Treatment FAQ

what to do acl pcl torn treatment

by Jeremie Roob Published 2 years ago Updated 2 years ago
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What do they do for a torn ACL?

  • First aid. If your injury is minor, you may only need to put ice on your knee, elevate your leg, and stay off your feet...
  • Medications. Anti-inflammatory drugs can help to reduce swelling and pain.
  • Knee brace.
  • Physical therapy.
  • Surgery.

Immediate treatment for PCL injuries includes the following:
  • applying ice to reduce swelling.
  • elevating your knee to reduce swelling.
  • placing the knee in a splint to limit movement.
  • taking nonsteroidal anti-inflammatory drugs (NSAIDs) to ease pain and swelling.
  • compressing your knee using an elastic bandage or brace.

Full Answer

What is the treatment for a torn ACL and MCL?

The treatment for torn ACL and MCL will usually involve surgery to repair the torn ACL, while the MCL injury is treated based on the grade of injury. In an athlete with an ACL tear and MCL tear, surgery will most likely be recommended to obtain a stable knee for sports.

Can a PCL injury be treated without surgery?

Even though your PCL is stronger and larger than your anterior cruciate ligament (ACL), it can still be injured. People with a PCL injury may have pain, swelling and other symptoms. Treatments include both non-surgical and surgical options. A tear of the Posterior Cruciate Ligament (PCL), a ligament in the knee.

What is the best treatment for a PCL tear?

Treatment of a PCL Tear. Initial treatment of the pain and swelling consists of the use of crutches, ice, and elevation. Once these symptoms have settled, physical therapy is beneficial to improve knee motion and strength. Nonoperative treatment is recommended for most grade I and grade II PCL tears.

What are the treatment options for a partial-thickness ACL tear?

Partial-thickness ACL tears can be effectively treated without surgery. Precise injections of bone marrow stem cells are an effective nonsurgical treatment option for partial-thickness tears of the ACL.

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How do you treat an ACL or PCL tear?

Management and TreatmentCrutches. Your healthcare provider may recommend using crutches to limit how much weight you put on your knee.Knee brace. Bracing your knee can address instability — a common PCL symptom.Physical therapy. Certain exercises can help strengthen and stabilize your knee.Surgery.

Can ACL and PCL heal on its own?

Nonsurgical treatment While this injury may heal on its own, it can still be painful, and steps should be taken to protect the knee to prevent further injury. The initial injury should be treated with PRICE: Protection, rest, ice, compression and elevation, to support healing. Bracing and crutches may be recommended.

Can a torn PCL heal without surgery?

Less severe posterior cruciate ligament (PCL) tears of the knee generally heal well without surgery. Immediately after the injury, management consists of the RICE method: Rest. Any activities that causes knee pain, such as running or walking, should be avoided until symptoms are relieved.

How long does a PCL tear take to heal?

Recovery. Expected recovery usually occurs in about three months at which time swelling may be resolved and strength recovered. A full return to active sports is usually possible. If PCL reconstruction is needed, full recovery may take 9-12 months.

Can you walk with a torn ACL and PCL?

Can you walk with a torn ACL? The short answer is yes. After the pain and swelling subsides and if there is no other injury to your knee, you may be able to walk in straight lines, go up and down stairs and even potentially jog in a straight line.

What's worse ACL or PCL tear?

The pain from an ACL tear usually will be more severe than that of a PCL tear. There also may be significant (or total) loss of range of motion of the knee. Swelling from an ACL tear tends to develop slowly, over the course of 24 hours.

How do I strengthen my ACL and PCL?

Quad setsSit with your affected leg straight and supported on the floor or a firm bed. Place a small, rolled-up towel under your knee. ... Tighten the thigh muscles of your affected leg by pressing the back of your knee down into the towel.Hold for about 6 seconds, then rest for up to 10 seconds.Repeat 8 to 12 times.

Is PCL surgery painful?

PCL surgery can often be performed in an outpatient surgery center. The length of the surgery depends on how severe the injury is; however, most PCL surgeries last up to two hours. You will be put under general anesthesia during the procedure and may be in some pain when you awake after PCL surgery.

Can you exercise with PCL tear?

A PCL sprain is a tear of the posterior cruciate ligament. Our PCL sprain rehabilitation exercises include mobility, stretching and strengthening exercises.

Can you bend your knee with a torn PCL?

Swelling may cause the knee to become stiff. A person may have trouble bending the knee, resulting in a limp or difficulty going up or down stairs. Difficulty bearing weight. The injured knee may be difficult or painful to stand or walk on, especially for long periods of time.

What helps ligaments heal faster?

Balance, control, and strengthening exercises can also help your ligaments heal more quickly than they otherwise would.

What is a PCL brace?

A Rebound PCL is a type of knee brace available at Orthotics Plus Melbourne. It is characterised by its suitability for postoperative and conservative management of Posterior Cruciate Ligaments (PCL) injuries of the knee.

What is the ACL?

The anterior cruciate ligament (ACL) is one of four major ligaments in the knee joint. It helps maintain the knee's rotational stability and preven...

Who tears their ACL?

People of all ages, physical condition and abilities can tear an ACL. Active women experience a higher incidence of ACL injuries then men because t...

How do you tear your ACL?

A partial or complete ACL tear (rupture) often occurs during a sudden twisting movement, in which a person stops quickly and changes direction, esp...

Symptoms: What happens when the ACL is torn?

Common symptoms of a torn ACL include: popping sound at the time of injury, pain, swelling, knee instability.

What should I do if I think I have torn my ACL?

Immediately after an ACL injury, it is important to: stay off the leg and elevate it, decrease the inflammation in the knee by applying ice and tak...

How is a torn ACL diagnosed?

A doctor can usually diagnose a torn ACL from a physical exam, although magnetic resonance imaging (MRI) is helpful. Getting an MRI is also importa...

When is ACL surgery necessary?

The choice to have surgery is usually based on the patient's lifestyle. In athletes and other people of any age who wish to continue doing physical...

What is the ACL tear?

Torn ACL. A complex set of tendons and ligaments help stabilize and support the knee joint with its every movement, from a simple walking step to an ice skater’s leap. Unfortunately, these tissues are vulnerable to injury. In particular, tears of the anterior cruciate ligament (ACL) are quite common among athletes and active individuals of all ages.

What causes a partial ACL tear?

A partial or complete ACL tear (rupture) often occurs during a sudden twisting movement, in which a person stops quickly and changes direction, especially while pivoting or landing after a jump. A sudden, high-energy impact to the knee can also cause the ACL to tear.

What does it feel like to have a popping sound when you tear your ACL?

popping sound at the time of injury. pain. swelling. knee instability. When a person tears their ACL, they often report hearing a popping sound at the moment that the tear occurs. The knee will quickly swell and, in many cases, feel unstable. However, in some less severe tears, these symptoms may be mild.

What sports have ACL tears?

It is especially common in sports with a lot of leg planting, cutting and pivoting, such as soccer, basketball, skiing and football. Surgery is often required to repair an ACL tear.

Why do women have higher incidence of ACL injuries than men?

Active women experience a higher incidence of ACL injuries than men because their biomechanics tend to put more stress on their knees. ACL injuries are also common in children, especially as youth sports become increasingly competitive.

Why is the ACL so important?

It helps maintain the knee's rotational stability and prevents the tibia (shinbone) from slipping in front of the femur (thighbone). The ACL is particularly vulnerable to injury during athletic activity or as the result of impact, and a torn ACL is a common injury in athletes of all levels. It is especially common in sports with a lot ...

Can you feel a buckling knee when you tear your ACL?

However, in some less severe tears, these symptoms may be mild. This is especially the case in people whose lifestyles do not involve intense physical activity. If the ACL is completely torn, there will be instability in the knee that will cause feelings of sudden shifting or buckling. People will be unable to:

What is the best way to check for ACL damage?

An MRI can show the extent of an ACL injury and signs of damage to other tissues in the knee, including the cartilage. Ultrasound. Using sound waves to visualize internal structures, ultrasound may be used to check for injuries in the ligaments, tendons and muscles of the knee.

What happens after ACL surgery?

Your surgeon will use a piece of tendon from another part of your knee or a tendon from a deceased donor. After surgery you'll resume another course of rehabilitative therapy. Successful ACL reconstruction paired with rigorous rehabilitation can usually restore stability and function to your knee.

How to treat a knee injury?

Prompt first-aid care can reduce pain and swelling immediately after an injury to your knee. Follow the R.I.C.E. model of self-care at home: 1 Rest. General rest is necessary for healing and limits weight bearing on your knee. 2 Ice. When you're awake, try to ice your knee at least every two hours for 20 minutes at a time. 3 Compression. Wrap an elastic bandage or compression wrap around your knee. 4 Elevation. Lie down with your knee propped up on pillows.

How long does it take to recover from a knee injury?

A longer recovery period may reduce the risk of re-injury. In general, it takes as long as a year or more before athletes can safely return to play.

What is the physical exam for knee injury?

Diagnosis. During the physical exam, your doctor will check your knee for swelling and tenderness — comparing your injured knee to your uninjured knee. He or she may also move your knee into a variety of positions to assess range of motion and overall function of the joint.

How to reduce swelling and pain in knee?

Prompt first-aid care can reduce pain and swelling immediately after an injury to your knee. Follow the R.I.C.E. model of self-care at home: Rest. General rest is necessary for healing and limits weight bearing on your knee. Ice.

Can X-rays show ligaments?

X-rays. X-rays may be needed to rule out a bone fracture. However, X-rays don't show soft tissues, such as ligaments and tendons. Magnetic resonance imaging (MRI). An MRI uses radio waves and a strong magnetic field to create images of both hard and soft tissues in your body. An MRI can show the extent of an ACL injury and signs ...

What is the procedure to repair an ACL?

ACL Repair Surgery. If you choose to have ACL reconstruction surgery, the surgeon will replace the damaged ligament with a tendon, which is called a graft. This may be an autograft (using a tendon from your own knee) or an allograft (using a donor tendon).

What is the ACL tear?

ACL Tear Treatment. The ACL, or anterior cruciate ligament, is a structure within the knee that helps control movement and rotation of the knee joint. It is one of the most common knee ligaments to be injured and may be torn during a sudden, twisting movement of the knee.

Is ACL surgery risky?

ACL surgery was once considered too risky in children who are still growing. Our specialists use new minimally invasive techniques to repair or replace knee ligaments with low risk to growing children and teens. Request an appointment: phone 443-997-2663.

What is the best way to heal a knee injury?

Another therapeutic option is wearing a knee brace, depending on the extent of your injury, the prescribed course of treatment, the stage of the treatment, and your individual physical goals. This can help you maintain stability while your injury heals.

Which sports are most likely to cause ACL tear?

Although knee injuries can occur as a result of any physical trauma, those who play high-intensity sports like football, basketball, or soccer are the most likely to sustain an ACL tear.

Can you walk straight after an ACL injury?

You may be able to walk, even run, in a straight line after an ACL injury, but as soon as you attempt to turn, your knee collapses . With a PCL injury, instability is also an issue, but to a lesser degree.

Is it painful to tear an ACL?

So, when the ACL or PCL are torn, it can be not only painful but also temporarily debilitating. Besides the fact that the ACL is located in the front of the knee and the PCL is located in the back, there are key differences between an ACL tear and a PCL tear that are worth noting.

Can a PCL tear be painful?

While both ACL and PCL tears can be painful initially, the real problem is the lingering instability of the knee joint. The severity of the tear is key.

Overview

A tear of the Posterior Cruciate Ligament (PCL), a ligament in the knee.

Symptoms and Causes

PCL injuries usually occur with severe knee trauma. You may develop a problem with your PCL if you:

Diagnosis and Tests

Your healthcare provider will examine your knee, check your range of motion and ask about your symptoms. They may also request imaging tests to determine the extent of damage. These tests may include:

Management and Treatment

It depends on the severity of your PCL injury. Common posterior cruciate ligament treatments include:

Prevention

It can be difficult to prevent PCL injuries altogether. However, there are several things you can do to reduce your risk:

Living With

Prompt medical attention is necessary after a serious PCL injury. You should contact your healthcare provider if:

What is the ACL and PCL?

Treatment. The anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) are two major ligaments in the knee that work together to provide stability. They are also common sites of serious tears, particularly in athletes. Although ACL and PCL injuries may initially appear to have similar symptoms such as knee instability and pain, ...

How to diagnose a torn ACL?

To diagnose a torn ACL or PCL, a doctor will start with a physical exam, looking for certain signs and symptoms of injury . With an ACL tear, the knee will be tender to the touch along the joint line and it will be difficult, if not impossible, to flex the knee.

What is the difference between the ACL and PCL?

Together they provide stability for the knee joint, preventing it from moving from side-to-side while at the same time allowing it to flex and extend. The ACL prevents the tibia from sliding forward along the femur, while the PCL prevents the tibia and femur from sliding towards each other.

What are the two ligaments that prevent knees from bending sideways?

The other two ligaments of the knee, the medial collateral ligament (MCL) and lateral collateral ligament (LCL). These run along the outside of the knee and prevent the knee from bending sideways. When to See a Doctor About Knee Pain.

What are the symptoms of ACL and PCL?

The symptoms of ACL injuries and PCL injuries are essentially the same: pain, swelling, and knee instability. Where they tend to differ is the extent of the injury and the severity of symptoms.

How long does it take for a knee to swell from an ACL tear?

There also may be significant (or total) loss of range of motion of the knee. Swelling from an ACL tear tends to develop slowly, over the course of 24 hours. Most PCL injuries are partial tears. Swelling is likely to happen almost immediately, but there will be relatively less pain, if any.

How to tell if you have a PCL tear?

3 . A tell-tale sign of a PCL tear is a backward, sagging position of the knee as it is bent. The kneecap may be able to slide even further back when the knee is bent more than 90 degrees. 4 .

What is the ACL in knee?

3 September 2019, 0. The Anterior Cruciate Ligament (ACL) and Medial Collateral Ligament (MCL) are two important structures in the knee. Along with other ligaments, the ACL and MCL work together to help keep the knee stable and moving properly. A torn ACL can occur in conjunction with a Grade 1, 2, or 3 MCL tear.

What to expect when an MCL tear occurs?

Here are some guidelines on what to expect when an MCL injury occurs along with an ACL tear: – ACL Tear & Grade 1 MCL – For these minor MCL injuries, non-athletic patients are often able to achieve relief by resting, taking anti-inflammatory medication and completing physical therapy exercises.

Can you heal from a multi ligament injury?

Healing from a Multi-Ligament Knee Injury. In an athlete with an ACL tear and MCL tear, surgery will most likely be recommended to obtain a stable knee for sports. In someone who does not participate in sports, an isolated ACL injured knee may do well with non-operative treatment. However, when the MCL is injured at the same time, ...

Can a torn ACL be a grade 1 tear?

A torn ACL can occur in conjunction with a Grade 1, 2, or 3 MCL tear. The treatment for torn ACL and MCL will usually involve surgery to repair the torn ACL, while the MCL injury is treated based on the grade of injury.

Can you have an ACL tear and an MCL tear at the same time?

However, when the MCL is injured at the same time, it is more likely that the ACL tear will require surgery. The overall treatment plan for a combined ACL tear and MCL injury will vary depending on the severity of the MCL injury. MCL injuries are categorized as Grade 1, 2 or 3. Generally speaking, recovery time will typically be longer ...

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