Women & ACL Injuries: Know Risks, Steps for Prevention
August 10, 2021
Whether you’re a casual jogger or elite athlete, you’re at risk for an injury to your anterior cruciate ligament (ACL). If you’re a woman, you are at even greater risk for these injuries.
But there are steps you can take to prevent them.
“Among athletes, women are more than twice as likely to have an ACL injury than men,” says Nithin Natwa, M.D., a sports medicine specialist and primary care physician at Henry Ford Health System. “Once you have an ACL injury, you are at greater risk for having further soft tissue injuries in the future. That’s why it is important to prevent these injuries and follow your treatment plan if injured.”
What Is An ACL Injury?
An ACL injury is a strain or tear in the ACL, one of the four major ligaments that support the knee so it can flex and bend. The ACL is a strong band of tissue that helps connect your thigh bone (femur) to your shin bone (tibia). “An ACL injury usually occurs without contact when you turn suddenly while running or land off-balance on one leg. These actions overload the knee joint and cause the ACL to be torn,” says Dr. Natwa.
In the United States, 100,000 people have ACL injuries each year. Anyone can experience an ACL injury, though athletes participating in sports like football, basketball, soccer and gymnastics are at highest risk. And summer is a peak time for outdoor sports injuries.
Seek immediate care if you have any of these signs of an ACL injury:
• An audible “pop” in the knee
• Intense knee pain and rapid-onset swelling (within hours)
• Loss of range of motion
• An unstable feeling or locking of your knee
The most common treatment for ACL injuries is surgery followed by physical therapy. After treatment, you can expect to return to normal activities in 6 to 9 months. However, peak athletic performance can take up to two years.
Why Are Women At Higher Risk For ACL Injuries?
According to Dr. Natwa, the differences in athletic training techniques for males versus females have left women at greater risk for ACL injuries. “There has been more emphasis on overall conditioning and mechanics for boys participating in sports compared to girls,” he says.
As a result, women are at greater risk for ACL tears and sprains due to:
• Differences in neuromuscular control: Without conditioning from an early age, women may not have the same ability to land and perform athletic motions that men do. For example, women are at higher risk for an ACL injury after landing from a jump.
• Strength imbalance for muscles that support the knee: Female athletes tend to have more defined quadriceps muscles but weaker hamstrings than men, putting them at greater risk for injury.
According to Dr. Natwa, there are many theories about women’s risk for ACL injury that lack scientific evidence, including:
• Width of the pelvis: Some people have suggested that the wider width of a woman’s pelvis puts more pressure on the knee joint and increases the risk for injury. However, this difference has not been shown to impact a women’s risk for ACL tears or sprains.
• Knee anatomy: The ACL runs through a section of the femur called the intercondylar notch. Women tend to have a narrower notch than men. Regardless of gender, individuals who possess smaller notch dimensions appear to be at greater risk for injury than individuals with larger notches.
• Hormones: Men and women have different hormone levels. But there is currently no concrete evidence that female hormones place women at higher risk for ACL injures.
Steps To Prevent ACL Injuries – Conditioning Early, Often
“The best way to prevent ACL injuries is to begin and maintain regular conditioning exercises at an early age,” Dr. Natwa says. “The more frequently you engage in proper exercises, the lower your risk for injury.”
Consult with a sports medicine specialist, physical therapist or athletic trainer to develop a training routine to prevent ACL and other injuries. Your training program should include exercises that:
• Strengthen the muscles that support your knee: Add strength training to build up your calves, hamstrings and quadriceps muscles. These muscles help stabilize your knee as you move. By strengthening these muscle groups evenly, you can lower your risk for injury.
• Improve overall neuromuscular control: Focus on adding neuromuscular exercises that train your nerves and muscles to react and communicate. For example, you may work on your balance by standing on one leg or sit upright on an exercise ball for short periods of time. And core exercises can strengthen the muscles that support your abdomen and back and help improve your posture as you move. These moves can strengthen your joints and help you learn appropriate balance and technique.
“Exercise really is the best medicine. It can improve your balance and agility as you participate in a sport or prevent injury as you move through your daily activities,” says Dr. Natwa. “Consider adding these exercises to your wellness program.”
Dr. Nithin Natwa is a sports medicine doctor who sees patients at Henry Ford Macomb Health Center in Chesterfield and Henry Ford Macomb Orthopedics and Wound Care in Clinton Township.
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan. To find a sports medicine physician at Henry Ford, visit henryford.com or call 1-800-436-7936.
Wake Up And Walk! 7 Benefits Of Taking A Morning Stroll
By
Nick Parkinson, M.Ed., AT, ATC, TSAC-F
Henry Ford Health
May 3, 2022
Still having difficulty fitting exercise into your day? Start by heading out for a morning walk.
No matter your fitness level, walking offers tremendous benefits, including improving your mood, managing your weight, increasing your energy and reducing your risk for disease. All you need is a good pair of walking shoes and a place to stroll.
7 Benefits Of A Morning Walk
Starting your day with a morning walk helps you check something important off your daily to-do list – your fitness.
Even if you only have time for a 10-minute walk each morning, you’ll have up to 70 minutes of exercise by the end of the week. And any type of movement that you add in later in the day, whether it’s taking the stairs or walking to your car at the far end of the parking lot, improves your overall health.
Morning walks offer many benefits, helping to:
Boost your inner athlete. Taking a morning walk boosts your stamina, flexibility and energy. As your fitness improves, you’ll be able to move through your daily activities more easily.
Improve your mood. Getting outside gives you a chance to enjoy fresh air and nature. Walking, like any form of exercise, reduces stress and anxiety. You’ll start the day with a positive attitude, better able to manage challenges during the day.
Increase your productivity. After a morning walk, you feel energized and ready to take on the day. Starting your day with physical activity improves your concentration and productivity.
Keep you standing tall. Many of us are sitting at work or school for several hours each day, often without watching our posture. Walking with your shoulders back and head held up improves posture. Walking also improves your core muscles, which help support your spine.
Manage your weight. After a full night’s sleep, walking helps jump-start your metabolism, allowing you to burn calories at a faster rate. Along with a healthy diet, walking can help manage weight.
Reduce your risk for disease. A regular walking routine can reduce your risk for diabetes, heart disease, hypertension (high blood pressure), obesity and some cancers.
Strengthen your bones. Our bodies are constantly making new bone and breaking down old bone. After age 50, we lose bone mass as our bodies break down old bone at a faster rate. Along with a healthy diet, weight-bearing exercise like walking strengthens your bones and reduces your risk for osteoporosis.
How To Start Your Morning Walk Routine
Keep these strategies in mind as you plan your morning stroll:
Eat a light snack before you walk. After sleeping all night, it’s helpful to eat a light snack or breakfast before heading out the door. Toast with almond butter or some yogurt with nuts and berries can give you the energy you need, especially if you’re planning a longer walk.
Check out different walking routes or events. On a busy morning, you may choose to walk close to home to save time. When your schedule permits, explore different neighborhoods, nature preserves or trails in your area. You may also want to check out local 5K races — many of these events welcome walkers.
Don’t forget to stretch. After walking, take a few minutes to stretch your leg muscles to work out any knots in your calves, hamstrings or thighs.
Increase impact with weights and intervals. As you build your stamina, boost the benefits of your walk by holding light weights or wearing a weighted vest. Try turning your walk into an interval training session by alternating between a fast and slow pace.
Prepare for the weather. To avoid falling on icy winter sidewalks, wear proper boots and spikes. Wear hats, scarves and gloves to protect your skin from frostbite. Wear a hat and sunscreen in the summer heat. Carry a water bottle to stay hydrated, especially on longer walks.
Schedule your morning walks. Add a morning walk to your calendar and keep the appointment. Over time, morning walks can become a habit you won’t want to give up.
Walk with a buddy. Find a walking partner who will hold you accountable for your commitment to exercise. To enjoy even more socializing as you walk, check out walking groups in your community.
To find a doctor at Henry Ford, visit henryford.com or call 1-800-436-7936.
Nick Parkinson, M.Ed., AT, ATC, TSAC-F Supervisor of Athletic Training with Henry Ford Sports Medicine, also leads Sports Performance training at the William Clay Ford Center for Athletic Medicine. He is a regular contributor to Henry Ford LiveWell. Learn more about Nick