Conversation: The conversation between human and AI assistant.
[|Human|] Im a 44 year old female. Fell skiing 2 years ago.  MCL gr 2+-3 tear, ACL complete tear, LCL sprain, Tibial Plateau Fracture.  Did extensive physio and had ACL reconstruction 1.5 years ago.  Meniscus tear last year, arthroscopy to trim meniscus. Still suffer with loud, crunchy knee daily, trouble walking without a limp, and being on my feet for a long time, or up/down stairs. Asked for another MRI, results show cyst at tibial tunnel, bone marrow edema at tibial tunnel, tiny radial tear at lateral meniscus, severe patellofemoral chrondopathy, trace of joint effusion. Saw surgeon again, he recommended Celebrex which I had been taking for 10 months already, so have now tried Suplasyn injections, 5 weeks ago. Not much change in pain relief. Need advice where to go from here please?
[|AI|]  Hi, thank you for providing the brief history of you. As you had fall and ACL reconstruction and MCL debridement is done, the knee joint needs more and accurate sports rehabilitation. First and foremost is to reduce the inflammation and pain. Achieve full ROM of the knee joint. Strengthen the hip muscles and the qua Chat Doctor.  Go for adductors and abductors Strengthening. Later stages go for balance board training and that will induce joint proprioception activation. Also perform reverse walkingRegarding Chen