Anterior Cruciate Ligament (ACL) Sprain

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Dr Ozello's Sports Medicine Report: Anterior Cruciate Ligament (ACL) Sprain
***Disclaimer: Please visit a medical profession before beginning an exercise program. Viewing this video does not take the place of seeing a medical professional or working with a fitness professional. Please visit a medical professional for evaluation, diagnosis & treatment. Please work with a fitness professional to learn proper exercise technique & to develop a proper training program. Never perform an exercise that elicits or intensifies symptoms. If an exercise elicits or intensifies symptoms, stop immediately and use a viable substitute.
Anterior Cruciate Ligament (ACL): Main knee stabilizer. Limits forward/anterior translation & rotation of Tibia.
Two Bundles: Anteromedial (AM) bundle: Primary restraint against anterior tibial translation.
Posterolateral (PL) bundle: Stabilizes knee near full extension, particularly against rotatory loads.
Knee extended, PL bundle is tight & AM bundle is moderately lax.
Knee flexed, AM bundle tightens & PL bundle relaxes.
ACL Injuries can be contact or non-contact. Non-contact is more common than contact.
Non-contact is more common in females.
Mechanism of Injury of a non-contact ACL injury: Quick deceleration, quick acceleration, change of direction (Cutting) & jump landing.
Non-Contact ACL injury prevention tips: Strengthen hamstrings and strengthen core, especially the gluteus medius muscle.
Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV
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"Running: Maximize Performance & Minimize Injuries" www.amazon.com...
Dr Donald A Ozello DC wishes you success in life and in your athletic endeavors. Train hard, train smart, stay injury free & accomplish your goals.

Опубликовано:

30 сен 2024

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Комментарии : 58

@UsmanBhatti-ev9xq 5 месяцев назад

Hi doctor sir my knee mri report acl sprain 3 month ago and fluid treatment plz

@drdozellodc 5 месяцев назад

If I were you, I would see a Doctor of Chiropractic who specializes in injury rehab.

@RahulYadav-hv3nm 4 года назад

Hello Doc, Great video. Thoroughly enjoyed it. I have been having trouble in my left knee for about 10 months now. I've even consulted 8 doctors (2 orthopaedic surgeons) but still no improvement. I feel a constant imbalance in my knee and a slight sense of pain. I recently got an MRI and the report gave an impression that: 1. Minimal joint effusion 2. PDFS hyperintensities in the anterior cruciate ligament with maintained fiber continuity-?sprain All the doctors tell me to rest but I'm worried as the discomfort has been going for a long time and I don't remember injuring it.

@drdozellodc 4 года назад

Very interesting question. If I were you I would focus on strengthening the knee, especially the hamstrings, with non-weight bearing exercises, I would start with very light intensity and increase intensity very slowly in very small calculated increments. I would also try basic BOSU ball exercises. I would always perform exercises through a pain free range of motion. If an exercise elicits or intensifies symptoms I would skip that exercise and find a viable substitute,

@drdozellodc 4 года назад

Here is a playlist of my videos that may be helpful ru-vid.com/group/PLqvttwjy17BlSIlZDUyFS1VeYQXJ7fQmC

@drdozellodc 4 года назад

Here is a link to a playlist of my videos about BOSU Ball exercises and related topics ru-vid.com/group/PLqvttwjy17BlSfS8or_UCVCv290xABWTK

@drdozellodc 4 года назад

Please let me know if you have any questions

@RahulYadav-hv3nm 3 года назад

@@drdozellodc Thank you for such a detailed answer. I will try out all the exercises and see which ones I can do pain free. I currently do not have access to a BOSU ball, would you advice investing in one or can I strengthen the knee using the other exercises as well? Thanks for the help once again.

@kottayamdiaries5877 3 года назад

Hi doc, I did an mri and it came grade 1 acl sprain and mild joint defusion And I am constantly hearing a cracking sound in my left knee. The cracking sound is coming from past 5 months. I consulted with ortho doctor he said nothing to worry about... What do I do as a part of ur suggestion ????

@drdozellodc 3 года назад

If I were you I would focus on strengthening the muscles around the knee, especially the hamstrings and VMO. Here is a link to a playlist of my videos that may be helpful ru-vid.com/group/PLqvttwjy17BljaeBsQ9WZubAg1mQeZHpz

@mariacolwell6716 3 года назад

Hi I was diagnosed with a Sprain of anterior cruciate ligament of left knee also bone contusion from twisting my leg falling in the shower my knee has been in a bent range stuck how can I help get my leg to straighten out any tips would help fyi this happened in the first week of December and im currently still dealing with this how long will this last

@drdozellodc 3 года назад

If I were you I would see a medical professional, ask for an MRI and ask for a referral for knee rehab.

@georgizafirov5011 3 года назад

hi doctor i have acl stretch on my knee thatt i hade surgery on i have no pain i can run i can jumps but i feel my knee litle wierd can i still play contact sport with strengthening the quad ?

@drdozellodc 3 года назад

If I were you I would focus on building overall strength and stability in my knees.

@Mail4U2018 3 года назад

Hello doctor, I have a ACL sprain, it's almost a month. Still how much time does it take to get complete recovery. What is the performance in sports after recovery. Plz reply.

@drdozellodc 3 года назад

Great question. Many factors are involved in the time it takes for a complete recovery so it is impossible for me to answer your question. Start your rehab at your current level and increase intensity in small, gradual, calculated increments.

@Mail4U2018 3 года назад

@@drdozellodc thank you very much doctor

@drdozellodc 3 года назад

You're welcome

@ruaigurin1137 3 года назад

Hey Dr Great video very helpful tips especially on believing yourself. I’ve done my acl in 2016 made full recovery. Last week I’ve played 2 games of basketball Sunday and Monday the following day my knee was swollen and I couldn’t walk for almost a week Can you give me advice I’m all the way in Australia can’t travel to you atm haha

@drdozellodc 3 года назад

Thanks, I appreciate the feedback. If I were you I would apply ice to help lessen the swelling. Here is a link to a blog article I published with application techniques for cold therapy www.championshipchiropractic.com/wordpress/spine-health-cold-therapy/ If I were you I would focus on exercises that strengthen the muscles around the knee joint, especially the hamstrings. Here is a playlist of my videos that may be helpful ru-vid.com/group/PLqvttwjy17BlSIlZDUyFS1VeYQXJ7fQmC

@prachinavik8149 4 года назад

Hii doc.. hope u r well. I was wondering if I have acl sprain can i do cycling? And does it helps? Or make things worse

@drdozellodc 4 года назад

If I were you I would follow this general rule. If an exercise elicits or intensifies symptoms, avoid that exercise.

@pigheartsmith2218 2 года назад

I know you can’t answer detailed medical questions on here but here’s a general one. If a patient is a 22 year old college wrestler and has taken 6 weeks off for a mild acl sprain but only feels about 90% recovered would you say rest a bit more or start to ease back into the season ? Not sure if At risk to actually tear it this time. If you can’t answer that what is the average recovery time for an mild acl sprain ?

@drdozellodc 2 года назад

If I were you I would rehab for a bit more to make sure I am closer to 100% to lower the risk of re-injury.

@pigheartsmith2218 2 года назад

Ok god bless, thanks doc!

@drdozellodc 2 года назад

You're welcome

@kraken4260 3 года назад

Hey doc I don't know if it's a tear or no but my feet has gone flat when I plant it on floor after the knee injury from a quad strengthening stretch. So I doubt was it a sprain or tear. Knee is extremely wobilly. I had locked knee for a couple of dys N that's it. So what do I do if theres no pain at all but I'm not able to walk properly due to instability in the knee as if it seems there's no grip at all.

@drdozellodc 3 года назад

If I were you I would schedule an appointment with a medical professional for evaluation. I would also try non-weight bearing motion exercises for the knees.

@kraken4260 3 года назад

I did but I was diagnosed with patellofemoral syndrome. With no pain at all. Knee is wobbly tho

@drdozellodc 3 года назад

If I were you I would attempt non-weight bearing motion exercises for the knee.

@studywithsanjay3101 3 года назад

Siir AcL sprain how will recover faster

@drdozellodc 3 года назад

Great question. If I were you I would start rehab immediately. Start at your current level and progress in small gradual calculated increments.

@pigheartsmith2218 2 года назад

Doc When am I safe to return to wrestling practice? I Am 22 and had a Mild ACL sprain, it’s been 6 weeks of rest but I only feel about 90% better. The knee feels sketchy at times when walking. Is there a huge risk of fully tearing it or would I be able to return to practice ?

@zaunso03 3 года назад

Hey doc, I think I’ve sprained my acl. My heel can’t touch the back of my thigh in a full leg bent motion without feeling pain. When I’m doing squats my knee pops. It happened around June and since then it’s been getting a lot better I assume. I don’t want to go get it checked out in fear of them putting me in the system and disqualifying my chances for the military.

@drdozellodc 3 года назад

Here is a playlist of my videos that may be helpful ru-vid.com/group/PLqvttwjy17BlSIlZDUyFS1VeYQXJ7fQmC

@zaunso03 3 года назад

@@drdozellodc okay thanks, and just to be correct, workouts on that playlist are specifically for improving an acl sprain?

@drdozellodc 3 года назад

Good question. The exercises in the video are not specifically designed for ACL injuries. They are informative videos and lower extremity exercises that will help to strengthen and stretch the lower extremity muscles and joints.

@zaunso03 3 года назад

@@drdozellodc thanks again for all the help doc, bless you

@ahmedobaidat9337 6 лет назад

Hello doctor If you allow me to present my case I am male 29 years old I have history of left knee trauma and exactly at the inner side of the left knee after that I had pain and swelling that subsided after 2 weeks Aftee rhat I had increasing knee pain and swelling from mild to moderate that stabilized afterwards then iad 2 mri images 6 months apart and both of them said that there is effusion and bone contusion and otherwise nothing abnormal I had tried over the counter medications and ice packs and physiotherapy without any benefits Can I ask you about your opinion And if my disorder is just physiological event Thank you

@drdozellodc 6 лет назад

Hi Ahmed. Thanks for watching my video & for the question. It is important to get your knee problem solved now so it will not create issues in the future. It is impossible to give specific advise for your condition but I can give you general advise. 1) You may consider an Upright MRI. Here is an article I had published in 2013 about Upright MRI. lasvegas.informermg.com/2013/05/11/advantages-of-upright-mri/ This may provide you additional information. 2) When getting therapy ask as many questions as you can so you can apply the knowledge to your rehab when you are finished with physiotherapy. 3) I recommend you see a Doctor of Chiropractic who specializes in Sports Injuries. Chiropractic treatment to the low back, pelvis & lower extremities may help your knee condition. 4) Be patient, be diligent & be consistent with you recovery efforts.

@drdozellodc 6 лет назад

Please feel free to contact me with further questions & best of luck

@ahmedobaidat9337 6 лет назад

Dr Donald A Ozello DC thank you so much

@drdozellodc 6 лет назад

You are very welcome. Please keep me updated on your progress.

@subathragopi5993 4 года назад

Hi Doctor, IAM subathra 33yrs... My MRI observations are as follows Evidence of intraligamentous altered signal intensity showing edema changes and mild discontinuity noted involving anterior cruciate ligament - probably low grade partial tear/ sprain of ACL Evidence of edema changes with surrounding fluid signal intensity noted involving lateral colleteral ligament- LCL sprain grade 1 Evidence of subchondral altered signal intensity with bone marrow edema changes noted proximal tibial condyle, predominantly on lateral aspect- probably bone contusion Thin linear vertical hyperintensity noted involving posterior horn of lateral meniscus. Probably vertical tear of lateral meniscus. Moderate knee joint effusion noted Sir please suggest me if my condition can heal on its own or surgery recommend. Waiting for your valuable suggestions. Thanks in advance

@drdozellodc 4 года назад

I apologize but I can not answer this question. You need to discuss this with your medical professional. If I were you I would ask several local medical professionals their opinion.

@jeevanmahtani5971 4 года назад

Hi Doctor, thanks for this video, it was very informative. If you'll indulge me,I went for an MRI and was told I have knee synovitis and an ACL sprain in the right knee. Nothing severe according to my orthopedic specialist. Just inflammation of the fluids at the sides of my knee. No visible swelling, the pain is like a 'locking of the joint' kind of pain that's sharp when I bend the knees or ascend/descend stairs.. For context, I lift weights about twice a week and run 3 times a week. My knee pain began when I completed a 12.5km run. Was advised to keep out of the gym for a bit. However now I'm scared to put weight on my knee in fear of it buckling. What simple exercises could I do now to strengthen my legs while recovering and does RICE work?

@drdozellodc 4 года назад

Hi Jeevan. Thanks for the question. If I were you I would definitely use RICE. I would start performing simple non-weight bearing range of motion exercises through a pain free range of motion. Even if the pain free range of motion is extremely small.

@eggprantful 3 года назад

Im going through the same thing. What's your update?

@sannujoshik 4 года назад

Hi doctor, I'm Sannu, dancer Late 10months I have injured my right knee will dancing. This my report in MRI SCAN IMPRESSION Grade I ACL sprain Minimal joint fluid. Mild intrasubstance hyperintensity is seen in anterior cruciate legament. Fiber alignment is intact. This what my report had given, I have consulted various doctor, but pain is still there,tell me some suggestions to cure please help me?

@drdozellodc 4 года назад

If I were you I would see a doctor who specializes in Sports Injuries. Here is a playlist of my videos that may provided you with useful information ru-vid.com/group/PLqvttwjy17BlSIlZDUyFS1VeYQXJ7fQmC

@devton8679 3 года назад

Hi bro,please update your problem.. did you recover well? What kind of exercise did you do.. please update.

@cmpunk22901 2 месяца назад

Hello doctor... Please reply me ... I have grade 1 acl sprain from last 3.5 years... I have done physiotherapy... Still no improvement... I can't walk like before...i have Instability in my knee... And when i try to do a sit up ... I feel ligament moving little bit in knee.... What should i do ??... Please help doctor... I am helpless

@drdozellodc 2 месяца назад

If I were you, I would work with a rehabilitation specialist to formulate a rehab plan that begins with isometric exercises and non-weight bearing motion exercises. Then I would advance to non-weight bearing strengthening exercises and proprioception exercises. Next, I would advance to weight bearing exercises.

@cmpunk22901 2 месяца назад

@@drdozellodc sir these exercises have to be done for lifetime or just till recovering?

@drdozellodc 2 месяца назад

@@cmpunk22901 When rehab is complete, I would continue to perform exercises that strengthen the entire following extremities with a focus on the muscles that cross the knee joint.

@cmpunk22901 2 месяца назад

@@drdozellodc sir but my question is... Can't we permanently fix this acl ?

@drdozellodc 2 месяца назад

@@cmpunk22901 If I were you, I would continue to be consistent and diligent with my rehab. I would education my self on the strategies and techniques to rehab my injury.