Question

I am a 22 yo male and I picked an injury in my knee the 8th october. The result of my mri was like this "partial repair healed with cleavage of the anterior cruciate ligament at the expense of its antero-medial beam" and "intra-articular effusion of small to medium abundance" I want to know what are the risks exactly and what should I do next. Also when I set for more than half an hour my knee get blocked and I can not move it or walk easily. And I wanna know how to do a medical document to avoid military service. Thank you.

Dr.Julie Mercy J David · Accepted Answer

1. Heel and calf stretch
this stretch targets the muscles in your lower leg, specifically your calf muscles.
To do this stretch:
stand facing a wall.
Place your hands on the wall and move one foot back as far as you can comfortably. Toes on both feet should be facing forward, heels flat, with a slight bend in your knees.
Lean into the stretch and hold for 30 seconds. You should feel the stretch in your back leg.
Change legs and repeat.
Do this stretch twice for both legs.
2. Quadriceps stretch
this stretch specifically targets your quadriceps, the muscles at the front of your thighs. Performing this move can help improve the flexibility in your hip flexors and quadricep muscles.
To do this stretch:
stand next to a wall or use a chair for support. Your feet should be shoulder-width apart.
Bend one knee so your foot goes up toward your glutes.
Grab your ankle and gently pull it toward your glutes as far as you can comfortably.
Hold for 30 seconds.
Return to the starting position and change legs.
Repeat 2 times on each side.
3. Hamstring stretch
this stretch targets your hamstrings, the muscles in the back of your thigh.
You should feel this stretch in the back of your leg and up to the base of your glutes. If you flex your foot, you may also feel the stretch in your calves.
To do this stretch:
for this stretch, you can use a mat to add cushioning under your back.
Lie down on the floor or mat and straighten both legs. Or, if it’s more comfortable, you can bend both knees with your feet flat on the floor.
Lift one leg off the floor.
Place your hands behind your thigh, but below the knee, and gently pull your knee toward your chest until you feel a slight stretch. This shouldn’t be painful.
Hold for 30 seconds.
Lower and change legs.
Repeat 2 times on each side.
Strengthening exercises
according to the american academy of orthopaedic surgeons, you can help reduce the stress on your knee joint by regularly working the muscles around your knee.
To help strengthen your knees, focus on moves that work your hamstrings, quadriceps, glutes, and hip muscles.
4. Half squat
half squats are an excellent way to strengthen your quadriceps, glutes, and hamstrings without straining your knees.
To do this exercise:
get into a standing squat position with your feet shoulder-width apart. Place your hands on your hips or out in front of you for balance.
Looking straight ahead, slowly squat down about 10 inches. This is the halfway point to a full squat.
Pause for a few seconds, then stand up by pushing through your heels.
Do 2 to 3 sets of 10 repetitions.
5. Calf raises
this exercise strengthens the back of your lower legs, which includes your calf muscles.
To do this exercise:
stand with your feet shoulder-width apart. Position yourself next to a wall or hold on to the back of a chair for support.
Lift both your heels off the ground so that you’re standing on the balls of your feet.
Slowly lower your heels to the starting position. Control is important with this exercise for strengthening your calf muscles.
Do 2 to 3 sets of 10 repetitions.
6. Hamstring curl
the standing hamstring curl targets your hamstrings and glutes. It also requires good core strength to keep your upper body and hips steady.
To do this exercise:
stand facing a wall or use a chair for support. Your feet should be hip-width apart.
Lift one foot up, bend your knee, and raise your heel toward the ceiling. Go as far as you can, while keeping your upper body still and hips pointing forward.
Hold for 5 to 10 seconds.
Relax and lower to the starting position.
Do 2 to 3 sets of 10 repetitions for each leg.
7. Leg extensions
using your own body weight, rather than a weighted machine, to strengthen your quadriceps helps keep added pressure off your knees.
To do this exercise:
sit up tall in a chair.
Put your feet flat on the floor, hip-width apart.
Look straight ahead, contract your thigh muscles, and extend one leg as high as possible without raising your buttocks off the chair.
Pause, then lower to the starting position.
Do 2 to 3 sets of 10 repetitions for each leg.
8. Straight leg raises
the straight leg raise strengthens your quadriceps as well as your hip flexor muscles. If you flex your foot at the end of the move, you should also feel your shins tighten.
As this exercise gets easier to do, you can add a 5-pound ankle weight and gradually work up to a heavier weight as you build strength in your legs.
To do this exercise:
for this exercise, you can use a mat to add cushioning under your back.
Lie down on the floor with one leg bent and one leg straight out in front of you.
Contract the quadricep of your straight leg and slowly raise it up off the floor until it’s the same height as your bent knee.
Pause at the top for 5 seconds, then lower to the starting position
do 2 to 3 sets of 10 repetitions for each leg.
9. Side leg raises
this exercise works your hip abductor muscles as well as your glutes. Your hip abductor muscles, located on the outside of your hips, help you to stand, walk, and rotate your legs with ease. Strengthening these muscles can help prevent and treat pain in the hips and knees.
As this exercise gets easier to do, you can add a 5-pound ankle weight and gradually work up to a heavier weight as you build strength in your leg muscles.
To do this exercise:
lie on your side with your legs stacked on top of each other. Cradle your head in your hand, and place your other hand on the floor in front of you.
Raise your top leg as high as you comfortably can. You should feel this on the side of your hips.
Pause briefly at the top, then lower your leg.
Do 2 to 3 sets of 10 repetitions for each leg.
10. Prone leg raises
this exercise works your hamstrings as well as your glutes. As this exercise gets easier to do, you can add a 5-pound ankle weight and gradually work up to a heavier weight as you build strength in your legs muscles.
To do this exercise:
for this exercise, you can use a mat to add cushioning beneath you.
Lie on your stomach with your legs straight out behind you. You can let your head rest on your arms.
Engage your glute and hamstring muscles in your left leg and lift your leg as high as you comfortably can without causing pain. Be sure to keep your pelvic bones on the floor throughout this exercise.
Hold your leg in the lifted position for 5 seconds.
Lower your leg, rest for 2 seconds, then repeat.
Do 2 to 3 sets of 10 repetitions for each leg.
Other types of exercise for knee pain
once you’ve built up the strength in your knees, you may want to consider adding low-impact exercises to your routine. Low-impact exercises typically put less stress on your joints than high-impact exercises, like running or jumping.
Some good examples of low-impact exercises include:
yoga
elliptical machine
swimming
stationary cycling
water aerobics
walking.

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