ACL Tear vs. Meniscus Tear: A Guide From The Best Orthopedic Surgeon In Nairobi

Author:

docstokes

Published Date

18 January 2026

Category

Blog
#Doctor
#Dr. Ankit Dave
#knee replacement
#Nairobi
#sports injury
Best Orthopedic Surgeon In Nairobi

You’re running, pivoting, or maybe just playing a casual weekend game of football. Then suddenly you feel (and maybe even hear) something in your knee that doesn’t feel right. Pain shoots through, you stop moving, and within seconds your mind starts racing. What just happened?

It could be an ACL or a meniscus tear. Both are common knee injuries, and both can hurt like crazy. But they’re not the same. To identify which one happened to you, Dr Ankit Dave, one of the best doctor for arthroscopic surgery in Nairobi, helps us in understanding the difference between the two.

First, a Quick Look at What They Are

The ACL, or anterior cruciate ligament, is one of the main ligaments that keeps your knee stable. It runs diagonally through the middle of your knee, connecting your thigh bone to your shin bone. Think of it as a stabilizer that keeps the knee from sliding out of place when you move, jump, or turn.

The meniscus, on the other hand, is cartilage. Each knee has two of them, shaped like little C’s that sit between the bones to absorb shock. When you twist or turn suddenly, those pieces of cartilage can tear.

So while the ACL is like a rope holding things together, the meniscus is more like a cushion protecting everything inside.

How They Usually Happen

Here’s how Dr Ankit Dave, renowned as the best doctor for sports injury in Nairobi, says the difference starts to show.

An ACL tear often happens during quick direction changes or awkward landings from a jump. It’s common in sports like basketball, soccer, and skiing. People often describe hearing or feeling a “pop” followed by immediate pain and a wobbly feeling, like the knee can’t hold your weight anymore.

A meniscus tear is sneakier. It might happen from a similar twisting motion, but the pain can start slower. You might even keep walking or playing right after it happens, thinking it’s minor. Then a few hours later, the knee swells or locks up when you try to bend it.

If you’ve ever tried to squat down and your knee just won’t move past a certain point, that’s often the meniscus talking.

The Feel of Each Injury

An ACL tear usually brings instant instability. You try to stand up, and the knee just gives out. It feels loose or disconnected. Swelling comes on fast, sometimes within minutes.

With a meniscus tear, the pain tends to be sharper during specific movements. You might hear a clicking sound or feel like something’s catching inside the joint. The swelling is often slower, building over hours or even the next day.

Another sign? If you can still walk fairly straight but struggle to twist, pivot, or fully bend the knee, the meniscus might be the culprit.

What Happens After the Injury

ACL tears rarely heal on their own because the ligament doesn’t have much blood supply. That’s why they often need surgery, especially if you’re active or play sports. Physical therapy alone can sometimes work for partial tears, but full tears usually require reconstruction.

Meniscus tears are a bit more complicated. Some tears heal without surgery, depending on where they occur. The outer part of the meniscus has more blood flow, so those tears can sometimes mend with rest, ice, and rehab. Tears in the inner zone, though, often don’t heal on their own and might need surgical repair.

When to See a Doctor

If you hear a pop, can’t put weight on your leg, or your knee swells up within an hour, don’t wait it out. Get it checked by one of the best doctors for sports injury in Nairobi. Same goes if your knee keeps locking, catching, or giving way when you move.

Even if you can walk, that doesn’t mean you’re fine. Plenty of athletes keep going after a meniscus tear, only to make it worse later. Early diagnosis can save you from bigger trouble down the road.

The Bottom Line

Both ACL and meniscus injuries can mess with your knee in different ways. ACL tears are about stability. Meniscus tears are about mobility and comfort. One makes your knee feel loose, the other makes it feel stuck.

The truth is, it’s hard to tell for sure without the expert guidance of one of the best orthopaedic surgeons in Nairobi, but understanding the differences helps you read the early signs.

And if you’re standing there thinking, maybe it’s just a sprain, remember this: knees don’t pop, swell, or lock for no reason. When your body tells you something’s off, listen. You’ll thank yourself later when you’re walking without a brace instead of hobbling with one.

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