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I am 25 years old and pursuing my doctral degree. My MRI report says its an Grade 3 ACL tears and moderate knee joint effusion. I am not facing any knee instability, but the swelling on the knee persist and I feel pain occasionally. Since reconstruction surgery takes to recover nearly 6 months and above, I do not want a surgery and ask of you is there any alternative or surgery is must.

3 Doctors Answered
Hi Mr. lybrate-user considering your Signs and Symptoms I recommend to go for ACL Reconstruction Surgery as no scope of recovery to Acl years in Evidence based Science as of now. For Swelling of knee you need to do Strengthening exercises for knee. Apply cool pack, Appropriate Knee brace, Avoid movements which strain your knee. If your activities of lifestyle demands more of knee work like sports activity of stair walk then I strongly recommend to go for ACL Reconstruction. Post Operative ACL Teconstruction rehab will be for next one month for ADL's 3 Months for light Sports Activity & 6 Months for heavy Sports activity. Please don't hesitate to contact me for any clarification above provided information.
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There is no conservative way to heel the ACL. U can try physio and quadriceps exercise which heals the pain and swelling to quite an extent. Yes if you do not have laxity and you do not have problem in running and stairs, then you can wait else surgery is the best choice.
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Knee Ligament laxity if you have problem in your legs then it might be due to ligament laxity where your legs would become very weak due to the old ligament injury and that should be treated immediately. Wear knee cap so that you will feel firm while walking or climbing stairs. This is a general strain and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try! One time you can do hot water fermentation that would help to reduce the muscle strain. You have to do knee strengthening exercises, ie. Knee rehabilitation exercises which will strengthen your knee. Exercises will give you permanent cure than the surgery. Physiotherapy Management: You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Simple Knee ExerciesSpecific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knees.
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