Cruciate ligament
I apologize for the inconvenience, but I would like to ask you about my right knee.
Due to a car accident, I sustained damage to my cruciate ligaments.
After a hospital examination, the doctor informed me that my anterior cruciate ligament (ACL) is partially torn and my posterior cruciate ligament (PCL) is completely torn.
I have already undergone arthroscopic surgery about six months ago.
I would like to know why I still experience pain in my knee when I exert force with my right leg.
Additionally, I would like to ask if I am still required to serve in the military under these circumstances.
Mr. Chen, 20~29 year old female. Ask Date: 2012/07/16
Dr. Li Wenlin reply Orthopedics
1.
Knee joint instability exceeding 1 centimeter after more than one year of treatment, or evidence of joint pathology confirmed by X-ray examination.
2.
Reconstruction of the anterior cruciate ligament in both knees.
Only one of the above conditions is required for exemption from military service.
Reply Date: 2012/07/16
More Info
After undergoing surgery for an ACL (anterior cruciate ligament) injury, it is not uncommon for patients to experience pain and discomfort during the recovery process. This pain can be attributed to several factors, including the surgical procedure itself, the healing process, and the rehabilitation exercises that are often necessary to regain strength and mobility in the knee.
Firstly, it's important to understand that the ACL is a crucial ligament that helps stabilize the knee joint. When it is injured, surgical intervention is often required to reconstruct the ligament. Post-surgery, patients may experience pain due to inflammation, swelling, and the body's natural healing response. This pain can be exacerbated by physical activity, especially if the knee is not fully healed or if the rehabilitation exercises are too aggressive.
In your case, experiencing pain when applying force to the knee six months post-surgery could be due to several reasons:
1. Incomplete Healing: The ACL and surrounding tissues may still be in the healing phase. It can take several months for the ligament to fully integrate with the bone and regain its strength.
2. Scar Tissue Formation: After surgery, scar tissue can form around the knee joint, which may lead to stiffness and pain, especially during movement. This can also contribute to a sensation of tightness or discomfort when using the knee.
3. Rehabilitation Progress: If the rehabilitation exercises are not appropriately tailored to your current condition, they may cause undue stress on the knee. It is crucial to follow a rehabilitation program that gradually increases in intensity and is supervised by a physical therapist.
4. Underlying Issues: There may be other underlying issues, such as meniscal tears or damage to other structures within the knee, that could be contributing to your pain. An MRI or further evaluation by your orthopedic surgeon may be necessary to rule out these possibilities.
Regarding your question about military service, the decision on whether you are fit for duty will depend on several factors, including the severity of your symptoms, your overall functional ability, and the specific requirements of military service. In many cases, individuals recovering from ACL surgery may be temporarily exempt from physical duties until they have fully rehabilitated and can demonstrate adequate strength and stability in the knee.
It is essential to communicate openly with your healthcare provider about your symptoms and concerns. They can provide a thorough assessment and determine whether you are ready to resume full physical activity, including military service. Additionally, they can recommend appropriate pain management strategies and rehabilitation exercises to help you recover effectively.
In summary, while pain after ACL surgery can be a normal part of the recovery process, it is crucial to monitor your symptoms and seek medical advice if the pain persists or worsens. Proper rehabilitation and communication with your healthcare team will be key to ensuring a successful recovery and determining your readiness for military service.
Similar Q&A
Understanding ACL Injuries: Conflicting MRI and Clinical Diagnoses
Dear Director, My child, who is currently serving in the military, has been passionate about playing basketball for a long time. Recently, he has been experiencing some discomfort in his left knee, feeling a bit "stuck," and occasionally experiencing weakness in his le...
Dr. Shi Guozheng reply Orthopedics
A tear of the anterior cruciate ligament (ACL) typically requires a significant external force to occur, and it is usually accompanied by joint swelling and bleeding at the time of injury. The pain is often severe, making it difficult to walk, and there may be several weeks of in...[Read More] Understanding ACL Injuries: Conflicting MRI and Clinical Diagnoses
Managing ACL Injuries and Complications: Recovery and Rehabilitation Insights
1. Several years ago, I suffered a torn anterior cruciate ligament (ACL) in my left knee during elementary school, which has occurred for the eighth time. My left side is strong, while my right side is weak and often lacks strength. How can I strengthen my quadriceps? 2. Recentl...
Dr. Li Wenhong reply Orthopedics
Hello: 1. If there are currently no acute symptoms such as swelling or pain in both knees, you can perform exercises such as straight leg raises, leg kicks, or partial to full squats. Please discuss the details with your physician after your consultation. 2. If symptoms are prese...[Read More] Managing ACL Injuries and Complications: Recovery and Rehabilitation Insights
Understanding Widened Joint Pain After ACL Surgery: Causes and Treatments
I underwent anterior cruciate ligament (ACL) surgery on my right knee in February of last year. During the rehabilitation process, I wore a brace incorrectly, which seems to have caused some injury to the left knee, particularly in the lateral compartment. An MRI of the left knee...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question. Your situation is quite unique, but both knees have ligament issues, and one hip joint also has problems, which is a very rare combination. Please try not to worry too much. Additionally, since you have already undergone surgery and an MRI exa...[Read More] Understanding Widened Joint Pain After ACL Surgery: Causes and Treatments
Post-ACL Surgery Concerns: Knee Pain and Possible Complications
Hello, doctor. I underwent anterior cruciate ligament reconstruction surgery less than a week ago and have been resting at home. While doing leg raises, I suddenly heard a popping sound from my knee (I was wearing a brace and had it set at 0 degrees). Afterwards, I started to fee...
Dr. You Dianqi reply Orthopedics
Hello: You mentioned that shortly after surgery, while performing quadriceps training, you heard a popping sound and then started to experience pain. Could this possibly indicate a ligament issue? I believe that in medical events, any possibility exists, but given that you were w...[Read More] Post-ACL Surgery Concerns: Knee Pain and Possible Complications
Related FAQ
(Orthopedics)
Postoperative(Orthopedics)
Sports Injury(Orthopedics)
Post-Ankle Ligament Surgery(Orthopedics)
Post-Tibial Fracture Surgery(Orthopedics)
Anterior Cruciate Ligament(Orthopedics)
Ankle Joint Injury(Orthopedics)
Fasciitis(Orthopedics)
Post-Clavicle Surgery(Orthopedics)
Ligament Tear(Orthopedics)