32 year old, male, Romanian He injured his right knee during practicing Jujutsu on November 22th, 2021. Four days later, he went to the MRI scanning, and the diagnosis was:
Complete ACL tear
On February 25, 2022, he started the online therapy for the natural healing of the ACL tear with Jun Matsumoto. It already has passed for three months from the injury, and it was assumed that the natural healing could be difficult. He understood the difficulty, but he continued doing Evo-Devo Exercises for three months, and he took the next MRI on May 26th, 2022.
The MRI indicates:
Certainly visible continuity of the ACL
Future prospects and considerations
This is a remarkable case of natural healing of ACL tear because it already had passed for three months from the injury at the time of when he started the natural therapy. There was no other ligamentous or meniscus injury, it is assumed that he can retrun to the sport after further rehab exercies.
On December 3, 2021, he twisted his left knee while practicing for a sport called Kabaddi. On the same day, he underwent an MRI examination at the hospital and was diagnosed as follows:
Complete ACL Tear
The patient was enrolled in the Indian professional league, was told by the physiotherapist of his team that he would be able to return in four weeks, and was undergoing treatment and rehabilitation. Although he returned to practice, the pain did not subside, and while searching for information, he came across the natural healing therapy of Jun Matsumoto, and started online treatment from January 10, 2022. After returning to Japan in February of the same year, he continued to receive face-to-face and online treatments, aiming for natural healing. On March 1, we had his second MRI.
MRI image diagnosis showed a tendency of spontaneous healing, but no clear continuity of the ligament could be confirmed. After returning home, he did not train for competition, only did exercise therapy and waited for his ligaments to heal. On May 19, 2022, his third MRI was performed.
The third MRI scan, much the same as the previous one, showed no clear ligament continuity. A manual examination revealed that the knee joint was less instable, suggesting adhesion of the anterior cruciate ligament stump to the posterior cruciate ligament.
Future prospects and considerations
After that, rehabilitation was continued toward the return to competition, but the patient chose reconstructive surgery because the international competition scheduled to be held in the fall of the same year was postponed for one year.
Although the exact reason for the failure of normal spontaneous healing of the anterior cruciate ligament rupture to occur is unclear, two possible causes are presented. One is the misjudgment of the medical staff of the overseas team of which he was enrolled. Despite the complete rupture of the anterior cruciate ligament, he did not rest from training, aiming to return in four weeks. Second, one week after the start of the Evo-Devo Exercises, his symptoms improved dramatically, so he participated in a practice-level practice, where he collapsed his knees. It may be difficult to get athletes to take a break from practice and concentrate on treatment, but this case made us realize again the difficulties and problems of treating athletes.
39 years old, male, Japanese, Occupation: Military officer
On December 2, 2021, he twisted his left knee during a martial arts practice. He had an MRI scan two weeks later and he was diagnosed as follows:
Left knee anterior cruciate ligament tear medial meniscus tear
As for the patient’s symptoms, there is discomfort in walking due to limited range of motion. It hurts in complete flexion and twisting his knee. When he moves vigorously, his knee becomes giving way.
From December 20, 2021, he started the online therapy for the natural healing of the ACL tear with Jun Matsumoto. He continued doing the Evo-Devo Exercises for five months, and he took the next MRI on May 9, 2022.
MRI evaluation
Both the tibial and femoral stumps of the torn anterior cruciate ligament appear to be fused with the posterior cruciate ligament. In this case, the anterior cruciate ligament stumps did not fuse together, but the knee regained stability through the fusion with the posterior cruciate ligament. In the medial meniscus, damage to the inner edge only spread to the outer edge and reached the red zone with high blood flow, so natural healing can be expected in the future.
Future prospects and considerations
The patient was interviewed online approximately 8 months after injury. He resumed his sports activities, and his subjective evaluation showed that he had recovered to about 90% of the pre-injury level. In this case, the ruptured anterior cruciate ligament did not normally heal spontaneously and was healed by fusion with the posterior cruciate ligament. Instability of the knee does not remain and achieves sufficient functional recovery.
The reason why normal natural healing did not occur this time is still unclear, but I would like to describe the points that caught my attention. One was that he experienced several knee collapses after performing vigorous exercise several times immediately after the injury. Second, about two months after the start of treatment, he once felt some severe pain when going up and down stairs. In the future, when there is a case of degenerative healing, we will leave such points of concern as data as comparison material.
34 year old, male, Filipino living in Japan He injured his right knee during playing Baskaetball on October 24th, 2021. When he changed the direction by loading this weight on the right knee, he twisted the right knee, and he fell down. One week later, he went to the MRI scanning, and the diagnosis was:
Complete ACL tear Lateral Meniscus tear
On November 11, 2021, he started the face to face therapy for the self healing of the ACL tear with Jun Matsumoto. He continued doing the Evo-Devo Exercises for five months, and he took the next MRI on April 30,2022.
The MRI report indicates:
Minor tear on ACL but there is the continuity. Lateral Meniscus tear
Future prospects:
Even though the lateral meniscus still remains, the torn ACL has almost healed naturally by its own. Jun Matsumoto ordered him to spend the normal daily life activity without doing any sport for a few months. They agreed to see how it works later. If the unhealed meniscus impairs the knee in the future, the option for the surgery can be taken.
37 year old, male, Australian living in Austria He injured left knee while rock climbing on the 3rd November 2021. He fell akwardly from a very low height and his weight went on my knee in a bad direction. Two weeks later, he went to the MRI scanning, and the diagnosis was:
On December 8th,2021, he started the online therapy for the natural healing of the ACL tear with Jun Matsumoto. He continued doing the Evo-Devo Exercises for four months, and he took the next MRIs on April 25,2022.
The MRI report indicates:
“Regular positioning of the patella in the femoropatellar compartment, the retropetallar cartilage shows a deep cartilage ulceration at the medial facet, which is slightly increasing compared to the previous examination, reaching the cartilage-bone lamella. The trochlear cartilage is continuous. The medial and lateral retinaculum patellae are unremarkable.
Infrapatellar fat body in regular formation. In the lateral femorotibial compartment ubiquitous cartilage cover, the lateral meniscus shows a circumscribed linearity at the posterior horn IMA 8-27, this was already present in the previous examination, but currently appears somewhat expanded and reaches the tibial meniscus surface.
In the medial femorotibial compartment there is a cartilage cover throughout, the medial meniscus at the posterior horn appears clearly more elevated than in the previous examination, but there is no evidence of a dislocated meniscus fragment.
The posterior cruciate ligament is continuous. After rupture of the anterior cruciate ligament, the latter is still edematised, but individual fibrous strands show signs of continuity.
Significant decrease in knee joint swelling. Angelegte Baker-Zyste. Baker’s cyst in place. Typical flow-void popliteal.”
Future prospects
Even though the meniscus tears still remain unhealed, the torn ACL is successfully healing naturally. Jun Matsumoto ordered him to start strengthening the leg muscles, and agreed to follow-up the further prognosis.
31 year old, male, Japanese On September 20th, 2021, he was playing badminton, and when he landed on his left knee from jumping, he twisted it. Two weeks later, he went to the MRI scanning, and the diagnosis was:
Complete ACL tear Tear of the posterior segment of the Medial Meniscus Tear of the posterior segment of the Lateral Meniscus
On October 28th,2021, he started the online therapy for the natural healing of the ACL tear with Jun Matsumoto. He continued doing the Evo-Devo Exercises for four months, and he took the next MRIs on February 25,2022.
The MRI report indicates:
Partial ACL tear
By comparing the MRIs of 2021/10/05 and 2022/02/25, the torn ACL starts healing spontaneously and growing intact. The torn ACL is still in healing process. However, the both meniscii tears remain unhealed yet at this moment. Jun Matsumoto ordered him to continue doing he Evo-Devo EX until the continuation of the ACL becomes more firm. The patient recovered the full range of motion of the left knee, and he doesn’t feel any instability of the knee. He can walk normally and have the normal daily activities so far.
12 years old, male, Indian On September 20th, 2021, during leg curl strength test due to carelessness of the doctor, his right knee got injured. Mri report indicates:
complete tear of the proximal segment bundle of the acl. Grade 3 sprain is also seen involving proximal segment and femoral attachment with increased signal. Tbl attachments /pcl are intact. Intact collaterals, posteromedial and posterolateral corners, menisci.
On October 22nd,2021, he started the online therapy for the natural healing of the ACL tear with Jun Matsumoto. He continued doing the Evo-Devo Exercises for four months, and he took the next MRIs on March 2nd,2022.
The MRI report indicates:
Proximal segment of the anterior cruciate ligament appears vertically oriented flush with the medial aspect of the lateral femoral condyle and shows iso to slightly hyperintense signal on both T1 and T2-weighted images. Intact tibial attachments of both anteromedial and posterolateral bundles.
Although some tissues of the torn ACL are growing intact to the medial aspect of the lateral femoral condyle, the proximal femoral attachment is intact. Spontaneous healing of the torn ACL is occuring on the new MRI, and Jun Matsumoto permitted him to start doing more intense exercises so that he could retrun to playing the tennis.
He is the youngest patient who spontaneously healed from the ACL tear by Evo-Devo Exercises. In most cases, the surgeries for patients in chilhood are avoided because of the risk of imparing their bone growth. There has not been any appropriate medication for juvenile patients with ACL tears. The Evo-Devo Exercises can be the hope for the patients in childhood, and more successful cases can be accumulated and studied.
22 years old, male, Japanese On August 21, 2021, while practicing soccer, he was about to collide with an ally and twisted his left knee when he stepped on with one of his left feet. He underwent a (non-contact) orthopedics and underwent an MRI scan on August 25, and was diagnosed with anterior cruciate ligament rupture.
From October 2, 2021, he started the natural healing therapy with Jun Matsumoto. After continuing exercise therapy based on evolutionary developmental biology called Evo-Devo Exercises for 4 months, a new MRI image was taken.
MRI indicates:
The continuity of the torn anterior cruciate ligament was confirmed, and it was also confirmed that it healed spontaneously. Jun gave him the permission for jogging and strength training and said he could return to sports as soon as he was in good condition.
21-year old, male, college rugby player, Japanese On Myay 12th, 2021, when he wa playing rugby, he twisted his right knee on his own. He went to the hospital, and his knee was scanned for the MRI. The diagnosis was the ACL complete rupture.
Complete rupture of the ACL
On May 15th, he started the therapy for the natural healing of the ACL tear through the online session with Jun Matsumoto. He continued doing the Evo-Devo Exercises for four months, and he took the next MRIs on September 22nd.
spontaneous healing was confirmed
MRI indicates:
The MRI picture shows that the ACL is anatomically intact and the ruptured ACL healed naturally. He is functionally moving well, and Jun Matsumoto permitted him to increase the intensity of the exercises. After completed the athletic rehabilitation for three months, on December 26th, he came back the game in the national college championship, and made a nice try.
46-year old, Female, Japanese On August 30, 2021, when she was practicing Jujutsu martial arts, she twisted her left knee. She went to the hospital, and her knee was scanned for the MRI. The diagnosis was: ACL complete tear
On September 20th she started the therapy for the natural healing of the ACL tear through the online session with Jun Matsumoto. She continued to do the Evo-Devo Exercises for three months, and she took the next MRIs on December 21st.
MRI indicates:
The MRI picture shows that the ACL is anatomically intact and the torn ACL healed naturally. She is functionally moving well, and Jun Matsumoto permitted her to increase the intensity of the activities.
