Anterior Cruciate Ligament (ACL) Injuries Treatment
Are you looking for the best acl injury treatment in hyderabad then consult the best doctor for anterior cruciate ligament reconstruction in Hyderabad.
One of the most common knee injuries is an anterior cruciate ligament sprain or bn a tear. Motorcycle injuries and athletes who participate in the sports like cricket, football and basketball are more likely to injure an anterior cruciate ligaments.
The anterior cruciate ligament can also be injured in many several ways:
• Changing the direction rapidly
• Stopping by suddenly
• To Slow down while running
• Landing from the jump incorrectly
• Direct contact or a collision, such as a football tackle
Several studies have shown that female athletes have higher incidence of ACL injury than that of male athletes in certain sports. It has been proposed that is due to tge differences in muscular strength, physical conditioning and neuromuscular control. Other suggested causes include differences in pelvis and lower extremity (leg) alignments, increased looseness in the ligaments, and the effects of a oestrogen hormone on ligament properties.
If you have injured your anterior cruciate ligament, may require surgery to regain complete function of your knee. This will depend on the several factors, such as severity of injury and activity level.
To understand the acl injury treatment we need to know about its anatomy –
Three bones meet to form knee joint: 1.thighbone (femur ) 2.shinbone (tibia), and 3. kneecap (patella). Bones are connected to other bones by the ligaments. There are four primary ligaments in knee. They act like a strong ropes to hold the bones together and keep knee stable.
These are found on sides of knee. The medial collateral ligament is on a inside and lateral collateral ligament is on outside. They control sideways motion of your knee and brace it against unusual movements.
These are found inside of the knee joint. They cross each other to form an “X” with an anterior cruciate ligament in front and posterior cruciate ligament in back. The cruciate ligaments controls back and forth motion of a knee.
The anterior cruciate ligament runs diagonally in middle of a knee. It prevents the tibia from sliding out from front of the femur, as well as provides rotational stability to a knee.
Injured ligaments are considered as “sprains” and are graded on a severity scale.
Grade 1 Sprains. The ligaments are mildly damaged. It has been a bit stretched , but is still able to help keep the knee joint stable.
Grade 2 Sprains. A Grade 2 Sprain stretches ligament to the point where it becomes very loose. This is often referred as a partial tear of a ligament.
Grade 3 Sprains. This type of sprain is most commonly referred as a complete tear of the ligament. The ligament has to be cut into two pieces, and the knee joint is unstable.
Partial tears of the anterior cruciate ligament are very rare; most ACL injuries are complete or near to complete tears.
When you injure anterior cruciate ligament, you might hear a “popping” noise and you may feel your knee give out. Other typical symptoms includes are as:
• Pain with a swelling. Within 24 hours, knee will swell. If ignored, the swelling and the pain may resolve on its own. However, if you attempt to return to sports, knee will probably be unstable and you risk causing further damage to your cushioning cartilage (meniscus) of your knee.
• Loss of complete range of motions
• Tenderness along a joint line
• Discomfort while walking around
Now that you got to know the symptoms consult the best anterior cruciate ligament reconstruction doctor in Hyderabad.
Physical Examination and Patient History
For the best physical examination consult the best anterior cruciate ligament reconstruction doctor in Hyderabad.
Symptoms and medical history are very important During physical examination, the ligaments are checked for laxity and if necessary are comparing to a non-injured knee. Most ligament injuries can be diagnosed with a physical examination of the knee which is difficult in acute injuries.
About half of all injuries to a anterior cruciate ligaments occur along with the damage to other structures in a knee, such as meniscus, articular cartilage, or other ligaments.
X-rays. – Although it doesn’t show any injury to an anterior cruciate ligament, x-rays can also show whether the injury is associated with the broken bone.
Magnetic resonance imaging (MRI) scan. – This study creates better quality images of soft tissues like the anterior cruciate ligament. However, an MRI is usually not required to make the diagnosis of torn ACL.
There are surgical and as we as nonsurgical procedures for acl reconstruction surgery in Hyderabad.
Treatment for an ACL tear will differ depending upon patient’s individual needs. For example, the young athlete involved in agility sports will most certainly require surgery to safely return to any sports. The less active, usually older, individual may be able to return to a quieter lifestyle without a surgery.
A torn ACL will not heal without a surgery. But nonsurgical treatment may be very effective for patients who are elderly or have a very low activity level. If the overall stability of the knee is intact to simple, nonsurgical options and are recommended.
Bracing – A brace is recommended to protect your knee from a instability. To further protect a knee crutches might be required to reduce a weight on a leg.
Physical therapy – As the swelling goes down, a careful rehabilitation program is done. Specific exercises will restore functionality to your knee and strengthen the leg muscles that supports it.
Reconstructing the ligaments – The most ACL tears cannot be sutured ( or stitched) back together. To surgically repair ACL and restore knee stability, a ligament must be reconstructed. Your doctor will replace a torn ligament with a tissue graft. This graft acts as the scaffolding for a new ligament to grow on.
Grafts can also be obtained from several sources. Often they are taken from patellar tendon, which runs between the kneecap and a shinbone. Hamstring tendons at the back of the thigh and are common source of grafts. Sometimes a quadriceps tendon, which runs from a kneecap into a thigh, is usually used. Finally, cadaver graft (allograft) can also be used.
There are advantages and disadvantages to any graft sources. Because the regrowth takes time, it may be six months or more before an athlete can return to sports after a surgery.
Procedure – Surgery to rebuild an anterior cruciate ligament is done with arthroscope using small incisions. Arthroscopic surgery is very less invasive. The benefits of less invasive techniques include less pain from a surgery, less time spent in a hospital, and quicker recovery times.
Whether treatment involves surgery or not, rehabilitation plays a very vital role in acl injury treatment which helps in getting you back to daily activities. A physical therapy program will help you regain the knee strength and motion.
If you have a surgery, a physical therapy first focuses on returning motion to the joint and surrounding muscles. This is followed by strengthening program designed to protect a new ligament. This strengthening gradually increases stress across the ligaments. The final phase of rehabilitation is aimed at functional return tailored for athlete’s sport