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14.06.2012

How to strengthen hamstrings after acl surgery, lose body fat tablets - Within Minutes

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When the anterior cruciate ligament (ACL) in the knee is torn or injured, surgery may be needed to replace it.
The ACL runs through a special notch in the femur called the intercondylar notch and attaches to a special area of the tibia called the tibial spine. The hamstrings function by pulling the leg backward and by propelling the body forward while walking or running. The main goal of acl surgery is to keep the tibia from moving too far forward under the femur bone and to get the knee functioning normally again. For this reason, a growing number of surgeons are using grafted tissue from the hamstring tendon. You may also need to spend time with the physical therapist who will be managing your rehabilitation after surgery. On the day of your surgery, you will probably be admitted to the surgery center early in the morning. Most surgeons perform this surgery using an arthroscope, a small fiber-optic TV camera that is used to see and operate inside the joint.
Before surgery you will be placed under either general anesthesia or a type of spinal anesthesia.
An incision is also made along the inside edge of the knee, just over where the hamstring tendons attach to the tibia. The tendons are arranged into three or four strips, which increases the strength of the graft. To keep fluid from building up in your knee, the surgeon may place a tube in your knee joint. Thrombophlebitis, sometimes called deep venous thrombosis (DVT), can occur after any operation, but is more likely to occur following surgery on the hip, pelvis, or knee. Problems can occur at the donor site (the area behind the leg where the hamstring graft was taken from the thigh). The hamstring muscles sometimes atrophy (shrink) near the spot where the tendon was removed.
You may use a continuous passive motion (CPM) machine immediately afterward to help the knee begin moving and to alleviate joint stiffness. As the rehabilitation program evolves, more challenging exercises are chosen to safely advance the knee's strength and function.


Neuromuscular training includes exercises to improve balance, joint control, muscle strength and power, and agility. When you get full knee movement, your knee isn't swelling, and your strength and muscle control are improving, you'll be able to gradually go back to your work and sport activities. You will probably be involved in a progressive rehabilitation program for four to six months after surgery to ensure the best result from your ACL reconstruction. The ACL is located in the center of the knee joint where it runs from the backside of the femur (thighbone) to the front of the tibia (shinbone).
The hamstrings are formed by three muscles and their tendons: the semitendinosus, semimembranosus, and biceps femoris.
The surgeon begins the operation by making two small openings into the knee, called portals.
Working through this incision, the surgeon takes out the semitendinosus and gracilis tendons. These holes are placed so that the graft will run between the tibia and femur in the same direction as the original ACL. A potential drawback of taking out a piece of the hamstring tendon is a loss of hamstring muscle strength. This motion may be slightly weaker in people who have had a hamstring tendon graft to reconstruct a torn ACL. This may explain why some studies find weakness when the hamstring muscles are tested after this kind of acl repair. The first few physical therapy treatments are designed to help control the pain and swelling from the surgery. Patients are cautioned about overworking their hamstrings in the first six weeks after surgery.
Some surgeons prescribe a functional brace for athletes who intend to return quickly to their sports.
However, athletes are usually advised to wait at least six months before returning to their sports. In the first six weeks following surgery, expect to see the physical therapist two to three times a week. One is to take a piece of the hamstring tendon from behind the knee and use it in place of the torn ligament.


The top of the hamstrings connects to the ischial tuberosity, the small bony projection on the bottom of the pelvis, just below the buttocks. The graft used in ACL reconstruction is taken from the hamstring tendon (semitendinosus) along the inside part of the thigh and knee. When it comes to symptoms after surgery, joint strength and stability, and ability to use the knee, either method is good.
Some surgeons prefer to use only the semitendinosus tendon and do not disrupt the gracilis tendon. Some studies, however, indicate that overall strength is not lost because the rest of the hamstring muscle takes over for the weakened area.
However, the changes seem to mainly occur if both the semitendinosus and gracilis tendons were used. Because of this, there is a small chance of tearing the healing tendon, especially if the hamstrings are worked too hard in the early weeks of rehabilitation following surgery. If your surgery and rehabilitation go as planned, you may only need to do a home program and see your therapist every few weeks over the four to six month period. When arranged into three or four strips, the hamstring graft has nearly the same strength as other available grafts used to reconstruct the ACL. Surgeons also commonly include a tendon just next to the semitendinousus, called the gracilis.
However, with the hamstring tendon graft, there are generally no problems kneeling and no pain in the front of the knee.
Your therapist will check your current pain levels, your ability to do your activities, and the movement and strength of each knee. One big drawback to grafting the patellar tendon is pain at the front of the knee after surgery. There are many ways to reduce the risk of DVT, but probably the most effective is getting you moving as soon as possible after surgery.



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