How to Treat a Sports Injury Immediately When It Happens
Read MoreAn anterior cruciate ligament (ACL) injury is one of the most common knee injuries, especially among athletes involved in high-impact sports like basketball, soccer, skiing, or football. “The ACL plays a critical role in stabilizing the knee, and a tear or injury to this ligament can significantly affect your ability to move or participate in physical activities”, says Dr Ankit Dave — one of the best doctors for arthroscopy surgery in Nairobi.
If you’ve been diagnosed with an ACL injury, you may be wondering whether surgery is necessary. The answer depends on several factors, including the severity of the injury, your activity level, and your long-term goals. This blog explores what an ACL injury is, how to determine if surgery is required, and what non-surgical and surgical treatment options are available.
What is an ACL Injury?
The ACL is one of four major ligaments in the knee, connecting the thighbone (femur) to the shinbone (tibia). It helps stabilize the knee joint and prevents the tibia from sliding too far forward.
An ACL injury typically occurs when:
● You pivot suddenly while running or jumping.
● You land awkwardly after a jump.
● You experience a direct blow to the knee, such as during a collision in contact sports.
Symptoms of an ACL injury include:
● A popping sound at the time of injury.
● Sudden pain and swelling in the knee.
● Instability or a feeling that the knee may “give out.”
● Reduced range of motion.
ACL injuries are graded based on their severity:
● Grade 1: Minor stretching or damage to the ligament.
● Grade 2: Partial tear of the ligament.
● Grade 3: Complete tear of the ligament, often requiring surgery.
Do You Need Surgery for an ACL Injury?
Not all ACL injuries require surgery. Whether surgery is necessary depends on several factors. As the best orthopaedic doctor in Nairobi, Dr Ankit Dave lists down these factors:
1. Severity of the Injury
● A partial tear (Grade 1 or 2) may not require surgery, as the ligament may still provide some stability.
● A complete tear (Grade 3) often requires surgery, especially if you want to return to high-impact sports or activities.
2. Your Activity Level
If you are an athlete or lead an active lifestyle that involves pivoting, jumping, or sudden changes in direction, surgery may be recommended to restore full knee stability. However, if you lead a more sedentary lifestyle, non-surgical options may be sufficient to manage the injury.
3. Age and Health
Younger, active individuals are more likely to benefit from ACL reconstruction surgery, while older adults or those with other health issues may be better suited to non-surgical treatments.
4. Knee Instability
If your knee feels unstable during everyday activities, such as walking, climbing stairs, or turning, surgery may be necessary to restore function and prevent further damage to the knee joint.
5. Risk of Future Damage
Without a fully functional ACL, the risk of further damage to other structures in the knee, such as the meniscus or cartilage, increases. Surgery can help prevent long-term complications like osteoarthritis.
Non-Surgical Treatment Options
For some individuals, non-surgical treatments may be enough to manage an ACL injury. These options are often recommended for partial tears, less active individuals, or those with minimal knee instability.
- Physical Therapy
Physical therapy is crucial for strengthening the muscles around the knee and improving stability. A targeted rehab program can help restore range of motion, reduce swelling, and rebuild strength. - Bracing
A knee brace can provide support and stability while you recover. Bracing may also be helpful during physical activities to reduce the risk of further injury. - Activity Modification
Avoiding activities that put stress on the knee, such as pivoting, twisting, or jumping, can help prevent further damage while the ligament heals. - Pain Management
Anti-inflammatory medications, icing, and elevating the knee can help manage pain and swelling.
Surgical Treatment: ACL Reconstruction
For those who require surgery, ACL reconstruction is the most common procedure. It involves replacing the torn ligament with a graft, which can be sourced from:
● Your own body (autograft), typically from the hamstring or patellar tendon.
● A donor (allograft).
The surgery is performed arthroscopically, meaning small incisions and a camera are used to minimize tissue damage and speed up recovery. It is advisable to seek the treatment from one of the best doctors for arthroscopy surgery in Nairobi who has several years of experience.
Making the Decision: Surgery or No Surgery?
The decision to undergo surgery should be made after careful consultation with your orthopedic specialist, taking into account:
● Your personal goals (e.g., returning to sports).
● The severity of your injury.
● Your age, health, and activity level.
For many individuals with a complete ACL tear or significant knee instability, surgery offers the best chance of regaining full function and preventing long-term complications.
However, for less severe injuries or those who don’t engage in high-impact activities, non-surgical options may be sufficient.
Final Thoughts
An ACL injury can be a setback, but with proper treatment — whether surgical or non-surgical — you can return to an active and fulfilling lifestyle. The key is early diagnosis, following a tailored treatment plan, and committing to rehabilitation.
If you’ve sustained an ACL injury, consult the best orthopedic surgeon in Nairobi to discuss your options and develop a plan that aligns with your goals and needs. Remember, every individual’s recovery journey is unique, and the right approach will depend on your personal circumstances.
