REHAB / SEPT 20, 2024
So you've torn your ACL?
Experiencing an ACL tear can be a daunting challenge for any athlete or active individual. The last thing you need is a flood of advice from friends, family, and colleagues—or even Dr. Google—about what you should do next. Let’s set the record straight.
At Peak Performance and Rehab, we understand that an Anterior Cruciate Ligament (ACL) injury can significantly impact your life and athletic activities. That's why we're committed to providing you with evidence-based information to help you make informed decisions about your recovery.
In this guide, we'll walk you through the essential considerations following an ACL injury, equipping you with the knowledge to navigate your recovery effectively.
The Big Question: Do I Need Surgery?
The short answer is: No!
The long answer is: It depends.
When it comes to ACL injuries, the decision about surgery isn’t one-size-fits-all. Recent high-quality research indicates that long-term outcomes can be comparable for both surgical and conservative management approaches.
Several factors influence this decision:
The Crucial Role of Prehabilitation
One universally accepted fact is that building strength prior to surgery greatly enhances your chances of a successful recovery. Prehabilitation, or conditioning before surgery, is often overlooked but is vital for optimal outcomes.
As Warren Buffett wisely said,
“The best way to make money is not to lose money in the first place.”
Strengthening the muscles around the knee before any potential surgery can significantly improve post-operative results.
Benefits of Prehabilitation Protocols:
In summary, while surgery may be necessary for some, many factors must be considered. Prioritizing prehabilitation can make all the difference in your recovery journey.
If I Choose Surgery, What's the Best Option for Me?
The decision to undergo surgery for an ACL injury is not straightforward; it depends on multiple factors we've discussed previously. It’s crucial to consult with a professional who understands your unique situation and lifestyle goals.
Graft Options for Surgery
If surgery is deemed necessary, it will involve selecting a graft. Here are the common options:
When choosing a graft type, consider these two important factors:
For example, athletes involved in jumping and landing may benefit more from a hamstring graft, as the patellar tendon experiences significant stress during these movements. On the other hand, if you’re a kick athlete, a patellar graft might be more suitable, since the hamstring is heavily engaged during kicking actions.
It’s worth noting that success rates are comparable across graft types, so your choice should align with your individual needs and goals.
Next Steps to Recovery
Navigating an ACL injury involves careful consideration of various factors. At Peak Performance and Rehabilitation, we’re dedicated to guiding you through this process, offering personalized advice based on the latest research and your unique circumstances. Remember, the road to recovery is different for everyone, but with the right approach, a full return to your desired level of activity is achievable.
For personalized guidance on your ACL injury, don’t hesitate to reach out to our team of experts at Peak Performance and Rehabilitation.
Written by Hamish Dickie/Head Physiotherapist and Performance Coach
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REHAB / SEPT 26, 2024
Injuries are tough, but rehab doesn’t have to be.
Throughout my career as a High-Performance Physiotherapist, I’ve been fortunate to witness extraordinary achievements on the world’s biggest stages—moments that bring pure joy. However, I’ve also seen athletes face their lowest points, grappling with the realities of long-term rehabilitation or potentially career-ending injuries. This is the paradox of sport: the agony and the ecstasy, the triumph and the disaster.
As Rudyard Kipling said, “If you can meet with Triumph and Disaster and treat those two impostors just the same,” we learn that success—whether in sports, rehab, or life—rarely follows a straight or predictable path.
We all experience setbacks, disappointments, and challenges. Life should not be a spectator sport; spending your time in the grandstand means missing out on the experience itself.
Brené Brown, in her impactful TED Talk, dissects Theodore Roosevelt’s famous quote about “The Man in the Arena.”
Nelson Mandela shared this passage with South African Captain Francois Pienaar before the 1995 Rugby World Cup Final, a pivotal moment in South Africa’s history.
“It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who at best knows the triumph of high achievement, and who at worst, if he fails, fails daring greatly.”
Ultimately, it’s not about winning or losing; it’s about showing up and being seen. We will all face challenges—that’s a certainty. If you’re committed to improving, whether in sport or life, you need to be courageous. The first step in your journey of rehabilitation or performance is having the courage to pick yourself up, dust yourself off, and face the uncertainties ahead.
Recovering From Injury
Recovering from injury involves both physical and emotional discomfort, along with the risk of failure.
Embracing these challenges is essential for moving forward. Failure can be our greatest teacher, and letting the fear of failure linger deprives us of valuable lessons.
As Wayne Gretzky wisely said, “We miss 100% of the shots we don’t take.” The greater the setback, the larger the opportunity to learn and grow, leading to a more satisfying comeback.
The most challenging part of any rehab journey is starting and coming to terms with the road ahead. Having the right support team is crucial to your success. Your team should not only provide excellent clinical care but also
create a personalized program that addresses both physical and mental barriers.
“If you don’t know where you’re going, you’ll end up somewhere else.” — Yogi Berra
Goal-setting is a vital component of the rehabilitation process. These goals should be realistic, considering healing timelines while being tailored to your individual needs. The road to recovery cannot begin without a clear map, and your rehab team must understand you as a person.
Life can be divided into four key areas:
Your rehab team needs to be aware of your current priorities and where they might need to shift for a successful outcome. Together, we’ll create a plan broken down into short-, medium-, and long-term goals that are personal to you.
Everyone has the same amount of time each day; it’s about how you choose to invest it. Working with elite athletes has taught me that there are contenders and champions. Champions invest their time in areas that yield returns. Those in rehab focus on making small improvements each day, requiring discipline and accountability. When faced with the temptation to take shortcuts, we can always return to the goals we’ve set together.
I can often tell early on if an athlete will be successful in rehab through what I call “the line test”. If an athlete is fatigued but still manages to push through to the finish line, it reveals a lot about their mindset and commitment to improvement.
“When you improve a little each day, eventually big things occur. Don’t look for the big quick improvements. These don’t exist. Seek the small improvements one day at a time. That’s the only way it happens, but when it happens, it lasts.” — John Wooden
Finally, as the title suggests, rehab doesn’t have to be a struggle. In fact, laughter can have tremendous physiological benefits during this process.
We’re not just reconstructing physical pathways; we’re also building resilience. Our brains and bodies are learning together. Laughter activates areas in our brains that release dopamine, a key neurotransmitter that regulates desire and motivation, positively influencing our mood. When we feel good, we’re more likely to engage in our rehab consistently.
We know the road ahead may be tough, but let’s embrace the journey and have some fun along the way.
It's going to be tough, but pain is temporary, quitting lasts forever. Every rep, every stretch is an investment in your future. So embrace the suck, laugh in the face of adversity, and turn your rehab into a personal revolution.
When you come out on the other side, you're going to be tougher, smarter, and ready to conquer.
Are you ready to transform your rehab from a chore into a adventure?
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