ACL Injuries: Can Chiropractic Help Before Surgery? - Orthopedics

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Cruciate ligament


Hello Doctor: I injured my knee while playing basketball.
I went to see an orthopedic doctor who advised me not to bend my knee for six weeks.
Later, I visited a traditional Chinese medicine practitioner who suggested I could play a little basketball.
Unfortunately, I re-injured my knee, and the pain became very severe.
I queued for an MRI, but due to the high volume of patients, the doctor scheduled it for three weeks later.
During this time, I continued to see the traditional Chinese medicine practitioner, but the pain persisted, and my knee remained swollen.
The MRI results showed that I have a torn anterior cruciate ligament (ACL), and the doctor recommended surgery.
In the meantime, while waiting for the surgery, can I continue to receive adjustments? Will it worsen my condition?

kevin, 20~29 year old female. Ask Date: 2016/06/02

Dr. Shi Guozheng reply Orthopedics


It is better not to adjust the restrictions; engaging in physical activity will be beneficial.

Reply Date: 2016/06/02

More Info


Understanding ACL Injuries: Can Chiropractic Help Before Surgery?
Anterior cruciate ligament (ACL) injuries are common, especially among athletes involved in sports that require sudden stops, jumps, or changes in direction, such as basketball, soccer, and skiing. When an ACL tear occurs, it can lead to significant knee instability, pain, and swelling. In your case, it seems that you have already been diagnosed with a complete ACL tear and are awaiting surgery.
Chiropractic care can be a topic of interest for many patients dealing with musculoskeletal injuries, including ACL tears. However, it is essential to understand the role of chiropractic treatment in the context of an ACL injury, especially when surgery is on the horizon.

Chiropractic Treatment and ACL Injuries:
Chiropractors primarily focus on the alignment of the spine and joints, using manual adjustments to alleviate pain and improve function. While chiropractic care can be beneficial for certain musculoskeletal issues, its effectiveness specifically for ACL injuries is limited. Here are some points to consider:
1. Pain Management: Chiropractic adjustments may help relieve some pain and discomfort in the knee and surrounding areas. However, it is crucial to note that these adjustments will not repair the torn ligament itself. If the pain is due to muscle tension or misalignment in the surrounding joints, chiropractic care may provide temporary relief.

2. Mobility and Function: Chiropractic care can help improve overall joint mobility and function. This may be beneficial in maintaining some level of knee function while you await surgery. However, it is essential to avoid any manipulations that could exacerbate your injury or lead to further damage.

3. Rehabilitation Preparation: Engaging in gentle rehabilitation exercises, as advised by your orthopedic surgeon or physical therapist, is crucial during the waiting period for surgery. These exercises can help strengthen the muscles around the knee, improve range of motion, and prepare your body for post-surgery rehabilitation.

4. Risks of Manipulation: Given that you have a complete ACL tear, there is a risk that chiropractic adjustments could worsen your condition. The knee joint is already unstable, and any forceful manipulation could lead to further injury or complications. It is advisable to consult with your orthopedic surgeon before seeking chiropractic treatment.

5. Alternative Therapies: While chiropractic care may not be the best option for ACL injuries, other therapies such as physical therapy, acupuncture, or even massage therapy may provide more targeted relief and support. These therapies can focus on strengthening the muscles around the knee, improving flexibility, and managing pain without risking further injury.

Conclusion:
In summary, while chiropractic care may offer some benefits for general knee pain and discomfort, it is not a substitute for the necessary surgical intervention required for a complete ACL tear. It is crucial to prioritize your safety and recovery by following the advice of your orthopedic surgeon. If you are considering chiropractic treatment, discuss it with your doctor first to ensure it aligns with your recovery plan and does not pose any risks to your knee health.

In the meantime, focus on maintaining a healthy lifestyle, adhering to any prescribed rehabilitation exercises, and preparing for your upcoming surgery. Once the surgery is completed, a structured rehabilitation program will be essential for restoring knee function and strength, allowing you to return to your favorite activities safely.

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