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Quadriceps Tendon Rupture, Repair and Rehab - Page 360

post #10771 of 10860
Quote:
Originally Posted by bigsexxy859 View Post

lol, well I already had the black cloud, as a bilateral I don't feel like I am waiting on the other ax to fall...It already fell!! I just hope that at some point I don't think about either leg like I do. I know that I am getting better and stronger both mentally and physically everyday.

Well, I had the ultimate test for the leg and it passed with flying colors. I moved. From a second floor condo in one unit to a bigger second floor condo in another. I had some kid half my age helping me carry the heavy stuff down the stairs and back up again and the quad did great and I took the heavy side of the furniture. Plus, I had to carry countless smaller items down the stairs to the truck, unload it and back up again with NO problems related to the injury. Mind you, everything from my ribs down hurts but the quad was a trooper.
post #10772 of 10860
Quote:
Originally Posted by bigsexxy859 View Post
 


​That unnatural feeling is common. I have had it since day 1. It gets better with time. I am almost 10 months. Part of it is the brain relearning to walk and trust your legs. It has to subconsciously tell the muscles to kick in. More and more my legs are feeling normal, but this is really a more recent thing. I still am stiff when I first stand and it takes a few steps before I am moving fast. The more you do without any brace or sleeve, when you are ready, the more free and normal you will feel. As strength comes back, again more of a normal feeling. Once you achieve full rom, have strength moving in the right direction, then it just takes time and more work. I don't know if the previous normal will ever be achieved...but I think we can get close.


Sexxy - Just hit 9 months and it's been only in the past few weeks that I have been actually unaware of the injury while golfing, working out or generally walking around. The only mental block or physical block is going downstairs. Not sure if that goes away or not.

Plan on resuming skating next week with a full return to hockey mid November.

That will be the big challenge to see if I mentally have the confidence to skate in a game situation.

If not.... I had always prepared myself for the day when it ends by playing as much as humanly possible for a guy with a job and 2 pre-teen boys heavily into sports.. I kept track of how much I played starting at age 40 and played 1,906 times between the age of 40 and 52 and hit the big brick QTR wall this past January. Hope I can get one more game in minimum. May be some emotion involved if that happens.

post #10773 of 10860


​Funny, I have the same steps issue. I guess since that's what caused all of this I have a physical and mental block. I have days I don't think about it and walk normal, but usually something happens within a day to remind me. I have been working hard the past 2 weeks after traveling a lot before. Soreness has been an issue, but I know if I am to reach my goals I gotta do it. Good luck with skating, I use to love to play basketball, but after spraining my knee at 36, I realized I needed to give it up. It hurt my feeling though. My big goal is steps as normal and to be able to dance like I used to. I feel like I am relearning to do so much...

post #10774 of 10860

So far the workman's comp process has been an excellent experience.  Had my visit with my surgeon and he will operate on Thursday. That's a full week sooner than the last time when I went through my insurance!  I'm glad I don't have to wait around an extra week feeling helpless and stressed out. The sooner the actual recovery starts, the better.  

post #10775 of 10860

I had my surgery yesterday. For the first one 3 years ago, they didn't use a nerve block so when I came to afterwards I asked the nurse if someone kicked me in the balls while I was out!  It took a few hours for my blood pressure to stabilize due to the pain.  This time they did use the nerve block and I was up and out of the surgery center shortly after waking up.  However.........Holy Hell!  The pain now that the block is wearing off is insane.  I've been up all night and if it wasn't for my awesome wife I would be going insane by now.  

 

This site has once again proven to be very helpful.  I thought I was just being a big pussy but after going back several pages I can see that it's "normal".  I have a preliminary visit with my PT in a few hours and a follow up with the surgeon this afternoon.  I appreciate the knowledge and support this site offers.  Since I'm a "veteran" of this procedure please feel free to ask any questions you may have.  

post #10776 of 10860

Arigato:

Before I left the hospital I was doped up with oxycodone (?the spelling), and my wife stopped at the drug store and filled a prescription for the stuff on the way home. I first decided to be macho and not take the stuff. By 7:AM the next morning I gave in and took them as prescribed and the pain was gone and I slept like a baby. I continued to take the drug for 2-1/2 days as prescribed and got so bound up I was in misery. I stopped taking the drug and with the advice of my family doctor got straightened out with MiraLax. I was surprised that the pain was gone when I stopped the drug. Looking back on it, I could have saved myself the constipation misery if I had taken the drug "as needed" rather than as prescribed.

post #10777 of 10860

I had the same pain relief experiences as you guys, both my initial repair back in April and the MUA procedure in late August.........once the general anesthesia wears off completely (several hours after you are conscious)  you had better have already started the oxy stuff.  That said, the side effects of the oxy are not worth the pain relief provided after a day's worth, compared to switching to ibuprofen, which I did after the MUA.  Trying to deal with constipation while wearing that knee brace/torture device was especially difficult.

 

Arigato.....hang in there, right about now is a particularly bad time.  I guess after the pain/meds "phase", the next most talked about "phase" is how long to stay immobilized in a brace to protect the repair.  I found that the brace was extremely painful and interfered with chilling the area.  Was also heavy enough to trigger waves of pain getting in and out of bed.  So took it off.  Put it back on only to go see the PA and surgeon for followup visits, and early therapy sessions, to be politically correct.  Fortunately I can sleep flat on my back with both legs straight and never move. 

post #10778 of 10860

Thanks for the support guys!  Speaking of braces; what kind do you have?  What are the pros and cons?  For example, I'm currently using the DonJoy TRom.  It feels very sturdy and has a lot of adjustments.  However, the rails get out of line fairly easily when I unbuckle it for icing.  For my previous quad tear, I used the Breg T-Scope.  It was very solid as well but was hard for anyone but me to buckle/unbuckle.  

post #10779 of 10860

Mine is an Ossur "Innovator DLX".  Ossur is a company headquartered in Iceland, according to the manual.  The manual is in 15 languages. It has a great many adjustments, is pretty robust, and easy to use.....except for getting it on and off while lying flat.  I needed another person to lift my straight leg up and over onto it, then close it up.  This was not any easier until I could do a straight leg lift.

 

In the OR, they must have just crunched everything down tight.  So when the typical post-op swelling occurred, I wound up with a lot of badly bruised areas where it was just waaay too tight.  It spans from most of the way up the thigh, down to a few inches above the ankle bone, with two straps above the knee and two below.  I didn't recognize this overtightness for a couple of days because of the pain pills.  There was no instruction from the OR about checking the tightness and loosening it if swelling was excessive.  But it was painfully obvious (literally) when I switched off the pain pills.  So I took it off as soon as I thought I was absolutely NOT going to have an accidental fall.

post #10780 of 10860

George: The Ossur brace is nice!  If I had to wear a brace for a period longer than my doctor has prescribed, I'd be looking into that one.

 

I'm in the same boat as you as far as stuffing the leg into the brace right after surgery!  Luckily, my first follow up was the very next day and they loosened it up and removed a whole bunch of wrapping.   I still have to wear it all the time but unbuckle it when I'm stationary in my chair or bed with ice on it.  I'm only 9 days post op and will be going to my 4th PT session and my second follow up visit this morning.

 

I've been off the painkillers since day 6.  

post #10781 of 10860
Quote:
Originally Posted by The Last in Lin View Post


Well, I had the ultimate test for the leg and it passed with flying colors. I moved. From a second floor condo in one unit to a bigger second floor condo in another. I had some kid half my age helping me carry the heavy stuff down the stairs and back up again and the quad did great and I took the heavy side of the furniture. Plus, I had to carry countless smaller items down the stairs to the truck, unload it and back up again with NO problems related to the injury. Mind you, everything from my ribs down hurts but the quad was a trooper.

That's awesome!  I have noticed that from time to time as well - my leg does fine, but the rest of me is out of shape :)

post #10782 of 10860
Quote:
Originally Posted by Arigato View Post
 

I had my surgery yesterday. For the first one 3 years ago, they didn't use a nerve block so when I came to afterwards I asked the nurse if someone kicked me in the balls while I was out!  It took a few hours for my blood pressure to stabilize due to the pain.  This time they did use the nerve block and I was up and out of the surgery center shortly after waking up.  However.........Holy Hell!  The pain now that the block is wearing off is insane.  I've been up all night and if it wasn't for my awesome wife I would be going insane by now.  

 

This site has once again proven to be very helpful.  I thought I was just being a big pussy but after going back several pages I can see that it's "normal".  I have a preliminary visit with my PT in a few hours and a follow up with the surgeon this afternoon.  I appreciate the knowledge and support this site offers.  Since I'm a "veteran" of this procedure please feel free to ask any questions you may have.  

 

Sorry to hear about your experience.  I'm 6 months out from my second one - I tore mine, and retore it.  The second time I had a similar experience as you - they did a nerve block, but it didn't work, so when I woke up, it hurt amazingly.  I kept telling the nurse it hurt a ton, and she gave me some percocet, some morphine, but that's nothing against the pain.  Finally the anesthesiologist redid the nerve block, which worked within minutes.  

 

Since it was my second time as well, albeit a shorter timeline than you, I just made sure to double up on the main meds up front, but the pain goes away after a few days anyway.  Sorry to hear about your reinjury.

 

My most recent realization was wow... it's been 6 months, and it's amazingly better, but there's still a ways to go.

post #10783 of 10860
Quote:
Originally Posted by bigsexxy859 View Post
 


​Up to 650 for reps of 12. Taking my time moving up. Definitely getting stronger though. That 225 on the squat is impressive with where you are in your recovery.

Congrats, that's awesome!  I've backed off the heavy lifting a bit.  My super humbling experience was beginning Crossfit this week.  Taking it easy on any explosive knee movements - but man, nothing makes you feel fat and out of shape than huffing and puffing through one of those AMRAP workouts.  It seems so easy at first, and then gets so hard, so quick.  I know it's what I need to do, but it's hard stuff!

post #10784 of 10860

I had my 6 month checkup a few days ago.  I've been getting back into things lately, doing a bit of lifting, lots of walking, some biking.  But I still have knee pain.  When I asked my OS about it, he reminded me that my leg is still weak, and is still healing and recovering.  So, push it, but not too much.  I guess it's a fine line at this point.  I, like everybody here, wants to get back to normal as quickly as possible.  But I was reminded, again, that this is in fact a marathon.  And while there will be brief periods of rapid improvement, there will also be longer periods of stability.  But to keep pushing, just not too much.

 

I started crossfit this week - Wow, I am fat and out of shape.  Very humbling.  But also very good!  

 

Keep it up everybody.  It will always get better, every day.  

post #10785 of 10860
Hello Idaho guy. I ruptured my quad tendons over three weeks ago. I am scheduled for surgery tomorrow morning. I will let you know the outcome because I will have more time to write. It is getting late & I have to go get some sleep so I am ready for tomorrow. I have some Hydrocodone waiting for me when I get home. I also have my brace that I will have to wear too.
post #10786 of 10860
Quote:
Originally Posted by Ohio Guy 63 View Post

Hello Idaho guy. I ruptured my quad tendons over three weeks ago. I am scheduled for surgery tomorrow morning. I will let you know the outcome because I will have more time to write. It is getting late & I have to go get some sleep so I am ready for tomorrow. I have some Hydrocodone waiting for me when I get home. I also have my brace that I will have to wear too.

Hey Ohio Guy! We are sad, but welcome you to our community. This is a great forum with a lot of wisdom and information.

I am 6 months out. It is a serious injury.

First thoughts - take your pain medicine. Pain will go away in 3 or 4 days, but take a lot up front as it will suck. Stay ahead of the pain. Take as much as you need. The pain will go away after a few days.

Beyond that, be patient. It gets better every day. I loved watching nature documentaries on Netflix. You will be normal again, just be patient.

Good luck. I hope to hear about your experience soon.
post #10787 of 10860

Ohio Guy--You've been given some good advice. Stay up on your pain meds for the first 3-5 days. The bad news is that this is a horrible injury.  The good news is that you can recover.   Let us know if you need any good recommendations for netflix specials.  

post #10788 of 10860

Ohio Guy.....whatever you do post-op, do NOT watch a lot of typical network television.  I started out that way (after switching from pain meds to ibuprofen) and the constant interruptions for commercials just about drove me crazy.  The very worst commercials here are from the cable company itself.  Then I remembered a box of about 15 Clint Eastwood CDs.  Netflix is good, too.

 

You have had a delay between the injury and the repair.......me, too.  Mine was 5+ weeks, and possibly the cause of a ROM limitation.  After the surgical repair on April 27, I had a MUA (manipulation under anesthesia) on August 22.  ROM was still limited to about 40-45 degrees after 4 months, so we decided to break up the adhesions/scarring, hopefully without damaging the repair.    The MUA was as bad afterwards as far as pain and swelling, but my ROM is now 100 degrees and still improving.  Yesterday was a major milestone; I installed some crank arm shorteners on my Proform TDF bike in the gym and can now crank it a full 360 so I can now start tracking watts generated and total calories again.  Between 5 choices for crank arm length, small increments in seat height, and standing/sitting, there are a lot of options to keep stretching the QT at the top of the circle, and also to burn some calories.  Like most others, I have accumulated a ring of fat around the middle.

 

Your first rehab objective will be to "protect the repair" or some similar words.  Be careful. 

post #10789 of 10860
Quote:
Originally Posted by USAW View Post


jrf23- I did a 75% tear doing a squat clean. Did you get any indication on the relative strength of a repaired quad vs pre injury? The best I could get out of my surgeon was "If you ever hope to do a squat clean again you'll have to have that repaired, and even then there's no guarantee that you'll be able to again, besides at your age you shouldn't be doing them anyway." My response was:
"How many knees have you had to replace because they didn't do their Clean and Jerks?" The response was a big grin and raised eyebrows. I'm now 78 and 15 months post surgery, have back squatted with about 10% over body weight, but have decided to go strictly to front squats and am working up very slowly. I still power clean more than I can front squat.

Wow..we have lots in common. I ruptured both attempting a near body weight squat clean & jerk in a competition. I am four months out from the second surgery (long story) and I am just getting close to body weight squats (no bar) and have been released to do cardio other than the bike (now stair master and elliptical) with goal of running by December. My OS also though I was crazy for doing Oly lifting and Crossfit and that I told him at some point I want to get back to it. Of course, I am young and dumb at only 36 years old. 😂😂
post #10790 of 10860
A little about me, I am a 63 yo male. I am a retired firefighter but I decided to seek employment at a local golf course just to keep busy. I was watering down the greens & as I was approaching the sprinkler in order to turn it off I slipped on an incline which was wet & muddy. I went down quick & new something was seriously wrong right away. The medics took me to the emergency room & x rays showed no broken bones. The MRI two weeks later showed a near complete rupture of the quad tendon if the left leg. This is a workmans Comp injury so things move slowly.
In the recovery room the pain was a 10 & I can tolerate a fair amount of pain. The Nurse had given me the max dose of morphine but it didn't phase me. She finally gave me a nerve block in my pelvis which did alleviate the pain.
I have a brace attached which is extended straight out. The pain level is only a 1 or 2 & I have Hydrocodone for pain. So far I've only taken 1 pill every 6 hours. Last night I slept in the recliner but tonight I think I will try to sleep in a bed. I can hobble around on a pair of crutches. My next appointment with the Dr is next week. I will keep you posted on how it goes from here in out. Just as a side note I do not ski but I do golf & ride a bike. Right now I am just glad to be on the road to recovery. I know it is a long painful process but I want to do whatever it is I need to do in order to get well again. My athletic days are behind me so I do not play sports or lift weights. I usually just watch them in TV. I do hope to be able to golf & ride a bike again. The injury happened 26 days ago & the surgery was yesterday. My wife has been a great help to me & The Medicle staff is top notch.
post #10791 of 10860

Ohio Guy 63

Your wise in limiting the pain killer, it will save you a lot of digestive misery.

post #10792 of 10860

There is an herbal tea called "Smooth Move" that is very helpful to your digestive system while taking pain killers.

post #10793 of 10860
Quote:
Originally Posted by USAW View Post

Ohio Guy 63
Your wise in limiting the pain killer, it will save you a lot of digestive misery.
Yeah but the nerve block wore off last night & The pain pills don't seem to be helping much. Plus I am still constipated. I may have to take something for that. Today has been the worst day since I got home 2 days ago.
post #10794 of 10860

Ohio's medical marijuana law went into effect last September. It's limited, but that may be an option for you to consider. 

 

I'm pretty much immune to pain killers. Over the various incidents in my life I've been on an escalating path of pain killer experiments. For my collarbone reconstruction the doc gave me oxycontin. The only thing that did was let me go 2-3 hours between naps instead of 1-2 hours (I could tell because I just didn't bother taking it all that much). When my doc advised me to double the dose, I could feel a buzz but I mostly got nausea that was way worse than the pain. I read somewhere that there's a gene that's been discovered that causes some people to be highly tolerant of pain and pain killers. It fits my experience and may explain yours.

 

Heal well and heal fast. Spend some time to find a great physical therapist versus just going to the closest one. Use this experience as a wake up call to invest more into fitness. You'll find that there are lots of simple exercises that you can do at home that will help prevent future injuries, keep you healthier in general and help your golf game. Don't make it just for finishing your rehab.  While your athletic days be over, a little investment can have a big payoff. I learned the hard way and had to have multiple sessions of getting some sense beat into me.

post #10795 of 10860
I hope to be off of the pain pills in a few days. I understand the first 3-5 days are the worst. I know PT can be painful too but I'll cross that bridge when I come to it. There is a YMCA close by so I may use that as a continuation of my exercise program when I am able too. I haven't been able to sleep more than an hour or two at a time due to the pain, yet the pain pills cause drowsiness? How is that for a whack job. I know it is a long slow process so I will take it one day at a time.
post #10796 of 10860

Anyone out there at 3 or 4 years after surgery who wants to compare notes, timelines? Send me a PM.

 

To everyone in the early stages after surgery, you will get past the pain soon. And for those of you might have been injured, like me, in a really uninteresting way, and are feeling less than brilliant, you'll get past that too. And believe it or not, you will also get better. The battle to get back to normal takes time, but don't be discouraged. You will become aware of the little improvements. Don't expect too much too fast and measure your successes along the way in small increments. All those tiny improvements add up after a while. I'm 64 years old and 3 years out from surgery and am doing everything I did before. I'm being more careful in all types of skiing, and also mountain biking, hiking. At my age I don't want anymore down time, and although my injured side is working well, I'm still cautious.

 

I hope I don't sound preachy. Just offering what worked for me. Early on I read a lot, got really good at crosswords, and rolled through Netflix and Hulu. Once I was rehabbing and walking some, I learned to bake bread to fill the former mountain biking time. Now I do both. And what extreme sport move, you might wonder, was responsible my injury."Walking the dog". No that's not some euphemism for a suspended flip on a bike. 100 feet from my house I slipped on black ice. But now that feels like a distant past. I hope some others that are a similar distance from surgery are still tuning in, I'd like to hear from you.

post #10797 of 10860
Nice to hear from you Micky, I enjoy hearing from others who have traveled the path I am on. I too slipped & fell, but it was not black ice it was wet muddy grass from a water sprinkler. The area was also on an incline & my tennis shoes did not have good tread on the bottom. What bothers me is the fact that I couldn't see the danger in it before it happened. I planted my left foot & it went out from under me like I had stepped on a banana peel. I landed on my back with a thud & my left leg was folded up underneath me. I knew I had a serious injury but after a few days I thought I may have sprained it but that was not the case. I am going to be cautious now of where I step. I am also going to have a mental block about bending it back too far. I don't plan on doing any squats, unless of course my PT instructor tells me too. This pain is the worst I have ever felt. This injury is worse than a broken bone, although I am glad I did not damage my knee or my femur. I have a good Dr & a good Physical Therapy location. They specialize in this type of injury.
I am looking forward to recovery. I enjoy reading your posts,
Thank you,
Ohio Guy
post #10798 of 10860
I am 5 days post surgery & it has not been a pleasant journey. The first couple of days the pain was severe enough that I needed pain pills. I became constipated but my wife gave me medication for that. The worst part is that I cannot sleep on my back. The first four days I wasn't able to sleep more than a few hours each night if that. Last night I decided to lay on my side & was able to sleep for about 4 hours. I don't know if it recommended or not but I needed some relief. I go see the Dr in 4 days to have the staples removed. I will probably find out about my PT at that time. Today I have been feeling shots of pain run down my leg every so often. I was just curious as to how long must I have this brace on? How painful is PT? How soon before I can walk normally again? Thank you for your input.
Ohio Mike
post #10799 of 10860

Hang in there brother! I'm 23 days post-op and still get strange shooting pains.  It's the nervous system repairing itself.  You had an explosion in your leg so the pain is normal as is difficulty sleeping.  I put a body pillow under my injured leg and that seems to help.  My Dr. told me I'm going to be in the brace for 12 weeks.  For my previous qtr on the other leg it was 9.  PT is not can be painful but it's a good pain, making progress and getting better.  It takes between 4-6 months to walk normally again.  At that point last time I told my friends that if they notice that I'm walking the a pirate or a pimp, let me know.  Have you been icing?

post #10800 of 10860
I have not been icing that much. I have not taken a pain pill for 3 days now. I just don't like to become dependent on them. I was hoping it was only 6 weeks but I will see.
Time seems to slow down when you sit around all day.
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