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Suggest Treatment For Knee Pain And Weak Left Leg After An Accident
Question: Recent knee MRI with history in 2006 of a truck on pedestrian accident that include direct contact with the left knee with immediate pain and followed by chronic pain, especially using stairs. Thigh strength in the left leg is very significantly less compared to right thigh strength. The recent left knee MRI showed, in part, the following:
Patellofemoral compartment: Moderate to severe narrowing of the medial articular cartilage with near-complete denudation of the central portioncof the medial facet. Moderate narrowing of the apex of the patella withcan area of delamination at the apex. Underlying reactive marrow edema atcthe patellar apex and medial facet on image 3-11. There is a deep fissurecand possible delamination of the cartilage within the lateral trochlea with underlying marrow edema on axial series 3 images 16-18. Mild fissuring within the trochlear groove with underlying marrow edema also
noted on series 3 -18 and 7-15.
Patellofemoral compartment: Moderate to severe narrowing of the medial articular cartilage with near-complete denudation of the central portioncof the medial facet. Moderate narrowing of the apex of the patella withcan area of delamination at the apex. Underlying reactive marrow edema atcthe patellar apex and medial facet on image 3-11. There is a deep fissurecand possible delamination of the cartilage within the lateral trochlea with underlying marrow edema on axial series 3 images 16-18. Mild fissuring within the trochlear groove with underlying marrow edema also
noted on series 3 -18 and 7-15.
Brief Answer:
Meniscus injury can be managed by arthroscopy
Detailed Answer:
Hello,
I have studied your case.
Your MRI suggests soft meniscus injury with marrow edema.
Meniscus injury can be managed by arthroscopic repair.
As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion.
Along with MRI we will also need weight bearing knee X ray to see for joint space reduction.
Due to old injury to knee there is early degeneration of cartilage of knee joint.
Autologous chondrocyte implantation may help if on arthroscopy a single cartilage patch is damaged.
Life style changes will help in reducing pain which include,
ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible, but impact activities will aggravate arthritis. Running and jumping will often accelerate cartilage loss from the joint. The key is to focus on low impact activities, such as swimming or cycling.
USING CANES: Assistive devices can make it easier to go about your day without stressing your painful joint. A cane may take weight off your knee or hip as you walk. Carry the cane in the hand opposite the leg that hurts.
VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. You need to consult orthopaedic surgeon for taking it.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
Meniscus injury can be managed by arthroscopy
Detailed Answer:
Hello,
I have studied your case.
Your MRI suggests soft meniscus injury with marrow edema.
Meniscus injury can be managed by arthroscopic repair.
As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion.
Along with MRI we will also need weight bearing knee X ray to see for joint space reduction.
Due to old injury to knee there is early degeneration of cartilage of knee joint.
Autologous chondrocyte implantation may help if on arthroscopy a single cartilage patch is damaged.
Life style changes will help in reducing pain which include,
ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible, but impact activities will aggravate arthritis. Running and jumping will often accelerate cartilage loss from the joint. The key is to focus on low impact activities, such as swimming or cycling.
USING CANES: Assistive devices can make it easier to go about your day without stressing your painful joint. A cane may take weight off your knee or hip as you walk. Carry the cane in the hand opposite the leg that hurts.
VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. You need to consult orthopaedic surgeon for taking it.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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