Doctor insights on:
Full Thickness Acl Tear
Depends: If the ACL has not retracted, it may heal on its own, sometimes it does not. When it does not, then physical therapy and braces can be used to strengthen the knee overall. If you are not a very active person this may be just fine, however ACL replacement surgery is an option. If you do not want surgery than stem cell therapy can be used to heal tissues/ligements. Check out Regenexx. Com. ...Read more
If you have a full thickness ACL tear and I am a 3 sport athlete is the best option to get surgery or no?
Yes: It is highly unlikely you would be able to continue any substantial athletic activity with an "ACL deficient" knee. The ACL is one of the primary stabilizers of the knee joint. ...Read more
I just recieved my MRI results I have a full thickness ACL tear will that heal on its own or will I need surgery?
No it will not heal: The acl when get torn, dose not healed by itself and need to be reconstructed, because of the nature of the blood supply of this ligament. ...Read more
MRI 1 = full thickness ACL tear no meniscal damage MRI 2 (10 mnth on) = NO ACL Damage, meniscal tear. Is this at all possible. No injury since.?
Very confusing-: -were the MRI's done on the same machine & interpreted by the same Radiologist? If different that could cause the confusion. Also the slices on the MRI are subject 2 table positioning as well as how thick the slices were an MRI with images every 5mm looks different from 2 or 3mm slices. Someone should compare the scans side by side, preferably by a different Radiologist. ...Read more
I've partial thickness ACL tear along its femoral attachment. I'm 19 years old and a sportsman too I can't run from almost last 3 month. Please help
See a specialist: Partial ACL tears do happen but are very uncommon. Often a radiologist will make that diagnosis but does not mean it is correct. See a Sports Orthopedic surgeon who can give you a correct diagnosis based on the MRI and a good exam. Even if it is torn, pain is uncommon with running after 3 months. There may be more going on. ...Read more
Docs Please tell, does partial thickness Acl tear with preserved ligaments attachment, heal completely with rest, rehab & medication without surgery?
It still have time:
The natural history of an acl injury without surgical intervention varies from patient to patient and depends on the patient's activity level degree of injury and instability symptoms.
Complete acl ruptures have a much less favorable outcome. After a complete acl tear some patients are unable to participate in certain sport. Sometime other injury associated with acl tear.
Advise to have arthoscopy. ...Read more
Sportsmed specialist: Conservative estimates are that between 100, 000 and 125, 000 acl surgeries are done in the us each year and most of these complex surgeries are done by surgeons who do less than 10 or 12 per year. The success rate of he surgery even in the best hands is about 90%. Surgeons who are fellowship trained in arthroscopy and sports medicine have additional experience in dealing with these injuries. ...Read more
In line exercises: With an acl tear, you can continue to exercise. However, you should stay away from any twisting, turning, rotational or lateral movements. Stay with in-line exercises such as elliptical, leg press, cycling, spinning, knee extension, hamstring curls, lunges, squats and walking. ...Read more
Ligament tear: A ligament connects bone to bone. So if you have a torn ACL, there result is instability between the two bones that comprise the knee joint. ...Read more
Depends: If the ligaments are lax, a combination of prolotherapy and stem cell treatments can help to get them strong again. Obviously, you will need to do your part in physical therapy and exercise in order to get the best results. Look into Regenexx, they have the best system for treating these things with stem cells and have different options. They even discuss optimal medicines and foods for healing ...Read more
Depends: Following an ACL reconstruction post tear, the rehab usually involves three months of regular physical therapy, then some follow up as needed. Our physical therapist then will do a three month sports/functional test to see whether you can be discharged from pt or if you need to continue. Overall, it take a whole year for the graft to mature, so some pt may be needed off and on during that year. ...Read more
U can't, but: U can't " prevent " an acl tear but there are things that u can do that may help from sustaining a second one. (this applies to your reconstructed and acl intact knee): keep your quads strong; work on your balance / coordination ability (proprioception) and possibly avoid contact sports (if that's possible). Best of luck! (acl bracing? Not effective).... ...Read more
ACL Reconstruction: Yes, you can still have an acl reconstruction. Acl tears do not heal on their own & having it replaced can help you maintain a healthy/ active lifestyle in the years to come. The acl is a major knee stabalizer, and can provide security to your knee that may prevent further damage to nearby tendons, ligaments, muscles, articular cartilage, meniscus, & bones when compared to a "loose knee" ...Read more
Effusion (swelling): An acl tear can often include an mcl tear that occurs at the same time. An acl tear generally causes bleeding in the knee joint caused by tearing the blood vessels around the acl. This causes a very fast swelling of the knee joint (usually without the hour). An isolated mcl tear usually does not swell inside the knee and causes pain on the inner portion of the knee, where the mcl tore. ...Read more
Sometime not much: It sometimes can be difficult to distiguish the two from symptoms patients experience alone. That is why a good physical exam is key to making the diagnosis. ...Read more
Instability.: Tears of either can make your knee feel unstable, but in different planes. The MCL tear will give you more pain over the inner side of your knee. ...Read more
I have complete ACL tear mid portion...I want to noe hw much time it will take it to recontruct...And will it recontruct naturally?
ACL: A complete acl tear will not heal itself. Acl reconstructions are done at all ages in active individuals. Full recovery from acl reconstruction can be 6 to 9 months if not a full year. It is not mandatory to fix the acl, but the knee will remain somewhat unstable which can lead to future injuries. Talk to your doc. ...Read more
Variable: Pain after an acl reconstruction is quite variable, and can depend on the technique, time in surgery, and graft choices. The actual acl reconstruction done with an all-inside technique in 30 minutes or less has very low pain levels, and many patients are able to walk within days of surgery. Techniques vary as do pain levels. Donating your own graft is much more painful than the acl reconstruction. ...Read more
How do you feel?: Partial acl tears generally do well with therapy. Meniscus tears may also do well but it depends on your symptoms, tear size/pattern, and several other factors. I generally go the conservative route first in most patients but some I do rec surgery first, such those with locked knees, complete acl tears and young athletes ...Read more
It's Possible: After any surgery, it takes time to heal from it. Most people with ACL repair surgeries will take 3-4 months to feel like the knee feels stable and stronger as the graft sets in. Obviously following your doctor's orders are key and when rehab starts follow it to a T. You will do just fine. If you are concerned talk to your doctor. If surgery not planned consider Regenexx Stem Cell Therapies. ...Read more
Lots of options: Sometimes it can be as easy as leaving it alone and doing some exercises to help the knee joint unload. Other times it might involve surgery. I would see an orthopedic surgeon to assess your status. There have been some recent advances in the stem cell therapy that might be helpful in healing the tear rather than cutting it out in surgery. Look into Regenexx. Com for the stem cell repair for ACL ...Read more
Probably: Partial and complete tears of the acl can also be associated with cartilage injury. If you have instability or other mechanical symptoms of catching or locking, persistent swelling, or joint line pain then high impact, twisting activities should probably be avoided. If symptoms persist, an MRI can help diagnose other internal knee injuries. ...Read more
I'm an elite soccer player with an ACL tear is there any way I can be back on the field in a month?
Depends...: Unlikely; however if your acl tear is isolated (no meniscus tear, etc.)and you have good " secondary restraints " in your knee (mcl, capsular ligaments)and your knee is still 'stable' when involved in hard, cutting sports (i.e.Soccer) then return to soccer w/ or w/o functional knee bracing then u might be able to... The chances for this scenario even in your age group are <30%.Best of luck! ...Read more
Was told I have an ACL tear in 04/2009 isn't any better still after pt. In 09 I fell/had an MRI & was told I have an ACL tear. They sent me to pt which didn't help. It isn't any better & hurts all the time. Had repeat MRI the other day which showed modera
Tears: Tears of the acl can be complete or incomplete tears. If there is an incomplete tear, there is a chance that it will heal. A complete tear however will not heal. If a complete tear is not repaired, then there is a chance that over time the knee will continue "grinding" on itself without the anterior cruciate ligament stabilizing it, and cause more damage. It would be important to know if the tear is a complete or incomplete tear. If a patient has an acl surgery, they most often go home the same day, with a 6-8 week recovery period depending on the patient's physical condition and the type of surgery. ...Read more
Yes.: Some people can function fairly well, despite having a torn ACL. This is generally the exception, and not the rule. ...Read more
Usually: It depends on your age, the physical exam findings, degree of degenerative changes on xray, and your activity level. ...Read more
No.: They are not related. To tear your ACL, you have to incur a traumatic injury to the knee. ...Read more
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