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Anterior Cruciate Ligament Injury And Physiotherapy
What is an anterior cruciate ligament Injury?
Your anterior cruciate ligament (often abbreviated to ACL) refers to one of four (4) knee ligaments that are vital and critical to the stability of your knee joint.
anterior cruciate ligament is made of very tough fibrous material and its main functions is to control/decrease excessive knee motion by limiting joint mobility.
Unfortunately, one of the most common problems involving the knee joint is an
anterior cruciate ligament injury or ACL tear. Of the four major knee
ligaments of the knee,
an ACL injury or rupture is the most debilitating knee ligament
What Causes an anterior cruciate ligament Injury?
An ACL injury is usually a sports-related knee injury or related to trauma.
sports-related ACL tears are "non-contact" injuries, which basically means that the
without the contact of another player, such as a tackle in football/soccer.
Most often ACL tears occur when pivoting or landing from a jump, and what happens is that your knee gives out from under you once you tear your ACL.
Female athletes/sportspersons are known to have a higher risk of an ACL tear while
participating in competitive sports.
Unfortunately, it is still not clear why why
women are more
prone to ACL injury. There are some suggestions that is's physical
(biomechanical, strength) and hormonally related. Or maybe a combination of all three factors.
What Sports have a High Incidence of anterior cruciate ligament Injuries?
Most sports require a stable and functioning ACL to perform common manoeuvres such as cutting, pivoting, and sudden turns and sprints/burst of run.
These high demand sports include football, rugby, netball, touch,
basketball, tennis, volleyball, hockey, dance, gymnastics and much more.
Yes, you may be able
to function in your normal daily activities, work and relationships with a damaged ACL/without an ACL, but high-demand sports may be challenging.
That's why athletes are often faced with the decision to undergo
knee surgery so that they can return to their previous level of competition. (ACL
injuries have been
known to curtail many promising sporting careers.)
What are the Symptoms of an anterior cruciate ligament Injury?
The diagnosis of an ACL tear is confirmed by several methods and techniques.
have an ACL tear commonly sustain a sports-related knee injury, they may have felt or heard a "pop" in their knee, and the knee
usually gives out from under them and ACL tears cause significant knee
swelling and pain.
Patients will also feel that their injured knee becomes very "loose" and unstable, and may "crumble/give out" easily.
How is an anterior cruciate ligament Injury Diagnosed?
On clinical knee examination, your physiotherapist or sports doctor will
look for signs of ACL ligament instability.
These special ACL tests
on the anterior cruciate ligament and can detect an ACL tear or
An MRI may also be used to determine if you have an ACL tear.
also look for signs of any associated injuries in the knee, such as
or meniscus damage, that regularly occur in combination with an ACL
X-rays are of little clinical value in diagnosing an ACL tear, because X-rays are set out to detect bony (hard tissue) abnormalities and fractures, whereas ligaments are soft tissue and doesn't come up in X-rays.
How is an anterior cruciate ligament Injury Treated?
Most patients with an ACL tears will start to feel better within a few days
or weeks of an ACL injury.
They may feel as though their
knee is normal
again because the swelling in their injured knee has started to settle. But this is the scary part because THIS IS WHEN your problems with knee instability and giving way may start or
ACL tears doesn't always require ACL reconstruction surgery.
There are several important factors to consider before deciding to
undergo ACL reconstruction
- Firstly, it depends on how severe the tear is.
- Secondly, what is your age?
- Thirdly, would you regularly perform sports or activities that normally require a functional ACL?
- Fourthly, do you experience knee instability?
- Fifthly, what are your plans for the future?
If you don't participate in a multi-directional sport that requires a
patent ACL, and you don't have an unstable knee, then you may not need
We recommend ACL injury if you are young, wants to be active, and have a moderate to full tear (rupture) of the ACL, but it depends on the orthopedic surgeon and patients too.
Physiotherapy & anterior cruciate ligament Exercises
Your best way to avoid anterior cruciate ligament reconstructive surgery is to undertake a comprehensive ACL-Deficient Knee Rehabilitation Program
that includes and involves:
- leg strengthening
- proprioception and high-level balance retraining
- sport-specific agility and functional enhancement.
We have senior sports physiotherapists who sub-specialize in knee and ACL management.
Physiotherapy treatments will aim to:
- Reduce pain and inflammation
- Normalize your joint range of motion
- Strengthen your knee: esp Quadriceps (esp VMO) and Hamstrings
- Strengthen your lower limb: Calves, Hip and Pelvis muscles
- Improve patellofemoral (kneecap) alignment
- Normalize your muscle lengths
- Improve your proprioception, agility and balance
- Improve your technique and function eg walking, running, squatting, hopping and landing.
- Minimize your chance of re-injury.
We strongly suggest that you discuss your knee injury after a
thorough examination from a knee injury specialist such as a sports
physician or knee surgeon.
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Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
See all the conditions our principal physiotherapists treat.
HAND THERAPY & CUSTOMIZED SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
- manage and decrease hand pains
- improve range of motion, strength and dexterity
- increase the function of their hand
following injuries or post-operations
Commonly treated hand pain injuries includes
REFORMER CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
- Cupping TCM
- Auricular Therapy TCM
- Herbal TCM Medicine & Supplementation
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.
Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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