can an acl injury heal without surgery?
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Very minor tears (sprains) may heal with non-surgical treatments and regenerative medicine therapy. But full ACL tears cannot be healed without surgery. If your activities do not involve making pivoting movements on the knee, physical therapy rehabilitation may be all you need.
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Pain often comes from injury to other structures in the knee that occurs when the ACL tears and the knee shifts. When just the ACL tears, it may not hurt so much and the swelling can settle down after a week or two.
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Treatment of an ACL tear is most dependent on how much knee instability is caused by the injury. Therefore, there is no critical cutoff in terms of how much of the ACL is torn. Most surgeons base a decision on how much instability the injury has caused. If the knee is unstable, then surgery is recommended.
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Failure of an ACL surgery can occur when the surgery is done too soon following an injury, and before normal range of motion is achieved. Other reasons for failed results include the use of a postoperative brace or cast, which prevents full extension.
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While an ACL injury once may have ended the career of an athlete, today doctors are able to successfully manage and treat the injury in a way that allows most players to return to sports.
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Most ACL reconstructions are done under general anesthesia. So you'll be asleep during the surgery and not feel anything. The surgery usually takes 2 to 2½ hours, and you won't need to stay in the hospital overnight.
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Almost every patient I have ever met believes that their knee will be the same after surgical ACL tear recovery. The ACL is a major stabilizer of the knee and often injured in sports. Most patients believe that when they injure their ACL ligaments, they can just get a new one-no harm no foul.
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After the ACL surgery, the patient experiences a lot of pain when they apply weight on the leg. Depending on the type of reconstructive surgery, the patient is required to use crutches for a specified period.
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How do I do ACL exercises? Quad sets, straight-leg raises, and heel slides are common exercises used after an ACL injury. As symptoms decrease and you are able to bear weight, side-lying leg lifts, glute sets, bridges, mini-squats, heel raises, and prone hamstring curls might be added.
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It may take six to nine months to return to full activity after surgery to reconstruct an ACL injury. The first three weeks concentrate on gradually increasing knee range of motion in a controlled way. The new ligament needs time to heal and care is taken not to rip the graft.
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Knee Cartilage Repair, Regeneration, and Replacement. Injured cartilage typically does not heal on its own, so doctors have developed several surgical techniques that attempt to repair, regenerate, and replace cartilage. These surgeries can be performed on almost any joint, but they are most commonly performed on knees ...
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Factors in Treatment for ACL Tears Therefore, there is no critical cutoff in terms of how much of the ACL is torn. Most surgeons base a decision on how much instability the injury has caused. If the knee is unstable, then surgery is recommended. If the knee is stable, then non-surgical treatments may be considered.
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Sprained knee recovery time A knee sprain is considered healed when there's no more pain or swelling, and you can move your knee freely. Many grade 1 and 2 knee sprains heal within two to four weeks. People who need surgery, however, may take as long as four to six months to recover.
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However, some patients with partial ACL tears may still have instability symptoms. Close clinical follow-up and a complete course of physical therapy helps identify those patients with unstable knees due to partial ACL tears. Complete ACL ruptures have a much less favorable outcome without surgical intervention.
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Not all ACL tears require surgery. You and your doctor will decide whether rehabilitation (rehab) only or surgery plus rehab is right for you. You may choose to have surgery if you: Have completely torn your ACL or have a partial tear and your knee is very unstable.
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Causes of ACL Tears As a result of cutting or pivoting maneuvers, when an athlete plants a foot and suddenly shifts direction. When a person lands on one leg, such as when jumping in volleyball or basketball. When the knee is hit directly, especially when it is hyper-extended or bent slightly inward.
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A torn ACL cannot be repaired by stitching it back together, but it can be reconstructed by attaching (grafting) new tissue on to it. The ACL can be reconstructed by removing what remains of the torn ligament and replacing it with a tendon from another area of the leg, such as the hamstring or patellar tendon.