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Advanced Chiropractic

3150 South 6th St

Klamath Falls, OR 97603 US

(541) 273-5433

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  • ACL Injury and Chiropractic

ACL Injury and Chiropractic

  • Created in Newsletter Library
ACL injury

The knee is a hinge joint and stability is provided by the large thigh muscles (the quadriceps and hamstrings), the cartilaginous medial and lateral menisci, the medial and lateral collateral ligaments, and the anterior and posterior cruciate ligaments. The cruciate ligaments are located within the knee joint and provide front-and-back stability to the knee. Specifically, the anterior cruciate ligament (ACL) helps prevent the shin bone (tibia) from sliding too far forward with respect to the thigh bone (femur). The cruciate ligaments also provide rotational stability to the knee.

The cutting maneuver, in which the foot is planted, the knee is flexed, the thigh is internally rotated, the shin is externally rotated, and with subsequent powerful contraction of the quadriceps is a position of vulnerability for the knee. Cutting maneuvers are common in sports such as soccer, basketball, football, and lacrosse. Cutting maneuvers may also be utilized in daily life, such as with the need to suddenly bend and twist the lower body.. Sudden, unanticipated cutting maneuvers may result in knee injury. Structures that may be damaged include the medial meniscus, the medial collateral ligament, and the ACL. This complex of injuries is known as O'Donaghue's triad. If there is significant joint swelling post-injury, it is likely that the ACL has been severely sprained and possibly ruptured.

Prevention is always the optimal policy, as third-degree ACL sprains (torn ACL) typically require ACL reconstructive surgery. Postoperative rehabilitation includes progressive physical therapy and at-home exercise. This recovery period usually ranges from 8 to 12 months.

Prevention of ACL injuries involves flexibility routines and lower extremity strengthening exercises. Flexibility activities may include yoga, Pilates exercises, and regular stretching of the quadriceps, hamstrings, and calf muscles. Lower extremity strength training includes squats, lunges, quadriceps extension, hamstring curls, calf raises, and toe raises. A primary result of an ongoing flexibility and lower extremity strength training program is optimization of knee proprioception, that is, increased neurological activity of the knee joint regarding its positioning in 3-dimensional space. Enhanced proprioception will help distribute cutting maneuver physical forces around the knee joint more effectively, reducing the likelihood of injury. As well, flexibility and exercise programs provide resilience and increased strength to the musculoskeletal structures comprising and supporting the knee.

Regular chiropractic care provides necessary support for both knee injury prevention programs and postoperative recovery. By detecting and correcting sources of biomechanical dysfunction and nerve interference, regular chiropractic care helps create a physiological environment by means of which you and your family can obtain the greatest benefit from your exercise activities. In the same way, if ACL reconstruction ever becomes necessary, regular chiropractic care helps assist the effectiveness of the recovery program and helps your body achieve the greatest benefit from rehabilitation protocols.

Benjaminse A, et al: Revised Approach to the Role of Fatigue in Anterior Cruciate Ligament Injury Prevention: A Systematic Review with Meta-Analyses. Sports Med. 2019 Jan 18. doi: 10.1007/s40279-019-01052-6. [Epub ahead of print]

Biscarini A, et al: Knee flexion with quadriceps contraction: A new therapeutic exercise for the early stage of ACL rehabilitation. J Biomech 49(16):3855-3860, 2016

Smeets A, Malfait B: Is knee neuromuscular activity related to anterior cruciate ligament injury risk? A pilot study. Knee. 2018 Nov 8. pii: S0968-0160(18)30903-30907, 2018. doi: 10.1016/j.knee.2018.10.006. [Epub ahead of print]

  • Wellness Lifestyle Tips
    • Eat Well
    • Treat Others Well
    • Treat Yourself Well
  • Wellness Essentials
    • At Home
    • Nutrition
    • What You Wear
    • At Work
    • Exercise
  • Life is Motion
  • Healthy Thinking
    • Get Positive
    • Relaxation Techniques
  • Chiropractic Techniques
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  • Wellness4Kids
  • Wellness Perspectives
    • Spiritual
    • Physical
    • Mental
    • Social
  • About Chiropractic Care
    • Who is Chiropractic For
    • Vertebral Subluxation
    • What is Chiropractic
    • How Does it Work
    • Wellness Resources
  • We May Help You With
    • Improved Health
    • Back and Shoulder Pain
    • Headaches
    • Herniated Discs
    • Conditions Affecting Women
    • Body Pain
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    • Pediatric Ailments
    • Repetitive Use Injuries
    • Auto Accident Injuries
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  • Newsletter Library
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  • "I've been going to Dr. Yewchuck for many years. He's always been able to get my stubborn neck and back aligned every time when other Chiropractors can't. I would trust Dr. James any time when it comes to my Chiropractic needs. He adjusted my neck 2 days after having surgery and was very careful getting me on and off the adjustment table. I now live in the Rogue Valley and anytime I'm in Klamath Falls and need an adjustment his office staff always gets me in within minutes of going to the office. Dr. James and his staff are very professional and caring about your individual needs. Can't wait to use his new equipment! I would recommend Advance Chiropractor to anyone."
    Denise Alder Walker
  • "I don't know where I'd be if it hadn't been for James and his staff.....After a fatal MVA, he was able to find the injuries that neither the ER nor our doctor could at the time. He efficiently and effectively planned a course of action that got me back on the path of recovery. He's compassionate...he has knowledgeable, professional, and friendly staff. I'm proud to know him and the gals in his office.... He can certainly help you...I have no doubts about that."
    Lynn Tanner

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