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Kinesio Taping Peroneal Tendon Sublaxtion


What is Peroneal Tendon Subluxation? Peroneals are two muscles and tendons that stretch along the outer edge of your lower leg. Specifically, the peroneal tendons are enclosed in a fibrous tunnel that is attached behind the outside ankle bone. Peroneal Tendon Subluxation occurs when there is damage or injury Read more

Walking or Running: Which is Better?


Walking and running are the most popular physical activities. Both are excellent aerobic exercises. Both help promote weight loss, improve your sleep, elevate your mood, boost your energy levels, decrease blood pressure and cholesterol levels and decrease the risk of cancer, diabetes, and heart disease. The debate Walking and running Read more

Treating Compartment Syndrome with Massage Therapy


A compartment is a section within the body that contains muscles, blood vessels and nerves. Anatomical compartments are surrounded by fascia, or fibrous tissue. Compartments are present in all our limbs. The Syndrome Compartment Syndrome is a condition where pressure within one or more of the body's compartments becomes high. Read more

Protect Your Knee From Sports Damage


Sports like football, hockey and tennis require you to run at different speeds, using varying acceleration. Many times, you have to change direction while your foot is placed firmly on the ground. This causes stress to your knees and stretches the ligaments around your knees. Sometimes, this results Read more

5 Olympic Sports That Will Enhance Your Fitness


Sports persons don't just have good bodies. They are also fit and healthy, thanks to the overall strengthening and toning effects of playing sports. If you want more than just a hot bod and be really fit, you need to start playing one of these Olympic sports. 1. Kayaking Read more

All You Need To Know About Patellofemoral Pain Syndrome (PFPS)


Patellofemoral Pain Syndrome, or PFPS, is a type of knee pain that happens around or under the patella. The patella is the kneecap or the roundish-triangular part that you can feel when you touch your knee in the front. It is also commonly called 'runner's knee' as it Read more

Rehabilitation after an ACL injury

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The bending motion of our knee is a complex mechanism with a number of bones, muscles, ligaments and tendons at work. These multiple components of the knee joint are sometimes overworked or overstressed due to a sudden physical activity such as recreational sports which can cause the ACL injury. Patients with severe tear in the Anterior Cruciate Ligament (ACL) are recommended surgery as a treatment option. As the knee joint is important for mobility, it is advised that patients treated with surgery should opt for physiotherapy and exercise therapy to work around the injured area and resume pre-injury active life soon. Here is what you can expect in the rehabilitation program for ACL integration.

ACL injury

Our knee is a hinge joint. It is supported on four sides by the lateral collateral (LCL), medial collateral (MCL), posterior collateral and the anterior collateral (ACL) ligament. An ACL injury occurs when the ligament is partially or completely torn because of the awkward landing of the knee joint. In most cases, an ACL injury is a complete tear or on rare occasions a partial one. The incidence of ACL injury has been noted more in women than men because of their physical structure.

Rehabilitation structure

ACL injury is surgically treated to reconstruct the torn ligament as it cannot be sutured (stitched) back. The torn ligament is reconstructed by adding a tissue graft at its place and growing it back. The growth procedure is very long and so rehabilitation through physiotherapy and exercise therapy is recommended. This is a generalised structure of the rehabilitation process as it varies for different patients depending upon the severity of the injury.

1.      Acute phase

The acute phase includes containing the swelling and pain caused by the surgery. In this phase, no exercises are recommended, but your physiotherapist will ask you to constantly apply ice packs to the knee swelling and continue medication as directed by your surgeon. Patients are asked to use crutches or some other walking aid to avoid stressing the injured knee. The use of leg braces and the CPM (motion machine) is still argued upon by doctors.

2.      Recovery phase

Within a week of surgery, range of motion exercises are suggested by the physiotherapist to extend the range of motion of the knee which was earlier reduced due to the injury. The exercises are more focused on the extension (straighten out) motion than flexion (bend in) motion as it is easier to achieve flexion. This phase lasts for one or two weeks depending upon the progress made by patients.

3.      Strengthening phase

As full range of motion is achieved in the recovery phase, focus shifts from movement to strengthening of the joint. Physiotherapists concentrate on balance and proprioceptive exercises. Depending on the condition of the knee, some sport related activity is also started in this phase.

4.      Activity phase

The activity phase emphasises on light sport activities like jogging, cycling and swimming. This sport activity phase last for about 12 weeks and then you could return to controlled physical activity.
Recovery from an ACL injury surgery could take months, so you need to be patient. For further reading on rehabilitation form ACL surgery refer Journal of Athletic Training.