Physiotherapy clinic in Tambaram Are you Lookin...

Physiotherapy clinic in Tambaram Are you Looking for Physiotherapy Treatment in Tambaram, Sunshine Super Speciality Physiotherapy Clinic, We Provide Electrotherapy, Exercise and Manual Therapy, Orthopedic, Neuro, Cardio, Pediatric, Sports and Geriatric Rehabilitation, Post Operative Physiotherapy Treatment, Fracture Rehabilitation, pain free movement. ANTERIOR CRUCIATE LIGAMENT (ACL) TEAR 🦵 Diagnosis , Rehabilitation 🔹 Main stabilizer of knee 🔹Primary function: resisting hyperextension and anterior tibial translation in fl exion, some rotator control 🔹Tears result from rotational twisting, pivoting, valgus motion, or hyperextension force that overcomes strength of ligaments. 🔹 Most commonly from a sudden deceleration during high-velocity movements in which a forceful contraction of the quadriceps is needed. 🔹 Can also occur with tears of meniscus or medial collateral ligament. Anatomy : 🔸 Origin: anterior base of the tibia to the postero lateral corner of the inter condylar notch of the femur Symptoms : 🔶 Sudden pain and swelling 🔶 Giving way of the knee, buckling, or locking 🔶 Audible pop 🔶 Instability of knee ⏩ Physical Exam : 🔹 Inspection: acutely swollen ( first 24 h) 🔹 ROM: limited due to swelling and guarding 🔹 Sensation: intact 🔹 Provocative Maneuvers 🔹Lachman test—knee flexed at 25°; forward translation of tibia while femur stabilized. Increased motion of tibia with no solid endpoint indicates a tear of ACL 🔹Anterior Drawer test—knee flexed 90°. Anterior translation oftibia on femur. 🔹 Pivot-Shift test—reproduce anterolateral instability by internally rotating the leg applying a valgus stress to the knee as it is flexed (looking for anterior migration of the tibia on the femur) Imaging : 🔹 Radiographs: AP, Lateral, Tunnel View 🔹 MRI: most sensitive 🔷 Treatment: 🔹 Initially rest, ice, compression, elevation, crutch walking 🔹 Analgesic or anti-in fl ammatory (Naprosyn 500 mg po Bid × 5 days with food then prn afterwards) • 🔹 Sterile aspiration if knee effusion present 🔹 Knee immobilizer or range-of-motion brace (ex. DonJoy Knee Braces) 🔹 Surgery is the definitive treatment for younger patients (may not be needed in older patients who lead a more sedentary life). An ACL-deficient knee has a high incidence of instability in an active knee and can lead to further meniscal injury, articular injury, and degenerative changes if untreated. 🤔 Rehabilitation Program : 🧏‍♀️ Initial Phase 🔹 Goals: Allow tissue healing, reduce pain/inflammation, increase ROM 🔹 Modalities: cyrotherapy, E-stim 🔹 Equipment: Knee stabilizing brace—Early weight-bearing attempts with brace 🔹 ROM: AAROM flexion and extension while patient in sitting position , maintain ROM is important prior to surgery to avoid arthro fibrosis 🔹 Strengthening: Static quadriceps and hamstrings exercises 🔹 Bicycle/Pool exercises—general conditioning 🔹 Start Neuromuscular and Proprioceptive retraining 🔹Crutch Ambulation ⏩ After (2–8 weeks) 🔹 Goals: obtaining normal AROM, and muscle balance 🔹 Modalities: Superficial heat, pulsed ultrasound, E-stim 🔹ROM, flexibility exercises 🔹 Strengthening: Dynamic lower extremity strengthening 🔹 Closed kinetic chain exercises, multi-planar lower extremity 🔹joint exercises 🔹 Gradual return to sports-specific training with functional bracing ⏩ After Reconstruction: 🔹 Goal: Maintain ROM and strength 🔹 Modalities: Cryotherapy, compression, and elevation to reduce swelling and pain 🔹 ROM (most often patients lose more extension than flexion). AAROM in knee flexion and extension while patient is in sitting position 🔹 Strengthening Exercises: Strength program including initial Isometric Quadriceps and Hamstring exercises for first few days progressing to closed chain kinetic exercises followed by dynamic and open chain exercises weeks later SUNSHINE ® SUPER SPECIALITY PHYSIOTHERAPY CLINIC - #DrParthiban #Sunshinephysioclinic.in #Physiotherapyclinicintambaram DR.M.P. PARTHIBAN.M.P.T (Ortho), Chief Orthopedic Physiotherapist, Call for Appointments: - 9345122177 East Tambaram, CHENNAI