Recurrent ACL Injury: Should I Stick with My Original Doctor? - Orthopedics

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When faced with a recurrent ACL injury, it's understandable to feel uncertain about whether to continue with your original doctor or seek a second opinion. Here are some considerations to help you navigate this situation.

Firstly, it’s important to understand the nature of your recurrent injury. ACL (anterior cruciate ligament) injuries can be complex, and re-injury can occur for various reasons, including inadequate rehabilitation, returning to sports too soon, or even the original surgical technique. If your new doctor has suggested an MRI that indicates a re-tear of the ligament, it’s crucial to discuss the findings in detail.
Regarding whether to stick with your original doctor or switch, consider the following factors:
1. Trust and Communication: Do you feel comfortable discussing your concerns with your original doctor? A good doctor-patient relationship is vital for effective treatment. If you feel that your original doctor is not addressing your concerns adequately or if you have lost confidence in their approach, it may be beneficial to seek a second opinion.

2. Experience and Specialization: If your original doctor specializes in sports medicine and has a good track record with ACL surgeries, it might be worth sticking with them. However, if the new doctor has more experience with ACL reconstructions or has a different approach that you feel more comfortable with, it may be worth considering a change.

3. Surgical Technique: Different surgeons may use different techniques for ACL reconstruction. If your original doctor used a technique that is now being questioned or if the new doctor has a different approach that has shown better outcomes, this could influence your decision.

4. Rehabilitation Protocol: Post-surgery rehabilitation is crucial for recovery. If your original doctor’s rehabilitation plan did not lead to satisfactory results, and the new doctor offers a more comprehensive or tailored rehabilitation program, this could be a reason to switch.

Now, regarding the question of whether to perform a knee arthroscopy to clean up the joint, this procedure can be beneficial if there are loose bodies, scar tissue, or other debris that could be causing pain or limiting function. Cleaning out the joint can improve symptoms and may help in preparing for further surgical intervention if needed.

If you choose to have the arthroscopy, it’s common to use crutches post-operatively, especially if there is swelling or pain. The extent of your recovery and the need for crutches will depend on the specific findings during the arthroscopy and the overall condition of your knee.

In summary, whether to stick with your original doctor or switch to a new one depends on your comfort level, the doctor’s expertise, and the treatment options available. If you decide to proceed with the arthroscopy, it can potentially alleviate some of the issues you are experiencing, but be prepared for a recovery period that may involve the use of crutches. Always ensure that you have a clear understanding of the procedure, the expected outcomes, and the rehabilitation process moving forward.