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re: ACL Injuries: Tips and Things to Know - UPDATE PG. 3

Posted on 8/27/15 at 9:17 am to
Posted by baytiger
Boston
Member since Dec 2007
46978 posts
Posted on 8/27/15 at 9:17 am to
quote:


Any tips or pointers from diagnosis through post-op stuff? Just got the bad news today on what I thought was only a minor knee sprain a few weeks back. Soccer injury. Just put my first summer in Utah on hold which sucks terribly. No camping or hiking. And obviously no soccer.



do the pre-hab if your doctor recommends it. you might not have to if you're already fairly athletic.

I did cadaver graft because it didn't make any sense to me to weaken my other tendons to fix my acl. Seems to have worked ok.

I only took pain pills when it was completely unbearable because I'm afraid of addiction... there were a couple days where I had to take them though.. mostly the first week or so after the surgery.

I did physical therapy 3x/week after I was back on my feet and eventually transitioned to a gym membership to save money and just kept going to the gym ever since.

my surgery was January 2014 and right now I'm in the best shape of my life. I still get knee pain from time to time but that's mostly because I'm so active now.
This post was edited on 8/27/15 at 9:19 am
Posted by Freauxzen
Utah
Member since Feb 2006
37295 posts
Posted on 8/27/15 at 9:22 am to
See bottom of Page 3, haha, this thread is from a few months ago, Just had the surgery yesterday, haha.

But thanks for the tips!

quote:

I did physical therapy 3x/week after I was back on my feet and eventually transitioned to a gym membership to save money and just kept going to the gym ever since.


This is my plan already PT and gym as soon as I can handle it. 3x a week is what I want to gun for if they suggest it.

quote:

my surgery was January 2014 and right now I'm in the best shape of my life. I still get knee pain from time to time but that's mostly because I'm so active now.



That's good to hear. It seems to be all over the place, some people feel as good or better. Some worse or never get rid of knee problems. Obviously I hope I'm the former.



Posted by LSUBoo
Knoxville, TN
Member since Mar 2006
101920 posts
Posted on 8/27/15 at 9:27 am to
Stick with the rehab... stretch/exercise as much as you can on your own.

I was doing an hour of PT three times a week for a while after surgery, sometimes it really fricking sucked, but stick to it.

I still get small sharp pains every now and then, but overall my knee is 100%, no concerns about playing sports or anything.
Posted by Freauxzen
Utah
Member since Feb 2006
37295 posts
Posted on 8/29/15 at 12:00 am to
Day 2

Just damn. Can't move it much, but can hobble around. Upping my exercise routine to 4 times a day to keep it as limber as possible. But it's completely tight.
Posted by rmc
Truth or Consequences
Member since Sep 2004
26523 posts
Posted on 8/29/15 at 1:49 am to
Tore mine feb of 14. Surgery the day after Mardi Gras. Rehabbed 3 days a week for 3 months. Went to Disney world after that and everything felt good. Didn't go back. Played 18 holes of golf after about 6 months. Playing softball this fall. Everything feels good. Try to get you range of motion back fast. Pain mess in moderation.
Posted by DByrd2
Fredericksburg, VA
Member since Jun 2008
8963 posts
Posted on 8/29/15 at 2:25 am to
Tore my ACL and partially tore my meniscus in 2005 playing football. 15 years old at the time. Also had a tumor on my tibial plateau (top of tibia, inside the knee joint itself) that was eating into my tibia. Had no clue until the injury happened.

Had the surgery done for all of it at one time. Dr. Buch, in Dallas at the children's hospital.

As far as the tumor went, there was obviously no need for rehab aside from staying off of it. They had to cut the tumor out of the tunnel it made in my tibia, and pack it with a hardening agent that takes appx 4 months to cure. 4 months on crutches sucked.

For the ACL/meniscus, my parents couldn't afford PT afterwards. I spoke with my surgeon and he gave me basically what the PT would have given me as far as stretches for range of motion and flexibility. Stuck to those regularly. Probably did it about twice as much as he recommended just because I was bored to tears.

I pretty much jumped right back into cross-country running and doing JROTC obstacle courses right after I got off crutches. Took some getting used to, but the fact that my legs were well built pre-op for weight lifting in football helped a ton.

Stick to your PT and grit your teeth through the pain. The first two weeks suck as far as pain goes, but thereafter it is all downhill. Be very careful even just walking around now that you are post-op. It may feel stable, but don't trust it for a little while. Even a slight tweak of that thing can be a MAJOR setback.

Sounds like you are doing well. Just be wary when walking!

Posted by Donkeypunch
Georgia
Member since Jun 2007
1421 posts
Posted on 8/29/15 at 6:46 am to
quote:
The worst part is that they may have to do a meniscus repair, which apparently adds significant time to immobility during recovery?


quote:
The worst part is that they may have to do a meniscus repair, which apparently adds significant time to immobility during recovery?

While it will add time to immobility, the meniscus repair won't be the worst part. We were informed that it will be completely healed in 6-8 weeks but would add several weeks on crutches to repair her meniscus vs a week or so for ACL alone.
Posted by Freauxzen
Utah
Member since Feb 2006
37295 posts
Posted on 8/29/15 at 3:56 pm to
quote:

Stick to your PT and grit your teeth through the pain. The first two weeks suck as far as pain goes, but thereafter it is all downhill. Be very careful even just walking around now that you are post-op. It may feel stable, but don't trust it for a little while. Even a slight tweak of that thing can be a MAJOR setback.

Sounds like you are doing well. Just be wary when walking!




Thanks!
Posted by Freauxzen
Utah
Member since Feb 2006
37295 posts
Posted on 8/29/15 at 3:56 pm to
quote:

While it will add time to immobility, the meniscus repair won't be the worst part. We were informed that it will be completely healed in 6-8 weeks but would add several weeks on crutches to repair her meniscus vs a week or so for ACL alone.


That ended up being incorrect, thankfully. So just the ACL.
Posted by Donkeypunch
Georgia
Member since Jun 2007
1421 posts
Posted on 8/29/15 at 7:31 pm to
I think I stand corrected. Today was the first day she could remove her dressing and shower. When her Mom was wrapping her we noticed that the incision was in the front at the patella tendon vs the side for the hamstring. There will be some questions asked this week.
Posted by killercoconut
Lafayette
Member since Jun 2008
3737 posts
Posted on 8/29/15 at 7:41 pm to
Stick with the rehab. The biggest thing is weak quad muscles post surgery called quad inhibition which is associated with surgeries like ACL. Pain receptor signals from your knee inhibit your quad from contracting causing atrophy over time. Typically some sort of e-stim will be used to counteract this.

My biggest advice that I didn't see mentioned (and this goes for all ligament cases we see) is to realize that ACL's take around a year to fully heal. Although the rehab will not take nearly that long, one of the biggest causes for tearing the graft is overdoing it before the ligament is truly and fully healed regardless of it "feeling fine".

Hope that helps.
This post was edited on 8/29/15 at 7:44 pm
Posted by Donkeypunch
Georgia
Member since Jun 2007
1421 posts
Posted on 8/29/15 at 7:47 pm to
quote:

Typically some sort of e-stim will be used to counteract this.


I'm assuming that will be the muscle stimulator that will be delivered this week?
Posted by LSUAlum2001
Stavro Mueller Beta
Member since Aug 2003
47135 posts
Posted on 8/29/15 at 8:52 pm to
Don't do anything stupid.

I think I tore some meniscus trying to play softball 6 months after surgery.
Posted by killercoconut
Lafayette
Member since Jun 2008
3737 posts
Posted on 8/29/15 at 9:14 pm to
Yessir you are correct
Posted by Freauxzen
Utah
Member since Feb 2006
37295 posts
Posted on 9/1/15 at 8:52 am to
quote:

Stick with the rehab. The biggest thing is weak quad muscles post surgery called quad inhibition which is associated with surgeries like ACL. Pain receptor signals from your knee inhibit your quad from contracting causing atrophy over time. Typically some sort of e-stim will be used to counteract this.


Got it.

quote:

My biggest advice that I didn't see mentioned (and this goes for all ligament cases we see) is to realize that ACL's take around a year to fully heal. Although the rehab will not take nearly that long, one of the biggest causes for tearing the graft is overdoing it before the ligament is truly and fully healed regardless of it "feeling fine".

Hope that helps.


It does. I hope I can do straight line stuff by month 4 and I'll keep it to that until 12 months. I just don't want to risk it again. Not worth it.

Day 5 - Feeling much better. Can walk around carefully. Still doing ice and elevation most of the day, just trying to get the swelling down, I've taken the dressings off, so it looks pretty good. Some numbness in my leg, which they said was fairly common.

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