Sir/madam, my father met with an accident in 2006 and his right knee ligament was cut in that incident.(he used medicine to relief pain at that time) but now due to pain again in right knee he consulted doctor and took MRI. It shows: 1. ACL tear 2. Complex tear of posterior horn of lateral meniscus 3. Effusion in knee joint 4. Minimal fluid collection deep to medial head of gastrocnemius origin. Doctors told to go for surgery, but my father already faced surgery for hernia. And denies for another. He has pain when going on steps. please prescribe any suggestions and measures to be followed to prevent pain and surgery.

Dr. Prashant ParateOrthopedist12yrs exp

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It is upto you whether you go for surgery or not. Doctor has suggested you best option. Pain is because of instability due to ligament tear and Meniscus tear. These things do not Heal on their own. Had it been just ligament tear, you could have got relief with physiotherapy. Torn meniscus keeps rubbing on joint surfaces and pain would go on increasing. It also causes damage to cartilage. All modalities directed to reduce pain somehow temporarily will not change meniscus and ligament injury. If you have smell in room because of cat has died behind cupboard, then spraying room freshener will be useful only for some time and again you will get smell. Similar is thing with this injury. Unless you remove cat, smell won't go. Same way unless you operate knee, pain won't go. Choice is yours.  

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