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339 N. Schmidt Rd.

Bolingbrook, IL 60440

(630) 771-1212

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ACL Injury and Chiropractic

ACL injury

The knee is a hinge joint and stability is provided by the large thigh muscles (the quadriceps and hamstrings), the cartilaginous medial and lateral menisci, the medial and lateral collateral ligaments, and the anterior and posterior cruciate ligaments. The cruciate ligaments are located within the knee joint and provide front-and-back stability to the knee. Specifically, the anterior cruciate ligament (ACL) helps prevent the shin bone (tibia) from sliding too far forward with respect to the thigh bone (femur). The cruciate ligaments also provide rotational stability to the knee.

The cutting maneuver, in which the foot is planted, the knee is flexed, the thigh is internally rotated, the shin is externally rotated, and with subsequent powerful contraction of the quadriceps is a position of vulnerability for the knee. Cutting maneuvers are common in sports such as soccer, basketball, football, and lacrosse. Cutting maneuvers may also be utilized in daily life, such as with the need to suddenly bend and twist the lower body.. Sudden, unanticipated cutting maneuvers may result in knee injury. Structures that may be damaged include the medial meniscus, the medial collateral ligament, and the ACL. This complex of injuries is known as O'Donaghue's triad. If there is significant joint swelling post-injury, it is likely that the ACL has been severely sprained and possibly ruptured.

Prevention is always the optimal policy, as third-degree ACL sprains (torn ACL) typically require ACL reconstructive surgery. Postoperative rehabilitation includes progressive physical therapy and at-home exercise. This recovery period usually ranges from 8 to 12 months.

Prevention of ACL injuries involves flexibility routines and lower extremity strengthening exercises. Flexibility activities may include yoga, Pilates exercises, and regular stretching of the quadriceps, hamstrings, and calf muscles. Lower extremity strength training includes squats, lunges, quadriceps extension, hamstring curls, calf raises, and toe raises. A primary result of an ongoing flexibility and lower extremity strength training program is optimization of knee proprioception, that is, increased neurological activity of the knee joint regarding its positioning in 3-dimensional space. Enhanced proprioception will help distribute cutting maneuver physical forces around the knee joint more effectively, reducing the likelihood of injury. As well, flexibility and exercise programs provide resilience and increased strength to the musculoskeletal structures comprising and supporting the knee.

Regular chiropractic care provides necessary support for both knee injury prevention programs and postoperative recovery. By detecting and correcting sources of biomechanical dysfunction and nerve interference, regular chiropractic care helps create a physiological environment by means of which you and your family can obtain the greatest benefit from your exercise activities. In the same way, if ACL reconstruction ever becomes necessary, regular chiropractic care helps assist the effectiveness of the recovery program and helps your body achieve the greatest benefit from rehabilitation protocols.

Benjaminse A, et al: Revised Approach to the Role of Fatigue in Anterior Cruciate Ligament Injury Prevention: A Systematic Review with Meta-Analyses. Sports Med. 2019 Jan 18. doi: 10.1007/s40279-019-01052-6. [Epub ahead of print]

Biscarini A, et al: Knee flexion with quadriceps contraction: A new therapeutic exercise for the early stage of ACL rehabilitation. J Biomech 49(16):3855-3860, 2016

Smeets A, Malfait B: Is knee neuromuscular activity related to anterior cruciate ligament injury risk? A pilot study. Knee. 2018 Nov 8. pii: S0968-0160(18)30903-30907, 2018. doi: 10.1016/j.knee.2018.10.006. [Epub ahead of print]

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    Dr. Fisher and his staff are the best. They will deisgn a plan to better health. They will work with you to make it affordable and you will see results. If you have been to other chiropractors in the past or never gone to one before, this is the place to go.

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    I've been having a great experience with Dr. Fisher and his staff. His evaluation of one's complaint is very informative. The treatment plan is specifically designed and varied…I experienced positive results from the beginning.

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    Since starting my new plan with Dr. Fisher, my neck and lower back are much improved. He has even adjusted my arms and hands resulting in less tingling…Patient care and well being is their mission.

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    Dr. Fisher is diligent in making sure you get a personal experience. He doesn't rush through your treatment. I don't feel like just a number! His staff is exceptionally personable!

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    This place is awesome, Dr. Fisher is helping me get back to where I was when I was a younger man! The exercises, adjustments, and massages have really helped me. The staff here is really knowledgeable and friendly. I highly recommend this place!

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Monday:

10:00 am-1:00 pm

3:00 pm-6:00 pm

Tuesday:

Closed

3:00 pm-6:00 pm

Wednesday:

10:00 am-1:00 pm

3:00 pm-6:00 pm

Thursday:

10:00 am-1:00 pm

3:00 pm-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Holiday Hours:
Christmas eve 10am-12pm, Christmas closed, opened NYE 10am-1pm, closed new years day