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Fares Haddad » ACL h/link> Fri, 31 Jan 2014 16:27:33 +0000 en-US hourly 1 http://wordpress.org/?v=3.8.1 Rehabilitation Prog/ <link>//rehabilitation-programme/</link>/ <comments>//rehabilitation-programme/#comments</comments> <pubDate>Fri, 21 Sep 2012 17:27:54 +0000</pubDate> <dc:creator><![CDATA[admin]]></dc:creator> <category><![CDATA[ACL]]></category> <category><![CDATA[patient information]]></category> <category><![CDATA[surgery]]></category> <guid isPermaLink="false">//?p=635</guid> <description><![CDATA[A typical rehabilitation programme would look like this: Stage 1: First two weeks after surgery The objective is to reduce swelling, regain muscle control of your leg, restore your normal gait as well as the ability to extend and flex … <a href="//rehabilitation-programme/">Continue reading <span class="meta-nav">→</span></a>]]></description> <content:encoded><![CDATA[<p>A typical rehabilitation programme would look like this:</p> <p>Stage 1: First two weeks after surgery</p> <p>The objective is to reduce swelling, regain muscle control of your leg, restore your normal gait as well as the ability to extend and flex your knee.</p> <p>Your physiotherapist will use lots of ice and compression to reduce your swelling. You will be encouraged to exercise in short, regular bursts – say five to ten minutes every hour.<br /> Initially your physiotherapist will concentrate on getting you upright and weight bearing with support and trying to get you to walk without limping.</p> <p>It is important to be able to fully extend and lock your knee as soon as possible. This action helps the quadriceps muscle above the knee to pump blood away from the knee and reduce swelling.</p> <p>Exercises include hamstring and calf stretches, static contractions of quadriceps and gentle bending.</p> <p>Stage 2: Two to six weeks after surgery</p> <p>Now the objectives are to stop using crutches, gain confidence and strengthen the knee whilst restoring full flexion.</p> <p>Typical exercises will include stair climbing, static cycling, knee bends and lunges. Weights will be introduced and you may begin to swim but do not breast stroke until you are medically cleared to do so.</p> <p>Stage 3: Six to twelve weeks after surgery</p> <p>You will now be gaining in confidence and fitness and will have a regular programme to improve coordination and balance.</p> <p>The speed and resistance exercises will be increased; progressive hamstring and quadriceps strengthening will continue.</p> <p>Stage 4: Three to six months after surgery</p> <p>Now the objective is to maintain motivation, improve aerobic fitness and develop sport specific skills.</p> <p>Your programme will include pro/skills and a tailored sports programme. Jumping, running and rotating skills will be introduced.</p> <p>Stage 5: Six months onwards</p> <p>The objective is/level of activity at any chosen sport. Three to four months of sports training may be required before you are in condition to compete effectively.</p> <p>Naturally the above is only a guide and will be tailored by your physiotherapist to your progress and to the instructions that we give.</p> <p>RISKS</p> <p>ACL surgery is complicated by infection in less than 1% of cases. You will be given antibiotics to decrease that risk. If you notice fevers, increased pain or night sweat you should contact us.</p> <p>Blood clots are rarely see after ACL surgery. You will be given stockings to reduce that risk, If you are a smoker or on medication such as the combined oral contraceptive pill, you may be given blood thinning drugs to take after surgery,</p> <p>Pleas/fore your operation if you have concerns about possible risks.</p> <p>We hope t/een of benefit to you. For further information please contact us on 0207 935 6083.</p> <p><a class="view_bodymap1" href="//knee-joint/"> </a></p> ]]></content:encoded> <wfw:commentRss>//rehabilitation-programme/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item> <title>Physiotherapy after/ <link>//physiotherapy-after-your-surgery/</link>/ <comments>//physiotherapy-after-your-surgery/#comments</comments> <pubDate>Fri, 21 Sep 2012 17:24:28 +0000</pubDate> <dc:creator><![CDATA[admin]]></dc:creator> <category><![CDATA[ACL]]></category> <category><![CDATA[patient information]]></category> <category><![CDAT/ <guid isPermaLink="false">//?p=633</guid> <description><![CDATA[After surgery your knee will be swollen and painful. Your physiotherapist will begin a rehabilitation programme immediately. Physiotherapists and surgeons are constantly improving their understanding of how best to rehabilitate knees which have undergone ACL reconstruction. Generally, rehabilitation programmes are … <a href="//physiotherapy-after-your-surgery/">Continue reading <span class="meta-nav">→</span></a>]]></description> <content:encoded><![CDATA[<p>After surgery your knee will be swollen and painful. Your physiotherapist will begin a rehabilitation programme immediately.</p> <p>Physi/constantly improving their understanding of how best to rehabilitate knees which have undergone ACL reconstruction. Generally, rehabilitation programmes are getting faster so that almost immediately after the operation you will be asked to undertake mild exercise of the knee. By doing this your knee is prevented from becoming stiff which would prolong your rehabilitation.</p> <p>Of course/ore from the operation it is more painful to undertake rehabilitation exercises. This is one of the reasons we stress the importance of a good mental attitude. A small amount of effort on your part will be rewarded with superior results from your surgery.</p> <p>It is common after surgery to have swelling of the whole lower leg, extensive bruising and some numbness both around the scars and going down the inner side of the shin. These symptoms will gradually reduce over a few weeks although you may be left with a patch of numbness around the scars.</p> ]]></content:encoded> <wfw:commentRss>//physiotherapy-after-your-surgery/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item> <title>Types of grafts</ti/ <link>//types-of-grafts/</link>/ <comments>//types-of-grafts/#comments</comments> <pubDate>Fri, 21 Sep 2012 17:23:36 +0000</pubDate> <dc:creator><![CDATA[admin]]></dc:creator> <category><![CDATA[ACL]]></category> <category><![CDATA[patient information]]></category> <category><![CDATA[surgery]]></category> <guid isPermaLink/ad.co.uk/?p=631</guid> <description><![CDATA[1. The patellar tendon This tendon connects your kneecap (patella) to your shin (tibia). About a third of the tendon is taken from the middle. 2. The hamstring tendon The hamstrings connect the back of your thigh to your lower … <a href="//types-of-grafts/">Continue reading <span class="meta-nav">→</span></a>]]></description> <content:encoded><![CDATA[<p>1. The patellar tendon</p> <p>This tendon connects your kneecap (patella) to your shin (tibia). About a third of the tendon is taken from the middle.</p> <p>2. The hamstring tendon</p> <p>The h/ your thigh to your lower leg. These tendons are taken and woven together like a rope to form a new, strong ACL.</p> <p>3. An all/ <p>The third option is an allograft – tissue taken from another person. The advantage is that the surgeon does not have to disturb or remove any tissue from your knee.</p> ]]></content:encoded> <wfw:commentRss>//types-of-grafts/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item> <title>Treatment of a Torn/ <link>//treatment-of-a-torn-acl/</link>/ <comments>//treatment-of-a-torn-acl/#comments</comments> <pubDate>Fri, 21 Sep 2012 17:03:40 +0000</pubDate> <dc:creator><![CDATA[admin]]></dc:creator> <category><![CDATA[ACL]]></category> <category><![CDATA[patient information]]></category> <category><![CDATA[surgery]]></category> <guid isPermaLink="false">//?p=622</guid> <description><![CDATA[Non- surgical and surgical treatment choices are available. 1. Non- surgical treatment: May be used because of a patient’s age or overall low activity level. May be recommended if the overall stability of the knee seems good. Involves a treatment … <a href="//treatment-of-a-torn-acl/">Continue reading <span class="meta-nav">→</span></a>]]></description> <content:encoded><![CDATA[<p>Non- surgical and surgical treatment choices are available.</p> <p>1. Non- surgical treatment:</p> <ul>// <li>May be used because of a patient’s age or overall low activity level.</li> <li>May be recommen/of the knee seems good.</li> <li> Involves a treatment program of muscle strengthening, often with the use of a brace to provide stability.</li> </ul> <p>2. ACL Surgery</p> <p>The choice is to reconstruct rather than repair the ACL as this gives better results.</p> <p>There/oices. These include either using the patellar tendon, your hamstring tendon, or using an allograft (taken from another person). The choice is usually tailored to your specific problem.</p> <p>In a typi/ill a diagonal tunnel through the shin and thigh bones. Into this tunnel we insert the new ACL which will be fixed into place with small screws and similar devices.</p> <p><a class="popimage" href="//wp-content/uploads/2012/09/acl_clip_image004.jpg"><img src="//wp-content/uploads/2012/09/acl_clip_image004-300x259.jpg" alt="" title="acl_clip_image004" width="300" height="259" class="alignnone size-medium wp-image-625" /></a></p> ]]></content:encoded> <wfw:commentRss>//treatment-of-a-torn-acl/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item> <title>Recognising an ACL / <link>//recognising-an-acl-injury/</link>/ <comments>//recognising-an-acl-injury/#comments</comments> <pubDate>Fri, 21 Sep 2012 16:59:56 +0000</pubDate> <dc:creator><![CDATA[admin]]></dc:creator> <category><![CD/ <category><![CDATA[patient information]]></category> <category><![CDATA[surgery]]></category> <guid isPermaLink="false">//?p=620</guid> <descr/ your ACL, you may not feel any pain immediately. However, you might hear a popping noise and feel your knee give out from under you. Within a few hours, the knee will swell, and you will feel … <a href="//recognising-an-acl-injury/">Continue reading <span class="meta-nav">→</span></a>]]></description> <content/njure your ACL, you may not feel any pain immediately. However, you might hear a popping noise and feel your knee give out from under you. Within a few hours, the knee will swell, and you will feel pain when you try to stand.</p> <p>If you walk or run on an injured ACL, you can damage the cushioning cartilage in the knee. For example, you may plant the foot and turn the body to pivot, only to have the shinbone stay in place as the thighbone above it moves with the body.</p> ]]></content:encoded> <wfw:commentRss>//recognising-an-acl-injury/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item> <title>Immediate Treatment/ <link>//immediate-treatment/</link>/ <comments>//immediate-treatment/#comments</comments> <pubDate>Fri, 21 Sep 2012 16:56:04 +0000</pubDate> <dc:creator><![CDATA[admin]]></dc:creator> <category><![CDATA[ACL]]></category> <category><![CDATA[patient information]]></category> <category><![CDATA[surgery]]></category> <guid isPermaLink/ad.co.uk/?p=616</guid> <description><![CDATA[Immediately after the injury you should rest the knee. This reduces swelling and bleeding and helps prevent further injury. You should then apply ice to your knee (ice cubes in a plastic bag or a packet of frozen peas are … <a href="//immediate-treatment/">Continue reading <span class="meta-nav">→</span></a>]]></description> <content:encoded><![CDATA[<p>Immediately after the injury you should rest the knee. This reduces swelling and bleeding and helps prevent further injury.</p> <p>You should then apply ice to your knee (ice cubes in a plastic bag or a packet of frozen peas are ideal – tied on, but not too tight). The ice should be applied for 10-15 minutes twice hourly and repeated several times a day.</p> <p>The effect of the ice is to reduce the swelling by causing your blood vessels to contract. It also helps to reduce pain and muscle spasm by numbing your nerve endings. Don’t overdo the ice however as this will start to have the opposite effect. Keep light pressure on your knee during icing (perhaps with a supportive bandage) and keeping your knee lifted up on a footstool both help to reduce swelling.</p> <p>Apply/o an acutely swollen knee is not a good idea. This will increase blood supply and make your pain and swelling worse.</p> <p>The pain / away within a couple of weeks but your knee will probably feel unstable, as if it might give way each time you put weight on that leg. This instability can be treated by physiotherapy, using braces, or, if necessary, by surgery.</p> <p>You may have injured other parts of your knee at the same time as your ACL – particularly your cartilage (or meniscus). This is a rubbery substance that acts as a shock absorber between the bones in the knee. If this is damaged you may find it painful to walk and, in time, a cartilage problem may lead to the knee joint wearing out.</p> ]]></content:encoded> <wfw:commentRss>//immediate-treatment/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item> <title>Diagnosing an ACL injury http://www.fareshadd/jury/ //diagnosing-an-acl-injury/#comments/ Fri, 21 Sep 2012 16:42:42 +0000 //?p=613 Continue reading →]]>

A partial tear of the ACL may or may not require surgical treatment. A complete tear is more serious. Complete tears, especially in younger athletes, may require reconstruction.

]]> //diagnosing-an-acl-injury/feed/ 0 What is the ACL? http://www.fareshadd/nk> //what-is-the-acl/#comments Fri, 21 Sep 2012 16:32:18 +0000 //?p=603
  • The ACL p/ding forwards beneath the thighbone.

    • The ACL can be i/

    • Changing direction rapidly
    • Slowing down when running
    • Landing from a jump
    • Dire/all tackle
    /

    ]]>     //what-is-the-acl/feed/ 0     Introduction//introduction// //introduction/#comments Fri, 21 Sep 2012 16:20:17 +0000 //?p=600 Continue reading →]]> Anterior cruciate ligament surgery and rehabilitation have undergone dramatic changes over the past decade, due to extensive clinical experience, improved surgical technique and better understanding of the rehabilitation process.

    Pre and post-operative rehabilitation is a major factor in the success of ACL reconstruction. Early restoration of full joint movement and weight-bearing are of paramount importance for successful rehabilitation.

    The aim is to en/ of the basic principles of the ACL reconstruction, to restore the full range of motion, near normal strength and to mentally prepare the patient for the operation and accelerated rehabilitation.

    The major goals of ACL surgery and rehabilitation are:

    • to restore normal joint anatomy
    • to provide static and dynamic knee stability
    • return to work and sport as soon as possible

    It is very important that the patient takes an active part in the rehabilitation, both before and after the operation.

    ]]>     //introduction/feed/ 0