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How Can Further Surgeries To The Knee Be Avoided?
Hi Doctors, I have no acl intact in my left knee . I went through 2 surgeries on my left knee , I had a miniscal surgery several year a go. I also have a grade IV Chondromalacia in my right knee, i do not want do any more surgeries at the age of 54YEARS.
Fri, 22 Apr 2016
hi,
thank-you for providing the brief history of you.
A thorough musculoskeletal assessment is advised.
As the pathology of the knee joint is troubling you, and you also do not want to go for surgery I will advice to try physical therapy. As with physical therapy, your pain and inflammation will be reduced by use of therapeutic ultrasound therapy and TENS therapy. Also, since you have Grave IV chondromalacia patella, ACL injury and past meniscal surgery, you need a thorough assessment and an MRI. if the ACL is completely torn then surgery will be advised as the life expectancy of the knee has to be kept into consideration. Also, once ACL reconstruction is done you can later proceed to physical therapy for strengthening exercises and ROM exercises which will help to extend the life of the knee joint.
due to ACL injury, the knee joint enters into faster degeneration, so ACL reconstruction will be advised in my opinion. As it is a small procedure and recovery is also optimum.
Also, once ACL reconstruction is done , you may avoid the TKR in future. To avoid TKR you need to understand that ACL reconstruction is important. Rest I leave a choice on you.
In my clinical practice, I avoid surgery for my patient with grade I ACL injury but with complete tear I also advise surgery ,post which the knee ROM and strengthening is performed and optimum results are achieved with 100% of success.
Regards
Jay Indravadan Patel
thank-you for providing the brief history of you.
A thorough musculoskeletal assessment is advised.
As the pathology of the knee joint is troubling you, and you also do not want to go for surgery I will advice to try physical therapy. As with physical therapy, your pain and inflammation will be reduced by use of therapeutic ultrasound therapy and TENS therapy. Also, since you have Grave IV chondromalacia patella, ACL injury and past meniscal surgery, you need a thorough assessment and an MRI. if the ACL is completely torn then surgery will be advised as the life expectancy of the knee has to be kept into consideration. Also, once ACL reconstruction is done you can later proceed to physical therapy for strengthening exercises and ROM exercises which will help to extend the life of the knee joint.
due to ACL injury, the knee joint enters into faster degeneration, so ACL reconstruction will be advised in my opinion. As it is a small procedure and recovery is also optimum.
Also, once ACL reconstruction is done , you may avoid the TKR in future. To avoid TKR you need to understand that ACL reconstruction is important. Rest I leave a choice on you.
In my clinical practice, I avoid surgery for my patient with grade I ACL injury but with complete tear I also advise surgery ,post which the knee ROM and strengthening is performed and optimum results are achieved with 100% of success.
Regards
Jay Indravadan Patel
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