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 56

post #1651 of 10797
Twice - yes it is very coincidental that we both had "mechanical difficulties" and a 2nd surgery. A little freaky that we both had partial tears in the past! I know when I had that partial a while back I never saw a Dr. and just thought that I had ripped the muscle. It healed up and never gave me any problems until the slip and fall that tore it fully.

One thing I have figured out is that this injury really messes with your head and your confidence to do things. Most of us never thought that a slip or a misstep would do this much damage and now we fear everything. At least knowing I had a previous partial tear takes away some of that fear for me that it will happen to the other leg.

I don't know how I would deal with a bi-lateral. You "guys" are inspiring!

Tugboat - If it wasn't for this site I would have followed the Dr's orders without question. And I did follow them for the first 4-6 weeks (each time LOL). Getting more information about the healing process has let me be a little more aggressive. If the tendon is 80% at 6 weeks than I feel like I should be stretching it based on it's reaction, not a set 15 degrees per week. I went from 30 - 90 in a week and I didn't push it any harder that week than I did before or since. I wasn't about to just stop at 45 because the Dr's schedule said so.

However PLEASE everyone make sure you are careful. I think it would be better to go slowly and not re-injure than to take too much of a risk and have to go for a 2nd surgery. Losing a month SUCKED!

As far as the meds, I did a little research on the withdrawal effects before I came off them. Most of what I saw said to not quit cold turkey. When I decided to come off them I dropped down to 1/2 pills for a week or so and then started spacing them out a bit more. The first few days with nothing suck because you get "flu like symptoms" so you're stuffy and your whole body is sore. Plus random chills throughout your body. And a headache that lasted a few days. But after 4 or 5 days most of it is gone and it decreases. Now that my body is detoxed I could probably take a pill here and there if needed but I've been fine with some advil here and there.

I think overall it's better to get off the pills as soon as you can. I just know myself and if I hadn't been a zombie I might have pushed to hard too soon. Now I'm at the point where unless something crazy happens (again) I don't think I can damage the tendon by being aggressive but careful.

One thing that I think is really helping with everything is rubbing the knee (after the first month). I rub it for hours each day and can feel some sharp pains here and there which seems to be scar tissue . I was moving the skin around the other day and felt a sharp pain and then the skin started moving MUCH better. I guess I popped some scar tissue!

If your PT isn't expensive then I would suggest going. I know there are other exercises that I should probably be doing but I walk a few miles a day at work and climb a lot of stairs. The walking really helps keep the leg loose and I'm slowly taking the stairs again to build up the leg. Add in the stationary bike and that's what made my legs strong in the first place so I figure they will rebuild with it. If I start to get tracking issues or muscle imbalances then I'll target specific muscles. One thing I said before and will say again. Being full weight bearing the whole time allowed the rest of my body to stay in reasonable shape so I don't think I lost any balance and my core is still solid. If anything I lost weight from the lack of appetite from the pills.

Good luck and keep working at it. It seems to take forever but it's also very satisfying when you start to see the results of all your work.
post #1652 of 10797

Hey - Yesterday was the 2 year anniversary of my injury and it's been almost a year since I've checked in.  I had BQTR and after 7 weeks non-weight bearing, when I stood I needed help and could only take a few small steps.  I never knew what my outcome would be.  But with prayers, my family, this forum and hard work, after 1 year I felt about 90% and after two years, I feel I can do everything I used to do but maybe at 95%.  I hardly ever think about the injury except every so often I feel a slight weakness or tightness in the quads, but not very much.  They never hurt, and I believe the tendons are better attached than before.  So, for the ones in their first few months, keep working hard and keep your faith.  You will get better!

Tiger bait

post #1653 of 10797
twiceruptured>>  Thanks for the advise.  I did point it out to my therapist the next day.  He was really on top of things,  As soon as he felt my calf and saw that I was in pain he called my doctor.  The OS stated that if there was a clot there would have to be some form of clue like  discoloration or swell of my ankle from blood getting stuck down there.  I originally though that it was just a sore muscle until reading your post.  I am glad that I am now informed about this possibility.  The funny thing about my pain is, if I put on shoes... It goes away.  I don't understand it, but that is the way that it works.  

bballwal>>  I have been some what weight bearing I think.  I really could get around just fine without crutches if it wasn't for my calf muscle in my injured leg.  I was worried about it having a blood clot, but my doctor is saying that maybe the muscle is sore for for lack of use being that my injury was over three weeks old when I got my surgery.  As far as I know, as long as my ankle doesn't begin to swell up, I am going to be fine.  With that being said, when I was at PT the first day and I had some percecots in my system, I was able to walk brace only locked with no problem.  

Even my therapist is scared to really touch me.  He told me be that my surgery is less than 3 weeks old, he doesn't want to take the chance of doing damage to the OS's work.  He wants me to come in for check ups being that my injury in something like workers comp and I am not paying for my visits.  OS wants me to to try and do 15 degrees a week.  I am already able to do 30, so I got a good head start.

Has anybody else started PT this early?  Also, when it comes to stairs, how long did it take some of ya'll to get comfortable using stairs?  My job is pretty easy, but I cna get walking up and down stairs a lot some times.  I am concerned with that.  Also these are not normal stairs.  They are more like ladders.  I work on a tugboat, in the enginge room, so I do a lot of climbing.
Edited by TugboatTony - 2/18/10 at 12:47am
post #1654 of 10797
Hi Everyone:
Today I am officially 7 weeks Post Op. I started PT on Tuesday and had a good session. I was able to bend my knee to 45 degrees and I was amazed at how little effort it took. She put be through some strengthening exercises and showed me how to loosen up my knee cap. I have been doing all exercises and bending 3 times a day. I have to consciously bend my right knee when walking and it is like learning to walk over again. I am showering every other day and I never thought showering would be a scary experience. Getting in and out is treachorous at best.
Tugboat Tony, I have a set of steep stairs in my home and after seven weeks - going up no problem, but coming down, especially in the morning when I am not fully awake still scares me.
post #1655 of 10797

Hello Again


I think that 6 weeks is the magic number on the repair.  Prior to that they want you "locked" in at 0 deg, but most seem to advocate full weight bearing while locked only.  Some Ortho's seem to be into the passive flexion early, but mine didn't think it was a big deal.  He did have me doing some heel slides at week 4.  My ortho never mentioned a brace that you could adjust the ROM...He just told me to wean myself at the 6 week checkup, and I never wore it again.  At 13 weeks, even at 140 deg, my knee still feels really "full" and is still quite swollen compared to the other side.  As far as pain goes, it does ache when sitting with it flexed after a couple of minutes, but I can usually just stretch it out somewhat.  I started jogging/running on the treadmill last week (short distances), and my "good" knee started hurting more than the bad one!!!#$%^

Canuckman--At 7 weeks I found that a tight wrap/ neoprene brace around my knee really helped keep the puffiness down, and made my knee more flexible.  To get to foot-over-foot status going down stairs smoothly, my PT said you need about 120 degrees.  However, those first few steps in the morning to get the coffee will continue to be challenging (they were before I injured mine!!).  My ankle is still a little larger than the good ankle, so I think the swelling is normal.  My ankle was actually black and blue from the drainage after the injury and surgery and was still sore at week 4+...


post #1656 of 10797
I'm glad to see everyone making progress. There are always good days and bad days but there is always progress. Like bballwal said, 6 weeks is the magic number. You get to start working on it and it feels so good (even though it hurts).

I just had to write in because I'm watching "The Fugitive" and they're running as fast as they can down the stairs chasing each other and I knew that this was the one place where people would understand. I was sad that I'm so far away from being able to do that. But at the same time I know I used to run down 2 stairs at a time at almost full speed and I WILL get there again. A few months ago I would have caught both of them in less than a minute!

Just saying that it's Ok to have your moments but a strong mindset will get you through this and the more you put in the more you get out. I'm still a long way away from a normal leg but I'm starting to see some definition in my right leg. I can see the distinct muscles again and it's not flabby anymore even though it's a lot smaller.

I have one more week before I go back for the 10 week visit and I'm expecting him to let me out of the brace. I don't need it anymore, I just wear it at work and when I have to go out. There's snow and ice all over this year so I'm being careful. I set it to about 30 degrees LESS than I'm really at. I'm at 120 now so I set it for 90 so it will catch me if I fall (haven't fell at all). Once I get Dr. Clearance I'll never put it on again (God willing).

Thanks everyone for all the info and help. It really makes a difference!

post #1657 of 10797
Thread Starter 
Hello all, and thank you all for the good wishes.  I want to continue to encourage you to keep at the rehab - it is a journey, not a goal.  So, I went to the OS on Friday.  He explained that there are three possibilities that might have happened to me last Thursday night while skiing:  1.  a cartilage tear - not a lot of concern, and would explain the pain.  2.  scar tissue breaking loose - that would be the best scenario.  3.  partial failure of the repair - this is the one he is worried about.  So, I'm off to get an MRI on Monday morning to see what is up.  I'll keep you all posted.  Keep after it all!

post #1658 of 10797
Hey IDG,

I hope that the MRI turns out ok and what you felt was just some scar tissue breaking loose.  A quick update for the group:  I'm now out a year a few weeks from my QTR surgery, and was on the ski slopes for the first time since the injury and operation.  Am pleased to report that the knee performed quite well.  I skiied blacks and double blacks with soft, good-sized bumps and didn't have any problems.  However, I did focus on form and staying in control rather than pushing it really hard.  I felt a bit of pain in the knee on a couple of occasions when I bent low after coming off a mogul and hitting hard, but it wasn't particularly bothersome or unstable in any way. 

I hope everyone keeps up the rehab and bears in mind that this injury will heal with time and that with some effort you can be near or even above your former level of function.  Some may find that a rehab and training process of increasing intensity actually results in them achieving higher levels of fitness and function than previously was the case.

Good luck to all.
post #1659 of 10797
Well I had a scare yesterday...

My OS told me that I was not to worry about clotting even though my calf was hurting and had been hurting for days unless there is swelling or dicoloration.   Well I woke up yesterday and from my knee down was twice the size of my uninjured leg.  I called and the doctors didn't seem very interested but told me to come in to the ER if I was really that worried.  So I did.  Spend the entire day there noon until 8pm to be told that my ultrasound of my leg thigh showed no clots.  they told me that if I had a clot in my calf, they are not concerned about that.  Only whats in my thigh.  Not really what I wanted to here being that a clot from my calf travels up.  But what can you do, 

I have been been keeping my knee up all day today and its still doubled in size from the knee down.  Did anyone else have swelling like this?  I am doing PT sooner than everyone else, and I am starting to worry that this very gun-ho rehab some.  At the 2 week mark I will be on my 3rd day of PT.  I still do my home PT but I just am worried.  The only plus of the deal is that the pain in my calf has almost went away.

Let me get your thoughts on an idea...  I am thinking about getting leaving my compression wrap off for a while to see if it will help with blood flow to let some of the swelling go down.  I don't wear it that tight in my mind, but maybe it is a little tight.  What do you guys think?

post #1660 of 10797
Well I had a scare yesterday...

My OS told me that I was not to worry about clotting even though my calf was hurting and had been hurting for days unless there is swelling or dicoloration.   Well I woke up yesterday and from my knee down was twice the size of my uninjured leg.  I called and the doctors didn't seem very interested but told me to come in to the ER if I was really that worried.  So I did.  Spend the entire day there noon until 8pm to be told that my ultrasound of my leg thigh showed no clots.  they told me that if I had a clot in my calf, they are not concerned about that.  Only whats in my thigh.  Not really what I wanted to here being that a clot from my calf travels up.  But what can you do, 

I have been been keeping my knee up all day today and its still doubled in size from the knee down.  Did anyone else have swelling like this?  I am doing PT sooner than everyone else, and I am starting to worry that this very gun-ho rehab some.  At the 2 week mark I will be on my 3rd day of PT.  I still do my home PT but I just am worried.  The only plus of the deal is that the pain in my calf has almost went away.

Let me get your thoughts on an idea...  I am thinking about getting leaving my compression wrap off for a while to see if it will help with blood flow to let some of the swelling go down.  I don't wear it that tight in my mind, but maybe it is a little tight.  What do you guys think?

post #1661 of 10797
Sorry for the double post.  I don't know how to delete posts. 
post #1662 of 10797
Tug-I would not take off the compression stocking!!!  Its supposed to prevent clots.  Could be that you are doing too much.  At week two I was not manipulating my leg in any way.  I did not start with the heel slides until like week 4.
Just full weight bearing, and I found an arc trainer (similar to an elliptical) to keep up the cardio while locked in full extension.  I did have swelling in my calf/ankle but it was not 2X. 
Take Care
post #1663 of 10797
The attidude in the ER is rather problamatic.  The problem with blood clots is because your veins keep getting wider the blood clost tends to flow with your blood through your veins until they get into your lungs where the veins and arteries start getting smaller and the clots get trapped..  Now that being said, my guess is that your aggessive rehab is probably causing the swelling.  My OS did not let me start PT until week 6 (alas, both times) and then there were no restrictions.  That worked out well for my ROM but coming up on one year post op, I'm still weak in my knee. 
post #1664 of 10797
Tony - I am surprised that you are allowed to do any bending of the knee within the first 6 weeks of surgery.   I was in a cast for 4 weeks and then my leg brace was locked at 0 degrees for another 2 weeks.   At 6 weeks I started PT which seems to be the norm.   My OS is always telling me that you cannot compare yourself to others as everyone is different.   Good luck and hang in there!
post #1665 of 10797
Well I went to PT yesterday and explained to the therapist what happened over the weekend.  Well he rushed me over to the other side of the clinic to my regular OS to let him double check and decide if I need to get more ultrasounds.  He told me that the swelling is normal, but for it to happen all at once was a bit odd and he was concerned some.  He was able to pull up the pictures of what was done at the ER and said that what they did was just low enough to make him happy.  He said everything looked fine and I did the right thing by going to the ER.  He said with his gun-ho attack on this injury, swelling is going to be expected.  He said he was sorry that it happened so quickly and asked if I would like to take it easy and not work so hard, but I told him lets keep going and I love the fact that I my muscles are already back in action and straight leg lefts are getting easier.  I think that me being only 29 is really helping with the recovery process.  

Well guys, I am happy to say that the pain in my calf is gone.  Its been a like 3 days since the swelling and its almost all gone with some extra PT at home.  I guess I was able to push all that extra fluid right on out.  After talking to my OS, I was a little extra driven to get going.  I am 2 weeks and a day past surgery and am just under 40 degrees ROM.  I feel like I am doing pretty good and I am happy.  
post #1666 of 10797
 Hi Everyone.
Tomorrow it will be 8 weeks post op and am feeling good. Went to my weekly PT session and was able to bend my knee to 60 degrees. My PT gave me three new exercises to do. These exercises are all about strengthening my quads and I can feel them getting stronger. I was also able to lift my leg from a 45 degree angle. Last night I slept for the first time without my immoblizer and had the best nights sleep in 8 weeks. I finally feel that I am on the road to recovery.
TT - Please be careful. Would hate to see you re-injure your tendon. My OS would not even consider writing me a prescription for PT until 6 weeks. Everything I read says 8-12 weeks for complete healing. Good luck my friend. 
post #1667 of 10797
Hi, everybody:
I’m a newcomer here. First of all, thanks a lot to Idaho Guy who had initiated this forum.
I find it really helpful, and it also gives me hope that eventually I’ll be fine.
Here’s my story. I’m 63. On 12/24/09 I fell down on ice. Right after that I was rushed to the ER. They put on a knee immobilizer and told me to see an OS ASAP. When I did, the doc diagnosed the QTR and scheduled the surgery for 01/06/10. The night after the surgery I experienced excruciating pain which was relieved the next day. Then I had a cast on my right leg for 45 days. On 02/19/10 the cast was replaced by hinged brace with 40” allowance.  
My first visit to PT is scheduled for 03/01.
I was allowed to put full weight on my injured leg starting 01/19. Since that time I haven’t used crutches.
What worries me? My motion range is limited to 30” as for now (on 01/19 it was 20”). As per doctor’s instructions for the PT, they have to proceed with the exercises gently.
Is there any PT Manual available to purchase?
BTW, on the day when I was released from the hospital, they prescribed Lovenox injections for two weeks.
Best regards to all of you.
post #1668 of 10797
Thread Starter 
Hello again:

NYoptimist: sorry for your injury.  I don't think there is a PT Manual, but read through the posts on this thread, and you will see that PT is as varied as the individuals.  Your prescription for PT seems a little more conservative than most - try to speak with other OSs and PTs to see if they might prescribe a different program, but keep in mind that your own OS knows your injury best.

Well, after my MRI, it looks like I have joined TwiceRuptured and a few others in the unlucky role of rupturing the QTR repair I had done almost 25 months ago.  It was not a complete rupture, but only 25% - 33% of the total tendon is torn.  The OS tells me he will have to re-open the knee, drill two new holes through the patella, stitch up the tendon and muscle and pull it down and attach it to the patella again.  He is as shocked and dismayed as am I (well,that is probably not quite true).  I speculated that perhaps I had damaged part of it during my PT when I one day jumped off a bosu ball and felt a "pop" and then damaged the rest about two weeks ago while alpine skiing after 4 straight days of nordic skiing and weight lifting.  He stated that it was possible, perhaps even likely, that I had done some of it quite a while ago given the image he saw on the MRI - it was not as "ragged" looking as he would expect for a completely new injury.  Nonetheless, he stated that SOMETHING happened while skiing the other night.  He will be speaking with his partners tomorrow, the radiologist, and others to try and get more heads thinking about this one. 

I am, quite frankly, despairing.  I was just coming back into really good condition when this happened.  It is possible that my alpine skiing days are over - I hope and pray not - the utter joy I have received from the sport for more than 40 years is impossible to replace.  I was going to take my 17 y.o. high school junior son to Montana at the end of March to look at colleges and ski - the skiing part of it is done.  We were going to do a six day bicycle tour as a family this summer - that will likely no longer be possible.  The money the surgery and treatment cost will again suck the flex out of our budget.  My wife is wondering whether the surgery will take place next week and prevent her from doing her annual "girls' yurt trip."  My backcountry yurt trip planned for the weekend after that is toast, as is any plans to backpack for the summer.  This will be the third major surgery and rehab on this knee that I have had in seven years - it is difficult to take.

I know I will get through this - people like TwiceRuptured are living proof (and he had two complete ruptures - not a wimpy partial rupture like this one).  But, o god, I am tired of this . . . .


post #1669 of 10797
IDG I am SOOO sorry to hear that you are injured again. I know I was depressed after having a second surgery after about a month, 2 years later is just horrible.

Just try to stay positive. You only have a partial tear so hopefully they will let you do some PT and not let the muscle atrophy too much. Then it will take some patience to not push it while it heals but I would think that overall it will be less intrusive this time. And stay away from that bosu ball!  Hopefully you will get back to skiing again, you need to keep a goal so you have something to work towards.

Good luck and keep us updated. We're all glad you started this and hate to see you back with us.
post #1670 of 10797
IDG - So sorry to hear about your injury. Man that is frightening to all of us. Stay positive. I have been doing alot of reading on the effects of taking statin drugs and muscle and tendon weaknees. The reason for this is that I have been on statins for 5 years. Alot of researchers have drawn a correlation between tendon weakness and failure and statins.
I wonder how many people on this thread are like myself and have been taking statins such as Lipitor to try to reduce their colestrol. Might be an interesting study.
post #1671 of 10797
IDG - Like all of us I'm sorry to hear about your injury.  You've done so much for all of us starting this forum.  Here's to a complete recovery that gets you  back on the slopes!

Canuckman - I've been taking high dose statins since the day they came on the market in the 1980's.   I have a horrible family history and my blood chemistry was even worse.  I have no doubt that the statin therapy has prevented - or at least drastically slowed - the development of vascular disease and has contributed greatly to the life I enjoy versus the early deaths and disability suffered by my parents, aunts and uncles.  There is some literature showing a minor risk of muscle weakness and tendancy toward development of diabetes associated with statins.  (There is also literature showing a positive protection effect against certain cancers.)  These minor risks are much different than the severe, but rare, adverse reactions of major muscle disease, liver disease and kidney disease that need immediate attention.  On balance, the benefits of statins far outweigh the risks for people who truly need to be taking them and don't suffer the severe adverse reactions.   Given my family history and blood chemistry -- I wouldn't consider dropping the therapy even if it was proven to slightly reduce my athletic performance or increase my risk of injury..  Of course, this is a decision each of us has to make in consultation with our doctor.
post #1672 of 10797

Hey Idaho Guy,  sorry to hear the news.  I am sure you will go back to work and get it together once again.  Hang in there!  

DoOver posed the question a few weeks ago, about what would be worse, to be bi-lateral, or a do over.  This injury tests your mental toughness and your optimism.  No doubt that doing it again is tougher.   

NY Optimist - Some people here report instant improvements on ROM when they get released for PT, and I know it is disappointing (and a little concerning) that you aren't.  I know it was for me!  I started at a stiff and fragile 30 degrees.  You will work through it, just at a different pace.  My left knee is at about 140 degrees at 8 months post injury.  That may be better than it was before I got hurt.


post #1673 of 10797
Hey Idaho Guy,

I am so sorry! Your posts on this forum were the first thing to convince me that I could come back from this injury and rehab it to regain performance. I needed that in the first few days post-injury -- they helped me look forward to the rehab and PT when all I could do was read and play video games.

Good luck on the second time. Keep us posted!

post #1674 of 10797
Idaho Guy, So sorry to hear about being reinjured. Wishing your the best in your recovery

For all new people - sorry you had to join the club!

My injury was 5/26/08 and was complete tear about two inches up from knee --tendon to tendon (you can check old posts for more details).  I had about 3 months of physical therapy at home and facility and then I did my physical therapy exercises at home every day for about a year and in June 2009 my injured leg tested with 10% strength of non-injured leg and my doctor released me.

Everyone is different and there are certain things I just would not do now because I don't want to injure myself again.  My doctor didn't limit me, but whatever I asked him I could do he would say well you have to ask yourself if it is worth the risk.

I don't want to be in denial and I want to be realistic with myself.  I cannot hop on that injured leg (one legged hop).  If I can't do that, then I can't take the bouncing from jogging or running, etc. My doctor preferred I do my fast walking on a treadmill rather than jogging or running. 

Anyway, when I sit in a chair and straighten out both legs, the injured leg is never completely as straight as the other leg.  Also the injured leg is slightly bigger than the noninjured leg. Even if you didn't look at the scar, you could tell the difference.

I really don't dwell on how it looks, but I know I'm happy I can do normal activites and walk up and down stairs, ride a bike, fast walk, etc.  I call it a "new normal".  The leg was injured and they sewed it up but it will not be exactly like it was before.  Thankfully I have a desk job and I need to be able to work for at least another 20 years before retiring.

My insurance company (I'm not going to name it, but you can figure it out from the news) had its headquarters picketed because they wanted to raise the price of single policies 39% and physical therapists were picketing because the insurance company doesn't want to pay the PTs what they cost, so many PTs are dropping out of that insurance plan.  Which means, out-of-pocket PT costs for my PT if my insurance didn't pay for it would have cost easily another $3,000 or so.  Perhaps you saw the hearings where someone asked the president of this insurance company regarding the price increase "Have you no shame?"

So, it is scary to know that even if you have insurance, you may still be paying big costs out of pocket for an accident.

So, everyone take it easy and be patient.  You may have to make modifications after you have been doing PT for a year or so.  Things may not be exactly the same as before but you need to be optimistic.  For example, singer and actress Julie Andrews had surgery a few years ago to remove a nodule on her vocal chords. Well, the outcome of that surgery was a disaster to her and left her unable to sing--there was a large out of court settlement, but she couldn't do the very thing she was famous for and loved.  I read she even went to a psychiatrist for a while because she was so depressed about the situation.  Somehow she pulled through and even though she can't sing, she made use of her other talents--acting and also began writing children's books and such.

There must be a reason that basketball players with this injury are forced into retirement--they will not have the speed to play pro ball again.

I guess the lesson there is to be optimistic and patient and keep doing your PT and consult with your doctor about your particular situation but be prepared to make modifications to your exercises or sports hobbies and listen to your body.  Be thankful for what you can do.
post #1675 of 10797
 Thank you, California Quad POP, for this post.
I can only assume that most if not all of us have been pretty put under by this injury and have had to really take a good look at what is in front of us.
I expect to make a full recovery but also am very much a realist and recognize that I will have to be very careful of everything I do, especially in the next year.
I, too, have looked at the future through an entirely different set of glasses.
I am not angry, nor frustrated, but hopeful and optimisitic that each week will get better and better.
I will be at 9 weeks Tuesday.
I am at 90 degrees but am fighting for 3-5 degrees every few days; this part has been probably the hardest for me.
I descended the staircase I fell down yesterday...twice. I am getting ready to start driving again.
I went to the gym twice last week...no, can't even do full rotation on bike yet but each day I get that 1/2-1 inch closer.
I have lost some weight. I have somehow pushed forward my photography business and even did a shoot last weekend...the first time in 8 weeks that I spent an hour NOT thinking about my knee.
I decided that when I go back to my emergency medicine job, I am working 40 hours, not 60.
I will spend that other 20 hours taking care of ME...doing my exercises, going for walks with my dogs...haven't done that in a long time.
And never making an excuse again for not being active.
At the gym the other day, one of the trainers approached me and asked what had happenned. As it turns out, He had to have his patella removed and therefore his quad tendon is somehow sutured down across the knee. He is the first person I have encountered who truly GETS this injury. The look of acceptance and empathy when we spoke about my frustration in doing a rotation on the bike...it was worth so much to me.
I used to bemoan a 90 minute spin class. Oh that would feel so good about now..
Happy thoughts all of you. Stay as positive as you can and treat each thing you are freshly able to do like it is the most wonderful thing in the world..cause it is.
post #1676 of 10797
Charnsophie and Californiaquadpop:
Thanks for the excellent write up. Charnsophie, you and I are on the same schedule. I too am realistic and optmistic about the future. Each new achievement is a "wow-I cando it. This week, I was able to dangle my knee over the edge of the bed . Four weeks ago, I was only able to grimace at the thought. I too am at 90 degrees and doing my exercises 3 times a day; seven days a week. I am also taking large doses of vtamins and Omega 3's. The deep massage and ice are the two things that bring instant releif combined with the Motrins.
This blog is fantastic. My PT is awed by how much I have learned about this injury through all of you.
Thanks again and stay optimistice.
post #1677 of 10797
7 and a half weeks since the surgery.
IG & RCM111,
Thanks for the response.
It has been 9 days without cast. I haven’t started PT yet. Trying to do exercise applying the advice from the Forum. My ROM level has increased from 20 to 40. The fact that almost all of correspondents began from 50" makes me jealous.
What might be a good thing is that I can walk without braces. I use that only outside for protection only not for support. I can easily lift my leg up 30-50 times in a row.
At this point, it’s crucial to find an experienced PT.
Does anyone know where to lease a CPM machine?
post #1678 of 10797
Idaho guy,

I am so sorry for your news.  Not only do I feel bad for you on a personal level, but also from a selfish perspective.  I had always been inspired by your recovery.  And like everyone else here, I never want to go through this again (and for me, it would be my third time).  Now, unfortunately, your latest injury rebuts the claim that the repaired tendon may be stronger than the unrepaired tendon.  And for the rest of my life, it will always be in the back of my mind that it could tear, or worse, rupture again.  All I can say, is what every one else has said, keep your spirits up.  As far as skiing again, obviously I have nothing to add, but maybe you can try for some sort of middle ground, where eventually you alpine ski again, but maybe you cut back a bit. 

BTW, I don't mean to harp on this, but blood clots are much more likely on a second surgery (as I found out first hand), so please talk to your doctor about that.  Maybe he will put you on prophylactic cumedin (sp?) or lovenox.  At the very least, make sure you wear compression socks for two weeks after the surgery and move around as much as humanly possible.  Even if you can't walk, there are various toe stretching exercises that you can do while laying down.  Best of luck.
post #1679 of 10797
Idaho guy,

One other thing that I forgot to mention, is I think you should consider getting a second opinion.  I think a 25 to 33% partial tear is right on the dividing line regarding whether it needs to be surgically repaired.  You might ask a second OS if he also believes surgery is required.  You have my best wishes for whatever you decide to do.
post #1680 of 10797

Has anyone out there had a second procedure which was orthoscopic to remove scar tissue and then a manual manipulation?   At 12 twelve weeks I cannot get past 90 degrees ROM and the orthoscopic procedure and manipulation appear to be the recommended solution.
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