What are the best treatment options for a PCL tear in my knee?

Yes, I agree with Dr Dinesh. Most PCL injuries are treated conservatively, via physiotherapy and rehabilitation. If your accident is 3 years ago, and the knee is starting to be symptomatic again, the most important thing to exclude is whether there are any other new injuries.

You may need a repeat MRI scan. If it is really just the PCL injury, again treatment can be conservative, or for patients, surgical reconstruction of the PCL is indicated. But that would depend on factors like the overall stability of the knee, whethere there are any rotational injuries, meniscal injuries, the level of activity that you require etc.

It would be useful to consult an orthopaedic or sports physician, and have your knee checked out.

Kind regards

Dr Sean Ng

Sorry to hear about your knee and the symptoms you are experiencing. In general a PCL does not need surgical treatment and most people can do quite well without it.

Your instability symptoms may be due to a new problem in the knee (if you have had another injury), such as a meniscal tear, or from weakness in the muscles stabilising the knee.

It sounds like you need to get you knee reviewed. I would suggest either going back to your original surgeon/physician or you could see a Sports Physician/Sports Physiotherapist for further assessment.

They may rescan your knee as part of this assessment. If there are no further issues with your knee, I would suggest returning to a rehab program with quads and hamstring strengthening and proprioceptive exercises.

Hope this helps.

BW

Dr Dinesh