Ligament Tears: Treatment Options and Growth Concerns - Orthopedics

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Ligament tear


Hello, I have a torn ligament behind my left knee.
I went to see a doctor, and he said that because I am still quite young, surgery is not suitable for me, so I haven't undergone any procedures.
However, I'm not sure what to do because there is some swelling, and sometimes my leg feels stiff when I walk, which is really uncomfortable! Also, if the ligament is torn, will I still be able to grow taller?

Chanyeol, 10~19 year old female. Ask Date: 2015/07/13

Dr. Wang Shouji reply Orthopedics


Hello: Ligament tears are not related to height growth.
If the growth plates have fused and there is significant instability, reconstruction of the cruciate ligament may be necessary.
Rehabilitation can be initiated for six months, and further evaluation of instability will determine if surgery is required.
Thank you!

Reply Date: 2015/07/13

More Info


Hello! It sounds like you’re dealing with a challenging situation regarding your knee ligament tear. First and foremost, it's important to understand that ligament injuries, particularly in the knee, can be quite complex and require careful management, especially in younger individuals whose bodies are still growing.


Understanding Ligament Tears
Ligaments are tough bands of tissue that connect bones to other bones at a joint. In the knee, there are several key ligaments, including the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). A tear in any of these ligaments can lead to instability, pain, swelling, and difficulty with movement.

Treatment Options
1. Conservative Management: Since your doctor has advised against surgery due to your age, conservative treatment is typically the first line of action. This may include:
- Rest: Avoid activities that put stress on your knee.

- Ice: Applying ice can help reduce swelling and pain.

- Compression: Using a knee brace or wrap can provide support and reduce swelling.

- Elevation: Keeping your knee elevated can help decrease swelling.

- Physical Therapy: Engaging in a structured physical therapy program can help strengthen the muscles around the knee, improve flexibility, and restore function. A physical therapist can design a program tailored to your specific needs.

2. Medication: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation.

3. Monitoring: Regular follow-ups with your healthcare provider are essential to monitor the healing process and adjust your treatment plan as necessary.


Concerns About Growth
Regarding your concern about growth, it’s important to note that ligament injuries do not directly affect your growth plates, which are the areas of growing tissue near the ends of long bones in children and adolescents. As long as your growth plates are intact and healthy, you should continue to grow normally. However, if there is significant damage to the knee or if surgery is required in the future, it could potentially impact growth depending on the specific circumstances.


Long-Term Considerations
- Activity Modification: While you’re healing, it’s crucial to modify your activities to avoid further injury. Low-impact exercises, such as swimming or cycling, may be beneficial.

- Nutrition: Maintaining a balanced diet rich in vitamins and minerals can support overall health and healing. Ensure you’re getting enough calcium and vitamin D for bone health.

- Patience: Healing from a ligament injury can take time. It’s important to be patient and follow your healthcare provider’s recommendations closely.


Conclusion
In summary, while dealing with a ligament tear can be frustrating, especially at a young age, there are effective treatment options available that can help you manage your symptoms and promote healing. Engaging in physical therapy and following a conservative management plan will be key to your recovery. If you have ongoing concerns about your knee or your growth, don’t hesitate to reach out to your healthcare provider for further evaluation and guidance. Remember, taking care of your knee now will set you up for a healthier future!

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