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An ACL injury can sideline athletes and active adults, making it difficult to walk, run or remain active due to knee instability. With proper treatment, most people regain their strength, stability and confidence, allowing them to return safely to their favorite activities.
An ACL injury affects one of the major ligaments in the knee that provides stability during movement. Damage to the ACL can make walking, running or pivoting difficult, and many people experience the knee giving way during activity. These injuries are especially common in sports that involve quick stops, sudden pivots or jumping, such as basketball, soccer or football.
ACL injuries are classified into three grades:
Risk factors include participating in cutting or pivoting sports, weak or imbalanced leg muscles, playing on artificial turf and a history of knee injuries. Women and people assigned female at birth (AFAB) are also at higher risk.
ACL injuries often cause immediate changes in how the knee feels and functions. Symptoms, which may occur immediately after the injury and persist during daily activities or sports, may include:
To diagnose an ACL injury, your doctor will review how the injury occurred and your symptoms, then perform exams to assess knee stability. X-rays can rule out bone injuries, while an MRI provides detailed images to confirm ligament tears. After confirming the diagnosis, your doctor will recommend treatment based on your activity and goals.
Rest, ice, compression and elevation (RICE) are used immediately after injury to reduce pain and swelling.
A knee brace may be recommended to provide stability and protect the joint during activity.
Targeted exercises strengthen leg muscles, restore range of motion and improve balance, which can help the knee function well without surgery in some cases.
Your doctor may recommend avoiding high-impact or pivoting sports and instead focusing on lower-impact activities if you opt for nonsurgical management.
For complete tears or in athletes and active adults, ACL tear surgery may be recommended. The torn ligament is reconstructed using a graft, followed by a structured rehabilitation program.
Physical therapy after surgery is crucial for regaining mobility, rebuilding strength and safely returning to sport or daily activities.
At Inspira, ACL injury care begins with a thorough evaluation and a treatment plan designed around your lifestyle and goals. Whether you are an athlete eager to return to sport or an active adult who wants to stay mobile, our team creates a personalized pathway that may include bracing, physical therapy and surgery when necessary.
Our rehabilitation specialists use evidence-based therapies and advanced technology to facilitate safe and effective recoveries. Structured rehabilitation focuses on strength, flexibility and balance to prevent reinjury, while close coordination with orthopedic surgeons ensures seamless care before and after surgery. At every step, our goal is to restore knee stability, rebuild your confidence and guide you back to the activities you love most.
Many people report hearing or feeling a pop in the knee at the time of injury. This is often followed by sudden pain, swelling within hours and a sense of the knee giving way. Walking, running or pivoting may feel unstable or impossible, depending on the severity of the tear.
Some people can still walk after an ACL injury, especially if swelling is mild or if only a partial tear occurred. However, the knee may feel unstable and may give out during certain movements. Walking without proper evaluation can increase the risk of additional damage, such as meniscus or cartilage injury.
A stretched ligament may heal with rest and therapy, but a complete ACL tear cannot heal on its own. For an ACL tear injury, surgery and rehabilitation are usually recommended to restore stability, especially for athletes or active adults who want to return to high-demand activities.
Recovery depends on the severity of the injury and the treatment approach. With nonsurgical management, many people regain stability in a few months. After surgery, rehabilitation typically takes six to 12 months before returning to sport-level activity. Consistent therapy plays a key role in achieving the best outcome.
Prevention programs focus on strengthening the legs, improving balance and training proper landing and cutting techniques. Exercises that target the hips and core can also reduce strain on the knees. Athletes benefit from warm-ups, agility drills and flexibility work, all of which lower the risk of ACL injury during play.
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