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Pop without Pain or Swelling - Page 2

post #31 of 36
Thread Starter 
Quote:
Originally Posted by Elistan View Post

 

By the way, how do you like Boulder? I wouldn't mind living that close to skiing. Dallas is a bit far.

 

I'm originally from the East Coast, but then moved to Utah to attend the University of Utah. Living in Salt Lake City is being really close to the mountains. From Boulder, we have one smaller area that is close (Eldora). Then getting to real mountains (Breck, Keystone, A-Basin, Winter Park) is a couple more hours--in good traffic. I actually work in Boulder and live 40 minutes north. The ski traffic can be quite crazy since I-70 turns into a parking lot. I've got to remember that places like Dallas really are a bit far when I start out at 5 am to go skiing. :)

post #32 of 36
Thread Starter 

There was a cancellation at the physical therapy clinic so I was able to have my first official visit 18 days post-ACL tear. (That sure feels like a long 2 weeks.)


I have close to full range of motion (-1 extension, 112 flexion). Strength is very similar. Balance in that leg is not so great, but wasn't that good prior to ACL injury due to ankle injury.

She says I've been doing something right, but I feel better now that I know what I should and should not be doing. Althought she's not recommending it, she feels like I could ski the groomers right now.

 

I did not even tell her about my little hyperextension moment and she thinks I should have ACL reconstruction and doesn't think I'll be happy without it. It was good to finally be able to talk to someone one-on-one instead of brief conversations with the doctor. She has been my physical therapist for my back for quite some time so I'm really lucky to have her. I also know I could also talk to the Physical Medicine & Rehabilitation (Physiatrist) M.D. that I've seen for my low back to get the non-surgical opinion. He's one of the most thorough doctors I have ever known and will sit down and really discuss things with his patients.

 

Last night I had just about had myself convinced that I should forget about the 2013-14 ski season and just focus on getting in really great shape and lose significant weight for the next 6-9 months and then have surgery. Now, who knows?

 

I'm wondering how many days I won't be able to work (sedentary job) post-surgery? I can work remotely, but prefer to do a lot of it face-to-face. I don't get any sick days (just vacation days), so I need to figure this one out.

post #33 of 36
Quote:
Originally Posted by rx2ski View Post

There was a cancellation at the physical therapy clinic so I was able to have my first official visit 18 days post-ACL tear. (That sure feels like a long 2 weeks.)


I have close to full range of motion (-1 extension, 112 flexion). Strength is very similar. Balance in that leg is not so great, but wasn't that good prior to ACL injury due to ankle injury.

She says I've been doing something right, but I feel better now that I know what I should and should not be doing. Althought she's not recommending it, she feels like I could ski the groomers right now.

 

I did not even tell her about my little hyperextension moment and she thinks I should have ACL reconstruction and doesn't think I'll be happy without it. It was good to finally be able to talk to someone one-on-one instead of brief conversations with the doctor. She has been my physical therapist for my back for quite some time so I'm really lucky to have her. I also know I could also talk to the Physical Medicine & Rehabilitation (Physiatrist) M.D. that I've seen for my low back to get the non-surgical opinion. He's one of the most thorough doctors I have ever known and will sit down and really discuss things with his patients.

 

Last night I had just about had myself convinced that I should forget about the 2013-14 ski season and just focus on getting in really great shape and lose significant weight for the next 6-9 months and then have surgery. Now, who knows?

 

I'm wondering how many days I won't be able to work (sedentary job) post-surgery? I can work remotely, but prefer to do a lot of it face-to-face. I don't get any sick days (just vacation days), so I need to figure this one out.

If your line of work allows you to work at the desk, you could be back to work in week ( plus or minus) from the day of the surgery. I was back in a week on crotches. One of the problems I had was swelling, so I had to modify my cube in order to  keep my leg elevated. 

post #34 of 36
Quote:
Originally Posted by rx2ski View Post

 

I'm originally from the East Coast, but then moved to Utah to attend the University of Utah. Living in Salt Lake City is being really close to the mountains. From Boulder, we have one smaller area that is close (Eldora). Then getting to real mountains (Breck, Keystone, A-Basin, Winter Park) is a couple more hours--in good traffic. I actually work in Boulder and live 40 minutes north. The ski traffic can be quite crazy since I-70 turns into a parking lot. I've got to remember that places like Dallas really are a bit far when I start out at 5 am to go skiing. :)

First - any progress on the ACL?

Second - my wife just accepted a job in Boulder. Maybe we'll see you out there next season.  :)

post #35 of 36
Thread Starter 
Quote:
Originally Posted by Elistan View Post

First - any progress on the ACL?
Second - my wife just accepted a job in Boulder. Maybe we'll see you out there next season.  smile.gif

Doing lots of Physical Therapy with a great PT. We're always doing something new when I come to the clinic. She let's me do the repetitive stuff at home and then we focus on things where I need her. I will see the OS in a week and want to find another OS for a 2nd opinion. Waiting for recommendations from another doc to schedule that one. I am leaning towards surgery.

Congrats to your wife! FYI, the Epic Pass now includes Eldora so skiing is only a short drive away.
post #36 of 36
Thread Starter 

My latest update is here in this post:

 

http://www.epicski.com/t/119478/acl-reconstruction-questions-for-prospective-orthopedic-surgeon/30#post_1568604

 

 

Quick background on my injury: Female, mid-40s. Besides skiing, no other high risk sports. Pop, no pain and minimal swelling with injury. MRI = high grade tear. I'm almost 2 months post-injury. 5 weeks of physical therapy. Feel great most of the time and ankle has probably held me back more than knee with rehab. About 2.5 instances of instability/buckling. Have full extension and just short a little in flexion. Poor balance/proprioception (was bad after previous ankle surgery and now worse.) My physical therapist worked on mobility with my ankle and it's the best it's been in 10 years.

 

Appointment with orthopedic surgeon yesterday:

  • Two options: 1) Continue with PT for another couple months and re-assess, or 2) Schedule surgery
  • Knee feels very loose to him.
  • Indicated that allograft was best choice and said there was only minimal differences in failure rates with autograft. Said he's only had a couple of failures of each type.
  • I asked if rehab was longer with allograft and he said no. Then asked whether ligamentization takes longer with allograft and he said no.
  • He had ACL-R a couple of years ago and was going to do allograft and then decided 2 days before to go with autograft (can't remember if he did hamstring or patella). Went skiing 7 months after with kids.
  • Asked what kind of things might come up unexpectedly during surgery and he indicated that other ligaments, meniscus, and cartilage were good on MRI. Didn't see bone or cartilage bruising on x-ray, so wouldn't expect to see it during surgery. If something showed up, I'd end up being non-weight-bearing longer.
  • Four-five days to return to work (I have a job where I sometimes can work from home.) Formal PT at about 10 days.
  • He's a knee and shoulder guy, but when I asked how many ACL he does a week the response was a lot.

 

He's a really nice guy and caught himself rushing through and then sat back down and said, I see you have written down questions--ask me more. I told him that I had a 2nd opinion scheduled. He said it was a good idea and was curious what the other doctor would recommend.

 

I know there are no "right" answers to the questions I asked, but I guess I was looking to see the rationale behind making a choice. The answers to the autograft/allograft questions did surprise me. I heard him dictating right after wards and an hour or so later I got the updated notes via email. I know doctors are busy and there is no way they can remember the details on everyone, but for my 2 follow-up visits I felt like a new patient again. Then I read the notes and it states that he ordered x-rays (I have not had any x-rays there at all and the order was for the wrong knee). I thought maybe there was a clerical error that someone else's notes got "into" my chart, but the DOI and type (skiing) were the same and stated I was getting a 2nd opinion. Other things like "in a lot of pain" were not accurate. I heard him dictate hamstring allograft, but nothing in notes about it. I left message with office first thing today and didn't hear anything back. I'm not impressed by the office staff, but my mom had a great experience with them.

 

Kind of frustrated and confused at this point and trying to put it out of my mind for now. Just trying to "look forward" to the appointment on Monday and stay optimistic about it.

 

It's weird to think that it seemed "easier" messing up my ankle and seeing it deformed and just getting the surgeon that was available when I got to the ER. But I know that didn't work out the best since I had repeat surgery.

 

I kept my physical therapist appointment for that afternoon so we can talk about it.

 

I apologize for any typos or disjointed thoughts--I'm tired but needed to try to organize my thoughts and figured it might help to get it down on paper.

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