Based on what you’ve shared about your knee, it’s understandable to be concerned about what’s causing the pain and instability. Given that you’ve had an ACL sprain and pain has returned despite initial treatment, a careful reassessment might be necessary. It’s possible that the issue could be related to your ACL but it’s also crucial to evaluate for any additional injury like as meniscus tears, muscle strain, or possible nerve involvement, especially because you’re feeling pain radiating to the calf and thigh.
I’d advise that you consult with an orthopedic specialist who may consider a repeat MRI to rule out additional injuries or complications. The imaging can provide a clearer picture of soft tissues including ligaments and meniscus. If the problem is indeed still with the ACL, or if there’s another injury, the treatment can be tailored accordingly.
In terms of Siddha-Ayurvedic care, strengthening the ligaments and maintaining the balance of vata dosha can be key. You might consider herbal formulations such as Shallaki (Boswellia serrata) and Guggulu (Commiphora wightii) which are known for anti-inflammatory properties. Panchakarma therapies, particularly Abhyanga (oil massage) with warm Mahanarayan oil can help improve circulation and relieve pain. Resting the knee, avoiding strain, practicing gentle knee-strengthening exercises as advised by a physiotherapist, and ensuring a diet that pacifies vata could be beneficial.
Avoid any movements or activities that cause more pain or strain to the knee. If the pain or instability is severe or hindering daily activities, surgical options could be a consideration. Ultimately, accurate diagnosis and alignment of conventional and Ayurvedic methodologies can enhance healing outcomes, while specialist input is crucial to address serious concerns.



