What is the remedy for the following problems? A) Right Knee: 1) Horizontal tear in posterior horn of medial meniscus. 2) Grade III ACL tear. 3) Extruded lateral meniscus with lateral collateral ligament strain. 4) Intra & Pre-Articular fluid collection with synovial thickening 5) osteo-arthritic changes in knee joint. B) LS SPINE MRI of L-S Spine reveals - - - + - - - - - - Left- - - - - - Right-- - - - - Left- ---- 1) Degenerative disc disease with diffuse disc bulge at a l levels & mild bilateral neural foramina narrowing at L4-L5. 2) Mild disc protrusion at L4-L5 causing indentation over the anterior thecal sac. 3) Other degenerative changes as described above.

Dr. Vishwas VirmaniPhysiotherapist21yrs exp

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? Avoid sitting Cross legged. ? Avoid Squatting- ? Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. ? Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. ? Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. repeat 10 times, twice a day. ? Sports Taping- stretch the tape from both ends and apply on the affected area ? Contrast Fomentation (Hot and Cold). ? Contrast bath---It is a form of treatment knee is applied warm water followed by the immediate application of the knee with ice water. This procedure is repeated several times, alternating hot and cold. Note that the treatment should always end in the ice water, as heat will induce the body's inflammatory response, while cold helps to decrease inflammation. 

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