How To Test & Heal A Torn ACL Without Surgery

Summary

In this informative video, Dr. David Middoff, a specialist physical therapist, addresses the common issue of ACL tears. He reveals that MRI readings can be incorrect up to 40% of the time, leading to unnecessary surgeries. Dr. Middoff outlines three key signs to identify an ACL injury: clicking and popping, increased swelling with activity, and pain during a specific squat test. He also explains the different grades of ACL tears and advocates for natural healing methods, including wearing a supportive knee brace and strengthening exercises, as opposed to rushing into surgery. The video aims to empower viewers to take a more informed approach to ACL injuries, potentially avoiding invasive procedures.

Takeaways

• 🤕 MRI readings of ACL tears can be incorrect up to over 40% of the time, leading to potential unnecessary surgeries.
• 🧐 Three key signs of an ACL injury are clicking and popping in the knee, increased swelling with activity, and pain during a specific squat test.
• 🏥 The importance of seeking a professional diagnosis through an MRI and understanding the grades of ACL injury (Grade 1: mild sprain, Grade 2: partial tear, Grade 3: complete tear).
• 🛑 If you suspect an ACL injury, it's crucial to avoid aggressive testing or movements that could worsen the condition.
• 🦵 The role of a knee brace with metal brackets or hard plastic hinges in stabilizing the knee and facilitating natural healing without surgery.
• 💪 The necessity of strengthening the gluteal muscles to improve knee joint control and prevent future ACL injuries.
• ⏳ The healing process for an ACL injury can take time, often requiring the consistent use of a knee brace for six to twelve months.
• 📈 Wearing a knee brace consistently, as soon as possible after an injury, can significantly improve the healing process and confidence in the knee.
• 🚫 The potential downsides of ACL surgery, including infection, excessive scar tissue, loss of range of motion, and a lengthy recovery period.
• 💰 Considering the cost-effectiveness of using a knee brace compared to undergoing surgery, even when insurance is available.
• 🏋️‍♂️ The importance of aggressive strengthening exercises, especially focusing on the glutes, as part of the recovery process after the initial healing phase.

Q & A

What is the significance of an MRI in diagnosing a torn ACL?

An MRI is crucial for diagnosing a torn ACL as it provides detailed images of the knee's soft tissues, including the ACL. However, it's important to note that MRI readings can be incorrect up to over 40 percent of the time, leading to potential misdiagnoses.

What are the three signs that Dr. David Middoff suggests looking for to determine if you have an ACL injury?

The three signs are: 1) Clicking and popping in the knee, especially when off-weight, 2) Increased swelling with activity, indicating irritation and potential meniscus involvement, and 3) Pain or discomfort during a specific squat test that involves turning the feet inwards and squatting.

How does the ACL function within the knee joint?

The ACL, or anterior cruciate ligament, is a major ligament that connects the thigh bone to the shin bone. It helps to maintain the stability of the knee joint by ensuring that the bones are properly connected and prevents them from moving out of place.

What are the different grades of ACL tears, and what do they indicate?

There are three grades of ACL tears: Grade one is a mild sprain with minor micro-tears, grade two is a partial tear with a good chance of healing, and grade three indicates a complete tear where the ends of the ACL are not connected.

When is ACL surgery recommended according to Dr. David Middoff?

ACL surgery is recommended in two main situations: 1) For professional athletes whose livelihood depends on their knee's stability, and 2) If all natural healing methods have been exhausted and the condition is not improving or is worsening.

What is the role of a knee brace in the natural healing process of an ACL injury?

A knee brace, especially one with metal brackets or hard plastic and hinges, provides stability to the knee joint, preventing further stretching or damage to the ACL. It helps control knee motion and is critical for the healing process without surgery.

Why is it important to strengthen the gluteal muscles in relation to ACL injuries?

Strengthening the gluteal muscles is important because weak glutes can contribute to ACL injuries. Proper glute strength leads to better control at the knee joint, which can protect the ACL from future injury.

What is the potential downside of ACL surgery according to the video?

The downsides of ACL surgery include possible infection, excessive scar tissue, loss of full range of motion, and a lengthy recovery period that can take over a year before returning to normal activities.

What is the recommended duration for wearing a knee brace after an ACL injury?

It is generally recommended to wear a knee brace for six to 12 months, depending on the activity level and how well the knee is healing. However, Dr. Middoff's personal experience suggests that going beyond the initial two-month recommendation could be beneficial.

What is the '28 Day Knee Health and Wellness Boost Program' mentioned in the video?

The '28 Day Knee Health and Wellness Boost Program' is an online program designed to teach participants how to exercise their legs to improve knee health and wellness. It provides detailed guidance on strengthening exercises and proper movement techniques.

How can one determine if their knee brace is appropriately sized and positioned?

The knee brace should be snug and supportive without being too tight. A good indication that it's appropriately positioned is when the kneecap sits in the hole provided in the brace.

What is the significance of the inward squat test mentioned in the video?

The inward squat test is a simple self-assessment that can indicate an ACL injury. If pain or discomfort is felt during the test, especially after already experiencing clicking and popping or swelling, it could be a sign of an ACL tear.