I'm really worried because I hit my ankle pretty hard on something metal, and now it really hurts when I walk or put any pressure on it. The pain is mostly right under the ankle bone. Should I be concerned about this type of injury, and what should I do to help it heal?

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Dr Dr Khaleel Ur Rahim

General Practitioner

MBBS
1+ Yrs

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ASO (Antistreptolysin O) Titer Positive

What is ASO?

Antibody test: Measures antibodies against streptolysin O, a toxin produced by Group A Streptococcus (GAS) bacteria.

Why is ASO positive?

Recent strep infection: Your body responded to a recent GAS infection, producing antibodies.

Post-streptococcal complications: Positive ASO can indicate conditions like Rheumatic Fever (RF) or Post-Streptococcal Glomerulonephritis (PSGN).

How does it happen?

Strep infection: GAS bacteria infect the throat or skin, triggering an immune response.

Antibody production: Your body produces ASO antibodies to fight the infection.

Effects on the body

Joint pain and inflammation: As you've experienced, joint pain can be a symptom.

Rheumatic Fever (RF): A potential complication, RF can lead to heart valve damage, arthritis, and skin nodules.

Kidney damage: PSGN can cause kidney inflammation and damage.

Seriousness

Monitor and manage: While ASO positivity indicates a recent strep infection, it's essential to monitor for potential complications.

Consult your doctor: Discuss your test results and symptoms with your doctor to determine the best course of action.

Dr. Dr Khaleel Suggests...

Consult a Orthopaedician

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Answered 04/07/2025

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I've taken my brother to two doctors and both recommended surgery, but they suggested different procedures. One doctor mentioned arthroscopic MPFL ligament reconstruction with loose body removal, while the other advised left knee arthroscopic osteochondral loose body removal. They found a small bone chip in his knee on the MRI. Do you think surgery is really necessary, and which procedure would be better for his case?

Both surgeries are valid for loose bodies and instability‚Äîarthroscopic MPFL is better if recurrent dislocations are present.

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I've heard that a ligament tear in the knee often causes inflammation, but is that always the case? Also, is surgery the only way to fix it, or are there other options? On average, how long does it take to heal without surgery?

ortho opinion is advised to the patient at apollo hospital.

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I've had pain in my right knee for the past two weeks and the MRI scan shows a complex medial meniscus tear. What treatment options do I have or will I need surgery for this?

With a complex medial meniscus tear, treatment options depend on the severity, location, and symptoms. Non-surgical options like RICE (rest, ice, compression, elevation), physical therapy, and pain management may be tried first. If these don't relieve symptoms or if the tear is large or causing instability, surgery (like arthroscopic repair or partial meniscectomy) may be necessary.

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