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Quadriceps Tendon Rupture, Repair and Rehab - Page 76

post #2251 of 10797



Welcome to our little club that no one wants to join.  Buddy that's a hard question to answer and one you will ultimately have to make and then be comfortable with. 


I'm not a skier so the need to keep doing that for the rest of the season wouldn't sway me.  I'm more of a Spring and Summer guy so just the thought of being able to get closer to 100% by the time Summer hit, would push me to do it now if the doctor suggested surgery as the fix.


What % is torn?  That would be a key indicator to me.  If it's less than 70% intact, I wouldn't risk it but I'm a fairly cautious dude.  Some have indicated their doctors or though experience that the longer you wait, the more difficult and lengthy the recovery because the muscles won't acively seek to grow back to do the compensating and getting used to being apart.  I don't know how valid any of those concerns are.


I'm of the ilk to where the quicker I get it done, the quicker I get back to 100%.  I didn't really have a decision to make because mine was a full rupture but I would think had I a % that had a doctor suggesting surgery, I'd want to get it done.


Interesting delimma and I'll be interested to hear your thought process and what you choose.  I'm glad you were able to get the MRI and speak with your doctor so you can now make the most informed decision based on your actual situation.


Good Luck,



post #2252 of 10797

16 weeks post op



Let me throw my 2 cents into the fray, I agree with everything that Texas Diesel says above. I suffered a complete rupture but did not get surgery for 3 1/2 weeks for reasons explained in a previous post. During this 3 1/2 week period, my leg was immobilized in a brace, and a certain amount of healing occurred, my OS was surprised that could do some extensions that someone with a complete rupture should not have been able to do. He explained that  the tendon would reattach itself if left immobilized, but that we would NEVER BE COMPLETELY SURE IF THE SELF REPAIR WOULD GIVE ME 100% OF THE STRENGTH AND FUNCTION I HAD BEFORE THE INJURY.


After discussion of my activity level and occupation, It was a no-brainer to go with surgical repair, with an anticipated full recovery. Here's another angle- by going the non-surgical route, one still has to go through the same time frame of immobilization and PT as a patient who gets the surgery. As I see it, the only downside of surgery is the healing of the incision, and the day or two of pain killer use.


So the question is, do you put up with the inconvenience/pain of surgery to give you the piece of mind that you will be 100% in about 6 months, or take door 2, which could be better, the same, or worse. Thats for you and your OS to decide.


post #2253 of 10797

I would definitely get a second opinion.   if the same you know it.   if not, ask what he / she has seen as a chance of success.   lucky you can walk.   with us guys there was nothing.  

post #2254 of 10797



I concur with the others....a second opinion is an excellent idea.  This is potentially one of those - you can fix me now or fix me later - situations.  Telemarking puts a whole lotta stress on your knees so anything much less than 100% might be a problem.  I'd err on the side of fixing it now, personally.  I would think your recovery could be a whole lot faster than the rest of us quad snappers since you only have a partial (and maybe pretty small, if you are lucky) tear.  On the other hand, as a xc racing guy, the snow is here and I'm not skiing yet so I can sympathize with not wanting to lose the season.   I'm darn close to getting out there for some gentle skiing though. 

post #2255 of 10797

16 weeks post op- wow, thats 4 months


Seasons Greetings-


Have been completely discharged by my OS this week, I guess you could say I have graduated. My only complaint at this stage is a varying amount of tightness through the repair area that comes and goes. My quad strength is back to the point that I have full function for most if not all tasks. When I isolate the quads in the gym, I still get them quivering and shaking, telling me there is still a way to go to 100%.


MyQuad and TD- Back to regular duty on the trucks this week. This has made me feel NORMAL for the first time since the injury. I am extra careful, and a great crew has my back.


I will continue to post and watch everyones recovery, and offer observations and my experiences, collectively we have created a very valuable resource (Thanks Idaho Guy).


It will be interesting to see how long it takes until I can claim 100% symtom-free recovery. My PT once said that may be 2 years in coming.


TD- You mentioned the benefit of backwards eliptical trainer riding, someone at the gym suggested this to me a couple weeks ago, and it has become my "go to" exercise for getting a good burn on the quads.


Merry Christmas to All 

Its great to see so much progress from so many 

post #2256 of 10797

never heard of us as "quad snappers" before.   sounds pretty nasty.......good laugh though!

post #2257 of 10797

wow, 2 years.   hope it is quicker then than.  i bet it is. keep us posted

post #2258 of 10797



post #2259 of 10797

Q.F.-  In my opinion, orthodics in the shoes are not a factor that would contribute much to recovery. They may help with gait and comfort during walking and exercise, but I wouldnt think much else. In my opinion.

post #2260 of 10797

Thanks FF

I read somewhere where arch and foot alignment were important to overall quad health. I was more looking to see if those who have always used orthodics have started using them

again after their surgery.



post #2261 of 10797


I wondered where you had been.  I hadn't seen anything from you lately.  I am about a month behind you and I am having trouble with stability.  My knee just always feels like it will buckle.  Sometimes when it is bent forward a tiny bit as I walk, I wonder if it is going to just keep right on bending and cause me to fall (although this has never happened) and I hate to keep slamming it back or locking it back every step I take just to be in my "safe mode".  I hope that as my strength builds, the stability will get better.  Did you ever have any issues with that (stability)?



post #2262 of 10797

It is always encouraging to read the generous responses and sharing on this site of folks experience. 


I'm now 15 days out from surgery and have had my leg in a full cast since Monday. Off all pain meds. The cast is to be removed on Jan.10th. 


In many ways the cast is a blessing because other than issues of logistics involved in transportation it has increased my mobility tremendously.  I made it in to my office for two hours on Thursday but that was enough as I could feel some swelling coming on. Fortunately, upon returning home and elevating the leg it reduced quickly.  Anyway I will be back in the pulpit on Sunday and will do at least one of our Christmas services on Christmas eve, both if the leg holds up without swelling. 


I have a question about a sensation I am having in the foot of the surgical leg.  I have the constant sensation of a rubber band being wrapped around the last three toes of the surgical leg.  It feels like about a 1/2" band wrapped tight around them. I have full motion and touch sensitivity but there is this steady state feeling of banding. I assume it is the results of nerves cut in surgery but it really is an odd sensation, any thoughts or similar experiences?


Thanks to all of you participating. All these thoughts and experiences are truly helpful.

post #2263 of 10797


I'm thinking that your stability issues must be a function of the weaker quads. How often do you get that buckling sensation, if you went for a 1/2 mile walk say, how many times would you get it? I know you have been without the brace for a while, has the frequency of the buckling decreased considerably over time since you stopped using the brace?


At your stage I think you are well past the point that the buckling could actually take you to the ground and reinjury, I think it is a lapse in the quads firing to get ready to take your weight, they flex a little slower since they are not as strong, giving you the helpless feeling for a few split seconds. (This is entirely my uneducated opinion based on my experience).


How has your quad strengthening coming along? I dont really have the buckling anymore, but after a hard workout on the legs I have some tenderness and walk with a bit of a limp (I wasnt aware that I was limping, someone told me). I think this limp is caused by me favouring the injured leg, because the tired quads feel like they may not take the weight. I am truly amazed at how hard it is to get the quad strength back. I do sitting leg extensions and my quads still quiver and shake.


I really do think that your stability problem will slowly disappear  as the quad strength gets better. I have relied mostly on walking briskly on a steeply inclined treadmill, stationary bike, and eliptical trainer. Only 3 weeks ago I was shown the benefit of going backwards on the eliptical, which is particularly good for targetting the quads.


Have you tried a balance board or bosu ball during physio? The balance board is basically a square piece of plywood with a 2x2 screwed across it, the bosu ball is like a half exercise ball on a platform. I started using a bosu ball at the gym, just standing and balancing on it while I hold onto a post for support. After a couple of minutes it really starts to burn the quads and the other peripheral muscles that I would assume are important to stability and knee strength. I am thinking about buying one of these, because I want to continue to strengthen not just the injured leg, but the good one as well.  My OS warned me abouty being prone to injuring the good leg, and I recently talked to a guy at work who ruptured the other quad tendon 6 years after the first. Dont want that, not at all.


Let me know what exercises you have been doing, how the quad strength is improving, and if the buckling is getting more infrequent.



post #2264 of 10797

Well, like almost everyone has said so far, I sure am glad that this forum is here. I'm just two days out from surgery, quad rupture rt. knee. Unfortunately, I have a history of dislocating patella (left) so now my bad knee is my good knee! Fortunately, I obtained a pretty good brace for the left knee last year that actually does provide some support, so my left knee is not totally useless. Still a little dazed, just beginning to get a grip on what's ahead. Being 61 and somewhat athletic, this feels like quite a bit of "new normal" to get my head around. Did want to mention, in case anyone is going into surgery, ask if you can have a femoral nerve block. Luckily, my anesthesiologist is also a family friend so he saw to it that one was installed prior to surgery. I was sent home with a little unit that provides a steady flow of anesthesia for a couple of days. It has been wonderful, very little pain. My unit does not have a pump on it but some do so the patient can modify the infusion rate. My pain doc buddy feels that aggressive pain control right  from the get go can make quite a difference, so far I have to agree esp. after reading some of the descriptions of post-op pain posted here. The pump is coming out today (50+ hours post op) so we'll see. So far,  he's started me on Celebrex and it seems to be picking up the slack. Little scared about side effects of that stuff , but I trust  him. As far as rehab goes, my OS is quite young, says she's done about 20 of these so far, and seems to be leaning toward the more aggressive approach. She sent me home in a hinged brace 0-30 degrees, 50% weight bearing on my right leg (on crutches) with orders to do passive isometric exercises and active prone (on my belly) lifts to 30 degrees 3-5 times per day. Seems to be OK so far. Starting PT immediately - this Monday and it sounds like I'll be doing a lot of passive stuff for awhile. Not much to say yet about that. Thought I'd be returning to work after holidays, not so sure now. Mostly want to get past the intial surgical healing and the clot/DVT paranoia that I'm feeling right now. I will do my best to post more positively in future, just getting my toes wet. Cheers all and Thanks again!

post #2265 of 10797

9 weeks since injury

7 weeks since surgery


Hi all,

While I find myself frustrated by progress, I have to remember how far I’ve come.  I’m two weeks now without crutches, I’ve gotten to 70 degrees ROM, and in the past few days, I’ve kept the brace off around the house. 


A few weeks ago I tried to sleep without the brace and realized it was a bad idea. I woke up with a really sore knee.  This week I’ve been ok sleeping without it. My advice is to wear the brace as long as you can. Yes, you feel like you are sleeping on a bicycle, but it is important.


To anyone having trouble with leg lifts, know that it is a result of nerves being constricted by swelling.  When the swelling goes down the leg will lift – magic eh what?


I’m now trying to push it by walking everywhere (I was all over the mall xmas shopping today). When climbing steps I have been stepping up with my bad (left) leg and letting it hit the stair tread. I still single step with the good leg, but every time the bad leg is raising a little bit more. While strength is coming back, I know I’m a long way from walking normally down stairs.

I still have a long way to go, but I’m beginning to feel like I’m making progress.

post #2266 of 10797

6 weeks post op

7 weeks since accident

I am a soon to be 61 year old heavy equipment operator who was injured on the job on 10/29.Needless to say I have been out of work since then. I was fairly active before the injury, walking 2 miles every day before work and 3-4 miles on the weekends.The inactivity has been hardest part of the whole deal. Anyway I was in a knee immobilizer until 12/1 and started PT on 12/2. I should say that I was allowed to take the immobilizer off at home on 12/1 but still wear it outside with it unlocked to 50 degrees. Pt consists of elec. stim. and contracting of the quad. then hamstring stretches. Then the best of all quad and knee massage. This not only feels great but also made my incision almost disappear  and brings the healthy color back into the knee area ie. blood flow.Then some calf stretches and work on the balance board, which you really can feel. But for me the ultimate (so far ) exercise is the stationary bike . Been on it 3 days. First day just rocking to the point of resistance , second day the same but then went beyond resistance in reverse  to complete revolutions and the the third day rocking into reverse and then putting it in forward and finishing the session going both ways 360 degrees. WOW that to me was an accomplishment being that its still a hassle putting my socks on. Don't know how long I'll be out of work but I do have to have an independent medical exam in the middle of January Don't want to be getting rich on those Workman's comp checks, So we'll see. So Merry Christmas to all with hopes that the New year brings good therapy and great healing.

post #2267 of 10797


FF, I recall this past Sunday, I was very frustrated with the progress I had made.  The stability problems consumed my thoughts on every single step of the ½ mile walk you mentioned.  I believed I had to concentrate on every single step.  I know that locking it back on each step is unhealthy and ultimately would probably cause wear and tear injury so I was trying to walk with it slightly bent forward.  But, I can say this week has been a time when I will look back and say I turned a corner.  I have noted serious improvement.  And I believe it is directly related to the strength coming back.  Going down a flight of stairs is still one of the most challenging things I must learn to do.  I have used the bosu ball.  My therapist has been a tremendous help with the stability exercises.


So as I was complaining just one week ago, this is the week I will claim some significant victories.  I believe I will add the backwards rotation on the elliptical machine starting tomorrow. 

Frustration is a foe for all of us in here.  For the new members here, please know it is going to be a while before you see progress but it will come.  This is a devastating injury and recovery does not happen overnight.  Early on, I asked my OS if there was a chance I could impress her and heal quicker than expected.  She flat told me it was not possible.  She said the repaired tendon had to be immobilized for a certain amount of time to allow it to heal.  So be good patients and follow their instructions as best you possibly can.  In the long run, you are only hurting yourself if you try to rush it.  The tendon has to heal.

post #2268 of 10797

Hi all,


Just like to add that 4 weeks post op I am now able to carry out a leg raise with only a little discomfort. Just happened yesterday as if by magic. :-).


 I know it's different for everyone, it's just I was wondering if any of you guy's who are a bit further down the line to recovery, would have any idea of when I'll be able to return to work?  I'm a Metal Fabricator / Shop Fitter by trade and need to work off my knees a high percentage of the time, also some heavy lifting involved as well.  It's not easy to get follow up appointments with your NHS OS in the UK ( my next ones in 2 months ! ) and I've never been given any indication of how long it may take. Any info or advice would be gratefully received.


Cheers Joe

post #2269 of 10797

when was your surgery?  


mine will be 3 weeks this coming wednesday and leg lifts are up to 10 with 4 sets and with the brace on i am doing 25.    my pt guy said start working the muscles and it is paying off.  a week ago i couldn't do 1 rep.

post #2270 of 10797



Injured the quad tendon ( complete rupture), 5 weeks ago playing football/ soccer and had the surgury 4 days later. I'll try doing similar sets. Seeing as though I've not been referred to PT till 6th January as things slow down over the festive season,  I'm kind of reluctant to push anything but find it hard to believe that simple strengthening sets will damage anything. It was a massive relief to pull off that 1st lift though. Still wearing the straight fixed brace all the time as well.

post #2271 of 10797

14 weeks since injury

13.5 weeks since surgery




Great to see you back on and even better to read of you being back to work in such a demanding job that makes a real difference for our communities.  Interesting that your PT brought up the 2 year mark as a possiblity for full recovery.  My OS said the tendon would be fully healed at the 6 month mark and I have a hard time believing it would take another year and a half to be 100% pre-injury status.  There is so little known about this injury and with everyone being at different levels mixed with the rarity of the injury, I think it's just a lot of guessing.  Great feedback and advice for MQ29 and it's great to see you doing so well.  Not sure what your job is but getting back to work can be a real struggle.  I was lucky enough to have a desk job and travel a bit with my work so my every day computuer is a lap top and I was able to work from home for several weeks before getting in to the office.  I only missed 2 days of work because of the surgery but had I not been able to work from home, I would have missed at least three weeks.  Hang in there man because you have some frustrating days ahead of you but you have to remember that every day since the surgery is a day you are closer to normal.  It might not be where you want to be or the pace you want to be on, but it is a day closer to normal.





Glad to see you feel you are turning a corner.  I never felt like there was anything wrong with where you were in your recovery but I know you were feeling the curse of how slow this thing is to heal and the frustration that goes with the slow recovery.  Keep the faith because you are doing it right and working hard to get back to where you ultimately want to be. 




I never felt a significant amount of "banding" in the foot or ankle but I know there was a time when it was really swollen and it just didn't feel right.  After I taught the all day training class in hard soled shoes and was on my feet for 8 hours, it was almost like everything was swollen from the knee down and I was experiencing a sensation non unlike when one's foot is "asleep".  After some elevation and some ice, it was all much better, so I'm wondering are you on your feet very much or are you in a situation where the blood is rushing downward and causing the swelling to create this feeling for you?  I almost think you need to elevate and ice to see how that affects.  When I say elevate, I'm talking where you knee to your foot is above your heart so that the blood flow isn't easily flooding the area.  Some people think elevation is the leg being off of the ground, but it's more of a you laying on the ground with your calf on the couch.




Welcome to our sucky little club.  Interesting about the femoral.  I was able to get it before my surgery and it lasted a good 24 hours and then I started popping the pain meds every 4 hours for a couple of days until they started becoming less and less necessary.  I felt the femoral really prevented some of that crazy make you cry pain that some had mentioned through the 70+ pages of this thread.  I hadn't heard of the pump like you have for a femoral.  I've seen it when my dad had open heart surgery back in the day for general pain meds but this is a new one.  Speaking of things for people to be mindful of if they are going to have to go through this, get a stool softener.  I didn't and about 4 days after surgery felt like I was passing a softball covered in sandpaper.  OUCH!  Let us know how the more aggressive timeline goes with your PT.  I was told not to flex my quad for 5 weeks and will be interested to see how yours goes.




Glad to see you doing well even if a bit frustrated.  6 weeks is when I ditched the brace around the house and 7 is when I ditched it all together.  It is a completely different dynamic in not having that brase as your security blanket but I really felt like that's when I started making improvements by leaps and bounds.  I was really really careful but being able to put weight on the leg and start making it do it's thing, really started me feeling much better about my progression.  You are right there, so the days ahead should be good for you.




Good to have you on here even if it sucks to be on here.  I remember the first time I did the full revolution and what a great moment of triumph that was.  The stationary bike is phenomenal in increasing ROM so make sure to keep placing the seat lower and lower, so that you can take full advantage of it.  You're in that inbetween phase of ROM as it starts to transition to ROM and strength.  I say that while biting my tongue because there is no strength in the leg at that point but being able to try to do things with it sure feels good.  Take advantage of the PT, don't sweat the workman's comp and use it for what it's intended.  I'm in an office setting and people make up BS all of the time to get some sort of FMLA protection that gets them paid while sitting at home and it's given FMLA or Workman's Comp a bad name.  Buddy, what you have is legit and this is exactly what it's intended for.  Use the time to get as close to well as you can and don't sweat the small stuff.




That's a tough question brother.  I'm three months removed from surgery and can't imagine being on my knees for an extended period of time.  Even if you could sit on a small stool, the ROM needed for that position would create some serious swelling.  Is there any way to be seating on the floor with the repaired leg straight and you work between your legs?  Or can you work on your stretching so that you can do a version of the splits where your non-injured leg would be on it's knee and the injured leg could be straight out?  That's a tough one that will need your OS involved for the best decisioning on where you need to be and how to get there.  Hang in there!


Ok, I want to share some success this morning.  I've mentioned before that since being "released" by my PT and my OS, I've gone to working legs twice per week with one day focusing on my repaired leg and the other working both legs.  Well, I haven't really "pushed" myself in the leg department since before the injury and wanted to do a little of that today.  When I do any other bodypart (e.g. chest, back, shoulders, etc...) that bodypart will be sore for a good day or two but my legs aren't ever sore because I'm being so careful.  I was careful today in making sure I had all of my stops up should I make it to failure but I wanted to increase the weights a bit.  The smith machine that I fell using and caused my injury because I was stupid and didn't put up the stops, was first on the list.  I had done a meager two 10's on each side two weeks ago, a 35 on each side last week, and today I started with a 45 on each side and then did 4 sets of a 45 and two 10's on each side.  I followed that with some hack squats with two ten's on each side and then did the leg press (sled) with three 45's on each side.  I know we aren't supposed to be doing leg extensions but I did get on the machine with only 15 pounds and would lift it with my good leg and then have my repaired leg lower it as slowly as I could.  On all of the exercises I've really been focusing on the eccentric phase because that is the part of my leg that just seems to have so little strength.  I finished with my normal abducter/adducter machines followed by a couple of hamstring exercises, and some calves.  I was really really excited to be squatting some ok weight and leg pressing with some authority again. 


While I've enjoyed this and wanted to share with those who know how devestating this injury is, I wouldn't recommend this type of thing for just anyone.  I've been lifting weights actively since I was in the 7th grade (42 now) and have a good base of knowledge and strength.  I'm also really short at 5'8" so my range of motion is less than most and I don't want someone seeing the weights or exercises that I'm doing and just run out and do it unless you have a serious background in weight training or have a trainer to support you in your exercises.


Ok, now that I have my disclaimer out, Merry Christmas to all, keep up the good fight, and remember that every day removed from your surgery is a day closer to normal...





post #2272 of 10797



4 weeks since rupture

3 weeks post op


my pt guy said do the lifts with the brace on.   he said you do not gain that much more by taking it off.   also advised me to keep the muscles moving so to speak.   so i do a set of leg lifts while on my back, the roll to my left and right side for side leg lifts, and finally one on my belly lifting the heel up.   also doing those squeezes throughout the day- he said about 150 a day i should do.


of course ice it as much as i can.   having a hard time (with brace off) with the backward bend when laying on my back.  has me using a soccer ball under my calf.  i am at 57 degrees.  wants me at 90 in 2 more weeks.  


told me to pack in the calcium and vitamin D as well.   caltrate chewables


in listening to the others can't wait till i can get on an elliptical.  told me 6 - 7 weeks with the required brace at all times.   HATE taking that shower on the lawn chair.....


good luck

post #2273 of 10797

Texas Diesel,


you nuts.....  watch those weights.   

post #2274 of 10797



You are right, I am a little nuts.  yahoo.gif  I know it probably doesn't look like it but I really am being extremely careful with the weights.  At no point was I really near failure.  It's so weird because my leg still feels so weak on the little things like step down's but for the strength stuff, it felt really good.  I'm sure my good leg is doing most of the work on my dual leg days but I'm trying to get the repaired leg to get back into it.


Looks like you are doing rell well too.  Instead of the shower, can you take a bath?  I never was a tub guy but I'd get seated in the tub, take off the brace, and then run the water.  It was kinda nice to soak and rub on the leg/knee while it's good an hot and follow that with some ice.  Keep doing those leg lifts because that's where we all start and where I was in my first PT session October 22nd.  You're way ahead of me because I was told to do absolutely nothing for 5 weeks.  He didn't even want me lifting weights for upper body because he was afraid the strain would cause the muscle to flex. 


Keep up the good work!



post #2275 of 10797

TD - Cheers for the input. Unfortunately due the nature of the job particularly the site/ shop fitting side of my work I can pretty much spend all day on my knees, however a small stool may be an option. I work on in store food refrigeration systems and the work takes place about 2 feet off the floor up against the base of the units so there is not much space in front of me in which to stretch out my leg. I have to see my GP next week to extend my sick note, so I'll discuss the in's and outs with him then. I'll let you know what he comes up with. Anyway my health is worth more to me than the job, tough time to start looking but could be time for a career change. Part of me thinks that spending all that time on my knees may have increased the risks to the injury sustained in the 1st place.



Jumpman-  Much appreciate the info on the strengthening work outs. Still in the brace all the time as well. It just feels right to be doing something now I feel a bit more mobile. Just filled up all the ice trays and put them in the freezer, although this time of year i could just stick my leg out of the door!  


Great forum. Getting straight answers from medical people is always hard. It's been great in giving me points of reference and I'll certainly have a list of questions the next time i see the Doc.


Cheers Joe

post #2276 of 10797

thanks TD....


you are probably right on lifting for the upper body.   Although, pt told me as long as i am sitting (mahcines) then i am o.k.   I see him later today i am going to ask him again.  


thanks for the encouragement.   like they say if you are active before the injury the bounceback occurs quicker as the musceles respond.


told me no bath- more for soaking i think because of the open wound and possible infection.   i will deal with the lawn chair.  

post #2277 of 10797

hey Joe,


no doubt on how conservative they are.    i told my pt guy about this site and he said take it with a grain of salt.   EVERYONE is different in how they respond.    there is good stuff here.    i am out of chicago and the thinking with this large ortho group is to go slow.    he said used to be more aggressive about a year ago.    even the ortho doc who is also sport medicine (did some work 10 years ago with the Miami Heat) has slowed stuff down.   pt guy and ortho docs are with the same outfit so they are in synch.


for icing i have a cooler called the iceman.   great device to keep icing constant.  basically a small cooler with a small motor that circulates water thru a pad on my knee.   


TD- i wonder if your issue going down the stairs is more of a psychological thing.  AND of course you don't want to chance it.    pt guy said the mind can really out talk what the muscles want to do.


post #2278 of 10797



I'm actually fine going down stairs and don't need a rail at all.  My issue on strength is with doing the exercise called "step down's".  The repaired leg is on a step with the toe about 11 o'clock and the good leg is extended but not touching the step with my toe pointed upwards.  The exercise is to slowly lower yourself using only the repaired leg until the heel of the good leg barely touches the ground and then back up.  I'm gaining strength on the up phase but the eccentric (going down) phase is terribly weak.  My leg will shake and shudder like nobody's business.  My PT would tell me not to do it if it hurt and it never hurt at all, but was just weaker than a newborn baby.  There's just something really weak in that range on the way down from where my leg is straight to about 40 degrees. 


I know it will take time and I need to be patient but it's so weird to be progressing in every other phase so nicely and that is lagging...


Thanks for the response,



post #2279 of 10797

TD: Thanks so much for the response. I double checked my OS's orders and yep, prone leg raises to 30 degrees and "push into the couch" quad isometrics. Both seem active to me rather than passive, so I'm a little mixed up about the terminology, esp since the OS has said that she doesn't want me to "fire" my quadicep at all (as in lifting a leg up to a stool) Anyway I see the PT today so I'll pepper him with questions and make him explain the physiology a llittle better. By the way I echo your suggestion about the stool softener. My partner started shoving those down my gullet even before surgery and they really help "the journey", lol. For what it's worth, I've decided that one way or another I'm going to get a "plus" out of this. I'm on a managed weight loss diet, catching up with work at home, practicing guitar, and doing as much other physical exercise - sit ups, bed push ups, a little upper body weightlifting as I can manage. I had cancer 11 years ago, which included a pretty grueling 7 weeks of radiation, so I've had at least one practice session with long, slow recovery and making little gains. Recovery seems to be as much a mental game as a physical one (duh). I still recall how exhilirating it was to head out on my first kayaking trip the summer after my cancer treatment ended. Every little thing: drinking water, eating food, paddling, was ecstatic. So already I'm looking forward to walking to my mailbox, lol.


About your possible career change. have you ever thought of teaching? I work at a community college and your skill set is very much in demand for technical education certificates awarded at most two-year colleges that have a tech ed component. I know a number of guys who were in the trades and made the switch for various reasons. Usually, they started out part time and then worked their way in. Right now, because of the lousy job market there is a glut of students returning to school so there's no lack of "customers". The instructors in our program do not necessarily have college degrees or have some college and a lot of professional experience. If that idea appeals to you, I would humbly suggest starting to network with other people in your profession -esp anyone who is teaching. From my experience, it's better to kind of go in the side door, pick up a class or two to teach rather than show up trying to interview for a full time job right away. Once your in it's pretty amazing how much work can flow your way. Don't want to be overly "rosy" it takes work, but there's no more rewarding career in my opinion - just a thought. To all of the other "threaders" thanks so much for your input. I'm soaking it up like a sponge, keep it coming!! Mel

post #2280 of 10797

Hi Mel,

looking back on what I initially said I may have slightly exaggerated my talent. Should maybe have used the term current occupation rather than trade. I've only been working in this area for little over a year and work along side skilled workers ( probably why I spend so much time on my knees!)  so if I need to find something else, I'll not really be wasting any experience gained in this area. I just enjoy the work. However totally agree with you on the need for experienced trade workers to move into teaching roles. I have a mate who is a self employed joiner/ builder in his mid 40's who has developed daily back problems and he's considering that move.  Thanks for your time and your thoughts, a bit like you though I'm also using the time to pick up my guitar and loose some timber and generally improve my health and fitness after letting it slip.  


Cheers Joe

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