Global Specialist Physiotherapy

Global Specialist Physiotherapy Non-surgical solutions to pain and injury

18/06/2026

It's FULL THICKNESS Thursday — sharing all about ACL HEALING WITHOUT SURGERY!

💥Today’s post is a bird’s eye view on the KANON trial.

This study compared non-operative management with ACL reconstructions for return to sport function for FULL THICKNESS ACL Tears.

2 and 5 year follow ups show NO difference between healed ACLs and reconstructions in terms of return to sport function!

Amazing stuff!

If YOU are dealing with an acute ACL tear, it is IMPERATIVE to ascertain if your particular ACL tear type will fair well or not with the non-surgical route….not all tears heal; some will NEED a reconstruction for best outcomes!

The team at Global Specialist Physiotherapy is glad to help here with MRI reviews of your ACL tear!

Commnet “MRI” and we will reach out to help!

globalspecialistphysio.com/acl-online-consults

08/06/2026

**Another day, another ruptured ACL healed without surgery with our BLEX protocol! **

Here is the story of Richard, who tore his ACL early last year. Upon consultation with a local surgeon and I, he opted for our weight-bearing ACL bracing method BLEX (Block extension, continue exercise), which as a Physiotherapy-led approach allows patients to:

✅️ Start the protocol up to 5 weeks post-injury
✅️ Treat meniscus tears non-surgically
✅️ Weight-bear as tolerated
✅️ Drive
✅️ Avoid mandatory blood thinning medication
✅️ Doffing of the brace as necessary
✅️ Commence pre-rehabilitation
✅️ Get back to normal life and work ASAP
✅️ The option for delayed reconstruction if instability persists

Follow-up MRI around 1 year post-injury reveals an excellent healing response 👌 Richard also has normalised ligament testing of his lachman's and pivot-shift and remains asymptomatic, having returned to his pre-injury status 😀

Obviously every case is unique and outcomes can never be 100% assured, but it is awesome to hear further cases of how the narrative of ACL tear management is changing 🫡

Want an unbiased, expert, comprehensive assessment of your knee pain and injury before rushing a potentially unnecessary surgery? Comment “BLEX” below, direct message or go to the Global Specialist Physiotherapy ACL website:
👇👇
globalspecialistphysio.com/acl-online-consults

06/06/2026

** ACL rupture healing without surgery! **
turluianu (On Instagram!) healing his full thickness ACL tear without surgery with exercise alone.

In just a few months time he has:

1.) Improved ROM
2.) Increased STRENGTH
3.) Returned to RUNNING

…and most importantly:

4.) Achieved ligament CONTINUITY on a repeat MRI…

ALL WITHOUT SURGERY!

Comment “ACL” for info showing how this is possible.

The team at Global Specialist Physiotherapy helps to ascertain healing chances for fully torn ACLs, and, provides management options with their BLEX bracing protocol for maximizing chances of re-establishing ligament continuity.

If you have an acute tear, shoot me a DM and I can get you connected!

More info at:

globalspecialistphysio.com/acl

04/06/2026

If you’re an active person or athlete dealing with an ACL injury, one of the hardest parts is feeling like your body is not keeping up with your expectations.

You want to train.
You want to move.
You want to get back to your sport.

But rehab often feels slower than you want it to.

That does not mean you are failing.

It usually means your body needs the right support, the right plan, and enough time to rebuild properly.

Here are three things that can help:

1️⃣ The right support�Rehab can feel frustrating and isolating when you are trying to figure it out alone.

Having a physio, coach, trainer, training partner, or support system around you can help you stay consistent, adjust the plan when needed, and keep perspective when progress feels slow.

2️⃣ Smaller measurable goals�The big goal might be returning to sport, skiing, running, lifting, or competing.

But when that goal feels months away, it can be hard to stay motivated.

That’s why smaller milestones matter:
✅ less pain or swelling
✅ better range of motion
✅ improved strength
✅ better control
✅ more confidence with movement
✅ tolerating more training load

These are signs the process is moving forward — even if you are not back to full sport yet.

3️⃣ Realistic expectations�Most athletes want to return to exactly how they felt before the injury.

That is a completely fair goal.

But the path back is rarely perfectly linear.

Some weeks you’ll feel strong.
Some weeks you’ll feel stuck.
Some sessions will remind you how far you’ve come.
Others will remind you that your body still needs time.

That’s normal.

A good rehab plan should not just rush you back.
It should rebuild your capacity, restore confidence, and prepare your body for the actual demands of what you want to return to.

Rehab is not just about getting back.

It’s about getting back with enough capacity to stay there.

Save this if you’re working through an injury, and share it with an athlete who’s frustrated by slow progress.

03/06/2026

If you just tore your ACL LISTEN UP 📢👂👂

Surgery might NOT be needed for you 😮

No, I don’t mean just coping without your ligament🤔

I mean there is hope for literally re-attaching the ligament — getting back to sport with no greater risk that surgery! 🏃🏼‍♀️🏃‍♂️

Now you may have been told some conflicting information so I’m here to clear this up by addressing TWO common myths — go ahead and bookmark this post for future reference 📚

ACL Myth # 1 —> The ligament that heals after a tear is just SCAR tissue — we know this is a myth because they have literally done ARTHOSCOPY studies investigating this for ACL tears that have expressed continuity on MRI — this is LIGAMENTOUS tissue… not function-less scar tissue 💥

Do they always attach in anatomical continuity? Nope! That’s why it’s important to pursue something like a bracing protocol early on to help GUIDE those ligament pieces to heal correctly!

Such protocols yielding 80-90% healing rates per up to date data and clinical practice through Global Specialist Physiotherapy 🌎🌍🌏

ACL MYTH # 2 —> You can’t surpass the function of a reconstruction for return to sport metrics with non-surgical managment alone - the KANON trial is the most long-term, highest quality study that has disproven this myth, and, our clinical experience had seen many successful cases of returning to change of direction sports at even elite levels without surgery 🥇

Whether with a bracing protocol, exercise alone, or both, we are seeing an impressive amount of cases RETURN to sport with GREAT function!

So ACL tears CAN heal, the tissue IS real, and function can SURPASS that of a reconstruction — classed dismissed 🫡

If there is no healing, and instability persists, surgery can be a great option for you after 3-6 months of prehabilitation! 🦵🤝

Comment ACL for more educational material on the topic 👍👍

Here’s to a greater pursuit of TRUTH! 🙏

22/05/2026

ACL tears can heal without surgery, cope without surgery, and come back better than ever even AFTER surgery! 🏋‍♀️🏋‍♂️💪

It all depends on your presentation and your approach 👨‍⚕️👩‍⚕️

There are so many amazing clinicians in the Global team who are here to HELP YOU regardless of where you are at! 🌎🌏🌍

Common denominators for failure within most rehabiliative programs will include NOT being progressed enough before returning back to sport, or, clinicians giving up on you pursuing rehab once an MRI scan comes back with ‘frightening’ terminology.

We can do better than this. The data is out there on ACL tears having the capacity to heal. And even if cases don’t succeed pursuing the non-operative route, there are plenty of high quality coaches and therapists out there who CAN get you back to high levels of strength and function AFTER going thru a reconstructive surgery.

Want expert, personalised second opinion on your knee pain and injury and a prevention program via video calls, wherever you are in the world?

Comment ACL below, reach out via direct message or go to:

globalspecialistphysio.com/acl

18/05/2026

** In case you are new here... YES complete ACL tears CAN heal! ✅ **

💡Some tears heal better than others. Studies show that the upper 1/3 of the ACL has the most blood supply and thus the highest healing potential. The lower 1/3 has the least blood supply, and the middle 1/3 has the middle amount of blood supply. (Pitsillides et al., 2021)

❓That being said, should someone with a mid-portion tear be told it is not even worth trying to heal?

⛷️This client returned to ski coaching after the BLEX bracing method and one year’s worth of rigorous and progressive exercise training.

💬Feel free to reach out if you have questions about ACL healing!

👩🏼‍⚕️Remember, the duty of health care providers is to provide you with accurate and up to date information, but the management route is ultimately your choice!

Want expert, personalised second opinion on your knee pain and injury and a prevention program via video calls, wherever you are in the world?

Comment ACL below, reach out via direct message or go to:

globalspecialistphysio.com/acl

11/05/2026

Six months in winter boots = six months your ankles haven’t done anything reactive.

Stiff boots are great for sending laps. They’re terrible for keeping your ankles capable.

The summer terrain in the mountains doesn’t care that you’ve been on rails for half a year.

Roots, rocks, off-camber lines, awkward landings — your ankles have to react fast and hold position under load. If they haven’t been trained for that since last season, they’re going to feel it this sunny season.

These five exercises hit what actually matters: loading the arch under tilt, training stabilisers up the chain, owning the end-range rolled position, and learning to land soft and stable on uneven ground 🏋‍♀️🏋‍♂️

You don’t need to be coming back from an injury to do this work. You just need to want to stay on the mountain all summer.

Got a buddy who hasn’t thought about their ankles since November? Send this their way! 👇

Want expert, personalised second opinion on your pain and injury via video calls, wherever you are in the world? Reach out via direct message or go to:

globalspecialistphysio.com/clinic

07/05/2026

ACL Tears can heal WITHOUT surgery?! 😱🤔

Full context below:
👇
Some ACL’s tears heal normally, some attach non-anatomically, some don’t heal but the patients can cope without one and others need surgery due to instability ✅️💡

There are generally 4 different Grade III ACL tear types you can come across with an MRI review.

We share two of them here; the first has the HIGHEST likelihood to heal, and, the second has the LOWEST likelihood to heal.

Other factors to consider in terms of positive non operative rehabilitation are current and desired level of function, concomittant injuries, and whether or not you deal with persistent instability after a bout of physiotherapy.
🤝
It is highly recommended to consult with a Global Specialist Physiotherapy consultant to ascertain whether or not you will have a high likelihood of success with the conservative route or not FIRST!

Want expert, personalised second opinion on your knee pain and injury and a prevention program via video calls, wherever you are in the world?

Comment ACL below, reach out via direct message or go to:

globalspecialistphysio.com/acl-online-consults

05/05/2026

2 out of 3 patients avoided ACL surgery.

Let that sink in.

A recent paper in the British Journal of Sports Medicine (BJSM) showed that the majority of patients managed non-operatively did not go on to reconstruction:

https://bjsm.bmj.com/content/59/24/1743.long

This challenges one of the most deeply held assumptions in sports medicine — that an ACL tear automatically leads to surgery.

It doesn’t.

For the right patient, with the right guidance, and the right rehabilitation approach:

👉 Non-operative management is not a compromise
👉 It’s a legitimate, evidence-based pathway

This isn’t about being anti-surgery.
It’s about being pro-choice with better information.

At Global Specialist Physiotherapy, we help patients understand all their options — and guide them toward the pathway that best fits their goals, sport, and life.

Because the best outcome isn’t dictated by a scan.

It’s built through the right decisions.

Want expert, personalised second opinion on your knee pain and injury and a prevention program via video calls, wherever you are in the world?

Comment ACL below, reach out via direct message or go to:

globalspecialistphysio.com/acl-online-consults

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50 Street Georges Terrace Suite #1035
Perth, WA
6000

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