Natural Healing of a Complete ACL Tear even after the meniscus repair surgery– Case 23

注目

ACL Online Therapy for natural healing

ACL tears heal without surgery

Patient information:

59 years old, Male, Japanese
On Dec.28, 2021, he injured his right knee during skiing. On the same day, he was taken to the hospital, and there was no fracture through x-ray. On Jan.13, he was taken to the MRI scanning and diagnoses as:

Complete ACL tear
Buckling of medial meniscus

On Jan.17, he had a surgery for repairing the meniscus, and his knee was immobilized by the cast for three weeks. After the cast was removed, he visited Jun Matsumoto, and he started the Evo-Devo EX. for natural healing of ACL tear. He continued the therapy through face-to-face and online sessions for six months. On August 4, he took the next MRI.

The MRI indicates:

Continuity of ACL fibres

Future prospects and considerations:

In my experience, this is the first case of natural healing of ACL tear after the meniscus repair surgery. I assumed that natural healing would be immpossible, becasue the knee was immobilized for three weeks. Actually, it took a long time to recover the range of motion due to the contracture after the immobilization. Contrary to my assumption, the torn ACL has successfully healed naturally after 6 months of the Evo-Devo EX.. After the natural healing was observed through the second MRI, he started strength trainning as well as Evo-Devo EX. to return to skiing. In October, he already has the normal dialy activities without problem and continues the rehab exercises every day.

References:

Natural Healing of a Complete ACL Tear – Case 22

注目

ACL Online Therapy for natural healing

ACL tears heal without surgery

Patient information:

45 years old, Male, Japanese
He injured her right knee during skiing on February 5th, 2022. On February 10th, she went to the MRI scanning, and the diagnosis was:

Complete ACL tear
MCL tear grade2

On February 21, 2022, he started the online therapy for the natural healing of the ACL tear with Jun Matsumoto. He continued doing Evo-Devo Exercises for six months, and he took the next MRI on August 17th, 2022.

The MRI indicates:

Visible continuity of the ACL

Future prospects and considerations:

According to the new MRI, the visible continuity of the ACL can be seen, even though it is not the perfectly clear one. This morphological healing is classified as the type II of Ihara’s classification, and the healed ACL is the straight band with partial thinning. The patient has healed functionally very well, and he doesn’t feel any pain in the daily activities so far. He will continue the Evo-Devo Exercises and the some strength exercises until he can return to skiing.

References:

Natural Healing of a Complete ACL Tear – Case 21

注目

ACL Online Therapy for natural healing

ACL tears heal without surgery

Patient information:

41 years old, Female, American
She injured her left knee during skiing on February 4th, 2022. On February 10th, she went to the MRI scanning, and the diagnosis was:

Complete ACL tear

On February 27, 2022, she started the online therapy for the natural healing of the ACL tear with Jun Matsumoto. She continued doing Evo-Devo Exercises for four months, and she took the next MRI on July 5th, 2022.

MRI reports:

Modest signs of suffering are detectable in the anterior cruciate ligament which appears slightly reduced in thickness in the middle-distal III with an inhomogeneous signal that tends to be hyperintense in the T2-weighted sequences for slight edematous imbibition with characteristics compatible with the outcomes of a “strain” suffering with probable parcel laceration and persistence of a tenuous edematous suffering of the residual ligament; the ligamentous structure however remains clearly visible along its entire course with modest surrounding synovial thickening and periligamentous liquid layer in the distal insertion tract.

Future prospects:

According to the report above, the torn ACL starts healing naturally, and it will take a while until healing process ends. Jun Matsumoto permitted her to practice the full range of motion of the affecyed knee and start strengthen the quadriceps muscles. Even though she still feels weakness on the affected knee, there is no othere complication in her daily life activities. Further more, she will contines the Evo-Devo Exercises and strength exercises until she gets ready to return to skiing.

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

Natural Healing of a Complete ACL Tear – Case 20

ACL Online Therapy for natural healing

ACL tears heal without surgery

Patient information:

50 year old, female, Japanese
She injured her left knee during skiing on February 4th, 2022. On February 10th, she went to the MRI scanning, and the diagnosis was:

Complete ACL tear
Medial collatarela ligament tear

On February 15, 2022, she started the online therapy for the natural healing of the ACL tear with Jun Matsumoto. She continued doing Evo-Devo Exercises for six months, and she took the next MRI on August 2nd, 2022.

Incomprehensibly, her doctor rejected that I post her MRI on this page, and so those are not posted here. However, I received the MRI and assessed those.

MRI indicates:

Clearly visible continuity of ACL and MCL

Future prospects:

After the natural healing of the torn ACL is observed, Jun Matsumoto permitted her to practice the complete range of motion and strengthen the quadriceps muscles. She doesn’t feel any instability on her left knee, but she still feels some weakness there. She wants to return to skiing, and she will continue the rehab until she gets prepared to do skiing.

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

Natural Healing of a Complete ACL Tear – Case 19

注目

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

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


Spontaneous Healing of a Complete ACL Rupture -case 13

注目

ACL Online Therapy for natural healing

ACL tears heal without surgery

Patient information:
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

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.

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

注目

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

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.