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ACL Injury and Chiropractic

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]

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Millar Chiropractic Clinics -
Appointment Center (All Clinics)

Huntsville, Madison, and Jones Valley Alabama

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Local Phone: (256) 830-0000
Toll Free: 1-800 Go Chiro (1-800-462-4476)

Millar Chiropractic Clinics - Corporate Office

Millar Chiropractic Associates, Inc.
PO Box 21157
Huntsville, Alabama 35813

Millar Chiropractic Clinics - Corporate Office

Operations, Billing, Human Resources, Purchasing, Act Payable, Marketing

Phone: (256) 519-3550

Email Us at [email protected]

Millar Chiropractic-Madison AL

Dr. Justin Walbom, DC
1908 Slaughter Rd
Madison AL 35758
(256) 430-2700

Millar Chiropractic-Huntsville AL (Jones Valley)

Dr. Jessica Davis, DC
2124 Cecil Ashburn Dr SE, Ste 150
Huntsville, AL 35802
(256) 713-1830

Millar Chiropractic-Huntsville AL (Downtown)

Dr. Jack Langston, DC
2021 Clinton Ave W, Ste A
Huntsville, AL 35805
(256) 539-2000

Millar Chiropractic Functional Medicine (Williams Ave)

Dr. Greg Millar, DC CCEP
303 Williams Ave SW, Ste 133
Huntsville, Alabama 35801
(256) 513-4888

Neuropathy Laser Center Huntsville

Dr. Greg Millar, DC CCEP | Dr Bonnie Sims, ND
303 Williams Ave SW, Ste 135
Huntsville, Alabama 35801
(256) 830-4545
1-800 Why Hurt

Alabama Laser Spine Decompression

Dr. Greg Millar, DC CCEP & Dr. Bonnie Sims, ND
303 Williams Ave SW, Ste 134
Huntsville, Alabama 35801
(256) 539-1000

American Spine & Rehab

2021 Clinton Ave W, Suite E
Huntsville, Alabama 35805
(256) 519-6800

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Each clinic independently owned and operated. Each clinic practices as a separate group practice from the other Millar Chiropractic Clinics and their respective companies. Millar Chiropractic Associates, Inc. is the management and marketing company for Millar Chiropractic and Millar Chiropractic Clinics. See Notices & Disclaimers and Terms of Use

Free* Consultation - A Free consultation is just that. A 15-20 minute meeting to talk about your problems and our possible solutions. No Exams preformed. No Chiropractic treatment given. Should the person receiving the Free* services as outline above be accepted as a patient of Millar Chiropractic Clinics then additional regular charges for treatment will be incurred in individual cases as needed for related services. It is up to YOU to determine if you can receive Free* services. This offer only to new consultations and does not apply to existing patients,, personal injury, or workers comp consultations. For all services, results vary in individual cases. Cash value of Free* consultation $0.01. Cash value of Free Massage $0.01.