ACL /Anterior Cruciate Ligament/ REHAB

ACL /Anterior Cruciate Ligament/

ACL /Anterior Cruciate Ligament/ is a dense connective tissue located right in the heart of the knee joint. Has two bundles: Anterior medial bundle and Posterior lateral bundle, which provide stability in the knee in internal and external rotation. ACL helps to connect your thighbone /femur/ to your shinbone /tibia/.
ACL injuries are divided in two types:
1. Non-contact injuries
– 70% of ACL injuries

– During twisting/cutting/ pivot sport
– Jumping and landing badly or stopping other player
– ACL preventative work is influential
2. Contact injuries
– 30% of ACL injuries
– Something or someone hits the knee or the leg
– As a result of injuries in other ligaments
– Here the preventative work is not very influential- can appear during skiing

Clinical presentation
– Cutting movements, single leg standing/ landing/ jumping
– Audible pop or crack in time of the injury
– Initial instability- which can be masked with extensive swelling
– Giving way on pivoting or twisting
– Large amount of pain on the time of the injury
– Swelling of knee
– Restricted movement- not able to straight the leg
– Mild tenderness on medial side of the knee
– MRI will show bone bruising
– If there is a fracture of the tibia this will show on Xray
– If twisting is appearing during injury, then likely the meniscus will be affected.
– Other ligaments can be affected such as PCL, MCL and lateral ligaments

ACL acute management after surgery. Often this is the first 6 weeks after the surgery
1. Joint homeostasis
– Knee will be swollen, stiff and painful. There will be limitation in the range of motion. In this period is useful to do lymphedema massage, compression, elevation and active muscle pumps
2. Manage the scaring process
– First 3 days will be a phase of inflammation. Early passive range of motion will support the scar healing
3. Restore joint range of motion- can be achieved with exercises
4. Retrain quads muscle- can be achieved with exercises
5. Immobilization, weight bear status and bracing
– Leg will be immobilized while the nerve is block and then hinged brace can be given for 3-7 days.
– Weight bear status: partially weight bear for 2 weeks after surgery. Full weight bear up to 6 weeks post surgery.
6. Create a rehab plan
– Range of motion restoration and protection- up to 6 weeks
– Weight bear tolerance- 2 weeks partially, up to 6 week recovery

– Endurance- up to 8 weeks. This will include 10-18 week rehab
– Strength on hip, knee, ankle- 19-26 week
– Power- 27-32 week
– Running- 27 week
– Speed and agility- 32 week
– Return to training- 35 week
– Return to play- 38 week

ACL injury can affect your daily activities, your transfers, mobility and ascending/descending stairs.
Naturopathic Healing can assist and support your healing process by using tools such as acupuncture, local massage, kinesiotape, prescription of exercises, advice and education for gait pattern and how to ascend/descend stairs.
You can book appointment via text message, facebook, Instagram messages, mail or phone call.



According to NHS /National Health Services- stroke is a serious life-threatening medical condition that happens when the blood supply to part of the brain is cut off.

The sooner a person receives treatment for a stroke, the less damage is likely to happen.

If you suspect that you or someone else is having a stroke, phone 999 immediately and ask for an ambulance.

Symptoms of a stroke

The main symptoms of stroke can be remembered with the word FAST:

Face – the face may have dropped on one side, the person may not be able to smile, or their mouth or eye may have dropped.
Arms – the person with suspected stroke may not be able to lift both arms and keep them there because of weakness or numbness in one arm.
Speech – their speech may be slurred or garbled, or the person may not be able to talk at all despite appearing to be awake; they may also have problems understanding what you’re saying to them.
Time – it’s time to dial 999 immediately if you see ANY of these signs or symptoms. Many people do a major mistake thinking that the person need to have all the signs above.

Causes of a stroke

Like all organs, the brain needs the oxygen and nutrients provided by blood to function properly.

If the supply of blood is restricted or stopped, brain cells begin to die. This can lead to brain injury, disability and possibly death.

There are two main types of stroke

ischaemic – blood supply is stopped because of a blood clot /85% of all cases/
haemorrhagic – where a weakened blood vessel supplying the brain bursts

There’s also a related condition called a transient ischaemic attack –called TIA where the blood supply to the brain is temporarily interrupted. Usually recognised as mini-stroke. It can last a few minutes or persist up to 24h. TIAs should be treated urgently, as they’re often a warning sign you’re at risk of having a full stroke in the near future.

Certain conditions increase the risk of having a stroke, including:

high blood pressure
high cholesterol
irregular heart beats /AF- atrial fibrillation/

Treating a stroke

Treatment depends on the type of stroke you have, including which part of the brain was affected and what caused it.

Recovering from a stroke

People who survive a stroke are often left with long-term problems caused by injury to their brain.

Some people need a long period of rehabilitation before they can recover their former independence, while many never fully recover and need ongoing support after their stroke.

Preventing a stroke

You can significantly reduce your risk of having a stroke if you:

eat well
take regular exercises
reduce or stop alcohol intake
quit smoking

Rehab in stroke can help you with:

your emotions
your affected vision
strengthen your weak muscles
improve balance and coordination
improve your transfers and mobility
walking training
address your shoulder pain
give you strategies for self care and self management

If you a stroke survivor or have a family member who has a stroke and need rehab, you can use our services.

We offer face to face in our clinic or home visits from Shoeburyness to Canvey Island, including Rayleigh, Hockley, Rochford.

Session could be booked via:

-phone call on 07481113606 or text message

-facebook or Instagram message under Naturopathic Healing


We are looking forward to see you. We do appreciate you.

Naturopathic Healing