Do you need surgery for a torn PCL?
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- เผยแพร่เมื่อ 13 มี.ค. 2016
- We hear so much about ACL injuries and their surgeries, but injuries to the PCL occur in sports as well. In this Ask Dr. Geier video, I discuss PCL injuries and whether an athlete needs to have surgery for a torn PCL.
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Danielle asks:
3 months ago, I ruptured my PCL, suffered a mild sprain to the ACL and a complete grade 3 tear to my MCL. My MCL is healing well! The orthopedic doctor told me I would be fine without having my PCL reconstructed. I’m very active. I’m not sure if his advice is best for my future!
The PCL is the ligament just behind the ACL. PCL injuries occur much less often than ACL injuries, but an athlete can injure it with a blow to the front of the tibia just below the knee or landing directly on the knee.
Very often, a patient with an isolated PCL injury, meaning that the PCL is the only ligament injured, can do well with rehab and avoid surgery. In this video, I discuss situations when an athlete might need PCL reconstruction or repair and what surgery entails.
Please remember, while I appreciate your questions, I cannot and will not offer specific medical advice by email, online, on my show, or in the comments at the end of these posts. My responses are meant to provide general medical information and education. Please consult your physician or health care provider for your specific medical concerns.
If you have questions about the injuries or treatments mentioned in this video, or about a sports or exercise injury, subscribe to my channel and click the bell to be notified of my Better Than Ever LIVE! streams, including an Ask Dr. Geier live show I do most Fridays at 12:00 PM ET.
How.to.know.if i have a pcl ???
When i jump on my last spike i feel some.pain on my back of my idont know what todo
Dr. David Geier today i fell 15 feet or so off a grain buggy and doctors told me i tore my acl and pcl plus had multiple fractures behind my knee cap and they told me i will have to have surgery to repair them some day next week
My daughter suffered a partial pcl tear a year ago. She also suffered hairline fracture to the tibia. Initially we did 5mo of our pt, although there has been some on going instability issues. Now thirteen months later she re-injured her knee, had MRI and X-rays tonight wish us luck tomorrow have a strong feeling she going to be looking at surgery in her future.
+Jocelyn Campbell I hope it goes well. Keep us informed!
Sir,Do partial PCL tears heal 100%? Or do we have to live with remaining PCL fibres?
so when I was young I tore my right mcl and meniscus dancing ballet...well...fast forward about 20 years and two years after a back surgery to remove 30% of my L4 disk...well I decided I'd try some ballet again...I landed on my knee wrong yesterday and I'm told it could be PCL...however the medial side of my knee is sore to the touch, my whole back of my knee and hamstring are also tender to the touch...my last knee injury was not tender to the touch...and it did not feel like pressure...does having pain to the touch mean it could be worse than if I weren't having pain to touch?
sir i have done my mri and final impression of Mri comes as
" ACL and PCL sprain with avulsion fracture at tibia. Medial Meniscus tear with peri-Articular soft tissue contusion. Multi focal osseo cartilage injury"
Please suggest there is need of surgery or not and give your advice as per above report.
Have a question, ruptured my Patellar Doc said we should try and avoid surgery. I can walk with crutches, put full weight on knee. I did notice that when I was swapping out immobilizer braces my calf muscle was sagging, there was no resistance, and hard to flex, but when I'm laying down I can flex it. Does the PCL have anything to do with the Calf Muscle?
when I put my left leg on ground straightly, I can not turn left. mri acl pcl meniscus is normal but i am not eassy. What can I do? please reply sir.....
My MRI impression , Avulsion fracture of the medial condyle at the MCL origion, with MCL intact.
Avulsion fracture at the lateral colleteral ligament origion with low grade partial tearing .Avulsion of the posterior crusiate ligament.Complex tear of the medial meniscus body and posterior horn .Large Baker's cyst with posterior rupture .Large joint effusion . The orthopedic doctor sent me home said see you in 4 weeks then physical therapy . I only can bend my knee 30% .This accident happened 3 weeks ago . I am 64 years old and because its my right knew I can't drive . I am by myself I am going to get second opinion . I have the complex meniscus tear i read online that does not heal by itself .I really would like to hear your opinion Dr. David Geir. Thank you .
Hi doctor in my mri report it said i have a Tear of the posterior cruciate ligament and Small 0.6 cm intra-articular ganglion cyst in the posterior medial joint. do you think i should get surgery? it doesnt give me a grade on the tear.
Tore my PCL, LCL and Meniscus had to have surgery and feeling great after!! Would highly recommend getting it done if you can!!
I'm glad it went well Taylor!
did you do it for the meniscus or for the pcl ?
Sir my problem is .. mid - substance interestital tear of ACL with mild PCL bulking...
Horizontal tear of the porterior horn of medial meniscus ..
Now surgery is correct or not for me.
so I'm always getting joint pain or breaking bones in the leg area, I have a patella that shifts out of place... I was offered surgery or to do rehab. I chose a few times doing rehab... years later I fell went to the hospital wore a brace for a week, then went back to work. everything seemed normal until today, I was just watching tv, where now I can't put any weight at all on my leg. I'm scared I may need surgery. i'm not sure if I should just skip work and wrap it up myself and give it time to heal or to go see a dr. I had xrays done. nothing is broken soft tissue is normal but the swelling is obvious again.
ACL is only grade 1 injury, thank you for everything...
Hi Doctor! i have a knee problem so i went hospital and did MRI,my MRI report is 'focal partial acute anterior cruciate ligament tear'
sir i am an athlete my doctor told me for surgery,but he told me he is not sure that after sugary i will able to run again.
so what can i do now sir?please help me.
Hi Dr.David Geier,
I have seen your video, it is like a Booster for patients who is suffering with PCL problem. I am one of them. My MRI report says,
1) Tear of the Posterior Cruciate Ligament.
2) Small fluid Pocket is seen in the tibio-femoral joint space along the anterior aspect of the ACL. Thin rim of suprapatellar bursal fluid noted.
can you please suggest am I suppose to go for surgery?
I like Horse Riding, Swimming, Trekking and Dancing, I am bit worried now will I be doing all this activities after my rehabilitation of PCL!!!!!!!!
I think many people can do well without surgery for an isolated PCL injury. If they still can't play sports or exercise they way they want, then they can undergo surgery.
"non-united fracture fragment is seen at the tibial attachment of pcl with laxity and few intact posterior most fibres." This statement is written in my MRI report. Can my fracture heal? How much time will it take to gain my pcl back as it was?
Hi Deep hows your leg now, have you gone for surgery
I met with accident and for 1day I did not had any pain .after that I could not move my leg back (bending) i don't have any pain while standing or sitting but when my leg goes back I have severe pain .I contact doctor he gave a exercise to lift my leg from edge of bed or table. it been 2weeks I still have pain
I tore my ligament in my skiers thumb driving had a car accident rear-ended it's been 5 months now going through therapy every time we do something with strengths it swells up and it starts hurting it's a partial tear can I keep tearing
I have a PCL avulsion fracture where a piece of the bone was detached from the main bone. Surgeon suggested reattaching it with a screw through surgery but also explained the risk of this type of surgery, partly because incision is made from behind the leg and the risk of cutting into one of the arteries. He also suggested working on strengthening the quadriceps. MRI did show an 8 mm dislocation, but with the risk of surgery and with no other surgeon who can do this type of procedure in a small town, I was advised to search for a PCL orthopedic surgeon from out of town, which seems like the most appealing thing at this point.
Hey did u undergo a surgery i had an acl avulsion fracture 2 months ago but i didn't undergo surgery
@@varun-72 I am consulting a specialist in the lower 48 and will probably undergo surgery unless they advise me not to.
@@GuitarType01 okay
I have the same PCL avulsion fracture where the chip came out from the lower tibia bone.. I haven’t gone for any surgery and left the knee in rest mode for 4 weeks.. now it’s perfect and re attached at the same place
How do you guys fix the posterior sagging? Does it go away by itself over time? I'm 4 months in after injury and still in pain and can't bend my knee fully
hey good day, i also torn my pcl 1 month ago, im at my 2nd week theraphy session, how was your posterir sagging? did it went away with theraphy? im plnning to go back to football and wakeboard via non surgery method
I tore my acl mcl lcl volve tendon and broke bone and its a year after the axident and I tore all like to talk to doctor aok at the energesy room and he will tell you the store but mainly it was a sleding acident and I got my leg stuck at the bottom of this moution and all 3of my cizions hit me at a high speed and my cuzion in the middle hit here leg ob my knee and it launched me into the air and my cuzion broke her feamer and its been 1 and a half yeats ever sence so ya I can run and jump but I dont have a pic with I'm geting one in the summer
I want to talk to you please help me I'm so upset please. I'm Basketball player and i have ACL partial tear near to complete tear and have lot of confusion I'm so upset from last 3-4 weeks please tell me the way to reach you. Please help me please 🙏
Hi there,
Thank you for your informative video. I've injured the back of my knee almost 6 months ago. The doctor wouldn't grant an MRI , they said the CT showed inflammation of the tendon and that ice or heat and limited use would improve the injury. Down the track and yes the inflammation and use has improved and pain is less, but anytime I do exercise or even light walking, pain and tightness occurs. It feels if I were to step wrong that something very painful would occur. The pain also started in back of my other knee about a month after initial hyper extension. Is this from over compensation? I'm sick of feeling like the basic movements, standing, sitting, laying straight are painful... What's more , I really want to be able to work out again and feel safe that my legs won't just give. I'm only 39! This is really upsetting me. Do you think it is a PCL tear?
It popped and stung, when I was leaning into back seat of a coupe car to lift a heavy basket of washing. I kept my legs straight and ever since, the legs have gone from bad to worse :( now when I sit for too long or cross my legs I also feel a lot of pressure and bad blood flow. Maybe if it isn't PCL, it could be the artery or something? It's driving me crazy trying to work out why my body isn't working right anymore. I never had leg problems in my life. Now it's pain and problems everyday. Stiffness and locking knees and joints even foot pain ... I read somewhere that sometimes with hyper extension , you can overstretch the tendon/ligament? And only surgery can fix it? Pls help? Thank u so much !!!!!
Just curious...4 years later, how's your knees doing?
umm 6 years later, how's your knee?
can you please respond as soon as possible I need help it's been almost a month and a half I got into a car car accident and my thumb hit the dashboard and pulled back my thumb having a partial rip in my ligament in my thumb doctor said let's what two more weeks if it doesn't get better than it surgery time but it's been a month and a half now and it's not getting better it gets better for maybe 2 days and it goes right back to normal pan in side when I grab something and in the morning is the worst
Hi Dr. David, in my MRI report High grade tear of PCL and complete tear of LCL is mentioned. It was two months back. Still I have mild pains at knee. Now I can walk with brace. One doctor said no need of surgery and do physiotherapy. Anather doctor said I need surgery. I totally confused. Really do I need surgery.?
how is your pcl now?
i had to run 3.0km in the military with two PCL injury,and it fking hurts,i couldnt even walk or sit down cross legged on the ground after the run .
I couldn’t. ): gosh I have a PCL tear and it hurts to stand & I have no balance. Running would make me cry
Hii Dr. David why are you not replying on comment plzz suggest me something about my injury... I'm desperately waiting for your response plzzz...
Do you think I should get surgery only for ACL and meniscus and leave PCL? or repair the 3 things? thank you for everything... I am not into sports
what did you do ?
Dr plz help me,,, wn u c dis request ,,I fell down frm my two-wheeler by skidding n nw I got multiple injury as ur reading mcl pcl,, tcl ligaments tere ,,,I don't want to get surgery ,plZ help me hw can I get well without surgery 😰😰😰😰😰🙏🙏🙏🙏🙏🙏
Got a double bundle Tibialis Anterior allograft reconstruction with a Kevlar taper. Of course, you need reconstruction to shore up your leg in the future and protect it from wear and tear. Although they say if you aren’t active you don’t need one, but that's false ethics in my mind as that just means they put you on a not-needed shelf, what about if you want to be active in the future? Get it shored up instead of leaving that doubt in your mind. Partial tears might heal if braced but not full tears.
Hi Dr.
acl pcl ligament involving most of thickness suggestive of complete tear .Dr.has advise me surgery for Acl & said no need for pcl surgery so please advise only acl surgery sufficient.
For isolated PCL injuries, we often treat them without surgery. Combined injuries often do need both.
@@DrDavidGeier dear dr david , isolated pcl can heal on their own ?
Hi Dr. David,
thank you for your video. My MRI report says (S/O High-grade PCL sprain) & (Medial Meniscus Tear) . I did the surgery for both and by today I'm completing 9 days after the surgery. No swilling and no much pain so far. But i have been advised not to bend the knee for at least 4 to 6 weeks and not to put weight on it. Do you think bending it will damage the PCL or the meniscus ?
i have read on some website that after the surgery they need to bend it at least for 60 degrees to make sure it is working fine, but in my case they didn't.
I'm afraid that i will face difficulties to bend it after 4 weeks!
what do you think doctor?
Thank you!
Hello , how do you feel now after 4 years surgery ??
HOW DO YOU FEEL NOW?
Hi Doc. I have healed my partially detached my mcl and have a small meniscus tear. I also have a partial tear of my mcl. Does a partially torn mcl need surgery? I'm seeing my ortho in 27 days but that's such a long time from now.
I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on his monthly Ask Dr. Geier Live! Show, September 29, when he'll be live on TH-cam at 12 PM ET - and bring your questions! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
I had MCL +PCL Contusion 6 months ago and was not able to undergo reconstruction. ...Now my MCL has healed completely and also the pcl , I have full range of motion ....my only problem is that I have slight tibial sag ... what is ur advise to me pls
Hi, I think we have the same issue. I just got my MRI and it says I have complete tear with MCL and PCL. Is that what you also have, or is it less than that?
How can i send my report for suggestion?
I have a PCL injury.... n I need to start playing again soon .... should I wait for rehabilitation or go under a surgery?
did you have surgery ?
Hey doc I did get my pcl reconstruction on my right knee it was a grade 3 tear. I’m just curious of ways to help me bend my leg completely. My leg isn’t able to bend and I’m trying to get into the military.
I’m sorry, but I can’t legally answer medical questions and offer medical advice online. I have created thousands of articles and videos that discuss almost any musculoskeletal injury that should help you.
I was told PCL surgery was optional in my case based on the severity of my injury. My PCL was detached from the bone, but the knee is not excessively unstable. This being said, I chose to not go with surgery because it did not give me guarantee that I would not have OA in the future. Also, the possibility that the graft could fail in the future was not appealing in choosing to do a surgery that would require 8-9 month rehab. Instead, I chose to go with a PCL brace as non-operative treatment in addition to PT. This seems to be working for me so far.
Thanks for sharing your experience. I hope you recover well.
i got my PCL torn in my right knee without any other injury in other ligament during a rugby game, my doctor told me to have physio first, strengthening the muscle around my knee and see what will be the result, and make decision whether surgery or not.
jj jai same her . my left knee form soccer match.. From 8 weeks ago swilling and pain in the bignning I can't move or bend my knee.. But know I can run and bend it 90% I can't full bend my knee.. the swilling and pain is only 20% now, I have to finish 2 months rehap than training .. It is clear that the thigh muscles and knee ligaments have reduced the injury Because it is strong unlike non - athletes
Maher SG i just got the double bundle pcl reconstruction surgery, the doctor said, i have to walk with crutches for 6 weeks, looking forward to walk without it.
After injuring my PCL while chasing my two year old. I had swelling and finally found out it was a sprain pcl. Dr. Is having me do pt and check in in six weeks.
jj jai how's it going for you I also have torn my PCL and considering getting a surgery for reconstruction
hello , I just got the same problem and now I feel my leg not okay . can you tell me what exactly you did ?
How long does it take to recover from complete tear PCL injury without surgery?
Let’s talk about this on Friday, August 25, at Noon ET, on his Ask Dr. Geier Live! show. Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
I have a partial tear in my pcl and my first doctor wanted to push for a surgery I had to change doctors due to insurance and things but now today I start my non surgical approach to this pcl injury if it heals correctly after 6 weeks of PT I’ll be good but if not doctors says we will talk about surgery.
did you end up having surgery ? how do u feel?
@@michaelamjady3269 PT went great my doctor cleared me after I have random muscle spasms where my pcl is but nothing crazy
Tore my PCL and LCL (I think both are minor tears) and still 3 years later I cannot play football. Played a short game yesterday with friends for the first time in years, and my knee today is feeling bad. Is it too late to go for surgery at this stage?
If you are able, join Dr. Geier here on Friday’s Ask Dr. Geier Live! show at Noon ET, on Oct. 28. He would be happy to discuss this injury. Also, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
sir I have pcl injury last three years doctors told me don't need surgery what I'm doing please tell me I have much pain
Hello how your leg now without surgery
Hi, i recently had a dirtbike incident and this was my report below. My dr. Gave me 3 weeks of physical therapy and this is my last week of it. How long does this report sound like its going to take for full recovery?
Impression:
Avulsion fracture of the PCL
Altered signal intensity of the ACL compatible with low grade sprain
Grade one sprain of the MCL
Impaction fracture on the patella and extensive bone contusions
Joint effusion
Torn medial meniscus
Small tear of lateral meniscus
Osteochandral body deep to MCL
hello what was the treatment for your injury
Trent what was your outcome, tore my PCL last week racing the Kenda series. Had an ACL tear last year and thinking I don't want to deal with another knee surgery. Thanks.
Hi Dr. David My PCL surgry has been done befor 18 months Ago but I can't long walk,run My kneee was swelling And currently my pcl Graft was Garde 2 so plz suggest me what can i do.....
I can't really know or advise you without being able to examine you. Often physical therapy can help patients return to activities after knee surgery.
Hello Dr David, I have high grade tear in PCL and minor tear in ACL. I don't have any problem in walking and even I could play badminton. However, I stopped badminton now, as advised by the doctors. There is a little bit of swelling. Can I recover without surgery?
I’m sorry, but I can’t legally answer medical questions and offer specific medical advice online. Join me on this Friday’s Ask Dr. Geier show when I’ll be live on TH-cam at 12 PM ET, June 24 - and bring your questions! Until then, check out the thousands of articles and videos I’ve created in which I discuss every musculoskeletal injury suffered by athletes and active people: on my website - drdavidgeier.com or my TH-cam channel.
Hey bro, how's your condition now. I've same problem 😭
tore my pcl in my left knee, 20-dec-15, skiing, mri showed complete tear. possible meniscus damage, possible slight mcl tear, discussion ongoing between radiologist and orthopedic dr. to determine severity of those injuries. Orthopedic dr. has won in my opinion so far as I'm not excited about surgery. starting 6 weeks pt this week 1day/week. back to see the initial orthopedic dr at the end of 6 weeks. we are going the non-operative route first.
have an appointment with another orthopedic dr in about 10 days, for a second opinion.
right now just R.I.C.E. and ibuprofen.
swelling is subsiding, knee pain is still well noticeable and have issues finding the correct position for rest.
perhaps the diagnosis of the medial meniscus and the mcl may vary as the swelling goes down, and range of motion is becoming greater? (yea there's a sharp pain in that area at times, and in certain positions, just doesn't seem consistent though)
Thanks for sharing your experience! Good luck!
My experience is same. I got my pcl ruptured completely alongwith the high signal seen in posterior horn of medial menisci. No pain, no instability. 2 orthopedic surgeons have asked me to strengthen the quads only. What is your take dr?
I would like to know how are you doing now? did you get the surgery for PCL or PT was enough for you.
Last week I injured my knee with fracture, complete PCL tear. the Doctor is saying no need of surgery , only PT is enough and will be recovered in 6-8 weeks. and I am not sure what to do, if I will have my complete knee movement back and would I be able to get back to my physical activities, like ski, running, soccer etc.
@@bhattihere3586 How are you doing now Bhatti? did you get the surgery or PT was good enough for you to get back to normal activity?
Hi I also had a near complete PCL tear . One doctor told me that surgery is required for reconstruction but the other orthopaedic surgeon said that it do not require surgery. Can anyone help me out here . Those who have not went for surgery , is your leg recovered completely.
Hey doc I've recently had a complete tear of my PCL and partial tear of my posterior horn of my meniscus. I've been in physical therapy for 5 months and it hasn't improved, my orthopedic surgeon recently said that surgery isn't needed but referred me to another surgeon for a second opinion. What are your thoughts?
I ve had the same thing recently bro.. how s the recovery now?? Did u get the surgery?? What were ur symptoms ??
How bout now?
Jacob ??? Did you have the surgery , i have also torn my pcl
@@osamaelbehery And did you have the surgery already?
@@BammBammBering no
I did no surgery but I’m starting to think I need something. Every time I sprint my knee swells. Did a complete pcl tear with damage to the other ligaments and I fear I need more support. I was a college athlete that tore after my college years and I have lost normal functionality.
I torn my pcl fully torn last season and partially torn my acl should I get surgery or should I do physical therapy
@@juniorowusu_ well first off, if you haven’t had a scope to clean things up I would recommend that before starting physical therapy. I think physical therapy should be enough. Also keep your weight down and limit the amount of high impact activities on that knee
I was playing european football today, and after an impact with an opponent, I felt knee instability. I was able to finish the game, but still feeling my knee not stable. I feel dull pain inside and especially in the back part.
What can it be?
I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on this Friday’s Ask Dr. Geier show, Sept. 30, when he'll be live on TH-cam at 12 PM ET - and bring your question! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
i have done pcl reconstruction using allograft on sept15. But i did not perform rehab properly. is there any hope for me to recover?
It depends on the status of the knee, but physical therapy can usually still help restore knee motion and strength.
+Dr. David Geier one more thing. After done pcl reconstruction, should it be any displacement on my knee like before surgery? (Inside motion)
Generally a patient's knee is stable after surgery.
So 3 years ago I was wrestling and my drill partner “shot” on my leg when it was completely extended and it caused my knee to hyperextend. I felt a pop and it gave it twice right after that practice so I saw my surgeon who had done my shoulder surgery the year before. MRI came back normal but my knee never felt quite right after that. I did PT and was able to get back into wrestling however there was always instability and a lot of rotation with my tibia. Fast forward two years later, I ended up having two meniscectomies done with a different doctor (team doctor at my college) to that same knee because I tore the lateral meniscus. 6 weeks after the last surgery, I was walking up some stairs after doing PT and when I planted with that foot, I felt and heard a rip and my knee gave out. It didn’t hurt right away but about 20 minutes later I could barely walk. I saw the team doctor and he didn’t want to send me to an MRI or do anything so he just gave me a cortisone shot and it never really did much. It wore off a few weeks ago and I have had an immense amount of pain and my knee has become more and more unstable and I saw the first doctor this past week and he fears I may have either stretched out my PCL or torn it, as well as possibly damaged my ACL, and maybe also damaged the PLC due to the amount of rotation there is. Considering it’s been an ongoing issue for 3 years and I’ve done PT on three separate occasions with really no avail, would surgery be recommended if the PCL is stretched out? I mean at this point I’ll do whatever if it means no more fear of my knee giving out while I’m walking especially going down stairs, no more pain after walking for more than 10 minutes, and no more pain when kneeling down. I can’t even bike anymore because it hurts and feels like my knee will pop out the back and I tried swimming and I could actually feel my tibia moving around every time I kicked. So yeah I’m awaiting an MRI on the 2nd of April and a possible visit to a knee specialist.
It sounds like you may have injuried your pcl initially. Once the pcl is injuried/weakened there is a greater chance of injuring the surrounding ligaments. I am not in medicine but I did have pcl reconstruction surgery 6 months ago. I had similar pain that your having now, prior to surgery. I especially felt it when I tried to squat down. Mine was a grade II tear. Which means it was torn about halfway and lose. My surgeon recommended surgery due to my job requiring me to be physically active.
How are things going with you guys now I really want to know feedback on the reconstruction and has it improved and feel way more stable?
Jj City I ended up finding out that I have ACL insufficiency which explains why I might have so much instability. While my ACL is there, it is so thin that it basically isn’t doing its job when weight bearing. My surgeon was going to wait until the end of this month to improve with PT however, my knee hyperextended the other day while I was moving my phone and towel off a table while at PT and I was twisting my knee at that moment. My knee started buckling and I caught myself before I fell and it started hurting to the point where I could barely breathe. My PT tested my knee and he noticed that my knee is now much more loose. I actually felt like there was not an endpoint when he would do the anterior drawer test and I felt my knee slipping back into place. I had to call my surgeon and they bumped my appointment up and chances are I am going to need an ACL reconstruction since I have not had any improvements with being in PT for a month already.
Jean Paul Marrero Oh damn hopefully everything goes well with you keep me updated on your recovery
Jj City thanks! I appreciate it, I’ll definitely keep you updated. Next Monday is the moment of truth. My surgeon may want to do the surgery soon too which means I’ll spend my summer this year possibly recovering. It’s a little bit of a burden because I’m in my undergrad portion for physical therapy so I need as much money as I can get over summer but hey, health is important!
Dr, I have an isolated partial to complete tear on my pcl grade 2 and my mental situation is very bad because I am just 23 and I am afraid I won’t be able to play football again. Doctors are saying surgery is not needed but i think it’s because they don’t care if I will have a knee that does not support me on sport activities as long as I can live very basic life which is not fair considering I am 23 only.
Often grade 2 PCL injuries can heal without surgery assuming there are no other injuries.
I have a mild buckling of the PCL n a low grade sprain of the ACL I am sure it will heal without surgery how long tho with physiotherapy ??
It's hard to say. Every patient and injury are different. Those injuries can take a long time. Good luck!
Dr. David Geier thanks already much better with physiotherapy. may be 2-3 months should be fine right ??
@@priteshquintondsouza7584 ey i have the same thing as you, what happened? did you recover well from the injury?
Hey it took me 6 months of no football and just physiotherapy and strengthening to get back .... all fine now ... keep working out it will be fine 🙂
My right leg knee ligament injury Sir😰🙏
doctor please help i have a pcl avulsion fracture, the bone where pcl attach is broke, other ligaments are ok, some meniscus damage. should i get surgery, its been 3 weeks, should i just wait until there is no pain, i dont know what to do, this type surgery is not common
Wath are you down now?
@@heenawasennrityaantar9757 Hi Heena do you also pcl avulsion, i m going through thr same, i m bit confused wheather to opt for surgery or it can be heal on its own
There is no need for surgery if only the PCL avulsion.. I took only physiotherapy on regularly and continue the excercise after one year of continuous excercise I feel better and I danced agin and not feel very serious issue in balancing
@@heenawasennrityaantar9757 Hi Just wanted to know, do you use to have swelling after 6 weeks as well of your injury, i have recently completed six weeks to my avulsion, and removed used of knee brace and started static quadriceps, but there is little swelling on my knee and foot, i m not sure whether its normal or not
Give me ur contact no
hi,My right knee MRI shows partial PCL tear, my doctor told me to not to go for surgery.But i feel small amount of pain when i bend my knees fullly. What should i do now ? Can you suggest me any exercise for recovery?
Hello Ranjan, sorry to hear that. How did it turn out for you? I am in the same situation as you are!! let me know.
@@gxprahman1392 Actually I met with an bike accident in which I fall on the road with bent knee and I got deep cut wounds too.
I had a similar accident where i fell off the bike on my right knee. I had physical therapy for 4 months and im on month 6 since injury. My knee has gotten better i can bend knee and walk comfortable. Running not yet. Doctor told me to do exercices till 9 month and then see how it goes. According to my therapist i dont need surgery. I can walk up stairs now and going down stairs is getting better. Ligaments usually take a year to fully heal without any injury. Hoping i can run again!
@@ranjanmahanta1352 have you gone through surgery? I have near complete tear of PCL
@@PraveenKumar-on5bz No, I haven't undergone surgery. I had visited another 2-3 Dr but they did not recommend me to go for surgery, they all said your knee is OK just need some physiotherapy and stay positive from the mind.
I did a PCL surgery... Do not do it!!!!! The graft tore and I'm struggling to walk 9 months later 😿
was it a tear or sprain ?
How are you now?
I tore my MCL and have an avulsion fracture of PCL ligament. The injury occurred while playing hockey. I've been do physiotherapy twice a week for 12 weeks now. My surgeon wants to see if I can heal on my own, if I'm still unstable after 6 months I will undergo surgery. Do you think this is the best course of action Dr? I thought a multi ligament injury always required surgery. Do you think I could potentially heal on my own? You said in the video if it's MCL, PCL it could potentially heal. Is this right? Thank you in advance for your time and your helpful videos!
Did you have a pcl surgery ?
@@osamaelbehery yes, I had surgery last January to fix my PCL, MCL AND POL. Definitely happy that I went through it, knee feels much more stable now and I'm back doing everything I was before injury. I thought my MCL may heal on it's own and I would be able to get away with a loose PCL but after a year and a half of trying to get away without surgery and strengthening muscles around the knee it still felt loose so I opted for surgery. Wishing you the best, if you have any other questions let me know.
@@emmettmacnevin6872 glad to know that you are okay now , do you think that pcl complete tear heal on its own ?
@@osamaelbehery I don't think it will completely heal on its own if the PCL is fully torn. I do think that if you put in alot of work getting your muscles strong around your knee ( quads, hamstrings ) that you can get away without surgery and have a knee you feel confident playing sports with. You may need a knee brace for some things tho. I used an amazing brace that helped me pre and post op called the PCL OSSUR brace. Highly recommend this brace for a PCL injury. It's quite expensive but worth the price if you want to feel like a normal knee without your PCL ligament. Hope that helps, will answer any and all questions if you have more.
@@emmettmacnevin6872 can i text u on whatsapp ? or somewhere else ?
I torn my pcl 5 months ago and my knee is still swollen😢
I have avulsion of pcl and complete tear of lcl ligament.. I am not opting for surgery.. Would i be able to recover and walk again??
@joseph royal
I have same problem grade 3 tear of PCL and complete tear of LCL in two months back. Do you have surgery or not? What your doctor said?
Now I can able to walk with brace
I underwent an arthoscopic surgery but that was a failure.. I can walk as of now with a little limping.. Hoping to recover.
@@josephroyal6877 does your PCL healed without surgery
hi dr. my doctor force me to surgery to pcl ligament ingury please help what can i do
darshan kushwah
You can always say no, your not being forced to do anything. Go get another opinion
Lol no one can force you to do anything you can just tell your doctor no and recommend to see a surgeon for their opinion.
did you have a surgery ?
Hi Dr.David
I have a high grade tear of pcl. Do I need surgery?
मेरा भी high grade tear है मुझे चलने फिरने मे और सीड्डी चढ़ने मे कोई दिक्कत नहीं होती है पर घुटने मे दर्द रहता है। अर्जुन जी क्या आप ने सर्जरी कराई है।कृप्या बताएं।
did you have surgery ?
Do you have surgery?
Hi Dr. Geier, thank you for the video and all the information...I have one question please, do you think I will I need PCL surgery if I have injury grade 2 of PCL and injury grade 1 of ACL? along with meniscus tear? thank you for all the help...
+Diego Ramos Generally multilligament injuries need surgery, although partial tears sometimes don't. It would really depend on the stability of the knee. In your case, your orthopaedic surgeon can examine your knee to help make that determination.
Hlo Dr. David I got injured by an accident, and my MRI report shows..
1-High grade partial tear of mid third of PCL.
2- Sprain of the ACL.
3- Contusion in the posterior horn of medial meniscus.
4- Mild joint effusion.
Sir can I recover without surgery and how long time it take to get perfect like before I am. And plz suggest me how to recover from this problem 🙏🙏😔😔😔
did you recover without surgery bro ?
@@osamaelbehery I am just asking that , is it possible to recover without surgery...?
@@justshortsvdi i was one year ago .. what are you doing now ?
Hello Srivastava, I have similar issues now. How are you doing now? Did you recover without surgery?
nice meet you i am a korean person
first , please understand my poor english commentary sorry.
my pcl injury has been 6 months now
i didnt surgery , preserving now
i hurt playing soccerㅠㅠ
i am not soccer player.
but my favorite hobby is play soccer
i hope to return playing soccer
my injury condition is not fast running but very carefully jog a little
also my leg angle is not complete for example i cant sit hard and cant kneel
also my injury knee little moving when i take swing it
i am very sad these day
how long take care it
i want to return in 6 month
how can i exercise ?
how can i injury knee leg angle do?
pcl injury is very hard to obtain information and every doctors has each other treatment .
i confused
thank you read my commentary please help me
@@leejuyong6994Can't you understand ? Dumb.
@@ctowtf Yea understood Mr Pennis.
Hi doc, I fell down 4 months ago and I have PCL problem. The orthopedic said I need surgery. Can I recover fully without any surgery?
Hi indah.. I have a pcl avulsion.. I am not opting for surgery could u please suggest how u are doing currently without a surgery?
@@josephraju6246 Hi Joseph, i also have pcl avulsion since last 6 weeks could you please help, can we go without surgery, how much time it will tale to heal
Shoaib, i underwent a surgery. And it failed. My condition is same as before the surgery.
@@josephraju6246 Sorry to hear about that, i just hope for speedy recovery of your PCL, i would suggest you if you again planing to opt for surgery then think about fibre tape techniques
@pathan shoaib did you undergo a surgery too?? I am opting for a surgery but not for next 2-3 years..
I partially tore my MCL and PCL. It's been three weeks and im unable to fully extend the knee. There's no pain and i can flex it fully however incomplete extension makes me unable to stand. Should i wait and rest or go for surgery?
Did you end up getting surgery? I’m going trough the same thing it’s been a month and I can’t straighten my knee it hurt when I try to
I did the same as well as meniscus tear, and large bone break off tibia. I have not had surgery but once past the 4 - 5 weeks stage improvements started to appear. Now can extend fully. Just today allowed out of the brace.
Guinea Pig Stuff it’s been a month for me and I can’t put my left leg straight
Gloria Zermeno I’ve had the same issue. I’ve torn my PCL and MCL and Dr says it will heal on its own. I can straighten my knee but I cannot bend it more than 50-60 degrees until it’s too pain to go any more. No pain otherwise. It’s been 8 weeks now, and slowly (very slowly) feels like I’m getting better. I’ve been told it’s very important to straighten the knee so keep trying!
Matt Salvatore I slowly feel like it’s better better but then again I keep trying to straighten it but it has a sharp pain to straighten it, my knee is pooped outta place and they can’t pop it back in till my knee goes straight, is it supposed to hurt will stretching as in straightening it?
I spoken and discuss with my doctor's after the MRI, my PCL is fully tear and ACL partial, I'm having instability by walking causing my to trip my leg, so we finally discuss for the reconstruction and I just discharge last two days, the brace really limit my daily activity very much as it can only be straighten the whole time... I bet the surgery is just step one... Long recovery... 😭😭😭
Slope couldn't handle my speed. Now waiting for diagnoses :( bleeh
hi doctor, i have had avulsion # of PCL at the site of attachment of tibia.. i went through conservative treatment for 1.5months but it didn't heal.. in review 3D CT reconstruction avulsed fragment was displaced caudally by 5mm, Finally m undergoing Arthroscopic PCl reattachment, n has been adviced 2 months of Non wt bearing.. pls suggest during rehabilitation can i continue my work which requires little running around.. thanks
It depends on the demands of the patient's job. Generally we limit physically activity that can be harmful to the graft in the first few weeks after PCL reconstruction surgery.
+Dr. David Geier ok thanks for prompt reply doctor :-)
Abhay Rana i had car accident one month ago and i had avulsion frcture of PCL insertion site (tibia) and its partial displaced (4mm).
Some doctors adviced me to surgery and other doctors say conservative... what is ur opionon?
DrAkrm oqbah My advice u should undergo surgery..displaced # do need sx, conservative mx is being done by old practitioners but results r not definitive with conservative..
Abhay Rana i dont know what to tell u! now how r u? operation was good?
I have a PCL ligament near complete tear .. My doctor told me that with exercise and some prescribed medicines I will be fine in 3 months .. but I can't fold my leg and some of the other doctors are recommending me for a surgery.. can you help me out with the decision
Are you okay now bro ?
@@osamaelbehery yes 75% recovered without surgery , but I feel pain during winter. It might take time but it's healing
@@ankitshrivastava1472 but it was not complete! Do you have an idea for a complete tear ?
@@osamaelbehery yes it was near complete tear . For complete tear, surgery is the only option as it will bind your ligaments and you will recover on an around 80-85%.
@@ankitshrivastava1472 it’s the only ligament,, no other ligament tear with it .. it can’t heal?
I have a PCL avulsion fracture. Do I need surgery or it can be heal without surgery?
what did you do bro ?
Hi have you gone through the surgery or without surgery it got healed
I have grade 2 PCL Tear.....Do I need surgery sir....??
Me too I'm scared
Hi, is your PCL tear healed on its own.. or have you gone for surgery? Please suggest me i also have grade to PCL tear.
What did you do ?chakrvi
I have also a pcl tear
Hi David, I was recently diagnosed via MRI with a grade two isolated PCL tear. I had the injury 2 months ago and I'm still unable to bend my knee or kneel.
Is this normal? I'm not seeing any improvement and im concerned something was missed in the mri.
Could this be a possibility?
Thanks!
Those can still be tough injuries and often require a lot of work with a physical therapist.
xryanox hey did you got better? I have the same injury
xryanox hi bro , I have the same condition. Can you suggest me whether to go for surgery or non operative procedure would be enough
@@87Aknight i have a pcl complete tear , can you advise me ?
Hey, me too! And I'm also feeling the same 4 months in with a posterior tibial sagging.
Did you suffer from a shin sag? How are you now?
i tore my pcl left knee while skateboarding
Fortnite TV Clips Beck me too. Week 1 for me, mine tear took some bone with it.
@@darrenconstable_music week 8 1/2 for me and another 2 months with a brace
did you have surgery and how is your knee now ?
Dr. My mri report is that pcl tear complete but when I met with my surgeon he told me that as per physical examination it's not tear it is injured dr told me to take 1 months and if I fill any problems than he suggests me what to do . Now I have no any problem I can walk . No any pain in my knee . What should I do.
undergo
hi
i am dr akram (GP) i had car accident one month ago and i had avulsion frcture of PCL insertion site (tibia) and its partial displaced (4mm).
Some doctors adviced me to surgery and other doctors say conservative... what is ur opionon? and can i send u my CT scan and MRI please?
i have a pcl avulsion too, 3 weeks ago, most doctors say surgery if u are active or no surgery if not active, im not sure what to do my knee still feels funny
how many ur avulsion displacement by mm? can i see ur CT sacn or MRI? can u contact me by whatsapp or email please
wednesday567 can i contact u?
+DrAkrm oqbah i can send mri if u want, the report did not say how many mm
wednesday567 i am doctor too,, i will compare yrs with mine. do u have whatsapp number, facebook messenger, hangouts, or telgram? please.
in my MRI report its written mid substance PCL tear! Does that mean its a complete tear?
Jaya krishna Meka No.. grade one tear requier no surgery
@@drakrmoqbah2870 does a pcl complete tear require surgery or it can heal on its own dr ?
@@osamaelbehery no i did not do the operation but i am feeling well. U can text me on my whatsapp number 771945626 Yemen.
@@osamaelbehery most doctors adviced me to do the operation excet one told me that it may heal without operation since the seperation space is less than 5 mm. If did not heal spontaneous it will not that much effect your routine life activities as the ligment participate by 20℅ in knee joint stability. I did not do the operation and i am living now normal i even do not know if it healed or not. I hope you got my point.
i have a partial tear in my PCL and it' been 3 months now. How much time will it take to recover completely so that i can start playing Cricket again?
Full recovery after a PCL injury can take 3-9 months depending on a number of factors.
Akshit Oswal hey y have the same injury, how much time took you tu recover?
Hello.guys!? You gusy are going surgery?
Or heeling by Own?? How much time need heal without surgery?
@@SabbirAhmed-ks2ou I had a surgery when I partially torn my PCL. Method used is called thermal shrinkage which is basically burning the ligament.
Sir plz reply
my injury pcl and the doctor tell me you don't need surgery !!!
Some patients don't need surgery, as I explain in the video.
+Dr. David Geier how can I contact you
Use the Contact form on my website.
Why doctors dont care about PCL? Because they dont get them as much money because it is less common? Money will always matter, even for doctors, its a business at the end
The PCL is only injured a small fraction of the time compared to the ACL. And many of those injuries heal without surgery. It has nothing to do with money.
I received three opinions about my high grade PCL injury and all three doctors says the surgery is more complicated so I doubt money is any issue.
@@Rondogg43 I didn't get surgery at the end because they also told me it was too complicated so I have to live like this...
@@diegoramos27sorry to hear about that. I underwent PCL reconstruction December 2022. I'm just over a month into recovery. Still have a ways to go before I find out if it was work it.
@@Rondogg43please tell me it went well and your knee became same as before? I’m literally so stressed no doctor seems to be interested about my situation, they told me bla bla bla, and no need for surgery , because I want to return to my usual activities like football and skiing
I tore my pcl and my physical trainer said u don’t need it 😂who know 😂I tore it by falling of a roof on to my knees 😂shit was funny
hey bro , how is your leg now ? did you have a surgery ? or it healed ?
My MRI report say - The PCL is buckled with impingement by a bony fragment
Can i need surgery
I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on his monthly Ask Dr. Geier Live! Show, December 15, when he'll be live on TH-cam at 12 PM ET - and bring your questions! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team