Knee Science

No Surgery Solutions for Joint Pain 🤕❤️

[Knee Science @KneeScience]

ACL Tears have been PROVEN to re-attach themselves, without surgery since the 1990’s! (Kurosaka et al, 1998)

Even more, early bracing protocols can yield rates of healing upwards of 80-90% -- yes, this is for fully torn ACLs! (Filbay et al, 2023)

How is this possible? 🧵

[Salt @salt_icxc]

“He healeth the broken in heart and bindeth their fractures together.

He numbereth the multitude of the stars and calleth them all by name.

Great is our Lord, and great is His strength, and of His understanding there is no measure.”

Psalm 147 (Septuagint 146)

[Salt @salt_icxc]

When we are young and inexperienced, we think of sin in legal terms (like a parking ticket).

But when we grow up and fight it and inevitably develop scar tissue, we start to think of it in medical terms (like radiation poisoning).

Sin really is sickness, and “He healeth” us.

[Knee Science @KneeScience]

Meniscus Monday: My client Zylar rehabbing his torn meniscus !

@ATGExercise

[Knee Science @KneeScience]

Comment MENISCUS and I'll send you more long form content on the topic! Here's to a greater pursuit of TRUTH! 🙏

[Knee Science @KneeScience]

Should you get surgery for a meniscus tear? 🧐

Meniscectomy: We know based on long term data that this does *NOT* yield benefit for meniscus tears but instead causes HARM; yielding no benefit over placebo! (Kalske et al, 2026) + (Sihvonen et al, 2020)

https://t.co/wAZuKmBKcb

[Knee Science @KneeScience]

Not all meniscus cases will be able to be managed without surgery, but a lot can!

The solution?

Take the middle ground!

Attempting exercise for at least 12-24 weeks FIRST...

...and if exercise doesn't help, repair > meniscectomy!

[Knee Science @KneeScience]

Now there is nuance on the ACL tear cases that fair well with the non-surgical route; nuance I've posted on previously, including things like initial date of injury, tear orientation by MRI, and functional capacity.

What do YOU believe on the topic and WHY?

Comment below!⬇️

[Knee Science @KneeScience]

A systematic review by Pitsillides et al in 2021 sought to answer the most CONTROVERSIAL question going around in the ACL space:

CAN A FULLY TORN ACL HEAL WITHOUT SURGERY?

They reviewed NINE studies totaling 734 participants.

What did they find??? 🧐

[Knee Science @KneeScience]

So what's the truth? Non-surgical management has very similar outcomes compared to that of ACL reconstructions -- such outcomes being very dependent on ligament continuity being achieved.

[Knee Science @KneeScience]

@troywojick Sure!!!

https://t.co/u2M3WCiA5j

https://t.co/C7otm8bKlO

These are the exact routines I use for my clients haha ! Let me know what you think! 🙏

[Knee Science @KneeScience]

ACL Tears have been PROVEN to re-attach themselves, without surgery since the 1990’s! (Kurosaka et al, 1998)

Even more, early bracing protocols can yield rates of healing upwards of 80-90% -- yes, this is for fully torn ACLs! (Filbay et al, 2023)

How is this possible? 🧵

[Knee Science @KneeScience]

@troywojick Agreed

[Knee Science @KneeScience]

Comment “MENISCUS” for free educational videos on non surgical management of meniscus tears!

Here’s to a greater pursuit of TRUTH! 🫡🧪

[Knee Science @KneeScience]

Meniscus Tear progress from my virtual client Rob!

Here is his knee flexion range of motion after 1 month (check the left leg)

[Knee Science @KneeScience]

Just a month ago, his knee gave out on him while walking down the steps.

It’s amazing what 1 month of consistency can do!

Way to go Rob!