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A 35-year-old female patient presented with pain in the right knee joint since 5 days associated with restricted knee joint movements. The patient had a history of a Road traffic accident 5 days back and her right knee had been injured. She was taken to a nearby hospital for emergency care. Movement of the right knee joint was not affected at that time and the patient was prescribed painkillers and advised to rest. The next day she noticed severe pain in the knee joint while walking and could not bend the knee. MRI of the right knee revealed complete disruption of the anterior cruciate ligament near its femoral insertion. Surgery was advised, but she was unwilling to undergo surgery. So, she consulted Dr Govind Narayanan for ayurvedic management. This was diagnosed  as Abhighataja janu shoolam. The line of treatment followed was to address the abhighata. Within 2 days of starting treatment, the swelling reduced and there was no pain in the knee during rest. Follow-up after another 2 weeks revealed a significant reduction of pain and swelling in the right knee. A follow-up MRI of the right knee done after 1 month revealed only partial disruption of fibres at the femoral insertion, indicating a recovery.