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treatment and rehabilitation of cruciate ligament injury

treatment of cruciate ligament accounts for more than a third of football injuries, oddly enough, women are 3 times more likely to have a cruciate ligament injury than men. But it gets worse if the cruciate ligament injury recurs again after the treatment stage.

 Therefore, the injury must be rehabilitated and treated well to ensure that it does not recur. In this article, we will cover the most important information about cruciate ligament rehabilitation, methods of injury prevention and treatment, and the best treatment methods. 

Cruciate ligament injury: 

One of the most widespread knee injuries, is a sprain or rupture of the cruciate ligament. Studies have shown that women are more prone to cruciate ligament injury. Sometimes a cruciate ligament injury may require surgery to restore full knee function, depending on the severity and degree of the injury. 

Cruciate ligament injury can be treated through physiotherapy and rehabilitation programs, as this helps to increase the range of motion and flexibility of muscles and work to strengthen them faster than other methods. 

Causes of cruciate ligament injury: 

Cruciate ligament injury occurs as a result of many different causes, therefore half of the anterior cruciate ligament injuries damage the meniscus or other ligaments of the knee.

Among the causes of cruciate ligament injury are: 

  • Violent lateral collision of the knee joint in football.
  • Stretching of the knee joint.
  • Abruptly prevent movement while running at full speed.
  • Sudden change of direction while running fast.
  • Falling incorrectly when jumping or spinning. 

Causes of cruciate ligament injury in women: 

According to a Spanish study, the “repeated” injury to the cruciate ligament threatens female football players more than their male counterparts, as the top 16 women’s football players around the world have suffered this injury, and in this paragraph we will learn about the causes of this phenomenon, including: 

  • Weakness of the muscular component in ladies.
  • Imbalance of hormones that form bones and muscles.
  • Widening of the pelvis, which causes an excessive load on the knee. 
  • One of the most important tips that women should take into account to avoid injury is:  
  • Make the necessary analyzes and measurements of the whole body. 
  • The presence of muscular balance between the posterior and anterior muscles and pelvic muscles.
  • Practice frequent balance exercises to maintain joint balance during exercise. 
  • The work of gene analysis ” DNA ” to find out the type of injury that is likely to occur according to the type of genes.

Symptoms of cruciate ligament injury: 

There are many cruciate ligament symptoms that appear gradually or suddenly, and it is possible that they develop over time, and sometimes these symptoms may vary from person to person depending on the degree of injury.

The main symptoms of cruciate ligament are: 

  •  The feeling of a torn knee and the sound of a broken knee.
  • Sensation of severe pain in the knee and the entire leg.
  • The presence of bruises or redness in the knee, as a result of internal bleeding in the anterior cruciate ligament rupture.
  • Feeling of sudden numbness in the leg while walking, which prevents the leg from moving.  

Diagnosis of cruciate ligament injury:

To confirm the condition of the cruciate ligament or the quality of the injury, a complete examination of the knee joint must first be performed, through which an accurate diagnosis is made and among the diagnostic procedures:  

  • X-rays: X-rays may be required to rule out a bone fracture. However, the X-ray does not show soft tissues such as ligaments and tendons.
  • Magnetic resonance imaging: magnetic resonance imaging uses radio waves and a strong magnetic field to produce detailed images of both soft and hard tissues inside your body. An MRI scan can show the extent of the anterior cruciate ligament injury. Signs of damage to other tissues in your knee including cartilage.
  • Ultrasonic waves (Sonography): using sound waves to image internal structures, ultrasound can be used to check for injuries to the ligaments, tendons and muscles of the knee.

 Degrees of cruciate ligament injury:  

As mentioned earlier, cruciate ligament injury constitutes a large percentage of injuries, and there are many different types, it is worth mentioning some types. The degree of injury may be very severe and unlikely, and some may be minor 

Where the degrees of injury are represented by : 

  • First degree: in which minor damage to the cruciate ligament occurs as a result of a sprain, however, at this stage the ligament is able to control the stability of the knee.
  • The second degree: in which the ligament extends until it is dislocated from the knee, this is called a partial cut in the cruciate ligament.
  • The third degree: this degree can be considered the highest stages of cruciate ligament injury, in which the ligament is completely torn and split in half, and therefore the knee joint loses its stability permanently.

Anterior cruciate ligament injury: 

An anterior cruciate ligament injury is probably a sprain, a stretch, a partial tear or a complete rupture of the anterior cruciate ligament. The anterior cruciate ligament is one of the main ligaments in the knee, and among the causes of anterior ligament injury:  

  •  Sudden deceleration while switching direction or when stopping.
  • Severe sprain of the fixed foot.
  • Landing incorrectly after jumping.

An anterior cruciate ligament tear often requires rehabilitation with physiotherapy and measuring devices that restore all the muscular functions of the knee. 

Posterior cruciate ligament injury:  

Posterior cruciate ligament injuries can be considered rare injuries as they are more difficult to detect than other injuries, posterior cruciate ligament injuries are often classified as Grade I, II or III depending on the severity of the injury. 

They can be divided into: 

First degree: in which the ligament is slightly damaged with stabilization of the knee joint.

Second degree: at this degree a partial rupture of the ligament occurs.

Third degree: in which a complete rupture of the ligament occurs and the ligament splits in half.  

Lateral cruciate ligament injury: 

It is one of the knee ligaments, which is known as the cruciate ligament, and the cruciate ligament consists of four ligaments, including the lateral ligament, which is located along the knee. This ligament connects the femur and fibula bones of the leg, and the primary function of the collateral ligament is to maintain the knee joint and bring it into a stable and stable position.

Among the symptoms of a lateral cruciate ligament injury are: 

  •  Swelling of the knee, specifically the outer part of the knee.
  •  Occlusion in the knee joint due to stiffness.
  • Instability of the knee joint.

Prices of cruciate ligament rehabilitation sessions: 

The cost of physiotherapy sessions has not become high currently, as there are a lot of treatment centers with an average therapeutic cost. These centers conduct physiotherapy sessions through therapeutic exercises and devices by specialists and doctors. 

 Therefore, we will look at the average prices of cruciate ligament rehabilitation sessions 2024:  

  •  Cruciate ligament rehabilitation sessions in Cairo governorate start from 800 EGP
  • Cruciate ligament injury rehabilitation sessions in Giza governorate cost from 700: 800 EGP.
  • The cost of cruciate ligament injury treatment sessions in the provinces of the sea face ranges from 550: 680 EGP.

Methods of prevention of cruciate ligament injury:

Cruciate ligament injuries are one of the most common injuries, as a large number of people suffer from them annually, and unfortunately it does not depend on the players. There are many people who are susceptible to this injury

One of the most important tips that help avoid cruciate ligament injury is: 

  • Practice exercises that help strengthen the leg muscles, especially hamstring exercises, to ensure overall balance in the strength of the leg muscles.
  • Practice Exercises to strengthen the core muscles, especially the pelvic and lower abdominal muscles.
  • Training to improve mobility while performing axial movements 
  •  Wear some special equipment, such as shoes and foot support pads suitable for the type of sport you practice, in order to protect the knee in case of falling. 

Treatment of cruciate ligament injury with physiotherapy:

Cruciate ligament injury can be treated using physiotherapy sessions, as it is one of the most effective methods of treatment and is done by several methods and devices. The role of physiotherapy does not stop only at the treatment stage, but also extends to post-injury rehabilitation 

One of the most important devices that are used in physic after the treatment of a cruciate ligament cut or tear is: 

1.Isokinetic device Because it helps to :

  • Determine the strengths and weaknesses of the muscles.
  • Determine the appropriate timing of the player’s return to sports.
  • The return of the player to his athletic level before the injury.
  • Careful evaluation of the muscles to prevent recurrence of the injury again.
  • Provide accurate information about the muscles of the player.

2.Foot scan device:Because it helps to :

  • The causes of foot pain are precisely.
  • The area of pressure on the foot during walking or running.
  • Weak tendons and ligaments of the foot.
  • Possible diseases that occur as a result of the formation of the foot.

3.Equilibration measuring device: 

  • Because it helps to :
  • Determine the level of balance of a person.
  • Maintain the maximum degree of balance in different directions.
  • Reduce the likelihood of a person falling through training on balance levels.
  • Improve the stability of joints to prevent falls and injuries.
  • Increase the stability and balance of the body after injury by means of an appropriate therapeutic exercise program.

Treatment of a partial cut of the cruciate ligament with physiotherapy

  • Treatment of a partial cruciate ligament cut using physiotherapy depends on several factors, including the severity of the injury, your daily activities, the level of pain and congestion.
  •  In the case of a partial cruciate ligament tear, doctors may recommend physiotherapy as the initial recovery option before considering surgery.
  • At the beginning of physiotherapy, you may be instructed to use ice and apply it to the affected knee to reduce inflammation and relieve pain. 
  • Physiotherapy will strengthen muscle strength, improve flexibility and restore normal mobility of the knee.
  • Common physiotherapy techniques for the treatment of partial cruciate ligament rupture include:

1. Muscle strengthening exercises: a special exercise program will be designed to strengthen the muscles surrounding the knee, such as the front, rear thigh muscles and lateral muscles. 

2. Flexibility improvement exercises: stretching and flexibility exercises will include exercises to improve knee range of motion and flexibility. 

3. Manual therapy techniques: physical therapists may perform techniques such as massage, deep massage, and manual stretching to help relieve tense muscles and improve muscle balance.

4. Balance and stability exercises: these exercises will include exercises to improve balance and stability of the knee. 

  • The physiotherapy program should be tailored to your personal condition and should be regularly monitored and evaluated by the treating physiotherapist. 
  • Physiotherapy may take several weeks to several months until a noticeable improvement in symptoms and knee function is achieved.

Treatment of cruciate ligament injury without surgery: 

 Cruciate ligament injury can be treated without surgery, through various physiotherapy programs and drug therapy methods, so it must be said. That most cruciate ligament injuries do not need surgery, as they can be cured by physiotherapy methods and exercises. 

One of the most important methods of treating cruciate ligament without surgery is: 

  • Rest: as it is generally considered essential for healing, it prevents pressure on the knee.
  • Ice: after waking up, ice should be applied to your knee every two hours for 20 minutes at a time.
  • Compression: a tape or compression band can be wrapped around your knee.
  • Lifting the affected part: by lying on your back with your knees raised on a pillow.

How long is the treatment of a cruciate ligament cut?

  • The duration of treatment for a cruciate ligament injury varies depending on many factors, including the severity of the injury and the type of treatment used.
  •  Treatment of a cruciate ligament cut usually requires surgery to repair the torn ligament, and then an intensive rehabilitation period follows to restore strength and mobility in the knee.
  • Full recovery from cruciate ligament resection surgery takes between 6 to 9 months. However, some mild symptoms and swelling can last longer.
  •  The exact timing of the return to routine and sports activities depends on the personal condition of the patient and the level of physical activity in which he is engaged.

Which is the best cruciate ligament injury treatment center ?  

There are many cruciate ligament injury treatment centers, where it is important to choose a treatment center that rehabilitates cruciate ligament injury, and among the best centers is the physical Center for physical therapy and rehabilitation, where it is possible to: 

Treatment of cruciate ligament injury is best done without surgery. 

Rehabilitation of the cruciate ligament in record time. 

Perform all preventive measures that ensure that the injury does not recur again.

Rehabilitation of cruciate ligament injury:

When talking about the rupture or severing of the cruciate ligament, it is most likely necessary to undergo rehabilitation in those cases where rehabilitation programs should be made for complete recovery from the injury. One of the best centers for cruciate ligament rehabilitation is Fizik rehabilitation and physiotherapy center, where it is characterized by: 

  • The presence of advanced physiotherapy programs in the treatment of cruciate ligament injury. 
  • Possession of the latest measuring devices and rehabilitation after injury. 
  • The presence of an elite group of doctors who are competent in the treatment of injuries.
  • A treatment system ensures that you prevent the injury from recurring again.  
  • Cruciate ligament rehabilitation exercises:
  • There are a number of therapeutic exercises that help to rehabilitate the cruciate ligament to a large extent, and relieve the pain caused by the injury, and among the exercises that help in this: 

Heel lifting exercise: 

It aims to restore the range of Motion where the patient lifts the heel off the bed while keeping the knee adjacent to the bed, and suspends the knee outside the bed. In addition to using a weight tied on the ankle. 

 Foot and leg stretching exercise:

  • This exercise is done by
  •  Extend the knee and then tighten the foot, bending the knee.
  •  Slide the foot on the wall with the help of the healthy man to push the injured man down.
  •  Slide the foot on the bed with the help of the arms to pull the injured man to the body.

Muscle strengthening exercise: 

  • A person should practice closed strengthening exercises such as: leg press exercise, fixed wheel exercise, or sports ladder apparatus exercises, and the patient should practice these exercises after he regains the motor range of the knee. 

The best cruciate ligament injury rehabilitation center: 

Fizik Center for physical therapy and sports rehabilitation is an integrated and pioneering treatment system in the field of rehabilitation of injuries of all kinds especially cruciate ligament injury. Where the injury can be rehabilitated in record time so that we ensure that it does not return again, and one of the most important features of the rehabilitation of cruciate ligament injury: 

  • The effectiveness and speed of the treatment program used to rehabilitate injuries
  • Implementation of the treatment journey through high-quality and efficient devices. 
  • The presence of a preventive program ensures that the injury does not occur again. 
  • Having a program that identifies the physical problems that are expected to occur in the future. 
  • And then what are you waiting for Get an exceptional treatment experience at the best cruciate ligament rehabilitation center, helping you step by step for better health.
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