Anterior Cruciate Ligament (ACL) Injury Management at Fit Bomb Physio
The anterior cruciate ligament (ACL) is a crucial stabilizer of the knee joint, connecting the femur (thighbone) to the tibia (shinbone). It plays a vital role in controlling knee movements, especially during activities that involve sudden stops, pivots, or changes in direction.
ACL injuries are prevalent, particularly among individuals engaged in high-impact sports such as soccer, basketball, netball, rugby, and skiing.
​
Understanding ACL Injuries
​
An ACL injury often occurs without direct contact. Common scenarios include abrupt deceleration, landing awkwardly from a jump, or rapidly changing direction. Individuals may experience a “popping” sensation, immediate swelling, instability, and difficulty bearing weight on the affected leg. While some can continue with daily activities, challenges often arise during movements requiring knee stability, such as turning or landing.
​
Prevalence and Risk Factors
Australia reports some of the highest rates of ACL injuries globally, with a notable increase among individuals under 25 years over the past decade. Factors contributing to ACL injuries include:
• Anatomical Differences: Females are at a higher risk due to pelvic structure and muscle strength disparities.
• Sporting Activities: Sports demanding rapid directional changes elevate the risk.
• Physical Conditioning: Poor fitness levels, muscle weakness, and coordination issues can increase susceptibility.
• Environmental Factors: Inadequate footwear and suboptimal playing surfaces contribute to injury risk.
• Previous Injuries: A history of ACL injuries significantly raises the likelihood of re-injury.
Approach to Treatment
At Fit Bomb Physio, we emphasise a personalised approach to ACL injury management, recognising that each individual’s needs and goals are unique. Our treatment strategies encompass both surgical and non-surgical pathways:
• Non-Surgical Management: Recent studies indicate that structured rehabilitation can be as effective as early surgical intervention in restoring function and quality of life. This approach may also reduce the risk of developing knee osteoarthritis. Our physiotherapists design comprehensive rehabilitation programs focusing on strength, stability, and functional movement, facilitating a safe return to daily activities and sports.
• Surgical Rehabilitation: For those opting for or requiring surgical reconstruction, we provide pre- and post-operative physiotherapy to optimise outcomes. Our programs aim to restore knee function, prevent complications, and guide individuals through a gradual return to their desired level of activity.
Rehabilitation Journey
Recovery from an ACL injury is a progressive process. Our rehabilitation programs are structured into phases:
1. Initial Phase: Focuses on reducing pain and swelling, restoring range of motion, and activating key muscle groups.
2. Strengthening Phase: Emphasises building muscle strength, improving balance, and enhancing proprioception.
3. Functional Training: Involves sport-specific drills and exercises to prepare for a return to athletic activities.
4. Maintenance: Aims to sustain improvements and prevent future injuries through ongoing conditioning and education.
Collaborative Care
We believe in a multidisciplinary approach to ACL injury management. Our team collaborates with orthopaedic specialists, sports coaches, and other healthcare professionals to ensure comprehensive care. By aligning treatment plans with individual goals, we strive to facilitate optimal recovery and performance outcomes.
Empowering Through Education
Education is a cornerstone of our treatment philosophy. We provide clients with the knowledge and tools necessary to understand their injury, make informed decisions about their care, and actively participate in their rehabilitation journey.