You're welcome!

Thanks for watching!

Thanks for sharing!

Please see my response to your comment on the other video.

Yes, conservative is usually the best first option if you don't want to get back to high impact twisting sports. Your physio will assess your progress after 6 weeks and be in a better place to advise if you stick to conservative or should consider surgery.

I would wait. You have partial injuries. I tore my ACL and MCL in both knees 4 months ago and I’m waiting to see if i can get by without surgery.

My left knee injury was worse than the right side but i tore both ACL and MCL in both knees 4 months ago. I’m very active 60 years old. I’m devastated. My knees are not hundred percent stable, but I am still going to wait and see. At the moment I am doing my own strengthening exercises. I Purchased BFR training bands. I am fighting to save myself from going under surgery and dealing with a long rehab.

As far as I know surgery is the treatment of choice for mucoid degeneration of ACL - I don't know if it responds to conservative treatment

Knee swelling can take a very long time to go away - if you're functioning without pain and things are getting better in general, it is usually just part of the normal healing and will go eventually.

We usually don't do a second MRI unless the patient isn't progressing. The reason being that the knee can regain full stable function even if the ACL does not look pristine. So at this point it is about whether or not your physical tests that your doctor do are stable and you're progressing with your rehab. An MRI won't add anything to making decisions for treatment hence why your doctor is reluctant to get one.

First, you need to make sure that you've really given physiotherapy a good chance - physiotherapy can't work if you continue to push into pain and aggravate it - you have to first calm the pain down and then slowly build your strength back up. The reason doctors often advise against surgery is because for many situation it doesn't really make a big difference - so it can be also due to that reason. However, if you feel that you have given your knee a fair chance at rehab and it is not responding, then I think you need to get a second opinion from a different doctor and really explain the emotional and physical impact of this.

@@SportsInjuryPhysio Thank you for your reply. I was in physical therapy for a year for my knee, but I have a large chondral defect on the medial facet of the patella and a medium cartilage flap on the lateral facet of the patella. I have gotten multiple surgical opinions for MACI and was told I am not a candidate due to the global cartilage loss. I cannot walk any distance on the right knee. I can't do my PT for my hip well (it's also bone on bone after not being taken seriously for nine years for a torn hip labrum that was causing debilitating pain and now has global cartilage loss) and the knee impairing my swimming as well. I cannot use stairs and it hurts to use the brakes in my car. Doctors don’t take me seriously in the United States because of my age and half of them won't accept my secondary insurance and won't let me pay the difference after my primary insurance. The doctors I have seen dismiss my pain and lack of quality of life. I've tried PRP injections to help lower the inflammation as well as Gel One and Supartz injections, had one scope to debride the initial chondral defect. The original surgeon didn't take x rays so he missed my patella alta and refused to do the MACI surgery until I had a genetic test for ehlers Danlos (doesn't exist) and I got generalized genetic testing for connective tissue disorders, which came back negative. By the time we reviewed my case the cartilage loss expanded. The patella alta is the cause of my bilateral knee pain/chondromalacia patella and cartilage loss. My left knee has a near full thickness fissure in the medial facet of the patella which I was told won't be helped with a tibial tubercle osteotomy either so I feel like I have no options except for nerve ablation but that is off-putting because it’s not curative. I cannot work because of the pain I am in and I want to be able to finish school and go to work and I was told I need a partial knee replacement but all the surgeons I’m seeing tell me I’m too young and they don’t care that I have no life and no quality of life. So I figured just push through the pain and keep making it worse until someone takes me seriously. I I have a new MRI ordered after the right knee started bruising without trauma, during swimming. I believe there was mechanical trauma perhaps because I did not hit it on anything and it was swollen for 48 hours so I am not sure what happened but I can only assume that I ripped one of the flaps off the bone again. The American healthcare system only cares about those with money and is not based around preventative care. I am extremely frustrated and in horrible pain. Ice is nice but cartilage won't regrow.

The research seems to suggest that surgery is the better option if you have a meniscus tear + ACL tear. But there are always exceptions to the rule and there usually isn't any harm in first trying rehab and seeing how far you get with that.

I discuss that in detail in the video.

There are cases of full tears being managed successfully through rehab, so the grade does not seem to be the main thing that affect the decision. But I would say that for a grade 1 I would always do rehab for my first option of treatment as it is very likely to not need any surgery.

If by buckle you mean it feels unstable then it sounds like you need rehab for the LCL strain - you can find information about the rehab in this playlist: kzfaq.info/sun/PLkRW4ITRa6bAQBWyt4wVRMh1bpFIjzwi-