Anterior Cruciate Ligament (ACL) Surgery Unnecessary

After injury to the anterior cruciate ligament of the knee (ACL) it is common to be told that surgery is the only way to restore function. Is it?

Ninety percent of ACL injuries in the U.S. are treated with surgical reconstruction. A study reported in the Dec. 15 issue of Arthritis & Rheumatism found that, "Two to five years after treatment, patients had similar muscle strength and function whether they had training alone or with surgery." The study concludes, "Reconstructive surgery is not a prerequisite for restoring muscle function." That means you can have good results with good rehab and without surgery.

A second question is development of ostoarthritis following ACL injury. Poor knee stability increases risk of developing arthritis. Studies tracking results for years following the surgery are finding that surgery "adds no benefit over rehabilitative training alone" and that surgery is done, "despite an absence of evidence to suggest that reconstruction of the ACL prevents or reduces the rate of early-onset osteoarthritis." That means you don't need the surgery to prevent possible future arthritis.

A persistent myth is that supportive shoes prevent injury, when they are commonly a source of leg tightness and knee pain. You may do rehab for an ACL injury but still have pain, and think the pain is from the ACL injury when it may be from hard "supportive" shoes. Another common myth is that knee injury comes from "muscle imbalance" in the thigh from too much strength in the quadriceps muscles over the hamstring muscles. The strength of a muscle does not make you move it. That means you control whether you overstraighten a knee or not. It is a use issue, not a strength ratio. Click the articles below for issues of quadriceps to hamstring ratios, injury to the ACL and other knee structures, and healthy ways to fix them.

You don't have to have ACL surgery to rehab a knee injury.

Fitness Fixers for Fixing Knee Pain Without Surgery:

• What Works Better Than Knee Surgery?
• Healthy Knees
• Daughter's Love Saves Parent's Knees
• Inspiring Update from Jill - Celiac, Knees, Fasciitis, and Restoring Happy Life
• You Can Fix Your Own Knees
• Prevent Knee Pain When Rowing
• Free Exercise and Free Back and Knee Pain Prevention - Healthy Bending
• Why So Many Aerobics Injuries?
• Walking Softly Benefits Olympic Wrestler
• Save Knees When Squatting
• Arch Support Is Not From Shoes
• Strengthen Legs Without Knee Pain - Standing Lunge
• Down the Stairs
• Better Exercise on the Stairs
• Most Helpful Olympic Advice So Far

Meniscus. Coming Next:

• Surgery for meniscus repair found to be not needed to restore function or prevent later injury - Surgery for Knee Arthritis, Meniscus, Unnecessary.

Hamstring to Quadriceps Ratio:

• Hamstring to Quadriceps Ratios Not the Answer in Knee Injury

Helpful Books, available from my BOOKS page - www.DrBookspan.com/books:

• Fix Your Own Pain Without Drugs or Surgery
• Health&Fitness - How To Be Healthy Happy and Fit For The Rest of Your Life. THIRD edition.

Labels: anterior cruciate ligament/ACL, fix pain, injury, knee, leg strength, practice of medicine, surgery

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