Managing ACL Injury: Tips to Delay Further Knee Damage - Orthopedics

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Inquiry about anterior cruciate ligament (ACL) tear?


Hello, I recently suffered a torn anterior cruciate ligament (ACL) while playing basketball.
The doctor recommended surgery, but due to work commitments, I cannot take time off for at least six months.
However, I have recently noticed discomfort in my knee even while standing, and I am concerned that my condition may worsen and affect my meniscus.
What can I do to prevent further deterioration? For example, would wearing a knee brace or undergoing rehabilitation be advisable? Thank you.

Mr. Zheng, 30~39 year old female. Ask Date: 2015/09/18

Dr. Hong Ximing reply Orthopedics


Hello: For a complete tear of the anterior cruciate ligament (ACL), it is essential to confirm the diagnosis first.
If it is a complete tear, surgery will be necessary to reconstruct the ligament using a graft from other ligaments.
In the meantime, it is important to use a knee brace (with lateral supports) to protect and stabilize the joint.
Please consult with a specialist for further evaluation.
Wishing you a speedy recovery! Hong Hsi-Ming

Reply Date: 2015/09/18

More Info


Managing an ACL injury, especially when surgery is delayed, requires a careful approach to minimize further damage and maintain knee function. Here are some strategies that can help you manage your condition until you can undergo surgery.


1. Knee Bracing:
Wearing a knee brace can provide additional support to the knee joint. A functional brace can help stabilize the knee during activities and reduce the risk of further injury. It is essential to choose a brace that fits well and is designed for ACL injuries. Consult with a physical therapist or orthopedic specialist to find the right type of brace for your needs.


2. Physical Therapy:
Engaging in a structured physical therapy program is crucial. A physical therapist can design a rehabilitation program tailored to your specific condition. Focus on exercises that strengthen the muscles around the knee, particularly the quadriceps and hamstrings. Strengthening these muscles can help compensate for the instability caused by the ACL injury. Additionally, flexibility exercises can improve range of motion and reduce stiffness.


3. Activity Modification:
Avoid activities that put excessive strain on your knee, such as running, jumping, or pivoting movements. Instead, opt for low-impact exercises like swimming or cycling, which can help maintain cardiovascular fitness without stressing the knee. If you experience pain during any activity, stop immediately and consult your healthcare provider.


4. Pain Management:
Over-the-counter pain relievers, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), can help manage pain and reduce inflammation. However, it’s essential to use these medications as directed and consult your doctor if you have any underlying health conditions or are taking other medications.


5. Ice and Elevation:
Applying ice to the knee can help reduce swelling and alleviate pain. Ice the knee for 15-20 minutes several times a day, especially after activities that may aggravate the injury. Elevating the knee can also help reduce swelling.


6. Weight Management:
Maintaining a healthy weight is crucial to reduce stress on the knee joint. Excess weight can exacerbate knee pain and lead to further damage, including potential meniscus tears. A balanced diet and regular, low-impact exercise can help manage your weight effectively.


7. Education and Awareness:
Understanding your injury and its implications is vital. Educate yourself about ACL injuries, potential complications, and the importance of timely surgical intervention. Being aware of your body’s signals can help you make informed decisions about activity levels and when to seek medical advice.


8. Regular Follow-ups:
Keep in touch with your healthcare provider to monitor your condition. Regular check-ups can help assess the stability of your knee and determine if any changes in your management plan are necessary. If you notice increased pain, swelling, or instability, seek medical attention promptly.


9. Consideration of Surgical Options:
While you may be unable to undergo surgery immediately, it’s essential to keep the conversation open with your orthopedic surgeon about your condition. If your symptoms worsen or if you develop additional issues, such as meniscus tears, your doctor may recommend earlier surgical intervention.


Conclusion:
While waiting for surgery, it’s crucial to take proactive steps to manage your ACL injury effectively. By employing a combination of bracing, physical therapy, activity modification, and regular medical follow-ups, you can help delay further damage to your knee and maintain its function. Always consult with your healthcare provider before starting any new treatment or exercise regimen to ensure it aligns with your specific needs and condition.

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