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What Do These MRI Findings Indicate?

Posted on Mon, 7 Dec 2015

Question: /hi doctor my son who is 279 years old has left knee pain since 2 years.got 2 mris done ,one in2014 and one in 2015 april, results are as follows;
2014;thickening and intrasubstance hyperintensity of anterior cruciate ligament ?grade 1 sprain with minimal fluid in tibio-femoral joint
april 2015
1.grade 3 horisontal anterior tear of latereal meniscus
2,strain in lateral collaral ligament relief pl advise
3,mild knee joint effusion
4 bone contusion in lateral tibial plateu and fibular head
shown to 2 doctors but no

Answered by Dr. Saumya Mittal (4 hours later)

Brief Answer:
Needs surgery

Detailed Answer:
Hi
I am Dr Mittal. I have read your message.
I think I can help you.
The injuries mentioned are best dealt with by a knre joint surgeon.
I am not aware from the query what your doctors were qualified for and what they prescribed.
Temporarily use a knee brace.
And meet an orthopaedic specialist who deals with knees specifically.
I have tried to make it as simple as possible. I hope that the information contained in this message will be able to help you find the best solution for your problem. Best of luck. Dr Mittal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saumya Mittal (2 hours later)

I have met a qualified surgeon only but he prescribed rest but u pl give me ur treatment
And doctor I asked for ur treatment , I could have gone again to some other doctor , ok give me ur line of treatment , u have just suggested a good joint surgeon which I could have gone to myself

Answered by Dr. Saumya Mittal (2 hours later)

Brief Answer:
options

Detailed Answer:
Dear XXXX
The best option is a surgery.
Which of course cannot be done online.
As for medical management, I can suggest following steps-
You can start with following medicines
1. Glucosamine
2. Diacerine
3. Collagen.
You can start with a capsule for each of them.
Since none of them is a pain killer, it will help him in time.
Usually it takes 15 days to 30 days of regular medicine intake before you get feel some relief.
The medicine dose may need adjustment thereafter.

Also, weight control will be essential.
Ask your son to cycle daily. Its a very essential exercise for the joint and is non weight bearing.
These steps should help him a lot.

Best of luck, Dr Mittal

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar