Your physical therapist, together with your surgeon, can help you determine if nonoperative treatment (rehabilitation without surgery) is a reasonable option for you. A select group can actually return to vigorous physical activity following rehabilitation without having surgery. Most people who sustain an ACL tear will undergo surgery to repair the tear however, some people may avoid surgery by modifying their physical activity to relieve stress on the knee. Your physical therapist may perform gentle "hands-on" tests to determine the likelihood that you have an ACL tear, and may use additional tests to assess possible damage to other parts of your knee.Īn orthopedic surgeon may order further tests, including magnetic resonance imaging (MRI), to confirm the diagnosis and rule out other possible damage to the knee. If you felt your knee buckle or give out when you tried to get up from a chair, walk up or down stairs, or change direction while walking.If you experienced swelling around the knee in the first 2 to 3 hours following the injury.If you felt pain or heard a "pop" when the injury occurred.What you were doing when the injury occurred.If you see your physical therapist first, your therapist will conduct a thorough evaluation that includes reviewing your health history. Immediately following an injury, you may be examined by a physical therapist, athletic trainer, or orthopedic surgeon. To find a physical therapist in your area, visit Find a PT. You can contact a physical therapist directly for an evaluation. They improve quality of life through hands-on care, patient education, and prescribed movement. Physical therapists are movement experts. Physical therapists are trained to help individuals with ACL tears reduce pain and swelling, regain strength and movement, and return to desired activities. Women are more likely than men to experience an ACL tear.
Approximately 70% of ACL tears in sports are the result of noncontact injuries, and 30% are the result of direct contact (player-to-player, player-to-object). It is estimated that there are 95,000 ruptures of the ACL and 100,000 ACL reconstructions performed per year in the United States. Approximately 200,000 ACL injuries are diagnosed in the United States each year. Nonathletes can also experience an ACL tear due to injury or accident. An anterior cruciate ligament tear is an injury to the knee commonly affecting athletes, such as soccer players, basketball players, skiers, and gymnasts.
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