or Connect
EpicSki › The Barking Bear Forums › Ski Training and Pro Forums › Fitness, Health, Nutrition, Injury, and Recovery › Quadriceps Tendon Rupture, Repair and Rehab
New Posts  All Forums:Forum Nav:

Quadriceps Tendon Rupture, Repair and Rehab - Page 44

post #1291 of 10797
  thanks for the reply,  it seems like you were able to start pt earlier.  i was in the straight leg brace for 6 weeks, then started pt at about 7 weeks post op.  it's going well i think..my knee is swollen and hard..but if is gradually bending ( with pain )..i'm at about 70 degrees.. and do lots of the pt exercises. my thought is that there is lots of scarring tissue grown in there and i have to massage it constantly to try to break it apart .   like you did,  i'm thinking i should be further along..and i'm  working hard to try and get  "there"  quickly.  
   thanks for the  "no pain-no jane " !!  lol...i think about that when i'm sitting there at pt !!! 
post #1292 of 10797
Wanasail, I am intrigued...  What is a dark and stormy?
post #1293 of 10797
Wanasail, I agree with the idea of having to focus on something you want to push through the pain.  Granted I do consider myself a big baby but when I would lay on my belly while my PT pushed my heel to my butt, I just focused on my breathing and kept telling myself that it would get easier.  It did get easier in just a week or so, it still hurt but every week I felt less and less pain.  So put your mind in another place while you are doing something that hurts, of course you should tell the PT when you are having pain so they can be sure it is pain you should be feeling and not pain that indicates a problem.

Good Luck all!!
post #1294 of 10797

Hey Fallguy, I am right behind you, as I started PT today.  You were right. Everyone there was great, and I got a pretty good game plan with my guy. A little bit of discomfort pushing the ROM, but it also felt good when they were working on the ultrasound and massage to break up the scar tissue.  Since getting clearance last Thursday, I have been hanging my legs on the recliner, and lowering it until I felt them stop, and waiting a bit and then rasing it up. Over and over.  Went from 33 degrees at the OS office 5 days ago, to 44 degrees left leg and 42 degrees right leg this morning.

The big news was that I stood and took a few first steps without the braces then stood at the counter and did some standing knee bends.  First time under my own power (without braces) in 7 weeks!  Woo Hoo!!!

Didn't have to use the "no pain, no jane" mantra either.  I got a pretty interesting lecture on rehabilitation from them today which kept me distracted.  Most of what he said has been discussed here on this forum, but it was still interesting.  

My new pain mantra is "Dark and Stormy".   Graceella,  when Wanasail tells you what that is, it will make sense (so will his handle). 

post #1295 of 10797
Graceella - Dark and Stormies is one of my favorite subjects.  Rcm111 is obviously also well versed!  Its the national drink of Bermuda and a favorite of sailors.  Starting with the right ingredients is critical, the proper drink uses all products of Bermuda.   You start with a tall clear glass with some cubed or chipped ice.  Next you add Barrett's Ginger beer until the glass is about 3/4 - 7/8 full.   Don't succomb to the temptation to use giner ale or other ginger beers - they will taste awful.   After the fizz settles, you carefully layer an ounce or two or three of Gosling Black Seal 80 proof rum on top of the ginger beer.  If you do it right, the rum will float on the surface with eddys and tendrils extending into the ginger beer -- looking just like a storm approaching over the horizon at sea.   I like to top it off with a bit of lime to prevent scurvey.   The Gosling rum is easy to find;  if you can't find the Barrett's ginger beer you can order it by the case from Beverage Direct on the net.

It can be frustrating ordering the drink at a bar, where a luberly and ignorant bartender will pour the rum first and then the ginger beer.  This is about as pathetic as referring to left, right, front and back on a sailboat.   To avoid the difficult situation of returning the drink to have it made properly - make sure to remind the bartender or waitress to layer the rum on last.  If they give you a blank stare or "huh" you know you'll have to educate them.

When I popped the quad tendon on Anegada the first line of treatment was Dark and Stormies - of course the percocets also helped!!

Make sure to enjoy it with friend.  It's also a great way to enjoy the best sailing movie of all time -- Captain Ron!
post #1296 of 10797
 hey all...
  Rcm111...great progress..congrats !!    just be careful without your braces on..i think you should be wearing them..especially with both your knees and muscles  being  weak.                I got to 60 degrees  pretty easily without much difficulty or pain. Getting past that is where i'm having the pain..my  knee is sorta hard and stiff..feels like trying to bend a 2x4.      Today at pt i got to 75 degrees and did some more muscle strengthening exercises.  I did feel some tearing / popping..scar tissue letting loose i'm hoping !!!  lol   I saw my OS today also (10 weeks post op ) He said everything looked good..and it's normal for the swollen and hard knee .
 wanasail :     ya mon !!
     ps    i fell at the marina where i keep my boat !!!   lol
Edited by fallguy - 8/5/2009 at 09:47 pm GMT
post #1297 of 10797
I knew Wanasail would tell the story alot better than I ever could!   I first learned of them in a less refined part of the commonwealth as the Bermuda Yacht Club where his description must come from.  I became a fan at a dive bar on an island near the great barrier reef.  The Aussies aren't as particular about the ingredients, but even a poorly built one enjoyed with friends around some water is pretty good.

Fallguy, I know the feeling about the 2x4.  When it is done moving, it is done.   My endurance is shot too.  I felt great at PT that day, but was pretty sore the next day.  A good sore, but sore. Hopefully the noises in your knee will diminish as you push through the scar tissue and work towards 85 degrees and beyond. 
post #1298 of 10797
Wow those Dark and Stormies sound good, my husband would like them too.  I am not too sure about the ginger beer for me, not a big fan of anything ginger.  But I will give anything a try, I am definitely a fan of Rum!  Especially when I am drinking in the middle of the caribbean.  I sure do need to do that again some day soon!  We have some friends where we do a lot of partying and this sounds like a drink we should make there.  I will let you know the reviews.
So I took my kids to the park tonight and played some basketball.  I was able to jump when taking shots but can still not run at all.  When I tried to run for some rebounds, my knee just buckles.  That is what is most frustrating to me, I want to run!!! 
post #1299 of 10797

That's a familiar sentiment. Wait until you feel strong enough. That part is key! They started me out on a few weeks of side to side movement drills and crossover movement drills before I could do forward impact activities. I know your rehab has gone more quickly than mine and that you certainly have less body mass that is forced through the joint. Still, make sure your quads have gained some strength back.

Then, get on a treadmill and gradually increase the speed. Start out walking for a couple of minutes to get up a good rhythm. Gradually increase the speed until you're transitioning from a walk to a jog. I started jogging VERY SLOWLY around 4 mph while holding on to the rails on the treadmill to take a little stress off the knee. After a while, I got up enough confidence to let go of the rails and jog for a few minutes.  I've done the treadmill 4 or 5 times since the first time. Each time gets longer and a bit faster. I was at 5.5 mph last night at the gym. My new goal is an 8 minute mile on the treadmill by the end of the year :).

The hardest part when I tried to run/jog before starting on the treadmill was that I had a tremendous limp. It was a mental one, but I couldn't shake it. I still am not all that good at starting on my own. I want to try running on a local soft track in the next couple of weeks. My PT says that the curves will be a challenge and suggested running the outside lane. When I've hit tennis balls, I think my instincts take over and let me do some things that I wouldn't if thinking about it.

Congrats on the jumping, though. That's something that I'm not really brave enough to try yet. Maybe next time I'm at the gym with a free court to shoot on, though.
post #1300 of 10797
This is my first post.  59 year old male swimmer, 6 ft. 235 lbs.
Injury by fall down stairs 5 weeks ago.  Complete rupture of left quadriceps.
Surgery 4 weeks ago.  (Marc Friedman M.D. SCOI).  Re-attachment using three drill holes in patella as anchor.
  (only my prior open heart surgery was more painful)
Off of all pain meds, except tylenol, within three days.
Instructed to keep leg straight in brace continuously for six weeks due to the extensiveness of the tear.
I have been able to walk with one crutch and bearing weight on the bad leg since day 3.  Otherwise, I do nothing except eat and use EMS unit (which seems to do nothing).
I have been provided a machine in my home which will passively bend my leg.  I am instructed to begin at the 6 week mark.  I have been told to start at 0-30 degrees, and to add 5 degrees each day, doing two one hour sessions per day.
post #1301 of 10797
Hi Xerxers,

I am so sorry to hear about your injury.  I am 8 weeks post injury & surgery for a bilateral QTR.  You have found the right place for information and support, so welcome.   There is alot of really great stories and posts here that that can answer questions, and they are all from experience so they carry some weight. 

I thought that the first six weeks were the toughest mentally.  The casts for two weeks sucked, and then the braces in full extension and the slow regaining of strength the second two weeks sucked too.  Right about week 3.5, I thought my wife was going to lose it (three kids and a crippled husband are a bit much).  I have been optimistic throughout and I will NOT let this get me down or prevent me from haveing a normal life.  That is until I was right where you are at 5 weeks where I kind of hit the wall. (see my post a couple of pages ago).   At 6 weeks, I was given the green light to rehab with PT, and began to see some more rapid improvement, and my spirits lifted quickly.  Can't speak for the others, as every journey is different here. Some cheap advice from me is that you got to let the injury heal, and once you get clearance, find the PT that you like.  Then stick with his or her recomendations.  They are pretty seasoned pros when it comes to rehab.  . 

The good news is you will get back in the water!  I was up to about 6000 yards a week myself and can't wait to get back in.  The PT told me we could start in the water immediately, but my problem isn't getting in, it is getting out.  My legs aren't quite strong enough.  But I am scheduled to swim on Wednesday, and I will crawl out if I have to. 

Hey Fall guy,  how are the home exercises going?  I have been working on them and had a three set day yesterday.  They don't hurt much while I am working on them, but Im having a hard time getting to sleep at night they ache so much. 
post #1302 of 10797

Sorry about your experience.  The machine that you have at home sounds like the bioflex machine that I used at the beginning of my rehab.  Mine was done at PT, I know my father in law who had a knee replacement was given some machine to address ROM at home as well.  I hope you will find that once you begin your therapy you will see improvement in a short period of time.  It may hurt at times but as long as it is the kind of hurt you are supposed to experience, only good will come out of the therapy that you do.  Good Luck with rehab and use this forum for advice and support, it really helped me get through at a time when I was pretty miserable waiting to begin my PT.
Keep us posted!

post #1303 of 10797
To: RCM111
     I built my pool five years ago.  (Salt water, heated, 66 ft long.  Before my fall, I would swim one mile a day, five days per week casually.)  Unfortunately, since there were no users but me, I didn't think to include any kind of railings - just steps.  Of course getting in will be easy.  Once I am cleared, I could just fall in the deep end.  The problem will be getting out in a standing position.  I may try to hire someone to building some kind of temporary railing.
     I cannot imagine how difficult it must have been for you to do the basics with a bilateral injury.

To: Gracella
     I was told that I would get a new brace that can be adjusted for angle.  (My current brace is just a straight legged brace that cannot bend at all.)  How do these adjustable brace work?  Do they permit one to walk?
post #1304 of 10797
 sorry to hear about your injury.  I'm about 10 weeks post op.( left quad rupture with tendon to tendon repair.)  pt is going well..but the ROM is slow...the bending is very very painful, trying to stretch the tendon , but i seem to be gaining about 2-3 degrees per session which i don't think is great.( I'm at about 75 degrees ) my knee is swollen and pretty hard and stiff..which they tell me is normal and there is alot of scarring tissue  .     i do lots of leg muscle building exercises which is working very well.   my leg is getting stronger. I'm trying  to walk ( slowly ) without a limp..but this will take time also.
   i think a big part during the healing is flexing the quad muscles and doing the ankle pumps along with calf flexing...and ice !!    The  " hinged " brace you will get is pretty simple.., velcro straps and it has pins on  the hinges on each side that you set..the first setting will probably be about 30 degrees .  This brace will enable you to walk abit easier..but go slow, the leg muscles  will need to be strengthened.   
       my home exercises are going well, i too am sore at the end of the day !! my calf and behind my knee really feel the workout !   but i can tell that my leg is getting stronger and i seem to have more faith in walking !!    I just wish i could get my leg to bend to 90 quicker !
post #1305 of 10797
Question to Anyone:
I have been given an EMS (a stimulator that is supposed to cause the quadriceps to contract and help rehab).  When I use the EMS, however, on the damaged leg, it appears to not work.  That is, I see almost no muscle contractions.  Every once in a while I will see a small contraction.  In contrast, on the good leg, I get very strong contractions.  Has anyone had this experience?  I am concerned that the damaged muscle may not be responding because it is dead, or permanently damaged.  Feedback from anyone with experience would be appreciated.
post #1306 of 10797
    I have heard of these stimulator machines,  but  i have not used or seen one.
          I am not a doctor, but i beleive  the quad muscles in your injured leg are weak.  They loose power when they are not used ..   in your case,  as most cases, 4 to 6 weeks of being relaxed and not used  will sort of let them " sleep "   It's amazing how small and how quickly  they shrink when they aren't used.   I don't think there is damage to your muscles, they just need to be strengthened ..little by little they will respond and you will see improvement in the injured leg .  
     I thought my thigh muscles were  "gone "  , just lots of flab...but after doing lots of exercises ( under the direction of my pt ) the upper leg has become  much stronger and i can see the tightness when i flex .  
  good luck !!
post #1307 of 10797

Hey regarding the EMS, I had what is called "Russian" stim as part of my PT regimen from day two of PT through the end.  In the beginning the PT would turn the number up and have me tell her when to stop.  She told me to push the number up as high as I could.  Initially, she told me that my muscle was not visibly contracting at all.  As much as I tried to turn the number up, I could not tolerate it enough for the muscle to contract.  After a short period of time, I was able to tolerate the stim being turned up a little higher and the muscle contracted.  So, it depends on what kind of stim you are doing and how high you are turning it.  Is there a therapist that will advise you on how high you should be turning the stim? 
As for the leg brace.  I was in locked extension for four weeks and then the OS opened the brace up to 60 degrees so that I could walk.  60 degrees basically gave my leg the ability to have a natural stride, Because it was locked at 60 degrees, if my leg buckled, the brace would catch me.  It was a good way to build up a little bit of strength until I started PT.

Good luck!!

post #1308 of 10797
To: Graceella
Thank you for your detailed response.  I am at post-surgery week four.  My EMS produces little or no visible response even on the highest level.  Of course, I don't know, for this device, how high is high.  Your response is encouraging and I will just try to be patient.
post #1309 of 10797
Hi Xerxers,

Sorry you had to join the group -- though if you have to go through this process then it's an awfully helpful crew.

For the EMS machine, it sounds like you're getting the red carpet treatment. Like Graceella, I had the Russian stim as part of the PT protocol to get the muscles to fire initially and to rebuild tissue loss. Aside fro one session when I pushed it too far, I liked the Russian stim. There are other methods of electrostim, however. Did you have some training on the machine? My experience was that placement was a pretty big deal for optimal effect on the muscle.

Fallguy, sorry to have taken so long to respond, but life has been hectic here. I'm glad to hear that you're making progress on the flexibility. I'd love to get together for a beer sometime and compare scars/stories/etc. I live in East Taunton, so we should be able to find a decent spot. This week will continue to be busy, but after that things should settle down for a couple of weeks. Wednesdays are generally good.

Keep up the good work folks. FWIW, one thing that I've found that's not good for rehab is spending time on your knees to do the trim work on your bathroom :). But on the plus side, it means that I was able to spend time on my knees without tremendous pain and that I can now crawl around a bit with my 1 year old boy!
post #1310 of 10797
Hi Xerxers,

My experience with the EMS has been exactly like Graceellas.  2nd day of PT and every session since, as high as you can tolerate.  I ask my PT's alot of questions (since I am desperate for human contact, having been stuck at home for a month) so here is the scoop;  the muscle can't "fire" on its own at first and has to regain that ability. (Your OS will ask you to flex the quad at every visit to see how able it is to function).  The stim device (developed in Russia) fires the muscle cells for you and improves the "recruitment" of other cells in the muscle, thereby getting more cells back in the game and speeding recovery.  I do 10 minutes at the end of the hour, and while the stimulus is on, I flex my quad. It is a bit more active than passive here at 8 weeks. 

Garland and Fallguy, when I think about you two new englanders meeting for a beer, I envision the scene from the movie Jaws, when Quint (Robert Shaw) and Hooper (Richard Dreyfus) are on the boat comparing scars. They keep one upping each other until Quint's scar and story kind of win the contest.  I can see either of you pulling up your pant leg past the knee and saying "let me tell you about the time I got this baby here". 
post #1311 of 10797

Hi all,
  Xerers :

     i'm sorry i misunderstood your question about the ems machine. ( my bad !! )  lol  .I was thinking about that special machine that automaticaly moves your leg in repitions for you.    Yes , the ems stim machine along with ice pack is used at the end of my pt sessions also. It's exactly as Rcm111 states. 
  garland :

      Wednesdays are pretty good for me also..I know of Curleys Place on rt 44, down the street from corvettes and classics..   or any place you might like
  Also..this is  open to anyone else here that would like to join us  for a beer and comparisons !!
  Rcm 111 :
     funny you mentioned jaws..i was on my boat at cape cod last weekend..comparing scars with others on the docks !!      I can't wait to get back over to the Vineyard ..every year we jump off the bridge where Jaws was filmed..the inlet going into the lagoon... i need to be able to climb out onto the rocks and get back onto the bridge railing first !!   

Edited by fallguy - 8/12/2009 at 01:57 pm GMT
Edited by fallguy - 8/12/2009 at 01:58 pm GMT
post #1312 of 10797
I did mine on the stairs too, 2nd from the bottom, planted foot, shifted weight, left foot slipped, left quad fired to compensate, and the rest you and I both experienced!  Hitting the floor was the least of the worry.

I am like you to a degree.  6' 31/2" 295lb. 59 years old. I scuba rather than swim, you can do it deeper...8^)

It happened April 9th.  Straight leg brace for four week, then gradual range of movement on hinged brace. Been out of the full leg brace since June, out of the smaller brace for about a month or so.

I am doing real well now, full  ROM.  Had the EMS once, it did not do very much at all.  Do not worry.  Your muscle has to re-learn how to work.

Follow what your PT tells you, but in general, I got worked mildly to stimulate the attachment of the ligament.  Then you work on strength of the quads themselves.

I am about 70% in the left leg now on a bench slide.  I can press 145 lb with the left damaged leg, and 205 with the right, so you can see what more I have to do.  When I started, I could only do 80 lb on the bad leg.  I will not lie to you, at 4 months after injury the left leg is still weak, and the quad visably smaller than the right one. 

I do not know if that is good or not as I am not a gym exercise junkie and rarely have seen a gym.  I walked for exercise and hunt elk/deer/pronghorn for exercise. So maybe 205 on a good leg is weak, but it is just what I can do.

Chin  up, it gets a lot better.  Since the injury, I have flown to and vacationed in Hawaii 1 1/2 months after the injury, had business trips to Alabama and Florida and am planning Italy mid next month for 10 days.  Leg aches a bit in the afternoon and I still take steps mostly one at a time, and stand from a chair using arms for support, but it is a whole heck of a lot better then two months ago.

Come back often to status, and really DO NOT GET DISCOURAGED!  IT GETS A LOT BETTER VERY SOON.

Edited by dbrow16 - 8/12/2009 at 03:01 am GMT
post #1313 of 10797

     Thank you for this information.  The encouragment is encouraging.  Regarding the difference in strength between your two legs, do keep in mind that the non-dominate leg is always going be weaker.  My own orientation is toward function.  I enjoy walking and swimming.  Accordingly, once I can do these activities relatively normally, I'm fine.  I have no athletic aspirations of great strength.
     By the way, I am also a scuba diver.  All of my diving has been in the Pacific.  (I live in West Los Angeles near UCLA.)  I have not dived for several years, however, because my dive buddy had a child and has not been available.
     I envy your travel plans.  I have been to Italy many times.  Let me know if you need some suggestions.


post #1314 of 10797
Doing Tuscany, Vincenza, Loverno and Florence with a day trip to Rome, all using trains.  I do not want to cancel as I got a super price and all the plans were made before the accident.
With all the hills I suspect I will pay dearly in walking so will take my pills to make it less painful.

I did not think about dominant leg.  You raise a good point.  I just know what I can do and do not know if those weights I can push are good or not...

I have not done scuba or swam since the accident.  I lift with my left when exiting the water and really do not want a pitching boat with all the gear.  I like West coast of Oahu and Kauai and have dived Fiji.  Wife and I prefer Caribbean though. 

I was told at PT yesterday I was not stretching enough and to go for weight amount vs number of reps.

In regard to ROM, I got that back fast, maybe after two 1/2 months it was basically full.  I am having a bit of trouble getting muscle tone and the ability to walk up AND down stairs normally.

Just trying to encourage as we all have been and continue the frustrations of working back to normal.  A quad rupture is very damaging to tissue, and nerves.   Just keep working at it but like me, forget scuba for about a year or so.  You will be into a hinge brace and bragging about hitting 90 degrees before you know it.
post #1315 of 10797
To dbrow, fallguy and all others,
I've been following your progress and am quite concerned about the length it will take to make
a recovery.  On June 30th , celebrating my 25th anniversary(in the Carribean) I fell down stairs while carrying a large cooler, hit the landing with my right leg (since I couldn't get my hands up to assist) and blew out my right quad.  Surgery was 7/14( I hopped around the last week there with my wife feeding me cocktails overlooking the ocean on our veranda)
Surgery was 7/14.  The doctor told me I would make a 100% recovery.  While not overly
athletic these days , I could still catch my 10 year olds, jog, bike or even play basketball.
Today I am still fully braced(4 weeks) and I meet with my OS on Monday.
Are there questions I need to ask that might speed the recovery up?(besides pt)
Currently I am not doing pt , just leg lifts and flesing to 40 degrees.
Any suggestions?  I have read more info on this web site than all others.
post #1316 of 10797


  sorry you had to join the group .   it sounds like you are ahead on your recovery..if you have a ROM of 40 degrees and leg lifts already.   In my case , at the 4 week post op visit, my incision had  a small area ( about 1" ) that had  not completely " healed and sealed "..so the os wanted to wait another  2 weeks  before i started PT ,so as to not tear open the incision.  I think this is the reason  that i'm having a very hard  and painful time of reaching the 90 degree rom. I'm currently at 78 degrees  .  11 weeks post op  ( May 28th ). My knee is still swollen and hard, with scar  tissue preventing my ROM.  The os says this is common with the trauma that the knee has been through.
  I think your os will probably start you with PT next week.   keep exercising and
   good luck !!

post #1317 of 10797
Fall Guy,
Thanks for the response.  As I read on this blog, I believe I am to the point where I've hit a wall.  All the progress possible I have made with the full brace so I am frustrated.Today I tried walking a couple of steps without the brace(weak, but no pain)  Being my right
leg, I haven't driven since 7/1.(my wife didn't like driving in the Carribean, left side and hilly)
Hope all is going well with your rehab.... since discovering this blog its has been good toi hear from others who experienced what we are going thru.Hope the doctor clears me to drive Monday.
Stay in touch,
post #1318 of 10797
kamikazee99, I did my QTR while on a bareboat charter anchored off Anegada in the BVI's last February.  Medication was mostly Dark and Stormies followed by Blackbeards in Paradise when we hit St. Thomas.  We should compare notes!   There is a lot of good info on this forum and you'll see there are a lot of different approaches to PT and rehab, all of which seem to work.   In terms of the discussion with your OS and down the road, your PT -- you need to think through your goals.  What does 100% recovery mean to you?  For some of us its just getting back to work (a wide range from landscaping to business travel to sitting at a desk) and a normal life - for others its reaching our pre-injury level in sports such as bicycling, tennis, running, swimming, diving, sailing,  etc.   Think about it and make sure to discuss your goal with your OS and PT.  Try to get them fully committed to your goals.
I haven't posted for a while.  I'm at about 5 1/2 months post-op and my PT (3 days a week) is about 60% focused on strengthening the injured leg, 20% on balance and 20% on core and general fitness.  My bicycle training (3 days a week) is focused on mobilizing power, climbing and improving my aerobic fitness.  I'm guessing that my injured leg has recovered about 75% of its strength and that I'm at about 85% of my pre-injury power and speed on the bike.

Very best wishes to all with your recovery and rehab.  
post #1319 of 10797
kamikazee , 
    Don't think that you have hit a wall...you have to think positive...in other words...climb that wall, and get beyond it  !!    :)      If you don't have the hindged lehrman brace yet, your os will prob set you up with one on monday...but  you will need to wear it when walking...walking now without a brace could be dangerous.  The leg muscles are weaker and you shouldn't take the chance.   As far as driving, my left leg was injured, so as soon as i could bend it enough ( with the hinged brace ! ) to get into my truck..i was out n about.  (Still can't get into my 4 speed corvette yet !!  )     :(     
  good luck
post #1320 of 10797
At 4 weeks, the Ortho set my hinges to 60 degrees and said to slide the leg off the table to see what happens.  Well, it dropped maybe 20 degrees and hurt like hell! Re-set it to a much lower setting.  Gradually I increased, and have not had a brace for well over a month.
Suggestions you ask?

Well first I have to say if you are at four weeks, you are just starting on the real road to recovery.  Up to now, you were Chester from Gunsmoke with the stiff leg just walking.  DO NOT PUSH IT RIGHT NOW.  You more than likely will not tear anything, but this is a slow comeback.

Well, follow what your PT and ortho doc says.  I will add the first few things I was told to do was get the tendon stretched to where there was a bit of pain as it stimulates the bond by breaking down the tissue to where it heals stronger.  You get the tendon to bone bond worked first before muscle exercise.  As far as weight, I had my rifle sight in sand bags, about 10 lb on my instep to start.  I then later was doing squats, holding on to the counter with a chair under my butt to stretch things and support my weight to strengthen muscle.  From the 3rd to 4th month I started at the rec center on the weight sled to build muscle.

Get a round hard foam exercise device from Dicks Sporting goods, costs about $25 and goes under the knee,  Helps a lot in starting to do straight leg lifts.

But I have to caution again, you are not there yet and are just at the beginning of the real recovery.  You bad leg Quad is perhaps at 25% of your good leg Quad.

It is just my final suggestion to slow up, and let the healing process progress.  You have had a serious tissue injury, and it is in an area that is a body hinge.  It takes time to come back.  I am walking well, have full ROM, drive(not my motorcycle yet), mow the lawn, walked on trails up in the mountains, fly on airplanes, hauled in two 4X8 lattice pieces just tonight, but I am at least a month or two away from being back to normal.
New Posts  All Forums:Forum Nav:
EpicSki › The Barking Bear Forums › Ski Training and Pro Forums › Fitness, Health, Nutrition, Injury, and Recovery › Quadriceps Tendon Rupture, Repair and Rehab