You Tore Your ACL, Now What?
You had the unimaginable happen; you tore your ACL. You probably felt it pop or knew exactly what happened when it happened. Your mind immediately started going 1000 miles per minute, thinking about the worst. “My season is over!” “Will I ever be able to play again?” “What happens next?” All these questions and more are likely swirling through your head, sending anxious thoughts through the roof. ACL tears are quite common in the sports injury world; anywhere from 100,000-200,000 people tear their ACL in a given year. While you may be worried now, this blog will outline steps to help inform your decisions moving forward and determine what will be best for your situation.
Where Does Your Knee Hurt? What Your Pain Might Be Telling You
Knee pain is one of the most common diagnoses we treat at Athletico and is among the top three cases I see as an orthopedic physical therapist. According to the Journal of the American Medical Association, around 5% of doctor visits are for knee pain, and physical therapy is one of the primary treatment methods.
While knee pain, in general, is common, there are many different sources or causes of knee pain. In this article, we will explore how the location of your knee pain correlates with a possible injury and what physical therapy may entail for that injury.
The Road to Recovery: From ACL Tear to the Joffrey Ballet
ACL injuries are often talked about in contact sports, but ballet dancers are also at risk of a tear. Jumping is the most common mechanism of injury for a ballet dancer to tear their ACL. Max Dawe, of the Joffrey Ballet, learned this firsthand last summer. I had the pleasure of being Max’s Physical Therapist in the later stages of his rehab while Alyssa Hartley, PT, DPT, OCS worked with him during the first eight months. Recovering from an ACL reconstruction is a long and intense process focused on regaining strength, range of motion, neuromuscular control, and progression of agility and plyometrics tailored to specific sport demands. The general recommended timeline to return to sport is at least nine months due to the high risk of re-injury returning at the previously thought six months. I interviewed Max asking about his recovery process, and we are happy to share his experiences.
5 Exercises To Decrease ACL Injury Risk
ACL injuries are one of the most impactful injuries in sports, often taking 9-12 months before an athlete can return to competition. Athletes who participate in change of direction sports such as soccer, basketball, and football tend to have the greatest risk of ACL injury.
Returning to Exercise After ACL Surgery
Having an ACL reconstruction can throw a major wrench into your life. The surgery is complicated, and the rehab program can feel daunting. With a projected return to sport timeline hovering around 9 months to a year depending on your injury, it can feel like you are destined for a year of struggle.
This is a common concern before surgery, and a common fear in the first few weeks after surgery. Your knee is swollen, walking is a chore, and sometimes you even need to wear a big bulky brace. The good news is, with proper rehabilitation, you should be back to the gym in a much shorter timeframe.
How Long Does ACL Recovery Take?
Approximately over 250,000 people tear their ACL every year, with the most at-risk population being young female athletes.1 Despite being a common injury, every ACL reconstruction rehabilitation is different. Protocols depend on graft type, concomitant injuries like meniscus or MCL, and surgeon preference. For this reason, ACL protocols need to be a combination of both criteria-based and time-based. From a criteria-based perspective, physical therapists need to make sure athletes can get back to squatting, jumping, landing, cutting, and all other sport-related tasks with good mechanics to set them up for success as they return to sports. From a time-based perspective, physical therapists need to consider tissue healing time and appropriate tissue loading. Each athlete achieves their objective criteria at different times. It can take anywhere from 6 months to 24 months post op for athletes to get back to full participation, with a majority of athletes returning to sport between the 9- and 12-month mark.
What Are the Different Levels of an ACL Tear?
There are 250,000 anterior cruciate ligament ruptures in the United States every year1. The anterior cruciate ligament (ACL) is one of four major stabilizing ligaments of the knee. The ACL, along with the posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL), play crucial roles in helping the knee function normally. When one or more of these ligaments is injured, daily activities such as going up and down stairs or walking across uneven terrain can become more challenging. Similarly, an injury to one or more knee ligament(s) can make running, cutting, or jumping difficult in sports. Not all ACL injuries are created equal, as some are more severe than others. Let’s take a look at how ACL injuries are classified.
The Basics: Sprains, Strains, and Fractures…What’s The Difference?
“I sprained my hamstring!” “I didn’t break it. I fractured it.” “He had a bad ankle strain.” Physical therapists, occupational therapists, and most medical professionals cringe when we hear this at parties, in the media, or our clinic. The tactful among us do their best to resist the urge to correct, but let’s face it, we are only human.
