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Quadriceps Tendon Rupture, Repair and Rehab - Page 39

post #1141 of 10802

One year post injury


I blew out my quad tendon May 16, 2008, had surgery on May 25.  Leg brace for 8 weeks, good PT, really started running again in January.


So far, so good.  I have a running parter I workout with and we were pretty close in fitness before I got hurt, and I'm back again.  I'm probably a little bit stronger than he is even.  Running about 40 miles a week, including long (10 mile +) trail runs on Sundays.  It still doesn't feel exactly the same as my uninjured leg, but the only activity I have to restrict is bike riding.  Riding a bike makes my join tighten up so I try to take it easy, but running is fine.


If you have a good doc and are diligent about PT, my expereince suggests that after 12 months you have a good chance to be fully back in the saddle.  I have a tough trail race in mid June, hopefully I survive that and live to tell the tale!

post #1142 of 10802


Date of Accident: 02/10/2009

Date of Surgery: 02/20/2009

Date PT Began: 04/06/2009


Have not posted in a while because I've been busy and even travelling. Although I live in Florida, our married daughter and 6 month old granddaugher live in NY. My wife wanted to be with the kids for Mother's Day and asked if I was ready to travel again. I said yes and the trip turned out to be a piece of cake. Very successful and no problems whatsoever. I did use the cane in the airports but no big deal. Walked quite a bit and was fine. Was a little bummed that I'd miss PT but I took those ankle weights with me and was able to do alot of the exercises on the road. I'm so happy that I'm improving so successfully.


About a month ago, my 23 year old son asked me what I do in PT and I told him about the ankle weight they they put on before alot of the exercises. He said, Dad, we have the same set of weights in the garage. Turns out that he uses them in his work outs. Now, he probably uses a lot more than I do...like 25 or 30 lbs. and I only use 4 lbs. So we took off alot of the weights to bring it down to 4 lbs. and what I've been doing is strapping it on as soon as I get home from work and PT. I just leave it on all evening until bed and just go about my business walking around the house withg the ankle weight strapped on.. its helped me alot...My therapist said its a great idea...Try it...It really speeds the recovery, I believe.


I couldn't be happier with my progress. I have all my ROM back....135 degrees...even better than the "good" leg, which is at 132. Graceella, don't worry about the swelling. I still have a good deal of it too but my OS is not one bit concerned about it and it goes down a little every few days.


I'm in great spirts as I continue to recover and improve. Oh, don't get me wroing, this was a terrible experience ( and I still cannot believe that it happened)  but I'm getting better every day. Even the tightness of "the band" ..although still there...is almost gone. I'm wondering ...in reading all of these other posts...why I'm doing as well as I am...I had the 100% percent rupture, as opposed to a partial, remember? Fell down at the hotel in Mexico, etc....But I'm doing amazing and couldn't be more pleased with the recovery...So if you're bummed or frustrated or wondering if you'll get better, you really will.


Good luck and hang in there. It does get alot better.



post #1143 of 10802

Wow Florida Guy you are doing great!  It is so good to hear some success stories, gives one hope. 

I have just finished my first week of PT and it is going well.  My PT has me walk a little without the brace while I am there and that too is building some confidence that I will be ok when the doc tells me to ditch the brace for good.  Has anyone, in their PT, had the electrical stimulation of their quad?  They started that with me yesterday, so I have had two sessions of it.  I think it is torture, hurts so bad.  Not sure if I am just being a baby or if it is supposed to hurt this badly.  Any thoughts???

post #1144 of 10802

Graceella: I don't know if its the same thing that you're talking about but at the very end of every PT session, they do the electro stimulation thing along with ice for 12 minutes and its not painful at all. In fact, everybody at therapy kiddingly says its like the desert and the best part of the whole hour. Its quite pleasurable actually so it must be something different from what you're describing.

post #1145 of 10802

Floridaguy, they do this at the end of my therapy session with ice.  PT has said the electrodes will contract my muscle better than I ever could and that after this, my quad will be very tired and my knee will likely buckle.  She did say there is another form of this electrode therapy that they use for pain relief and that if I want that I could have it at the beginning of my session.  But I have not needed it at the beginning.  Funny thing is, I don't feel my muscle contract, I just feel an electrical current going into my leg and it is almost intolerable.  PT looks on sympathetically but says it is part of the regimen.  I don't know...

post #1146 of 10802

Graceella, this sounds strange. Its actually a very pleasant sensation when I get it. Its just a pleasing vibration around the knee and quad. I wonder if anybody else is experiencing what you are. Should not be as painful as you're describing.

post #1147 of 10802



I have the electro-stim (the PT calls it Russian stim, images of the 70s Olympics dance in my head every time he does that) at every treatment. I think everyone has a different tolerance for the amount of stim that's comfortable. My PT gives me control of the dial, so I can set it where it's comfortable. Generally, I'll try to set so that it's just a little uncomfortable but not intolerable. They combine it with quad sets, so I'm contracting the muscle at the same time the stim is doing it. It's done in 10 sec intervals, so I contract the muscle when I feel the stim starting and release when the stim stops.


I've also done the other type of electro-stim at my primary care doctor's office. I had some tendonitis in my shoulder/neck early last fall. They did it for 30 mins daily for 5 days. It felt like a nice massage at the end. It's a very different sensation than I'm getting with the Russian stim machine.


FWIW, "part of regimen" is one of those answers that I hate--and you're getting great care where you are. I think the hardest struggle I've had through this process is getting the professionals treating me to explain why something must happen. I need explanations for why and would like a treatment regimen at least somewhat tailored to my strengths/weaknesses as I recover. One of the things that I like about my PT is that he'll spend some time with me looking forward, setting goals that are geared toward getting me out doing things I want to be doing, and explaining the basis for the exercises.

post #1148 of 10802



Thanks so much for that response.  What you describe is exactly what I have.  My concern is that I can't seem to tolerate it as it currently is and the PT is saying that my muscle is not even contracting, which makes me think I need to find a way to suck it up and increase the number because why go through this hell if it is not doing what it is supposed to do? 



post #1149 of 10802

Hi all -

Like Garland, I've been frustrated with the lack of information.  I teach part-time at the UW Med School, so I have library privledges - although I am not a medical doctor.  I've been searching and reading the literature to try to get a better idea of what is up.  Here are some of the things that I've taken away from my reading.  Maybe they can be talking points with your OS or PT:


- There are few papers that focus directly on QTR and its outcome.   The ones I found were 5-15 years old.

- QTR is a relatively rare injury.  It can occurr in people with healthy tendons due to traumatic injury, typically associated with a sudden and forceful eccentric contraction when the knee is partially flexed.  It can also occurr more spontaneously in people whose tendons are weakened by other underlying disease.

- Surgical repair is almost always performed in cased of complete rupture.  There are variations, but they all have a high success rate.  Complications are infrequent.  Interestingly, I didn't come across discussion of scar tissue formation in the papers I read although that seems to be the most frequent problem reported in this forum.

- The literature is not clear as to how strongly the time between injury and surgery influences outcome - although it is generally agreed that shorter is better. 

- As often noted in this forum, there are multiple markedly different approaches to rehabilitation.  There is apparently little difference in outcome between the different approaches, although the studies are small and may not have the statistical power to differentiate modest differences.

- Overall, patients report a high rate of satisfaction with their treatment and are able to return to normal life.  Most return to their jobs, even those that require a high level of physical activity.

- Only half of patients return to their previous recreational activities.  Interestingly, the authors were not able to find any physical or medical reason that patients didn't fully regain these activities.   They suggested that patients are more willing to modify their activities versus engaging in the prolonged and aggressive rehabilitation required for full recovery.


I don't think any of this will come as a particular surprise to anyone following this forum.  It appears there is a lot of "practice" and "art" to determining treatment and perhaps practitioners tend to follow protocols that have worked in their institutions versus a broad consensus on the best approach.  As has been often stated, we may have the best body of information available in this forum.


Best wishes to all!

post #1150 of 10802



This seems like a good point to start a conversation with your PT. When they positioned (I was told today that I don't need the Russian any longer) the pads, it was along the Vastus Medialis and sometimes touching the Vastus Intermedius. I was told that these muscles are the hardest to bring back because they're usually the least developed in our various pre-injury athletic endeavors. My PT has seen a few of these tears and said that only one person bounced back quickly on the medialis -- a soccer player who came in with lots of strength there already.


A few questions to think about:

1) How are the quad sets coming?

2) Where do you feel the contractions in each muscle?

3) When you're doing the stim, can you contract the muscle(s) manually?

4) What are the options other than electro-stim to develop this muscle?


I'm certainly the wrong person to recommend patience, but it will come along. This injury seems to respond best to time and a basic desire to work it slowly back into condition. I keep telling myself that.



post #1151 of 10802

Inury ; 12/29/08

Surgery: 12/31/08




I did not have the electro therapy during PT to exercize the quad.  I did have the electro therapy just prior to and following surgery for the pain that you mentioned above.  They actually inserted a wire into my leg near my groin and fished it down to my knee.  In order to position it, they would turn it on so I could feel the spot where the electrode was and I would tell them move it a little left, right, down, what ever.  Once though they turned it on and I didn't feel it right away, the nurse turned the machine up and it felt like I had 1000 volts shoot through my leg.  I yelled and came up out of the bed.  My point is, your PT may have the machine  turned up to high. 


It's a fine line as to do you put up with the pain, expecting to gain strenght and flexibilty, or with the pain, are you risking further injury.  My PT also told me that each person has a different pain tolerance and as a PT they have to work with that.  If they make it too painful for the person, they will be reluctant to rehab and potentially quit.  My PT would actively strech my knee early in PT to gain ROM.  This hurt like ____.  But I could see that I was gaining 10 - 15 degrees motiion each week so I felt like it was worth it.  Later in PT when strengthing the quad doing step work and squats, I developed a severe pain internal to my knee (not at the injury site, but more like an ACL).  My PT backed off and we took it slower.  Youir PT should be able to work with you and come up with something that suits you.  As we have all seen here, we all have responded differently to different rehabs.  Your PT should be able to put something together that works for you.


Wanasail,  Thanks for the research.  You've confirmed that there really isn't much out there on this injury.  It would be interesting to see a survey on how long post injury did the surgery occur and how did that affect the rehab.  Since my injury occurred right after Christmas, I called every OS I could find in the book trying to get an appointment.  Everyone said 2nd week in January at best.  Finally called my first choice back and described the injury.  He had me an apointment the next day and surger the following day.  Funny how all of a sudden he had an opening for me. 


Godd luck all.  Keep up the work and the positive attitude.



post #1152 of 10802

My brother just experienced this injury although his tear was in the tendon itself and not at the bone. I was just wondering how your recovery went and if you were able to ski the 08-09 season. Thanks

post #1153 of 10802

Hi Garland and Falcon, thanks for thoughts.  Good for you that you don't need the "Russian" anymore.  How long did you have this?  The quad sets that I do throughout my home program and in PT are going fine, I have no problem doing anything physical.  I am such a stubborn person that I will push through the pain to do anything to recover more quickly and one of you said and I do think that you are right about being careful because it can be a thin line between pain being a good thing and a bad thing.  When I do the electrical stim. I am able to contract the muscles manually.  I think my biggest question about this procedure is, if the electrical stim is not visually contracting my muscles, is it doing any good.  I have asked my PT this question and she has been very vague, but clearly is looking for me to push the number higher so that she can see and feel the muscle contract with the stim.  So if either of you have any thoughts on that one question I would appreciate it.  As I said above, I will endure if it is helping me to heal but if it needs to be turned up to do any good (and at this point I can not tolerate turing it up) then I do need to explore other treatment options that would help to develop the muscle. 


Again thanks for the thoughts they are going to help me reconceptualize how I approach PT in my second week.



post #1154 of 10802

18 Weeks POST Op - Rgt Leg QTR


Not much change here, the beat goes on! Slight increase in ROM,  stiffness. swelling and numbness remain the order of the day.


J, ultrasound is part of my formal PT treatment regimen at the repair site. As I understand it, this provides deep heat and stimulation to assist in the breaking down of scar tissue? Is it doing anything? Not sure.


Susan, what type of electrical therapy are you receiving? There are a few different treatments out there.  My PT sessions end with Inferential Therapy. It should not hurt. 4 cups are put on my leg, sometimes 2 above and 2 below the knee and sometimes all 4 above the knee on the quad muscle. Ice pack placed right on knee between or below the cups. I feel a tingling sensation in my leg from the electrical current. I start at 30 and slowly turn it up during the 10 minute session. My PT has specifically said do not turn it up to the point of pain. The highest I have gone is 50. As I understand it, "Russian Therapy" is a different treatment as is TENS, etc.


Here's a brief summary of my new formal PT routine:


Moist heat pack applied for 10 minutes. Ultrasound treatment for approx 5 - 8 minutes. PT does deep massage at the repair sight for another 5 - 8 minutes or so. ROM exercises begin on my own lying on my back with foot up on the wall, pushing down with other leg. Then lie on my stomach bending the leg towards my butt with assistance from other leg. Then around a hour of exercises on the equipment.  End with the ice and Inferential electrical stimulation. I'm there for approx 2 hours compared to 30 minutes at my first PT for a slightly lower cost. Buyer beware indeed! I then head to the club for a leisure swim which helps with the swelling.


Have a great week all - persistence is the key with this injury if things are going slow for you - I hope?




post #1155 of 10802



I found out this evening, that I too am having the "Russian"  I was able to tolerate it a little better tonight so maybe as time goes on it will get easier and easier and I can slowly up the number.  I am able to tighten the quad on my own while the current is up so I am just going to take it day by day.


Thanks for all the support.

post #1156 of 10802



Good luck with the electrostim. I never thought it was all that bad and really tried to push my pain tolerance with it as I wanted to see some muscle redevelopment. More than anything, I just needed to feel like I was doing something other than sitting around. At the time, my exercises were pretty limited in scope and variety. Boredom with the exercises was an issue. I think my settings went up by 2-3 each week -- doing it once per week. There were a couple of big jumps in the last sessions -- more muscle mass I assume.


On the exercise front, I'm thinking of bumping my outdoor cycling up to 10-12 miles (still mostly flat) over the weekend. The swelling that I was experiencing seems to be related to sitting with my leg bent at work more than exercise.


I hope everyone is doing well in the various stages of recovery. Have a great long weekend!

post #1157 of 10802

8 weeks post-surgery


Completely off brace for a week now! Walking better and better....Knee still swollen. :( Stairs are the only real issue, but even that is improving.


In PT, she started using electro on me today, to stimulate the inner quad. She set it so that it would go off and on, and I flexed/extended when it went "on" for a few seconds. She was pleased that I could tolerate enough for a good contraction. Also started step work in PT (although I have been working on it at the gym). The "down" part is the hardest: keeping the quad tensed and stable while stepping down on the other foot. She has me on the treadmill concentrating on an even gait and not favoring one leg. ROM is 129 degrees now.


Just even 2 weeks ago, I never thought I'd be walking this well by now.What a huge relief!

post #1158 of 10802



gymdude, that's awesome that you are recovering so nicely.  Sounds like maybe you are also having the "Russian" electrical stim.  For my part the electrical stim is much easier to tolerate.  The first two times it was really painful but the last two times I found myself moving the number up, looks like I just needed to build some tolerance. 


I am hoping to be out of my brace at my next appt. with OS, which is on June 1st.  PT has be walking without brace for the duration of my PT and I have been taking it off at home a bit because it is really just irritating me ( I do keep a crutch handy though when I am at home, just in case...)  I am six weeks post op at this point and it is really cool how quickly your body recovers from something like this.  I thought it would take forever but in just a week and a half of PT I have reached 90 degrees ROM and the PT is not able to stretch me more until my OS gives the go ahead.


Hopefully we will all continue to do well!

post #1159 of 10802

Looks like everyone is making great strides to recovering.  Tigger glad to see your still pushing and making improvements. 5 months post injury,  I have not been doing my home pt as directed, after landscaping and mowing  60 + hrs a week its hard to fit in.  The knee feels good and some times reel good.  I still know the injured leg is there in my head, wet weather really makes me nervous when working.  I would label my self as maybe 85%.  Keep up the hard work everybody it will pay off in the end.  good luck to all and sorry for any newbies bad luck!!!!!!



post #1160 of 10802

Hi all -

Its great to read about so much progress.  I'm planning on spending the weekend getting my sailboat ready to race and out pounding the flat "rails-to-trails" on my mountain bike.  My bike coach and PT are now working together to integrate bicycle training with the PT program.  The PT is also mixing in exercises specifically to rebuild my "sea legs."   She keeps reminding me that recovery is as much about reprograming the mind to reverse adaptations it has made due to the injury, weakness and using the brace and crutches as much as it it rebuilding the muscles.   Hopefully, I'm only a couple of weeks away from being cleared by the OS for sailing and riding my road bike outdoors on the steep, but short, hills we have here in southern Wisconsin.  The only downside is that my wife reintroduced me to the lawnmower.   I still tease her about telling me to "suck it up, its probably only a sprain" when I was lagging climbing the 99 steps to Blackbeard's castle on St. Thomas with my newly ruptured quad tendon.  (My icon for this site is a picture of one of the pirate statues surrounding the castle.)  She gave me a framed enlargement of the picture of the harbor I took from the castle to hang in my office. Its nice that I'm reaching the stage in my rehab (12 weeks post-op) that we can laugh about it!!


Best wishes for the holiday weekend for those in the U.S. and just plain great weekend for those who live elsewhere.  While we're each facing different challenges and progressing at different rates its uplifting to follow how everyone is working through this horrible injury.



post #1161 of 10802

Surgery was one year ago today


In honor of the event, I ran 6 miles this morning at dawn, and it was great to be out on the streets.  Gracella, my only comment is that I I don't think PT shoudl hurt, including the electro-stim.  My PT guy went slow with me and I'm glad he did.


Also, thanks to the student who posted the "unexpected eccentric contraction of a flexed knee", that's exactly what happened to me on a very springy diving board.


Keep plugging away.  I'm much better than I thought it was going to turn out when I first got hurt.



post #1162 of 10802

I ran into this board looking for info about quadriceps tendon repair-it seems to be one of the best sources on the web. I've learned quite a bit here and thought I'd join to say "thanks."


I did feel a bit odd signing up at the Epic Ski site. I did ski as a kid in Maine, but it was decidely non-epic.


Anyway, here is my tale: On March 26 I got on my roof to clear off some debris-as I had done countless times before. When I was getting off the roof, the ladder flipped out from under me, dropping me about eight feet t. It was one of those awful moments when time slows just enough to allow you to fully realize how screwed you are. I hit the ladder with my left foot, taking the full impact on that leg. I heard a “pop” (not the sort the weasel makes) and I fell over on my side. Checking my leg, I saw that my knee cap was about an inch from where it should be. Fortunately, I still had one functional leg-just the minimum I needed to drive to the hospital.

To make a long story short, I tore my quadriceps tendon (hence posting here) and found out that is the tendon that enables people to do cool things like run, jump, ski and walk. I had surgery on April 3 and was in an immobilizer for two weeks. This was somewhat less than fun, but I did learn that I could do 16 miles on a stationary bike using one leg. I also learned that doing that is wicked boring and will no doubt leave me with a freakishly overdeveloped right leg. Some have suggested that once I can run again, I’ll be running in circles. A video of that would no doubt get some massive hits on YouTube.

As I write this, I’m in a fancy ($500 of fanciness) leg brace. It is black and vaguely menacing (exactly how Rush Limbaugh sees Obama, I suppose) but it keeps me from tearing my tendon apart again, so I am rather fond of it.

I'm at the start of week eight (post surgery). I can walk semi-normally, but my flexion is not quite what I had hoped. I've got 50 degrees easy, 60 with some effort and 70 when I am warm and push it a bit. I go in to the PT clinic tomorrow for some updated exercises and see the doctor again next week. For the past couple weeks I have been doing quad sets, hamstring sets, hamstring stretches, patella mobility exercises, and flexion exercises (you know, passive and active knee bends). I'm looking forward to doing more to get my strength back.


It has been very encouraging to read about other peoples' progress and to get a picture of the various approaches the medical folks take. Naturally, I really like hearing about people who are back to being able to run. I was a serious (okay, fanatical) runner before the fall and I hope to be one again. I'm already tired of seeing the dust pile up on my running shoes and my husky (and running buddy) is getting a bit crazy.



post #1163 of 10802

Idaho Guy,


Keep your head up. I have rehabed with a someone who tore the same tendon as you. He tried to step up on his desk at work and blew his out. Stupid when you think about it. I have had 4 knee reconstructions with 2 of them being old school repairs in the late 80's. They are matching 10 inch scars to repair my MCL's and I have 2 two inch scars on each knee for the ACL repairs nearly twenty years later. Phil's Garage can verify how unsightly they are. After battling tedonitis for two years in the last ACL repair I am finally back to skiing the way I want to. At least you were in shape and have a head start.


Good Luck,



Edited by PAIceman - 6/10/2009 at 04:47 pm GMT
post #1164 of 10802

Hello all, thanks for all the valuable info about this injury.  I’ve been reading for a while now and am getting a little worried about my progress. 

Complete rupture of quad tendon on 12/7/08 and reattachment surgery on 12/15/08.  Knee was locked in straight position for about 6 weeks then was allowed 15 degrees ROM each week until I was to 90 degrees. Then, at 12 weeks post-op the brace came off and my OS had me riding bike and walking against the current in the wave pool to regain the rest of ROM and some strength.  I now have nearly 100% ROM as I can pull my heel to my glute.  But I have noticed very little gains in strength.  I should note that I am 330 lbs, so I do realize that it will take a bit longer for me to get back to full strength.  

My OS has never referred me to a PT, so I went on my own and I doubt she has dealt with this injury before.  She gave me a rubber training band for quad extensions and also had me doing wall squats along with the biking and pool work.  I thought there could be more I could be doing so I sought out a more experienced PT.   He got me started on a few new exercises focusing on eccentric strength.  So I have been doing a descending leg sled and quad extension, only LOWERING the weight not pushing or extending.  I’ve noticed small gains with the eccentric exercises but have a considerable amount of pain in the patella area and I can still only do a 10 pound extension, and cannot lower myself down the stairs with my bad leg.  I either have let myself drop onto my good foot or just go down 1 leg at a time. 

What worries me is how weak the knee is just 2 weeks from my six month mark and according to some of you I shouldn’t be experiencing this much pain.  I’ve always thought I’ve had a high tolerance for pain, but maybe I’m wrong.  A distant cousin of mine, who is a OS, confirmed last week that I should be close to 90% at the 6 month mark.  I’ve begun to start calling around and I may go out of town to find a more experience PT.  I am in a fairly small town in North Dakota (20,000 pop) and am thinking I need to seek out an expert on this specific injury.  It seems like every person on this thread has had some kind of E-Stim.  I’ve had none even though I’ve mentioned it to both PTs I’ve visited.  I found a portable Russian Stimulator online and am tempted to buy one for myself. 

I am also worried that my chances of a full recovery have been hurt by not receiving the best treatment /advise.  If anyone has any input for me it’d be much appreciated.   Please be brutally honest.  Thanks again to everyone for all the info.  I hope to hear from you soon.



post #1165 of 10802

Hi Tyler,

First, I think you need to give yourself a pat on the back for sticking with the program and actively seeking the professional help you need.  I think the best advice is always to find knowledgeable professional help that you feel comfortable with and then listening to them.  Don't compare yourself to others.  Every injury and individual is different.


I wouldn't be too concerned about the electro-stimulation.  I think there are mixed feelings about its usefulness and effectiveness.  Some believe, others don't -- like much of what you find about this injury. For example, my PT doesn't use it.   My understanding is that electrostimulation is used in the early stages before you are allowed to begin active strengthening (maybe others have a different experience).   You are already doing active strengthening, especially eccentric strenthening, so you're probably past the point where you would benefit from it.    If you Google "electrostimulation" a whole bunch of articles will pop up, some of which are very informative. 


Being aware of pain, swelling, etc. is important.   The first suggestion is RICE - rest, ice, compression, elevation.  After every PT or bicycle training session I elevate the leg and wrap the knee with an ice-pack under an ace bandage for 20 min.  It makes a huge difference.  If you still have pain, talk to your PT. 

Congratulations on your attaining 100% ROM and I'm betting that you'd be surprised if you had an objective measure of how much strength you have actually been able to develop.


post #1166 of 10802

Thanks for all the practical advise. Neccesity is truely the mother of invention, having figured out alot of tricks to getting around. Ended up having surgery and I am 3 weeks post-op. Doctor said that I re-wrote the book on Quad ruptures..as this was The Worst he had ever seen. MRI showed 75% tear but once he got in it was more like 90% with the remaining 10% sliced back. It looked as if a hand gernade had gone off in my knee.


Being it was so bad...he is waiting to let things heal and "quite" down before rehab starts. I am looking at aonther week until we look at a rehab schedule. Wearing an immobilizer brace now. No weight bearing at all. No real pain anymore...the knee gets sore from time to time. This is the first full day I have een back in the office....feels good but hate having to get rides from others. My dear wife has been a saint through this whole situation.


Just really want to start rehab and get a little more independent. You really do take the simple things in life for granted.



Again, thanks to all who answered my post before and please keep the advise coming.   

post #1167 of 10802

3.5 months post-op


Hey guys and gals,


Hope the recoveries still proceed apace for each and every one of you.


Tyler, good work on getting to where you are. Keep working hard. It will come around. The only things I learned in the first week after the rupture is (1) that pretty much every surgery option and PT option works with this injury so long as there is due diligence on your part and (2) it's really easy to get sucked into playing video games when you can't get off the sofa. I also think it's okay to be worried. This is one of those injuries that seems to prey on all of our minds. We always find something to worry about that's not as ideal as we want it to be -- for me that's ROM right now. I'm at 116 degrees as of this afternoon, and I feel like I should be gaining the ROM back quicker despite being notoriously inflexible -- physically not emotionally or spiritually, that is. You're doing the right things. Finding a PT that you're comfortable working with and who will talk to you about why each exercise is valuable seems crucial.


Wannasail, how are you working with the strength discrepancy between the legs? My left leg is getting noticeably stronger as I ride -- it feels like it's doing a pretty fair share of the work when I do the small hill leading over the railroad tracks near the house.


Have a nice weekend folks. It's supposed to be nice and warm here tomorrow, so I feel a good bike ride in my future for the morning ...



post #1168 of 10802

Hi garland -

The weather is great and it's fun to be out bike riding!  Most of my strengthening work is part of the PT.  I'm doing squats, lunges, step-downs and extensions (I'm also at about 3 1/2 months post-op), plus some core, balance and work on strengthening other muscles in the leg.  My bike riding is focused mostly on building back my aerobic capacity.   The only strength exercises I'm doing on the bike are one-legged pedaling intervals.   I see the OS later this week and I'm hoping he'll clear me to start doing some hills.  Best to all!

post #1169 of 10802

Hi all,


I am now almost eight weeks post op.  I see my OS tomorrow morning and I am hoping I will be able to ditch this brace, I am so done with it.  It has been three weeks since I have started PT and my ROM has gone from 75 degrees to 101 degrees, so I guess that is pretty good.  The electrical stim does not bother me at all anymore, I think the first two times were tough because I wasn't really expecting it but since then I have almost begun to enjoy it, I think...

My biggest struggle is keeping my ROM.  It seems like some days I have better ROM then others and in the morning my leg is so stiff and I really struggle to do my home PT because I can't seem to adequatly warm up my muscle before I go to work.  Any thoughts on that would be helpful.  I have tried doing the PT after my shower in the morning but that did not make any difference, this morning I put a heating pad on my leg but that didn't seem to do too much either. 

Has anyone else experienced this issue with warming up the muscle in the morning to be able to do the exercises?


Hope all is well!!

post #1170 of 10802

Hi Graceella,

Hope you get to toss the brace tomorrow!!  This may seem a bit counterintuitive, but it works for me.  Are you icing and elevating your knee for 20 min after every PT session?  The ice will fight the inflammation.   Icing today may help you reduce the stiffness tomorrow.  Also, try icing and elevating for 20 min before you go to bed.   We put a lot of stress on the knee during the normal daily routine.  Taking down the inflammation at night may help you feel less stiff in the morning.  Like chicken soup - it may not help but it won't hurt.  Let us know if your OS lets you ditch the "ball and chain".  Cheers!

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