Q: I am a 25 years old man who had anterior cruciate ligament (ACL) reconstruction six months back. After the operation, my leg was immobilised for eight weeks. I have been regularly doing physiotherapy but there is little improvement. After the physiotherapy, I can stretch my leg up to 120-degree angle. I am unable to stretch my leg fully, especially in the morning hours. My kneecap looks swollen and easily identified through my jeans. I have read on the Internet that the knee gets filled with scar tissue, which restricts the range of motion called arthrofibrosis. When could I be able to stretch my leg fully? How can it be treated?

A:Some of us form scar tissue, which is tougher and is quicker to start, which one of us will have that is difficult to predict. Since you had this surgery 6 months back, you can try knee brace and intra articular steroid, if even these prove futile you can go back to your arthroscopist or any other for the release of adhesions. Lots of surgeons are doing that now.