Category Archives for "Knee Injuries, Pain, acl"

Knee Ligament Sprain Injuries – Reverse Lunge Woodchops

Hold onto a ten pound dumbbell with your hands on both ends and engage your inner core stability muscles below your belly button.

Then lunge backwards with your right leg performing a wood chopping motion with the upper body and arms turning only your torso. Push back up with the right foot to the start position. Repeat this for 10 repetitions doing 3 sets for each side.

This exercise is excellent for strengthening your knee and developing better balance and proprioception and more optimal neuromuscular activation patterns after a knee ligament sprain injury.​

If you have any problems doing this exercise, please contact one of our Physiotherapists at either of our locations in North Burnaby on Hastings Street or in Vancouver on Cambie Street.

Knee Ligament Sprain – Bosu Ball Knee Highs

Place the opposite foot forward onto the Bosu Ball while having the opposite arm also forward. Position yourself in a running stance with your core muscles engaged below the belly button. Bring the knee up towards the chest matching the motion with the opposite arm and then bring the foot back down with control.

A few things to look out for when you’re doing Bosu Ball Knee Highs is to control the motion of the foot coming back down and to also keep the arms and knees from crossing the mid line of the body and prevent the low back from arching by keeping it in neutral.

Repeat this for one minute on each side doing 3 sets 2 times per day.

This exercise strengthens the entire knee, leg, thigh and core stability muscles to help with your functional running strength after a knee ligament injury. If you have any problems doing this exercise or are unsure about what you are doing, consult your local Physiotherapist before continuing.

Anterior Cruciate Ligament Knee Injury: One Leg Hops

This is a great exercise to help protect the ACL and to begin to rehab the strength, balance and agility of the knee after it’s been injured.

When you start playing sports that require a lot of running especially cutting, you may hear about the ‘ACL’ of the knee being commonly injured. This is a great preventative exercise to help protect the ACL and even a greater way to begin to rehab the strength, balance and agility of the knee after it’s been injured.

Create a cross on the floor with two 4 feet strips of tape. Begin by standing on the bottom left corner and engage the core stability muscles in your low back and keep them on the whole duration of the exercise. Then, bend one knee so you are standing just on the other foot and hop clockwise all the way around.

Then reverse the direction and go counter clock wise, and then finally in a diagonal pattern from bottom left to top right and back and then from bottom right to top left and back.

Repeat each of the four hopping sequences clock wise, counter clock wise, and both diagonal patterns for 30 seconds for a total of 2 minutes. Do 3 sets on each side 2 times daily.

Anterior Cruciate Ligament Knee Injury: Roller Bridges

This exercise is a great way to strengthen and give more stability to your knee which may be weak or unstable from a previous or current injury of your Anterior Cruciate Ligament (your ACL) and is great for building your strength and balance in any sports involving jumping, running or cutting.

Lie down on your back and place a roller underneath your lower legs between your calf and ankles to start. Activate the inner core muscles of the low back and keep them engaged throughout.

To start, curl the roller towards you butt while you bend your knees. When your heels come over the roller, bridge your butt up nice and high and hold it at the end for a good long second. Then slowly bring the butt back down moving the roller towards the feet, reversing the direction of movement with control back to the start. Repeat this for 10 repetitions doing 3 sets daily.

This exercise is a great way to strengthen and give more stability to your knee which may be weak or unstable from a previous or current injury of your Anterior Cruciate Ligament (your ACL) and is great for building your strength and balance in any sports involving jumping, running or cutting.

If you experience any pain or have any problems doing this exercise consult your local Physiotherapist before continuing.

Knee Ligament Injuries – One Leg Looped Band Bridges

Wrap a looped resistance band around your thighs just above your knees. Engage the core muscles below the belly button by pulling them inwards while you keep breathing.

Ensure your knees are aligned with your ankles and your hips while you take up the slack in the looped band. Push through your heels with the feet flat on the ground and bridge the butt up keeping both sides of the pelvis level with each other.

Then straighten out one leg, hold it here for 10 seconds, and then bend your knee and lower your butt back down. Repeat this for 10 repetitions doing 3 sets daily.

This exercise progression helps to further strengthen and rehab the knee when you have a sprained ligament that is causing weakness and a decrease in use and function.

Knee Ligament Injuries: Looped Band Bridges

This exercise helps to strengthen and rehab the knee when you have a sprained ligament that is causing weakness and a decrease in use and function.

Wrap a looped resistance band around your thighs just above your knees. Engage the core muscles below the belly button by pulling them inwards while you keep breathing. Ensure your knees are aligned with your ankles and your hips while you take up the slack in the looped band.

Push through your heels with the feet flat on the ground and bridge the butt up keeping both sides of the pelvis level with each other. Hold this for 10 seconds, and then lower your butt back down. Repeat this for 10 repetitions doing 3 sets daily.

This exercise helps to strengthen and rehab the knee when you have a sprained ligament that is causing weakness and a decrease in use and function.

If you experience any pain or have any problems doing this exercise consult your local Physiotherapist before continuing.

ACL Knee Ligament Injury: 1-Leg Deadlifts

One-leg deadlifts are a great way to strengthen your entire leg and give more stability to your affected knee.

Maintain neutral posture and engage your core muscles below the belly button. Plant your entire left foot on the ground.

When you bend forward at your hips press your foot and knee straight back and reach your arms down to the floor. Remember to keep both hips level and don’t lock out or hyper extend the left knee. Repeat this for 10 repetitions for 3 sets to start on the affected side.

One-leg deadlifts are a great way to strengthen your entire leg and give more stability to your affected knee which may be weak or unstable from a previous or current ACL ligament injury and is great for building your strength and balance in any sports involving jumping, running or cutting. It can also help prevent ACL ligament injuries as well.

If you experience any pain or have any problems doing this exercise consult your local Physiotherapist before continuing.

Patella Femoral Pain Syndrome: Gluteus Medius Muscle Pistol Squats

With both sides of the pelvis level squat down on one leg sitting your butt back (like in a chair). Keep the knee over the ankle and aligned with your hip and second toe while preventing it from moving past the toes as you squat.

You also want to reach both arms out in front of you to keep balanced and bend your hips so your chest comes forward. Your weight is on your entire foot as you come back up to straight, but put the emphasis on pushing through the heel and contract your butt all the way back up.

Repeat this for 10-15 repetitions doing 3 sets on each side.

Patella Femoral Pain Syndrome is usually caused by an imbalance of the muscles in the knee and pelvis and non-optimal movement patterns throughout this system. When done properly, you can target your gluteus medius muscles with the pistol squats more effectively to help with this imbalance.

If you experience any pain or have any problems doing this exercise consult your local Physiotherapist before continuing.

Medial Collateral Ligament (MCL) Injuries

What is a medial collateral ligament (MCL) sprain? 

The medial collateral ligament (MCL) is the knee ligament on the inner part of your knee. It is one of the four major knee ligaments that help stabilize the knee joint. An injury is caused when the a force is too great for the ligament to resist, thus causing an overstretch of the MCL. This can be caused by sudden movements such as a sharp change in direction, twisting the knee while the foot is planted on the ground, or a blunt force to the knee. 

Injury severity?
Grade I

The knee ligament has a slight stretch, but it doesn’t actually tear. Although the knee joint may not hurt or swell very much, a grade I sprain can increase the risk of a repeat injury. Resting from painful activity and icing the injury can be useful to subside the pain.  

Grade II

The knee ligament tears partially. Swelling and bruising around the injury site are common, and use of the knee joint is usually painful and difficult. Use of a weight-bearing brace, or supportive taping are common treatments of this sprain. A physiotherapist may also help by providing strengthening and joint exercises to guide the healing process. 

Grade III

The knee ligament fully tears. Swelling and bleeding can sometimes be present under the skin. The joint is unstable and it can be difficult to bear weight. You can also feel the knee giving way. With a grade III sprain, surrounding structures, such as the meniscus and/or ACL also become at risk of injury. A grade III sprain should be rehabilitated under the guidance of a physiotherapist and/or knee specialist. 

Prevention?

  • Improve patellofemoral alignment 
  • Improve your proprioception, agility and balance
  • Improve your walking, running, and squatting techniques 
  • Strengthen your knee, especially quadriceps and hamstrings

If you have any pain during exercises, or are unsure about what you are doing, please consult your local physiotherapist before continuing.

Healthwise Staff (2017). Medial collateral ligament injury.
Retrieved from https://www.healthlinkbc.ca/health-topics/abn2411

Knee ACL Injury: Squat Clock Reaches

This is a great exercise for developing strength, balance, and proprioception after you have sprained the ACL ligament in your knee.

Start with nice tall posture and engage your core muscles below the belly button by drawing the lower ab muscles inward toward the spine. Then, stand on one leg and hold a stick with the butt end about 2 and a half feet away. Bend down through the hips to touch the stick to the floor at the 9 O’Clock position like a grid on a clock. Come back up and then bend down to touch the end of the stick at the 10 O’Clock position.

Repeat this until you get to the 3 O’Clock position and then reverse coming back to the 9 O’Clock position again to complete the full set. When doing this exercise maintain your knee alignment with the second toe, the knee over the ankle and bend through the butt more. Do 2 full sets 2 times a day.

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