ACL (Anterior Cruciate Ligament) Tears

The ACL is a ligament that connects the thigh bone to the shinbone, at the knee. Injuries to the ACL are common in athletes especially those who play sports involving pivoting e.g netball, soccer and skiing. They can range in severity from small tears to complete rupture.

People often describe

An audible ‘pop’ which may then be accompanied with a shifting and sliding sensation
Instant pain and swelling
Unable to weight bear
Giving way of the knee

So You think you've torn your ACL. What to do next:

We recommend getting into see your physio or doctor so they can perform an assessment and decide whether a MRI is needed to determine the extent of the injury. In the case of a complete rupture, your physio and specialist will discuss with you whether surgery may be needed. A doctor’s referral is not required to see a Physiotherapist in Australia

Pre-habilitation before surgery – strengthening the knee prior to surgery
Acute Recovery – Management of pain and swelling using manual therapy and sometimes a knee brace immediately post operation.
Muscular Control and Coordination – your physiotherapist will guide you through strengthening exercises for the knee in a progressive manner to ensure no further injury to the new graft.
Proprioception and Agility – Once the desired strength and stability is achieved, your physiotherapist will train you in higher level balance and agility exercises.
Sports Specific Skills – Your physiotherapist will re-introduce you to the skills required for your sport.
Return to Play

What will a physio 'Do'?

1. Advice and Education:

- Explanation of injury using an anatomical knee model and discussion of associated impairments.
- Surgical vs. conservative treatment – conservative recommended to patients willing to modify their behaviour and avoid high-risk activities; surgical recommended for physically active and competitive athletes.
  - If surgical… PREHAB (significantly improves post-operative rehabilitation)
  - If conservative… positions to avoid, weight-bearing strategies, etc.

2. Exercises:

- Reduce pain & swelling and increase range of motion – partial weight bearing mobilisation, & closed kinetic chain (CKC) muscular strength exercises, which are exercises where the foot is grounded (as opposed to open kinetic chain exercises, where the limb is not connected to the ground)
- Exercises to restore muscular strength (OKC & CKC, single & multiple joint, concentric, eccentric & isometric), plyometric exercises (to alter landing kinematics), & neuromuscular exercises and perturbation training.
- Progress to sport specific skills with unlimited joint function – assess returning to sport

Medical Management:

NSAIDs in acute phase (for management of pain and swelling)
ACL reconstructive surgery (recommended)

Meet Lachie - Principal Physiotherapist

PHYSIO23 is a values based, patient-centred clinic. We are delighted to partner with each patient on their unique journey to reaching their health, recovery and mobility goals. Our physiotherapists are committed to maximising their clinical expertise through evidence-based practice to ensure every patient receives the quality care they deserve.

Would you like to book an appointment at physio23?

Why choose us

Patient Focussed

A physio that will spend the time to get to know you and find out about your current concerns and relevant past injuries

Results Based

You will receive a thorough assessment, an accurate diagnosis and a clear plan moving forward

Quality Care

Evidence-based, up-to-date treatment modalities to help you navigate your injury effectively.

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