Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO
Request answers from expert doctors:

DxD
DxD

We will distribute this question to expert doctors, and notify you about new answers.





What are my options to treat a chondral ulcer after twisting my knee?

Orthopaedic Surgery Sport Medicine

I am 39 years old. I have been experiencing knee pain after accidentally twisting my knee. An MRI report showed a chondral ulcer. I have tried physio for about 6 months. Each time, the exercise just causes my knee to swell up and become more painful. May I know what are my treatment options? Are there any alternatives to surgery?

DOCTOR’S ANSWER (2)

I think Dr Dinesh has summarised it quite well. Full thickness Chondral ulcers on the patella are quite difficult to manage. Failed conservative management , would usually mean a patient has to consider surgical intervention. Intra-articular visco-supplementation can definitely be considered. It helps in the lubrication of the knee and offers some pain relief. This would most probably be temporary. 

Based on the scan, you have 2 problems. The lateral tilt is an anatomical problem that can be solved by an arthroscopic (keyhole) release. The chondral ulcer would be abit more tricky. A chondroplasty to try patch back the full thickness ulcer Would be the best thing. Some patients may even need to have bigger multi-step procedures if the ulcers do not heal.

I think the more important thing to consider is, how much is this affecting you and your lifestyle. It doesn’t seem that whatever you’ve been trying has worked so far. Of course you can choose to continue trying physiotherapy and medication, but if the symptoms continue and get worse, there is definitely a role for surgery. Unfortunately full thickness ulcers do not heal themselves. 

Hope this helps

Dr Sean Ng

0 107 views 13 Jan 2019
Contact Doctor

Welcome to the over 30's club!  I say this with personal experience of knee pain and a story similar to yours. 

Cartilage injury around the front of the knee can be quite painful and limit activity, particularly if you enjoy running and jumping sports.  

Seeing a physiotherapist is important in such situations as they can help identify specific muscle weaknesses.  In addition a Sports Physician can help by providing various treatments such as visco-supplementation, where a synthetic form of hyaluronic acid is injected into the knee for pain symptoms, and also a sports podiatrist can help assess your gait, particularly if you are a keen runner.

Having spoken to a sports knee surgeon, options for cartilage injuries such as this include a lateral release, if you have tilting of the patella, trimming away of the injured cartilage or trying to promote healing through other interventions.  The main issue with surgical intervention is the post-op period (trust me) it takes ages to get back to normality!

This give you a number of options to start with - I hope it helps.

BW

Dr Dinesh 

0 108 views 13 Jan 2019
Contact Doctor
Not the answer you're looking for? Browse other answers tagged Orthopaedic Surgery Sport Medicine or ask your own question now FOR FREE.