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Writer's pictureDr. Terrell Joseph

Soccer Knee Injuries: Keeping Your Knees in the Game



Dr. Terrell Joseph, a distinguished board-certified orthopedic surgeon and sports medicine specialist at Vail-Summit Orthopaedics & Neurosurgery (VSON) in Vail, and Frisco, Colorado, offers his expertise on knee injuries in soccer, a sport beloved by millions worldwide. Soccer is a fast-paced, dynamic game that demands agility, strength, and endurance. However, it also places significant strain on the knees, making them particularly vulnerable to injury.


Dr. Joseph provides insights into common knee injuries seen in soccer players and shares essential tips for prevention and treatment, highlighting some of the world's top soccer athletes who have faced these challenges.


Common Knee Injuries in Soccer Players


"In the game of soccer, the knee plays on a pivotal role," Dr. Joseph explains. "From sudden changes in direction to high-impact collisions, the knee is constantly under stress." Here are some of the most common knee injuries that soccer players face, along with examples of famous athletes who have experienced them:


Anterior Cruciate Ligament (ACL) Tears


One of the most common injuries seen in soccer players is an ACL tear, which occurs when one of the main ligament-stabilizers the knee is torn, often during a sudden pivot or awkward landing. Symptoms include a loud popping sound, severe pain, and swelling. ACL injuries can sideline a player for months and often require surgical intervention.


  • Zlatan Ibrahimović: The legendary Swedish striker tore his ACL while playing for Manchester United in 2017. Despite the severity of the injury, Ibrahimović made an impressive comeback, continuing his career at a high level.

  • Francesco Totti: The iconic AS Roma forward suffered an ACL tear in 2006. Known for his loyalty to Roma and his incredible skill, Totti worked tirelessly to recover and return to the pitch, where he continued to perform until his retirement in 2017.

  • Alex Morgan: The American soccer star and two-time World Cup champion suffered an ACL tear early in her career while playing college soccer. Her recovery and subsequent rise to international stardom is a testament to her resilience and determination.


Meniscal Tears


The meniscus, a piece of cartilage that cushions the knee joint, can tear during twisting motions or direct impact. A torn meniscus can cause pain, swelling, and difficulty moving the knee. Depending on the severity, treatment may range from rest and physical therapy to surgery.


  • Carles Puyol: The former Barcelona captain and one of the best defenders of his generation struggled with a meniscal tear during his career. Despite undergoing multiple surgeries, Puyol's determination allowed him to continue playing at the highest level before retiring in 2014.

  • Thiago Alcântara: The Spanish midfielder, currently playing for Liverpool, has dealt with multiple knee injuries, including a meniscal tear. These injuries have caused him to miss significant playing time, but he remains a key player.


Patellar Tendinitis (Jumper’s Knee)


This condition arises from overuse of the knee joint, particularly from repetitive jumping and running. It manifests as pain and tenderness around the kneecap and can worsen if not addressed early. Soccer players who frequently kick the ball or jump are at higher risk for developing patellar tendinitis.


  • Ronaldo Nazário: The Brazilian legend, often referred to as "O Fenômeno," battled with patellar tendinitis throughout his career. Despite the chronic nature of this condition, Ronaldo remained one of the most prolific goal scorers in soccer history, winning two World Cups and multiple individual awards.

  • Fernando Torres: The former Spanish striker, known for his time at Liverpool and Chelsea, also dealt with patellar tendinitis. This injury plagued him during his peak years, affecting his performances, but he still managed to have a successful career, winning numerous titles.


Medial Collateral Ligament (MCL) Injuries


The MCL, located on the inner side of the knee, can be injured through a direct blow to the outside of the knee, such as during a tackle. MCL injury symptoms include swelling, pain, and the knee feeling unstable. MCL injuries often heal with rest and physical therapy, though severe cases may require surgery.


  • Cristiano Ronaldo: The Portuguese superstar suffered an MCL injury during the 2016 UEFA European Championship final. Despite being forced off the field in the first half, Ronaldo's leadership and presence helped inspire Portugal to victory. He made a full recovery and continued to dominate the sport.

  • Eden Hazard: The Belgian winger, known for his incredible dribbling skills, suffered an MCL injury during his time at Chelsea. Though the injury temporarily sidelined him, Hazard returned to play an integral role in Chelsea's success before moving to Real Madrid.


Preventing Soccer Knee Injuries


To keep your knees healthy and in the game, Dr. Joseph emphasizes the importance of preventive measures. "Injury prevention is key to a long and successful soccer career," he advises. Here are some tips to help soccer players avoid knee injuries:


Strength Training: Building strong muscles around the knee, particularly the quadriceps and hamstrings, can provide better support for the knee joint. Exercises like squats, lunges, and leg presses are beneficial.


  • Proper Warm-Up: Always warm up before playing or practicing. A good warm-up increases blood flow to the muscles and prepares the body for the physical demands of soccer. Include dynamic stretches that focus on the legs.

  • Use the Right Footwear: Wearing soccer cleats that fit well and provide adequate support can reduce the risk of knee injuries. Choose cleats designed for the type of surface you play on, whether it's grass, turf, or indoor.

  • Technique Matters: Pay attention to your technique, particularly when kicking, jumping, and changing direction. Proper form can reduce unnecessary strain on the knees and lower the risk of injury.

  • Gradual Progression: Avoid sudden increases in training intensity or duration. Gradually build up your strength, speed, and endurance to give your body time to adapt.


Addressing Knee Injuries Promptly


Despite the best preventive measures, injuries can still occur. Dr. Joseph stresses the importance of early intervention. "The sooner you address a knee injury, the better your chances of a full recovery," he says. Here’s what to do if you suspect a knee injury:


  • Rest and Ice: Immediately stop playing and apply ice to the injured area to reduce swelling. Resting the knee will prevent further damage.

  • Physical Therapy: Engaging in physical therapy can help strengthen the knee, improve flexibility, and speed up recovery. A physical therapist can create a customized rehabilitation plan.

  • Seek Medical Evaluation: If knee pain persists or if you suspect a serious injury like an ACL tear, consult with an orthopedic specialist. Diagnostic imaging, such as an MRI, may be necessary to determine the extent of the injury and the appropriate course of treatment.


Orthopedic Knee Doctor - Terrell Joseph, MD


Soccer is a thrilling and demanding sport, but it doesn’t have to come at the cost of your knee health. By understanding the risks, taking preventive measures, and addressing injuries promptly, soccer players can stay in the game for years to come. "Your knees are crucial to your performance on the field," Dr. Joseph concludes. "Take care of them, and they'll take care of you."


For expert care and personalized advice on knee injuries, contact Dr. Terrell Joseph and his team at Vail-Summit Orthopaedics & Neurosurgery today!

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