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ACL Injuries Part 3: I’ve ruptured my ACL. What are my options?

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No matter how strong you are, no matter how many injury prevention programs you commit, an ACL rupture can still occur.

Once you get the MRI results, see your GP, specialist, physio and whoever else you need it can be overwhelming figuring out what you need to do, and the best course of action. Let’s start with the most obvious one

1. Surgery

This is the most obvious solution. See a knee surgeon, they book in a date, and you go in and get the surgery. They may take a few weeks to get you in, which will give you an opportunity to work on building up your strength. Research shows that the stronger you are going into an ACL operation, the better you will be after. There are a couple of options they may go through regarding where to get the graft for the ACL

a) Hamstring

b) Patella Tendon

c) Donor graft

d) LARS (synthetic tendon)

They each have their pro’s and cons, but generally speaking if it is your first ACL, they will opt for the hamstring tendon graft. Early surgery is generally the best option for those under the age of 25, playing high level pivoting sport, or have an unstable knee

The main con with surgery, are the usual ones associated with any surgery (risk of infection, reaction to the anaesthic etc). It is important to remember that when they take the hamstring graft, they are taking out a part of the hamstring tendon making it weaker. You would almost treat it like a hamstring tear.

So if you are someone who have had hamstring issue, electing for a different graft might be a better option.

2. Three- six months of rehab, followed by surgery

This option is becoming more and more popular. The idea here is that you spend three months building up your strength, even getting up to the point where you can jog at a good pace. The research shows that at this point, a lot of people may find that their body is strong enough to cope without an ACL, and they don’t surgery, or they will put it off for a number of years.

3. Conservative rehab

This option has gained more traction recently, and there have been a big push by physios to encourage people to avoid ACL surgery, or at the very least have a stab at conservative rehab.

There is lots of research to show that you can cope without an ACL, if your quad, hamstring, calf, glute, and core strength is good enough. Our clinic has seen a number of great outcomes with conservative rehab.

Woman with orthopedic problem exercising with ball while physiotherapist supporting her

However, normally those who get this option are older, or have no intention of playing pivoting sport. They have a stable knee, with minimal or no meniscus damage.

The main con of this option is that if you do have a unstable knee, persisting with conservative rehab can damage the meniscus and make any future surgery more complicated.

No matter what option you take, you are looking at between 6- 12 months of rehab. ACL injuries are long, expensive, and mentally draining rehab to come back from, and being prepared is important.

If you missed part one and part two, check them out to learn more on how they occur, and what you can do to prevent them.

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rupsikha baruah
rupsikha baruah
11:26 25 Feb 20
Friendly staff. Lvl 8 in Rhodes Shopping Centre..accessible via lift. You have to pay..check for discounts.
Fahad Alotaibi
Fahad Alotaibi
00:10 28 Nov 19
Excellent service with dr Louis. Have really back pain due to having a bad massage previously. So he really... helped.Thanksread more
Mellissa Admin
Mellissa Admin
01:01 11 Sep 19
I work in the local area and have found Bodyfocus to be amazing and would highly recommend. I had the pleasure of... having Sarah as my physio and she was friendly, knowledgeable and professional. She explained my injuries to me in easy to understand language and was able to get me back on my feet quickly. Every interaction with staff at Bodyfocus has been extremely positive and helpful. Would not go anywhere else now for physio.read more
Vanessa reinmuth
Vanessa reinmuth
06:48 07 Sep 19
Would recommend this place in a heartbeat! The service and care provided is second to none. In particular, I'd like to... call out Lauren who has been nothing but amazing, supportive and genuinely interested in how I'm progressing. I injured my hip and initially went to a physiotherapist closer to where I live, but my condition didn't get any better, so I decided to come over to Rhodes and give Bodyfocus a try - right after the first session I felt an instant relief. That was a few weeks ago and my mobility has been steadily increasing, while the pain has become so much better. Lauren also motivated me to exercise and I actually enjoy it. Overall, it's just been a fantastic experience.read more
Yuyan Cai
Yuyan Cai
00:43 04 Sep 19
Highly recommend Sarah. Her attitude and knowledge has made my recovery a quick and easy process. She has a great... understanding of how the body works and teaches you the process to live life to the fullest.Do not hesitate to reach out and connect with this amazing physio!read more
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Lucy-May Pitt
Physiotherapist

Bachelor of Physiotherapy (Charles Sturt University)

Lucy is a passionate physiotherapist who graduated from Charles Sturt University Albury-Wodonga. Lucy studied ballet from age 11 and has danced both in Australia and in the UK. Lucy has enjoyed a variety of clinical settings, both public and private, encompassing cardiorespiratory, orthopaedics, vestibular/neurological physiotherapy, general musculoskeletal injuries and women’s health, where she found a keen interest in furthering her clinical skills.

With a 10 year background of full time ballet training, Lucy has gained an in-depth understanding of the demands sport puts on the body and what it takes to become a successful dancer and athlete. Lucy also has a strong interest in sporting injuries and worked as the Head Sports Trainer with an O&M league AFL team in Albury for 2 seasons. Lucy believes that the key to effective rehabilitation and future injury prevention is to empower patients to take control of their own health. 

Having recently moved to Sydney, Lucy is on the hunt for the best hiking locations! In her spare time, you can find her at the gym, exploring Sydney with friends or  getting stuck in a good book.

Sabina Bireroglu

BHlthSc/ MPodMed Podiatrist

Sabina has completed a Bachelor of Health Science/Mastering in Podiatric Medicine at University of Western Sydney. She has experienced working in different treatment settings including private practice, hospitals and mobile care. One experience in which takes forefront in her experiences is working in Ireland at Merlin Park Hospital.

She incorporates evidence based treatment plans in all scopes of podiatry including the general and chronic foot, injuries and pain, nail surgery, biomechanics and paediatrics. Outside of the clinic environment Sabina enjoys running, playing netball and playing the violin.

Dr Louis Darmizin

Chiropractor

From early childhood, Louis was exposed to Chiropractic due to his scoliosis and constant back pain. Being only 10 years of age, he was unable to participate in social and sports activities in fear of being in pain. Upon seeing the benefits of Chiropractic for his back, Louis focused his life on helping others achieving a pain free and healthy lifestyle.

Louis graduated with a Bachelor and Masters of Chiropractic Science from Macquarie University. After practicing in the best clinics in Sydney, he is now the founder of Dynamic Spine Clinic. He is a very passionate and motivated practitioner that makes your problems his own.

Louis has a extensive knowledge in posture and back related injuries. He combines his treatment with soft tissue therapy, acupuncture, rehabilitation and lifestyle advice. His treatments are individualized to suit each patient in order to achieve the best outcome possible.

Louis has a passion for soccer, tennis and rugby. He also earned local, regional and state level competition titles as a squad swimmer.

His goal is to inspire, educate and encourage his patients to reach a happy and enjoyable lifestyle. He believes that Chiropractic care is an essential tool to maintain wellness, improve posture, eliminate pain and stress.

Sarah D’arcy

Physiotherapist - General & Women's Health Physiotherapy

Sarah is a passionate physiotherapist who graduated with distinction from Charles Sturt University, Orange, NSW. Sarah has worked within the public health system and has experience in orthopaedic, fracture clinic, medical, respiratory, musculoskeletal, rehabilitation, hydrotherapy, emergency department, intensive care and women’s health physiotherapy.

Sarah has an interest in all areas of musculoskeletal physiotherapy and is always looking for opportunities to expand her knowledge to grow as a clinician. Sarah is highly ambitious and applies herself in all areas of work and life. She is driven by her desire to become a go-to physiotherapist by providing the best evidenced-based care to all of her clients to achieve positive outcomes. Sarah enjoys staying active, being outdoors, and socialising. Sarah enjoys new experiences and is always willing to try new things. Sarah believes you can achieve anything if you put your mind to it and are willing to put in the effort.

Sarah has completed training in comprehensive assessment and treatment of the pelvic floor. This includes complete subjective and objective (including internal examinations) of pelvic floor problems, such as:

  • Bladder and bowel issues
  • Antenatal and postnatal pelvic floor
  • Pregnancy related back pain
  • Pre and postnatal exercise
  • ProlapseTears during child birth

Sarah consults from our Rhodes clinic.

WILSON HUI

APA TITLED MUSCULOSKELETAL PHYSIOTHERAPIST

Wilson graduated from University of Sydney as a physiotherapist and he has always been keen on learning new things so that he can do what is best for patients. On top of ongoing professional development, he completed a Master in Musculoskeletal Physiotherapy from University of Melbourne to gain further knowledge.

Wilson has worked in various private practices in the past and managed a variety of clienteles, from acute musculoskeletal and sports injuries to pre/post-op rehabilitation, and from injury prevention to performance enhancement. He has also done a range of sports coverage as a physiotherapist, such as City2Surf and Sydney Half Marathon etc.

Wilson has done extensive training and obtained certifications in multiple techniques and areas, below are some examples but not limited to:

  • Dry Needling
  • Mulligan’s Concepts
  • McKenzie Method of Mechanical Diagnosis and Therapy
  • Kinesio Taping
  • Sports Level 1 and 2

When Wilson is not working and not injured (if injured, rest and doing own rehab), he plays competitive table tennis. He is also a recreational road and trail runner.

Wilson can speak Cantonese and Mandarin.

Jay Kasthuriarachchi Senior Physiotherapist

Grad. Cert. of Sports Physiotherapy (La Trobe University)

Jay is a relaxed yet attentive and thorough physiotherapist whose passion lies in sports and musculoskeletal physiotherapy. He has worked in private practices in North Sydney and Richmond, as well as doing sports coverage work over a variety of sports including Gridiron, Football (Soccer), Rugby Union, Rugby League, AFL and is currently the lead physiotherapist of the West Tigers SG Ball (Under 18) and Harold Matthews Squads (Under 15). He was recently part of the medical team working at the Goldcoast Commonwealth Games in April 2018.

Jay is currently completing postgraduate qualifications in Sports Physiotherapy at La Trobe University as well as attending regular professional development courses. As a result, Jay is extremely knowledgeable and skilful with the ability to lead you to excellent results. He will find out why you cannot perform at your peak and develop a treatment plan that addresses your goals.

Jay also has had experience playing cricket, having played 1st grade cricket for the North-West Sydney Hurricanes in the Sydney Shires Competition and understands the frustration that “weekend warrior” athletes have with missing out on playing sports due to an injury.

He has completed advanced training in:

  • Trigger Point Dry Needling Level 1
  • Sports Level 2 (APA)
  • Rocktape Level 1
  • Strength and Conditioning Coach Level 1