“ACL” refers to the Anterior Cruciate Ligament within the knee joint. It is located behind the kneecap and acts to provide stability to the knee whilst moving and pivoting. An ACL injury occurs when the femur (Thigh bone) moves forward in relation to the rest of the joint, causing the ACL to overstretch and tear.ACL injuries occur more often in non-contact accidents whereby the person is pivoting, decelerating or landing from a jump yet can also occur when someone or something falls onto the knee.
Although the occurrence of ACL injuries is vast, this often devastating injury is largely preventable with muscular and neuromuscular exercise training.
Once the injury is established, the first (and often only) treatment strategy considered is surgical ACL repair. This involves repair of reconstructing the ACL with a graft to provide stability for the knee.With the incidence of surgical reconstructions and revisions (Secondary ACL surgeries) in Australia being amongst the highest in the world and lead studies finding no significant difference in reported outcomes between surgery and conservative (Exercise) treatment, it is high time for considering exercise as the first treatment strategy. This treatment involves gradual progression through evidence based flexibility, balance and strength exercises with an objective of returning to pre-injury function. This has been shown to not only successfully provide stability for the knee, but also allow reconnection of ACL tissue in some cases. It has also been repeatedly proven to improve surgical outcomes. Therefore if function is not achieved with conservative treatment it has increased your chances for success with surgical treatment, making for perfect pre-operative preparation and minimising recovery times.
To discuss ACL injury treatment in more detail, book a consult and discuss treatment options by booking below or filling out the “We’ll call you” section.
Medial Epicondylitis is characterised as an overuse injury rather than an impact condition. Continuous movement (specifically gripping and rotation) of the forearm can cause microscopic tears in the tissue leading to inflammation and pain. Although it has earned its colloquial title from the sport this injury is not limited to Golfer’s, In fact 95% of individuals who are diagnosed with medial epicondylitis haven’t ever picked up a club.
Symptoms of Medial Epicondylitis include:
– Pain or swelling on the inside of elbow and wrist
– Pain when grasping or gripping objects
– Stiffness/soreness when straightening your arm
– Pain when rotating the forearm or wrist
Symptoms can be acute or have a delayed onset and range from mild discomfort to pain and avoidance of function if not treated correctly.
Practical treatments of medial epicondylitis include range of motion and strengthening protocols for the wrist and forearm extensors (particularly for the extensor carpi radialis brevis). Current research indicates that progressive, incremental strengthening regimes are an effective treatment tool for increasing pain free function and mitigating the progression of the condition.
Individuals who engage in active rehabilitation early are often able to return to function with minimal discomfort within two weeks. If the condition is not conservatively managed early, alternative treatment modalities can be used with severe cases such as steroidal injections, autologous blood injections and surgery.