I’ve injured my ACL, what now?

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Article by Brandon Hughes-Philpott

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Published in 2025

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Bunbury Physio near me

At Veen Physiotherapy in Bunbury, we provide comprehensive care for ACL (Anterior Cruciate Ligament) injuries, guiding you through every step of recovery. ACL injuries are some of the most common sports-related injuries and often require dedicated rehabilitation. While ACL repair surgery is a common approach, conservative (non-surgical) management has become an effective method for restoring knee function, even for those aiming to return to high-level sports.

What Does Conservative ACL Management Involve?
Physiotherapy: The early stages of ACL rehabilitation focus on reducing swelling, managing pain, and restoring knee range of motion (ROM) and muscle activation. Progressing into rehab, our approach emphasizes building strength in the surrounding muscles, especially the quadriceps and hamstrings. Once knee strength is sufficient, rehabilitation moves on to running, agility training, and balance exercises. The final phase prepares you for a safe return to sport with sport- specific skills and training.

Bracing: Bracing can support pain relief and healing, improving the chances of ACL regeneration. We often recommend protocols like the Cross Bracing Protocol (CBP), which has shown promising outcomes, with up to 90% of participants experiencing ACL healing by three months post-injury.

Why Consider Conservative Management?

  • Reduced Risk of Complications: Surgical procedures have risks such as infection, blood clots, and anesthesia complications. Conservative ACL management avoids these risks, using safe, progressive rehabilitation techniques.
  • Cost-Effectiveness: Avoiding surgery can reduce medical expenses from hospital stays, follow-ups, and extended recovery periods. At Veen Physiotherapy in Bunbury, our team works closely with you to ensure effective recovery, making treatment more affordable.
  • Faster Return to Work and Sport: With early rehabilitation, you can return to work and sports sooner, without the restrictions that often follow surgery. While conservative management offers many benefits, each case is unique. A tailored assessment with our Bunbury physiotherapists or an orthopedic specialist will help determine the best path for your ACL injury. At Veen Physiotherapy, we’re here to support you in making the right decision for your recovery.

For those in Bunbury looking for ACL injury rehabilitation or advice, contact Veen Physiotherapy to learn more about your options for ACL recovery and conservative treatment.

References:
https://bjsm.bmj.com/content/57/23/1490?fbclid=IwAR2Ns9rBe9LywfZg97eDghoKkU6g6KMtKyoDONFU_V-gMCsQdwyTaPAdarQ

https://journals.lww.com/jbjsjournal/abstract/2021/08180/clinical,_functional,_and_physical_activity.2.aspx
Delincé, P., Catarinella, F. S., & Filardo, G. (2023). ACL healing is possible: Results of the Cross Bracing Protocol. British Journal of Sports Medicine, 57(23), 1490–1497. https://doi.org/10.1136/bjsports-2023-10607

Filbay, S. R., Grindem, H., Ackerman, I. N., & Crossley, K. M. (2021). Clinical, functional, and physical activity outcomes of conservative versus surgical management of anterior cruciate ligament injury: A systematic review and meta-analysis.

The Journal of Bone and Joint Surgery, 103(16), 1522–1534.
https://doi.org/10.2106/JBJS.20.01513

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