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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Testimonials

  • "I have been a patient at Dr. Meylor’s clinic for the past 15 years, and during that time, he has been my primary health specialist. As an elite age group runner, it is extremely important to stay in alignment – both to prevent injury and to sustain optimum performance, so it is crucial to get a chiropractic adjustment at least once a month. Along with proper training, orthotics, attention to nutrition, and adequate sleep, chiropractic has been an essential part of my success in which I have been fortunate to compete at a national level in my age group for many years. And at a time when many of my age group competitors are declining in their running abilities, I have been able to improve my performance based upon age grading scales and have even been listed nationally in USA Track & Field’s rankings over the past two years. I am convinced this wouldn’t have happened had I not been getting regular adjustments from Dr. Meylor."
    Andriette Wickstrom, Storm Lake
  • "In addition to adjustments, there have been several occasions in which I have had non-invasive acupuncture treatments, with very successful results, especially during several instances in which I experienced severe headaches from allergic reactions. Not only did the acupuncture alleviate the pain, it also convinced me to never attempt to mask such problems by using aspirin or other such drugs or pain relievers."
    Andriette Wickstrom, Storm Lake
  • "I realize that not everyone is a competitive athlete, however, being in the best physical condition possible should be a goal for all of us as we strive to lead happy and productive lives. I greatly recommend having chiropractic care as an integral part of everyone’s health plan. The high quality care I have received from Dr. Meylor has contributed to my overall excellent health, and I would encourage others to maximize their own physical potential by choosing chiropractic treatment. Not only does Dr. Meylor offer exceptional skills, he is also very approachable in communicating to patients using understandable terms, and I completely trust his professional expertise."
    Andriette Wickstrom, Storm Lake
  • "I was diagnosed with Fibromylagia 9 years ago, after being in bed for 6 week's due to the severe pain I was in. A friend recommended that i go to see Dr. Meylor. When i first walked into Dr. Meylor's office I was struggling to hold my head up without support. Dr. Meylor suggested therapy, acupuncture, an alignment, proper nutrition and exercise. The combination has kept me moving.
    Dr. Meylor sees me once every 3-4 week's Keeping aligned has proved to give me the best relief from my fibromyalgia symptoms. Thanks to Dr. Meylor and his staff, over the course of the past 9 years I have been able to have a very good quality of life with fibromyalgia.....something I once thought I would never have."
    Chandra Younie
  • "I came to see Dr Meylor with constant burning in my ear, down my neck and arm. The office staff made me feel so welcome. Dr. Meylor examined me and i was adjusted twice that week and I felt so much better with each adjustment. I know that with my stressful job I will feel and do better to keep myself adjusted and continue going to Dr. Meylor on a monthly basis. Best decision I ever made."
    Rebecca
  • "I first started see Dr. Meylor in November 2012. When I first came to the office I was unable to walk for more than 1 block and I was not able to stand for more than five minutes. I was in such severe pain with my lower back that I had opted to seek pain control through the use of pain medication shots put directly into my spine . After a series of a total 12 shots into my spine I was still in severe pain and no relief in sight."
  • "Upon Dr. Meylor's recommendation I started seeing him 3 times a week for 4 weeks then 2 times a week for 3 weeks and finally 1 time a week for 2 more weeks. I was finally able to cope with what little discomfort I had. I now am able to stand for a good portion of my day and I can now walk about 8 block now without much pain. I will never be free from my back issue but I am now able to return to a normal life. I owe a lot to Dr. Meylor for helping me to become stronger and more functional in my day to day living. I continue to see Dr. Meylor on a weekly basis and am so happy with my improvement. I would highly recommend him to anyone that is needing help with any kind of chiropractic need."
  • "I had been suffering with severe low back pain and sciatica down my left leg for months. This affected everything I did and I became less and less active. I could not sleep at all at night because of the pain. My family could see how much pain I was in and I was not myself. I had to stop going to my children's school and sporting events that required me to sit in bleachers because of the constant pain.
    I went to my MD several times and was given pain pills and muscle relaxers. They made me feel terrible and now I had more side affects from them. The Dr. told me I should have back surgery which scared me to death."
  • "A friend told me to try her chiropractor Dr. Meylor. I called and they got me in that same day. Dr. Meylor listened to all my complaints and did a thorough exam and x-rays. He explained why I was experiencing this kind of reoccurring pain and what he could do to help. I was adjusted that day and given therapy. I felt immediate relief after my adjustment. I could'nt believe it! I had two more adjustments that week and I was so excited to be having less pain and I started sleeping thru the night! I continued following Dr. Meylor's recommendations and I feel great now and truly have my life back! I have my friend to thank for recommending Dr. Meylor and I have told many friends about my experience!"