New Techniques for the ACL with Dr. Adam Metzler

Direct Access to Oxford Physical Therapy

In this episode- Matt and Allie talk to Dr. Metzler about old and new techniques for repairing and rehabilitating the ACL. Learn about Dr. Metzler's background, education and career with OrthoCincy and the years of research he has put into his techniques to become the successful surgeon he is today. **A few minutes of audio in this episode become spotty, but don't worry it evens out!** Did you know that you don’t need a doctor’s prescription to receive physical therapy? The laws of Direct Access allow you to receive physical therapy without a referral and still use your insurance benefits! Learn more on how Direct Access can help YOU! Our website: https://www.oxfordphysicaltherapy.com/

Listen on Apple Podcasts: https://podcasts.apple.com/us/podcast/direct-access-to-oxford-physical-therapy/id1538802749?i=1000551420891

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Ask the Expert: How can I prevent ACL injuries?

CINCINNATI (WKRC) – Sports medicine experts say with football, basketball and several other sports all in season, the number of student-athletes coming in with injuries is on the rise. So, there’s a new effort to focus on improved training, not just during the season, but all year long.

Researchers have been studying ACL injuries for years. They’re common knee injuries, and now, quite a bit is known about preventing them.

A unique partnership now allows people to go right to their cell phones and get sports-specific training to reduce injuries.

"So, the data that's available suggests that any quality injury-prevention program could potentially reduce your risk of knee/ACL injury by about 50%,” said Dr. Adam Metzler, an orthopedic surgeon with St. Elizabeth Healthcare and OrthoCincy’s sports medicine team.

He said specific exercises incorporated in a comprehensive training program cut injury risk.

“And that would entail stretching, coordination, balance, what we call proprioception, and then strength and agility training. And the combination of all those together is designed to help reduce your injury risk,” Dr. Metzler said.

So, his team has created a comprehensive ACL training program. It’s a series of videos designed to be shared and used year-round by those such as Nick Skaggs:

“It's free; it's online. We can pull from it. There are videos that help us understand the actual movements that students need to be doing in order to prepare their ACL and their knee to make sure that they can maybe prevent some of that injury that happens during the season,” said Skaggs, the Bellevue varsity girls' soccer coach.

"We do know that ladies [are] four to six times are more likely to have an ACL injury,” Skaggs said.

However, the program is designed for both male and female athletes to succeed.

"So, the concept, really, of any ACL injury-prevention program is really to improve your flexibility and your strength, focused on your core, your hips and your thigh muscles, your quad muscles. And we know that by controlling those muscles, we help to dynamically control the knee, which has been shown to reduce your rate of injury,” Dr. Metzler said.

Click here to see the program.

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All About The ACL: A Program Collaboration Helps Patients with ACL & Other Knee Injuries

At least 250,000 ACL surgeries are performed in the U.S. each year. Like any other global healthcare issue, whether it’s diabetes, high blood pressure or cardiovascular disease, community prevention programs provide an opportunity to change the outcome and, by extension, reduce the burdens on society as a whole. This is why Dr. Adam Metzler, an orthopedic surgeon with OrthoCincy Orthopaedics & Sports Medicine who performs surgeries at St. Elizabeth Healthcare, spent two years creating a leading program for ACL and knee ligament repair in re-construction that helps patients in Northern Kentucky and beyond.

“It can be hard to get people to understand the importance of prevention. If you are serious about being an athlete, why not engage in routine maintenance to prevent injury?” says Dr. Metzler, who notes that an athlete can often miss up to nine months during a rehabilitative process from an ACL injury. “Parents know that when their child is injured, it may be close to a year before he or she is back on the field or the court.”

Dr. Metzler, who has a long history of working with youth athletes, has covered the sidelines in some way, shape or form for 15 years at both the high school and collegiate levels.

“I’m passionate about ACL injuries, the treatment, the science behind it, the evolution of treatments and the physical therapy involved in getting an athlete back to participating effectively,” says Dr. Metzler, who performs more than 100 ACL surgeries annually.

The ACL program is a collaborative effort through the Orthopaedic Institute at St. Elizabeth, which includes St. Elizabeth Healthcare, St. Elizabeth Physicians and OrthoCincy. Its mission is to be the leader in musculoskeletal healthcare for the region based on best practice medicine, science, research and excellent patient care.

“The ACL prevention program isn’t a novel idea, but we wanted to put our own spin on it for the Northern Kentucky/Cincinnati community to help promote healthy athletes by reducing the risk of injury,” says Dr. Metzler.

Karen Tepe, Director of Orthopaedics and Neuroscience at St. Elizabeth Healthcare, was more than happy to participate in the project. As the parent of an athlete who experienced an ACL tear, Tepe knows firsthand how devastating this type of injury can be. “Our goal is to facilitate the prevention of injury by educating athletes on the appropriate exercises with a focus on proper technique. We are excited to provide this program to the athletes in our community,” says Tepe.

Data shows that an athlete’s rate of injury could potentially be reduced by 50% if they focus on appropriate strengthening, conditioning, balance control, neuromuscular control and improving jumping & landing mechanics.

Their ACL prevention program will be shared this summer through social media platforms to benefit not only local athletes but also people around the world. The program serves both youth athletes and weekend warriors. By combining the collective knowledge of the teams at St. Elizabeth Healthcare and OrthoCincy, they provide the best possible healthcare to all patients. This collaboration ensures that patients’ experiences and outcomes are the best in the region.

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