ACL Injuries | Q&A with Dr. Jay Lee
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- เผยแพร่เมื่อ 28 ส.ค. 2016
- R. Jay Lee, M.D., assistant professor in the Department of Orthopaedic Surgery’s Division of Pediatric Orthopaedics, discusses anterior cruciate ligament injuries (ACL) and explains how the injuries occur, the signs and symptoms, how they are treated and how to prevent an ACL injury. Learn more at: www.hopkinsmedicine.org/orthop...
Questions answered:
1. What is the anterior cruciate ligament (ACL)? 0:03
2. How does an ACL injury occur? 0:25
3. What age group accounts for most ACL injuries? 0:42
4. Are ACL injuries more common in female athletes? 1:05
5. What are the signs and symptoms of a possible ACL tear? 1:21
6. What should I do if I think I have injured my ACL? 1:42
7. How will my doctor diagnose an ACL tear? 2:15
8. What are my treatment options if I have an ACL tear? 2:45
9. What is an ACL reconstruction? 3:15
10. Can I have a reconstruction if I am still growing? 3:29
11. Are there risks to delaying my ACL reconstruction? 3:43
12. Should I have my own tissue used for my ACL reconstruction? 4:08
13. What are some techniques to reduce ACL injury risk? 4:35
14. What is recovery like after an ACL tear? 5:07 - วิทยาศาสตร์และเทคโนโลยี
Thank you Dr. Jay Lee for sharing the information. God bless you...........
Thank you Dr. Jay Lee for sharing the information
Thank you for this! This is super helpful and gives me useful information to offer my massage students about ACL tears.
I have high grade partial ACL tear... Grade 2 signal in the body and posterior horn of medial meniscus... Do I need surgery?
Can someone plz tell me what if the app test is not treated for 3 yrs?
What about LARS artificial ligament technique? I just had this procedure; and and I had almost no pain (mostly discomfort but that's it), my doc and PT in Shanghai told me my recovery will be a lot faster than if I had taken other grafts. I find it strange almost no youtube video about it.... seems the only downside is the cost since the price of the ligament is high. As I had harmstring ACL surgery 20 years ago and remembering how painful it was; I think it s really worth it to pay more if no pain at all!!
I am 56 year old female but very active. I injured my left knee 6 months ago and the result was complete tear in my left knee ACL and injury to the meniscus too. I tried physical therapy, but I am still unable to function as I used to. I really wanted to do the surgery, but my insurance Kaiser Permanente refused. I will change insurance in January and will see another doctor outside of corrupt Kaiser.
Same here ma'am ACL and meniscus tear if u are playing any sports then only go for surgery otherwise no need ....if u have meniscus tear at night pain come same here but I was crying and back to sports
I have a torn acl. I tore it 2/3 of the way in 2014. In 2014 after my MRI my first doctor told me that I had pulled it bad and needed no major brace. Throughout the years I always had pain and went in about 4 years later to figure out once and for all what is wrong. My doctor in 2018 looked at my MRI from 2014 and told me that I have been playing on a torn ACL and by how loose or wobbly it is he assumes that it is completely torn now and I play sports on it with a brace with no surgery.
Wow.
Thank you for this video.
Doctor thought I didn't need to have surgery because i'm 34. I'm just as active, if not more active than I was when I was 20 years old. I definitely need a fully functional acl. He was in his mid thirties too, and said that if he tore his acl he would just rehab and adjust. How are so many people comfortable with a sedentary lifestyle? I plan on killing it with all my activities into my 60's hopefully.
Frank Bush Get it done if you’re active sports wise bro. I’m going in two days time for acl recon and meniscus repair. I’ll be thirty in 6 months. A friend of ours has gone in about two months ago. She’s about 40ish. She’s active sports wise.
I’m putting in 110% in rehab, and hope to play footy again a year from now.
Good luck.
What medicine I use
Oh my god its painful, I tore my knee ligament while skiing and it happened really slow. Trust me, I was laying there on the ground for a good 10 minutes just groaning and moaning. Oh and do take tylenol cause it's amazing how well it works. Also, I had a very minor tear but let me tell you, it hurts.
Will you need surgery?
@@outtlaw324 Fortunately I did not need surgery since it was still in the grade two section, the problem now is that my muscles and tendons won't cooperate anymore which causes pain.
HII_VE that’s good that you didn’t need surgery but what will you do for the pain?
@@outtlaw324 Hopefully exercising my tendons should make them start working properly again, that was advice from my physiotherapist.
HII_VE but if it was torn how can exercise make it better? I’m only asking because I went for X-rays the other day and the specialist thinks that the tendon in the knee was torn and I’m going for a mri to conform it. Everyone I know says I’ll need surgery (which I don’t want).
i have acl injury. both my knees. they lock at times. it's burden really
Hello!
This is a very helpful video. I would like to raise a question hence sports is one of y biggest passions. After my acl surgery i was told that i need to do recovery exercises 6 months 3 times a day. I had days when i was not doing them and i think i also had 2 entire weeks where i haven t done the exercises. I had gone to my doctor and he said the the knee is recovered, but i am still concerned regarding the muscles around the knee and the replacement itself. After almost 2 years from my surgery, how can i improve my knee to avoid any other injuries?
Thank you!
Hi Lorena, we suggest speaking with your doctor about this.
Hello! Can you please recommend any app or training program/videos to adhere to for post ACL op. Recovery?
Knees over toes guy! Look for it on Instagram
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Hi,
The current climate on COVID-19 has meant my ACL and Meniscus tear rehab have both been delayed/postponed or as it seems completely forgotten about by the NHS, which is understandable due to the pandemic. However my Surgeon/physician told me (when i FIRST had my MRI to confirm the tears), that i may be able to return to playing football without surgery due to having strong surrounding muscles and many other soccer/football players have done so (i thought he was just telling me this so that i stayed positive but the pain i felt at the time was telling me different and in no way did i think i would be able to do the things i am doing now without surgery).
As I have no physio or anyone helping me due to social distancing etc, i have kind of taken it upon my self to see what my knee is capable of... now almost 4 months post tear with no physio or any external rehab, I am able to barbell squat 120kg+KG for reps (was squatting 180KG prior) and run in a straight line without pain or sometimes both exercises cause maybe a 2/10 pain (sometimes) (i have been running 5 KM in around 22-23 minutes - so a decent pace). When i speak to others that have had the injury or at the same point in there recovery (4 months post trauma), they are unable to believe how much i can do with no physio/surgery/rehab. which is really leaving me in the dark as i just want to play football again... but also i dont want to cause anymore stress to the knee. I would'nt say my knee feels normal at all, but pain is low and stability is nowhere near perfect but its ok.
Now because I have no physio due to the current situation in the UK, I have no support or help as to what i should be doing next or what i should actually be doing... Being a student i also don't have the funds to pay extortionate amounts of money to go private. I am also worried that if i tell them this info they will tell me i don't need certain surgeries etc to save money and because i have told them i am ok and i am back running. but in order to play football at the level or intensity as i did i want to do whats best for my knee.
I am worried to try any multi directional work or even kick a ball. Is anyone on here able to advise or help me what i should do next? As if i can go back to playing football without having ACL reconstruction it would be a dream. If this is not the place could anyone point me in the right direction? Just to confirm I have had an MRI scan to confirm both a tear in my ACL and medial meniscus. just to note, I am a 20 year old male.
I hope everyones recovery is going well and thanks for taking the time to read!
How you doing mate, I'm from the UK too and was having physio for my partial ACL tear which has also been forgotten by the NHS due to the pandemic.
I partially ruptured my ACL over a year an half ago while training in Muay Thai. Been told due to my knee being stable I have no need for surgery at this time although I can feel even after intensively working on it for a while now the knee is not the same as it was pre injury.
Pain going up stairs and a lot of popping in the knee.
I would recommend you start working on it with a lot of single leg exercises. SL Leg Press (work up to the point you can press beyond your bodyweight single leg). SL Deadlifts, SL Squats and Spilt Squats. You also need to work your glute medius. SL Bridges and Side Leg Raises. Work towards 3x12-15 for all.
I'll be brutally honest with you mate I highly doubt you will be able to go back to football without causing yourself more damage and would not recommend it while injured regardless of how intensively you have rehabbed it.
At the age of 20 I would personally push to get the surgery done as you've still got your whole life ahead of you and especially if you want to go back to sports which include cutting and pivoting. I'm double your age and I'm really not happy with how restricted this injury has made me and can feel I will probably need the operation in the end. I can already feel the first signs of osteoarthritis setting in too which ain't good.
Hii dr i am acl tear patient from India I want to join indian army. But with indobutton we have unfitt in medical. Can i remove indobutton when our graft is fully hilled. Please reply dr
Is there a time limit to acl surgery? I’ve torn mine 1 year ago and just discovered recently that it was an acl tear though I don’t have a surgeon here I need to go abroad but due to coronavirus that won’t be possible. Is it okay if I delay the surgery longer ? I can walk and run and my knee is stabilized dosent give out but it constantly clicks.
If it still matters to you, i now have often read of people who tore their acl many years longer ago than you and still were able to get a successfull surgery. But surely getting it done more quick is probably advisable
Hello Dr. i tore my bilateral acl. and i had done right knee acl surgery 8 months ago from now. i am doing exercises for strengthing my right knee. can exercises harm for further injury in left knee such as other ligament meniscus injury?? want to know the best time for next surgery?
Hi, Thank you for reaching out to us. We’re very sorry to hear about what you’re going through. Unfortunately, because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication.
If you would like to request an appointment at one of our hospitals, please call 888-872-1408. Our specially trained medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins USA can also provide language interpretation, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible
I have a complete torn acl. I did not have a operation. I have been playing basketball doing heavy squats and do boxing just fine. But sometimes i do have pain whule moving laterally and when i land on my right knee alone.. Is it ok without operation. Been without my acl for 5 years now.
If you quadriceps and hamstring muscles are strong.. Then you don't need a surgery. 😊
I partially tore it but it’s right on the line between full tear and partial. That also means I may or may not need surgery. I’m doing well and may not need surgery but I’m hoping I can play sports at the same level
Just a question from your mate in acl tear.... Do you have numbness because I do have it time to time and my knee is still little swelling after 1 year
I got the same thing diagnosed today. The doctor said it is almost conpletely torn but still attached, so in between grade 2 and 3. I also wonder if i need surgery or if i can heal on my own. What was your experience?
All these questions but no recovery time? How long does it take to recover after surgery?
Hi Kevin, thank you for reaching out to us. Because each person’s medical situation is different, recovery time is also different for everyone.
@@JohnsHopkinsMedicine n2n.w.nb
@@JohnsHopkinsMedicine uv2nijlkvvujwj- hw6apyjkiucvymnjgb
@LaDenCy im almost in second year amd I feel some pains still...
@Raymond Le you think that's better than going straight to surgery? From my experience i couldn't move my knee after my torn acl so i had to do surgery as my orthopedic said
6 years back I had a complete ACL TEAR but i am able to run and do day to day activities? Even I am able to run for 10-12 kms should I go for surgery or not I am 42 years old now
how are you doing now? I have the same problem now
Hello DoctorJay Lee, thank you for the information. I had ACL sprain in my left knee, my doctor advised me to go for PRP (Platelet-rich plasma). I went through PRP 2 months before and also I am doing the exercise advised by my physiotherapist. The pain is less intense than before, but the injury is not fully recovered. In how many days it is expected that I will be fully recovered? Please do reply, thanks
It heal or not....????
I had patella dislocation,meniscus tear and little beat of acl ligament something
Are your knees mad of paper lol
Call Me BoBB, haha paper... no I remember I had serious injury
Hello, quick question. Is physical therapy good before a ACL surgery?
Nah it'd be pointless. You'll be in a brace for 6 weeks and your injured leg will wither down to anorexic levels.
Yes and no,but it is beneficial to have muscle strenghtening exercises so that post surgery you have quicker and easier recovery and process of physicall therapy
After surgery can we play any game Dr because I have acl injury three year without sugery ...can you suggest some important thing we need to do for recovery my acl Dr
Hi, for specific medical questions we recommend reaching out to your health care provider.
Tore my acl completely and mcl partially while skiing. I'm going the traditional way without surgery, physiotherapy and strengthening exercises.
Will soon get custom fit don joy braces.
Satya Kondasani How are you doing without surgery? Getting better with just physical therspy?
@@vlsr71
Due to Covid and work from home I didn't get much of Physical Therapy.
Now that summer started in the Midwest and I'm moving, I hardly feel the lack of ACL on my right knee.
I shall soon start preparing for a Half Marathon, I shall keep you posted on how I'm feeling.
@satya kondasani u had a complete acl tear ryt??.. Are you OK now?.. Are you able to flex your knee fully without any pain?
@@soorajprakash4959
Yes complete tear, I'm ok most of the time, I can walk and run, however sometimes I see the instability,I can rotate my bottom leg while running in a curve.
There's slight pain, 2 on a scale of 1-10.
@@satyadev101 am I able to contact you.. Because I have doubts regarding this issue.. 9 6364500299.. This is my whtsapp numbr.. Please msg me
is acl surgery is painful
Sir there are about 4 weaks but i cant walk properly there are tightness in leg what can i do?
Hi, , thank you for reaching out to us. Unfortunately, because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication.If you would like to request an appointment at one of our hospitals, please call +1-410-502-7683.Our medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins Medicine International also provide language interpretation, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.
I am 15 years old and I just tore my ACL for the second time now. My parents won’t allow me to play my favorite sport anymore which is basketball 😔 do you have any tips for the future so that my knee will become stabil again ? And do you think it’s possible that I will play basketball again? Thank you🙏
Kariem, You can see more on ACL tears at bit.ly/2zqyhR5 and tips on how to prevent them at bit.ly/32eMXzp. We wouldn't be able to comment to your recovery without one of our doctors seeing you. Hope this is helpful.
Hi Kariem, you can learn more about ACL tears here: www.hopkinsmedicine.org/orthopaedic-surgery/specialty-areas/sports-medicine/conditions-we-treat/acl-tear.html.
Does partial tear of acl should undergo for surgery??
As far as I know , ACL never heals itself,
As there's always a chance for injuring it further ,
It depends on you activity on daily basis,
I recommend you to do an MRI (if not done ) reach out to orthoped for best advice
I had Acl and miniscus surgery. I want to know should i start my game activity back or keep away and do some other activities . Which is batter for future and old age ?
As my doctor today u can play full fledged game u need 6 months of recovery , its better u reach our ur doctor to know more as he'll know what ur situation is
I have done my acl surgery just 3 mounths before,but still i was not propore walk.
It takes 9 months for full recovery. Don't worry, just continue doing rehab exercises.
If i have a partial acl tear and meniscus can I recover without surgery?
HI Joao, thank you for reaching out to us. Unfortunately, because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication.If you would like to request an appointment at one of our hospitals, please call 888-872-1408. Our specially trained medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins USA can also provide language interpretation, financial counseling, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.
Hey did your tear recover yet?
leroy sane injury brought me here.
Maybe i tore my acl coz few weeks ago when i played basketball suddenly on a bad landing i heard some pop then i felt numbness after 1 day the pain is gone and i can walk properly. Have i tore my acl? Or its just a normal knee injury?
Normal knee injury, if it was an actual ACL injury you wouldn't be able to walk, and you'd be in crutches for months
@@zakhariahchowdhury7681 hey thanks. I played basketball last week and seems there still something wrong when i put pressure on it still hurts. Is it normal on knee injury?
Ummmm this is wrong. I tore my ACL and went back and played. In fact I went to the ER and they told me I didnt tear it. Then I felt strange and got an MRI and sure enough it was torn. The only way to really know is an MRI.
Zakhariah Chowdhury i know I’m late, but you can walk with a torn acl but it’s just unstable.
Jaley Huffman I think mine is torn/partially torn what should I do? Obviously I can't go to hospital any time soon because of Corona so what should my plan be?
i completely tore my acl 1 year ago can i play sports without surgery?
Hi, we suggest speaking to your doctor about this.
doctor i am 16 year old boy . It is a full tear . I consulted nearby hospital ,doctor said that surgery can be done after 18+ but I want to play as fast as possible. can you help me ?
Hi Mohammed, thank you for reaching out to us. Unfortunately, because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication.
If you would like to request an appointment at one of our hospitals, please call +1-410-502-7683. Our medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins Medicine International also provide language interpretation, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.
I haven't did the MRI test. But my doctor did lachman test to my knee and he said i may have grade 1 ACL injury. I did google everything about ACL and some of them said that ACL grade 1 may heal by itself after a long time. But my doctor said ACL tear cannot heal by itself. Which one is true? Im so scared that i cannot return to futsal and football.
How are you doing rn did it heal?
@@kraken4260 i didnt sure about the first doctor. So i request to do the mri test n i did the mri test after like 6 months it happened and the result said i had high grade partial tear. The doctor just reccomended to strengthen the muscle. After two months regained the muscle i played futsal and football but im not too aggressive like i was. Im scared to dribble and tackle. Just passing n do simple things. My doctor didnt reccomend me surgery unless the ACL completely tear
damn high grade partial tear recover well buddy
Sir I have low grade partial tear as well as prepatteler bursitis along with joint effusion.. n my age is 25..it's been a month since I got Injured.. I did MRI last week and my leg is swollen..I feel pain to keep it straight or sit for more than an hour ..even walking properly is difficult..I drag my leg for convenience.. one doc suggested surgery as knee is unstable..whereas other says to wait for another month..I feel pain hurt and confused as what can help.. it's going to be 2month on 12:Feb.. I feel really bad confused and in pain..pls help me
Sneha Tiwary how is it now did you get surgery? Did you hear a pop?
@@vlsr71 no I didn't get surgery I did rub lot of ice so swelling reduced and I can walk but standing for longer hours plus compromising other leg for standing has taken a good toll on my other leg..I have shown to three doctors n none of them gave proper medication or any treatment..last few days ago I heard about another doc n he has plastered my leg and he says after 40 days of this there's possiblity that they will join since it's partial tear.. n I didn't hear any pop since I fell from scooter n there was too much noise to hear a pop..but a lot of pain followed along with huge amount of swelling and shivering..
Sneha Tiwary wow im sorry for your pain. I heard a pop but no swelling just feels wierd and spasms. Weakness as well. Cant put full weight on it yet but i have full range of motion with discomfort. Did you get mri or xray?
Swelling is usually followed in ack tears but everyone is different and it seems like there may be grade 1 tear since you feel weak there and buckling is a symbol of damage.. howsoever x-ray are very misleading it showed no signs of any damage had two of them and everyone thought I was ok just a bit of Wound but the wound didn't heal by 2 months then went for MRI and I had bursitis along with tear.. if you have persistent pain even after a month you must go for MRI..n yes with acl tears you can have motion but there will be pain n weakness.. sorry for you too but get done with MRI..
I had a complete tear in my right knee in January and my doctor said surgery in July is that bad?
Ryan Mac how bad did it hurt
You have nerd neck Boi initially I nearly passed out i was playing football.
But then the pain just disappeared but my knee had no strength.
Over the past two months since the swelling has decreased the pain has actually increased and I can feel the bones like hitting eachother it’s horrible can’t wait for surgery in july
Ryan Mac how are you doing now? I had my surgery in August 2019 and when I tore it is was like how you described
Sir....can we walk with a torn ligament within 2-3 days?
Hi, , thank you for reaching out to us. Unfortunately, because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication.If you would like to request an appointment at one of our hospitals, please call +1-410-502-7683. Our medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins Medicine International also provide language interpretation, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.
Hi Prateek
Based on my experience ,I would say yes it is possible to walk with a torn ligament pcl mcl or acl ,
It hurts the most while walking if have miniscule tair as well.
Hey Prateek, I tor my acl ab a year ago but I was able to walk for about 3 months and after the three months I got the surgery
After I got MRI I got to know, I have partial tear of acl , surgon after seeing mri he suggest me that you go for physiotherapy , now after 2 month now able to walk in good manner, get lunges, comfortable on stairs, can i think after getting exercise acl can heal it's own?... Suggest me.. My age is now 24 year
Thank you for reaching out to us. Unfortunately, because each person's medical situation is different, we are unable to provide second opinions via this form of communication. We recommend that you discuss this with your primary healthcare provider.
@@JohnsHopkinsMedicine .. How can i communicate with them
@@mrx5276 Please reach out to inquire about a new appointment by calling 855-695-4872. Please note, many of our offices are reaching out to patients to reschedule appointments as video visits; this will depend on visit type and currently, these are only available for existing patients. Please call the above number to learn more about what options may be available for your specific situation. You can see more on our patient and visitor guidelines at www.hopkinsmedicine.org/coronavirus/index.html#patient-visitor-alerts
I have partial ACL tear from last seven years do i need surgry?
Get it checked out immediately.
@@unique7988 you mean go for surgry?😢
Can a ACL complete tear heal automatically growing on an on without doing a surgery?
Unfortunately no
Because it has no blood supply
There is a small knee joint effusion.
There is an inferior surfacing horizontal tear within the posterior horn of lateral meniscus. No evidence of a medial meniscal tear.
There is a low-grade partial thickness tear of ACL. Normal PCL, MCL and lateral stabilising structures.
There is a thickening of the patellar tendon consistent with patellar tendinosis.
No full thickness chondral defects of the pattellofemoral and tibiofemoral chondral surfaces. There is a minor bone marrow oedema within the lateral tibial plateau which is presumably a stress response.
Conclusion:
Tearing of the posterior horn of lateral meniscus with associated bone marrow oedema in the lateral tibial plateau.
Patellar tendonisis.
There is a low-grade partial thickness tear of the ACL but no full-thikness intra articular ligament tear.
Recommendation:
Referral to an orthopaedic knee surgeon in advised.
This is my MRI result. What should I do? Please help...
Hi Misbah, thank you for reaching out to us. Unfortunately, because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication.
If you would like to request an appointment at one of our hospitals, please call +1-410-502-7683. Our medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins Medicine International also provide language interpretation, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.
heyyy brooo how's your condition now ...please respond...as i have almost as the same exact MRI report that you have...
I tor mine at 12
I have bio pattela dislocation and trying to find out as much as I can about my op lol
C
Hi google pattela diislocation under Johns Hopkins,. I had them my whole life and just had to knee surgery this year in the pederactic orthpediict . Let me know if you have questions
He should tell people to only call him dr. jay because it sounds like dr. dre
Can a torn acl be healed without a surgery?
Reneyer Tahil The ACL has no blood supply so it cannot heal by itself. But there are ways to improve without surgery.
Gage Driscoll. Thankyou, but how? Can you give me some examples?
Reneyer Tahil strengthening quad muscles. I don’t know how bad or how recent yours is if you have one or are just interested. You don’t NEED a ACL. With strong quad muscles and a solid brace you should be doing pretty well. I am not a doctor or anything like that I am explaining what I have done and heard from doctors that have helped me. I’m happy to answer questions.
@@gagedriscoll9327. Thankyou.
Hi Reneyer, we recommend talking to your doctor to see what is a good fit for you.
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