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Quadriceps Tendon Rupture, Repair and Rehab - Page 52

post #1531 of 10808
Thank you Cascade and Catfish. It is interesting how PT start differs among cases. As early  as 2 weeks post-op for Catfish, but mostly around 3+ weeks.

Happy Thanksgiving to all.
post #1532 of 10808
Hi AlmostBlackBelt,

I am not sure I accomplished a whole lot the first few weeks of therapy.  The PT probably could have waited for a month.  All I can say is be patient and when you are allowed, keep repeating the exercises and keep stretching at home between therapy sessions.  The best description for the feeling associated with this injury is a bad rubber band.  Even after 110 days post surgery I still have difficulty getting full range of motion without a lot of warm up and stretching exercises.  The leg can get real stiff with weather changes as well.  When high pressure systems set in, you will know it.  Good luck.  Your life will return to normal some day. 

post #1533 of 10808
Sorry to hear about the injury Almostblackbelt. My brother is a black belt in Tae Kwon Do and I know your passion for your sport. This injury is both a physical and mental test. It's a hard way to learn the lesson that it may be time to slow down just a bit. I'm 4 months into my recovery and I'm making real progress, but I know I probably won't be able to play basketball until next summer. You will be amazed when you find out how much of your strength you lose with this injury. Keep up the fight.
post #1534 of 10808
Hi QTR friends,

I had a complete QTR  of the right quad tendon on 11/01/2008 and I had surgery to repair on 11/14/2008. My recovery history is the same that we can read in this forum.
But, last 11/12/2009 I was playing vollyball in the braslian master contest, just to celebrate my complete recovery, then I get another nigthmare, my left achilles tendon had total rupture and then, I back to the bed again!
I never had problems with both achilles tendons, my OS told me that maybe during the PT of my QTR my body tried to compensate the right leg weakness, forcing the left leg to the point that had rupture.
My advice to all is take care, stop the exercises if feel the slightest sign of pain, don´t try acelerate the recovery.

Good luck with your recoveries!
post #1535 of 10808
Sorry to hear about your achilles tendon and hope that your recovery is swift, complete and uneventful.  An interesting question is whether some of us have an inherent structural weakness in our tendons that make them susceptible for rupture.   This potential is accepted in young people who do a QTR without an apparent reason for the injury.  Maybe some of us have a physical or biochemical defect.  My OS noted my QTR was odd in that it was a clean break, in his words "like it was cut by a scalpel, despite it being caused by an apparent traumatic injury.  He suspects there might have been a defect but has no idea if that defect might be present in the other quad tendon or other tendons - and there is no test to check for it.  I have a friend who is working on a technology to detect such a defect by ultrasound, but it is years away - if it works at all.

I haven't posted in a while, not a lot to say.  I'm going on 10 months post-op.  My OS cleared me for downhill skiing and I'll be spending a week over the holidays with the family skiing in Colorado.  I've been training specifically for the trip with a lot of squats, lunges, jumping/impact, core, upper body, bicycle trainer and some running.  The advice to take it easy is timely for me!

Best wishes to all as you work your way through this horrible injury. 
post #1536 of 10808
Hi all, I have not posted in a while either.  I am just about 8 months post op and I have continued to have significant weakness in my left leg which has prevented me from running, jumping, going up and down stairs comfortably, etc.  All of a sudden, in the past few weeks I have been able to do all of the above.  I think a lot of what slowed my progress was more mental than physical.  I was afraid of re injury so I once I ended in PT back in July I really took it easy on my leg.  Then a few weeks ago my six year old daughter asked me to jump rope with her and I gave it a try and surprised myself.  The knowledge that I could do that gave me the confidence to try to run and I have noticed much more ease with going up and down steps.  My whole point here is for those of you who may be a bit afraid of re injury, is that it will come, and you will be able to do everything you want to again.  Good luck to all of you in your recovery!
post #1537 of 10808
post #1538 of 10808
 Hello all; Tomorrow will be 14 weeks since my surgery; I continue to make good progress but as I said in my last post 4 weeks ago, I had pretty much met my recovery goals and over the last month have been consolidating my gains. I can now run 4 miles 4x a week, this is done right after  I go to the gym again 4x a week 2 upper body and 2 lower body days.  My running gait is much more natural now; I still cannot wear headphones as I need to listen to my footfalls, as with everything my "good leg" tries to compensate for my injured leg I can hear this better than I can feel it.  No longer have to stare at the cement and now am enjoying the running again; watching the ocean, surfers etc.  I also can run much more naturally in hilly areas which I discovered on Thanksgiving when visiting out of town and running up and down fairly steep hills.  Also hiking in areas that are not flat, still I have a mental block about steep trails that entail boulder hoping.  Gym stuff for legs also progressing nicely(again have to concentrate on not letting my good leg 'assist'). I work 12 hour shifts back to back 3 days a week and get incredibly stiff from standing/sitting that long and need to go into a back room and do a set of 20 squats every couple of hours.  As I have said before at six weeks I had 140 degrees of flexibility; I think that my rupture was right where the tendon attaches to the knee allowing them to use most of my tendon/muscle to reattach; people who are struggling for flexibility probably had more distal ruptures and the tendon/muscle probably had to be shortened to be repaired thus slowing recovery considerably.  I actually can sit in a lotus position for short periods now. Decided I was done with PT, all they were working on was balance and decided that I would get more out of yoga classes at a cheaper rate.  (balance was equally bad on both legs so probably pre-dates my surgery.  Like I said; I am pleased with my recovery so far; hike, run at 10 minute miles, exercise with minimum limitation.  I believe that "The more you do, the more you can do"   Also for anyone who is newly injured and has too much time on their hands they could figure out a "usual" length of recovery by timing each person who contributes to the forum from the date of injury to their last entry and then averaging the time; people just fade off this forum and one can only assume they have gotten better, or to the point where their QRT is no longer that important to their lives.
      Hope all have a fast and full recovery    John
post #1539 of 10808
Thank you all above. Very useful feedback. I am a bit more than 2 weeks post surgery and I can feel my leg getting stronger. That said, my OS wants me to take it real easy and put only 15-20% weight on it. It kind of scared me when he said "you don't want to rupture again". Sometimes I feel pain or tightness around the knee and fear that something may be wrong etc.
The good thing now is that I can get in and out of bed on my own, to the great relief of my wife...
I demonstrated that I can now do a few leg lifts, but was told that I really should not do it.
Anyway, any advice you can give as to how recommended or premature it is to be a bit more daring would be appreciated. I do not yet have a start date for PT. Also, I have been working from home and don't believe I'll be able to drive (QTR is on right leg) since early January. Is that reasonable?  Thanks and patience to all!
post #1540 of 10808
 Thank you Graceela; I too had one major psychological barrier; going up steep, boulder strewn trails that entail rock hopping.  On sunday 12-6 I went on a 6 mile hike(one of my favorite day hikes) that involve trails, boulders, steep up and down etc... I made the hike.  Weirdly I also fell at one point which surprisingly did not hurt anymore than before my surgery.  This was actually a good thing since with all the running and hiking I do, I fall occasionally. Now that it has happened I also feel I inadvertently passed another psychological barrier. Thanks again John
post #1541 of 10808
Injured Right QTR: 11/15/09
Surgery: 11/17/09

Hello MVCoach and all.  Just wanted to relate to all of us with a right leg injury. Not being able to drive for 6 weeks and some it seems much longer is a real pain. I am in my 3rd week post-op. Could you guys recap at what point were you able or allowed to drive. I am a stockbroker and used to be driving to the train at 4:30 am. Working from home now with a little more sleep, but not the same. I also have 3 flights of stairs at home to the garage, which I have mostly navigated scooting on my derriere when I need to be in the kitchen etc. Overall I feel that I am healing well but still very early stage and I don't have a date for PT yet. That said, I was able to take a shower just a few days post op, the first one being worthy of a Cirque du Soleil contorsionist...
I also miss taking my kids everywhere.
Thanks for the right leg  and driving feedback.
post #1542 of 10808

Mine also being a right leg injury, it was actually 9 weeks post-op before I attempted (sucessfully) to drive.  I am 6'5" and have a Nissan Versa, so as incredibly frustrating as it was to wait that long, I don't think my reduced ROM would have even let me get into the driving position before that point in the recovery (ROM was about 120 at the time).  If I still had my full-size Dodge pickup truck. it probably would have been a bit earlier.

Hang in there!

post #1543 of 10808
 I too hurt my right leg, I drive a VW Eos, plenty of leg room and sits very low to the ground.  I started driving less than two weeks post-surgery.  Since my car is an automatic and low to the ground it was very easy to get in, I could easily work the pedals just by using my ankle muscles to push and move from pedal to pedal...HOWEVER getting out of the car was another story, being low to the ground I could easily get my left leg back out but my right leg would not smoothly slide out like it could to get in, I ended up looking like a very unbalanced contortionist and figured the movements couldn't be good for my knee. So after a few times I let driving rest except for emergencies until 4 weeks post-op. when my right knee was much more flexible: so watch not only the driving but the movement of getting in and out,  But it really was a milestone when I didn't depend on others for transportation.     John
post #1544 of 10808
Thank you guys. Clumshiker, I too drive a VW Eos! Great car and I miss it. I think, I'll try getting in the driver seat this weekend, but really plan on driving to work, if allowed and feel safe, after the holidays.That said, driving doesn't do me any good if I can't go down my 3 flights of stairs to the garage...Can't wait to hike and do lotus positions like you. 14 weeks post-op seems so far away.
Take care.
post #1545 of 10808
Hi Almost Black Belt,

14 weeks post op does seem really far away but soon you will be looking back on it.  I am amazed when I think about where I was back in April.  I mean I was in a wheel chair because I had a broken right ankle and was not allowed any weight bearing on that leg at the same time that I had the quad rupture in my left leg and while I could bear weight, getting up and down was impossible when I couldn't bend one leg and couldn't bear weight on the other leg.  You sound like you are someone who is in really great shape and that will serve you well.  Just be patient and know that taking your time to get back into your game will help your injury heal better.

Good Luck and Happy Holidays!
post #1546 of 10808

4 weeks since surgery Nov 17, 2009.


I only realized recently that you broke your ankle as well. Oy! Looks like you are a tough one and it is inspirational. I am, or was, in good shape with karate, tennis and spinning, but have not done much lately, except for a few biceps curls with wimpy weights my kids had at home...
Seeing the OS tomorrow. He is a friend and already told me that PT will start mid January, pretty much at the 8 weeks mark, which is the conservative (and it seems painful) approach discussed in this forum. I read here that no matter when you start moving the knee and start PT, you end up pretty much at the same point. That said, I have taken a few steps without crutches and went down the stairs at home, one leg at a time. Stupid or ok to do at 4 weeks?
Don't mean to be a hero, but it's nice to feel stronger and more independant.

Take good care.

post #1547 of 10808
Thread Starter 
Hello all:  

I am posting today to document my first experience alpine skiing since my accident, 23 loooong months ago.  Yesterday, December 17, 2009 was opening day at Bogus Basin - the local hill.  I went up with my good friend who had a "hip-resurfacing" done this past spring.  I have been preparing for this day since the injury occurred.  I have cycled thousands of miles, hiked hundreds of miles, lifted unknown quantities of weights, done innumerable isometric exercises, nordic-skied tremendous distances, and spent interminable hours in the local YMCA working out on various cardio-machines that also make the leg move and work in different directions and configurations.

Even having done all those things, I knew that it would not be an easy day either mentally or physically, and it proved to be so.  The first two runs, I was (as I told my companion), "absolutely flipping out" - very concerned about hurting myself again.  As I relaxed, the skiing began to speed up, and I had a few flashes of my old self on skis.  However, fairly quickly, the leg fatigued, and I found myself taking a couple of runs off while my friend continued.  After starting up again, I probably managed about 6 more runs before I was done for the day.  So, a total of about 18 - 20 runs over about 5 hours or so.  There was some pain, but not too much.

I have been anxiously awaiting this day, as I know that regardless what types of exercises, weightlifting, cycling, etc.  person does, there is simply nothing that can simulate the forces of alpine skiing, and the strength, balance, flexibility and agility necessary to handle those forces other than alpine skiing itself.  So, I can see that I still have a long way to go to get all the way back.  But, I still expect to be able to be skiing the steep and deep by this spring as I continue to build my way there.  Going alpine skiing again tomorrow, and nordic skiing the next day,  then have 4 days over Christmas where we will be skiing into a yurt with the family for the annual trip - where there will be much nordic skiing and snowshoeing to be had. 

I'm living proof that you can get over this thing, although you need a lot of hard work to do it.  I encourage all of you to keep after it, even if discouraged, and even if it is going slow for you - I really believe you will all get there.  Take care and Merry Christmas/Happy Holidays!

Idaho Guy
post #1548 of 10808
5 Weeks post surgery.

Thank you Idaho. Without you, a lot of us woud be left wondering "why did this happen to me etc". You were the genesis for a great support and information network.

I too was looking forward to do more skiing in Tahoe this Winter with my son, especially since we are off to a great start. It will have to wait. I was also training for a black belt test in karate in April and that too will have to wait. My goal will be able to sustain high impact and be able to break boards again. From what you say about achieving high performance skiing, board-breaking should be possible. Feels pretty scary for now... I almost forgot tennis, which I used to play regularly.

My brace was just set to 20 degrees flexion last week and I am progressing within the timeline on this injury. Next milestones will be driving and starting PT mid January.

Thanks again for your guidance and inspiration. Happy holidays.
post #1549 of 10808
Hi all -
We're sitting in a hotel room in central Nebraska - I80 is closed due to the blizzard that just moved through.  We're on our way back from three days of downhill skiing in Colorado.  I'm 10 months post-op and the OS said to go for it.  I'm not a great skier to begin with, but I was able to do the greens and blues with family and friends.  I had a little swelling the first day, but nothing that some ice and ibuprofen didn't handle.  It's been a lot of work, but its nice to be back to doing things I enjoy.  Best wishes to all!!
post #1550 of 10808

Surgery Aug 24 09

About 18 weeks in now, leg getting stronger but some of the pt exercizes, mainly leg extensions on machine are very painful with only 5 kg weight on single leg raise, Leg seems sore for couple days after and i am wondering in the wisdom of carrying on with these. Anyone else doing these. Can now walk and jog alternating 200m a time for 3 miles, elliptical for an hour. i am of the mind that general fitness training will bring the muscle back, albeit more slowly. What's the point in doing leg extensions then having to rest for 2 days. Be interesting to hear anyone elses PT routines for about approx time from surgery as mine. Am also doing some serious hill walking with the dog and this seems to work it hard and make it tired but without the acute pain and stress of isolation exercises for the quad.
Am able to squat fully without weight and a little more conservatively with weight(scared to re injure).
Good to see Idaho calling in again on what he started here.Sobering thought though that nearly 2 years down the line it still tires easier than the good leg.
Next landmark for me my first game back at my local golf club next week, it's nicknamed the mountain goat course, hope i make it ok, had to bite the bullit and get a powered golf trolley as i think carrying my clubs on my back  as i used to may be a thing of the past.
A Happy New Year and speedy recovery to all you members of a group we would rather not be part of, but here's to 2010. 

post #1551 of 10808
Hi Gary,
For what it may be worth, my PT, bike coach and OS warned me multiple times not do leg extensions on the weight machine.  They said it was especially bad for this injury -- and not something anyone should be doing.  Problem is that it specifically targets the quads and creates an imbalance with the other muscles in the leg.  They recommended more functional exercises such as lunges, squats, step exercises, jumps and time on the bike that involve a broad range of leg muscles and movements.  I'm curious what advice others may have received.    Best!
post #1552 of 10808
 I find it interesting how different the follow up PT and progress is depending on OS. I was told that I could do just about anything I wanted at the gym with my legs; HOWEVER both my OS and my PT were both adamant that I NOT do leg extensions, I was told that this put too much pressure right at the point of surgery, I was told to work my quads with squats, lunges, etc,,, along with running.  Everybody have a good new year    john
post #1553 of 10808
 hi guys,

I am about 17 weeks from accident and going pretty well generally apart from the odd involuntary collapse every now and then!

At present my daily rehab consists of spinning, elliptical,supported lunges and squats (i.e having something to partially hang on to whilst doing the exercise...this gives a little bit of confidence and also stops you from over loading the leg in the initial stages. As you progress in strength and confidence so you lessen your dependence!)leg curls, calf exercises and even some leg press.I have found that although I have virtually fully recovered my range of motion my leg's quad muscles have really wasted away strength wise and the muscles and trauma area get really sore if I overdo it and like Gary have had to lay off occasionally for a day or two to allow the leg to recover(popping anti inflamatories and ice packing the offending limb!!!!)
Had this from trying weighted leg extensions as well  and so I also agree that leg extensions are probably not the wisest exercise to try as it is really very specific until you have completed just about every other rehab exercise in the book...stationary bike, squatting, lunges, eliptical, running etc....
I have reverted to doing free leg extensions (no weight) but concentrating on accentuating the muscle contraction of the quad by keeping the foot at different angles.
Looking forward to hearing what else you guys are doing for your rehab programme that I can bring into mine. Take care and compliments of the season.
post #1554 of 10808
Injury Total detachment left Quad tendons. 4/8/09 
Coming up on 9 months.

I have not posted in a while, so an update is due.

All is going pretty well.  The knee still snaps and pops, but the strength is slooooowly coming back.  I can do up and down stairs fairly well if there is a banister.

I am back doing the leg press exercises.  I got away from that for a while, but needed to get back to that to strengthen the quad muscle.  Wanasail, my PT adviser said also to not do full leg extensions, but to use the leg press for a partial extension, allowing the Quad muscle to work.  But you are correct, do not do full leg extension, just hold the weight to strengthen the quad.

Here is something I found on a rehap schedule.  But as before, FOLLOW WHAT YOUR DOCTOR SAYS TO DO FOR REHAP.


ROM is basically as before, but with the leg lift there is a slight sag.

Went to the Otho DR one last time.  He took Xrays.  The left knee cap is about 3/4 of an inch lower than the right.  Does not seem to affect anything, and I SURE am not going to get cut again to correct that difference.  Other than what he called normal arthritis, he saw no problem with the bones or the tendons.  He told me to keep at the exercise. He said the snapping an popping is scar tissue, and again, I am not going to get cut again to perhaps correct that side effect.

I hope to be back scuba diving in the spring.  Did hunting this year (deer, pronghorn and elk) and except for some difficulty climbing, everything went well.  Managed to get a deer and a pronghorn and got them hauled out of the field and into the truck by myself.  I did get a Yamaha ATV for next years hunting so I will not have to walk as much.

There is a light at the end of the tunnel.  And the speed you get to that light is directly proportional to how much you put into rehab.

That odd collapse is due to the front and rear leg muscles being out of balance.  The rear pulls much more than the quads now.  A good hinged knee brace, once your out of the full leg brace really helps.
Edited by dbrow16 - 1/2/10 at 6:51pm
post #1555 of 10808
Hi Everyone,
I have been reading this post for a couple of weeks now and figured I would join in. I'm a 31 year old Firefighter, very active with skiing and mountain biking. On Oct. 10 while on a medical call I was exiting a house when my left foot slipped off a step landing onto the one below. All my weight must have been transferd to that one leg cause it just tensed up and my quad just popped. Went down immediately with excruciating pain. Tried to get up and take a step, that didn't go over to well and I was back down on the ground within seconds. The embarrassing part was that a second ambulance had to be called to the scene to take me to the hospital. After some BS at the hospital due to it being a work-mans comp. issue, I got my MRI and surgery was booked for the next day.

After the surgery the orthopedic doctor told me it was not a full tear, just a tread of tendon about the width of a shoe lace was holding strong. He told me it would have been less painful if the whole thing ruptured together. He described the surgery, which made my stomach turn a bit, the drilling holes into the knee cap was what got me.
Spent two night in the hospital with a morphine pump then was released.

I was immobilized for in a straight led brace for four weeks. Took it off from time to time to let it breath. At the fifth week I developed a deep stitch abscess, something i hope none of you has gotten. It went away in about two weeks after some strong antibiotics. To this day I still have a bulge on the scar where it was. PT started that fifth week, very slow going, just message and scar manipulation. The weeks to follow with quad sets, squats, mini lunges, and the stationary bike.

I am now in my 9th week of PT and and have now increased the intensity of the exercises and have add some new ones. I have been working on the elliptical, jump sets and jump squats have also been added. I can do a fast walk on the treadmill but do get a buckle in the step as my stride gets longer, so i have to slow it down. I have also been able to bend the led to 133 deg. Through all this I have had one real nagging problem. I have minor pain and discomfort going up and down stairs just below the knee. The pain is also there when the leg gets to 133 and on a three inch step raise exercise. I feel that this pain is hampering my recovery. The PT says it is scar tissue and the Ortho doc keeps telling me its normal then rushes me out the door. Has anyone else experienced this pain, and dose it go away?

I hope everyone is doing well with there PT and recovery...... Matt
Edited by NAFD9 - 1/5/10 at 5:22am
post #1556 of 10808
Thread Starter 
Hello all:  

Just writing to keep the documentation going.  Feel free to skip if you are bored with the following.  I've skiied 15 times so far this season - 11 days of nordic and 4 days of alpine.  In both disciplines, I am getting stronger.  For the first 10 days of the year, while nordic skating, I would tire very quickly on the "bad" leg while climbing, and end up simply stepping with the "bad" leg, while gliding with the "good" leg.  This resulted in my wife being far in front of me, and my going back to the lodge and switching to classic gear which, for some reason, seems to be soothing to the "bad" leg.  However, this past Sunday, I actually managed to keep my wife within sight over about 7 miles, and felt like I was actually gliding while climbing on the "bad" leg.  I am sure this is due to the increased strength in the "bad" leg that I have obtained from alpine skiing the last couple of weeks.  I have progressed over my four days of alpine skiing to the point where I am skiing bump runs using GS turns for almost three straight solid hours  - fairly slow, but still skiing them well, although carefully.  I can also throw in a couple of slalom turns in the bumps every once in a while.  As confidence builds, it is getting easier and easier to ski faster and with more strength. It is GREAT to see quick progression!

The goal still is to be skiing extreme steeps by the spring - it looks possible!

NAFD - very sorry for your injury.  However, you are younger than most of the posters here, and I'll wager that you will recover much more quickly and completely than what you generally read about here.  I would say that pain while going up and down stairs (and while skiing, and while hiking and while cycling and while . . . .)  is simply something you will have to deal with for awhile - I still have it after almost two full years.  It occurs more when the leg gets fatigued, of course.  I simply do my best to ignore it, and try not to permit it to affect performance.  It is slowly getting better.  Again, I'll wager that yours will disappear more quickly than mine. 

Best of luck to all.  Hang in there, and keep working hard!

post #1557 of 10808
I have been following this thread so I thought I would jump in with my own quad rupture saga.

Have been pretty athletic most of my life and recently gotten into both XCountry and downhill but my injury didn't happen as a result of either sports.

Rounding a corner in my office, I slipped in a pool of water on a marble floor and my full weight came down on my quad (I am 5'11" and about 230lbs)The pain shot down from my hip to my knee and I heard a few pops and thought this can't be good.  It happened on October 7th and I was away on business and due to fly home on the 12th.  I was giving a lecture the entire week so with ice packs at night and a lot of pain during the day, I kept plugging on.  Knee swelled up the size of a grapefruit and was hot but I didn't have a lot of pain and was able to walk.  In retrospect, I should have packed it in and gone home but I was being damn stubborn and trying to be stoical about it.

Saw an orthopedic surgeon on 10/14 and was in surgery on 10/16.  Post surgery, thankfully, I was not in a lot of pain that some of the folks mentioned on this forum but felt obligated to take a few percosets within the first 48 hours after surgery.  Felt very foggy mentally so opted not to continue.  Thought mental clarity was better than some pain. 

Was immediately put in a removable leg brace and was grounded from driving even though it was my left leg.  It was tough to get in and out of the car.

My first post-op visit with my OS went well.  Told me that the tendon was almost completely torn off and that he also had to re-construct some of the ligaments on either side of the patella. I did a great job apparently. 

My rehab has been going pretty well.  It is now almost 12 weeks after the surgery and I have about 120 degrees range of motion that varies from 10-20 degrees.  Started exercising about a week ago doing upper body and lower body.

Got a few questions for you folks:
1:  Just started doing thigh extensions on the quad machine and I can do 25lbs with the "help" of my right leg and about 10lbs. with my left leg alone (shaky and slow going).  Has anyone found this to be typical as far as weight tolerance and stage of injury..
2:  My knee swells up a bit from time to time and it hot to the touch.  No streaking, pus or fever so there is no infection?  Is this normal and has anyone else experienced this?
3:  I am a power lifter and am dying to get back to the gym but this week has been a wake-up call regarding my lack of strength in both my quads.  I half expected the injured one to be weak but the other one is weak as well (it's been about 3 months since a "heavy" workout)
Is this typical
4:  Anyone power-lift or do heavier squat?  If yes, have any of you been able to return to 100% after this injury and about how longer did it take you.

Thanks for any feedback and good luck and speedy healing to all of those who had this injury.

post #1558 of 10808
IDG: Great to hear you are back to ripping up the downhill skiing and things are improving. One year and 9 months out for me and things are going great, only thing I am still dealing with is some tightness/stiffness in the repair but that seems to be improving slowly still. Knee got a little swollen for the first time in a long time after 5 straight days of some intense mountain biking over the holidays so gave it 3 days rest and just got back from a ride today and was climbing like a mountain goat and flying downhill like a cheta and the knee feels great .

PJB751:Sorry to hear you have joined the club here . Sounds like your ROM is coming along good at 120 with not even being 12 weeks out. Here are my thoughts on your questions.

1) I would hold off and doing any leg extensions for at least 16 weeks (4 month mark), everything I have read and what my OS told me it takes a minimum of 12 weeks for the tendon to attach it and extensions are going to put a lot of pressure on the repair.

You have a long road ahead of you and you don't want to screw up your OS's work.I would let things heal up, work on getting all your ROM back then worry about strength later. So I would be working on ROM stuff  like doing stationary bike low resistance lowering seat as far as possible to work the ROM.

2) It takes a long time for your knee to calm down and the swelling too subside, expect at least 4 to 6 months of swelling. I had to go through a second surgery 6 months out from the first to clean out scar tissue adhesions (ROM was stuck at 105) and knee did not really calm down till about the 9 month mark. Listen to your knee if it is hot and swollen layoff it ice and elevate it.

3 and 4) Takes a minimum of 6 months to 1 year to recover from this injury and possibly longer. It took me a 1 year and 7 months to get back to free bar squating, was having issues with patella tendon/tendonitis in the repaired knee and had to use the free weight squat machine so that I could keep my legs out in front of me to take pressure off the patella tendon. I moved from squat machine, to smith machine squats and finally back to free bar squats and last workout was doing sets of 12 with 275lbs close to pre-injury. Have not been doing legs much with all the biking I have been doing though.
post #1559 of 10808
Injury Total detachment left Quad tendons. 4/8/09 
Coming up on 9 months.

"All my weight must have been transferred to that one leg cause it just tensed up and my quad just popped."
Yep, that will do it.  Mine happened while running down stairs shifting weight and POP.

The pain I had felt like sandpaper between the bones, just below and behind the knee cap.  That pain has gone away for the most part.  It is tough doing the stairs, and be careful going down.  I got frisky and the knee snapped back and I almost fell again, about four months into the injury. I still use a banister, but was able to climb the stairs at Bass Pro today, up to the 2nd floor, walking up normally.  I was feeling good about that.  Coming down, still need real steady banister, perhaps because of almost falling that one time.  That knee will snap out real quick.

Words of wisdom from in2falling.  The tendon has to re-attach first, and that is done by gradually straining with weight the mended tendon to the bone.  And it will swell and ache when you do it.  But you DO NOT want to start pumping weight.  If you are talking the leg slide where you push a plate or push and slide a seat, 25 lb is all you want to do.  I was told to build a box (2X4 square covered by plywood) stand on it and lift up the good leg and slowly squat with the repaired knee.  It burned and swelled, but it did mend.  I month 5-7 I started working up on the leg sled to where the legs were almost equal in the weight they could push...230lb.  But I have been away from that sled and need to get back doing those exercises.
post #1560 of 10808
Injured 9/6/09
Surgery 9/10/09

Haven't reported on my progress for several weeks. Just a few days short of four months post-op and my OS told me last week I'm pretty much done with him, though he also told me it'll be another 3-4 months before I'm fully recovered. Wanted to reiterate how beneficial the ultrasound and electrical stim treatments I've been getting for the past two months from my chiropractor have been. Have never had a single PT session and now have almost complete ROM in my injured leg.

The one thing I'm still not doing - and clumsyhiker, you amaze me on this one - is run. What I have been doing is walking on a treadmill; when I was healthy I could comfortably walk at 4 mph with no incline. Now I start at 3.5 with a 2-degree incline and go for 20 minutes, adding speed and dropping the incline until I finish at 3.8 and 0.5. I find 3.8 mph very tiring and can only go so long. But on the couple of occasions I've tried to run it's very uncomfortable. Feels like the leg still needs to get stronger.

To add to the leg extension debate, my OS has encouraged me to do leg extensions for the past month. I'm still only doing 10 pounds and the progress is very slow, but I don't feel I'm endangering the tendon repair. I also do 50 pounds with my repaired leg on hip adductor/abductor, 50 on hamstrings and 50 with the same leg on the leg press. My chiropractor got upset with me today when I told her I'd stopped using the elastic band she gave me, as that lateral stretching is something that can't be duplicated on any machine, so I'll be going back to that.

My job is covering the Miami Dolphins for a newspaper, and their nose tackle, Jason Ferguson, suffered this same injury in a game at Carolina in mid-October, so we've been comparing notes. His doctor (the renowned specialist James Andrews of Birmingham) had him wait three weeks before operating to allow the swelling to go down. One thing that's amazed me is he was driving 10 days after his surgery. He's got a tricked-out vintage Cadillac in which the driver's seat goes way back, so he's able to drive by fully extending his right leg and using his left to brake. (I told him I won't be accepting any rides for awhile with that setup.) His progress in rehab has been faster than mine, but he's got five trainers working with him every day, and they've told him to figure 6-8 months for full rehab. He'll be 36 by next season, old for the NFL, so it'll be interesting to see if the team re-signs him.

Anyway, other than the running I've been very encouraged by my progress. Stairs are still a challenge but I walked up two flights this morning for my chiropractic appointment. I still ice down the leg on occasion but most of my family and friends have all but forgotten I ever got hurt, or so it seems. Should be all downhill from here.
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