Question #10342
5 days ago
42
After 4 month of ACL reconstruction and miniscus repair surgery - #10342
Subhajit Dey
After surgery my muscles strength range of motion day to day life quality getting better slowly and pain decreased but My problem is when ever I try to straight my leg with muscle power a kut kut sound come from my knee ( i think from patella) and facing problem when I'm try to walk after sitting for a lot of time but not facing any severe pain doing exercises or cycling or walking
Age: 24
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Doctors’ responses
Kut-kut sound is common during recovery and often harmless unless painful or locking
With consistent strengthening and rehab, it usually subsides in 2–3 months
Continue rehab but now focus on VMO strengthening
Use hot pack before activity and cold pack after exercise for the knee
Avoid deep squats, kneeling, or stairs until the sound reduces
Supplements:
1) Tab Orthoboon
– 1 tab twice daily × 3 months
2) Tab Shelcal 500
1 tab daily for 1 month
Follow up soon
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Hello dear
Please be advised
I think you are having recovery period
It will require patience and time
In the meantime time apply hot cravings
You can take lyser d tablet for improvement
For further evaluation you can consult orthopedic surgeon
Regards
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At age 24, the "kut kut" sound in the knee (likely from the patella) and stiffness after sitting suggest patellofemoral tracking issues or post-surgical joint adaptation. Since pain is minimal and strength, motion, and daily activity are improving, continue physiotherapy focused on quadriceps and hamstring strengthening. Consult an Orthopedic Surgeon or Sports Physiotherapist to assess patellar alignment and ensure no long-term cartilage or tracking problems.
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This kutkut sound is called theater sign which can be due to
#Patellofemoral tracking issues: The kneecap (patella) may not be gliding smoothly in its groove due to muscle imbalance or weakness, particularly in the quadriceps (especially VMO)
#Can be a post op normal crepitus
# Chondromalacia patella: Softening or wear of the cartilage under the kneecap
Advise
Physiotherapy and strengthening, especially quadriceps, hamstrings, and glutes.
Cycling — low-impact and great for knee recovery.
Stretching the quads, hamstrings, IT band, and calf.
Warm up before sitting for long
Avoid:
Sudden high-impact activities
Deep squats or kneeling unless cleared
Ignoring signs of swelling or joint locking
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