Doctor insights on:
Acl Knee Braces For Sports
Is a brace necessary for sports after ACL surgery? I am an athlete and am having ACL replacement surgery so that i can continue to be active. Will i need to use a brace to support my knee for the rest of my life when playing sports?
Hello: Strictly : Hello: strictly speaking you do not need to wear a brace after acl surgery. Some patients like the supportive feel of an acl brace during rehab. In some instances and some sports, a brace may help protect against collision-related reinjuries. I do believe there is no strongly overwhelming evidence to mandate a brace or to avoid a brace, so i discuss the above with the patient and help them decide. I generally advise those who get a brace to use it for the first year back to sports, unless they do some higher-collision-risk sports infrequently (for example, skiing), then i would have no problem with their wearing the brace a couple times a year for those occasions for several years. I would have problems with patients who feel they "must" have a brace: then i would want to rule out residual instability, and if that is ruled out, work with those patients to make sure they are confident on their feet. After all, the acl reconstruction should provide stability! i hope this helps! sincerely, jim hsu, md seattle, wa. ...Read moreSee 1 more doctor answer
Not really: An acl brace has not been shown to prevent any rotation in the knee. It really only prevents stress on the mcl or lcl ligaments. A patient without an acl can still injury the meniscus and cartilage while wearing a brace. Furthermore, many braces inhibit the quad muscles, further worsening some symptoms. ...Read moreSee 1 more doctor answer
Not necessarily: The peer-reviewed literature on bracing after acl surgery states that it is not necessary. Nonetheless, many orthopaedic surgeons and patients "feel" better if a brace is worn. A early (6 week) postop brace is common, but much less common afterwards if the knee remains stable on examination. ...Read more
I had ACL reconstruction 2 years ago and all week have increasing pain and my knee gives out. I haven't done sports lately what is wrong?
Time for a follow-up: Schedule a follow-up with your surgeon. It could be something as simple as persistent leg weakness, and a return to therapy could solve it. On the other hand, the integrity of the ACL graft should be checked by your surgeon. Many times other structures are injured at the same time as the ACL originally, such as meniscal tears or chondral defects, and so these may need to be re-evaluated. ...Read moreSee 2 more doctor answers
Talk to your surgeon: Brace use after acl reconstruction is still controversial. Both immediate post-op bracing as well as eventual functional "sports" braces have questionable effectiveness. Most studies show no improvement in knee stability, re-injury rate, or healing time or rates with use of a brace. I still use braces most of the time, however, because subjectively patients feel better with the extra support. ...Read more
If it dislocates: I agree with the above. In certain cases where there is more trauma and a dislocation occurs both ligaments can be torn at the same time. Fortunately this is uncommon, but there are some serious potential neurovascular side effects with the type of injury. ...Read moreSee 1 more doctor answer
Yes: As long as the brace is "comfortable" and gives you support then you should be ok. ...Read more
Ask ur OrthopedicDoc: Better yet, go see a sports medicine specialist who can help you decide when to return to activity. Many variables to consider. How "almost complete" is "almost complete"? In what sport do you participate? Most important, how is your pain control? Bottom line: go see your doc. ...Read moreSee 1 more doctor answer
After having acl/mcl surgery how long should I continue to wear a knee brace while engaging in physical activity?
Ask Surgeon: This is a decision your surgeon should address since every case is unique. Only your surgeon knows how extensive the damage was and what had to be done to correct it. Some will recommend at least light compression indefinitely after the surgery while sometimes it is only a few weeks or months. ...Read more
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