Posterior Cruciate Ligament (PCL) Injury

The posterior cruciate ligament (PCL) is one of 4 major ligaments in the knee and crosses over the anterior cruciate ligament (ACL) in the center of the knee joint. The PCL is about 2 inches long and is the strongest ligament in the knee and is therefore less prone to injury.

The PCL aids in stabilization of the front and back movements of the knee by joining the back of the tibia (shin bone) to the inside end of the femur (thigh bone).

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Knee Ligament Anatomy

The knee has 2 collateral (parallel) ligaments and 2 cruciate (crossing) ligaments. The medial collateral ligament (MCL) and the lateral collateral ligament (LCL) provide support to the knee by limiting the sideways motion of the joint. The anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL) bond the upper and lower parts of the leg together and stabilize the knee by limiting the rotation and the forward and backward movement of the joint.

The Posterior Cruciate Ligament is a ligament located within the center of the knee and is the strongest ligament in the knee.

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PCL Injury Symptoms

If you have injured your PCL you will usually experience pain in your knee that increases when you run, kneel, squat, slow down or use ramps and stairs. Tenderness and swelling usually set in within 3 hours of the injury with bruising to follow within 1-2 days. Your knee may be stable enough to walk but you may also notice a small degree of instability or it giving way during certain activities when you are not careful.

PCL Injury Causes

Tearing of the posterior cruciate ligament usually occurs during a sports related activity or an acute trauma of some kind.

If the shinbone is hit hard just below the knee in situations such as a football or soccer player falling to the ground with the knee bent and it takes the force of the fall or your knees slamming into the dashboard in a car accident, PCL tears are often the result.

Diagnosing PCL Injuries

To diagnose a PCL tear and the extent of damage that has occured, your doctor may perform a variety of assessments:

• Palpation and Observation is often the first step in diagnosing. The joint will be examined for swelling, bruising and deformities. Next the doctor pressing lightly in the ligament area to check for the degree of tenderness, swelling and warmth. Some tenderness usually indicates a mild, or grade 1, sprain and acute pain indicates a more serious injury such as a tear.
• The doctor will also assess the range of motion at the knee. You will be asked to bend and straighten your knee and then the doctor will bend it for you to check for limitations due to pain and swelling.
• The Posterior Drawer Test is used if a PCL tear is suspected. During this test, the doctor will push the shinbone back with the knee bent at 90 degrees. If the shinbone can move more than 5mm backward, a PCL tear is diagnosed.
• An MRI may also be recommended so the doctor can take a look at the actual ligament for a more accurate diagnosis.
• An arthroscopy may also be used to allow the doctor a look at the ligament. A tiny camera is inserted into the knee and the doctor can use a small surgical instrument to gently tug at the PCL to determine the extent of the damage. An arthroscopy can be performed on an outpatient basis.

PCL Injury Treatments

Like most sprains or tears to a ligament, immediate treatment of the PCL injury includes the application of cold compression, rest and elevation of the knee. It is also important to allow the injured knee to rest.

Treatment differs from case to case depending on the degree of instability in the knee and the patients activity level. Treating an PCL injury with rest, cold, and Circulation Boost will speed healing and improve the function of the knee so you can return to your normal activities quickly. Once the PCL has improved and activities can be resumed, you will first want to build muscle strength around the knee under the guidance of a physical therapist.

In cases of a complete rupture of the PCL, reconstruction/reattachment of the PCL will be required. Using these therapies prior to surgery will reduce further damage and improve the health of the surrounding tissue so the surgery will be less invasive. Generally, the more invasive the surgery, the more scar tissue is introduced into the area.

Using the following therapies after surgery will control pain and swelling, reduce tissue damage, speed healing and treat the scar tissue resulting from the healing process. You will have a healthier knee with a greater range of motion than if your reconstructed PCL was left untreated.

Rest

Resting the injured knee (meaning don't use it at all!) helps prevent the injury from worsening. Not resting a soft tissue injury is dangerous, as this will increase the risk of re-injury and increased swelling - eventually this will become chronic. The quickest (and safest) way to repair damaged soft tissue at home is to rest and incorporate the use of TShellz Knee Wraps at least twice per day .

Cold Compression

Using cold compression immediately following an PCL tear reduces pain and swelling and reduces the tissue damage that occurs with soft tissue injuries like ligament tears. A Cold Compress or Ice Pack allows you to treat yourself in an effective and convenient way following an PCL tear, if re-injury occurs (which is common due to the instability of the knee), or following surgery if it is required.

Cold works by interrupting and slowing nerve and tissue function in the damaged area. This is important because once blood vessels are damaged, they can no longer carry oxygenated blood to the damaged PCL so this tissue begins to break-down.

Once the inflammation and swelling of an PCL tear has been alleviated, nourishing and strengthening the ligament tissue is recommended. Using Circulation Boost will speed your recovery and heal your ligament more completely preparing it for leg strengthening exercises. Talk to your doctor or physical therapist to find out which exercises are appropriate for your situation.

Circulation Boost via Use of the Knee TShellz Wrap^®

After initial inflammation and swelling is gone you can begin to treat your PCL tear with Circulation Boost, or Circulatory Boost. Circulatory Boost, via use of the TShellz Wrap^®, helps increase blood flow in soft tissue. Blood flow transports vital nutrients to injured tissue to promote your body's natural healing process. In addition, the fresh blood flow whisks away dead tissue and toxins that have built up from the injury leaving the area clean and able to heal faster.

By treating yourself with Circulation Boost you can increase your body's blood supply to the knee and your body's natural healing power. In addition, the fresh blood flow whisks away dead tissue and toxins that have built up from the injury leaving the area clean and able to heal faster. Our Knee TShellz Wrap^® provides effective, non-invasive, non-addictive pain relief and enhanced blood flow with no side effects.

Continue the healing process by resting your injury. Limit your movements that may aggravate your strain and lead to reinjury. Tendon / Muscle related injuries can easily turn from a grade 1 strain into a grade 2 or a grade 2 into a grade 3 injury.

During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort in your knee until your pain and inflammation settle. Taking the time to care for your knee properly will have your knee back to normal faster and allow you to get back to the activities you enjoy.

The more diligent you are with your treatment and rehabilitation, the faster you will see successful results! Through use of controlling inflammation with cold and treating the injured area with a Knee TShellz Wrap^®, you will notice incredible improvement in your knee.

Surgery and Recovery

If an injured ligament does not strengthen appropriately or an athlete continues to experience the knee giving way, arthroscopic surgery and ligament reconstruction may be necessary.

If PCL reconstructive surgery is necessary, remember that proper post-surgery rehabilitation is very important, perhaps even more important than the surgery itself.

Activities should set out to promote healing, increase flexibility in the knee and strengthen surrounding muscles. Your physical therapist will probably set up a "passive range of motion" program, and put you in a hinged knee brace for a month or two to prevent hyper-extension or hyper-flexion in the knee.

An important point for PCL patients to remember after surgery is that every effort must be made to increase range of motion and flexibility at the knee. Weakness in the knee can usually be eliminated by extra strengthening exercises, but increased stiffness can sometimes be permanent if not corrected by further surgery.

Not only will the Knee TShellz Wrap^® help reduce the pain and inflammation in your knee, but will help increase the range of motion in your joint, reduce post operative scar tissue and increase flexibility in the surrounding muscles, tendons and ligaments.

Ask your physical therapist about these treatments and if it's right for your reconstructed PCL! As with all medical devices, make sure your physician is aware of any treatment plan you decide to take.

Post Surgery Scar Tissue

The growth of scar tissue and adhesions are a big problem when recovering from most knee surgeries. Scar tissue/adhesions are what cause stiffening in the tendons and muscle, entrapping nerves, restricting movements, and reducing blood flow.

Unfortunately, scar tissue does not "just go away". Depending on your activity level, age, and therapy done during your rehabilitation, it may never go away. Scar tissue is a major problem as it will permanently reduce flexibility and vastly increase your risk of re-injury. When dealing with scar tissue it is always important to:

• listen well to your physician. If conservative treatments are recommended, remember to stick to your (daily) treatment plan using these therapies
• frequent use of an ice pack will help reduce the swelling very quickly. Much of the pain you feel will be from the swelling, and you will be surprised how fast the pain drops off once the swelling is down.
• TShellz Wrap^® is a safe medical device - a powerful conservative treatment tool intended to help reduce scar tissue and increase blood flow to soft tissue (thereby accelerating the body's own healing process).
• when applied before stretching, the TShellz Wrap^® will help flush the area with fresh blood. This will help improve your range of motion and prevent re-injury.

Prevention

To prevent knee injuries it is recommended that you gradually increase the intensity of any exercise or activity when you begin and to be aware of the movement of the knee during activity.

A knee that is supported by strong leg muscles is less prone to injury, therefore, regular exercise and maintaining good physical condition, particularly when participating in sports such as football and skiing are also excellent ways to avoid ligament injuries. If your knee is unstable or weak, wearing a brace during exercise and activity can reduce the risk of re-injury of the ligament while your knee is regaining strength.

Giving yourself a T•Shellz Treatment will help increase elasticity of soft tissue (via warming) and stimulate blood cirulation in the treated area. As such, the use of a TShellz Wrap^® is recommended before exercise or strenuous activity as it will help prevent further strain or reinjury due to increased tissue flexibility.

It may seem hard to believe, but our TShellz Wrap^® will assist you in recovering from your injury faster and reduce the chance of degenerative conditions by maximizing blood flow in soft tissue, reducing swelling and inflammation induced pain.

If you want to prevent further damage to your knee injury, boost your bodys healing process, reduce swelling and increase circulation for lifelong health benefits, proper use of an ice pack and a Knee TShellz Wrap^® will provide exceptional results. Why spend time in pain, off from work, and missing out on your active lifestyle when you can be proactive about your injury and the health of your body? Talk to your doctor about incorporating a regular routine of using Circulation Boost into your everyday health regimen.

Our customer service lines are open 5 days a week helping people understand their injuries and how to treat them. Simply call toll free 1-866-237-9608 to talk with one of our knowledgeable Product Advisors. They have the ability to answer questions and even put together a treatment plan for you.

Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.

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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!