### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I HAVE A KNEE INJURY THAT I SUSTAINED WHEN I WAS 16 NOW IT HAS BEEN YEARS AND IT KEEPS GETTING WORSE I HAVE MAJOR AMOUNTS OF PAIN DAILY AND IT LOCKS UP ON ME AND ALL KINDS OF THINGS IVE TRIED MEDICATIONS AND THEY DONT WORK AND EVERY TIME I GO TO THE HOSPITAL THEY GIVE ME REHAB WHICH DOESNT HELP AND SO I WANTED TO KNOW WHAT I NEED TO DO ABOUT A SURGERY OR ANYTHING LIKE THAT BECUASE ITS TO THE POINT NOW THAT IM LOOSING FEELING IN MY LOWER LEG WHICH THEY CANT EXPLAIN AND THEY PRETTY MUCH CANT EXPLAIN THE PAIN OR ANYTHING WITH MY ISSUES I NEED SERIOUS HELP WITH THIS BECAUSE I CANT BARE THIS PAIN ANYMORE

### output:

Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised along with MRI of the knee joint. As you had injury of the knee in the past what type of injury was there needs an assessment, post which depending upon the fresh clinical and MRI assessment further plan can be taken. As medication are symptomatic relief and pain will be on and off for now and then. Also, undergoing a good physical therapy sessions and making the muscles stronger should help you. In case If the ligaments are torn after clinical and MRI assessment you may be recommended for a ligament reconstruction. In either of the case where you need surgery or not is totally dependable upon the fresh clinical assessment and MRI report. Pre- or post-surgery recovery will be directly proportional to the physical therapy and the muscle Strengthening. In my clinical experience majority pre and past knee injuries respond well to physical therapy after proper clinical and MRI assessment. RegardsJay In Chat Doctor. 