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ACL Tear(high grade) knee
I have got ACL tear (high grade) on 10th Dec 2016, i am going forward without surgery for now, can you please suggest what physio i should do to strenghten hamstrings and quadriceps? and for how long?
There is no bone injury as per XRAY, attaching MRI report
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Avoid sitting Cross legged.
Avoid Squatting-
Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.
Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. repeat 10 times, twice a day.
Sports Taping- stretch the tape from both ends and apply on the affected area
Contrast Fomentation (Hot and Cold).
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firstly you should not avoid the surgery if the tear is a high grade or Grade III tear because it will cause problem in future as you wont be able to get perfect strength only by doing exercises. But if the tear is of Grade I/II, you can go for physiotherapy and as the case is a critical case, physiotherapy should be done gradually by a competent physiotherapist to strengthen the muscles and teach you the co-ordination and gait training.
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In my opinion u must go for surgery as it's a high grade tear...becoz at ur age surgery will be the best option and recovery time will be less...otherwise if do not go for surgery now u will not feel any problem it will be cured 80 to 90% but there will always be a chance to get further damage in the future... in your old age you can also get arthritis changes as well.. so it's better to go for a reconstruction and then you can strengthen ur muscules around the knee...rather than going directly for strengthening of muscles
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Consult an Orthopedic surgeon
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Go for the surgery and make up ur mind...take care get well soon
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Hi this is dr deepak orthopaedic surgeon from bangalore,
Surgery is the best option for your age, at present you will not have problems while walking,but your joint will wear out fast without the ligament.
1 option is surgery .
U can see you tube videos on quadriceps and hamstring strengthening exercises and do it in 1:2 ratio
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surgery is the best option
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repeated buckling can damage your knee jt
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Dr. Saseendar
Orthopedist
18 yrs exp
Chennai
Hi I have gone through your report.
You have a complete ACL tear.
Physios that are helpful for you are Isometric Hamstring strengthening exercises, VMO strengthening exercises.
Having said that, it is not a good idea to leave a complete ACL tear unoperated, as it could lead to arthritis in future.
Regards,
Dr Saseendar,
Consultant Sports Surgeon,
www.caresportsinjury.com
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Physio
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