14/01/2026
Unlike chokes, heel hooks apply rotational torque through the foot and ankle that is transmitted directly to the knee joint 🦴⚠️ — often before pain is perceived.
Most athletes assume pain or pop= ligament strain 🤕
But the reality is far more complex 👇
The primary structures at risk include:
• ACL ❌
• LCL / MCL ❌
• Posterolateral corner (PLC) ❌
• Meniscus ❌
• Talus / ankle stabilisers ❌
—all of which can be injured without an audible pop or immediate swelling 🚫💥
In many cases, athletes continue training because:
✅ They can still walk
✅ Swelling is minimal
✅ Pain settles after a few days
⚠️ BUT this is where problems begin.
Rotational knee injuries can produce occult ligament or meniscal damage that does NOT show up on early X-ray 📸❌ and may only become evident weeks later on MRI 🧲🧠 — once instability, catching, or loss of trust in the knee develops.
Yes — resting, icing, and “letting it calm down” may reduce symptoms temporarily ❄️⏳
❌ But symptom reduction does NOT equal tissue healing.
Missed or under-rehabbed heel hook injuries can progress to:
• Chronic knee instability 🦵⚠️
• Recurrent swelling with training 💧
• Reduced confidence in leg entanglements 😬
• Early degenerative change 🕰️🦴
• Long-term time off the mats — often months, not weeks ⛔🤼♂️
This is why proper assessment, load management, and progressive rehab are essential after any heel hook injury — even if it “didn’t feel that bad at the time” 🚨
📚 Evidence note:
Rotational knee loading has been shown to place particularly high strain on the ACL and posterolateral structures, even in the absence of high compressive force
(LaPrade et al., American Journal of Sports Medicine) 📖✅
👉 If you’ve been caught in a heel hook and are dealing with:
• Ongoing knee pain
• Instability or hesitation when scrambling
• Clicking, catching, or swelling
• Loss of confidence in leg-lock exchanges
📩 DM me to book in for a proper diagnosis and a structured rehab plan — so you can train long-term, not just survive until the next grading 🧠🦾