This is a problem for many people in all areas of medicine and with improvements in internet access telemedicine is increasing. There haven’t been too many studies on comparing the quality of these services as far as physical therapy is concerned. However there has been on recent study by Moffat […]
I have good news for you. According to a recent study conducted by Moffat et al there is good evidence that there is no down side to having your at home physical therapy provided via the internet and video. They showed no significant difference at four months after hospital discharge […]
One of the most important things to consider when having an ACL reconstruction is what tissue to use as the graft. In a recent article out by Lynch et al there is some data about this from the Multicenter Orthopaedic Outcomes Network, which is a large, multi-center, collection of data […]
Borchers et all studied meniscus and cartilage injuries in primary ACL and revision surgeries through the Multicenter Orthopaedic Outcomes Network and the Multicenter ACL Revision Study. This research found that meniscus injuries are the most common additional injury found in both primary procedures and revision. Having history of meniscectomy is […]
A review of studies by Ron Clijsen, PhD, et al, found strong results for utilizing Physical Therapy exercises as an effective strategy to help reduce knee pain and boost functional performance.
The causes for pain behind the knee cap can be coming from any number of problems or multiple issues combined. Getting your legs assessed by a trained movement assessment specialist for possible faulty alignment issues in the leg joints,insufficient muscle strength, sport training errors, and overly tight muscles is a […]
Just because you tear your ACL does not mean you need surgery. There is a percentage of the population that are able to “cope” and use their muscles to stabilize their knee during activities. The decision to have surgery or not have surgery is ultimately yours to make, but you […]
The type of repair and coinciding damage as well as how well you do with rehabilitation all ties into how long a full recovery will take. Surgeons recommend physical therapy for a minimum of three months and as much as six months following reconstruction. They also do not recommend full […]
A machine called a KT2000 arthrometer is used. The machine can be set to output a certain amount of force (in this study 134 Newtons, which is about 30 lbs. of force). It slides the tibia (lower leg bone) forward in the knee joint and measures the amount of movement.
Just because you have hyperextension in your knees does not mean that you will tear your ACL. THe research shows that you are at a higher risk for sustaining an ACL tear than a person who does not have knee hyperextension. If you are concerned about your knee hyperextension, speak […]
There have been many ACL injury prevention programs and screening tools developed in the past decade as participation in youth sports is on the rise and the number of ACL injuries is also on the rise, particularly with young females. Some research estimates that return to sport after ACL rupture […]
There is never a guarantee that you can prevent any injury, but there are certainly steps that you can take to minimize your risk. As an young athlete, there are screening tools available that include specific jumping and cutting tests to identify if your biomechanics are such that you are […]
Have a list of your specific goals that you want to be able to do after the surgery, ask why a particular surgical procedure is being offered to you over a another option, ask what recovery is like and how to prepare for it. This will help your doctor and […]
You need to look closely at the different options available in your area. You may need to meet with different physicians to find the right option for you.
There is no guarantee of success, and not all physicians are using this technique yet, but it might be something to suggest if you are trying to avoid or delay an invasive surgery. PRP is hypothesized to improve the bodies’ own natural mechanisms for healing cartilage. So if the reason […]
OA knee valgus braces help to alleviate the compression that occurs at the inner knee joint line that results in a lot of knee pain typical of OA. Sometimes patients see good relief with these braces and sometimes not. The current treatment guideline for knee OA found evidence to be […]
The current treatment guideline for OA, based on a recent literature review by the American Academy of Orthopedic Surgeons, strongly suggest that you keep up with a good gym program to stay strong, keep unnecessary weight off, maintain heart health with a low-impact aerobic activity (like biking), and correct any […]
You should take into consideration your age as there seems to be a higher rate of failure with a total knee in person younger than fifty, that the total knee may wear-out over time, activity level you are at, the activity level you want to return to, other health issues […]
Currently, there is not one known reason why people under fifty are at a greater risk for revision under one year after their total knee surgery. More research is needed on this topic.
An autologous chondrocyte implantation is a two-step procedure. The first portion involves harvesting cells from cartilage in your body and then growing them in a lab until there is enough for the repair site. The second step involves the actual placement of that tissue. An osteochondral allograft transplantation (OCA) is […]