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Quadriceps Tendon Rupture, Repair and Rehab - Page 66

post #1951 of 10802
Thread Starter 



I LOVE Big Sky - the north facing stuff on the "tram side" of Lone Peak is, in my opinion, some of the best lift-served in-bounds terrain in the country.  Also love the hike-to stuff in the Headwaters area of Moonlight Basin.  Also LOVE Bridger Bowl.  I am hopeful that my senior in high school might go to MSU next year so I can spend more time skiing those three areas.  Also, have you ever skiied Discovery?  Its backside is an absolute gem of Northern Rockies steep skiing.



post #1952 of 10802

IDG,  Ya, there's tons of fabulous skiing up here.  I've had a pass at Moonlight for the last five years.  Just a great atmosphere and skiing the Headwaters and north summit snowfield is just great.  I had to spring for a Big Sky pass this year because they dropped the price to $800.00 for some reason.  Bridger is also a great spot, especially now with the opening of Slushman's lift which really gives it a big mountain feel.  I've never made it to Discovery but I have repeatedly heard about how great the backside is.  I'm just hoping that I get to get after it this winter.  Sinrider is my hero and I'm trying to follow his lead.  So far so good.  I think encouraging your kid to go to MSU is a great idea.  This is a wonderful college town.   So many wonderful folks and just so much to do if you love the outdoors ---- not to mention the fringe benes for you.  Hope you are doing well. Regards, Brian.

post #1953 of 10802

8 weeks post op


I had a OS appointment yesterday my last) and was cleared for taking the immobilizer off and walking as much as I want.  He told me to be careful for another month and then I should be able to do what I want.


 Went to my second PT session today and found that I have 100 degrees  ROM (10 days ago it was 70). I can do as much exercise as  feels OK  including walking up and down hills (using cruthces when needed)and using a Health Rider. This machine is sort of like a rowing machine and I can control the amout of bend and pressure on the quads.  My leg feels great after I use it.  I hope to be able to get the pedals all the way around on a stationary bike in two weeks which will probably be my last PT session.  Along with the Health Rider I've been going up and down stairs as much as my leg can do.


The PT also made the point of not walking faster than I can do without a limp. If walking faster use a crutch to keep the gate as even as possible.


I think I am happy with this type of Rehab which is basically done at home.  The PT gives suggestions and answers questions. There are no painfull  sessions of  PT where the leg is forced.  Every day I try to push it a bit further and so far it seems to be working for me.


Thanks again to all of you who have contributed. It has really made a difference in my recovery.




post #1954 of 10802

Hi everyone,


10 weeks post injury update:  Went to OS yesterday, he watched me walk and told me to ditch the crutches.  Fitted me with a cane and since the quadricep muscle is still weak, he authorized 3 more weeks of PT.


PT consists of elec stim, ultra sound, leg lifts, heel slides, wall slides, stepper machine, leg pushes on a weight machine, and an exercise where you step on a 4-inch box with the bad leg and squat till the good foot touches the floor.


It is good to read that everyone on this thread seems to be healing and making progress!  Keep up the hard work and good luck with your rehab, Tim

post #1955 of 10802

Hi everyone,


A shout from a guy living in Denmark, but who managed to rupture his quad tendon in Little Rock, AR. Just slipped on a steep surface while hiking, right leg pointing straight and the left flexed, which caused the tendon to snap. Unfortunately the hospital in Little Rock diagnosed me wrongly, and advocated conservative treatment, meaning 2 weeks in a splint. Somehow I managed to get flown back to Denmark with my leg in that splint with no ROM. Not until 10 days after the injury, I was diagnosed correctly, and had surgery the following day. This was almost 4 weeks ago, and I'm really struggling with my ROM. I'm probably around 50 degrees right now, was about 5 degrees day after surgery, however initially the progress was good, but during the last two weeks, it's been very very slow.


Has anyone had my kind of problems, as far as diagnosing the injury, and therefore didn't have surgery until more than a week after the incident?


And what have you guys found to be the best way of exercising ROM during these initial 6 weeks with a stiff splint? My exercises really hurt right where they put in anchors to attach the tendon sutur to the kneecap... Feels like I'm going to pull the sutur apart within the knee. How much force could you guys put on it, without blowing the tendon again (I know it's subjective)...?


Before the incident I was quite an experienced and fit MTB rider and runner, and did some Adventure Racing. I ski as well, however snowboarding seem to be my preferred choice when it's not alpine... This means that I now have a very puny left thigh, and my standard oil barrel sized right thigh (still exercise right leg with one legged squats and other stuff). However, this also means that I'm telling myself that my chances of recovery are better than anyone out of shape with this injury.


Hit me back, I really need some encouragement!



Edited by michaelrdaf - 8/8/10 at 7:28am
post #1956 of 10802

Michael, I had NO bending for the first  5 weeks as I was in a leg immobilizer at 0 degrees. Starting at the 5th week my OS had me bending to 45 degrees. At 6 weeks I was able to continue to 90 degrees. At 7 weeks I started walking around the house without an immobilizer using crutches when needed. Now at 8 plus weeks I keep pushing a bit harder every day and am up to around 100 degrees ROM.  It just takes time and work according to what your doctor authorizes. 


As you have time, read back through this thread and you will get a lot of encouragement from those who have contributed.


good luck and keep us posted on your progress.

post #1957 of 10802

18 Months Post-Injury (well, it was yesterday ...)


Hi all,


Just been checking in to see how everyone is doing. It looks like many new recoveries are underway and still others are ongoing processes. For the newcomers, my condolences, but also my sense that the recovery can actually be a very fun process -- even though it doesn't feel like it for the first. I can honestly say that I enjoyed the rehab process and felt that it was a very positive experience.


Tigger, sorry to hear that it's not coming to where you want it to be. Best wishes and many thoughts.


IDG, glad to hear that you're back on the mountain bike. I've gotten hooked up with some mid-20s guys who ride the trails at the state park at the end of my yard. I am trying to mountain bike again. I think I must've lost some skills last year ...


Wanasail, how's the riding coming this year? It looks like I'll be in Spain and Italy over the next couple of months for work, so I'm trying to figure out how to get my bike over with me ....


Update: All is pretty much well. I've been doing my usual things -- biking, tennis, hiking. One moment of concern a few weeks ago on the tennis court, when the knee definitely felt awkward at the end of a match -- slow hard courts with a lot of hard stops, I think I just overdid it. I played the entire USTA season this summer and could definitely feel that I was pushing it back towards the old performance levels in those matches. There was some slight swelling that manifested itself as pressure in the knee not as external swelling. In general, it was solid and held up well.


It's also held up well on the bike -- no pain this year and lots of miles :). I still don't have much of a sprint, but I am having a good time on the bike.


Cosmetically, it looks more and more like a normal knee -- there was some residual swelling that has taken a long time to subside. For lack of a better phrasing, the contouring around my knee is starting to come back. It doesn't look all puffy anymore. I wish the numb spot on the outside was not there -- it just plain feels weird to brush up against things with it.


Best wishes to everyone in process. It's a long comeback, but most of the time you get there.


post #1958 of 10802

Hello Idaho Guy,


Your story is a "Godsend".  Last Tuesday, August 3rd, 2010,  I was walking towards the exit of my workplace when a coworker summoned (sp)  me because the automatic coffee maker's water line had burst for the second time in as many days and water was spraying everywhere.  The natural reflex was to run to the area where the disaster was occurring and I am a slave to my reflexes. 


As I ran towards the troubled area, my feet went up in to the air with the rest of my body and then many of the observing witnesses thought that I had landed on my head or my ever fragile back.  The back issue was scheduled to het fixed on Nov. 3, endoscopically in Tampa.  As it was, the pain as well as the Orthopedists procedure to include the Orthopedist Diagnosis you cited in your Blog, completely mirrors my injury.


Additionally, I am considered athletic also.  Up to the point of injury I ran 5 – 7 miles daily.  I just finished a gruesome ½ Marathon in Kansas City less than two months ago.   I was due to go hiking through the UK, Ireland and Romania from September 23 through October 21.  Of course now that is out.  I had the Surgery on Friday, today is Monday and the leg is quite sore.  Vacation is not likely to happen.  I am still planning my Back Surgery in November,


What I did not see in your Blog is the outcome.  Since your injury happened in January 2008, you are probably functional once again.  I am enclosing my email address mheatherton@yahoo.com please feel free to contact me.  Please let me know what to expect. 


Thanks--------- MSH

post #1959 of 10802

just go back to page one of the blog and start reading the 60 odd pages of posts, you will learn much...perhaps more than you want to know....but trust me...you've got the time

post #1960 of 10802

MSH,  welcome to the club.  Merlin55 is right.  There's a lot to learn by reading this entire blog and you've certainly got the time. 

Michael,  I'm not the MD but ROM shouldn't be a big concern for you at this time.  Some protocols are more aggressive than others but it seems to me that you cn't get around the fact that you've got to give the tendon time to heal and grow back on to your patella.  Aggressive pursuit of ROM in the intial 6 weeks seems counterproductive to me and may put you back on the surgeon's table.  I'd be talking to my doc about what's best.  Regards,  Brian

post #1961 of 10802

Well, here I am 3 months out from surgery and doing much better than expected.  I went back to the OS last Monday and he said "you are doing better than you are supposed to be at this point".  I am no longer going to formal PT, but am doing the exercises at home to continue to strengthen the quadriceps.  I still have some swelling in the knee, but not too bad.  I was told that I am still not to jog or run or do the stairmaster yet.  I was told only to use "closed chain" machines such as exercise bike or ellipticals.  I was told to add light leg extensions to my other exercises which have included lunges, balance reaches, leg curls, leg presses, etc.  I still have a little aching in the knee, but no severe pain.  Back to the OS in six weeks when I hope to be released. 


Brian is right on, I was not allowed to bend my knee at all until I reached the 8 week mark.  My OS explained that to do so could cause a separation from the knee cap of the new attachment and this could compromise the entire operation.  This is something you certainly do not want to do! 


MSH, welcome to the club, although I wouldn't wish membership to this club on anyone, but it is a wealth of information and I thank IDG for starting it and everyone else for their contributions.



post #1962 of 10802

Hi all,

Michael -- I had my injury on Feb. 1 and didn't have surgery until Feb. 24 due to a delayed diagnosis.   I researched the medical literature and opinion is mixed as to whether it makes a difference.  In general, sooner is better -- but there are so many other varibles that I wouldn't worry about it.  In my case, I don't think the delay made a difference.  Be patient with your ROM -- and don't worry about your toothpick leg.  It will take a year, but it will redevelop.


Garland --Its great to hear that you're doing well and back to tennis and bicycling.  I feel like we went through this together!   I did the challenge ride I was planning before the injury -- the 200K Horribly Hilly Hundreds -- and hit my goal of under 9 hours.   As far as I can tell, my overall strength on the bike is as good or better as it was preinjury.   The only thing that is off is my ability to give a burst of power sprinting up a climb.  Nothing to complain about.  Sounds like we're having a similar experience.   For your trip, I'd think about renting bikes from local bike shops.   That's much more common in Europe than here in the U.S.   I'd suggest bringing your shoes and pedals, at minimum.  Taking your own seat is a luxury!!  Enjoy your trip!



post #1963 of 10802

Rob,  that is very encouraging news for 3mos out.  I am trying to walk that fine line between pushing it and not having a set back.  I'm at almost 3 weeks post surgery and spend my time icing, doing passive rom to 30 degrees and flexing my quad a little bit.  I am weight bearing and not using crutches --- only a brace locked at 0 degrees. My knee is definitely improving.  Did you spend any time in the pool?  What do you credit your quick recovery to?

Wanasail and garland I am a little envious of how far along you are.  I don't like to wish time away at age 55 but I'll make an exception under these circumstances.  I sure wish I was 6 mos into this and not 2.5 weeks.  Regards, Brian

post #1964 of 10802

I had my surgery on July 7, so I'm a little ahead of you.  I had a partial tear, so the OD put one anchor into my patella, didn't need to do the trans-patellar tunnels that seem to be commom with full tendon ruptures. Small little 3 inch scar.


My home PT is heel slides 3 x 30 a day, and straight leg quad flexing.  I have a cardboard box set next to me when I'm doing the slides, so I can measure the height of my knee cap, and hence an indication of the ROM.  I seem to gain about a quarter inch in knee height per day....I've got about 70 deg ROM during the slide and maybe 75 deg Passive ROM...my OD said not to exceed 90 deg ROM prior to my next appointment in 2 weeks.  Perhaps he is liberal/aggresive with my ROM because of my partial tear....I sure hope I'm/we are not overdoing it.


I walk without crutches and the brace set at 45 deg ROM, which makes getting into my car and sitting much more comfortable than 30 deg ROM that I had for weeks 2 - 4.

post #1965 of 10802



Welcome!  I too was a candidate for back surgery, and the surgeon wanted to operate the weekend after Thanksgiving, 2008.  Since our local HS football team was in the playoffs, I postponed it, wanting to watch Terelle Pryor and the Jeannette Jayhawks.  In the meanwhile, I had ordered an inversion table, which was recommended by my PCP.  I bought the Teeters "Hangups", and it did wonders for my back.  I have not been operated on, and my back has been fine.  Of course, I do not know your situation, but it may be something you could look into.  I have not used my inversion table since my accident, and I am not sure when it will be safe for me to start again.   As far as the QTR goes, be patient and listen to your OS.  In my first 6 weeks, I wore the Breg adjustable brace, eventually getting to 50 degrees ROM.  I wanted to start PT almost immediately, but he said that in the first 6 weeks we want to protect the tendon and let it heal.  I am now in the 10th week and I have full ROM.  Good luck with your rehab.



Sounds like you are progressing along just fine!  Do you still have discomfort at night?  I still find myself waking up with my knee having that dull ache, and having to take Advil or Exedrin PM.


Take care, Tim

post #1966 of 10802

4 weeks post-OP, 6 weeks post-injury


Getting some feedback from people who have actually been through what I'm experiencing at the moment, is so much more comforting than the usual mumbo jumbo that everybody else is trying to tell you, in order to cheer you up. Thanks guys!


Regarding ROM, then the surgeon and the hospital P.T. told me that I would probably be able to flex 90 degrees two weeks post OP, however I'm not even close, and that's why I was quite concerned. All the stretching I'm doing is passive, however my own P.T. do apply force on the joint in order to bend it more than I can do myself, but it's probably only 2-3 degrees extra.


I'm doing some active leg extensions (non weight bearing)when lying on my back and using some support under my knee, which means that I start out at around 30 degrees flex, and then straighten the leg. Some times this feels really good, however for the most part, it hurts in the tendon that connects the patella to the tibea. The P.T. tells me that this is due to the long period of inactivity, and that the tendon will adapt. By the way, I superset these extension with leg curls, by rolling over on my stomach, and curling my leg as far as the tendon will allow.


Furthermore I'm getting acupuncture... Now I'm not a tree hugging hippie, and doesn't believe in alternative medicine, however it just feels relaxing having the needles inserted into my knee (as long as I don't have to watch), and after 20 minutes with acupuncture, I do feel less tension in the joint. However, not sure whether this is placebo or not... Does anyone have any experience with acupuncture in relation to quadriceps tendon rupture?

post #1967 of 10802



I have no doubt that acupuncture will help.  I haven't had it for my QTR but I have had it for a shoulder stiffness and it did help.  If you feel less stiffenss in the knee, it can't be bad.


Also, let me just say what others had said. Don't worry about the ROM  so soon after post op. I didn't even start to bend the knee before 5 weeks as I mentioned above. I would not be worried about what your OS said at this point.

post #1968 of 10802

I'm a serious 8000 mile per year cyclist and about 5 weeks post op.  I tried riding the road bike on a trainer one-legged but it was very hard to bring the pedal back up with just one leg.  I want to get a few weeks pedaling again before I'm able to have the OK and ROM to ride with both legs...as I'm sure the injured leg will just be along for the ride, but with zero strength at first.


So I made a counter weight to attach to the crankarm on the injured leg side, and it is a HUGE improvment.  I bought a cheap 5 pound iron barbell weight about 6 inches in diameter and about a inch thick.  Drilled a 1/4 inch hole through the weight about 1.5 inches from the outer diameter, removed the pedal, found a piece of plastic braded water line and screwed it into the pedal hole in the crankarm to protect the threads.  The hole in the water line is 1/4 inch, put a washer on both sides of the crankarm and bolted the weight to the outside of the crankarm.  Drilled a couple more holes in the weight so I could put a zip-tie around the crankarm so to prevent the weight from roatating on the bolt.  The weight is installed so that 4.5 inches of the weight is beyond the end of the crank arm.  I made sure the weight and bolts don't hit the frame, and put a couple layers of duct tape on the crankarm to protect it.  I think 7 or 8 pounds might work better, but I just finished the working prototype today....

post #1969 of 10802



I have to ask. How are you getting on the trainer? I've been trying to think of any comfortable way to do it without a reasonably open brace .... Just wondering.


Rob, glad to hear that it's coming along so nicely. The fun part of the recovery is just ahead ....


Michael, patience on the ROM. A lot of the hospital folks will compare this to a knee replacement. It's NOT like that. Work at your pace through the healing process and just try to push it a little bit when you feel like you can.


Best wishes all.



post #1970 of 10802

I have a large wooden wine box which is about 7 inches tall that I use as a platform to stand on when getting on the bike.  Stand on the box with both feet, grab the bars with one hand, the top tube with the other and swing the good leg over the bike...and clip in to the pedal.  I rest my injured leg on the box while riding.  I can support 100% weight on my injured leg while wearing a brace.


FYI, my normal bottom bracket to saddle top distance is about 79 cm and I've raised the saddle an extra 2 cm, and moved it forward 3 cm to allow me to pedal more smoothly with one leg.  It is hard to ride with one leg, and I'm still working learning how to pedal with a normal cadence of 90 or so.....After 5 weeks of going cold turkey ....i really needed some riding time


 I use my first fixed, cheapo leg imobolizer on my left leg as it gets really sweaty while riding...but I've bent the aluminum bars to provide a fixed flex amount of about 30 degrees as it is more comfortable

post #1971 of 10802

Brian, I guess I would attribute my quick recovery to a few things.  First, as most everyone on here, I was very active and my leg muscles were in great shape from plyometric training, martial arts, stretching regularly, etc.  I think the "muscle memory" had a lot to do with this and the stretching that I did nearly every day I am sure resulted in the quick return to full range of motion.  My OS had me full weight bearing right after the surgery in the brace, so I was walking around alot, even with crutches while I had the brace on.  And I fully believe that my 7 year old praying for my knee to heal every night didn't hurt! 

Tim, yes I still have an ache in the knee at the end of the day at night, and sometimes during the day.  I found that stretching it helped, and I will do a full stretch of the quad when I feel the ache during the day.  I have been doing weighted leg extensions and curls now and feel this has helped to start bringing back the muscle size.  The knee still has a funny look to it and doesn't look like my good knee.  It has sort of a bulge on the upper outside, which I assume is the attachment of the quad back to the knee.  I guess this may return to normal appearance over time.

On the ROM discussion that many of you have discussed, Chinagirl, you are correct about not bending the knee soon after surgery.  I kept mine in a locked straight brace for a solid 8 weeks with no bending allowed until the brace was removed.  I was told that a small separation in the repair could cause it all to fail soon and could end me up under the knife again.  I followed those instructions to the letter and am now progressing quite well.


post #1972 of 10802

Rob,  I have been full weight bearing since 2 days after  surgery with a Breg brace set at 0 degrees.  I try to do a fair amount of walking in my brace.  I can feel the knee starting to regain rom.  I also message my knee with hand lotion, flex quads, ice, passive rom to 30 degrees and gently push my patella from side to side.  Would that be similar to your program at 3-4 weeks.  Thoughts from all others would be greatly appreciated.  Brian.

post #1973 of 10802

Hi Rob,


It's great to hear that you are doing so good!  My knee is still slightly swollen.  I am lying here with ice on it, watching Unforgiven.  Seems like every other night I am taking Advil or Exedrin PM, probably more these last 10 weeks than the last 10 years.  Have you been walking without crutches or a cane?  Guess we have to be patient and let time heal us.  I have 9 more visits with the PT.  Take care, Tim

post #1974 of 10802

Hello all.  I just found this forum which looks like a great resource.  My QTR occurred almost 2 weeks ago during that high contact sport, golf!  I slipped on a mud bank on a water hole while trying to retrieve my crappy tee shot.  The mud was like ice and I wiped out immediately--no sound that I can recall except me screaming in pain.  Immediately to the ER (although I tried to wait to let my fellow golfers finish the last hole, but the pain became too intense)--x-rays showed a "soft tissue injury" which I translated into (based on my children's sports injuries) as "get out of here and go talk to a specialist."  Two days later OS immediately diagnosed a QTR and I has surgery the next day (10 days ago).


Recovery has gone unremarkably.  I have been able to put some weight on it to the point where I've mostly ditched the walker to go to the bathroom.  I stopped pain meds after a couple of days and am just taking Motrin and aspirin to retard blood clotting. 


I have my first follow-up with the OS on Monday and I'm hopeful he'll be aggressive in prescribing PT and getting the immobilizer off.  But I've read some of your experiences in which both of those outcomes were significantly delayed.


My main concern is about dealing with work.  On one hand I have a job--college professor--which doesn't call for intense physical stress (the mental stress is another story!).  But as I get ready for classes (10 days until semester starts), I wonder about the best way to deal with sitting in a classroom and sitting at my desk for extended periods of time.  I'm also curious about how long I can expect to sit in these situations without getting fatigued or generating pain.

post #1975 of 10802

Hi Howard,


Welcome to the club, one of which I am sure you would rather not be a member!    On my first visit to the OS, he took off my immobilizer, and put on a Breg adjustable brace, set at zero ROM.  I asked him if I could start PT.  He said that would be weeks away, and in the beginning, the main thing is to protect the tendon and let it heal.  Two weeks later on a follow-up visit, the brace was set to 30 degrees.  Two weeks later it was set at 50 degrees.  At six weeks, they took away the brace, and my ROM was measured at 90 degrees.  The following week I started PT.  At 10 weeks they took away the crutches and I now have a cane.  I am currently going into my 11th week, and have full ROM.


I retired right before my accident, so I am not a good one to give any advice about how the knee reacts at work.  I can't imagine being at a desk all day with the knee in a brace.  I would spend a good bit of time on the couch with my leg raised.  Maybe you could sit at your desk and have another chair to rest your bad leg on, because it seems to feel better with it up.  Good luck professor and I hope your rehabilitation goes well.  Tim 

post #1976 of 10802


I was googling this injury and found this site.  I am not a skier.  I am not the injured.  But my dad has done this to BOTH of his legs and I am worried sick.  He is 71 and had a bad fall.  He had the surgery last week and is in tremendous pain.  He is in braces with straight legs for 6 weeks.  They say he won't be bending until after that.  They do have him putting weight on the legs and using a walker.  I wanted to reach out to folks who have been through this and ask for recommendations.  What has worked for you?  Should he be bending sooner?  No weight?  Weight?  I feel like his therapists maybe don't have a ton of experience with this particular injury so I want to gather info. from previous cases.




post #1977 of 10802



The best advice I can give you is to read through the 65 other pages of this blog.  You will find all the answers to your questions as well as stories of  atleast two other men who ruptured both quads.


From the reading you will also see that there are two schools of how to recover from this.  One school has the patient stay in a straight cast for 6 weeks with no bending and the other school has the patient bending quite soon after the surgery.  Both ways seem to bring a good result in the end. Within the two schools there are, of course, all sorts of permutations as well.

post #1978 of 10802

Some people have complete tendon tears, some partial.  Some people tear their tendons due to the trauma of an accident such as slipping, some people have tendons that are weakened due to illness and/or age.  Thus the range of treatment protocols is varied, and best determined by your Doctor based on your specific situation.


The benefit of this forum, is that it allows us to compare expereinces, become more informed and ask better questions of our Medical Professionals.  For me it has been a huge help knowing what to expect by learing from others...and helped manage my own expectations for treatment and recovery.


Read up...you've got about 2000 posts to learn from.

post #1979 of 10802

Thanks all.  I am working through the thread and have forwarded it to my parents.  I hope my dad will take the time to read it.  He is still in a lot of pain and also very down about the injury.  I feel terrible and want to help.  I know if he reads this he will get some encouragement,  hope and good information from all of you.

post #1980 of 10802

Tim, After being in the straight brace with no movement whatsoever for eight weeks, my OS recommended that I use crutches after the brace was removed.  However, I chose not to use crutches or a cane.  I was 100% weight bearing the whole time I was in the brace and did flex the quads regularly while sitting just to continually engage them.  After the brace was removed, I felt comfortable walking without anything, but I was very careful.  I did not even attempt steps at work for about 2 weeks into PT.

Howard, I returned to work one week after the surgery.  I too have a desk job, and put a stool under the desk to allow me to prop my leg up in the brace while I was at my desk.  I regularly got up to walk around and continually flexed my calf to prevent clotting.  I was fortunate that my injury was to my left leg so I was able to drive in to work by putting the seat all the way back and swinging the leg into my truck and then scoot the seat back up to drive with my straight leg on the far left foot rest.

Brian, as stated I was in the straight brace for a full eight weeks.  I did flex my quads while in a straight position as you are doing, but that was the extent of any exercise until the brace came off.  I did not ice it or anything for the 8 weeks.  It sounds like you are ahead of where I was at that time.

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