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ACL Injury Symptoms| Causes | Rehabilitation | Surgery

ACL Injury Symptoms| Causes | Rehabilitation | Surgery
Complete tear of ACL


    ACL Injury Symptoms| Causes | Rehabilitation | Surgery 

  • Overview
  • Symtoms
  • Causes of ACL Injuries
  • Treatment

Overview

ACL injury is one of the most common types of knee conditions. 

The ACL (Anterior Cruciate Ligament) is very essential for stabilizing the knee joint and controlling the forward motion of the tibia in relation to the femur

Injuries to this ligament can be either strains (Overstretched) or tears.

Injuries of the ACL can occur due to sudden sharp turns or twists of the knee while running or jumping. 

Patients who suffer from this injury have pain as well difficulty to do some tasks that involve the full range of motion of the knee especially with extra pressure on it, say, when squatting down to sit on the floor or going through the stairs.

Symptoms

A popping noise might be heard the moment the ACL is torn. 

Patients who either overstretched or torn their Anterior Cruciate Ligament experience (Varied levels) of pain when performing daily activities involving knee movement. 

Swelling and difficulty fully extend the knee may also be experienced. 

Since the ACL function as to control the forward motion of the shin bone, walking can be difficult as well especially in severe cases.

Moreover walking can be even more difficult with added weight; be it body weight due to obesity or even the groceries that you carry in everyday life.

Causes of ACL Injuries

ACL injuries tend to happen as a result of sudden shocks to the knee joint especially from the side. 

This can be sudden sharp stops and turns and quick maneuvers (As in rugby, football, basketball, tennis, etc.) or awkward landing that involves a twist in the knee (As in Gymnastics). 

However, more than 90% of the people who work out are not athletes but still develop ACL injuries because of poor technique, such as squatting with knees going inwards.

Women are more prone to ACL injuries than men. 

It has been suggested that this is due to the different body composition and conditioning in men and women; women has less muscle conditioning and strength around their knees as compared to men. 

Also, the ligament composition itself is different; being laxer and more affected by estrogen in women than in men.

Diagnosis

The first step of diagnosis involves talking to the patient about the history of how the injury took place. 

Then, physical examination is performed by moving the knee joint into extension and flexion with a twist to test stability and determine painful positions.

The physical examination is often not enough to determine what type of ACL injury the patient has; whether grade 1 sprains (Overstretched), grade 2 sprains (Partial tear) or grade 3 sprains (Complete tear). 

In this case, the specialist may need an X-ray to examine the bones for any breakage, or an MRI to detect any injuries to the ligaments.

Treatment

Treatment of ACL injuries can be determined according to the severity of the condition. 

Most grade 1 and grade 2 sprains can be cured by rehabilitation; however, in case of a complete tear (Grade 3 sprains) a surgery is required.

1. Rehab

Rehabilitation after an ACL injury is a requirement in order to regain flexibility and strength of the muscles around the knee. 

Depending on how severe the injury is, the rehab program designed by a physical therapist will help the patient recover in somewhere between a couple of months and a year.

Choosing not to follow a rehab program after an ACL injury; no matter how minor it is, may result in complications and other knee injuries in the future. 

However, being dedicated to the program will quicken the recovery process. 

Along with taking over-the-counter pain killers, having supplementation for faster ligament repair, and being careful with the range of motion that is safe for you (Not applying further stress or strain on your knee), exercising the muscles around your knee is crucial for helping your ACL recover.

Restraining from training legs for good makes the muscles around your knee (Quadriceps and hamstrings) weak; therefore, shifting the stress that comes from stabilizing the leg and carry the body weigh fall down completely on the injured ligament.

Doing strengthening exercises like the box squat or Bulgarian split squats (Putting light weights) with a bent in the knee not exceeding 90 degrees are great exercises if they don’t cause you any pain. 

If pain is experienced, however, other treatments prescribed from your doctor or even surgery can be more convenient for your condition.

2. Surgery

If a diagnosis says that the ACL is so badly damaged that the knee gives way when walking and a chronic pain is experienced, then surgery is the perfect choice. 

A surgeon removes the torn ACL and usually replaces it with a tissue from your own body. 

An instance of this can be cutting off a band from the patellar tendon and let it grow in the place of the damaged ACL.

After surgery, the patient is advised not to exert any pressure on the knee until it fully recovers. 

When the rest period is over the ligaments will be tight and lose their flexibility whereas the muscles around the knee lose strength. 

This is the time when a rehab program is required in order to regain flexibility of the knee joint and also to strengthen the weak muscles.

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