Sam Walton Case Study

Im a 28 year old male with a history of back and knee pain trouble for one year. Pain from the knee had intensified until I finally had an MRI scan. The scan results revealed a tear in the ACL ligament. Two months after the op I came to Danny to help build up my leg strength and help ease the sciatic pain I was receiving down my right leg. I had many concerns, including loss of mobility, lack of motivation, posture, weight control and returning to physical job.

Exercise Program

  • Relieve pain
  • Increase strength and flexibility in and around the knee and back
  • Improve posture and gait
  • Improve activity level as well as overall function and balance

Strength

  • Full body resistance circuit training
  • Non weight bearing exercises for legs

Goals:

  • Increase core muscle strength
  • Improve flexibility
  • Increase strength in legs to protect knees

Intensity/Duration:
10 reps per exercise / 3 times a week

Time to goal:
2-4 Weeks

Functional

  • 5 min walk on treadmill
  • 1 min sit to stand
  • 5 min on upright bike

Goals:
Increase time on the walking

Intensity/Duration:

  • Brisk walk 3-5 days a week
  • Sit to stand 2-3 days a week
  • Bike 3-5 days a week

Time to goal:
2-4 weeks

Flexibility

Standard flexibility exercises that do not increase LBP.

  • 1min sit to stand

Goals:

  • Increase trunk and hip flexor range of movement
  • To eventually be able to stretch quadriceps muscles in thigh to 90 degrees

Intensity/Duration:
Per muscle group hold position for 10seconds, 5 times a week

Time to goal:
Ongoing

Follow up

Following 8 weeks of rehabilitation, Sam was much more stable in his walking (Not limping) and sciatic pain went completely in his right leg. Sam reported increased mobility and ability to start work on light duties. Sam has started to brisk walk and begin using the Elliptical trainer. Knee is still very tight/stiffness. Swelling was still present therefore strengthening work is still at a minimal. If any sciatic pain did occur in Sam’s leg he was confident enough to self treat the back and stretch out the tightness.

As a bonus Sam has managed to reduce his weight by 8Ibs. Well done Sam!

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