Fear of reinjury after ACL surgery

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While orthopedic surgeons generally expect athletes and active people to return to their same level of performance after ACL reconstruction surgery, it is by no means guaranteed. In fact, many studies show return-to-sports rates at 12 months after surgery around 66%. Why do one-third struggle to play after these surgeries?

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One of the biggest reasons athletes give for not returning to sports is fear of reinjury.

ACL injuries are very traumatic events. Some athletes describe the events as feeling like their knee exploded. It swells up like a basketball. They hurt when they try to put weight on it. Then they undergo surgery and months and months of physical therapy to recovery.

Then they start the process of trying to get back on the court or field. They have to learn to trust their knee again. For some athletes, from the youth to pro levels, it can be hard to avoid thinking about that initial injury.

How can we recognize an athlete worried about suffering a second injury? Or if you play sports, how can you overcome a fear that you will get hurt again?

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.