick. My daily activities are hampering a lot, and I am getting frustrated day by day. Therefore, I would earnestly request you to advise me proper medications so that I can get back to daily life properly.

Dr. Atul Prakash

Fitness Expert Orthopedics And Traumatology Physiotherapy Spine Health


Welcome to

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 second report showed a good downtrend. Additionally, the culture was negative.

I would not have started you on antibiotics unless you had,

1) Wound discharge.

2) Fever more than 101 F.

3) Redness and swelling and pain are worsening with each day.

4) Fatigue and loss of appetite.

I would have ICED the knee and put you on a gentle ROM exercise program to combat stiffness and asked you to keep the compression bandage on when not exercising to get the swelling down and kept you on anti-inflammatories till your knee subsided and then started strengthening exercises.

Seven weeks down the line stiff knee and no proven infection, you have an uphill task now to combat stiffness, and at the same time, you are worried if the swelling will return. My worry here is are we sure that the repair is good and nothing is loose and floating in the joint and causing the symptoms. Also is the ACL repaired in the right place as misplaced ACL will lead to pain and swelling if it in the right place. Please upload your MRI and latest post-op AP and lateral digital X-rays of the knee to get some idea about the tunnel placement.

Was this answer helpful?


Related Questions:
I had an incisional hernia fix a month back, and now the incision is draining pus. Please help.
I had ACL reconstruction surgery. Kindly tell me the time taken to get normal completely.
After laparoscopy, my tummy has become extremely distended. Is it due to infection?

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

Had pilonidal sinus surgery before two months. Why is it bleeding now?

Query: Hi doctor, I am suffering from pilonidal sinus. I have been operated thrice in the last two years and the third operation has been successful. In the other two operations, the doctors left some of the sinus in. My main concern is that, it had been operated and healing well. It was stitched and the d...  Read Full »

Is it normal to have swelling in knee after four months of ACL meniscus surgery?

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 »

Also Read

Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»
I was diagnosed with Celiac disease a year back. Can you suggest any medicine?
Having celiac fromnlast 10 year dignosis recently ayear ago since then i am gluten free still cant absorb food feeling w...  Read more»
My head is shivering from 20 days, and it feels like head trauma. What is the cause?
Hello sir, My head is shivering like anything , feeling like trauma is head. And its start anytime in a day and when s...  Read more»

Ask your health query to a doctor online?

Ask an Orthopaedician & Traumatologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.