Macomb Lutheran North Standout on Mend After Knee Injury
October 3, 2023
Macomb Lutheran North freshman Emiliana Manzo has already achieved a long list of accomplishments, including a 3.8 grade-point average while juggling two sports she loves.
As a point guard, she led her basketball team to an undefeated season in its division. She is also a center attacking midfielder, sometimes playing forward, on the 2009 Nationals Girls Academy Blue soccer team, ranked No. 1 in Michigan and 14th in the country.
In June of 2022, Emiliana hit a detour on her sports journey when she was participating in a club soccer national championship in Oceanside, Calif. With a few seconds left in the game and her team up 2-1, she ran 20 yards full speed to get to the ball. Hyperextending her left knee, she felt two pops. It was the first time she experienced an injury.
“I was screaming and crying and got taken off the field on a golf cart,” explains Emiliana. The trainer felt she was OK. Fortunately, she had the next day off and her knee was feeling better. The following day she played again, and 20 minutes into the game she knew there was an issue.
“Someone hit me from behind and I heard the pop again. I knew there was a problem.”
Emiliana’s father Vince Manzo said she experienced swelling, and the athletic trainer thought she may have a meniscus injury; however, she was able to continue to walk around during the championship in California before heading home.
Finding the Right Provider
Back in Michigan, Emiliana saw a few surgeons during her evaluation to seek treatment. When she met with Vasilios Bill Moutzouros, MD, chief of Sports Medicine at Henry Ford Health, she felt she met the right match.
“He treated me like an athlete and made me feel really comfortable,” she says.
Vince adds that both he and Emiliana were also appreciative of something Dr. Moutzouros said during her evaluation: “He emphasized to Emiliana that she was an athlete before this injury, and she would be an athlete after the injury.”
A detailed evaluation by Dr. Moutzouros revealed Emiliana had a complete anterior cruciate ligament (ACL) tear and medial and lateral meniscal tears. The meniscus, a C-shaped piece of tough, rubbery cartilage, acts as a shock absorber between the shinbone and the thighbone. It is one of the most common knee injuries. The ACL, one of the strong bands of tissue that help connect the thigh bone (femur) to the shinbone (tibia), is also prone to injury during sports when there are sudden stops or changes in direction.
Emiliana required physical therapy to get the swelling down and increase mobility before surgical repair.
Dr. Moutzouros reconstructed her ACL with her own patellar tendon graft and repaired her medial meniscus.
“She handled the surgery well and has been working very hard in her rehabilitation,” he says. “Her high-level soccer experience likely helped in her recovery as her range of motion and strengthening advanced so quickly.”
Understandably, Emiliana was nervous and scared when she went into surgery but expressed appreciation for the little things from Henry Ford like hearing “great music” as she was entering surgery, which gave her a sense of calm.
“That’s when I knew I picked the right doctor,” she said.
The Road to Recovery
As part of her recovery, after surgery which took place in July of 2022, Emiliana has undergone six months of physical therapy to increase mobility and strength training to get her leg strong again.
She also participated in the Return to Sport Program at the Henry Ford Center for Athletic Medicine to optimize recovery.
“We loved it,” says Vince. “It gave us peace of mind.”
Dr. Moutzouros explains that ACL prevention and rehabilitation programs are critical, especially for women because they have a four times greater risk of ACL tear than men. He says performance training post-surgery, along with an injury prevention program for those playing cutting sports, can markedly reduce the likelihood of future ACL injury.
“At Henry Ford, we work with physical therapists across the Midwest as well as our own. They do a great job in following our Henry Ford specific post-ACL reconstruction protocol,” he says. “After therapy runs its course, we strongly encourage our athletes to undergo performance training to allow a smooth transition back to sport.”
Nick Parkinson, supervisor of Athletic Training and Sports Performance at Henry Ford Health, emphasizes that the return to sport program is designed to bridge the gap between rehabilitation and returning to full activity in your chosen sport.
“Many times, insurance limits rehabilitation to regaining activities of daily living and not necessarily rebuilding the skills needed to play a sport or return to activity,” Nick says. “This program provides an affordable option to fill this need and return athletes to competition at the highest level.”
As for Emiliana, who hopes to play soccer in college and pursue a career in the medical field, she says this experience has taught her to not be afraid of injuries and treatment. She has also used the experience to volunteer for a program through the Girls Academy which serves as an advisory board to come up with ideas to help with mental and physical issues girls her age may be facing.
“For other kids who experience injuries, I’ve learned that this does not define you,” she said. “You can push through it, recover from it and be way better than you even were before.”
To find a sports medicine doctor or athletic trainer at Henry Ford, visit henryford.com/athletes.
5 Ways Acupuncture Can Enhance Athletic Performance
May 9, 2023
In the ancient Chinese medicine of acupuncture, thin needles are gently inserted into specific areas of the body, stimulating blood flow to speed the recovery of certain ailments.
It can be used as a treatment for everything from headaches and unbalanced hormones to joint pain and weakened immune systems. Acupuncture is also popular among athletes, as many of them incorporate it into their wellness regimens to stay in peak physical condition.
“Back in the day, athletes ate steak, smoked cigars and drank whiskey during the week and then played football on Sunday,” says Thomas Betts, a sports medicine acupuncturist with Henry Ford Health System. “But today, to improve their performance, athletes are attacking the body from every angle possible with diet, lifestyle and exercise. NBA players, for example, have talked about how acupuncture keeps them feeling their best.”
But you don’t have to be an NBA star to reap the benefits of acupuncture. Whether you’re a professional or student athlete, or you exercise and play sports for fun or to challenge yourself, here are ways acupuncture can boost your game:
- Acupuncture can help you recover more quickly from an injury. “If a muscle is torn, acupuncture won’t put it back together, but for sprains and strains, muscle soreness and tendonitis, acupuncture can decrease inflammation and speed the healing process,” says Betts.
- Acupuncture can reduce the need for “rest days.” If you just had an intense workout and your muscles are sore, getting acupuncture afterward can loosen the muscles and decrease soreness so you don’t have to take a day off to recuperate before training again.
- Acupuncture can improve flexibility, decrease muscle tension and increase muscle activation. “This is done with motor point acupuncture,” says Betts. “The motor point is where the brain attaches to the muscle via the motor nerve. By using needles to stimulate a motor point, it is like rebooting a phone or computer that isn’t working well: Motor point acupuncture is autoregulating, in that it can deactivate a tight muscle or reactivate an inhibited or weak muscle.”
- Acupuncture can provide immediate pain relief. “Some studies show that acupuncture can provide as much as, if not more pain relief than medication,” Betts says. “It differs for everyone, and it depends on what is being treated, but some people say they feel a difference right after a session, and others say they feel better about 20 to 30 minutes later.” Pain relief can last from a few hours to a few days.
- Acupuncture can help prevent injury. Because acupuncture can reactivate weak muscles and decrease muscle tension, it can also be used as a preventative measure against injury, Betts says. But you should always still stretch before and after exercising!
Learn more about acupuncture and other integrative medicine services at Henry Ford. To make an appointment, you can request one online or by calling 1-833-246-4347.
Thomas Betts, DOAM, RAc, is a certified sports acupuncturist with Henry Ford Health. He sees patients at the Henry Ford Center for Athletic Medicine in Detroit.