In some cases, physical therapy, activity modification and bracing can help the patient return to active, non-pivoting sports and lifestyle without ACL surgery. Photo: Getty Images
Have you ever faced a tough decision regarding your health? Silvia Sexton certainly did when she tore her ACL while skiing last year. The question that arose was whether she needed ACL surgery or if physical therapy would suffice. Let's explore this common dilemma and find out more about the options available.
The Fall and the Diagnosis
Sexton experienced a painful fall on a ski run, resulting in a complete tear of her ACL and damage to her MCL. Dr. Martin Boublik, an experienced orthopedic surgeon, carefully reviewed her MRI and discussed her treatment options. This consultation is crucial as it allows patients to make informed decisions about their treatment.
Surgery for Professional Athletes
For professional athletes or individuals heavily invested in sports that involve cutting and pivoting motions, ACL surgery is often recommended. It aims to help them return to their peak performance levels. However, for less demanding athletes, the decision is not as straightforward.
Low-Demand Athletes and Alternative Treatments
Physical therapy, activity modification, and bracing can be viable alternatives to surgery for low-demand athletes, depending on their symptoms and activity levels. These non-surgical treatments can help patients return to their active lifestyles without the need for invasive procedures.
Considerations for Decision Making
The decision of whether to undergo ACL surgery or pursue physical therapy depends on several factors. The patient's age is considered, with older patients leaning towards non-surgical treatments and younger patients opting for surgery. However, age alone should not be the sole determining factor, especially in states like Colorado, where individuals remain active well into their golden years.
A woman who has injured her knee is bundled up in a sled by ski patrol members who are about to take her down a mountain. Photo courtesy Silvia Sexton.
The Role of Physical Therapy
Physical therapy plays a crucial role in both prehab and post-surgery rehabilitation. It helps improve the range of motion, strength, and stability of the knee. Engaging in physical therapy before surgery can reduce potential complications and aid in a smoother recovery. It is essential to work closely with a physical therapist to ensure a successful outcome.
Surgery and Rehabilitation
Rehabilitation after ACL surgery can be a lengthy process, ranging from six to nine months or longer. This rehabilitation period can deter some patients from choosing surgery. However, it is important to note that even without surgery, months of physical therapy are often required to regain strength and stability before returning to activities such as hiking, biking, or yoga.
Making an Informed Decision
Studies comparing surgical and non-surgical treatments for ACL injuries have not shown a significant difference in long-term outcomes. However, there is a higher risk of re-injury with rehabilitation alone. Each patient's decision should be based on their individual circumstances, preferences, and the guidance of their healthcare provider.
Looking Ahead
It is important to note that whether a person chooses ACL surgery or physical therapy, the risk of developing arthritis in the future remains. The primary goal of treatment is to help patients resume an active lifestyle with minimal pain and discomfort.
Silvia Sexton decided to forego surgery and focus on physical therapy, which has proven successful for her. However, it is important for patients to monitor their condition closely and consult with their healthcare providers regularly to ensure the best course of action.
Remember, when faced with such a dilemma, it's crucial to seek professional advice and make an informed decision that aligns with your individual needs and goals.
