alternative for surgery???

hello doctor
am 23 year old guy.i twisted my left knee a month back and the MRI reports show:
1) marrow oedema in the upper lateral aspect of the tibia
2)grade III tear of posterior horn of medial meniscus
3)grade II tear of the anterior cruciate ligament
4)also increase in fluid in the supra and retropatellar bursa
the doc suggests surgery for repair of d ligament muscle . i was wondering if there is any alternative to aviod the surgery and how effective would that be. i came across the concept of PROLOTHERAPY on the internet and was wondering if that would work in my case n help me aviod the surgery . and are the results after prolotherapy are as good as after surgery? please advice me on dis. hoping to hear from you soon

[Dr Vinod]

Prolotherapy can never be an alternative to surgery. Surgery is better for new/fresh injuries.
Prolotherapy can be used for recurrent injuries and is best in the following conditions:
1) Recurrent swelling or fullness involving a joint or muscular region
2) Popping, clicking, grinding, or catching sensations with movement
3) A sensation of the “leg giving way” with associated back pain
4) Temporary benefit from chiropractic manipulation or manual mobilization that fails to ultimately resolve the pain
5) Distinct tender points and “jump signs” along the bone at tendon or ligament attachments
6) Numbness, tingling, aching, or burning, referred into an upper or lower extremity .

You can go to an available faciltiy for Prolotherapy as many surgeons do not practice it and always take a second opinion before going ahead.

Take care!

[sobhit]

thank you for your advice doctor, and like you suggested that prolotherapy is good in certain cases, it seems that the 2nd and 3rd points that you have mentioned are the ones in my case, i surely am planning to go for second opinion. another thing doctor is that if you are aware of any surgeon practicing prolotherapy?? and if there are any ill effects from it? hoping to hear from you soon and thanks again for your time

[Dr Vinod]

You have to go to a very good faciltiy who are practicing this prolotherapy. For Eg: Mayo's clinic.

As it is a new technique you cannot just try anywhere and this is not a procedure which will give you immediate relief of symptoms and it takes more time than a surgical repair.

You  can always consult an orthopaedician doing prolotherapy and reassess your case and take a decision. Take care!

[sobhit]

thnk u doctor.. will c now wot 2do .. once again thnx 4ur response