I finally got to speak to a doctor about the injury I suffered two months ago when I fell off a ladder, landing hard on my extended right leg. Turns out I do have a tear in the ACL; it is still intact but has gone lax - I already knew about this so it wasn't a surprise. However, I also found out that the fall had caused damage to the articular cartilage which was a bit of a blow.
The doctor gave me the option of signing up for ACLr straight away, or waiting and trying PT and conservative treatment and reevaluating in 4 months. I don't seem to have much instability - my quads and other leg muscles are pretty strong. But now that the initial swelling has gone down, I am starting to feel slight episodes of wobbling in the knee joint. I have recently developed a deep achy pain that feels like it's coming from the top of my shin bone. The knee does click sometimes and there's a fair bit of crunching.
I initially decided to go the conservative route - I'm seeing a private PT on Monday (not sure how long the NHS one will take), and I figure that I can always go for the surgery if things don't go to plan with the PT. However, I'm wondering whether it is a good idea to delay considering the articular cartilage problem as it seems that without the functioning ACL I'm more at risk for OA. The doctor didn't talk about what I needed to do about the cartilage damage - presumably that will be part of the PT rehab.
So my questions now are:
1. Is trying the PT before making the decision on surgery is the best approach?
2. Has anyone had experience of articular cartilage injury plus ACL tear - if so how does this factor into the decision whether or not to have the ACLr?
Some background info on me - I'm a 47 y.o. female living just outside London, and I've always been active. I love hiking, swimming and scuba (not so much with the higher risk skiing and contact sports though) and my husband and travel a lot. I really want to keep doing as much as possible for as long as possible. This is the first time I've ever had an injury so this has knocked me for a loop.
Thanks to everyone.xx