

Rethinking Knee Pain: Understanding the Roles of Joint Damage and Nerve Sensitization


Decoding the Biomechanical Link Between Lower Back and Knee Pain: An Evidence-Based Exploration


If you’ve hurt your knee, especially during sports or physical activity, you might be wondering: can you still walk if you’ve torn your anterior cruciate ligament (ACL)? The quick answer is yes, it’s often still possible to walk, but that doesn’t mean the injury is not serious. A torn ACL can greatly affect your knee’s stability and long-term health. In this article, we’ll break down how the ACL works, why walking might still be possible after an ACL tear, and why getting a prompt diagnosis and treatment is so important.
The ACL is one of the key ligaments inside your knee. Ligaments connect bones and help keep your joints stable. The ACL connects your thigh bone (femur) to your shinbone (tibia) and keeps your knee from sliding forward or twisting in ways it shouldn’t. You can think of the ACL as a crucial anchor for your knee, keeping it steady as you move. When the ACL is torn—either partially or all the way through—your knee can lose this stability, which may cause it to feel weak or like it might give out.
Signs of an ACL tear usually include pain, swelling, and a sensation that your knee is unstable or “wobbly.” However, many people are still able to walk after tearing their ACL. This might be because the tear is only partial, or because your body uses other muscles and ligaments to help stabilize the knee temporarily. Imagine a rope that’s badly frayed but not completely severed—it can still function, but not as reliably as before. Because symptoms can sometimes be mild, it’s easy to underestimate how much damage there really is.
When you injure your ACL, your body tries to adapt. The muscles around your knee work harder to keep you moving, sometimes allowing you to walk almost normally. But relying on these backup systems can be risky. Putting weight on an unstable knee puts more strain on other important structures, like the meniscus (the knee’s shock absorber) and cartilage. Over time, this extra stress can lead to new injuries or accelerate joint wear, eventually causing problems like arthritis. In short, even if walking is possible, it can come with hidden dangers if the underlying damage isn’t addressed.
Studies consistently show that early, accurate diagnosis leads to better outcomes after ACL injuries. Quick treatment—especially when the meniscus is also damaged—can improve recovery and long-term knee function. On the other hand, waiting or ignoring the injury can result in ongoing instability, more joint damage, and a tougher road to recovery. That’s why it’s so important not to shrug off knee pain or instability after an injury; only a thorough evaluation by a healthcare professional can reveal the full extent of the problem.
The best treatment for a torn ACL depends on several factors, including your age, activity level, and how severe the tear is. Surgery—most often ACL reconstruction—may be recommended if you want to return to high-impact activities or your knee feels very unstable. During this surgery, doctors replace the torn ligament with a new graft to help restore strength and stability to your knee.
If your injury is less severe or you have a lower activity level, non-surgical treatment can also be effective. Physical therapy and exercise programs are designed to strengthen the muscles around your knee and help support the joint. Whether you opt for surgery or physical therapy, following a structured rehabilitation plan is essential for the best results.
If you suspect you’ve torn your ACL, don’t wait—see a healthcare provider as soon as possible. Early diagnosis helps guide treatment and can prevent further injury. Watch for persistent symptoms like swelling, pain, or instability, especially if they last longer than two weeks. Your treatment plan should be personalized based on your lifestyle, goals, and the specifics of your injury. Avoid self-diagnosis and delays; getting expert advice can make all the difference in your recovery.
While it’s sometimes possible to walk on a torn ACL, this doesn’t mean the injury is minor or can be ignored. Early diagnosis and proper treatment—whether surgical or through rehab—are critical to protecting your knee from long-term problems. If you experience knee pain, swelling, or a sense of instability after an injury, seek professional care promptly. Acting quickly gives you the best chance to heal well and get back to the activities you love.
Chambat, P. (2013). ACL tear.