Natural Healing of a Complete ACL Tear – Case 21

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投稿日時: 2022年8月27日投稿者: ivanivankov

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 19

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投稿日時: 2022年8月26日投稿者: ivanivankov

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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:

ACL Tear Self Healing – Case 18

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投稿日時: 2022年8月7日投稿者: ivanivankov

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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 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.

References:

Spontaneous Healing of a Complete ACL Rupture – Case 17

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投稿日時: 2022年6月26日投稿者: ivanivankov

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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:

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

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投稿日時: 2022年4月20日投稿者: ivanivankov

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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

ACL Tear No Surgery -case 14

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投稿日時: 2022年3月2日投稿者: ivanivankov

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ACL Online Therapy for natural healing

ACL tears heal without surgery

Patient information:

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.

References:

Spontaneous Healing of a Complete ACL Rupture -case 13

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投稿日時: 2022年1月20日投稿者: ivanivankov

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ACL Online Therap y 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.

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.

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.

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References:

ACL tears heal without surgery-case 12

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投稿日時: 2021年12月21日投稿者: ivanivankov

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ACL Online Therapy for natural healing

ACL tears heal without surgery

Patient information:

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.

References:

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

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投稿日時: 2021年9月23日投稿者: ivanivankov

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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:

Complete ACL 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.

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

注目

投稿日時: 2021年9月21日投稿者: ivanivankov

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.

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.