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ACL Rehabilitation

Are You Trying To Overcome An ACL Injury?

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Have You Torn Your ACL?

Have you torn your ACL? Are you still waiting for surgery? Or not sure whether to have surgery? Have you had surgery and not sure what to do next? Have you completed your rehab but still having problems? Knee still swollen? Struggling to straighten or bend your knee? Worried you will re-rupture your ACL? If you have answered yes to any of the above, you have come to the right place.

The ACL is one of the four major knee ligaments and is a critical component of the knee joint, playing a pivotal role in both stability and movement. However, when this ligament is injured, it can have a profound impact on an individual’s mobility and overall quality of life.

If an ACL tear is not managed properly, there will often be long-term consequences. This includes joint instability, altered biomechanics and accelerated arthritic change within the joint. The management of ACL injuries requires a comprehensive approach, often involving both surgical consultation and intense rehabilitation.

What Are The Symptoms Of An ACL Tear? And How Is It Diagnosed?

The primary function of the ACL is to provide stability by preventing the shinbone (tibia) from sliding out in front of the thighbone (femur). ACL injuries commonly occur during activities that involve sudden stops, changes in direction, or direct blows to the knee. Causes of ACL Injuries:

  1. Sports-Related Injuries: High-impact sports such as football, Rugby MMA, and skiing pose a higher risk of ACL injuries due to the dynamic movements involved.
  2. Sudden Stops or Changes in Direction: Abrupt halts or rapid changes in direction can strain the ACL, leading to a tear.
  3. Landing Incorrectly from Jumps: Improper landing from jumps, especially with poor technique.
  4. Direct Blows to the Knee:Collisions or impacts directly to the knee, such as in contact sports, can result in ACL trauma.

The most common symptom associated with an ACL tear is immediate pain and swelling. This is usually accompanied by instability and pain when weight bearing and very quickly there will be a reduced ability to bend or straighten the knee. The diagnosis of an ACL injury typically involves a combination of clinical assessment and an MRI scan.

Are women more prone to injuring their ACL?

The statistics paint a stark picture—women are more prone to ACL injuries than men. The research indicates that women are up to 6 times more prone to ACL injuries compared to men. Some of the factors that may contribute to this include:

  1. Biomechanical Differences: Women often have biomechanical differences in hip and knee alignment compared to men. These differences can affect the mechanics of movement, potentially increasing the risk of ACL injuries.
  2. Hormonal Factors: Hormonal fluctuations, particularly during the menstrual cycle, may influence ligament laxity. Changes in ligament laxity can impact joint stability, potentially making women more susceptible to ACL injuries during certain phases of the menstrual cycle.
  3. Muscle Imbalances: Imbalances in muscle strength and coordination, particularly between the quadriceps and hamstrings, can contribute to increased stress on the ACL. Women may be more prone to muscle imbalances, putting them at a higher risk of ACL injuries.

4. Participation in sport: The surge in women’s participation in sports is undoubtedly a positive trend, breaking down barriers and fostering a culture of athleticism. However, the increased involvement also means a higher exposure to activities associated with ACL injuries, such as football, rugby, basketball, and volleyball. As women engage more actively in sports, the incidence of ACL injuries naturally rises.

It’s important to note that while women may have a higher risk of ACL injuries, these factors don’t apply universally to every individual. Awareness of these risk factors has led to advancements in injury prevention programs, such as neuromuscular training, aimed at reducing the incidence of ACL injuries in both men and women. While the factors contributing to ACL injuries in women are multifaceted, the story doesn’t end in despair. Empowerment through education, targeted training, and preventive measures can significantly alter the narrative.

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Can ACL tears heal without surgery

The decision to pursue surgical or non-surgical treatment depends on various factors, including the severity of the injury, the individual’s activity level, age, overall health, and the presence of associated injuries. Here are some key considerations:

  1. Partial vs. Complete Tears: If the ACL is partially torn and the knee remains stable, non-surgical treatments such as physiotherapy may be sufficient.
  2. Complete Tears with Stable Knee: In some cases of complete ACL tears where the knee remains relatively stable and the individual’s lifestyle doesn’t involve activities that demand a fully intact ACL (e.g. sedentary lifestyle), non-surgical management may be an option.
  3. Complete Tears with Unstable Knee: If the ACL tear results in knee instability, especially during everyday activities or sports, surgical intervention may be recommended to restore stability and prevent further damage to the knee.
  4. Active Lifestyle and Athletes: Individuals with an active lifestyle or athletes, particularly those engaged in sports that involve cutting, pivoting, or jumping, are more likely to opt for surgery to restore the full function of the knee.
  5. Presence of Associated Injuries: The presence of other injuries in conjunction with the ACL tear, such as meniscal tears, osteochondral defects or damage to other ligaments, can influence the decision to opt for surgery.
  6. Patient Preferences: Patient preferences and goals play a significant role. Some individuals may choose non-surgical options, accepting certain limitations in activity, while others may opt for surgery to pursue a more active lifestyle.
  7. Age and Health Status: The age and overall health of the individual are important factors. Younger, more active individuals may be more inclined to undergo surgery to maintain an active lifestyle.If an individual suspects an ACL injury, our clinic offers a comprehensive assessment that includes a thorough examination and the arrangement of an MRI for detailed imaging.

If you suspect an ACL injury, our clinic offers a comprehensive assessment that includes a thorough examination and the arrangement of an MRI for detailed imaging. In cases where surgery may be considered, we strongly recommend consulting with a specialist knee surgeon. Our clinic works closely with experienced knee surgeons who can further evaluate your condition, discuss the potential benefits and risks of surgical intervention, and provide expert advice tailored to your specific need. We can arrange this privately or through the NHS.

Why We Are Different

We specialise in treating and rehabbing ACL injuries.

ACL rehabilitation isn’t just a service we offer—it’s our expertise, our passion, and our specialty. With years of experience treating professional footballers and Olympic athletes, we’ve witnessed the full spectrum of ACL injuries and understand the unique demands of rehabilitation at the highest levels of sport.

Our team is dedicated to providing unparalleled care, utilising advanced techniques and personalised rehab plans to guide you through the rigorous journey of ACL recovery. Whether you’re a seasoned athlete or an active individual striving to get back on your feet, trust us to be your physio team in helping you get back to sport stronger than you were before.

01

Access to a first class rehab facility.

Our rehab gym isn’t just any ordinary fitness space—it’s meticulously designed specifically for sports injury rehabilitation, with a particular focus on ACL recovery. Our state-of-the-art facility is equipped with the latest equipment, specialised tools, and tailored exercise programs aimed at optimising the rehabilitation journey for ACL injuries.

From targeted strengthening exercises to functional movement training and neuromuscular re-education, our gym provides the ideal environment for athletes to regain strength, stability, and confidence in their knee following ACL surgery or injury.

02

We do not just hand out exercise sheets.

Many peoples perception of physiotherapy in the UK is that you get given an exercise sheet to do at home and nothing more. We diverge from this, and take a distinct approach to physiotherapy that offers a hands on and more personal approach.

Unlike many physiotherapy providers that merely hand out exercise sheets, we prioritise manual therapy techniques within the session to ensure not just quick, but often instant results for our patients. While our clinic places a strong emphasis on manual therapy for immediate pain relief, we do recognise the important of rehab exercises for long term health and injury prevention.

03

Our rehab programs are meticulously crafted to accommodate all budgets.

At our clinic, our ACL rehab programs are tailored to meet the needs of individuals across all budget ranges, guaranteeing exceptional care and a safe return to sport without compromising quality or effectiveness. We understand the importance of accessible rehabilitation services, which is why we’ve structured our programs to ensure affordability while delivering top-notch care.

04

Frequently Asked Questions

How Long Does It Take To Recover From An ACL Injury?

An anterior cruciate ligament rupture will typically keep you sidelined from sport for around 9 months. The research suggests that each additional month of delay in resuming sports activities following an ACL reconstruction may decrease the risk of re-rupture by approximately 50% up to the 9 month mark.

How Much Does It Cost?

If you have recently injured your ACL you are going to be spending a lot of time with a physio to ensure you recovery fully and return to your beloved sport or activity with minimal risk of re rupture.

Week 0-6

The initial 6 weeks post surgery is all about getting your knee dry of swelling, restoring full flexion and extension and ensuring you can fully activate your quad.

From week 2-6 we recommend 1 weekly 45 minute appointment. In some cases, we advise coming more often if we feel that recovery is slow, but with adherence to home management strategies, one weekly session usually suffices.

  • Individual 45 minute appointment = £65

Week 6-18

This is where the hard really work starts. Throughout these 3 months you will be progressing through a strength program, learning to jump again, jogging, sprinting and starting to turn at speed.

You will be expected to complete your rehab program a minimum of three times a week and each session will last around 60 minutes.

There are a few options as to how we can work with you throughout this phase and the decision is very much based on how much input we think you need, how familiar you are in a gym, your own personal preference and budget and how quickly you want to move through your rehab.

Most people during this phase will have a weekly 1-1 rehab session for 12 weeks and alongside this complete 2 independant sessions their own gym. For those that want or need more input will have 2-3, 1-1 rehab sessions, and for those that want to keep the price down and are happy to progress at a slower pace may have a 1-1 rehab session every 2-3 weeks. Our commitment is to provide high-quality care that not only delivers the outcome you desire but also considers your financial considerations.

We do have rehabilitation packages that can be purchased for 6,12 and 18 sessions which provides you with discounted sessions, discounts on any of our specialist services, nutritional support and much more.

When Can I Return To Sport After ACL Surgery?

After undergoing ACL surgery, the typical timeframe for returning to sports is around 9 months. This, however, is contingent on meeting specific exit tests that are tailored to the demands of your particular sport.

Our approach emphasises a comprehensive rehabilitation journey, ensuring that you not only recover from the surgery but also achieve sport-specific milestones that guarantee a safe and effective return to your athletic pursuits.

Our team will work very closely with you, customising rehabilitation programs to address the unique requirements of your sport, and guide you through the necessary steps to resume activities with confidence and optimal performance.

Is A Patellar Tendon Graft Better Than A Hamstring Graft For ACL Reconstruction?

Ultimately there is not a one size fits all answer and the choice between a patellar tendon graft and a hamstring tendon graft for ACL reconstruction is a decision that should be made based on individual factors, the specific needs of the patient and surgeons recommendation.

Patellar tendon grafts are known for their strength and stability. This can be advantageous for individuals who engage in high-demand activities or sports that involve cutting, pivoting, and jumping. However, there is a potential for anterior knee pain post surgery. Hamstring grafts have a smaller incision and tend to avoid anterior knee pain.

At Sharp Physiotherapy, we have extensive experience in rehabilitating both patellar tendon and hamstring tendon grafts for ACL reconstruction. We have found that the success of rehabilitation and outcomes for patients do not show a significant difference between the two graft types.

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