Do I Need To Repair My Torn ACL?
If you've torn your ACL, you're likely facing one of the most difficult decisions in your active lifestyle, whether to undergo surgical reconstruction. The prospect of a 9 to 12 month recovery can feel overwhelming, and the choice between surgery and conservative treatment through physical therapy isn't always clear-cut. This article will walk you through the key considerations to help you make an informed decision about your treatment path.
For many people with partial tears, conservative treatment is worth exploring first. Your physical therapist will assess your current condition and create a program that will help you regain normal range of motion in your knee and strengthen the muscles around the knee. A good progressive strengthening program can improve the secondary stabilizers of your knee so they can step in and do some of the work your damaged ACL can't anymore, helping keep your knee stable during strenuous activity. There is no harm in trying physical therapy first because if it does not ease your symptoms it will better prepare you for your reconstruction. Prehab has been known to maximize the success of client recovery and rehab after knee surgery.
However, surgery is often recommended if you are younger and more active, especially if you want to continue playing sports. Surgery may also be necessary if you continue to have pain, swelling, and significant instability in the knee joint even after physical therapy. Examples of moments of instability can range from a feeling of wobbliness when walking briskly on uneven ground, or making quick turns, to falls because your knee buckles abruptly. Chronic instability can lead to further breakdown of the cartilage, meniscus, and ligaments in the knee and should be addressed before it gets to the point where it interferes with your quality of life.
Ultimately, the decision between surgery and conservative treatment depends on your individual circumstances, activity goals, and how your knee responds to initial rehab in physical therapy. Consult with both an orthopedic surgeon and a physical therapist to fully understand your options. Whether you choose surgery or physical therapy, committing to a comprehensive rehabilitation program is key to getting back to the activities you love safely and confidently.