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What Is an ACL Injury? Symptoms, Causes and What to Do Next

Published: 29 Sep 2025

What Is an ACL Injury? Symptoms, Causes and What to Do Next

What Is the ACL?

The ACL (anterior cruciate ligament) is one of the key stabilising ligaments in your knee. It connects the thigh bone (femur) to the shin bone (tibia) and plays a major role in keeping your knee stable during movement.

When the knee bends, the ACL prevents the shin bone from gliding too far forward and limits excessive twisting between the thigh and shin bones. In fact, it provides around 85% of the resistance to that forward movement — which is why it’s so important for athletes and active people.

How Do ACL Injuries Happen?

ACL tears are one of the most common serious knee injuries. About 80% of sports-related ACL injuries occur without direct contact — they happen suddenly when:

  • pivoting or twisting on a planted foot

  • landing awkwardly from a jump

  • decelerating suddenly

  • changing direction quickly (“cutting”)

These movements are common in sports like netball, football, basketball, and skiing

This image shows the structure of the ACL and the way in which an ACL might be injured.

 

Symptoms of an ACL Tear

If you’ve injured your ACL, you might:

  • hear or feel a “pop” at the moment of injury

  • experience your knee giving way or collapsing

  • develop swelling, sometimes immediately

  • feel pain or instability when walking or trying to bear weight

Not every ACL tear causes instant swelling or extreme pain, but any instability in the knee

What To Do If You Think You’ve Injured Your ACL

If you suspect an ACL injury:

  1. Stop playing immediately.

  2. Avoid putting weight on the affected leg — use crutches or support if needed.

  3. Apply compression with a firm bandage.

  4. Use ice to help reduce swelling and pain.

  5. Book an assessment with a physiotherapist or doctor.

At The Healthy Body Company, our physiotherapists are experienced in on-field sports injury assessment and management. We can arrange MRI referrals when required and guide you through your individual recovery plan.  See our recent articles on the Cross Bracing Method.

Supporting You Every Step of the Way

Early and accurate assessment makes all the difference in ACL recovery. If you’re dealing with a knee injury or instability, book an appointment with your local Healthy Body Company clinic for expert advice and a clear plan forward.

Related articles:

ACL rupture? You have options.

ACLACL – How We Can Help Prevent Injury!