![]() Pre-hab is a series of physical therapy sessions designed to help reduce swelling, pain and improve range of motion as well as the overall environment for the knee. The bad news is that if you have excessive swelling, then they will often send you to physical therapy for “pre-hab”. The good news is that the ACL reconstruction procedures available and used today have been performed many times by most orthopedists due to the commonality of this injury. Once swelling has subsided, most likely this will need to be repaired surgically by a skilled orthopedic surgeon. Swelling and pain obviously results and immobilization, ice, compression and elevation are needed in the early phase. Those who have experienced and ACL rupture often report hearing and/or feeling a “pop” deep in their knee. The ACL ruptures as a result to a sudden impact or stopping of the lower leg while the thigh continues to advance forwards. Your ACL, also known as the “Anterior Cruciate Ligament”, is a key ligament which helps control excessive motion of a moving femur (thigh) on the fixed tibia (lower leg). You would need to begin a wellness or sports performance program in order to attain your higher goals. Although you and your employer spend a steadily increasing amount of money for premiums, out of pocket maximums increase, deductibles and copays also increase most insurance companies are only supporting return to your basic Activities of Daily Living (ADL’s). Note that medical insurance does not cover full progression back to your desired level of function. Physical Therapy can last 3-6 months as you progress back to full weight bearing, steadily increase your overall function and begin a path back to your sporting or other extracurricular activities. You will then slowly be progressed back to full weight bearing on the affected leg with boot top fracture. Physical therapists will focus on other areas to improve your strength and flexibility in the areas that they are able to work with so that those tissues are in optimal condition prior to removal of immobilization status. ![]() During this time atrophy sets in, physical therapy is often initiated to prepare you for return to weight bearing. If you suffer a boot top fracture, it will either need to be surgically repaired (depending on severity) and/or immobilized for a period of time. However, boot top fractures occur because your foot and ankle are fully stabilized in the ski boot, so the area that becomes affected is the first in line that is not protected. It is extremely difficult to injure your foot and ankle while skiing. Additionally, the ski equipment used may impact one’s ability to control their motion and successfully avoid harmful situations. Novice to intermediate skiers seem to be at more at risk for this as their muscular control, overall coordination and muscle memory are simply not where they need to be to handle the situation. These often occur due to a sudden stop or collision with another object or individual or as a result of trying to stop quick in an otherwise unexpected situation. No matter the exact type of fracture, the road ahead is often slow, costly, time consuming and frustrating for the individual who was seeking to have fun with family and friends. Of course there are multiple varieties including both Tibia and Fibular fractures, one vs. ![]() Two Common Ski Injuries:īoot top fractures are exactly as it sounds. Don’t let lack of preparation ruin your trip and/or your next 6-12 months! Reports show that there are more than 200,000 ski injuries reported annually in the United States alone. Skiing is something we do for fun with family and friends. Posted by Break2004 in PT, Sports Performance Views 10906
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