I work in an orthopaedic office... I wouldn't say that it automatically means surgery, but it is probably a good possibility. The problem is that if your ACL is torn you will continue to have instability. So if you are an active person, which I assume you are given you were injured playing soccer, surgery may be the only way to restore being able to be that active. But, I don't really know - there could be so many different things going on. Wait for the MRI, and it will give the definite answers.
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