ACL Injury and Chiropractic

ACL injury

The knee is a hinge joint and stability is provided by the large thigh muscles (the quadriceps and hamstrings), the cartilaginous medial and lateral menisci, the medial and lateral collateral ligaments, and the anterior and posterior cruciate ligaments. The cruciate ligaments are located within the knee joint and provide front-and-back stability to the knee. Specifically, the anterior cruciate ligament (ACL) helps prevent the shin bone (tibia) from sliding too far forward with respect to the thigh bone (femur). The cruciate ligaments also provide rotational stability to the knee.

The cutting maneuver, in which the foot is planted, the knee is flexed, the thigh is internally rotated, the shin is externally rotated, and with subsequent powerful contraction of the quadriceps is a position of vulnerability for the knee. Cutting maneuvers are common in sports such as soccer, basketball, football, and lacrosse. Cutting maneuvers may also be utilized in daily life, such as with the need to suddenly bend and twist the lower body.. Sudden, unanticipated cutting maneuvers may result in knee injury. Structures that may be damaged include the medial meniscus, the medial collateral ligament, and the ACL. This complex of injuries is known as O'Donaghue's triad. If there is significant joint swelling post-injury, it is likely that the ACL has been severely sprained and possibly ruptured.

Prevention is always the optimal policy, as third-degree ACL sprains (torn ACL) typically require ACL reconstructive surgery. Postoperative rehabilitation includes progressive physical therapy and at-home exercise. This recovery period usually ranges from 8 to 12 months.

Prevention of ACL injuries involves flexibility routines and lower extremity strengthening exercises. Flexibility activities may include yoga, Pilates exercises, and regular stretching of the quadriceps, hamstrings, and calf muscles. Lower extremity strength training includes squats, lunges, quadriceps extension, hamstring curls, calf raises, and toe raises. A primary result of an ongoing flexibility and lower extremity strength training program is optimization of knee proprioception, that is, increased neurological activity of the knee joint regarding its positioning in 3-dimensional space. Enhanced proprioception will help distribute cutting maneuver physical forces around the knee joint more effectively, reducing the likelihood of injury. As well, flexibility and exercise programs provide resilience and increased strength to the musculoskeletal structures comprising and supporting the knee.

Regular chiropractic care provides necessary support for both knee injury prevention programs and postoperative recovery. By detecting and correcting sources of biomechanical dysfunction and nerve interference, regular chiropractic care helps create a physiological environment by means of which you and your family can obtain the greatest benefit from your exercise activities. In the same way, if ACL reconstruction ever becomes necessary, regular chiropractic care helps assist the effectiveness of the recovery program and helps your body achieve the greatest benefit from rehabilitation protocols.

Benjaminse A, et al: Revised Approach to the Role of Fatigue in Anterior Cruciate Ligament Injury Prevention: A Systematic Review with Meta-Analyses. Sports Med. 2019 Jan 18. doi: 10.1007/s40279-019-01052-6. [Epub ahead of print]

Biscarini A, et al: Knee flexion with quadriceps contraction: A new therapeutic exercise for the early stage of ACL rehabilitation. J Biomech 49(16):3855-3860, 2016

Smeets A, Malfait B: Is knee neuromuscular activity related to anterior cruciate ligament injury risk? A pilot study. Knee. 2018 Nov 8. pii: S0968-0160(18)30903-30907, 2018. doi: 10.1016/j.knee.2018.10.006. [Epub ahead of print]

Location

Office Hours

Monday:

8:30 am-12:30 pm

2:00 pm-6:00 pm

Tuesday:

8:30 am-12:30 pm

2:00 pm-6:00 pm

Wednesday:

8:30 am-12:30 pm

Closed

Thursday:

8:30 am-12:30 pm

2:00 pm-6:00 pm

Friday:

8:30 am-12:30 pm

2:00 pm-6:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Testimonials

  • "I suffered from Plantar Fasciitis and was using manual soft tissue release and a lacrosse ball to help break up the knots in my foot. These methods were painful and resulted in only short-term relief. About 3 months ago, I had an amniotic injection in my foot. The injection itself was a little uncomfortable, but the long-term relief has been more beneficial than prior treatments. I would recommend this injection to anyone that suffers from this condition."
    H. Gray / Keller
  • "The Doctors and staff at Southlake Physical Medicine are the best. They took the time to get to know me so they could create a plan that works best for me. The trigger point injections healed the neck pain I've had for years. Best thing I've ever done!"
    Karie E. / Southlake
  • "I get kind of nervous at doctors' offices, but not here. The people are friendly and kind and really care about me. They explained everything to me and answered all of my questions. They have helped me so much - I would recommend them to anyone."
    Sarah C.
  • "I am an active athlete and have had many injuries but this is where I go the minute I get hurt. The doctors here have helped me to recover fast and get back to what I love to do. I am absolutely stronger because of the work they have done with me."
    Allison N.