Quick Natural Healing of an ACL partial tear – Healed Case 30

注目

ACL Online Therapy for natural healing

The case reports of ACL natural healing

Patient information:

Japanese, female, 40 years old
On Nov.12th, 2022, she did a jumping kick during kickboxing practice and twisted when she landed on her left foot. She continued her practice for about an hour right after that. She felt her knees give way.

On Nov.21st, she took the first MRI, but the old MRI didn’t show the good resolution for diagnosis. On Dec.6th, she took the second MRI, and it indicates:

Partial tear of ACL

She didn’t feel any problem in having the normal daily activities. She didn’t feel giving way on the knee. However, the injured knee was a bit loose through the anterior drawer test. Therefore, she stopped not only practicing kickboxing but also stopped any other form of exercise. Not only that, but she stopped fully extending her knees.

Starting Dec. 7th, she initiated online therapy with Jun Matsumoto and continued Evo-Devo Exercises for five weeks. On Jan. 16th, 2023, the third MRI scan was performed.

MRI indicates:

The fibers, which had become sagging due to partial rupture, regained their tautness and straightness.

Future Prospects and Considerations:

Despite only five weeks of treatment, her injured anterior cruciate ligament achieved spontaneous healing. The reason was that the anterior cruciate ligament was partially torn, not completely torn. Another reason may be that the injured ligaments were not separated from each other. With proper treatment, patients with partial anterior cruciate ligament rupture are likely to be able to return to normal daily activities or return to sport earlier than cases with complete rupture.

References:

ACL Healing without surgery – Healed Case 28

注目

ACL Online Therapy for natural healing

The case reports of ACL natural healing

Patient information:

37 years old, Female, Kazakh living in the U.S.
On February 26th, 2022, he twisted her left knee during skiing. She went through the MRI scan, and the diagnosis was:

Complete ACL tear

According to the Ihara’s classification, this type of ACL tear is classified as disrupted or unclear type. And, this type has been reported as the most difficult type to heal spontaneously.

After the injury, she had been doing some rehabilitation exercises such as strengthening the muscles and 10 min stationary bike under the supervision by a physiotherapist.

On April 29th, she started the Evo-Devo Exercises through the online sessions with Jun Matsumoto, and continued the sessions only for two months. During these months, she stopped doing any strength trainning and focused on the Evo-Devo EXercises. After doing two momths, she started strength training again.

On November 18th, she took the second MRI as poseted below.

MRI indicates:

The MRI shows the clear continuity of the ACL. This healing type can be classified as grade I of the Ihara’s classification, and it is the taut and straight band type of healing.

Future prospects and considerations:

Even though this type of ACL tear has been reported as the most difficult type to heal spontaneously, it has heald upto the best type of healing.

References:

Spontaneous Healing of a Complete ACL Rupture – Case 17

注目

ACL Online Therapy for natural healing

ACL tears heal without surgery

Patient information:

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:

Complete ACL Tear
Medial meniscus tear
Lateral meniscus tear

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.

References:

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

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

注目

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
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.

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


Natural Healing, Re-rupture,and PRP Trial Story – case 10

注目

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 he was running on September 28th, he 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 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.

PRP Injection trials

After the failure of the natural healing from the re-rupture of the healed ACL, he tried the first PRP injections in September 2022 to expect the natural healing again. Totally, he tried the injections four times. The function of his knee was recovering well, and he was practicing Handball in intense level. He attended the official game without having any problem. Moreover, Lackman’s test during that time was negative. He took the next MRI on Jan.16th, 2023.

MRI findings and Considerations:

Even though he tried the four-times PRP injections, expected natural healing did not succeed well. However, it looks that the scar tissues were enhanced to stabilize the knee joint. The remnants of the tprn ACL were adhering to the PCL more tightly.

Can an ACL Tear Heal without Surgery? – case 5

注目

ACL Online Therapy for natural healing

ACL tears heal without surgery

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.

MRI indicates:

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.

References: