Why I Chose To Get ACL Surgery vs Non-Surgical Treatment (& How I Weighed The Options)
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- Опубліковано 15 чер 2024
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Deciding to get ACL surgery is no easy task! That's why I wanted to highlight the reasons why I chose to get ACL surgery vs non-surgical treatment, and how I came to the decision that I did.
I think it's so important to weight the factors when deciding on if you should get ACL surgery or not. There are several reasons why it might not make sense for someone to get ACL surgery, and instead opt for non-surgical treatments. For example, if money is tight, if you don't have great health insurance or surgeons available, or if you don't feel like you want to return to playing sports again - then ACL surgery might not be best for you.
But for me, there were several factors as to why I did want to get the surgery done, and in this video, I explain what they are and why each of these factors mattered to me personally.
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My ACL Journey
► • How I came back strong...
Getting ready for sports again after ACL surgery: ► • Not Feeling Ready To R...
My 20 month ACL update:
► • My Inspiring 1.5-Year ...
ACL surgery tips:
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►TIME STAMPS:
0:00 Introduction
0:19 My ACL background story
0:55 How I decided to get ACL surgery
14:32 Final Thoughts
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Thank you. You hit on all the things I am going through right now in trying to decide.
Best of luck!
Thanks for this video! I fully ruptured my ACL downhill skiing Feb 9th 2022. Tore my meniscus broke my knee cap as well. Stopped skiing walked on it all day before going into ER. Passed all tests. My MRI showed complete tear. I had clean out surgery and I am currently in aggressive rehab. I am in my late 40,s my ortho suggested I try this route 1st. I definitely have severe stiffness in the morning. I work through it everyday. I am trying to keep positive. I know I can go in for complete reconstruction at a later date if this doesn’t pan out. I’ll keep you posted. 🙏
Yes, definitely keep me posted! Sounds like you have a good strategy mapped out. If the stiffness doesn't subside, I HIGHLY recommend the incrediwear knee or leg sleeve. It helped me a TON with the morning stiffness when I wore it overnight. Link is in the description if you want to check it out!
Do you have an update?
I’m glad it got better Victoria and i enjoyed the video
Thanks William! Appreciate you 🙏🏻
@@VictoriaDorsano your welcome I always look forward to your videos
these were my same thoughts in 2006 when i blew my ACL-MCL-meniscus!
so i had surgery!
if i knew what i know now,i probably would have not had the surgery!.
its been about 16 years now in my mid 40s and im actually much quicker and recover faster!
im sure in 10 years from now you will be even far superior!
Every day im getting better!
i will give Ben his product a few years ago his teaching spark some power!
hyperarc fascia training which im sure in following months you will stumble on will truly change your athletic ability as the feet-glute-ab connect.
good video!
Omg this really helped . I think just putting this out has made me confident. I'm gonna go thru the same surgery soon.j thought I'd not have toned legs glutes coz my doc was like u not gonna be able to do squats or jump the way I did with my normal knees. I would luv to know how I cud strenthn my inner thighs and outer to support my left leg better and the back muscles and glutes. Do share some pre AcL surgery excercises and post. I loved this video. Thank you @Victoria Dorsano
Got my full ACL rapture + lateral meniscus damage report today. First time something this bad is happening to me. I am despising the idea of surgery because of the crucial physical pain. I feel super anxious.
I have an active lifestyle and don't want to leave soccer at just 23 years of age.
Great video btw, thanks for information on this stuff, this comment section is soothing in this otherwise turbulent period.
I know it’s a lot to process. But try to focus on just the next step in front of you and not think too far down the line about post-op yet. If you need any more support, feel free to reach out on Instagram.
@@VictoriaDorsano thanks for replying, it's great you are still actively helping people out.
Surely i will reach out on insta today, because I can't help but feel bad about my situation
Just stumbled upon your comment by accident and I think I can help you if you didn't help yourself yet. The ultimate reason you probably injured yourself is overstriding which puts the stress on muscles that work in dorsiflexion: fibularis tertius, extensor digitorum longus, extensor hallucis longus and tibialis anterior. This is very common with soccer players as overstriding leads you to heel strike. However, it also happens in other sports as well such as basketball. Deacceleration and lateral movement is extremely important in such sports.
So working on your tibialis anterior will surely help you. Also I suggest looking at foot anatomy as a whole and train every calf muscle you can. This way you can see what helps and what does not. For example, if you play soccer you probably already have strong muscles that work in plantarflexion so exercising that may lead to even more pain.
Science is completely wrong when it comes treating tendonitis and many websites mention treatments that won't fix anything which will instead lead you to wasting your money and time. For example, tendonitis of some muscle is not caused by that muscle being weak, but rather taking a huge amount of the load instead of it being distributed with muscles that work in synergy with it. This is extremely important so searching for muscles that work in synergy and exercising them instead will instantly lead to improvement. This applies to other painful areas in the body. Usually the root cause is not at the place where you experience pain, but rather in completely different area. So just do whatever exercise that comes to your mind and see if it helps or not. Getting enough eccentric movement and huge volume will also help. Also wearing barefoot shoes is anecdotally proven to improve your lower leg muscles strength which leads to better alignment from feet all the way up to your neck.
@@MrX-vk1jl At this point I want you to see the video where I tore my ACL and tell me how exactly fucked up
I've had two unsuccessful operations , one to replace my ACL and later one to repair Meniscus in my late 40's .Still my knee dislocates when my foot points inwards this movement puts the knee under tension . It's soul destroying, I'm a very active person and can no longer participate in sports but hopefully i can see an actual specialist one day and get to the bottom of whats going on..I'm 53 now .
I’m so sorry to hear that! Have you tried any of the ATG programs?
@@VictoriaDorsano Whats an ATG programme ?
www.atgonlinecoaching.com/ it’s a program that helped my knees feel pain free after ACL surgery! I have a whole playlist on the program called “knees over toes” if you want to learn more too.
huge fan of you!!
Awww thank you! 🥰 I appreciate the support!
@@VictoriaDorsano 🥰🥰
ACL reconstruction does not cause OA. The ACL injury causes OA. ACL reconstruction surgery simply does not prevent OA. The main factor seems to be damage to the meniscus. If you simultaneously injure your meniscus, or it was previously injured, you will get OA whether you have surgery or not.
Great point and I love that you mention this because it's definitely an area of contradiction in the ACL community. There are several papers still pointing out that ACL reconstruction can lead to some cases of OA in some populations (online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.87B11.16138). However, it is significantly higher if you have a meniscal injury as well. But overall, you think that reconstruction surgery doesn't cause (or lead to a higher risk for) OA in any regard if it's just an ACL injury? It seems that it's hard to say anything definitively here as most papers have denoted that more research is needing to be done with larger sample sizes and less variables.
Thank you
You're welcome
Hii Victoria!! Love from India! glad to hear that so for your recovery is great..even I have injured my right knee while playing volleyball. My MRI reports were like 1) partial ACL tear at femoral attachment. 2) medial patellar retinaculum tear. I'm 31 year old and Fire fighter. So with these conditions can I come back before injury level with non surgical treatment, or do I need surgery. Plzz suggest me
Hey there!! Thank you for your comment! Please keep in mind that I am not a medical professional, so I strongly advise that you ask this question to a knee doctor or physiotherapist, but from what I've learned, there are some ways that you can return to pre-injury level without surgery since you only have a partial tear...but it will take some time and a good amount of physical therapy. Definitely talk with a knee specialist to make your ultimate decision though! You could always try the physical therapy route first, and if after 4-6 months it doesn't feel back to normal, you could consider surgery at that point. Hope this helps!
Hey Victoria, hope you are doing well. Did you go with the conventional technique of bioscrew and endobutton?
I don’t know for sure if it was an endobutton fixation but I know there was a bio screw!
@@VictoriaDorsano thank you so much 😀
Hi Victoria, thanks for all your information on the ACL journey. I tore my ACL, MCL and partial tear in my meniscus playing soccer one month ago. I am scheduled for surgery on October 27th. I am decided on getting surgery but I’m stuck between quad autograft vs Patellar BTB. I understand you did the patellar tendon and was wondering if you are happy with that decision or would have gone with quad tendon in hindsight. There is not much research out there on the quad tendon ( at least not as much as patellar being the gold standard), but it seems to be gaining popularity (less pain, similar re-tear rate as patellar, no knee pain while kneeling, etc). I just want to make sure I make the right decision you know. I am 34 and still very active (soccer, hiking, weights). Any advise is greatly appreciated. God Bless.
First off, I’d ask your surgeon if they have a preference. But if they don’t, I always advise the patellar BTB because you get the bone plugs which tend to make the graft hold a little stronger through the initial phases of rehab. You may have a little more anterior knee pain but that will go away as the tendon heals. Hope that helps! And if you need more help, I have a full video course covering all of these topics of pre and post op. ACLsecrets.com
Thank you so much for responding. I was leaning more towards the BTB patellar so this just puts me more at ease hearing it from someone that has gone through it. You have a new subscriber. God bless!
Appreciate you! Best of luck. You’ll do great!
When can I start incorporating nordic hamstring curls after ACL reconstruction with hamstring graft?
I’d ask your PT!
I had the surgery on feb 2022 but I'm having pain in hamstring but the muscle is taken from quadriceps how the pain in generating??👀 and hope you are fine
Great question! It could be a ton of reasons, but my guess is if they took the graft from your quad, your hamstring might be compensating for the weakness in your quad by trying to stabilize your body right now- which could cause some hamstring pain. Just a guess! I’d just make sure to check in with your physiotherapist 🙏🏻
i would of chosen the non surgical option but i torn my meniscus a week after i had my ACL injury and that blocked my joint and surgery is the only option at this point
Best of luck! You’ll make it through. Just focus on the recovery. You got this 🙌🏽
Did you use a ligament from your own body or a donor for your acl replacement? I am trying to figure out what would be the best option for me to get back to dacning after the operation with minimal complications
Have you heard of the BEAR surgery? This might be a better option! It’s new as of this year I believe.
I used my patellar tendon and don’t have any complications with range of motion or strength.
@@VictoriaDorsano yes I've heard about it!! I also heard that it can only work (as of now) within 50 days of original injury, which sucks lol
Yes, it does. Best of luck in your journey!! If you ever need more advice or resources, you can book a call with me or check out my course here: pillar.io/victoriadorsano
Hi dear, my daughter played rugby and hurt her knee. Apparently she had a high degree tear .. is surgery recommended or can she delay a try heal non surgical?
She is 17 years old
Hi Sarah! You can always opt for non surgical first for a few months to see how she does, and then if still unstable, choose surgery after. Check with your doctor on what they say too!
Hi, you make it sound like the surgery leads to osteoarthritis. In fact, it is completely the other way around: the instability due to the ACL tear is causing osteoarthritis longterm. surgery is performed to prevent this. So ideally there is no osteoarthritis after surgery, however studies show there is still a significant rate of osteoarthritis even after surgery. One explanation for this is that back in the days the drilling canals were usually misplaced in a high noon position and these are the patients that have been followed up in the cohorts. So osteoarthritis might actually be prevented by modern surgery, however we need to wait 10-20 years to see follow up data of the current surgery techniques.
Hi! Thank you for the education around this!! Could you link some studies? I’m happy to make a follow-up video explaining this.
No it's another way around. My husband had ACL surgery 12 years ago now he has osteoarthritis... So he is real example that is another way around.
@@VictoriaDorsano Hi Victoria, thank you for your answer and sorry for my late reply. I'd love a follow up video on that topic. In general, as a medical doctor, I am so glad to see your videos are so scientifically well researched. I will look up the sources I found and surely link some studies.
@@dorotasztuder4956 Hi, glad to see you interested in your husband's injury. To sum it up, what I wanted to clarify: ACL Injury itself without any surgery leads to high rates of osteoarthritis longterm. ACL surgery is an attempt to lower osteoarthritis rates (and give back life quality). But ACL surgery is not capable of lowering osteoarthritis rates yet. Osteoarthritis rates are the same wheather you get surgery or not. Your husband getting osteoarthritis after surgery is unfortunate, but so do ACL patients without surgery. The cause of it is the ACL injury after all.
One hope is that those studies are looking at surgeries 10-20 years ago, modern surgical techniques have improved and modern surgery might be better at preventing osteoarthritis.
Thank you thank you!! So appreciated! 🙏
Are u performing the same as you do before surgery??
I’d say about the same. Fairly close!
The saying is ‘ a pinch of salt’
Ligma