ACL Repair Florence SC- Major Points

Do I have an ACL tear? The Anterior Cruciate Ligament or ACL rupture is one of the injuries most dreaded by sports people. Commonly injured in skiing accidents, rugby, football and netball, it can signal the end of a promising sporting career. ACL knee injuries usually occur due to trauma or impact. It can occur during a severe impacts in rugby and football tackles, it can occur during a bad land in skiing or windsurfing. or it can occur in sudden stopping and twisting actions in games like hockey and netball. In serious incidents the Posterior Cruciate Ligament can also get ruptured. It is not uncommon to rupture the ACL, the medial cartilage and the medial collateral ligament all in the same injury.Image result for acl repair florence sc

Symptoms of an ACL injury
The patient usually describes an audible popping sound. This will be followed by intense knee pain and immediate, severe swelling. The patient will also describe a feeling of their knee giving way. These symptoms will be worse if the medial ligament and medial cartilage have been torn as well.acl repair florence sc

Diagnosis of Anterior Cruciate Ligament Rupture
There are special stability tests that will be performed by your doctor or physiotherapist which are fairly accurate. If there is significant swelling the tests may not be accurate until this has gone down- you may have to wait a week or so for confirmation. They might also confirm your diagnosis and look for associated damage with MRI scan.

What is the best Treatment for ACL tear?
Because ACL rupture can be so devastating, there has been a lot of research into best treatment practices and as a result, recovery and outcomes are much more positive than they used to be and sports people can often go back to sport at elite level if managed well. In the first few days the goal is the minimise swelling. Ice packs should be immediately placed on the knee after the injury. Use every 2 hours.

The ACL is situated deep inside the knee joint. It acts as the connective ligament between the thigh and shin bones. The ACL’s primary function is to stop the shin moving too far forwards and to prevent the knee excessively rotating. The ACL stabilizes the knee joint.

The ligament cannot be repaired so it needs to be reconstructed using another tendon or ligament-typically this will be the patella tendon or the hamstring tendon. Some people opt not to have surgery. If the patient does not wish to return to sport, they can carry out day to day activities without an ACL and avoid surgery. Several months of rehab will still be required to build up the muscles around the knee sufficient to stabilise the knee. Most cases of ACL rupture however will require full reconstruction especially if the individual wishes to return to sport.

Rehab for ACL
Every case of ACL rupture requires a comprehensive and specialised rehabilitation program for full recovery to happen. Rehabilitation will first concentrate on continuing to reduce swelling and regaining full range of movement into the joint. The next steps focus on gradual strengthening of the knee and surrounding muscles. Gait retraining, balance and proprioception are critical elements to rehab following by sports specific training.

Typical rehab times range from 7 months to 1 year before the patient is back playing sport, confident in their knee. It can be vary depending on how diligent the patient is with their programme. Overall ACL outcomes are very good- but it does require significant work from both the therapist and the patient.