Q and A
Immediately after an ACL injury, the so-called R.I.C.E.
treatment is recommended.
R.I.C.E. stands for:
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Rest - The individual is advised to rest the knee from weight-bearing activities allowing the swelling to settle.
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Ice - Placing a cold compress or ice pack on the knee is helpful in controlling inflammation as well as helping to reduce pain.
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Compression - Utilizing an ace wrap for compression around the knee is beneficial to control the swelling.
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Elevation - Lying down with the leg elevated higher than the level of the chest is helpful in controlling and reducing swelling.
Patients who think they have an ACL tear should be evaluated by an orthopedic surgeon. An ACL tear may be difficult to diagnose immediately after the injury because of associated pain and swelling. There may also be muscle spasm that contributes to making the knee difficult to examine. Therefore, it may not be possible to conclusively determine the presence of an ACL tear soon after the injury. If an ACL tear is suspected, you will return for follow-up evaluation with your orthopedic surgeon.
However, an ACL tear does not always require surgery. Some patients who experience ACL tears are able to resume normal daily activities without surgical reconstruction of this ligament. There are some important factors to consider in making the decision as to whether or not operative treatment of an ACL tear is needed. These factors include the age of the patient, the activity level of the patient (both recreational and occupational), the expectations of the patient, the ability and willingness of the patient to participate in post-operative rehabilitation, the degree of instability of the joint, and any other associated injuries to the knee. Your orthopedic surgeon will help determine the best course of treatment for you.