Physical Medicine

QA Programs for Uptake Probes and Well Counters

Why You Should Be Using Knee Extensions After ACL Reconstruction

Many therapists and surgeons refuse to use resisted open-kinetic chain (OKC) knee extensions with patients who have undergone ACL reconstruction (ACLR) for fear of tearing the ACL/increasing laxity.  But when you look at the hordes of research on ACL reconstruction, you can absolutely safely and effectively use knee extensions with this patient population.  In fact, there are many people out there, myself included, who think that refusing to even consider them after ACL surgery is doing a disservice to your patient. >>

QA Programs for Uptake Probes and Well Counters

When Can I Return To Sport After ACL Surgery?

This question is one that I get asked often by patients who are planning surgery after rupturing their ACL. Unfortunately for my patients, I don’t have an answer that makes them feel warm and fuzzy on the inside.

My usual response is a long thoughtful sigh, followed by “How long is a piece of string?”. I also follow that up with the sobering statistic that 80% of ACL reconstruction (ACLR) patients return to some form of sport, 65% return to the same sporting level and only 55% return to sport at a competitive level within 1-2 YEARS post ACLR. >>