ACL Injury: Three Common Questions Answered

The anterior cruciate ligament (ACL) is one of the most talked-about ligaments in sport, and one of the most misunderstood. Dr. Amr Elyamany answers three questions that come up all the time.

If there is no pain after the injury, is the ACL fine?

Not necessarily. The amount of pain does not tell you whether the ligament is intact, and a person can have an ACL injury without realising it. The diagnosis is made by a clinical examination and an MRI scan.

Can the ACL tear by itself without a strong blow?

No. The ACL is a very strong ligament, so there must have been an injury or an incident that caused the tear, even if the person does not remember it.

Can you never play football again after ACL surgery?

This is a wrong belief. Players return to the pitch after ACL reconstruction all the time, as you can see with professional footballers. Some feel a little fear of being injured again at first, but they go back to play.

Key takeaway: A missing pain is not proof of a healthy ligament, and an ACL operation is not the end of your sports career.

When to see a doctor

• A knee injury followed by swelling, even if the pain is mild
• A feeling that the knee gives way or is unstable
• A pop heard or felt at the time of injury
• Difficulty returning to sport after a knee twist

Need advice about your own case? Book a consultation with Dr. Amr Elyamany in Dubai.

This article is for general education and does not replace an in-person medical examination. If you have symptoms, please consult a qualified doctor.