Knee Injuries: ACL and Meniscus Tears Explained - Orthopedics

More Info

---

Knee injuries, particularly involving the anterior cruciate ligament (ACL) and meniscus, are common and can significantly impact mobility and quality of life. Understanding these injuries is crucial for effective management and rehabilitation.

The ACL is a key ligament that stabilizes the knee joint, preventing excessive forward movement of the tibia relative to the femur. An ACL tear can occur due to sudden stops, changes in direction, or direct impact, often seen in sports. Symptoms typically include a "popping" sound at the time of injury, followed by swelling, pain, and instability in the knee.

Meniscus tears, on the other hand, involve the cartilage that cushions the knee joint. These tears can occur alongside ACL injuries, especially in cases of twisting motions while bearing weight. Symptoms of a meniscus tear may include pain, swelling, stiffness, and a sensation of the knee locking or giving way.

In your case, it seems you have sustained injuries to both the ACL and possibly the meniscus, as indicated by your symptoms and MRI findings. The inflammation you are experiencing could be due to the irritation of the joint capsule, which is common after such injuries. The use of pain relievers and muscle relaxants, like Tolperisone, can help manage pain and muscle spasms, but it’s essential to consult with your physician regarding their use, especially considering your history of duodenal ulcers. Non-steroidal anti-inflammatory drugs (NSAIDs) can sometimes exacerbate gastrointestinal issues, so your doctor may recommend alternatives or adjustments based on your overall health.

Regarding your question about keeping the knee straight while sleeping, it is generally advisable to maintain a neutral position for the knee to promote healing. Prolonged flexion can lead to stiffness and decreased range of motion, which may complicate recovery. If you can consciously extend your knee while sleeping, it may help maintain flexibility and reduce the risk of developing contractures. However, it’s important to find a comfortable position that does not cause additional pain.

If surgery is indicated based on your MRI results, it will typically involve either ACL reconstruction or meniscus repair, depending on the extent of the damage. Post-operative rehabilitation is crucial for restoring function and strength. A physical therapist can guide you through exercises tailored to your specific needs, focusing on regaining range of motion, strength, and stability.

In summary, managing knee injuries like ACL and meniscus tears involves a combination of medical treatment, physical therapy, and lifestyle adjustments. It’s essential to work closely with your healthcare team to develop a comprehensive plan that addresses both your knee injury and any other health concerns, such as your duodenal ulcer. Always communicate any changes in your symptoms or concerns about your treatment plan with your physician to ensure the best possible outcomes.