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Quadriceps Tendon Rupture, Repair and Rehab - Page 49

post #1441 of 10807
I enjoyed the humerous account by "Ouch" above.  Thanks for sharing and the smile.
post #1442 of 10807
 Hey guys...one and all...have read from the beginning of the tread till the last one and have to say thanks for all the encouragement and info given at grass roots level reality.Have so enjoyed the down to earth pragmatic approach of active people putting their active lives back on track.

I am a 55 yr male at the southern most tip of the African continent(not much snow around here !) I'm a keen mountain biker(and skier when we get to Europe!!) and am a spinning instructor at the local gym outside of my normal work which is exporting fresh produce .

I had a complete rupture of the the right quad tendon and dislocation of the knee falling off my bike (embarassingly.....felt like a real banana falling off in the car park in front of all my riding mates) just as we were leaving for an 80 km ride early morning on the 22nd August.Couldn't get my foot out of the cleat as I stopped to check my heart rate monitor and I  did a classic bikers fall off at a stand still  with my foot locked in pedal !!! Crack (hell that snap was soooo loud!)..excruciating pain and that was that!!!!
I managed to push my knee back into joint with the help of one of the other riders supporting me whilst I got my leg straight..the rupture was excruciating and I reckoned whilst the pain was so extreme it was a good time to get the knee back in place...probably the ruptured tendon making it a little easier than normal!!

Got myself back home and with my wife went the 30 kms to the nearest hospital for the MRI that would tell me what  had happened ...surgery at 1500h that afternoon..two really rough days after the surgery to re-attach the tendon  to the patella and suture the joint capsule which had been torn from one side of the knee to the other by the dislocation...OS cheerfully tells me the next morning that it was a helluva mess and was going to be one nasty long recovery..so be patient and don't do anything to rip the tendon off the knee cap etc etc !!!!  Not a happy moment...

Any way...not to drag it on.... was a good boy for the first two weeks..basically bed bound outside of ablutions .I am fortunate that I work from home so brought my laptop up and logged on from bed to continue graft and sending containers out to client >Got really crabby and hat off to my wife who waited on me hand and foot and put up with the bad humour and frustration of inactivity but ruled out with an iron FIST my natural tendency to push things too quickly .5 weeks down the road I hate to admit but the rigid ruling of weight off the leg and the 100% straight brace all this time has been the  right  way about things.Weight off the leg as much as is possible , crutches for any walking of any distance absolutely essential

HAve just started my first physio.... first day very gingerly permitted small flex contractions of a pathetic looking quad muscle and some feeble passive bending under the tiger supervision and touch of the local PT...25deg ...I was devastated to feel even at this slight passive bend the sensation of tightness and rigidity....Back the next day for some more..we spent more time with ultra sound and laser over the knee area and managed to get to 45 deg this time with outas much of that awful sensation something pulling that didn't like it!!!!!!!Knee started to feel so much better that today I have over done it... although still in the hinged brace fixed to be straight..spent the day walking around in the brace (no crutches)cleaning up and filing in my office(much needed after 4-5 weeks neglect)...felt good until later in the afternoon when my knee told it had had enough an was really swollen ....back to ice pack and horizontal > my PT will kill me tomorrow as she told me to behave. if I arrive with knee like a melon!!!
Hopefully after a night horizontal we will be ready for another session of PT tomorrow...............just goes to show..we have to treat these things gently.Tendons are slow to recover ......

cheers from  this part of the world.Thanks again for all the encouragement and personal revelations...really have enjoyed all the insights.I sure do not feel isolated !!! :-) 

post #1443 of 10807
Hi all - Today is seven months post-op for me.  My big news is that I did a second century ride (100 mile day on the bicycle) and set a new personal record - knocking 20 miutes off my old PR.  It was a beautiful day, very little wind with a flat course and I was feeling good, but never expected I'd be able to achieve that kind of performance so soon.  Despite a late start to the season, we managed to take a third place in our sailboat racing division for the season.  My wife and I just reserved a week of downhill skiing in Colorado over winter break.  There is life after the QTR; but there is a lot of pain (more mental than physical) and frustration to get there.  And ... I know I'm not 100% and still have months of work ahead of me.   It's great reading about everyone's progress.  I still remember the night on my trainer when I was able to make my first full turn of the pedals.  Here's a couple of thoughts:

Ouch -- I can tell sailing stories for as long as there is anyone still sober enough to listen.  There's the one about the spinnaker broach in a 55 knot microburst - or sailing through Porte des Mortes (Death's Door - between Lake Michigan and Green Bay) at around 2 am in a squall - anyway you get the idea.  My wife, kids and friends know better than to get me started!!      I'm glad that the Dark and Stormies turned out to be a hit, perhaps helping to ease a little of the pain.

Jeremy - Sorry to hear you've joined the group.  You need to have a hard talk with your OS.  A lot depends on the specifics of your injury, your goals and your ability to endure surgery and a long rehab -- but quad tendon ruptures don't generally heal completely without surgery.   Timing is also important, there is some controversy over how important - but it is generally agreed the sooner you have surgery the better off you will be.   If you send me a personal message with your real e-mail address (this site doesn't support posting or even e-mailing attachements) I'll send you a review article from a medical journal that you can use for talking points.  Just click on 'wanasail' and you'll be able to send me a message through Epic Ski.
My wife just bought a Wii Fit.  This program has a balance board, basically a plastic platform with a weight sensor under each foot.  One of the goals is to help you equalize the balance between your two legs.   This is an important element of the PT for the QTR.   I wish I knew about it earlier in my rehab - it looks like an easy and fun way to work on learning not to favor the injured leg.

I'll be having my last appointments with my OS and PT over the next couple of weeks.  I'm fortunate that I was able to get this help through over seven months of rehab.   Some of the big milestones in recovery are building your ROM and getting rid of the leg brace.  These are great days, but achieving a full return to your pre-injury activities requires months of strengthening exercises - not only for the quad, but the core and other muscles that contribute to balance, flexibility and strength.  You need to either get help or learn enough to do this on your own.  Its tough, but you have to see it through.   Good luck - and stick with it!!
post #1444 of 10807
Injured Aug 30 -  surgery Sept 2nd.

Hey Ouch - I think we had the same room mate!  Thanks for the story.

Went for first followup appointment today - looks like it's healing fine. Told to continue the 0 bending, 0 weight policy for minimum of another three weeks. I don't think I've ever sat in one place as long as I'm doing now! What makes it worse is that Calgary is going through a weird mini heatwave right now 32 C (about 90 F) ... I guess I'll have to hop downstairs and have a couple beers on the deck - life's tough all over!
post #1445 of 10807
Welcome to ouch , Jeremy Walker and spinner and all other QTR'S
10 weeks post op + ,surgery 7/14, injured 6/30wanasail.... thanks for the tip on "dark and stormies", the wife loves em
my rom is now about 120..not bad, but my balance sucks.  The wii might be a good idea,
because my "good" left leg has had 2 arthiscopics (no cartilidge) and was only 1/2 as strong as my right prior to the accident.  My PT tries to encourage me on the balancing exercises knowing how hard I'm trying, but right now I can't balance for more than 5 secs. on my right
ouch... i am not the sailor you and wannasail are, but i have spent many an hour looking at
Jost Van Dyke and the other islands in the BVI's(I love catamaraans)
I hurt myself falling down stairs in Tortola and was staying on Long Bay in the BVI's
I enjoyed your posting
MVCoach... keep up the PT.  My PT had me wincing in pain as well this week with the
"reverse" quad stretches and manipulation... 2 advils and 20 minutes rest after my sessions.
To all the new people... as was explained to me, all our OS's and recovery times are different.
Physical therapy was started at 5 weeks. For me, driving again was very important, but even with a car that has an automatic trans
a doctor doesn't want you driving until you have at least 90 degrees rom, for safety reasons
(6 weeks) for me.
Hoping the weather holds for fishing and boating this weekend in Wisconsin
Good luck to all and keep up the PT.
post #1446 of 10807
Injured 7/21/09
Surgery 7/28/09


Sounds like you are doing pretty well with rehab.  I had sort of a "breakthrough" day today at PT visit #3 and was able to get around on the stationary bike continuously for 10 minutes with minimal pain.  Your last post was interesting to me because like you, I have had 2 arthriscopics from hockey injuries in 2000 and 2006 on my left ("good") knee and now have very little cartilidge and a lot of bone on bone.  This knee was definitely much weaker than my right prior to the injury, and for 8 weeks I have been crossing my fingers that my "good" knee doesn't blow out from doing all the extra work! 

As you can relate to, I am very much hoping to be driving again in a week or so.  We'll see how next week goes!

post #1447 of 10807
Jeremy Walker,
"I can flex the knee to a very very small degree before I feel stiffness above and below the knee - is this normal ?
 I am expecting to be referred for physiotheraphy after the 3rd - what is the frequency and duration of these sessions ?
 what is likely to happen to them (will PT involve moving the knee through this stiffness !)?
And finally, how many weeks after the physio is anything like normal walking and driving achievable ?


For all and Jeremy, I just got back from my Italy trip, 10 days total, a lot of walking in Venice, Rome and Pisa.  Needed ibuprofen but the leg is really good now.  The walking loosened up the knee quite a bit.  Still weak and not real good on stairs, but did well on the trip.

The snow is coming into Colorado.  Foothills got 10 or so inches recently, and last night there was snow at Eisenhower tunnel.  If it continues your ski trip should be OK.
Edited by dbrow16 - 9/26/09 at 5:07am
post #1448 of 10807
Hey DBrow16, sounds like your vacation went great. When you first said you were going to Italy about 6+ weeks ago I thought you were out of your mind. It hasn’t been written for a while, so it warrants saying to newcomers to this site; You Will Get Better!!!
I am 15 weeks post injury today and I went on my first business trip last week. Lots of walking, sitting, standing, getting up sitting down, in and out of car etc.   Had a 16 hour day with no ill effects. No swelling, and no additional soreness. A couple of stairs that I had to muster up my courage for, but I made it.
Crossed the triple digit barrier on both knees at PT yesterday. 104 and 100 respectively.  Hear that Fallguy? How are you doing. 
Spinner, you are one tough dude to have gotten yourself to the hospital on your own power.
I am off to the pool early, kids have soccer, and then we are going camping in eastern Oregon. Good luck and speedy recovery to everyone. 
post #1449 of 10807
Hey Everyone,

First of all, I apologize for not being a skier.  My favorite sport is kayak fishing.  My wife found this site for me and it is nice to know that others have to deal with the same knee issues that I have.

My injury occured on a diving board at a community pool.  The particular diving board was really springy and would send you flying on a one hop spring dive.  On the particular dive I was injured on 8/2/09, when I hopped and planted at the end of the board my right leg slipped out from under me and as I fell into the water the diving board sprung up and cracked my knee cap.  My knee cap was completed turned sideways and my quadricep was detached.  I had the first surgery on 8/5/09 and started rehab on 8/17/09.  I am now 6 weeks into rehab and can only bend my knee to 68 degrees.  I am getting frustrated because in order to have my 2nd surgery (arthroscopic) to clean up the rest of the mess in my knee, I have to be able to bend comfortably to 90 degrees.

How long did it take everyone else to get to 90 degrees?  Do you have any tips for me?  I am frustrated with whether stretching pain is ok or not?  What level of pain should I be able to incur before reinjuring the knee?

Please give me some advice.

Thank you,

Brian Rainey
post #1450 of 10807
Some other relevant information.  I am 40 years old, 6'9" and 235 pounds and live in Hendersonville, TN with my wife and 3 kids.  I have had a previous similar injury about 10 years ago when I ruptured my achilles tendon.  That injury was not related to impact, but more to not stretching properly before a basketball game and having too much protection on my weak ankles (ankle brace and 3 pairs of socks).

I am a little nervous about this knee because with my achilles injury I retore it about 6 months after the original surgery and I don't think it ever healed completely.  I am able to jog into a run, but would not consider sprinting and have retired from competitive basketball.  I have however returned to weight lifting and other normal outdoor activity.

Just wish there was some way to tell if stretching pain in the knee was ok or not and how much stretching was too much.
post #1451 of 10807
16 weeks post op left quad tendon  complete rupture repair
  Hey all,
  catfish :   sorry you had to join the group. The time frame for ROM is different for each of us. There are  so many factors such as age,  amount of  damage to the tendon , the way it was repaired, and the healing time in straight locked brace to name a few.      Be patient and let the PT do their job..they are usually in contact with your os and know just how much they can push you.
     rcm111 :  I hear you !!  congrats, you are a trooper !!  last Friday i was at 109 degrees ! 
               Still very painfull and pushing along at a couple of degrees per session . I was hoping that it would get easier and less painfull as i got the tendon stretched more..but not the case yet.   My knee does feel better sometimes.. the swelling  seems to go down a little more each week.
    good luck to all  !!
post #1452 of 10807

Injury 4/9/2009, Sugary 4/10/09
24 weeks of recovery.

Well to answer your question, for me it was about 2 months to 90 degrees. That is full time including the straight leg brace which I was in for about 5 or so weeks. 

If you all want the ROM back you have to work through the pain of the tendon st reach, the scar tissue breakup and the muscle Quad rebuild because the muscle will significantly decrease in size.

At 23 weeks I was on vacation, walking Venice (lots of steps there), Pisa (that was about a two mile round trip from the train), Rome, Florence, Siena and Munich on vacation.  I was slow, knee got a bit puffy so needed ibuprofen, but I did it. Took the cane for better stability.  Could have gotten away without it, Took my sweet time getting on and off the train (and there are a large number of steps at train stations) and did use elevators when available.

But I did it, and you all can too at about 5 1/2 months into your recovery.  There is light at the end of that real dark tunnel.

I am not going to lie to you all.  The left leg is still weak, the knee does sometimes ache, the muscle needs more work and I still get an annoying pop as some tendon slides across bone (still wondering where that came from as it did not do that at first).  But I am getting there slow but sure.

I think the bikers that post here have the right idea as that motion is fantastic physical workout for this injury.

Italy was fantastic. We ate pasta noon and evening, drank wine and ate cheese till we were full.  It was a good trip and dang those cobble stones were a real challenge with my knee!

Edited by dbrow16 - 9/27/09 at 9:24pm
post #1453 of 10807
Wellllllll---I've been avidly reading these posts for two days now. Man, you guys are really thorough!!  My story: I am from Texas--we were in Maine with friends. I was taking pictures from the bank of a river of my wife in a kayak. I stepped to the right to better frame a shot---hit some slick clay and fell with my right leg folded under me. You know what happened!! It took six firemen (me strapped to a back board) to haul me up the river bank. It was not a fun trip. I am 77 years old, advanced recreational skier, biker, and racket ball player. We live a few blocks from Ken Cooper’s Aerobic Center and I work out daily. Race walk, weights, elliptical and stationary bike. I vary my exercises. As ski season nears I always ratchet up my workouts.
I haven’t seen posts of anyone my age with this injury. Is anyone out there?
I had surgery Jul 18, 2009 in New Hampshire. After two days they kicked me out into a rehab place. It seemed to be for stroke patients who were not going to go anywhere. They didn’t know what to do with me. No ice, elevation or TED socks. Scary!!
July 24 they aspirated the knee (really fun!)---it was huge and red. It was deemed infected. They did four days of IV antibiotics and then put me on oral meds.
July 28 I rented a limo in Portsmouth---folded myself into the back seat and went to Logan Int. in Boston. A rather uncomfortable several hour ride. As most of you know at this point post surgery, I was in a lot of pain. We had to go through security etc. I was wearing an immobilizing cast and with my leg locked straight out there was no way for me (6’1”) to fit into an airplane seat! This is for your future information---which I hope you won’t need. Only one seat in an M-80 will work. It is the bulkhead seat in first class. There is a small space between the aisle and the bulkhead to extend your leg. I had to muscle my way into the seat with arms only. When I finally got into the seat I was exhausted and really hurting!!! I hadn’t taken any pain meds before I got into my seat because I knew I would need to have my wits about me. As soon as I got settled, I chugged down some oxycodone.
We later learned that we were really stupid to fly for four hours so soon after surgery due to the risk of blood clots.
I have gone through the usual PT confusion described by various people. This is so rare that no one really knows what to do.
I am now at 10 weeks. My ROM is 110 degrees. I walk in the water daily----thanks Idaho! Do the wonderfully painful quad stretches---ice after exercise and wonder what is going to happen next. I walk a very slow mile in the AM and do the stationary bike with no load for 15 minutes each day. My knee is stiff, swells off and on, turns red and is painful.
I’ll add more later.
For and old f—t I think I am doing pretty well!!
post #1454 of 10807
Thanks for the feedback everyone.  I am going to try and be patient but persistent.  Thank goodness I have a desk job.  I work for Nissan North America in Nashville, TN and I could not imagine what this injury would do to someone working on the production line.  I was able to work from home for a few weeks and I traded out my Nissan Altima in for a Nissan Titan for the leg room.  I am able to drive since the injury was to my right leg.  I put it across the bench seat over onto the passenger side of the vehicle.  I definitely appreciate the freedom to drive and often wonder how I could drive if it where my left leg.  I suppose I could put it out the window but that might get the attention of the police.

Talk to you all again soon.

Thanks Again,

post #1455 of 10807
Your doing GREAT. 

Yeah, we know what happened.  POP goes the tendon...rare but so easy to have happen to you if all the necessary things line up. 

I have resolved it will take the better part of a year to get rid of the stiffness in the knee. My stiffness is gradually going away.
post #1456 of 10807
Injured 7/21/09
Surgery 7/28/09


Welcome.  I am also a right leg injury, and am trying to get this straight...are you telling me you drive your truck with your right (injured) leg extended across the passenger seat and work the pedals with your left foot???  Safely???  You are the man!!!

post #1457 of 10807
Injured 22/08
Surgery 22/08

Hey guys....Catfish well done on the driving ...bit scary controlling everything with the left foot.When I had my accident(right leg as well) I managed to drive my self back to the house to get my wife... nearly put my self thru the windscreen a couple of times with an over zealous left foot stamp on the brake!!!! Take care!!
Marine 70... no respect for age with this injury..well done on your recovery to date.Keep plugging at it!!
Have just passed the 6 week mark and passive ROM is just touching 60 deg...it is a really weird feeling ..uncomfortable at times getting the ROM going>Still pretty happy so far. Am still in the brace, OS( and consequently the wife as well!!) will not let me out of it or start allowing some hinged movement ..so I just  do some isometric flex during the day to rebuild strength a bit as the muscle has really wasted!! :-( ICe and elevation after physio!!

Have a good day everybody.... cheers
post #1458 of 10807
Hello brother and sister QTR's,
injury 6/30
surgery 7/14
Well its 11 weeks and I finally understand what"no pain, no gain" is all about.
The last 2 weeks of PT to stretch me beyond 120rom have been tough.  I ache from
PT and it pretty much is real painful the following day after.
I guess I should be thankful it came so easy at first.
This question is for DBrow and wanasail(who are further along), when were you able to have a hard workout without your knee bothering you?
Catfish,Spinner and Marine ,welcome to the club.... I am amazed at the variety of ways all of us injured ourselves.
MVCoach congats on your PT progress....keep it up.  How is your "good" leg holding up?
PT again today... my therapist says they will probably cut me loose in 3 weeks(8  weeks total)
rom is pretty good, but balance and strength aren't there.
Bye for now.
post #1459 of 10807
Injury 7/21/09
Surgery 7/28/09


Sorry to hear that the stretching is getting harder rather than easier.  Maybe I will take the opposite route - because mine is so hard now, it will get easier later...Hah!  Somehow I doubt it.  My problem seems to be that I am getting good stretching progress during the middle of my PT sessions and off-day workouts at home, but an hour later, I'm back to being stiff and swollen for the rest of the day!  I'm hoping this will eventually improve.  The left ("good") leg is hanging in there, "knock on wood".

Good luck everyone!

post #1460 of 10807
Hi kamikazee99 and everyone else who is working through their QTR.  

Your question is surprisingly tough to answer.  I've been fortunate that I've had minimal swelling and pain throughout the rehab process.  The most pain was when I was pushing my ROM.  That's not to say that the knee hasn't bothered me.  I'm seven months post-op and the knee still gets sore and tired when I work out - and I know when I overdo it.   Two things that have helped me are RICE after any "workout" - including grass cutting, lawn work, etc.  and quad stretches when I feel the knee tighten up.   I've also found it gets sore and stiff in the cold, so I'm more careful about doing warm-ups and keeping the knee warm.  It may also take me 2-4 days to fully recover from a hard workout. 

I went back and looked for my milestone dates for doing harder workouts.  The first was at 14 weeks post-op when the OS gave me permission to ride my bicycle outside providing I didn't stand on the pedals.   The second milestone was at 20 weeks when I got permission to make a full return to sports.  I was able to do 50 miles on the bike at 20 weeks and upped that to 100 miles at about 25 weeks. 

I've also been fortunate that my PT is an athletic trainer and has worked with me on the strength and balance.  I expect to be discharged from PT at my next visit at 7 1/2 months.   Once you regain the ROM, rebuilding your strength in the knee, quads, hips, core and your balance is the key to returning to normal.  You also have to rebuild your aerobic capacity. Reading the forum, it seems that many PT programs only take patients through the ROM stage.  You may need to find help on your own.  I have a trainer that will work with me after I'm discharged from PT and expect to be continuing to rebuild my strength through the winter and beyond.  My next big milestone is a downhill ski trip to Colorado in the end of December (10 months post-op).

I hope this perspective is helpful.  Best wishes! 
post #1461 of 10807

Hi guys,

Honestly, I came on this site hoping to find the “magic bullet.” There just isn’t one. It’s going to take time and patience.

I have studied these posts, taken notes and analyzed each treatment as best I can. This is a very brief summary:

  1. This injury is pretty rare.
  2. Even the surgery varies from one OS to another. (some use the Krakow method followed with #5 suture through a varying number of  holes in the knee cap-----others use a different technique).
  3. PT is all over the place! (A consensus seems to be: keep moving, the pool is great, stationary bike is good, wiggle the ankle/toes to reduce swelling and bend knee as much as you feel safe with doing. I like ice, but some seem to do well without it.
  4. Blood thinners are another variable. Some use them, some don’t. If you have to fly or travel very long in a vehicle----best to use them. Clots can be nasty.




  1. To reduce swelling put a pillow or rolled blanket under the box springs at the foot of the bed. This will elevate you knee all night and the swelling will be down by morning.
  2. There will be good and bad days. It’s all part of the package.
  3. About day 15 you should be full weight bearing with the brace. A walker is more stable than crutches or cane.
  4. I was off the walker by day 30.
  5. Officially out of the leg immobilizer at day 58. (I had it off around the house before that).


Note from PT: “If you don’t tighten your ‘gluts’ now---no one will want to squeeze them in the future.” Sounds true!


Driving: WARNING! Do not attempt to drive with the brace on. If you have a wreck---even with the brace in the back seat---it is automatically your fault!! If you are still wearing the brace off and on and driving---keep it in the trunk. Also be kind to your neighbors. The first time out, have your significant other drive you to an empty parking lot. Change places and give it a go. I forgot----put the seat all the way back to begin.

A few shots at humor:

Why is it that after you put on one of those “open in the back” hospital gowns that you feel more naked than you did when you were naked???

What is it with those “urinal thingies” ---- strangely shaped jugs with a handle? You are flat on your back, stoned on some good drugs and you are supposed to use that thing!! I learned that while prone, the “I must go” alarm goes off in the bladder at about 250cc instead of the more usual 350cc. This necessitates a lot of use of the “urinal thingy.”  The first time I used it, I over shot by a bit. Next time I was shooting low. (The nurse’s aide wasn’t happy! Heck I wasn’t either!). The third time I was determined to be on target. In retrospect I think I tried to cram all of my “equipment” into the jug. I Darned near castrated myself!


Like a lot of skier/bikers, I have rather large legs. A sweet little oriental aide came in while my dressing was being changed. She took a look at my leg and said in a loud voice: “You not old man, old men all got bird legs, you no got bird legs!!!” She left the room and I could hear her making this announcement down the hall. I believe she had noted on my chart that I was 77.

Leave your modesty at home. My right quad was the injured one. To get out of bed I was told to put my good leg down first and leave the injured on straight on the bed. As I put my left leg down, I pinned my gown between my legs to the bed with my fist.  However, I soon realized I would need both hands on the bed to swing the right leg down. I just prayed the cameras from YouTube were not around! After this exposé, my wife bought me some jockey shorts----I was most thankful!!

Many have commented on the wonders of their significant other.  Let me add I don’t think I would have survived in the hospital without my “bride” of 50 years! She was my constant advocate. Through all of this we have grown closer and closer.

My biggest battle has been with depression and----I hated to admit it---feeling sorry for myself. It’s tough to see an email offering a no black out season pass to Vale, Beaver Creek etc for only $600!

I am not accustomed to being “laid up.” All of my various injuries in the past—two broken thumbs, dislocated shoulder etc have been above the waist or not immobilizing. I know I have to go through this and I’ll come out on the other side able to do some of the stuff I could do before. However, at my age, I don’t have a lot of time left to play. I don’t even buy green bananas!

I’ll be back soon!

post #1462 of 10807
 Fellow QTRers,,

have tossed the crutches almost completely..getting tired of using them ...some six and a bit weeks down the road!!! Have to still be a bit cautious ....

Still in the brace(not allowed to set it to bend walking but ROM reaching 60deg now on passive bends.Lots of quad and glut contractions during the days .Feeling encouraged by the all posts re progress>Marine 70..... reckon the way you sound you could plant a banana tree and be around to harvest the fruit when it yields!!! ... and judging by the number of us QTRers around on the posts this injury is attracted to the active/over active person more 

I have found sleeping with a pillow under the leg or even with the bed elevated slightly at the foot end helps swelling especially if one has over enthusiastic during the day!!! 

Was so desperate to exercise a bit of cardio got on the spinning bike today and rode one legged for 15 mins ( injured leg on a near by bench!!)..felt so good even if it was kinda strange set up.Will definitely not tel the PT or the wife....life is too short to have it ended prematurely!!
Ok guys...take care of your rehab and recovery.Catch up again soon!!!!

post #1463 of 10807
Spinner, I couldn't help but reply to your thread. I too am a Spinning instructor (15 yrs). My posts are a few pages back. I found the best tool for recovery to be the pool work. If you have one near you try walking laps at first. I'm fully recovered from my 08 injury (complete rupture of left QT). The only side affect is some stiffness around the knee after teaching a class or two.

Take care, good healing.

post #1464 of 10807
Injury 8/2/09
Surgery 8/5/09
I wanted to respond to my comments about driving.  I will be very honest.  I did not drive at all the 1st month.  Then I practiced in the subdivision for a week of very short trips out in the country to get use to driving with my left leg.  I found that a few keys to driving with your left leg are keeping your foot low on the brake or gas pedal so you don't accidentally hit both at the same time and not using cruise control unless there is no traffic in the area for miles around.  I think caution and focus are key as well.  I would not recommend using a cell phone or changing CDs or radio channels until you get real comfortable. 
My 2 Month Mark after the surgery is next Monday October 5th.  My ROM is now at 73 degrees and the PT is picking up intensity by the day.  My leg is getting a lot stronger and I started walking pretty comfortably today with the leg brace locked out.  I still use the crutches with the leg brace set at 90 degrees to try and stretch the leg as well.  I am excited about my progress this week as I can feel the strength coming back.  The flexibility part is really difficult though.  It seems like I have to warm up for 20 minutes just to get back to my previous PT ROM and I can't make it past my previous ROM without my PT putting me in some serious pain to get the 1 to 2 degrees.
Anyway, my PT exercises have expanded significantly as well.
I am now doing the all kinds of stretching exercises and using the bike, leg curls, weighted leg raises and various other strength/stretching related activities.  I am so happy to have found this site.
I enjoy reading your stories and sharing this experience with y'all.
Talk to you soon.
post #1465 of 10807
 buford.... thanks for that!!! Much appreciated!

I am waiting for the water in the pool nearby to warm up(not heated!) water is 14deg ..brrrr!!!!!!( good for the swelling but it is the rest of the body that is the problem!! :-) ) and we are just coming out of winter which by your standards is pretty mild (snow??...what's that!) Looking forward to getting it all going again.Reckon will try the pool walking on the 8 week anniversary in 10 days time if the temp is up a couple of degrees!!

Catfish... good stuff on the ROM.Keep up the good work... every degree brings you closer to the finish line!!!!


post #1466 of 10807

Spinner---see my post on putting a blanket or pillow under the mattress at the end of the bed. It saves having to wrestle with a pillow all night. When I did that the pillow usually ended up on the floor at some point. The best use of the pillow was between my legs. While wearing the “monster brace” I was abrading my opposite knee with the metal on the brace. A pillow helped. As for the bike: Try putting the seat just about all the way up. You might need a ‘booster’ to get on the bike. Just rock back and forth on the pedals. You’ll probably go all the way around backwards the first time you make it. The water is fourteen degrees!!! Is that C or F? At 14 degrees, I would walk on water----make that limp!

Buford---I am not a spin instructor—you guys are animals!! I have taken a couple of classes to increase my pain threshold. (Ha) The first one I took---I really went  hard for 30 minutes---then while near death I heard the instructor say it was an hour class!! AARRRGGGHH! I agree with the pool idea. My only problem has been getting out of the pool. Sometimes the steps are a bit slippery. I now always wear old jogging shoes for traction.

Catfish---You are on schedule!!! Keep up the good work! Don’t rush the range of motion into serious pain. Just let it happen---like Zen. (Darn, that was profound!)

Wanasail---Your last paragraph in your post about ROM, strength and balance were most informative. I have been so focused on ROM that I have all but forgotten about strength and balance. My strength has been slowly returning. However, after reading your post, I tried some balancing drills. It wasn’t pretty to say the least! I looked like a Swan Lake reject! Balance and core are next on my list. Thanks.

It seems like everyone is on course! Great going guys!! Hang in there!

Thanks to you all for taking time to post.



post #1467 of 10807

Spinner---see my post on putting a blanket or pillow under the mattress at the end of the bed. It saves having to wrestle with a pillow all night. When I did that the pillow usually ended up on the floor at some point. The best use of the pillow was between my legs. While wearing the “monster brace” I was abrading my opposite knee with the metal on the brace. A pillow helped. As for the bike: Try putting the seat just about all the way up. You might need a ‘booster’ to get on the bike. Just rock back and forth on the pedals. You’ll probably go all the way around backwards the first time you make it. The water is fourteen degrees!!! Is that C or F? At 14 degrees, I would walk on water----make that limp!

Buford---I am not a spin instructor—you guys are animals!! I have taken a couple of classes to increase my pain threshold. (Ha) The first one I took---I really went  hard for 30 minutes---then while near death I heard the instructor say it was an hour class!! AARRRGGGHH! I agree with the pool idea. My only problem has been getting out of the pool. Sometimes the steps are a bit slippery. I now always wear old jogging shoes for traction.

Catfish---You are on schedule!!! Keep up the good work! Don’t rush the range of motion into serious pain. Just let it happen---like Zen. (Darn, that was profound!)

Wanasail---Your last paragraph in your post about ROM, strength and balance were most informative. I have been so focused on ROM that I have all but forgotten about strength and balance. My strength has been slowly returning. However, after reading your post, I tried some balancing drills. It wasn’t pretty to say the least! I looked like a Swan Lake reject! Balance and core are next on my list. Thanks.

It seems like everyone is on course! Great going guys!! Hang in there!

Thanks to you all for taking time to post.



post #1468 of 10807
It's great to see all this information and real-life experiences in one place. 

I am a 56 year old guy who stepped into a previously unknown sinkhole in my backyard - the left leg went into the hole and I landed full-force on my bent right knee.  Got the usual treatment at the ER - if it's not broken, slap an immobilizer on it, bring out the crutches, hand out an rx for pain, and tell them to go see an OS.  Predictable response from the OS - go get an MRI.  Wait a week to get back to see the OS, who tells me that I have a partial tear of the right QT and it needs to be repaired.  No discussion of non-surgical alternatives, but also no revelation as to how much it is torn (20%? 80%?), since the radiologist said it was a 'high-grade" tear, whatever that means.  There is no big gap between the patella and the quad muscle, and the swelling has gone down quite a bit since the injury.

The accident was on 9/12; the surgery isn't scheduled until 10/12.  I am getting around pretty well at this point, although going down stairs is still a bit scary and I have to "think" about it whenever I go either up or down stairs.  I had major surgery on my left hip about 22 years ago, and still remember the mantra "the good foot goes to heaven, and the bad foot goes to hell" so I remember how negotiate stairs (with or without crutches), something we take for granted when we are able to walk normally.

Waiting is hard - I can get to over 90 ROM without pain now, and it is disheartening to know that I won't see that again for quite a while after the surgery.  I'd love to consider trying non-surgical rehab, but from what I have gathered so far, I am probably only postponing the procedure to a time when the entire tendon goes and surgery will have to be done very quickly.  Not to mention that the only way to regain the pre-injury strength is through repairing the tendon.  If anyone else has a thought on this, I'd welcome it!

I already have the brace - the manufacturer is "Ossur" but other than that I don't know much about it.  I wore it for a couple of days to make sure I could get around - sort of "practice" for the future. My left leg is shorter than my right, so I'll have to wear a heavy shoe on my left leg in order to make sure I don't put weight on my rigid right leg.

Your stories of rehab and recovery are both scary and inspiring - I'll keep them in mind as I start my own long slow haul!
post #1469 of 10807
Hi Everyone,
16 weeks post injury and surgery. I have been traveling for work these last two weeks, and am slow and sore.   But I am grinding it out, and continue to get a little better every day.  
Kind of adding to Wanasail’s last entry below;
Since I can only do so much on my ROM, I worked pretty hard on the strength and stability. Lots of pool time, then hammering the machines, and lots of walking and even more standing.   Therefore I am really strong through the range that I have. If I had to, I could walk for miles (if it was FLAT!). I just can’t bend beyond 108 degrees.  
A month or two ago, the word of the day was interdependence. It was clear that there were a lot of muscles, bones and tissue that went into walking, standing, etc. Normal one day, and then the injury is a total deconstruction of the system. The pieces don’t work together or at all, and you need to work on them and regain them one at a time.  You are made aware that everything works together.
Today, the word of the day is integration. Though my ROM is not normal, I feel like the system within the range has done a pretty good job or re-integrating. Stability and stamina are doing really well. My gait has a slight hink in it, but when I am warm, it is clean, smooth and stabile. No pain and no swelling. The weak link is the quad muscles and the surgical sites.
On another note, I often feel my other leg muscles begging to be stretched. I dream of crossing my legs, and my hips and hamstrings occasionally feel like they might cramp if they don’t get used through their full range. Hard to describe, and the closest that I get to relief is when my masseuse manipulates my legs, bending me until I moan and groan.   
Hope everyone is well! 
post #1470 of 10807

Forgot to mention the third leg of that stool;  in addition to ROM, and strength & stability, is functionality.   I am a bi-lateral QTR, and I couldn't bend my knees over 100 degrees 10 days ago.  But I could put my pants on standing up without holding on to anything. My functionality and strength well outperform my ROM.  But I would give just about anything to bend my knees.  

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