Is It Safe to Do Foot Dips with an Unhealed ACL Tear? - Orthopedics

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Anterior cruciate ligament tear


Hello! I would like to ask if it is appropriate to perform toe curls while my anterior cruciate ligament (ACL) tear has not yet healed.
Due to my previous reluctance to bend my knee, my joint has become stiffer and atrophied.
I am currently doing some strength training.

Xin, 20~29 year old female. Ask Date: 2022/11/01

Dr. Shi Guozheng reply Orthopedics


Can be continuously and gradually bent.

Reply Date: 2022/11/01

More Info


When dealing with an unhealed ACL (anterior cruciate ligament) tear, it's crucial to approach any physical activity, including foot dips, with caution. The ACL is a key ligament in the knee that helps stabilize the joint, and a tear can lead to instability, pain, and further injury if not managed properly.

Understanding ACL Tears
An ACL tear is often associated with sports injuries, particularly in activities that involve sudden stops, jumps, or changes in direction. Symptoms typically include swelling, pain, and difficulty bearing weight on the affected leg. If the ACL is not fully healed, engaging in certain movements can exacerbate the injury and lead to complications.


Foot Dips and Their Implications
Foot dips, or any exercise that requires bending the knee, can put stress on the ACL. If your ACL is still torn, performing foot dips may not be advisable. Here are some considerations:
1. Joint Stability: The primary concern with an unhealed ACL is joint stability. Foot dips require a degree of knee flexion and stability that may not be present if the ACL is compromised. This could lead to further injury or aggravation of the existing tear.

2. Pain and Discomfort: If you experience pain during foot dips, it is a clear sign that your knee is not ready for that level of activity. Pain is a protective mechanism, and ignoring it can lead to more severe injuries.

3. Muscle Atrophy and Stiffness: You mentioned experiencing stiffness and atrophy due to reduced movement. While it is essential to regain strength and flexibility, this should be done through safe and controlled exercises. Focus on rehabilitation exercises that are specifically designed for ACL recovery, which often include range-of-motion exercises, isometric strengthening, and low-impact activities.

4. Consultation with a Professional: Before attempting foot dips or any new exercise, it is crucial to consult with a healthcare professional, such as a physical therapist or orthopedic specialist. They can assess your knee's current state and provide a tailored rehabilitation program that considers your specific condition.

5. Gradual Progression: If your healthcare provider gives you the green light to proceed with foot dips, ensure that you start slowly and monitor your body’s response. Gradual progression is key in rehabilitation to avoid setbacks.


Conclusion
In summary, doing foot dips with an unhealed ACL tear is generally not recommended without professional guidance. The risk of further injury is significant, and it is essential to prioritize healing and rehabilitation. Focus on exercises that promote stability and strength without putting undue stress on the knee joint. Always consult with a healthcare professional before starting any new exercise regimen, especially when dealing with an injury. Your recovery should be the priority, and with the right approach, you can work towards regaining full function and strength in your knee.

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