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MRI report on my right knee showed full thickness tear involving ACL on 18 January 2024 and high grade partial tear involving ACL on 26 April 2024 and cancelled my surgery

My MRI scan showing my ACL is complete tear (right legs) last sunday. Doctor (specialist in orthopaedic) advise me to do knee scope right away (which my legs is still swollen due to accident injury on 18th April ) and he also mentioned I might need ACL reconstruction after 6months since l'm still young and I have personal life insurance. Thankfully i was refused to do the knee scope and opt in for physio instead. The only issue with my knees is i cannot bend like i used to do as I often went to pilate class before is like my knees was locked. And I can felt my knee/posture is not really straight as before. I have found many video from athlete mentioned they can trained and gained they strength and abilities w/o the surgery based on their personal experience (they can run 7000km / involved in MMA competitions and also one of them did MRI again after 2years the ACL was there) Do you also know there is 40% of possibility the MRI result is wrong. Then, I found Dr Kieran Richardson channel on youtube, his explaination is so clear and was supported with scientific research which is really great and convincing.

From India - Really useful info and hope all people recover from ACL injury without surgery. I am having a complete ACL tear and ACL detached from femoral attachment as per MRI done after 3 months of incident . I just landed on left knee from a 3 feet fall while walking backwards and had difficulty in bending and keeping the knee straight for 1-3 weeks. There was swelling in the first few weeks and was able to walk normally after few days. Consulted Physio after 3 weeks and did some strengthening exercise. Since i had very minor pain i waited for the knee to get better. After 3 months did MRI and consulted 3 orthopedics- all of them suggested ACL reconstruction is the only option. I am doing strengthening exercise to see how it goes in 3 more months. Since the pain is very minor not using braces. Before the ACL injury i was quite active physically - weekend running and regular weight training .

Where along the ligament was James’ tear? From the MRI image it looked like it was in the middle of the ligament, and I’ve heard such tears are more likely to heal on their own than tears at the insertion or origin. I have an ACL tear at the insertion (although suspected not full thickness) in my left knee which I’ve been rehabbing nonoperatively for 9 months. Now I’ve just learned I may have torn my right ACL in a ski accident 5 weeks ago. My symptoms are much milder than the first injury, but my surgeon says the right now feels looser than the left and recommends surgery at least on this side.

Where can I find the studies that were referenced in the video? The ones done on dogs and rabbits?

Very useful. Am presently entering in week 3 of Cross Protocol. I guess it IS self selecting to a degree, because if it won't work you have the option of nothing or surgery. I loved the dozens of reason Kieran gave why a study is not 'valid'. I DONT CARE. A 70% chance of a heal sounds good to me (for my case) In my case , if it doesn't work, I won't go down the surgical route. Will ski with a brace.

I was playing volleyball and poped by knee in 2020 july i was 19 years old and it was covid time and I didn’t knew i torn my ACL and my knee swollen for couple of weeks , I didn’t went to doctor to check on it , i was doing fine just that knee was swollen and kept icepacks and started my normal routine lifestyle and even started playing volleyball again ,suddenly one day while playing i heard a popping sound which was a bit painful and i took rest for few minutes and continued playing and on 2021 may i went to doctor which is 10 months after my 1st injury and did a MRI and it came out my ACL is torn and I didn’t opt for surgery at that time and years went on and i continued playing also and during this whole time i was asymptomatic and had these weird feeling in my knee while playing volleyball and after 3 years without surgery i was doing pretty fine and in 2023 august i did MRI to check on ACL and it was complete ACL tear and even my meniscus got worse and now 2024 January i did my ACL reconstruction and Meniscus repair and doing my rehab and physio iam feel great now. I regret that i could have done my Acl surgery when i had my first injury or atleast within 6months of my injury

Love from India! This is really insightful!

I torn my acl ( full thickness) , pcl and miscunus injury . I am waiting so that it can heal itself....if its heal i will share you my report. Love from india ( great lecture)

Ive Done a full rupture, 2 weeks on i cant walk or do much, but im going to try to avoid surgery at all costs

this is absolutely wild! thanks for this video!

Hi! I've ruptured my ACL completely 2 months ago. My physiotherapist said it doesn't need a surgery because it's stable enough and I've been doing physiotherapy for 1,5 months and i can eslk fine. What should I do? Is it too early to have a second MRI scan? Should i have it as far as possible from the day of the injury or at 3 months would be enough to tell if my ACL will heal?

Thanks for share this amazing content!

More people need to see this.

Just tore my ACL and this was very reassuring after all the google/youtube searches say you need surgery. I like your identification of positive publication bias, but also wonder if there's a more institutional bias around the structure of healthcare systems ie. Non-public institutions wanting you to pay for surgery. Which would be very embedded and would impact the research indirectly.

Great lecture, Extremely insightful to both therapists and patients that there is an option out there with evidence to back it up.

Please this is complete BS. If this is true, then why professional athletes still undergo surgery? Sure you can live without an ACL but to comeback to playing sports that involves pivoting surgery is still the best option, no rehab and supplements is going to save that. I know this coming from my experience as well. I both tried non-op approach and exhausted all the possibilities you can think of and that led me to having surgery and viola my knee is good as new.

tore my acl 3 times both legs two bucket handle tears no surgery hard hard long recovery never stopped everyday all day on my feet stairs and bike dr insisted i could walk demanded surgery i healed it twice 25 hours a week bball player here savage not soft mean af and well im enjoying my streaghth training all is well no surgery facts

Can a stretched graft after reconstruction ever heal?

Hi i tore my ACL while playing football, but i am able to walk in a straight line within 2 days. I dont wanna go for a surgery as it feels unnecessary with the amount of movement i am abke to do. Please guide me so that even i can do a recovery like James.

Pretty nice infotmation! I torn my acl in a football match on 11th November 2023 and i did not realized the damage that i had in my knee.I went to the orthopedic and we had MRI (the report said almost full tear ) but the doctor when he saw the image he told that is a complete .I booked on November an appoitmen for surgery on January 18 and then i cancelled it because i wanted to give it a chance to heal.Because i am a fitnees coach and i have my own gym i make rehab on my own,at least 1 hour and 15 minutes every day,after a month of the injury i bought collagen type 1 and a blender to make smoothies high on vitamin C and antioxidants and general my diet is based on the ligament.I also made for the first 2 months some psysiotherapys 2 time per week and now i reduse it to 1,in a few days i will have my first PRP injections (i wil make 3,1 every month).My mistake is that i did not bought an brace from the beginning but my knee was always stable and strong.Anyway that is my story and i hope it will go well,love from Cyprus!

I've fully ruptured my acl and meniscus tear 6 weeks I've opted not to get surgery I've nearly got full range of motion basically walking normal again and doing an extension physio and exercise routine daily. I am going for another mri in a couple of months I will update again if anyone is interested lol

What about meniscus tear pls reply

Nice discussion

Nice discussion

Kieran, what excercises do you recommend for non-surgical rehab?

❤❤

This guy displays real professionalism and without a doubt has the best interest for his patients! Thank you!

I hope this is true. I felt this was the case.

Unfortunately, you can't wait for something like a BEAR treatment, where you need to operate within 50 days.

I partially torn my ACL , based on MRI , the doctor says I need to take the surgery. I felt my knee stable , no pain , I can walk & run normally . Will wait for a year to take another MRI and decided wether to take surgery or not, for now I just do the rehab and careful not to reinjured my knee.

Great interview. I'll share my experience in case it's helpful to anyone reading. Tore my right ACL in March 2022 (Grade 3 full thickness tear). Met with a surgeon in Sydney who spent 5 minutes assessing the knee and looking at MRI - "Yep, you're cooked. If you've got the money I'll do the surgery next week". I had no private health cover and didn't want to wait 18 months for public, so opted to self fund surgery in Europe as it was a third of the price even after flights. I began intensive prehab to strengthen the leg and three months later flew to Europe. The overseas surgeon did his own tests (around 45 minutes worth) and told me the knee was as stable as the good one, so he wasn't going to operate after all as it wouldn't actually help with stability or flexion. I returned to sport three months later (6 months off in total). I continued rehab and strengthening as I assumed I was operating without a ligament. Tore my other ACL two weeks ago and have begun conservative management. Dr did a follow up MRI on the old knee and it has fully recovered. Hoping for the same with the new injury. TLDR: ACLs heal. Don't rush for the knife.

This video is EXTREMELY helpful for me right now... Thank you so much, I am about to send you an email as well 🙌🏼

Amazing interview!

Thanks for the motivation. I will try my best to get back to every day activities!

Thank you for this explanation. There is very little information on non-surgical treatment out there. I am currently recovering of my second ACL tear. First tear was reconstructed. But now we try the non-surgical way to get back to crossfit. I did crossfit before besides playing footbal. Unfortunetly I decided to quit playing footbal after getting advise from my orthopedic surgeon. It is now 4 months after the injury and I am getting stronger every week. I guess my leg strength is at 60% now from what is was before the injury.

But acl doesnot heal due to synovial fluid then how it heal??

How to cure ACL tear

Sir gm Do u give online session for AVN grade 2

Man , you are legend .

Hi Kieran I found this video to be super informative! Are you doing any clinical research on Non Operative ACL management? I have recently had my Second ACL tear, and would love to try out a more conservative approach to my rehab!

Thank you. I tore my ACL two weeks ago and this gives me hope!

Thank you for this

My ACL ruptured 3 years ago, an updated MRI said the same thing, no ACL only few strings of soft tissue. A full rupture cannot heal. There is only hope for partial tears to heal. Left without an ACL, the muscles can be trained to support the joints mobility and ROM, however there is increased risk if additional cartilage injuries, such as the meniscus. I would recommend this type of path to partial tear victims with chance of healing, otherwise surgery would be wise.

Sir please help me to out of this

rohitjoghi9999@gmail.com This is my mail id

Sir tell me the exercise or pt for this....and i dont know what is this mucoid degeneration...is this tear of acl or not

Sir myself rohit from india...sir my mri findings are.... There is STIR and PDFS mild hyperintense signal among the am and pl bundle of acl in intercondylar notch and near tibial attachment. Minimal join effusion seen... Sir tell me what to do with this....i am a poor guy....my age is 26

I strongly agree with your philosophy, sadly, have not been able to find a provider in New York City with this approach - yet!