An ACL (anterior cruciate ligament) tear is a common knee injury, particularly among athletes and physically active individuals. Surgery is commonly recommended to restore knee stability, but some may opt for non-surgical management. However, untreated ACL tears can lead to long-term complications. This article outlines five potential effects of managing an ACL tear without surgery, emphasising the importance of timely care to preserve joint health.

1. Chronic Knee Instability

Without surgery, knee instability may persist, causing the knee to buckle or give way during activities like walking or climbing stairs. This instability increases the risk of damaging other knee structures, including ligaments and cartilage, leading to long-term discomfort and functional limitations.

2. Cartilage and Meniscus Damage

An untreated ACL tear increases stress on the knee joint, especially on the cartilage and meniscus, which serve as cushions during movement. Over time, this stress can cause wear and tear, resulting in meniscus tears and cartilage breakdown. These secondary injuries often lead to chronic pain, recurrent swelling, and accelerated joint deterioration.

3. Early-Onset Osteoarthritis

Damage to the cartilage and meniscus raises the risk of developing osteoarthritis earlier than expected. Osteoarthritis involves the gradual wearing away of knee cartilage, resulting in chronic stiffness, pain and reduced range of motion. Severe cases may require knee replacement surgery, though this procedure is generally reserved for advanced arthritis and not a direct consequence of every untreated ACL tear.

4. Limited Physical Activity

Persistent knee instability discourages participation in high-impact activities such as sports, running, or jumping. Inactivity over time can contribute to weight gain and increase the risk of cardiovascular conditions, affecting overall health and well-being.

5. Muscle Weakness and Atrophy

Decreased physical activity due to knee instability may result in the weakening and shrinking of surrounding muscles, particularly the quadriceps and hamstrings. Muscle atrophy further destabilises the knee joint, making it more difficult to recover strength and mobility through non-surgical rehabilitation.

Conclusion

Managing an ACL tear without surgery can lead to chronic knee instability, secondary joint damage, early-onset osteoarthritis, reduced physical activity, and muscle atrophy. These long-term effects not only impair knee function but also affect overall mobility and quality of life. Exploring treatment options early on is necessary to prevent further complications and preserve joint health.

Schedule a consultation today to explore the most suitable treatment options for your ACL tear.