Can some injuries be treated without ACL surgery?
Nonsurgical options may be used if the knee cartilage is undamaged, the knee proves to be stable during typical daily activities, and if the patient has no desire to ever again participate in high-risk activities (sports involving cutting, pivoting, or jumping). Nonsurgical treatment is typically only considered in cases of low grade partial injuries. If the nonsurgical option is recommended, the physician will recommend physical therapy, wearing a knee brace, and avoiding any provocative maneuvers. The goal of physical therapy is to strengthen the muscles around the knee to compensate for the absence of an ACL. Initially the goal of physical therapy is to restore range of motion; after a period of time, the physician will prescribe a strengthening program that focuses on the hamstrings first and and later the quadriceps, hip, and core musculature. Most ACL-deficient athletes conclude that their knee continues to feel unstable, again confirming the important role of the ACL in normal k
