「Blog in English」カテゴリーアーカイブ

Non-Surgical Treatment of a Complete ACL Tear – case 16

注目

投稿日時: 投稿者:
返信

ACL Online Therapy for natural healing

ACL tears heal without surgery

Patient information:

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
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

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, and 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.

Reference

Ihara H, Miwa M, Deya K, Torisu K. MRI of anterior cruciate ligament healing. J Comput Assist Tomogr. 1996 Mar-Apr;20(2):317-21. doi
Pitsillides A, Stasinopoulos D, Giannakou K. Healing potential of the anterior cruciate ligament in terms of fiber continuity after a complete rupture: A systematic review. J Bodyw Mov Ther. 2021 Oct;28:246-254. doi


Spontaneous Healing of a Complete ACL Tear in childhood -case 15

注目

投稿日時: 投稿者:
返信

ACL Online Therapy for natural healing

ACL tears heal without surgery

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. Spontaneousl 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.

Reference

Ihara H, Miwa M, Deya K, Torisu K. MRI of anterior cruciate ligament healing. J Comput Assist Tomogr. 1996 Mar-Apr;20(2):317-21. doi
Pitsillides A, Stasinopoulos D, Giannakou K. Healing potential of the anterior cruciate ligament in terms of fiber continuity after a complete rupture: A systematic review. J Bodyw Mov Ther. 2021 Oct;28:246-254. doi


72-year old man healed naturally from the ACL tear.-case 11

注目

投稿日時: 投稿者:
返信

ACL Online Therapy for natural healing

ACL tears heal without surgery

Patient information:
72-year old, Male, Japanese
On May 1st, 2021, when he was climbing the mountain, he stepped off and fell down. On the same day, he was taken to the hospital, and his right knee was scanned for the MRI. The diagnosis was
ACL complete tear

On May 14th he started the therapy for the natural healing of the ACL tear through the online session with Jun Matsumoto. He continued to have the session once a week for 4 months. On May 14th he started the therapy for the natural healing of the ACL tear through the online session with Jun Matsumoto more than one hour every day. Because of his age, it was doubtful that the torn ACL would heal spontaneously. But, he never used his age as an excuse. He went to the hospital and took the new MRI 4 months from starting the natural therapy. Fortunately, it was found that the torn ACL were healing naturally and had its continuation. Jun permitted him to do the more intense exercises. This man hopes that he can climb the mountain again, and Jun will continue to help him.

ACL Tear heals without surgery – case 10

注目

投稿日時: 投稿者:
2

ACL Online Therapy for natural healing

ACL tears heal without surgery

Patient information:
16-year old, Male, Japanese
On March 21st, 2021, he twisted his left knee by his own movement during playing the handball. Next day, he was taken to the hospital, and his left knee was scanned for the MRI. The diagnosis was
ACL complete tear
Medial meniscus tear

He visited Jun Matsumoto`s Natural Therapy Office, and started the evo-devo exercises for the natural healing of the ACL tear. He has visited there once a week for 4 months and has continued the exercises every day at home. He took the MRI at the different hospital on September 4th, and it was found that the torn ACL was healing naturally. Jun Matsumoto permitted him to do jogging and start the more intense exercises. In next 3 months, he will return to playing the handball in athletic level.

The torn ACL grows intact.

When I was running on September 28th, I twisted my left knee again. On the same day, he underwent an MRI scan at the hospital and was diagnosed with anterior cruciate ligament rupture. After several days of rest, he resumed spontaneous healing of the re-ruptured anterior cruciate ligament.

Evo-Devo Exercise was performed for another 3 months, and MRI imaging was taken again.

The continuity of the anterior cruciate ligament, as confirmed by MRI on September 4, 2021, could not be clearly confirmed. It was confirmed that the tibial stump of the anterior cruciate ligament adhered to the posterior cruciate ligament. The patient had no symptoms such as knee collapse and was functionally recovering satisfactorily, so he agreed to continue conservative therapy. The exercise intensity was gradually increased, and MRI imaging was performed again on March 5, two months later.

Unfortunately, the continuity of the anterior cruciate ligament was not confirmed this time either. In the future, he agreed to further increase his exercise intensity and observe the progress while aiming to return to the competition.

Consideration:
Although he healed naturally once from his anterior cruciate ligament rupture, he suffered a re-rupture and his spontaneous healing of the re-rupture was unsuccessful. The cause of his re-rupture cannot be clearly pointed out, but there were two points of concern. One was that the start of spontaneous healing therapy was late, 7 weeks after the injury. During that period, the range of motion was restricted by the orthotic device and supporters, so that the flexion restriction remained even during the period from the start of treatment to the spontaneous healing. The second is that the MRI, which confirmed the spontaneous healing on September 4, did not indicate that it was a beautiful natural healing yet, and that it was a deformed healing that seems to have adhered to the posterior cruciate ligament. My personal impression is that ligament adhesions may have occurred in an environment with limited range of motion during the 7 weeks leading up to the start of treatment. Even if the anterior cruciate ligament rupture heals spontaneously, there is a possibility of re-rupture after that, and how to prevent it is a future proposition.

ACL Tear heals without surgery – case 8

注目

投稿日時: 投稿者:
返信

ACL Online Therapy

Patient information:
39 years old, male, American
On 27-9-2020, he injured his right knee during playing basketball. On 8-10-2020, he took the first MRI, and the diagnosis was

Complete ACL tear
LCL tear

He started the Online Therapy with Jun Matsumoto from 17-10-2020 and continued Jun’s special rehab exercises for 6 months. The following two MRI pictures were taken on 17-04-2021.

In my experience, this is the first case of which the torn ACL healed in the abnormal position. The inferior remnant of the torn ACL attached not to the superior remnant but to the lateral wall of the notch or the medial aspect of the lateral femoral condyle in a position anterior and distal to the ACL anatomic footprint. I will follow up this case up to a year, and I will show here how this torn ACL changes its form finally. After 7 months from the injury, he can have normal daily activities, but still have a little pain on LCL.

Reference
Crain EH, Fithian DC, Paxton EW, Luetzow WF. Variation in anterior cruciate ligament scar pattern: does the scar pattern affect anterior laxity in anterior cruciate ligament-deficient knees? Arthroscopy. 2005 Jan;21(1):19-24. doi: 10.1016/j.arthro.2004.09.015. PMID: 15650662.

ACL Tear heals without surgery – case 7

注目

投稿日時: 投稿者:
返信

ACL Online Therapy

17 years old, male, American
On October 23rd,2020, he injured his left knee during playing basketball. The MRI pictures were taken on October 29, and the diagnosis was a complete tear of ACL.

He started the Online Therapy with Jun Matsumoto from November 20, 2020 and continued Jun’s special rehab exercises for 4 months. He took the second MRI on April 11, 2021 at the same hospital, and the diagnosis was:

complete tear of the posterior bundle of ACL.
anterior bundle of ACL is intact.

The complete tear of whole ACL became as the partial tear in 5 months, even though the doctor never admitted the natural healing of torn ACL. He implied that the first diagnosis might be a misdiagnosis. The following is the second MRI, and I confirmed that the natural healing has been going on.

After having continued the Evo-Devo exercises with Jun Matsumoto for 4 months, the complete range of motion of the left knee was recovered, he could have the normal daily activity without pain. Now, he is still working out to return to play basketball.

Natural Healing of ACL tear – case 6

注目

投稿日時: 投稿者:
返信

ACL Online Therapy for natural healing

The other cases of the natural healing of the ACL tear

Patient information:
43 year old, male, Italian, living in Italy
On January 10, 2020, he got injured his right knee during playing football.
The MRI pictures were taken on February 27, and the diagnosis was:
Partial tear of ACL
Mild edematous imbibition of the lateral collateral ligament

He started the Online Therapy with Jun Matsumoto from April 30, 2020 and continued Jun’s special rehab exercises for 4 months. It was assumed that the natural healing could not be expected because it had already passed more than three months from the injury. He took the second MRI on September 11th,2020, but at this time, it could not be found that the natural healing was clearly happening, even though he already recovered almost the normal function of the right knee.

He took the third MRI on March 15, 2021. Those show the natural healing of the torn ACL, even though it is not the normal natural healing. It is assumed that some tissue of the torn ACL have been connected to the original position and the other tissue have been connected to the PCL. These kinds of abnormal healing process(connecting to the PCL) have been reported in some research paper. The natural healing of the torn ACL can happen in normal or abnormal way in order to recover its stability. This is the first report of the patient who started the natural therapy for the torn ACL after more than three months from the injury.

Reference:

Kittani M, Haviv B, Shemesh S, Yaari L, Yassin M, Rath-Wolfson L. Morphological and Histological Changes in the Human Anterior Cruciate Ligament after Rupture. Isr Med Assoc J. 2021 Jan;23(1):33-37. PMID: 33443340.

Can an ACL Tear Heal without Surgery? – case 5

注目

投稿日時: 投稿者:
1

ACL Online Therapy

Patient information:
38 year old, male, Brazilian, living in Germany
On August 12, 2020, he got injured his left knee during playing the squash. The MRI pictures were taken on August 17, and the diagnosis was:
Complete ACL tear
Complete MCL tear
Lateral meniscus tear(radial tear of posterior horn)

He started the Online Therapy with Jun Matsumoto from September 1, 2020 and continued Jun’s special rehab. exercises for 4 months. After 5 months from his injury, he took the new MRI pictures, and those show that the torn ACL was healing naturally. At this time, he can already have the normal daily activities, and he still continues the rehab. exercises to return to sports.

前十字靭帯完全断裂の症例報告　ケース４　ACL tear case 4

注目

投稿日時: 投稿者:
返信

ACL Online Therapy

前十字靭帯断裂の自然治癒療法

日本人　男性　２８歳
職業　空手家
２０１９年６月に空手の試合中に左膝前十字靭帯を損傷した。手術をしない治療法を探して８月に当院を受診した。受傷後２ヶ月を経過していたがナチュラリゼーションによる保存的再生療法を開始。約３ヶ月の治療経過を報告する。８月の初診時の問診では、日常生活には不安は無いとのことであったが、左膝の可動域が若干制限されていた。徒手治療により可動域制限を取り、ナチュラリゼーション療法を開始。毎日１〜２時間のメニューを３ヶ月間継続した。６月５日と１１月１４日のMRIを比較すると、断裂した前十字靭帯が修復してきていることを確認した。１１月来院時の報告では、空手の練習を既に開始しており、患部に痛みや違和感を感じることなく生活出来ている。練習強度を段階的に上げていくことを許可した。今後も経過観察をしていくことで確認。

２０２０年２月２７日に撮影したMRIを下に示す。前十字靭帯の明らかな連続性を確認した。受傷後８ヶ月、治療開始から６ヶ月で前十字靭帯損傷が自然治癒したことを認識した。患者は既に空手の試合に向けて強度の高い練習を違和感無く行ってきた。競技復帰への許可を出した。

受傷後８ヶ月　8 months after the injury

Patient information
Japanese, 28 year old, male, Kyokushin Karate Athlete
He ruptured his left anterior cruciate ligament during a karate competition in June, 2019. He wished his recovery without a surgery, and he found the Naturalization therapy. He first visited me in August. His left knee had some restriction of its range of motion, and also had some instability in the joint. He started the Naturalization therapy, and I told him to do the exercises specialized for healing ACL for 1-2 hours every day. He has been continuing the exercises for three months. The MRI pictures above show that the torn ACL started to heal gradually. According to his report, he started practicing Karate, and he doesn’t have any pain or complication for doing it. I permitted him to increase the intensity of Karate practice. We still continue to see the further healing and improvements at least for another 6 months.

The last MRI picture above was taken 8 months after the injury, and it shows almost complete healing of the torn ACL. On the functional meaning, he has practiced Karate with competitive intensity for 3 months without any complication.
On this day, I permitted him to attend a competition.

前十字靭帯完全断裂の症例報告　ケース３　Natural Healing of ACL tear – case 3

注目

投稿日時: 投稿者:
2

ACL Online Therapy

前十字靭帯断裂の自然治癒療法

インド系マレーシア人　４１歳　男性

２０１８年１２月に右膝前淳十字靭帯を完全断裂した。

受傷後１ヶ月目からインターネット上のみで治療を開始した。

治療開始から３ヶ月間は２週間に一回の動画セッションを行った。

４ヶ月目以降は月に一回の動画セッションを行った。

セッションでは、カウンセリングと運動療法の指導を行った。

左が受傷直後、右が受傷６ケ月のMRI

治療開始が受傷後１ヶ月という急性期が過ぎつつあるということと、前十字靭帯の断裂の仕方が今までに見たことのない複雑さを呈していたことから、解剖学的自然治癒は困難であると予想していた。私の予想に反して、６ヶ月目のMRIにおいて、はっきりと靭帯の連続性が確認されたことは驚きであった。機能的には、患側に筋力低下が見られるものの、日常生活においては問題ないレベルまで回復している。患側の筋力が戻るまでリハビリは継続していく予定である。

Patient information

Born in India and working in Malaysia, Male, 41 year old

He ruptured his right ACL completely in December,2018. He started the Naturalization Therapy from the one month after the injury. We had the internet sessions through the Skype once in every 2 weeks for  the first 3 months and once in 1 month from the 4 months. At first, there were the difficulties for the anatomical healing, because it was the severe and complete ACL tear  which had torn in the unusual way. Moreover, it was late that he started my therapy because the acute period was almost passing. Contrary to my expectations, the MRI shows that his completely torn ACL has healed clearly and anatomically. The Naturalization Therapy enables the ACL tear to heal naturally without any complication. As long as the blood supply and the anatomic reduction are secured, the natural healing process will work even on the ACL.