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Quadriceps Tendon Rupture, Repair and Rehab - Page 350

post #10471 of 10840

Saffron40,

     It is not a figment of your imagination. My pt or even myself usually work my legs to they are fried. Of course, long term this builds muscle and endurance. However, the rest of the day after a tough workout, I do have potential buckling issues. Other qtr.'s have had this issue also. Pay attention to your body, it will tell you when to slow down as well as when to proceed. I just returned from a business trip to San Francisco. It went well, but you have good and bad days. I am blessed to have come this far, but it will be another 2-3 months I think before the strength and confidence is there. My gait is still not where it was and it is not consistently the same either. It is frustrating, but I see the light and all things get a little better each day(excluding the bad days/moments). When you first stand up, sometimes I just let everything settle before walking, stiffness and soreness seems to go away as you walk. I walked a country mile or two during my trip and everything was fine, but I still watch my steps, careful on slopes and am a little over cautious at times.

post #10472 of 10840

Saffron,  I agree with Sexxy,  after a hard workout the knee definitely is spent and feels like it could buckle occasionally but I have also noticed that with my good knee.  It's just fatigue.

You doubles are a whole different deal.  No "good" knee to fall back on or compare to.  As far as the mental aspect there is that.  I just passed 6 months and more and more I feel more "normal" in that I am not constantly thinking about each step.  I'm currently on my first buisness trip since the injury.  Peaks and Valleys all along the way.  Enjoy the peaks, the valleys fade soon enough.  You are doing alot more then I was at 17 weeks.  Keep it up!


Edited by Goober - 5/23/16 at 12:11pm
post #10473 of 10840
@Saffron40 I know what you mean by the leg buckling. That happened to me several times while walking after my braces came off, and when I only had maybe 40* ROM. It was a very horrible feeling. Luckily I caught myself before I went too far down. Best of luck. Be careful.
post #10474 of 10840
I tried kneeling yesterday on a 2.5 inch yoga balance pad and lasted a few minutes but then the pain kicked in where the tendons were reattached to the knee caps so I backed off. Even after 4 1/2 months, I'll need to work my way up to it, gradually like everything else. Thanks for the encouragement. I had my monthly visit with the OS today which went well. He fitted me for functional braces for my overactive days (fishing, yard work, etc.) and approved 2 more months of PT.

Jack
post #10475 of 10840
Quote:
Originally Posted by jshob56 View Post

I tried kneeling yesterday on a 2.5 inch yoga balance pad and lasted a few minutes but then the pain kicked in where the tendons were reattached to the knee caps so I backed off. Even after 4 1/2 months, I'll need to work my way up to it, gradually like everything else. Thanks for the encouragement. I had my monthly visit with the OS today which went well. He fitted me for functional braces for my overactive days (fishing, yard work, etc.) and approved 2 more months of PT.

Jack
Keep up the good work. Go easy. My advice is build up strength in the leg(s) before trying to kneel. I didn't start to kneel until maybe month 7 or 8. When I did it was on a padded block and it was elevated a lot. I gradually built up strength, balance, and control and got lower and lower. It felt really good to lower myself with control again. Good luck.
post #10476 of 10840

Btw, for some of you that don't know, Marrs1721 is a bilateral. He is also the person whose advice got me to where I am now. He is a life saver and a Rockstar! Trust his knowledge guys. Good to see you posting on here again!

post #10477 of 10840
Quote:
Originally Posted by bigsexxy859 View Post

Btw, for some of you that don't know, Marrs1721 is a bilateral. He is also the person whose advice got me to where I am now. He is a life saver and a Rockstar! Trust his knowledge guys. Good to see you posting on here again!

Thank you. I am more than happy to offer advice. This injury sucked and I want it to be as easy and less stressful for anyone else who is going through it.
post #10478 of 10840
I get a constant clicking sound/twanging noise in my knee when I walk,is this common and does it ever go away?
post #10479 of 10840
Quote:
Originally Posted by athenryebhoy View Post

I get a constant clicking sound/twanging noise in my knee when I walk,is this common and does it ever go away?

I get odd clickings and sounds when both moving my knee and manipulating the patella.  I asked my OS about this, and he said it was perfectly natural - all kinds of necessary and unnecessaary scar tissue has built up during the recovery process.  What he said is that most of the clicks and things will go away, and the ones that aren't are most likely harmless.  I think you should just keep working at it - and I think honestly it's pain that's more important than the noises.

post #10480 of 10840

Well guys I read all the stories and we all can see this injury isn't for the weak.  It is a long process that really make you check your surroundings before each step now.  I am 7 months after my second surgery and 7 months one week after my first since the OS only did one at a time.  I have been really lucky with my progress but I am still afraid to jog.  I work on ships and have been going up and down stairs and ladders for the last 22 days 7 days a week 12 hours a day.  My legs get tired and going down is still the slow part.  A vertical ladder is a piece of cake stairs not so much.  I still catch my legs wanting to buckle the first couple of degrees when I go down the stairs so I hold on the hand rail going down.  I haven't been to the gym since I started all this work.  As far as gaining ROM when I was sitting in my recliner I would remove the brace and work my heel up the foot rest as far as I could and place it in the crease then extend and do it again.  My OS had me at PT two days after surgery for the first Tendon rupture and then immediately again after the second for the other leg.  Wish everyone a speedy recovery especially since this is the tortoise and the hare recovery!

 

Mark

post #10481 of 10840
Quote:
Originally Posted by squatheavy View Post

I get odd clickings and sounds when both moving my knee and manipulating the patella.  I asked my OS about this, and he said it was perfectly natural - all kinds of necessary and unnecessaary scar tissue has built up during the recovery process.  What he said is that most of the clicks and things will go away, and the ones that aren't are most likely harmless.  I think you should just keep working at it - and I think honestly it's pain that's more important than the noises.
Cheers buddy
post #10482 of 10840

I just got back from my 6 week OS appointment. All is good. Doctor said to once again begin to 'wean' myself off of my brace - gonna take my time with this one.  But all is well - ROM is about 100-110, gonna keep working at it.

 

I did have a funny story to share.  I had been doing laundry earlier, and had emptied my bag of clean laundry, detergent bottle included, on the floor.  Unbeknownst to me, the bottle had hit the ground, cracked, and spilled everywhere, right in front of my couch.  I got back from the OS this morning, and went to put my good leg on what looks like clean, wood floor - and went into almost a split!  Felt a bit of pain from the bad leg, but no damage done.  Anyway, point being, besides me feeling and looking stupid, you never know what's going to happen, so be careful!   And now I have to clean the floor.  Which sucks.

post #10483 of 10840
Quote:
Originally Posted by squatheavy View Post

I just got back from my 6 week OS appointment. All is good. Doctor said to once again begin to 'wean' myself off of my brace - gonna take my time with this one.  But all is well - ROM is about 100-110, gonna keep working at it.

I did have a funny story to share.  I had been doing laundry earlier, and had emptied my bag of clean laundry, detergent bottle included, on the floor.  Unbeknownst to me, the bottle had hit the ground, cracked, and spilled everywhere, right in front of my couch.  I got back from the OS this morning, and went to put my good leg on what looks like clean, wood floor - and went into almost a split!  Felt a bit of pain from the bad leg, but no damage done.  Anyway, point being, besides me feeling and looking stupid, you never know what's going to happen, so be careful!   And now I have to clean the floor.  Which sucks.

Sounds like you were lucky there, if anyone deserves good luck it's you.

I had my first buckling moment yesterday when I was trying to walk without crutch and it really unnerved me

I really thought at week 15 I'd be better, I think my weight is a big problem so i'm refocussed on losing as much as I can.
post #10484 of 10840

I would hate to see you tear that quad a third time.

Quote:
Originally Posted by athenryebhoy View Post


Sounds like you were lucky there, if anyone deserves good luck it's you.

I had my first buckling moment yesterday when I was trying to walk without crutch and it really unnerved me

I really thought at week 15 I'd be better, I think my weight is a big problem so i'm refocussed on losing as much as I can.

 

Quote:
Originally Posted by squatheavy View Post
 

I just got back from my 6 week OS appointment. All is good. Doctor said to once again begin to 'wean' myself off of my brace - gonna take my time with this one.  But all is well - ROM is about 100-110, gonna keep working at it.

 

I did have a funny story to share.  I had been doing laundry earlier, and had emptied my bag of clean laundry, detergent bottle included, on the floor.  Unbeknownst to me, the bottle had hit the ground, cracked, and spilled everywhere, right in front of my couch.  I got back from the OS this morning, and went to put my good leg on what looks like clean, wood floor - and went into almost a split!  Felt a bit of pain from the bad leg, but no damage done.  Anyway, point being, besides me feeling and looking stupid, you never know what's going to happen, so be careful!   And now I have to clean the floor.  Which sucks.

I would hate to see you tear that quad a third time.

post #10485 of 10840

Hey guys, been traveling for the past 2 weeks for business. Last week was in San Francisco, this week I am in New York. Head home tomorrow. I have survived the trips so far(missed workouts and pt time though). I am thankful for my progress, but traveling really makes me want to be fully recovered. Strange environments means extra caution and not knowing what obstacles you face from location to location. Steps are still my Achilles heel and it is so frustrating. I am right at my 6 month mark, my check up is next week. When I am able to walk and behave normally, it will be a huge cause for celebration. I am about to start 5 days a week training, 3 days cardio (bike) and 2 days strength training on legs. hoping by the end of summer to see the next level of gains. Other than steps/stairs, I am fully functional but not normal. The Tortoise and the hare scenario is real, this is truly a marathon. Hang in there guys!

post #10486 of 10840

I am 4 1/2 weeks now and still locked at 0, no pt, and when I went for my 2 weeks appointment I was told 50% weight bearing (I have been standing and walking around my kitchen at 100%..shhh)

Its crazy how everyone's rehab is so different.  I see some people at complete weight bearing at day 2, and pt started right away. I saw a you tube video of a guy leg pressing like 1000 lbs at 4 months and then some not even walking properly at the marker.  Every doctor is different in protocol and every person is different in recovery I guess.

I am a self admitted musclehead, but all the surgeries I have had over the past 10 years I always listen to my doctor (for the most important parts).  I am lucky to have a good job that allows me to work from home during this time so the only time I leave the house is when I go to the gym 4 days a week to do upper body, crutching around from machine to machine is mentally good for me right now.

My next appointment is in 2 weeks, hopefully he will allow me to start some pt as my sciatica in that leg is starting to bother me from not moving my leg at all for so long.

I broke my ankle 9 years ago (which I think is when I tore this tendon) and on crutches for 8 months and had my rotator cuff done, that was about 11 months to fully heal, I tore my tricep tendon completely and had surgery and that was only 8 weeks and I was cleared, that was an easy one, did the pt myself.  I know the QT will take longer but I am hoping not as long as some of the others.

post #10487 of 10840
Quote:
Originally Posted by bigsexxy859 View Post
 

Hey guys, been traveling for the past 2 weeks for business. Last week was in San Francisco, this week I am in New York. Head home tomorrow. I have survived the trips so far(missed workouts and pt time though). I am thankful for my progress, but traveling really makes me want to be fully recovered. Strange environments means extra caution and not knowing what obstacles you face from location to location. Steps are still my Achilles heel and it is so frustrating. I am right at my 6 month mark, my check up is next week. When I am able to walk and behave normally, it will be a huge cause for celebration. I am about to start 5 days a week training, 3 days cardio (bike) and 2 days strength training on legs. hoping by the end of summer to see the next level of gains. Other than steps/stairs, I am fully functional but not normal. The Tortoise and the hare scenario is real, this is truly a marathon. Hang in there guys!

Good to hear about your progress!  I'm a firm believer that the best way to recover is to put yourself in those situations that seem uncertain and force yourself to adapt and adjust.  I think your progress will be exponential once you start trying to act more normal.  Be patient!  I can't wait until I can do the bike.

post #10488 of 10840
Quote:
Originally Posted by Bigmike View Post
 

I am 4 1/2 weeks now and still locked at 0, no pt, and when I went for my 2 weeks appointment I was told 50% weight bearing (I have been standing and walking around my kitchen at 100%..shhh)

Its crazy how everyone's rehab is so different.  I see some people at complete weight bearing at day 2, and pt started right away. I saw a you tube video of a guy leg pressing like 1000 lbs at 4 months and then some not even walking properly at the marker.  Every doctor is different in protocol and every person is different in recovery I guess.

I am a self admitted musclehead, but all the surgeries I have had over the past 10 years I always listen to my doctor (for the most important parts).  I am lucky to have a good job that allows me to work from home during this time so the only time I leave the house is when I go to the gym 4 days a week to do upper body, crutching around from machine to machine is mentally good for me right now.

My next appointment is in 2 weeks, hopefully he will allow me to start some pt as my sciatica in that leg is starting to bother me from not moving my leg at all for so long.

I broke my ankle 9 years ago (which I think is when I tore this tendon) and on crutches for 8 months and had my rotator cuff done, that was about 11 months to fully heal, I tore my tricep tendon completely and had surgery and that was only 8 weeks and I was cleared, that was an easy one, did the pt myself.  I know the QT will take longer but I am hoping not as long as some of the others.


Full weight bearing on the day of surgery for me.  Standing over a toilet on two legs was a condition of discharge.  I highly recommend getting back in the gym as soon as possible even if it's just machines.  Luckily, my gym has a lot of good machines.  I did pull downs by high pinning the weight stack so I didn't have to stand up to reach the bar or handles.  After a two weeks or so back I added some cable push downs, cable curls and crossovers.  I didn't do much with dumb bells since even though 25 pound curls are light if you have two of them it's a 50 pound total which I didn't want to add to my leg.  Also, my gym has a handicapped shower so that's where took them for 3 or 4 weeks.

post #10489 of 10840

Week 14.5 Post op! Man Time sure flies by.

 

I saw the OS last week and she Told me to ditch the brace. And green lighted me for formal strength training!

 

I have been doing squats and leg press with zero pain, and it seems the additional loads are helping my slow ROM come fast now. I am sitting at about 115 right now but my prone flexion is still at about 90. Walking is a a breeze, no issues on any surface and no buckling.I have been on my knees a bit also. We are going to start going up stairs next week. I just may be on track to attempt some running at the end of June!

 

Keep it up guys! 

post #10490 of 10840
BigMike, it seems you have PT down pat. Good luck finding what works best. Spin cycle, walking, wall squats were my favorites.

Spartan, great progress! Doing many exercises at 60 weeks but running remains a challenge. No pain just doesn't feel right. Its my main focus now.
post #10491 of 10840

squatheavy,

    You are so right. It was good for me, except for missing a few workouts. I am feeling good overall. I plan on killing it in pt and the gym the next 2 months. I have had success doing great concentrated workout programs over the summer (did the insanity program a few year ago). I am hyped to go from functional to "normal". Keep up the great attitude my man, you are inspiring me!

post #10492 of 10840
Quote:
Originally Posted by Bigmike View Post
 

I am 4 1/2 weeks now and still locked at 0, no pt, and when I went for my 2 weeks appointment I was told 50% weight bearing (I have been standing and walking around my kitchen at 100%..shhh)

Its crazy how everyone's rehab is so different.  I see some people at complete weight bearing at day 2, and pt started right away. I saw a you tube video of a guy leg pressing like 1000 lbs at 4 months and then some not even walking properly at the marker.  Every doctor is different in protocol and every person is different in recovery I guess.

I am a self admitted musclehead, but all the surgeries I have had over the past 10 years I always listen to my doctor (for the most important parts).  I am lucky to have a good job that allows me to work from home during this time so the only time I leave the house is when I go to the gym 4 days a week to do upper body, crutching around from machine to machine is mentally good for me right now.

My next appointment is in 2 weeks, hopefully he will allow me to start some pt as my sciatica in that leg is starting to bother me from not moving my leg at all for so long.

I broke my ankle 9 years ago (which I think is when I tore this tendon) and on crutches for 8 months and had my rotator cuff done, that was about 11 months to fully heal, I tore my tricep tendon completely and had surgery and that was only 8 weeks and I was cleared, that was an easy one, did the pt myself.  I know the QT will take longer but I am hoping not as long as some of the others.


Hi, Mike....you are right, there is a wide variety of rehab protocols out there.  I am just now 4 weeks since surgery (which did not get done until 5 1/2 weeks after the injury).  So maybe we are roughly comparable at least as far as timing. 

 

I don't use the medieval torture device aka "brace" except when I go to PT.  I do use crutches for almost everything but am getting close to full weight bearing.....maybe next week.  Have not had an appointment with the surgeon yet, just one with his PA who only checked the incision and gave the okay for PT.  Surgeon's instructions for PT had the brace opened to 60 degrees after only a couple of appointments.....I have no idea why, because I cannot flex much at all (early this week was 28 degrees). Still a lot of swelling and numbness around the knee.  Also my foot gets numb after too long sitting up in bed.  Probably sciatica.  Sleeping with a rolled-up towel under the knee feels better.

 

Today's PT was in a pool.  Some of the new exercises might help with the swelling (water pressure) and allow wide abduction/adduction moves with both legs which burns a few calories.  Anybody else have experience with PT in a pool?

post #10493 of 10840
Well that's my good knee packed in now. Constant clicking popping sound after being bent, sometimes quite painful

Psin around kneecap I was told it was overuse but this feels worse. I have physio on Wednesday so hope I'm worrying over nothing
post #10494 of 10840
Hey guys glad to see I'm not the only one out here going through this dreaded recovery!! Lol I'm 3 weeks post op and at about 50-55 degrees range of motion. Pt starts this week and I'm excited. So do pools really help? I want to recover as soon as possible and get back to my kiddos!!!! Thanks !!!
post #10495 of 10840

Bigmike,

     Sorry you are here, but it is good company. It sounds like you have a good understanding of pt and recovery. Unfortunately this is an injury that will take time and hard work to recover from. I hope you are one of the miracle guys that get back extremely fast, I and ahead of schedule a bit, but not extremely ahead. Just listen to your body, pt and os. Put in the work and you will be fine. runningback22, pt is where the fun starts! Good luck guys!!!

post #10496 of 10840

I hope it is nothing athenryebhoy. Just rest as much as possible and listen to your body. It will probably be fine in a day or two.

post #10497 of 10840
How long did it take for your PT to put you in the pool? I'm excited and think it's gonna help tremendously
post #10498 of 10840

Got on the recumbant bike at the gym for a bit today!  No resistance, but it was great.  ROM is around 135.  Still taking it easy, and wearing the brace outside of the house.  I'm almost back to where I was when I reinjured it!  It's nice.  But yeah, no cutting corners.

 

For people who aren't as far along - just keep in mind that it's a slow process, but every day gets better.  And you'll be amazed how good it feels to be able to get a revolution on a stationary bike.  All these fun things to look forward to!

 

For all of us - keep up the good work!  It'll get better.  And remember to use your downtime to work on other important things.

post #10499 of 10840
Quote:
Originally Posted by runningback22 View Post

How long did it take for your PT to put you in the pool? I'm excited and think it's gonna help tremendously

I'm almost 7 weeks out, and haven't actually seen a PT yet.  No pool at all.  I've just been full weight bearing with a brace, and doing stretches on my own.

 

I think what has helped a lot us, and me especially, is following along with a rehab routine.  The one I like is from Mass General.  Here is a link to the program:

 

http://www.massgeneral.org/ortho-sports-medicine/conditions-treatments/pdfs/Quadriceps%20and%20Patellar%20tendon%20repair%20rehabilitation.pdf

 

If you can get in a pool, by all means go for it, I know it's helped a lot of people.  But it's not completely necessary. 

post #10500 of 10840

Great update squatheavy! Love the 135 rom! You are on the way! I had my 6 months check up with my surgeon today. My last check up was almost 2 months ago, was still in the big braces and still struggled walking. As I look back, it is gratifying and amazing to realize how much I have progressed. We made a plan to keep me with pt for the summer and keep up the strength and conditioning. He said I can't be too active...walk, bike, strength, elliptical and so on.  Just have to put in the work...summer will be interesting...

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