Dr. Ivan Aguila treats knee injuries and wear in Tijuana, starting with a full evaluation and conservative options as the first step.
What it is
Arthroscopic knee surgery uses a small camera and fine instruments through small incisions to examine and treat structures inside the knee. These are the knee conditions treated in consultation:
- Meniscus tear: arthroscopy to repair or partially remove the damaged part of the meniscus through small incisions.
- Anterior cruciate ligament injury: ACL reconstruction with a graft.
- Knee joint replacement: the worn joint surface is replaced with a prosthesis when wear is advanced.
- Patellar chondromalacia: cartilage wear behind the kneecap, often felt as front knee pain on stairs or when running.
- Mild to moderate knee osteoarthritis: an integrated plan with physical therapy, injections and arthroscopy only when indicated.
Common signs to see a specialist
These signs are a reason to see a knee specialist:
- Pain lasting more than 3 weeks
- Popping, locking or the knee giving way
- Recurring swelling
- Weakness on stairs
- Loss of mobility or prolonged morning stiffness
How it is diagnosed
Diagnosis starts with a detailed history and a physical exam with specific tests to locate the source of the problem.
Depending on the case, X-rays are requested to assess bone and alignment, and an MRI to study the meniscus, ligaments and cartilage. Imaging is reviewed in consultation and the plan is decided together with the patient.
Treatment options, conservative first
Every treatment starts with a full evaluation. Before surgery is discussed, non surgical options such as guided physical therapy, activity modification and injections when indicated are considered. Surgery is considered when it is the most appropriate option for that specific case.
Many knee problems improve with guided physical therapy, strengthening, activity modification, weight management when relevant and injections when indicated.
When arthroscopic surgery is considered
Arthroscopy is considered when there is a structural injury that does not improve with conservative care, such as some meniscus tears with locking, instability from a ligament injury or cartilage damage that limits function.
With advanced wear, joint replacement may be discussed. The decision always depends on the type of injury, the symptoms and each person's activity.
Recovery
Recovery time depends on the procedure, the type of injury and each patient. Dr. Aguila explains the expected timeline in consultation.
FAQ
Do I always need surgery for a meniscus tear?
Not always. It depends on the type of tear, the symptoms and each person's activity level. A full evaluation decides whether conservative care or arthroscopy is more appropriate.
What studies should I bring?
If you already have knee X-rays, an MRI or an ultrasound, bring the images and the reports. If you have no studies yet, Dr. Aguila will indicate which ones are needed.
Do you see patients in English?
Yes. Dr. Aguila sees patients in English and Spanish, from the first consultation through follow up.
How do I schedule?
Through WhatsApp at +52 664 283 6582 or on Doctoralia. The office is at Torela, Agua Caliente 9955, Planta Mezzanine, Tijuana.