Alternatively Ayurveda Panchakarma and physiotherapy combined has the potential of healing Anterior Crucial Ligament injury according to stage of damage. Associated injuries of knee joints, soft tissue infections and other associate problems also go with Panchakarma which alleviates pain, improves function, decrease disability and strengthen joints. Internal medicines, external applications, Anushastra i.e. rakta mokshan ( leech therapy), Agnikarma (heat/ cauterization treatment as described by Sushruta - an originator of Surgery. In preface of Belly and Love s Surgery book, tribute is given to Sushruta) also have the full potential to cure it without modern surgical invasion. Agnikarma is a para surgical procedure. But for this you have to find a good Ayurveda hospital with all the facilities. In India there are many Ayurveda hospitals fully equipped to treat such cases. Indoor stay will not be more than TKR surgery and even if it exceeds, you haven t gone through the trauma, fear of failure and vast expenses of modern surgery full of risks in such cases. I would definitely recommend Ayurveda treatment at a good Ayurveda Hospital in India if you want to avoid surgery. Hope it helps you.