Posterior Cruciate Ligaments of the Knee – Dr. Abbate Physical Therapy

Posterior Cruciate Ligaments of the Knee: Injuries and Physical Therapy for Recovery

About

The posterior cruciate ligaments (PCL) play a crucial role in stabilizing the knee joint by preventing the tibia from moving too far backward relative to the femur. Injuries to the PCL are common among athletes and can significantly impact mobility.

Causes of PCL Injuries

PCL injuries typically occur due to:

Car accidents.
Sports injuries (e.g., football, basketball).
Falls on a bent knee.

Symptoms and Diagnosis

Symptoms of PCL injury include:

Acute pain and swelling.
Knee instability.
Limited range of motion.

Diagnosis is conducted through physical examination, MRI, and X-rays.

Physical Therapy for Recovery

Physical therapy is vital for PCL injury recovery. Key stages include:

Acute Phase (First 72 Hours):

Rest and reduced load on the injured knee.
Ice application to reduce swelling and pain.
Elevation of the leg to improve circulation.

Early Recovery Phase:

Gentle exercises to improve mobility.
Passive and active exercises to strengthen muscles around the knee.

Middle Recovery Phase:

Exercises to enhance coordination and balance.
Stretching and strengthening exercises.

Late Recovery Phase:

Intensive exercises to restore strength and endurance.
Gradual return to sports training under the supervision of a physiotherapist.

Recoommendation

Activity modification: limit exposure to symptom provoking activity.

The primary goal of initial injury management is to manage symptoms. This may include avoidance of rapid movements, heavy lifting or dynamic/uncontrolled situations.

If you are an athlete, other options may include reducing overall workload or intensity of exercise, and limiting range of motion.

Oftentimes, athlete may become fear avoidant of performing a movement similar to the one that caused the injury. This, other goals may include improving confidence with movement. This can be achieved by the above mentioned recommendations.