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]

Location

Find us on the map

Office Hours

Our Regular Schedule

Lexington Office

Monday:

7:45 am-6:15 pm

Tuesday:

7:45 am-6:15 pm

Wednesday:

7:45 am-6:15 pm

Thursday:

7:45 am-6:15 pm

Friday:

7:45 am-12:30 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "ACL surgery / rehab caused my back to hurt. A co-worker recommended Dr. Lynch and I have felt great since. Dr. Lynch will go above and beyond to help and share knowledge about healthy living. 4 plus years getting a monthly adjustment has me feeling great. Thank you!"
    Cliff
  • "I have been a patient of Dr.Lynch’s for almost 20 years. When I started seeing him, I was having pain and difficulty walking. He has helped me have a better quality of life, able to live the lifestyle I desire. He’s is an outstanding Chiropractor. Thank you Dr Lynch!!! Also very kind and attentive staff!"
    Joy M
  • "Lynch Chiropractic Center is home to a team of some amazing professionals. The care that you are given is consistent and the information that is shared is amazing. The Lynch family truly cares for each of their patients and makes you feel welcome and goes out of their way to get you the best care. Dr. Ryan Lynch personally called another chiropractor for me in Louisiana when I went on vacation to ensure that I continued my treatments while out of town. Courteous, Caring, Sincere, Honest, & Professional are terms I often use when I talk about Lynch Chiropractic Care!!"
    Jeremy H
  • "Dr. Ryan Lynch has been adjusting my back and neck for the past month, and I will have to say that each time I go, I come out feeling more mobile and less in pain. He also explains what he is about to do and why, making you feel more involved in the procedure. The aftermath of my curved spine and a motorcycle accident started to show in forms of discomfort and pain in the recent months, and this was the place a friend of mine had highly recommended. I am glad to have taken the recommendation."
    Hiro K
  • "Today was my daughters first visit. She was evaluated and had x rays. Ryan Lynch is her doc and he was so informative. He not only addressed her but he addressed me as well as her mother. I would recommend Lynch chiropractor to anyone who is experiencing any neck back or any other pain. The office is clean the staff are all wonderful very sweet. These are the people to see look at their reviews they have a 4.9 star rating doesn't get much better than that."
    Kathy G