ACL and MCL Tears: Recovery Tips and FAQs

Tear of the medial collateral ligament and anterior cruciate ligament of the right knee?

On October 23, I jumped while playing basketball and landed on an uneven drainage ditch, which caused significant pain.
I went to the emergency department, where X-rays and a CT scan showed no bone damage.
The next day, on October 24, I visited an orthopedic specialist.
After a physical examination, the doctor determined there was a 99% chance of a "medial ligament and cruciate ligament tear" due to swelling.
The doctor immediately aspirated blood from my knee with a syringe, then wrapped it with an elastic bandage and fitted me with a brace to keep my leg straight.
I was advised to keep it immobilized for about a month, avoid movement, continue icing for a few days, and that surgery would be needed in two to three months.
Below are my questions:
1.
As of October 27, should I apply ice or heat?
2.
After wearing the brace for a month, will I be able to walk normally? If not, how long might it take? (This question is very important as I have a major exam in January.)
3.
What should I focus on in my diet right now? What should I avoid?
4.
During the period of immobilization with the brace, I cannot move my right leg and often feel numbness.
Should I elevate it, or are there other methods to alleviate this?
5.
Is it necessary to keep the injured area completely straight for the entire month without bending?
Thank you, doctor, for taking the time to read this.
It is very inconvenient for my family to take me to the hospital, and they are also busy, so I can only seek information online and through this message.
I hope you can provide detailed and comprehensive answers.
Thank you.

Xiangxiang, 10~19 year old female. Ask Date: 2016/10/27

Dr. Shi Guozheng reply Orthopedics

1.
Heat therapy
2.
Six weeks
3.
Diet has no impact
4.
Elevate; do not tighten the brace too much
5.
Can be flexed

Reply Date: 2016/10/27

More Info

I'm sorry to hear about your injury. It sounds like you've been through a lot, and it's important to take the right steps for recovery. Let's address your questions one by one.

1. Ice or Heat? After an acute injury, such as an ACL or MCL tear, it's generally recommended to use ice for the first 48 to 72 hours. Ice helps reduce swelling and numbs the pain. You should continue to ice the area several times a day for 15-20 minutes at a time. After the initial swelling has decreased, you can consider using heat to help relax and loosen tissues and stimulate blood flow to the area. However, if there is still significant swelling, continue with ice.

2. Walking After a Month of Immobilization: After wearing a brace for a month, your ability to walk normally will depend on the severity of your injury and how well you have followed your doctor's advice. Typically, after a month of immobilization, you may be able to start walking with assistance, but it might not be completely normal. Physical therapy will likely be necessary to regain strength and mobility. It's crucial to follow your orthopedic surgeon's recommendations regarding when to start weight-bearing activities.

3. Dietary Recommendations: Nutrition plays a vital role in recovery. Focus on a balanced diet rich in protein, vitamins, and minerals to support healing. Foods high in omega-3 fatty acids (like fish, flaxseeds, and walnuts) can help reduce inflammation. Incorporate plenty of fruits and vegetables for vitamins and antioxidants. Calcium and vitamin D are also important for bone health, so consider dairy products or fortified alternatives. Avoid processed foods, excessive sugar, and unhealthy fats, as they can contribute to inflammation.

4. Managing Discomfort and Elevation: If you're experiencing numbness or tingling in your leg, it may be due to pressure from the brace or swelling. Elevating your leg can help reduce swelling and improve circulation. Make sure to take breaks to move your toes and foot to promote blood flow. If the numbness persists or worsens, consult your doctor, as it could indicate a need for adjustment of your brace or further evaluation.

5. Keeping the Leg Straight: It's essential to follow your doctor's instructions regarding immobilization. Keeping your leg straight is crucial for proper healing, especially in the early stages after an injury. However, your doctor may provide specific guidelines on when and how to start gentle movements or physical therapy exercises. It's important not to rush this process, as premature movement can lead to complications.

In summary, follow your doctor's advice closely, especially regarding the use of ice or heat, the duration of immobilization, and dietary choices. If you have any concerns about your recovery or experience new symptoms, don't hesitate to reach out to your healthcare provider. Recovery from an ACL or MCL injury can take time, but with proper care and rehabilitation, you can regain strength and mobility. Good luck with your recovery and your upcoming exams!

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