05/05/2026
ACL tears 😭 it’s a lot more common than most people think and we would much rather not see them happen at all (I’ll post a prevention on this another time) but let’s focus now on what it looks like early on + where chiropractors fit.
Early phase (first few weeks):
You’ll typically see someone in a knee brace (often locked straight or with limited bend) and using crutches to keep weight off or partially off the leg. Walking is slow and deliberate, short steps, careful foot placement, and often a noticeable limp. Sitting and standing take effort, stairs are challenging, and the knee may still be swollen, stiff, and sore. Daily tasks (showering, getting in/out of a car) require planning and support.
As recovery progresses:
* Gradual transition from two crutches → one crutch → none
* Brace settings may allow more movement, then eventually removed (Interestingly, surgical advice can vary on the sequence….some recommend removing the brace first and weaning off crutches later, while others suggest the opposite, keeping the brace on longer and progressing off crutches first. I tend to prefer removing the brace first, then transitioning off the crutches).
* Walking becomes smoother, with focus on normal gait pattern
* Rehab shifts toward strength, balance, and control
How chiropractors can help:
Chiropractors can play a supportive role alongside physio/ortho care by:
* Improving joint mechanics: addressing hip, ankle, and lower back function to reduce strain on the knee
* Soft tissue work: helping reduce muscle tightness (quads, hamstrings, calves)
* Movement guidance: coaching better gait, posture, and weight distribution during recovery
* Adjunct therapies: taping, rehab exercises, and mobility work to support healing
* Whole-body approach: preventing compensations that can lead to secondary pain (e.g., opposite hip or back)
The key is working within the surgical/rehab protocol and collaborating with the broader care team to avoid overloading the healing ligament 🤍✨