I am 45 yr male, suffering from knee pain from last one and half years. Having severe pain while climbing up or down, at the time of car diriving and continuous sitting on chair for long time with knees bend. Also not able to expouse knee to fan air or ac air for morethan 3-4 minutes. X-ray report-" maltracking patella, of shallow trochelear grovi. Mri report -a)degenerative changes in the posterior horn of medial meniscus, b)early changes of osteoarthrities in the medial compartment c)shallow trochlear groove with flattened medial facet --? clinical significance. Taken collaflex for 4 months, tab eto free for 3 monhts, physio for 40 days. Continuosuly doing q exercise. However no change in pain level. One of the dr suggested operation called" arthoscopic lavage and retinacular balancing' followed by +vissco supplement. Please advise whether this operation will relieve me of complete pain.
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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You have symptoms of maltracking of patella due to a shallow groove, this can actually lead to anterior knee pain over a period of time due to softening of cartilage covering patella. Normally as an initial measure, we try rigorous physiotherapy with some supportive medications and see for the result, a lot of patients improve symptomatically with this but in some patients there may not be an improvement because of bad bio mechanics and for that we might have to think of a surgical procedure. Anyways if you send me all your investigations and doctor's prescription papers, then I can have a look and advise you accordingly. Thanks & regard.
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