I work in outpatient orthopedics, assisting in ACL reconstruction surgeries. This news is very patient-specific. Age is a huge indicator, so is lifestyle. A 15YO soccer player who wants to play again should get surgery, a 55YO weekend warrior may want to hold off. But both will do PT before surgery is even booked because the stronger you go in, the better the outcomes.

@richardleirer

8 ай бұрын

Nonsense, cellular regeneration and mechanotransduction is very well known and simply ignored by the money grapping " medical" community. Shame

I tore my ACL in 2003 and it was replaced with a cadaver tendon. I tore that one in 2010. The doctor gave me a knee brace and told me to wait 5 years and then get my knee replaced (I was 50 years old). Now, 13 years later, I still have not had knee replacement. It feels better now than it did back then. However, I went on disability and learned what I could and couldn't do. I also keep active. Both of my knees are braced with PTO braces to control my knee caps and osteoarthritis braces. So far I have no plans to replace either knee.

@BammBammBering

6 ай бұрын

Thanks for your story. I also tore my ACL fully (50 years). The doctors here aren't too excited for surgery because of the mediocre prognosis. Do you have pain in the knee? And do you use the PTO brace all the time or only when you walk further distances?

@gimpygardner3377

6 ай бұрын

@@BammBammBering I wear my knee braces probably 14 hours a day. As far as pain, there is some, the biggest improvement for pain came after I started cardio therapy. 20 minutes 3 times per week on a New Step Machine. Having lots of strength in the muscles helps hold the knee together. I'm 62, I can still get on and off the ground, however, I need a milk crate or a chair to pull my self up. Keep them braced, keep them strong, don't over use them (if they hurt, stop and rest). And don't do stupid stuff, your days of backyard football are done.

When I tore my ACL earlier in the year, my primary recommended that I get the surgery. She said I could have issues further down the line. Keep in my that I completely tore my ACL. My surgeon recommended at first conservative treatment but I opted for the surgery as I do play sports for fun. I advise anyone that has the surgery to wait until at least one year before returning to competitive activity. And build up the muscles in the opposite leg of the injury. Usually if you have another ACL it's the opposite leg.

I can tell you right now I absolutely had to have the surgery. I went 5 years without an acl, I could not play soccer without an acl. It took me two years of recovery after the surgery to be able to play again.

@jmatando5105

2 ай бұрын

So you went 5 years without platying soccer?

The study used Bauerfeind braces which are also the only braces allowed in the NBA. Have used them for running and they really helped me a lot.

Where are these studies? And is the no surgery option for average joes or professional athletes? How can you cut and jump without an intact ACL?

@klaiken989

8 ай бұрын

Ya, as a former Div 1 athlete. I call bull unless you are getting PRP or Stem Cell treatment

@jmatando5105

2 ай бұрын

FWIW I tore my ACL last summer never got surgery and have been playing soccer casually since, and I don't notice any issues, but then again I am only going 75% effort maximum and I am a 23 year old male with very strong legs

I don't know why I got recommended this video but this is good info. I damaged my ACL last year and I opted not to go for surgery. Its been over one year, and my knee is better. I heard about how the surgery procedure is done and knowing that the chances of reoccurrence isn't that low, there was no point im to do the surgery in my opinion..

I had a bucket handle medial meniscus tear and was recommended surgery, but chose to opt out of it and did PT and recovered in 6 months

@HkFinn83

8 ай бұрын

I clobbered myself in the knee with a bucket once too. It hurt, luckily I survived and didn’t need surgery.

It all depends on the patient. People watching this could be swayed not to listen to their doctors because they think they are only out for the money. This is a bad thing. People should listen to their doctor. Just ask them about non surgical options like physical therapy and braces. However if you are a pro athlete. Surgery would be the best option because you want to play at 100% and not 80%. But if you just want to stay active 80% of your physical ability could be enough to live that lifestyle. Surgery isn’t a silver bullet that works 100% of the time. There can still be pain and pro athletes can injure ligaments that were replaced. Lastly just because one study says something doesn’t make it scientific fact. It needs to be rigorously peer reviewed first.

@bunch_o_racket

8 ай бұрын

the problem is, unless you've known them your whole life and know their attitudes and beliefs, it's hard to know if you CAN even trust your doctor, anymore.

@richardleirer

8 ай бұрын

Folks, your Dr is out to make a buck and does not care about you at all. Do your own research on mechanotransduction and mechano biology and learn the truth regarding cellular regeneration.

ACL is a huge problem in Australian rules football due to the unique direction changes required. Prior to surgery becomng an option in the 1980's it was a career ending injury as natural healing would never make the knee strong or resilient enough to recover sufficiently 5o resume playing.

In 2015, I tore my ACL in a slow speed skiing fall. I went to a highly recommended doctor at HSS in NYC. He advised me to do nothing as the muscles and whatever else is in that area was compensating for the tear sufficiently for me to go on with life. He said it was a complete tear, like two ends of a cut rope - they wouldn't ever attach to each other again. I don't feel like there is any instability, no matter what I do. I still ski, just like before the fall. Two years ago I skied 191 days, all terrain including moguls. Last season it was 180 days. I also cycle and swim in the summer. I do not use a brace. Maybe I'm just lucky, but the doctor was right that no surgery was needed.

@applegurl6m

6 ай бұрын

What is the name of this doctor?

@linybob

6 ай бұрын

@@applegurl6m Dr. Frank Cordasco

@linybob

6 ай бұрын

pubmed.ncbi.nlm.nih.gov/23188501/ The original article is 5 pages, published in 2013. Maybe you can find that. Non operative treatment for anterior cruciate ligament injury in recreational alpine skiers - Iftach Hetstroni

@linybob

6 ай бұрын

@@applegurl6m Also, try to find the article "Nonoperative treatment for anterior cruciate ligament injury in recreational alpine skiers" by Iftach Hetsroni published in 2013. It is a 5 page PDF if you can find it. In 2015 I was 62 in case you are wondering. This season I am up to 86 days of skiing. I should make it to 170 or more this season.

I’m 3 tears in, had two repairs and my current tear I have not repaired and am only 24. Not sure if I will repair it. If I didn’t deal with so much pain, I’d never have it done. Hope the magical solution comes soon.

Complete or partial tear????

this news report seems irresponsible. it's just one surgeon. my understanding is a fully torn acl will never grow back in it's own. i tore my right acl and waited a year to have surgery. during that year my knee buckled two times when i landed after jumping. i had the surgery fourteen years ago and no knee problems since. talk to a doctor you trust don't just go by this news report.

I literally just tore my ACL two weeks ago. Timing couldn’t have been more perfect

@heyitsmeurcat6951

8 ай бұрын

I recommend getting it. It might partly heal on its own but you could have serious issues down the line.

@blueconversechucks

8 ай бұрын

this news report seems irresponsible. it's just one surgeon. my understanding is a fully torn acl will never grow back in it's own. i tore my right acl and waited a year to have surgery. during that year my knee buckled two times when i landed after jumping. i had the surgery fourteen years ago and no knee problems since. talk to a doctor you trust don't just go by this news report.

@user-mp5gs2bv2h

8 ай бұрын

If it’s completely tore you’ll need surgery. I recommend you to do a lot of physiotherapy after surgery and exercise at the gym to stay strong and fit. Avoid any kind of contact sports and also sports like skating or snowboarding that will break your acl again. I’m 34 I had 2 Acl surgeries 14 years ago and that’s my sincere advice. This physical condition changed my life.

Kaiser Permanente actually makes money when they under-treat or do not treat people. Thats the last place I'd take surgical advice from. See your orthopedist instead.

Tore my ACL 2 years ago and did PT right after the injury. So glad I didn't get surgery

@therangersinger

8 ай бұрын

Did you have a partial or complete tear. Big difference in the two.

@samellis2304

8 ай бұрын

@@therangersinger complete

@richardleirer

8 ай бұрын

Congratulations, shows how intelligent you are. Spread that good News. More folks need to hear it

@juanbigo1

5 ай бұрын

Have you been able to play any sports?

@samellis2304

5 ай бұрын

@@juanbigo1 just played basketball today with my son

She's pretty good hooper.

A complete tear of ACL can't heal back , but in every incomplete tear , rest and allowing it to heal naturally should be done .

@Deezcutz2024

8 ай бұрын

Came here to say just that.. it will never heal on its own lol fake news as always

@richardleirer

8 ай бұрын

Nonsense. You simply do not understand cellular regeneration and mechanotransduction

But HOW does the body manage to successfully realign and reattach the ACL?

@miami8089

8 ай бұрын

Good question. I was wondering the same thing.

@ordinarycat9881

8 ай бұрын

It doesn't. The ACL does not have a blood supply so doesnt really heal. When you don't have surgery you basically have to build up the muscles in your legs to compensate

@therangersinger

8 ай бұрын

​@@ordinarycat9881doesn't work that way.

@Agapimo

8 ай бұрын

Thank you 🙏 @@ordinarycat9881

@HarmonyinChaos-ul3fk

8 ай бұрын

my mother is in her 60s. she used stem cell treatments. she walks just fine now. maybe she was lucky, but the bottom line is that there are other options

I’ve torn my mcl and acl And meniscus in my left knee, no surgery. I’m 40 and play sports competitively. Stay away from surgeons, get in the gym

What did I just watch? You use a headline about this "new study" but provided nothing about it's results. Just a bunch of stats on ACL tears and surgeries.

@youtubeuser5683

8 ай бұрын

It's called clickbait revenue. They gotcha.

I tore my acl and had issues walking for a while. They recommended surgery but by the time i was scheduled to have surgery, i was walking fine and decided against it. For the first 3-4yrs certain ranges of motion and activities could cause my knee to be reinjured but after a while it came back to mostly its original strength and i havent had any real problems since.

@jmatando5105

2 ай бұрын

The way I see it is that your body subconsciously learns how to cope without this ligament. The quadriceps and hamstrings are forced to become more relied on if living without an ACL. If your body is smart it will learn how to adjust and rely on these muscles more than they did before the tear. I could be wrong but I at least feel like this has been my personal experience. I completely tore my ACL 1 year ago, didn't get the surgery and am currently extremely active in soccer, boxing, sprinting, and cycling. I will also note that in all sports I am exerting 100% effort, except in soccer where I am exerting more close to 75% effort, because I am just paranoid of if/when I turn laterally or pivot that I will damage something, I have felt minor pain a few times when trying to do that action but nothing more than a minor sore feeling that lasts less than 1 second. Although I do also feel like I probably will have cartilage damage because sometimes when I shoot the soccer ball or pivot I don't necessarily feel pain but I do feel a shift in my knee that may be attributed to a missing ACL. However I've read that the cartilage damage is also common with people who have had the surgery so maybe it wouldn't have made a difference.

I completely tore my acl and posterior horn of Medial meniscus in December. My surge is scheduled in May but i have no pain, no instability, can easily balance on one leg , walking, running and even while ascending and descending on stairs. Just little afraid to do pivoting in football(haven’t tried that yet) Will do another MRI in may to see any improvement than previous test.

@jmatando5105

2 ай бұрын

I am in the exact same situation as you. Do you have discord or reddit? Would love to keep in touch about this. I am getting a re-imaging in one month.

@akanicolerocks711

15 күн бұрын

Any update?

@poles1469

14 күн бұрын

@@akanicolerocks711 2 months post op LOL

@corydesrochers5739

4 күн бұрын

How’d re imagining go?

@poles1469

3 күн бұрын

@@corydesrochers5739 same as last

Such an incomplete report… if you don’t replace the ACL then any time you do an athletic plant and twist motion with that knee without a brace (and maybe with one anyway) you’re going to collapse. The ACL facilitates that movement. Braces are uncomfortable and try to prevent normal movement (the movement you CAN do with an ACL). If you want that full physical ability you need the surgery and good physical therapy. Takes at least a year to fully-fully heal. I’m so thankful I got mine fixed. I would have been accepting much more risk of collapse (I frequently did with my ACL), and probably settling for less aggressive activities if I hadn’t. Mine was over 10 years ago now, new tendon was made from a piece of my hamstring, I think this is preferable to cadaver tendon if I remember right - I think they tend to be stronger, but check for yourself. I have not retorn mine. Thank you to everyone who made modern medicine what it is and to the medical team who did my operation and PT! Their expertise has blessed my life!

@richardleirer

8 ай бұрын

Nonsense

Anyone actually read the study? It has a very poor methodology. If it’s completely torn, it won’t magically reattach. If it’s partially torn that’s another story. But many people can still function without an in tact ACL, but it’s recommended to get it repaired if you plan on engaging in athletic activity. -a doctor of physical therapy

Kaiser? Say no more!! 1 in 3 tore it again? Well they must tore it like they did the first time. Get it reconstructed and strengthen the legs and don’t go all out as it will never be the same. It ACL has been severed, there is no other way. Surgery is the only way. Kaiser? Oh please!!! Go away!! Kaiser always put money first before people. Just look at their class action law suit in so many different states.

Surgery needs more thoroughly analyzed. We really need to figure everything out regarding question of surgery or not. And we are getting better tools like more powerful data analytics to do so. The risks of surgery are greater than we might think, the risk of infection, antibiotic resistant bacteria in hospitals, and can contract other illnesses, complications, etc., many things can go wrong with surgery. Particularly as we age all these risks go higher. Frankly if I'm old and can deal with the pain, meaning its not unbearable, I'd not take the added risk of surgery.

Do you think it's flood production like now that everybody started contracting the internet taking different rotations or energy taking different rotations and everybody own growth hormones and all that that now all of a sudden these smaller develop and particles or starting to explode and induce bigger levels I guess they shouldn't have ripped some of my stuff out in the open

What if they have necrosis.?

What about the sponge implant aid, zero mention

Lol the proof was an anecdotal story from a 55 year old hobbyist 😂 give me a break

Theres and Australian study where the knee is braced for up to 8 weeks and the ACL completely repairs. 100s of people have been treated this way. Disappointing that they didn't mention it.

@Rizzy_K

8 ай бұрын

So you’re telling me a torn ligament just magically reattaches itself and all is well? Yeah sorry mate the math ain’t mathing here

no it doesnt, depending on how long you are able, with the torn acl, better recovery could be with just care, nerves and tendons are just as what they are, know your limits, surgery isnt always the 1st option. even in a sensitive areas with complex nerves, medicine isnt cool enough yet, to be perfect in everything it does. material sciences would help that, bio sciences. everything could be exactly perfect in medical procedure, and medical practice.

@SusanKay-

8 ай бұрын

So invent an indestructible silicone-based ACL for replacement. It would be better, stronger, and cheaper than a cadaver tendon.

@tw8464

8 ай бұрын

Yeah surgery isn't really there yet. It should only be used when absolutely necessary. There is still just too much infection, complications, nerve damage, etc. going on with surgery. Surgery is good when it's really the best treatment or no other choice. But it's not always the best treatment in every circumstance or situation and it can't fix everything.

Sauce?

I hate this Tom Brady hertz commercial

So… does it regrow and reattach? Or does it just stay there flapping around in the breeze and other tendons and ligaments compensate?

@linybob

8 ай бұрын

Yes. The latter is exactly what my doctor told me.

@TimeTraveler6022

8 ай бұрын

The latter.

@richardleirer

8 ай бұрын

Yes it regrows and attaches. Mechanitransduction regeneration

She can play

Surgery, from my experience with my clients, is typically bogus. The ends harldly ever justify the means.

Makes perfect sense…ACLs can just grow back magically. What a total BS story.

@richardleirer

8 ай бұрын

Your ignorance is amazing. How about looking up mechanotransduction and cellular regeneration? The story was incomplete and did leave out the method for cell growth. That is unfortunate

This is me! No suregery no problem!

SAME GOES FOR MOST SURGERIES. IT’S A RACKET.

Kaiser is the worst practice with Orthopedic surgeries. Now they comment about ACL. Nice Joke 😂😂

It seems like basketball is the sport most likely to tear an ACL

Question everything your dr tells you. Get more than 2 opinions if youcan afford it. Many Dr's love to cut.

What a horrible reporting. No explanation of why the knee replaced it's tear on its own. No mention of the protocol of mechanotransduction and cellular regeneration. Please do better 😂

Uhm no... an acl tear never goes away on its own lol

Pele and Maradona are soccer legends. Messi is, maybe Ronaldo. Megan from the US women’s team, no.

The gel injection after freezing your knee works wonders for 6 month then do it again 😀

This is non sense

Typical of a Kaiser MD, always trying to save the hospital money. Avoid Kaiser!

Maryam is a baller

This is propaganda, if you tear your acl you need to have it repaired or you will have degenerative issues later on. It is unfortunate that medicine has become a luxury. I feel as though this video is being published as a way for hospitals to lower future bad debt and write offs.

@jmatando5105

2 ай бұрын

degenerative meaning what? based on many studies the rates of osteoarthritis are identical whether patients with a complete ACL Tear opt in or out of surgery. in what ways are you describing degenerative, genuinely curious and genuinely asking