What is an ACL, or anterior cruciate ligament injury?
One of the most common types of injury high-performance athletes suffer from is ALC (anterior cruciate ligament injury), which if not treated properly may complicate and require knee replacement in Mexico. So you may get to know more about this injury, its diagnosis, and treatment, we will dedicate this blog entry to talk more about the subject.
The crossed ligaments are found inside the knee joint, forming an x. Their importance lies in the fact that they prevent the tibia from going out of its place, it controls the forward and backward knee movements and it provides rotational stability to the knee, therefore, a knee injury may cause mobility loss and requires specialized medical attention.
An anterior cruciate ligament injury happens as a result of direct or indirect trauma, which affects them almost exclusively, causing a partial or total ligament rupture and other ligaments, like collateral, crossed and posterior, and the meniscus. Even though we already mention it, people who practice high impact sports like volleyball, soccer, and basketball are at a higher risk of suffering these types of injuries, any person can suffer from this injury if he experiences knee traumatism or performs a movement which can damage the ligaments.
Some causes for this type injury may include changing direction abruptly, coming to a total sudden stop, decelerate when running, a bad landing after jumping, or receiving a direct impact on the frontal part of the knee. These abrupt movements generate forces within the knee like violent hyperextension, harsh internal or external rotation, which damage this ligament.
The symptoms related to this injury may include hearing a crack sound at the moment the damage happens, along with the sensation of losing controls over the knee and loss of support, however, this depends on the severity of the injury and the pain it causes, which sometimes can go from minor to mid. Swelling and pain are the most common symptoms which manifest within 24 hours after the injury, sometimes these symptoms may go on their own; nevertheless, it is important to stress that without proper medical treatment you are at the risk of suffering the same injury along the road and go through a bad recovery process. Another symptom is mobility loss at the knee, pain when applying pressure at the knee and discomfort when walking.
If the injury is severe, it is vital to seek immediate medical attention, even in cases were only minor to mild pain is present, this-this helps to prevent further injuries, and the ligament´s slow and progressive wear. At the specialized clinic, the doctor performs a series of examinations to find out the severity of the injury, and determine the most proper treatment to follow, to treat the knee injury.
The specialist begins by gathering the patient´s complete medical history, evaluating any pre-existing conditions and any risk factors; followed by examining the injured knee structure, and then compares it to the uninjured one. Once he manually examines the knee, he proceeds to run an anterior drawer test, Lachman and Pivot shift, of which we will discuss on a later blog entry. Other tests are performed, like arthrocentesis, X-rays, to determine if the injury is associated to any bone fracture, an MRI, even though it is rarely ordered, sometimes it is performed to confirm a cruciate ligament tear diagnosis.
There are two options to treat a ligament injury, a conservative one and a surgical one. It is up to the specialist to determine which one is best suited for you, based on the severity of the injury, the patient type and your overall state of health. When a ligament tear occurs on young people and athletes, the specialist goes for surgery. This is because with a conservative technique the wound healing process is slower; however, trough surgery the ligament rupture is immediately repaired. Therefore, the traditional methods are often recommended for less active patients, who present an isolated injury. This comes at a risk, often times through conservative techniques you may not recover the optimal physiological joint movement and generate premature wear.
Conservative treatment includes the use of orthopedic and movement restricting device to avoid overloading the knee, for which, crutches are also recommended. Once the swelling has gone down the patient starts a rehabilitation program, rehabilitation therapy and exercises are prescribed which were designed to give mobility back to the knee joint and to straighten the leg muscles in charge of keeping it straight. Besides the physical exercises, a muscle reeducation program is suggested to improve balance; this program may be complemented with orthopedic stem cell therapy Mexico to enhance the recovery process.
On the other than, the surgical treatment´s goal is to repair the anterior cruciate ligament using a tissue graft, it may be from the patellar ligament, the hamstring ligament, semitendinosus or the fascia lata. Before undergoing this surgery, patients must receive some physical therapy sessions to reduce pain and swelling. The surgical procedure is done arthroscopically, which is a less invasive method. Small incisions are made arthroscopically for the reconstruction process.
After the surgery Is over, it is necessary to follow a rehabilitation program to recover mobility, and straightening the muscles. Rehabilitation programs both in the case of an operation or a conservative treatment vary in time which depends on several factors, like the patient´s age, the injury´s severity, the number of sessions; duration and type of techniques employed are determined by the physical therapist in charge of the rehabilitation program.
Some doctors recommend not to move the knee after a surgical procedure, but usually, it is recommended to start with rehabilitation exercises and electric stimulations to avoid muscle and ligament atrophy, especially the quads. As we just mentioned, the rehabilitation program steps for a patient´s recovery vary from a patient with a cruciate ligament Injury vary, but generally have the same goals, like alleviate pain, and muscle reeducation especially in patients who are athletes.
It is important to consider that if you do not follow a proper treatment and continue overloading the ligament, there may be complications, like developing arthrosis, which is marked by the damage it causes to the knee joint cartilage, which generates friction between bones and for them to wear further off. Without proper treatment, arthrosis may develop to a point where you´ll require a knee replacement in Mexico to give the mobility back to the knee.
If you require a knee replacement in Mexico, at an excellent price, then here at Health & Wellness Bazaar, we are your best option. We have a team of experienced professional qualified for this procedure. You may rest assured knowing the procedure is safe and will allow you to recover your health.
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