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Posts Tagged ‘chronic ACL rupture’

“It Ain’t Necessarily So”

Saturday, October 18th, 2008

So this morning in my study, I was going over a number of health related blogs, reviewing them for any potential for commentary and teaching points. A number were pretty good, most often involving the back injuries one sees in sports or exercises or stretches for general fitness or specific injuries. A few had to do with joint replacements of the hip and knee, which happened to be my specialty in practice. 
 
But then, I read one that was incredible. Not good incredible, as in ‘Wow! How amazing!” but incredible as in, “I can’t believe they have this thing out there on the web!” It concerned ACL injuries and rehabilitation and it was so full of factual errors and frank mythology that I couldn’t believe it.
 
I wanted to tactfully reply, correct the most obvious misconceptions, hopefully without insulting the author, or hurting his feelings. It wasn’t a scam, or a deliberate attempt to misrepresent facts for some nefarious purpose. It was obvious that the author was sincere. He was just wrong.
 
For example, one guy said that an ACL rupture wasn’t painful. In fact, it’s one of the most painful and disabling injuries you can suffer. What he meant was that a CHRONIC ACL disruption is painless–the damage has already been done. But the resulting instability, the “wobbly knee” that results from absence of the ACL, CAN indeed cause pain, from secondary tears of the menisci, synovitis, and arthritis.
 
Further, there ARE some people with an ACL injury who DON’T require surgery. This fact is almost entirely ignored in these articles. Specific exercises, especially leg curls and calf exercises, can often compensate for people who make low demands on their injuredknee. The point is, there are options that can be offered.
 
Unfortunately, it was a major pain to reply. First, you have to register in order to reply. Then, the registry doesn’t accept the information and erased all the info I had just input. Finally, I just gave up in disgust. Too bad. Some people are going to read that blog and accept what it says uncritically. As a result, they’ll absorb information that’s just incorrect. And who knows what the consequences will be?
 
Funny thing is, people will believe almost anything they read on the net, even though it’s well known that there’s no filter. That’s one of the internet’s chief charms. But it’s also one of its chief problems, when you really have a need to know the facts about a topic. Without a bit of comparative research on your own, there’s often no way to tell what’s fact and what’s fiction.
 
You may read it on a website, but “it ain’t necessarily so.” But the written word has power to persuade, whether it’s accurate or not. So, especially in seeking medical information, it’s best to go with a trusted source. Hey, that’s one of the major reasons for the existence of Dr. Bill’s Clinic. I’m here to try to provide some guidance and practical advice, based on my nearly quarter century in clinical practice in orthopaedic surgery. That’s why I wrote my healing programs: to help those of you with knee pain, grinding, instability, arthritis, water on the knee, deformities, and any other problems with a variety of treatments, conventional, alternative, and complimentary, from across the entire medical spectrum.
 
DR. BILL’S LITTLE GREEN BOOK FOR ELIMINATING KNEE PAIN is a concise, but complete guide to all the root causes of knee pain and the treatments that I know from experience, professional and personal, do work. You can get your own copy, including an audio CD, at  http://drbillsclinic.com/eliminate_knee_pain.html
 
But, just so you know, the LGB does NOT include the recommended knee exercises. Those are given in a separate companion manual: DR. BILL’S PAIN-FREE PROGRAM, a selection of exercises and stretches that helps to prevent or eliminate knee pain–once & for all! You can get it here, at this link:   http://drbillsclinic.com/exercise_eliminate.html
 
Most recently, based on what people seemed to want, I created my newest healing program, HOW TO AVOID KNEE SURGERY, in both written and audio CD formats. This is a blend of the former two programs, and in addition, adds a great deal of new material, especially on herbs and nutriceuticals and other alternative treatments to help you avoid the unnecessary knee surgery, or at least delay the most invasive procedures, like total knee replacement, in the case of end stage disease, like arthritis. 
 
If you’ve been thinking about having surgery, but would like to delay or avoid it, you can get it here: http://drbillsclinic.com/avoid_knee_surgery.html
 
So, above all, don’t believe everything you read. DO your due dilligence before you accept whatever is out there on the net. The right advice can make a big difference in your life, but you need to be sure of the facts, before you act.
 
Well, that’s it for today. Til next time, my friend, be well. And have a great weekend!
 
Yours for a pain-free tomorrow,
 
Dr. Bill
 
P.S. For DR. BILL’S LITTLE GREEN BOOK ON ELIMINATING KNEE PAIN, a concise, but complete handbook on the root causes and the various options for treating knee pain, go to http://drbillsclinic.com/eliminate_knee_pain.html
 
P.P.S. For DR. BILL’S PAIN-FREE PROGRAM: EXERCISES TO PREVENT OR ELIMINATE KNEE PAIN, please go to
 http://drbillsclinic.com/exercise_eliminate.html
 
P.P.P.S. For the giant, comprehensive ADVANCED MASTERS’ COURSE: HOW TO ELIMINATE KNEE PAIN–ONCE & FOR ALL!, everything you need to know on causes and solutions for knee pain and the complete exercise program, too, go to
 http://drbillsclinic.com/advanced_masters.html
 
FREE BONUS CD with any order: THE HEALING POWER OF POSITIVE PAIN PERCEPTION
 
Copyright, 2008 by William Thomas Stillwell, MD
All rights reserved

“The Cruciatus Curse”

Tuesday, July 1st, 2008

As any reader or fan of the popular Harry Potter series knows, the Cruciatus Curse is one of the four “unforgivable curses” of the Dark Arts, used by followers of the Dark Lord, Voldemort, to inflict indescribable agony on the subject. You just point your wand at the target and say “Crucio,”  to magically torture your victim. Of course, if you’re not a fan of J.K. Rowling, or haven’t read her novels about the adventures of the young wizard in training, and all his friends, then you have no idea what I’m raving about.
 
The point is that “The Cruciatus Curse” has an analog in the real world, in the Ruptured Anterior Cruciate Ligament. This injury is very common in the twisting, cutting and sudden hyperextension movements the knee is subject to in a number of sports. And when it is acute, it can be an agonizing injury. Usually, the key sign is a sudden, excruciating swelling of rapid onset, after an injury, and the player is NOT able to return to play, or even bear weight on the affected knee. 

In the normal knee, the ACL prevents excessive forward motion (translation) of the tibia, relative to the femur. It also stabilizes the knee joint in rotation and pivotal motions. It’s indispensable for stability in most running sports. In its absence, the knee is unstable in these activities and untreated, the knee will develop rapid degenerative changes. It’s an injury that is often associated with a torn meniscus, and sometimes with injury to the medial (inner side) collateral ligament, as well.
 
This injury was brought to the fore (you should pardon the pun) by Tiger Woods’ recent knee surgery and the endless speculation about whether or not he can make a full recovery and return to be the force on the professional golf circuit, that he was prior to his injury. Now, in his case, the cruciate rupture was a chronic injury (over 11 months old) and the acute pain he experienced during the Open was due to a double stress fracture in his tibia (shin bone). Just think about that for a minute–the guy WON the U.S. Open, with constant pain from a double fracture, as well as the instability from a chronic ACL rupture. Amazing.
 
Anyway, he underwent an ACL reconstruction by Dr. Thomas Rosenberg and his team in Utah. And he is likely deep into prescribed rehabilitation by this time. As I mentioned a while ago, I sent Tiger a copy of my PAIN-FREE PROGRAM exercises http://drbillsclinic.com/exercise _eliminate.html )   for him to use, after his course of postoperative rehab is complete. It’s great advantage is that these exercises are clinically proven to WORK, based as they are on my nearly quarter century of clinical practice. And I used these exercises myself, after my own knee surgery.
 
Now, not all ACL ruptures require reconstructive surgery. If you’re NOT a competitive athlete and you have NO instability during normal daily activities, you may get by without surgery. That doesn’t mean without treatment, though. But if you would like to try a non-operative appproach, see what measures are available to you in my newest program, HOW TO AVOID KNEE SURGERY, at
 http://drbillsclinic.com/avoid_knee_surgery.html   also available as a full length audio CD.

As if that wasn’t enough, today is the start of my 4th of JULY HALF PRICE SALE! For one week only, ending at MIDNIGHT, on Monday, July 6th, my PAIN-FREE PROGRAM,  and best of all, THE ADVANCED MASTERS’ PROGRAM,  ARE HALF PRICED!!!   http://drbillsclinic.com/half_off.html
 
So, if you’ve been waiting for the price to come down to get one of these outstanding, life-changing, pain-relieving programs, now’s your chance. But it won’t last forever, and supplies are limited, so if you want one of these, ORDER NOW! http://drbillsclinic.com/half_off.html
 
Til next time, my friend, be well.
 
Yours for a pain-free tomorrow,
 
Dr. Bill 

P.S. For DR. BILL’S LITTLE GREEN BOOK ON ELIMINATING KNEE PAIN, a concise, but complete handbook on the root causes and the various options for treating knee pain, go to http://drbillsclinic.com/eliminate_knee_pain.html
 
P.P.S. For DR. BILL’S PAIN-FREE PROGRAM: EXERCISES TO PREVENT OR ELIMINATE KNEE PAIN, please go to
http://drbillsclinic.com/exercise_eliminate.html
 
P.P.P.S. For the giant, comprehensive ADVANCED MASTERS’ COURSE: HOW TO ELIMINATE KNEE PAIN–ONCE & FOR ALL!, everything you need to know on causes and solutions for knee pain and the complete exercise program, too, go to
 http://drbillsclinic.com/advanced_masters.html

FREE BONUS CD with any order: THE HEALING POWER OF POSITIVE PAIN PERCEPTION
 
Copyright, 2008 by William Thomas Stillwell, MD
All rights reserved