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タグ: acl tear self healing
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Natural Healing of an ACL tear – Healed Case 29
ACL Online Therapy for natural healing
The case reports of ACL natural healing
Patient Information:
Japanese female, 41 years old. On July 5th, 2022, she experienced a sensation of her right knee dislocating while exerting force on her right leg during a basketball game, rendering her immobile. Although she was able to walk later, she visited a hospital two days after the incident. No joint fluid was aspirated during the examination. An MRI scan was performed on July 12th, revealing the following diagnosis:
Complete right Anterior Cruciate Ligament (ACL) tear (proximal 1/3)
No meniscal damage.
According to the Ihara’s ACL tear classification of ACL injuries, it was classified as a type 2, which is the torn and disrupted type. After the injury, no giving way of the knee was reported. She did not undergo any physiotherapy involving knee extension post-injury. She had a history of a left Achilles tendon rupture surgery 13 years prior.
Starting July 28th, she initiated online therapy with Jun Matsumoto and continued Evo-Devo Exercises for five months. On December 12th, 2022, a second MRI scan was performed.
MRI indicates:
The evaluation of the MRI images indicated that the ruptured anterior cruciate ligament had restored continuity and healed naturally. According to Ihara’s ACL healing classification, it was classified as grade 3, which is thinned healed fiber.
Future Prospects and Considerations:
Having confirmed natural healing through MRI, she initiated full knee extension training and strength training. By the six-month mark post-injury, she had recovered to a level where she faced no issues in daily life. She is currently undergoing further rehabilitation with the aim of returning to recreational-level sports.
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
- Ihara H, Kawano T. Influence of Age on Healing Capacity of Acute Tears of the Anterior Cruciate Ligament Based on Magnetic Resonance Imaging Assessment. J Comput Assist Tomogr. 2017 Mar/Apr;41(2):206-211. 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
- Filbay, Stephanie R et al. “Healing of acute anterior cruciate ligament rupture on MRI and outcomes following non-surgical management with the Cross Bracing Protocol.” British journal of sports medicine, bjsports-2023-106931. 14 Jun. 2023, doi:10.1136/bjsports-2023-106931
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ACL Healing without surgery – Healed Case 28
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:
- 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
- Ihara H, Kawano T. Influence of Age on Healing Capacity of Acute Tears of the Anterior Cruciate Ligament Based on Magnetic Resonance Imaging Assessment. J Comput Assist Tomogr. 2017 Mar/Apr;41(2):206-211. 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
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Natural Healing of a Complete ACL Tear in Children – Case 24
ACL Online Therapy for natural healing
ACL tears heal without surgery
Patient information:
8 years old, Male, Japanese
On Nov.30, 2021, he injured his left knee by his own movement during playing soccer. On the same day, he was taken to the hospital and scanned through the x-ray. On Dec.11, 2021, he was taken through the MRI scanning, and the diagnosis was:ACL Tear
Suspected Avulsion Fracture of tibial spine
His doctor said that he was too young to have the ACL reconstruction as there is a high risk of interfering the bone growth. On Jan.18, he and his family visited Jun Matsumoto and started the Evo-Devo EX. for natural healing of the ACL tear. The Lackman’s test was positive. He continued the Evo-Devo EX. through the face-to-face and online sessions. The next MRI was taken on Mar.30.
Even though the MRI pictures don’t show the clear continuity of the ACL, the Lackman’s test was negative at that time. After continuing the Evo-Devo EX. furthermore, he took the third MRI on Aug.17.
The MRI indicates:
Even though the T1 pictures don’t show the clear appearance of the natural healing, the T2 picture(the first one pf 08/17) shows the continuity of the ACL.
Future prospects and considerations:
Due to the poor resolution of the 1.5T MRI, it is difficult to have the exact diagnosis from these MRI. However, from the results of MRI and Lachman’s test, it can be inferred that the ACL healed spontaneously. Around 10 months from the injury, he already recovered the full range of motion of the knee, and started attending the physical education class at school. After one year from the injury, he plans to return to playing soccer.
References:
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Natural Healing of a Complete ACL Tear – Case 19
ACL Online Therapy for natural healing
ACL tears heal without surgery
Patient information:
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.
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 -
ACL Tear Self Healing – Case 18
ACL Online Therapy for natural healing
ACL tears heal without surgery
Patient information:
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 tearFuture 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.
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