Jan 10 2025 69 mins 2
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Show Notes:
- https://fitnesspainfree.com/2025/01/surgery-vs-physical-therapy-for-acl-tears/
In today's episode we go over Do You Really NEED Surgery After an ACL Tear? - FPF Show Episode 157
0:00 Introduction
2:52 What does rehab consist of for patients who undergo physical therapy?
4:52 Do ACL tears (complete) heal over time? What percentage of patients heal?
5:13 If the ligament is showing "continuity" or healing, does that mean it's strong?
6:36 Does the "cross-bracing protocol" increase the likelihood the ACL heals?
9:01 What does the cross-bracing protocol consist of? [Rehab protocol as well]
12:30 Do conservatively treated ACLs that heal re-tear at a higher rate compared to ACL reconstruction surgery?
16:14 What surgery is considered the goal standard that is compared against conservative management? (ACL-R)
20:35 Do all types of ACL sprains need surgery? Which are candidates for physical therapy and not?
26:29 Is conservative management an appropriate option for patients after a complete ACL tear? and do we have answers to this question?
31:06 Do ACL tears treated with physical therapy have better knee function and health then surgically treated ACLs?
36:10 Do patients get back to a higher level of function with surgery or physical therapy?
36:55 Do patients treated conservatively have more laxity in the knee without surgery?
38:03 Do patients have more longterm arthritis if you don't have ACL reconstruction surgery?
49:16 Are return to sport rates better with physical therapy alone or with surgery?
51:13 Can athletes return to pivoting sports without surgery?
52:22 Which sports can conservatively managed athletes return to and which do they have a harder time returning to?
58:01 If your patient doesn't have ACL reconstruction surgery does that increase rates of meniscus injury?
1:04:28 Should your patient have ACL-reconstruction surgery or not?
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