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Knees Take a Beating During Football Season

There's 30 seconds left on the clock.  The score is tied and you've got the ball, on your way to making the winning touchdown.  You zig, you zag, you thumb your nose at the giant wall of pain trying to block you.  You're inches away from the end zone when 'RIIIIP'.  You go down in a red fog of pain while your knee rearranges itself into a jumble of torn ligaments. You just lost the Superbowl.

Maybe this isn't exactly how your football fantasy ends, but for many football players, it is.  With the season in full swing and the Superbowl right around the corner, it's almost impossible to make it through a game without hearing about a major injury.  Just take a look at the current list of injured players and you'll see what I mean.  There are over 100 players listed with a variety of injured body parts, but the most common football injury you'll see involves the knee.  When the NFL season rolls around, injured players become crucial as teams vie for a spot in the Superbowl.

The most excruciating of all football injuries?  It's got to be the ACL tear.  The ACL (anterior cruciate ligament) is a ligament of the knee which helps stabilize the body and helps you change direction quickly. When torn, usually after a bad twist, the injured party usually hears a 'popping' sound and then experiences extreme pain and swelling.  Anyone who moves in a lateral motion (tennis players, skiers, football players, anyone who walks, etc.) is at risk for an injured ACL, but football players have the highest risk.  One study of college students reported that a college football player has a 16% chance of ACL injury.  "This represents a 100-fold increase in injury compared with the general population." 

Why are football players so susceptible to knee injuries? One explanation comes from New Science which reports on "a condition called SARA (sexually acquired reactive arthritis) in sportsmen, particularly footballers. It seems that footballers have so much sex that they're particularly susceptible to the condition, which in turn makes them more susceptible to...knee injuries."

File that under 'Things That Make You Go Hmmmmm.'

Treatment and Prevention

Whatever the cause, ACL injuries usually mean players are out for the season to receive treatment.  The treatment usually depends on the type of injury, but almost all players will have to go through some type of rehabilitation or even surgery.  According to Dr.Callahan, of the State Medical Society of Wisconsin, about two-thirds of patients with an ACL injury won't require reconstruction and can usually become fully functional with aggressive rehabilitation.  The rehab involves range of motion exercises, gentle knee extensions, as well as stretching.  It could take up to six months to get full strength back in the knee.

Reconstructive surgery is an Arthroscopic surgery, which involves using a camera that allows the doctor to repair or reconstruct tissues around joints.  Once the doctor makes an incision in your knee and removes a portion of your knee cap, he then inserts Titanium screws to replace the torn ACL.  This also requires lots of recovery time, as well as rehabilitation to restore full range-of-motion to the knee.

These days, an ACL tear doesn't necessarily mean invasive surgery.  The latest innovative technique involves ACL shrinkage.  This technique actually tightens a partially torn or stretched ACL without incisions.  This means the patient will recover much faster and will be able to walk without crutches as soon as two weeks after the surgery.

Unfortunately, there isn't any way to prevent ACL tears or to predict when they will happen. Football players are especially at risk because of the amount of lateral motion involved in just about every game.  However, this is hope.  Researchers are attempting to determine whether the muscles surrounding the ACL can be re-trained to better protect it during high risk activities like landing from a jump or twisting.  Other helpful prevention techniques include careful pre-season training to help develop the strength of the ligament.

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