New Posts  All Forums:Forum Nav:

ACL buddies

post #1 of 35
Thread Starter 

I know there is alot on here about ACLs already but they have all got v long and confusing, so I'm afraid I am starting another one.

 

I am 4 days post reconstruction and was wondering if anyone else using the forum has had theirs operated on recently as it would be good to share pain/ exercises /experiences/ boredom etc!  I'll start...

 

pain is manageable now as long as I keep taking all the painkillers and anti inflammatories.  Flexing is going well am just about at 90 degrees but don't have full full extension that I know is really important.  The physio has given me static quads and flexing exercises supposed to be 10 times every hour.  Other than that icing lots as its still pretty swollen. 

 

how does that compare to others out there?

 

Thanks, Ali

post #2 of 35

Sounds about right. I did quad leg lifts in the brace for about a week and then started PT. Straight leg raise, side leg raise, back leg raise (on stomach) 25 two times a day along with patellar mobilizations and quad hangs off the edge of the bed. It's a long slow process.

post #3 of 35
Thread Starter 

sounds familiar ( I did the injury 18 months ago and tried to rehab it without surgery first) definately not ready for that yet tho.  how far along the road are you?

post #4 of 35

I am six days post-op. I am impressed with your flexion! I am able to fully extend but have a lot of trouble with flexion. I am only allowed to go to 40° until I see the doc on Wednesday. That's hard to get to - I can get to about 30°. The leg lifts aren't a problem, though. Now, to be clear, I had an ACL reconstruction and a repair to my meniscus, which it appears I tore radially and laterally (that's different every time I type it - I was too drugged up post-op to remember what the doc said and MrDSloan isn't much help in that regard - I'll find out for sure on Wednesday). I stopped taking my pain meds two days ago - I wasn't such a fan of the side effects. So far, I am doing well with just icing and no meds. The night before last I took one to help me sleep, but didn't do that last night. Once I fell asleep, no problem. Falling to sleep took a bit longer, I have to admit. Otherwise, going without the meds is fine. I sort if wish I were able to take some low-dose ibuprofen, but, alas, that is off limits. So, ice is my only form of pain control right now. We'll see.

 

Good luck to everyone else!!!

post #5 of 35
Thread Starter 

I'm impressed that you're not taking any painkillers anymore!  I'm not really having many side effects though I did try to cut down from 4 tablets to 3 yesterday and the pain got much worse, I felt awful and then couldn't get to sleep at all.  Everytime I try the full extension today its getting better and is almost there now.

I'm exactly the same I had my meniscus stitched back up but have no idea which one as was so groggy when the Dr told me.  Will find out soon.  Keep on icing.... and Bon Courage!

post #6 of 35

Yeah, I'm doing pretty well off the pain pills. Yesterday was a long day because we went to my in-laws' house and it was just a LONG day without drugs or much ice.

 

What kind of repair did you have? I had the allograft.

post #7 of 35

4 days 90*? . That's about all you should be doing. Have you started rehab? that should be scheduled unless the doc has instructed otherwise. I wouldnt advise any excersie on the leg unless its under the supervision or instruction of the THerapist or Dr.  Boredom? Its a tough one, I worked remotely so that helped but I was off pain meds after 3 days. Read, watch movies (especially ski porn ) for keeping you motivated. I kept working out to what ever extent I could. Core, arms, etc. the mental part of this can become very challenging. careful not to let it get ahead of you. 

 

Quote:
Originally Posted by alig View Post

I know there is alot on here about ACLs already but they have all got v long and confusing, so I'm afraid I am starting another one.

 

I am 4 days post reconstruction and was wondering if anyone else using the forum has had theirs operated on recently as it would be good to share pain/ exercises /experiences/ boredom etc!  I'll start...

 

pain is manageable now as long as I keep taking all the painkillers and anti inflammatories.  Flexing is going well am just about at 90 degrees but don't have full full extension that I know is really important.  The physio has given me static quads and flexing exercises supposed to be 10 times every hour.  Other than that icing lots as its still pretty swollen. 

 

how does that compare to others out there?

 

Thanks, Ali

post #8 of 35
Thread Starter 

D Sloan.  yeah I bet it was a long day.  I had a hamstring graft from me which is the most painful part of it so far and where most of the bruising is.  I also have a hand sized patch of skin below my knee that is numb to touch but I think that should come back as it all settles down.

Finndog.  the physio said my aim is to get it to 90 so I won't be going any further, just maintaining it.  I'm pretty surprised how quicly I got to it.  I have exercises for the next week and then have the next appointment to see the physio.

i saw your photos of yours was interesting thank you.  Hows it getting on now?

 

On the boredom front these forums are helping quite alot, and by the time I've done exercises every hour, iced it lots etc theres actually not too much time for getting bored so far. 

post #9 of 35

I'm swollen but no real bruising yet. I may not get purple - maybe just really yellow? Who knows?

 

Finn did the allograft as well (double bundle, though), and he was off the pain meds quickly, too. I wonder if it is the hamstring that makes it worse. I really need to work on my flexion - your posts motivate me, though.

 

As for the boredom, I have been working my way through the movies on our server and the best HBO and Netflix have to offer. Have been trying to figure out if I like Parks and Recreation . . . it gets funnier as the days go on. I've also been working my way through some classics: original Star Wars trilogy, Stripes, and some other random movies that entertain me and don't require a lot of focus. Fortunately, I also have these forums and some online work that I need to get done this week to help assuage the boredom. Oh yeah, and a 3-month-old daughter for which to care. That keeps things interesting, too. wink.gif

post #10 of 35
Thread Starter 

I take my hat off to you that must be pretty tricky and keep you v busy!  i've got some work to do aswell but haven't quite got arond to it yet - concentrating has been quite difficult.  i wonder if it is the hamstring as that is the most painful bit and what i start to feel as the drugs wear off.  Its quite strange taking lots of stuff as the strongest thing I normally take is arnica.  When do you have your first followup / physio appointment?

Good Luck with the daughter care!

post #11 of 35

typically, the followup with the surgeon is within a few days and you start rehab within the same time.  Once you get past that first 3-4 days, its time to get it moving. It will feel better too.

post #12 of 35

I see the doc tomorrow morning and PT shortly thereafter. I am REALLY looking forward to that first shower and getting moving. Can't wait. Although I know it is going to hurt, I'm done with this straight leg/40° thing. I'm ready for some real movement . . .

 

Oh! Speaking of the 40° flexion, that's going well. I think the swelling must finally be down quite a bit because I was having a lot of trouble flexing my knee past 25°, but all of a sudden I could do it without too much trouble. Soooo . . . I guess that's a good thing.

 

Stitches out tomorrow. I'll take lots of pics. Right now not much to post in that regard. Knee is still swollen, but not much bruising.

post #13 of 35

Stitches?  what year did you have your surgery?  1984?   biggrin.gif

 

get going on the PT!! 

post #14 of 35
Thread Starter 

Good work the flexing  keep it up!  hope it all goes well at the Doc and PT (guess thats physio?) tomo.  Are you in a brace?

 

Have you not been able to shower?  I have splashproof dressings on all the key holes so can go in the shower but not bath.  A load more bruising has come out today but its mostly on the inside and back of knee so I guess its from the graft site.   

 

Finndog how far along the rehab and recovery line are you?

post #15 of 35

10 weeks for me, there's a thread on Trip reports I started with a video. Bruising is normal.  Mine was quite extensive and even after 10 weeks you can still see a slight amount.  I am doing well, I had other injuries as well that are holding me back slightly but I am doing well.  I just past my 1st "test". I had to do one-legged squats past 90*. I got to 95* so I am on target.  Once my ankle heals up more, I will be able to be much more aggressive.

post #16 of 35
Quote:
Originally Posted by Finndog View Post

Stitches?  what year did you have your surgery?  1984?   biggrin.gif

 

get going on the PT!! 


There may not be stitches. Although that's what one of the nurses (who wasn't terribly with it) at the out-patient clinic said. I was also on drugs.

post #17 of 35

I would be surpised if there were any on the outside anyway.  a little glue and a steri-strip is what I have had on my last few surgeries. 


Edited by Finndog - 5/22/12 at 9:58am
post #18 of 35
Quote:
Originally Posted by Finndog View Post

I would be surpised if there were any on the outside anyway.  a little glue and a stri-strip is what I have had on my last few surgeries. 


That kind of looks like all I have. I don't know why I was thinking stitches . . .

post #19 of 35
Thread Starter 

I have staples - I didn't know they stapled people til I saw my knee!  The skins all folded up in a line and I felt more ill when i saw it than at anything else so far.

Finn thats great I can't wait to get to that point.  Look after your ankle - was it a big ski injury?

post #20 of 35

Wow!  Staples? yeah, they don't use those here.  Incisions are very small.  You will get there! just keep up the hard work. don't think of short term or you will go crazy! biggrin.gif

post #21 of 35

Hi ACL buddies!

I am 5 weeks post op and so definitely over the worst of it, but still on crutches for another week (due to very hyper-extending knees causing a delay in applying weight to operated leg). Starting to walk properly and quads looking pretty strong.

I was really lucky and spent over 3 weeks directly post op in a rehab centre for athletic knees (mostly athletes) where we were spending up to 6 hours a day doing physio (but not intense!). I now have 3 weeks at home before going back in for another stay in rehab hospital in a weeks time. It is great being amongst 30 or so others in exactly the same situation and having that level of care and physio.

Good recovery to you all!

post #22 of 35

England? 

 

nice rehab protocol.  You should be in good shape.  How do they do recon's there?  Allograft, Autograft?  single or double bundle? 

post #23 of 35

Just posted some yummy pics over on this thread.

 

Here's a preview:

Photo May 23, 8 19 12 AM.jpg

post #24 of 35
Thread Starter 

Nice D sloan!  good bruising.  How was your check up hope its all going according to plan.  And flexing still going well?

Hi Tamz.  Finn I happen to know Tamz is having it treated in France but i'll let her fill you in on the rest.  Its pretty interesting seeing the diferences between different countries.  My aunt and uncle are both physios in Australia and so I keep hearing how things are done there and have a rehab program from someone there too.  basically the same actually.

I had my dressings changed yesyerday so once I can figure out how to get the photos onto here I'll put one up... they really are staples!

post #25 of 35

That picture is actually misleading - the bruising isn't that bad. I just liked that photo because it looked pretty nasty. This one is actually much more accurate (it looks even better now that I've had a shower and the Betadine is washed off):

 

Photo May 23, 8 18 58 AM (HDR).jpg

 

So, my flex is up to 60* now, but that's only because the doctor has me locked out at 60 until I start physical therapy (next week). Overall, it's feeling pretty good. I can bear full weight on it. I was cleared to bear as much weight as I could stand yesterday, and I was only putting about 60% on it until I spoke with Finn and he told me that part was mostly mental. So, then I started just walking on it (in the brace, locked out at 0, of course). Overall, things are going well. Just got in my new skis for next season for motivation. Full steam ahead!

post #26 of 35
Quote:
Originally Posted by DSloan View Post

That picture is actually misleading - the bruising isn't that bad. I just liked that photo because it looked pretty nasty. This one is actually much more accurate (it looks even better now that I've had a shower and the Betadine is washed off):

 

Photo May 23, 8 18 58 AM (HDR).jpg

 

So, my flex is up to 60* now, but that's only because the doctor has me locked out at 60 until I start physical therapy (next week). Overall, it's feeling pretty good. I can bear full weight on it. I was cleared to bear as much weight as I could stand yesterday, and I was only putting about 60% on it until I spoke with Finn and he told me that part was mostly mental. So, then I started just walking on it (in the brace, locked out at 0, of course). Overall, things are going well. Just got in my new skis for next season for motivation. Full steam ahead!

 

Isn't it amazing how fast things start falling into place! (Well, usually) Swelling doesn't look too bad, either, but it's hard to tell from photo.

post #27 of 35

So much of this starts and ends in your head. I found myself limping or favoring the leg when I didn't need to. You have to start trusting it. The other mental thing I had was a real paranoia of some one running into my knee. Not so much anymore even though its probably weaker than it was a month ago.

 

 

 

the swelling is always misleading because you lose so much mass in your quad and upper calf.  so it may look "normal" but its actually pretty swollen and that swelling is making up for the loss in mass.  Here's my knee at day 5. it looks "normal" but after the swelling started to really go down, you start to see how much you lost in your quad. I am still 1.5" smaller in my right quad!

 

knee.jpg

post #28 of 35
Thread Starter 

Your so right finndog it is a big mental battle.  I am full weight bearing but not all the time... still using one crutch for stability as much as anything else, will proabable drop it tomorrow.  Staples are out today, still need to figure out how to put a piccie up.  swelling has massively gone down but still alot of spongyness there that takes a long time to go I guess.

Having done all this rehab first time round the muscle does come back it just takes time.  And for a long time you will consciously need to override favouring one leg over the other.  Until i had this done I consciously made myself try and do things more with the injured knee leg eg when standing up from a chair, pedalling up hills on bikes, leading stairs with it etc.  anyting and everything to build it up again.

post #29 of 35

loading pic's:

 

here's the simplest way:

 

1-save the target picture on your desktop

 

2- hit "reply" here to open a new message window.

 

3- type in whatever you want to say in the new message window; hit return a couple of times to space the copy from the picture

 

4- Click on the "INSERT IMAGE", a Square shaped icon on the tool bar up by the smiley face and the film clip looking icons. Hover over the icons if you are not sure which one is the "INSERT IMAGE" icon.

 

5- a window will open up and select "BROWSE COMPUTER", then click on the "choose File" button.

 

6- select the image on your desktop and hit "submit"

post #30 of 35
Thread Starter 

Thanks finndog, I'm having more of a problem getting them from someone elses iphone to the computer in the first place and its been so nice and sunny here for a change that I've been out in the garden doing exercises rather than figuring the computer out.  Am off crutches now and its all feeling pretty good.  though app need to be careful of the meniscal repair.  The one thing I am having trouble with is wearing the brace - it pressures the exact part of my shin that is incredibly sensitive between the numb patch and the normal patch of skin.  Hope this sorts itself out!

New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: Fitness, Injury, and Recovery