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Warning-sign checks

Anterior cruciate ligament (ACL) injury: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Emergency assessment is needed for chest pain, sudden shortness of breath, coughing up blood, or a cold, pale, numb foot.

    These symptoms are uncommon but may indicate a blood clot, circulation problem, or another condition requiring immediate care.

    And for anyone, someone who:

    • is bleeding heavily and it will not stop with firm pressure
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact the treating clinician sooner if the knee repeatedly gives way, becomes locked, develops increasing swelling, or loses motion.

    After surgery, prompt medical advice is appropriate for worsening wound redness, drainage, fever, new calf swelling, or pain that is not improving as expected.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up usually checks swelling, knee motion, walking, strength, and stability.

    A physical therapist may repeat strength, balance, hopping, or movement tests as recovery progresses.

    Keep scheduled visits even if pain improves, because strength and control can lag behind how the knee feels.

    Long-term follow-up may include planning a safe return to work, exercise, or sport.

    The plan should reflect the demands of the activity rather than using pain relief alone as proof that the knee is ready.

Every sign above is quoted from the sofidex article on Anterior cruciate ligament (ACL) injury. If you are not sure, err upward — it is always reasonable to be checked.