Hello,
Thank you for your query at DoctorSpring.com
I sincerely apologise for the delay, as I was traveling and I was not able to access internet.
I have read all MRI details.It looks that you are suffering from grade 4 chondromalacia of medial side of weight bearing surface of femur & medial side of knee cap.There is also a large tear of meniscus on medio posterior aspect of knee.It looks that you are an active person.
For such type of lesion the recommended treatment is removal of part of meniscus & debridement of cartilage at the knee cap & femur.This should be followed by good physiotherapy for at least 4-8 weeks.There are some conservative therapies like prolo therapy which may be helpful but scientific data is still not in conclusive phase for conservative treatment at this stage.
At present you may start with anti inflammatory analgesic medicines ,which may be helpful to you for short period.
Feel free to discuss further,
Regards.