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Quadriceps Tendon Rupture, Repair and Rehab - Page 83

post #2461 of 10808



Pretty much what I thought, that the brace should offer some protection when set inside active ROM. I just thought it weird that neither of the 2 PT's I've seen would think one would help. Were you treated in the UK under the NHS like me? I was looked after pretty quickly. Had surgery within 4 days of my visit to ER. After care is a little sparse though, have not really seen the OS since the surgery on 20th Nov.   That's really where this board has helped a lot.


Melachric, Jayman


Cheers for your thoughts and agree. The need to know when to do nothing is as important as the work done in rehab. 


Andy 44,

That's the last time I look at this board 1st thing in the morning with a bacon sandwich ! :-) Seriously though, clearest pic's I've seen of a complete rupture. Brings home what a big piece of "meat" the tendon is.  How on earth did we all manage to tear that in half !


My ROM seems to be increasing steadily. Can only check it out by eye but I reckon I can move beyond 95 degrees now. Also not warn the brace for 3 days straight now. Not done much other than gone through the list of exercises 3 of 4 times a day but the leg's  feeling better. I was going to go for a drive yesterday but the battery had gone flat. Will try again today. Just need to find some where to park where I can get out of the car...! 



Happy rehab all,


Regards Joe

post #2462 of 10808

19.5 weeks since injury (September 11th)

19 weeks since surgery (September 16th)


Hello my peg legged pals!


AWESOME pics Andy!  I wish my OS had taken similar pics.


I met with my OS yesterday and have graduated with honors.  His first question was if I was back to squatting 500 yet because he could tell I've been in the gym and I lauged it off but told him I did get three sets of 10 at 225 that morning.  He looked at me as if to say he thought I was pushing too hard and then he then started checking the leg out and was happy to see the muscle definition returning.  He asked about ROM and I easily pulled the heel towards my butt and he said, "Woah!!!  Let's check that because that's waaaay better than I thought you'd ever get to much less this early."  The non-repaired leg measured at 144 and the repaired leg is 142.  He asked how it felt and if there was any pain.  I explained there was no pain ever but that it still feels weak.  He said that is to be expected and asked if I had any performance or sports related goals.  I told him I really only exercise for fitness so I didn't but I wanted to be able to sprint again.  I explained that I never was a runner but my efforts look like the "old man jog" I've described and that any thoughts of pushing it past that feel "jarring" and not fluid.  He said he's had his ACL repaired and that it turned his quad to mush and his first efforts to jog seemed like he was running on someone else's leg because it just didn't feel right.  I told him that was a lot of what I felt.  He said my goals of sprinting are definitely within reach but to not start from a dead stop once I finally feel comforting giving it a shot.  He wants me to start from a slight jog into the sprints.  I told him that I don't feel like I can start that now and he said that I'm still really far ahead of any where he thought I'd be, but don't look to do that until 6 months. 


Myquad, I think I'll be ready to do some light sprinting by the 6 month mark in the middle of March.  I don't think I'll be ready to do it from a stop to full speed but I think I can do the jogging start to about 80% and I'm eventually hoping for more.


He asked what I was doing from a workout standpoint and I explained that I have one day a week that works both legs and will do squats, hack squats, leg press, leg curls, abductor, adductor, and calf work.  My second weekly workout is more for the single repaired leg that has a single leg press, step downs, step ups, squats with only my bodyweight on the bosu ball with feet in different positions to help with balance.  I also do lunge with the repaired leg ending on the bosu ball for balance improvements.  I generally end with a very light 20 pounds on the leg extension machine using my good leg to extend and the repaired leg to lower the weight as slowly as possible.


He said he really like the mix of exercises I'm doing and the results.  He said, "Man, keep doing exactly what you are doing.  There is no replacement for a motivated patient."  He was still marevelling over the ROM and how he just didn't think a repaired quad would get that loose but I shared some stories from the board on how it's fairly common for people to get back to their pre-injured state eventually.  He ended stating that I don't need to see him any more unless some pain somehow develops or if I just have a general question, I can call him. 


Needless to say, I felt pretty awesome from the visit and know that I still have a ways to go before I'm 100%.  The good news is that I feel like I'm progressing every single day and look forward to the challenges ahead in getting to where I want to be.


I hope all are progressing as well as it seems from the posts over the last several pages.  What a great and supportive community we  have here and if there is anything I can do to help any of you or any questions I can answer, please feel free to pick my brain and remember what my OS said, "There is no replacement for a motivated patient."  Stay postive, stay motivated, and let's all kick this thing's ass!



post #2463 of 10808

Yorkiquad - I was first treated by the NHS (the UK National Health Service) at Emergency, X-ray and by an OS a week later. Unfortunately for me the NHS doctors (and PTs) failed to diagnose my QTR (!!!), although it was a complete tear, as later realised by a private OS consultant knee specialist and confirmed by MRI. The operation (6 weeks after injury) and aftercare are therefore done within private healthcare, covered by medical insurance. The quads muscle and tendon had rolled up and stiffened by then so the OS had to use artificial tendon (graft) and a collagen 'graft jacket' to make it all fit together again. In the first 6 weeks post-op I was not allowed to do anything at all with the quads (no static strength, no ROM exercises). Crutch-walking (weight bearing) and exercising wearing the straight leg immobiliser was OK.


To my surprice, the artificial tendon (attached to the top of the patella) is quite visible through the skin, and feels quite strange to touch - like a piece of plastic. It looks like the plastic is hinged along the upper edge of the patella. I'd be very keen to hear from anyone that has had a similar repair to mine. I am relieved that it seems to work! By coincidence I know my OS privately and I trust him completely. I've seen the OS twice post-op: at 2 weeks and at 5.5 weeks.


By the way - before the operation, when I was struggling with the undiagnosed QTR, the NHS PTs classified my as a non-priority case (=no further access to their PT), and advised me to attend general knee strengthening classes. Not very impressive, and quite inappropriate. Going private was the only option.


post #2464 of 10808


Two very different experiences. I went to a local district hospital ER late at night and it was kind of quiet. Still took a couple of hours to get seen though. Had X-rays taken, which showed nothing to the resident doctor at the time although he did seem to notice the big hole above my kneecap and thought it unusual enough to phone the on call OS. From this i was given appointments for ultra sound and a fracture clinic run by the OS for 2 days later. The rupture was picked up immediately by the ultra sound nurse ( sports specialist) . The OS didn't want to send me home that night so he could operate in the morning but there wasn't any bed space. That meant coming back just two days later for surgery and one overnight stop.   


As you say completely inappropriate treatment and assistance that you received by the NHS. It seems like you need to be lucky enough to be seen by the right people as I was.



The PT's may have their hands tied as they seem to get very specific notes from OS's to follow but still you'd think professional pride would make them look at things deeper. If they can't spot the injury how can they work out therapy. 


Also my local district hospital allows you to make appointments with the PT dept direct without a doctors referal. I've used this before with an MCL strain I had a couple of years back.



Hope you have the energy to complain.


All the best Joe  

post #2465 of 10808

8 weeks since injury (December 1)

7 weeks since surgery (December 9)




Thanks for sharing your exercise regimen.  At what week did you returned to weights with your repaired leg?  I am 7 weeks out from surgery but the PT has not suggested any weights just yet. PT seems to be almost too conservative considering I am walking well and at 120 degrees of ROM.




post #2466 of 10808
My PT had me holding a 20 in each hand doing squats until my butt hit a bench around the 7 week mark. He also had me doing single leg hack squats and leg presses on the old universal gym. It was around 9 weeks I was squatting 85 pounds with a bar on my back and I've been increasing with each workout since. I might hold at 225 for a few weeks because I'm pretty sore today but it's a good sore.
post #2467 of 10808

Thanks TD.  I'm pretty sure I would not be able to start sprinting from a dead stop or come to a dead stop after sprinting.  Isn't it amazing how even though we both, it seems, have returned to a decent level of leg pushing type exercises but I, for sure, don't feel comfortable trying to run any faster than what I would consider a joke....  I still feel like the two legs I have belong to different people which is what causes the first problem with starting a sprint.  In other words, I feel like I am forced to learn my gait every time I get up from having been seated for a bit.  This is a result of feeling like I am walking on legs that belong to two different people.  This creates a certain awkwardness that doesn't make me think I could sprint or stop quickly.  So, I'm left wondering.  Will it ever be the same?  Will I ever have two legs of equal strength or will it be something I simply get use to?


I do not want to paint a horrible picture to any new folks in here.  I feel great.  I repainted my bathroom yesterday and did a bunch of flexing, bending down, squatting, climbing, getting up, getting down, getting up and getting down (again) balancing on a ladder and other things I would never have imagined just a couple months ago.  So your injuries will get better.  Your knees will get better. 


I love playing mother hen in here.  So here it goes.  For you new rippers in here, be patient.  I know you want nothing more to bend your legs and get them quads all puffed up-big and strong.  Let me remind you, none of that will matter one single bit if that tendon isn't healed first as solid as it can be.  You have your entire life to work on flexibility and strength.  You have only once chance to let that d--- thing heal.  Exercising before it is healed is putting the cart before the horse.  Wear your braces.  Be good patients for a couple months.  You won't regret it-I promise.



post #2468 of 10808

You are definitely right about everyone being patient, and that includes us. We have progressed quite a bit but we still have a ways to go and can't let that cause doubts and fears towards where we ultimately want to be. Everything we do is part of a progression. We are far from our end state and can't get down because we aren't there and because it's hard to wrap our mind around what that end state will be. My ultimate goal is to be in a better state of fitness than I was prior to the injury. I may never fully get there but that's my goal and what I work towards every day. Don't doubt it brother, because I KNOW you will too.

post #2469 of 10808

Hey All:


OMG. I swear I was eating lunch when I opened up the thread and saw Andy's pics, lol. Very interesting. It looks like this injury is almost a self amputation, jeez. Seriusly, though, thanks Andy. It helped me see how critical this first 6-week bit is. It's clear that there is a lot of repair that has to happen.


T.D. I'm heartened by your progress and attitude. I said awhile back that I wanted to get a "plus" out of this somehow and I think you have served as a good example of how to do it. I know I will be fitter and much more capable physically as I progess with this rehab. I told my PT and my OS that I would go as fast or slow as they tell me. Still, I have read a lot of good ideas about rehab on this site and it makes me wonder if there could be a way to set up a matrix or spreadsheet of exercises that folks have done that have been the most effective as they have rehabbed. For example, I never thought about the pool work, nor has my PT. I also wonder if anyone has tried yoga, tai-chi or pilates. Anyway, don't mean to ramble but if anyone is so inclined to put in their exercise regimes in a post, I could try to figure out how to collect them in a reference. I think I would at least need, in addition to the regime, where you are in terms of weeks out of surgery, also ROM, and anything else that might be useful or relevant that could go into a Notes section. I would want to include as much as possible from each stage including the early period where most of us are doing passive ROM and such. I have quite a bit of time on my hands right now (lol) so I could try to tackle this. After all, thanks to Idaho Guy, this site has probably accumulated more information about this injury that anywhere else being that it is rather rare. Also, some kind of database would give us something to take to out PTs and OSs for discussion... anyway, just a thought.


Eagerly awaiting my 7-week OS visit next Wednesday. Hoping for increased exercises and regimen - 70 ROM right now, but I'm pretty sure I can get at least to 90 pretty quickly, we'll see. Cheers to all. We're getting there. Andy, got any cool X-rays or MRIs of this injury for us? LOL.

post #2470 of 10808

Injury Nov.21st

Surgery Dec. 2

Cast Removal Jan. 10th

First rehab Jan. 12th


In two weeks of rehab I have now attained 107 degrees ROM after testing at 70-75 originally in the baseline testing.


Initial leg lifts were done in two sets of 10 with 3 pound weights and progress in two weeks is to 3 sets of 15 with 7 pounds.


Daily routine includes massage and loosening of the knee area. Followed by ultra sound to help loosen a knot I have been having behind the knee.

Leg lifts with weight in all four directions while lying flat. Then "kick" lifts while sitting on the end of the table.

3 sets of 30 second leg lifts and toe stretches followed by lowered toe stretches.

Heels on a large ball rolling it as far towards my butt as pssible and hold for 10 seconds 10 times, then 3 sets of  20 raising butt off the table bridging between my shoulders and the ball for 5 seconds, then the killer 2 sets of 10 of rolling the ball towards my butt while in the bridged position and hold for 10 seconds. 

Scooter two lengths of the building pulling and then the same pushing carrying 30 pounds.

Set of 30 step ups, then set of thirty step downs.

3 sets of 20 one legged squats on a step tapping heel on the ground and rising.

Three sets of 10 squats rolling a ball down the wall behind my back with 15 pounds in each hand.

30 reps of straightening the bad knee against rubber band tension.

Two lengths of the room with legs bound together inside a rubber band crab style sideways.

Two lengths of the room with the same band waddling under tension with legs as far apart as possible.

Set of thirty toe rises, followed by three 30 second single leg balances on the bad leg.

Fifty reps with 10 pounds on the horizontal squat plate.

Dragging the PT down the length of the room and back inside a large rubber band.

15 minutes of ice and electro shock firing two sets of muscles. 


Takes about 90 minutes.





post #2471 of 10808

Hey Mitch,


my pt guy said when one can do 3, 1 legged jumps that is the sign to maybe start jogging, etc.   simple as it sounds.  he is the top guy where i go.   i am 8 weeks out from surgery and just got on a stationary bike last week.   kind of tight on the upper rotation but it always improves as time goes on.    


just starting strength training today with him.   squats and wall slides ( big deal).    to show me how weak the quads are as i did the exercises they were shaking and i was an athlete in good shape before all this.   


well, back to the wall slides......


good luck

post #2472 of 10808

Hi Padrebear

You are 8 days ahead of me (my operation was 10 Dec - 7 weeks ago today). I am going to the PT on Monday and I hope to get a similar list of strength exercises to yours to do at hone and in the gym. Do you get to see the PT every day? I see my PT weekly at best.


I have had a week of plenty of walking practise after the immobilizer was replaced with a ROM brace. This has strengthen the injured leg a lot, and it feels great. My totally subjective assessment would be: repaired leg's Glutes 80%, Hip flexor 110% (due to a lot of walking with the knee immobilizer earlier), Quads 30%, Calf 70%, Foot 50% and Abs/Core 100%, in percent of my normal pre-injury strength.

Went swimming (in a pool - not a lake) today for the first time and it was pure bliss. The only reason I stopped after 50 lengths was that my foot went into a spasm (hence the 50% mark for the foot).


Although I'm a keen runner/swimmer I have never paid much attention to my legs (quads especially). My leg-based gym training has been close to non existant in the past.  Your "Three sets of 10 squats rolling a ball down the wall behind my back with 15 pounds in each hand." would be close to my personal all-time best !

Having reached a ROM > 90 degrees makes a huge difference to daily life, not least driving a car.

post #2473 of 10808

Lakeswimmer, that is a 3 day a week schedule with evaluations each Wednesday which on Jan 12th was my first day. Unfortunately, schedule wise but fortunately for my health my progress in way ahead of what the OS expected and my next appointment with him isn't until Feb. 20th. The OS is only allowing me 10 degrees adjustment on my brace per week and since I am over 107 degrees during testing and only 60 on the brace now that means I am constantly banging against that limit in the brace limiting progress. This seems to be the cause of a nasty and persistent knot I have behind my knee and need massaged out before before beginning exercises.


At home my list is lifts in all four directions.  Toe rises. Balance practice.  Rubber band walking and resistance stretching. Those I do twice on rehab days and three times on off days. They take about 20-30 minutes each session. I, also, now go foot over foot up the stairs during the day but down is still too unstable.


Yes, being able to get in and out of a car and returning to responsibility for my own transportation was freeing. I felt like a 16 year old getting my driver's license.


Question: Has anyone else had this knot behind the knee on the injured leg issue?

post #2474 of 10808



I do not have the knot you are referring to. I have read a lot of this forum but certainly not all of it but I have not encountered the knot in other postings.


I think you are making great progress and your exercise regime is most aggressive compared to mine.  My surgery was Dec 9, QTR. I went directly to a Breg T-Scope brace with no time in a cast.  I am 7 weeks post op but my PT only has me doing about 20 minutes of rehab per day and nothing near the routine you describe in your last post.  I am 53 years old and in average condition so maybe I am a little surprised that others my age seem to be doing a lot more for rehab.


Did you develop the routine yourself is this the routined designed by your PT?



Lakeswimmer, curious to see your exercise routine if you decide to post it.


Keep up the good work all!



post #2475 of 10808

CVille, the routine is what has been designed by my PT. The first couple of sessions were less as he felt me out on my abilities. Almost every session he has added or modified something. I am 58 and 6' 295. Thus much more out of condition" than many here. BUT I have always been blessed with great leg strength. In part due to playing baseball behind the plate from grade school and into college ball. I did a lot of squat reps over those seasons and 15 years. Once upon a time I could sit against the wall without a chair but in that shape position for over an hour. While I have nowhere near that strength any more I still have way more than most along with excellent flexibility for my size.  In the present situation and the PT exercises that has been a blessing and something of a challenge in setting expectations by the PT. I take no credit in this it is just how it is. I have actually been enjoying getting back into shape and away from my desk and really put myself into it. Even shaved my beard that I have had for 30 years.


The OS has only allowed me 10 degrees increase per week on the brace adjustment 30 degrees to start, now 50 degrees. but we are calling him Monday to check about adjusting that up some because at the moment it is the brace that is limiting progress and not just protecting me.


Originally Posted by Cvilleguy View Post



I do not have the knot you are referring to. I have read a lot of this forum but certainly not all of it but I have not encountered the knot in other postings.


I think you are making great progress and your exercise regime is most aggressive compared to mine.  My surgery was Dec 9, QTR. I went directly to a Breg T-Scope brace with no time in a cast.  I am 7 weeks post op but my PT only has me doing about 20 minutes of rehab per day and nothing near the routine you describe in your last post.  I am 53 years old and in average condition so maybe I am a little surprised that others my age seem to be doing a lot more for rehab.


Did you develop the routine yourself is this the routined designed by your PT?






post #2476 of 10808

Thanks PadreBear,


Sounds like your life long leg strength gave you a "leg up" on accelerating your PT.  Having always been a "hard gainer"  I never had much natural leg strength.  (Worked for years to get to 190 by taking protein supplements and lifting).  Nevetheless it seems we are both making good progress and both are blessed.  Your current ROM and your routine are impressive and I bet you will be back in great shape by Spring.


Take good care,


post #2477 of 10808

Padre Bear:

It is Quadfraud, I am 12 weeks from the injury with no surgery. I am making good progress with hard work, even skiing again although

very carefully. the rubber bands along with the stationary bike have helped, with the rubber bands doing the most. I wrap the loop around the ankle and extend the leg outward without letting the knee bend, similar to a leg lift but while standing.


I also had the knot, and what helped was stiff-legged deadlifts. you must be extremely careful  to keep the legs ever slightly bent

as it could be easy to hyper extend the leg as the quad is still weak. start lightly with dumbells,  or a cable row  mounted to the floor

like my gym has. I use a small cable row bar and the pully is about 6 inches from the floor. this exercise really helped to eliminate

the knot in the back of the knee, and helped walking a lot. I am still surprised the number of people still doing leg extensions of

any kind. These are advised against by every source I have read.


I hope all of you recover soon

May the Quad God be with your all!


post #2478 of 10808

Padre Bear,


Your PT seems spot on to me. Giving you a fantastic range of exercises and work outs  compared to mine they seem really aggressive. And go by my past posts, I think he may have brace settings spot on.  Do you do anything with out the brace e.g. sitting in a high seat chair leg bent at 80/ 90 deg with foot flat on floor or any wondering about the house / garden? If not I'd ask your PT next time as I think these are about as controlled environments you going to get to relax without a brace . Your 10 day's better off than me in terms post surgery and may have some years on me ( I'm 37) and are in front of me in terms of rehab at the moment so your doing good.



I've been moving without the brace most of the time over the past 7 days and have kind of got used to it. Will still wear it when walking long distance outdoors. Can't do stairs properly yet and resorted back to one step at a time. Normal stair climbing felt too risky and knee cap pain came on ( I'm just too heavy, where's that salad!). I've added shallow squats to my routine to try and build up strength. 


All the best,


post #2479 of 10808



Have you be re-examined since your injury to see if your tendon is re-connecting?

post #2480 of 10808
He can strengthen the ancillary muscles and the part that is attached but it won't "reconnect" without surgery.
post #2481 of 10808

 TD, thanks---was wondering about that.

post #2482 of 10808

Hello All Fellow QTR's;


I am 4 days post injury and getting ready for apparent surgery this Friday after getting bumped last Friday.  Sounds like this thread has been and continues to be incredibly helpful.  Thanks to the founder of this thread, Idaho Guy.  Anyway, just curious to hear of the different PT routines that I have read about and what have been people's best and worst experiences to date.  I am a very young QTR patient at 39 and like most of you I have read about, very athletic and active.


Look forward to reading about your experiences.  Nice to read about everyone's positive attitudes.



post #2483 of 10808

CG,  my main takeaway is that the PT protocol is all over the place with this injury.  Some PTs are agressive and some conservative.   Can you tell us any detail about your injury?  (severity, partial thickness vs full thickness, OS comments, etc).  I would recommend adhering to the PT on his/her instruction on not overdoing the flexion early.  You will want to start grabbing Range of Motion (ROM) a couple weeks after surgery but you don't want to risk overflexing the leg.  It seems that early hyperextension not only places the surgeons's handiwork at risk but, in some cases, may induce a lag in your leg extension (you fire the quad to extend but the quad-tendon-suture apparatus is too long and is not pulling on the patella when asked).


Since you are only 39 and active you may be able to engage in activity early.  Ask your PT about walking in the pool. IdahoGuy is a big advocate of walking in the pool.  I am 7 weeks post op and have walked in the pool twice. Friday for 200 yards and today for 600 yards, after 2 miles around the track.  I have been out of the brace for 10 days and this has been a major relief.  The hard part for me was not being able to help with Christmas.  In fact I sent my family to have Christmas with my in laws while I remained at home to avoid ice and snow (I was still on crutches).


For the immediate post-op period:  stay ahead of the pain with your meds.   Also before entering the operating theatre inquire about the risk of blood clots and if they can administer blood thinner at the time of the procedure.


Finally---go easy on your self for the next 2-3 weeks. Take the time off from work if you can.  Avoid situations that jeopardize the surgery --that is don't walk about unnecessarily. Stay off your feet if you can.  Then measure your progress in small slices. For example, when you move from 2 crutches to 1 then 0, progress in your ROM, etc,


If I have more to share I will weigh in on the next post.


You will be ok!


Steve (CvilleGuy)



post #2484 of 10808

Ok guys, i just recently tore my quad tendon and it couldnt have come at a worser time. Im 36yrs old ,with a wife two kids , going to school to finish getting my degree, self-employed and a youth football and wrestling coach. So as i sit in this chair as i have for 22 of the 24 hours today, i really need some opinions seeing as you have or are going thru what i am about to. my injury happened like a couple of others on here, tripped coming down some stairs caught myself and then the only way i can describe it is to say my knee exploded, i am a little scared right now wondering if or how close i will be back to normal after all this, what to expect post op, how do you do number 2 if you cant move your leg, and is out patient the way to go, I have my surgery fri the 4 and am pittsburgh Steeler fan, will i feel like watchin the game on sunday?  I know there will be pain and am ready for that but i would appreciate any comments to help with these questions

post #2485 of 10808

Also i have heard guys on here say that they had there injury for up to 4 weeks before getting diagnosed with a full tear, but for me that would be totally out of the question as i am not able to lift my leg at all and the pain and nevousness of injurying it more than it is makes me wonder is something else wrong also. i cannot bend or lift mt bottom half of my leg is this normal?

post #2486 of 10808





After the tear and pre op I wasn't able to lift any part of the injured leg. I could swing the leg from the hip and move the foot but that was it. You will probably find some moderate pain and discomfort after surgery but this is easily dealt with by pain meds, at least for the next few days. The first couple of weeks were awkward and uncomfortable for me personally but once past that things became easier. Your surgeon will know more about the specifics of your injury and repair so take note of his post op orders.


Hmmm . The bathroom situation. All i should say is, it is possible keeping the leg straight, as long as you have room in front of you, when the  need comes you'll get there. Kind of wasn't a problem for me for the first few days as the pain meds i was prescribed took care of the situation. :-)


I think you'll be okay for the game. Leg up, on the sofa, TV on, mug of coffee ( prob best not to have a beer whist on meds!). Don't think it kicks off till after midnight here in the UK and I'll be up watching it. Go Cheeseheads!  


Good luck with the op.








post #2487 of 10808



Were you able to bend your knee pre op?  I am waiting on surgery, can get around with my full leg zimmer splint.  It doesn't hurt to stand on it with the splint and I can bend it to 45* or so when the splint is off and then staighten it.


Is this similar to where you were post op? 



post #2488 of 10808



Hello all,


I used to post here a lot about 2 years ago when I had a QTR. This forum helped so much.


Soo....yep, I did it again, other leg!!!!! Again, I fell down stairs, but no cat as an excuse this time. Lying there, I knew immediately what it was. I jumped through some hoops to get the same orthopedist, who is wonderful. Accident was Tues., surgery Saturday. I guess the good news is that I am very familiar with the whole process now. But that is also the bad news, as I get sort of down thinking of going through ALL of that again. The first time, it was a freak accident, even an adventure at times. This time, not so much. It's just kind of daunting (although it was a cleaner tear this time and I think I learned much from last time).


Also, for the first two days after surgery, I felt MUCH MUCH worse than last time, which scared me. Last time, I had almost zero pain, I was wolfing down hambugers right away, etc. This time, pain, nausea, depression, general malaise, you name it. But much better today.


The only bright spot is that this time, I have a significant other, and he has been great. Even though it's a same-sex relationship, the hospital staff (in Virginia!!) treated him like family, let him come "behind the scenes", briefed him and kept him posted, etc. That was pretty cool. Unfortunately, we don't live together yet, so I'm still having to negotiate around the house on my own.


Will write more later. This all sucks.





post #2489 of 10808

Duplicate post , sorry.

post #2490 of 10808

Welcome to the new guys injured but yet to have surgery.  A few things I'd look in to:


1.) Nerve block - I had my surgery before finding this forum and some spoke of the excruciating pain after surgery.  My anasthesiologist recommended a nerve block to prevent pain after the surgery and because it helps prevent sickness because they didn't have to put me under as much.  I never had any pain and stayed ahead of the pain with my meds every 4 hours, as recommended, for about 4 days and then was able to cut back to virtually nothing.


2.) Stool Softener - I didn't get this nor did I know to ask for it and didn't poop for about 4 days after the surgery when I'm normally a 4 times per day kind of guy.  It felt like I was crapping a baseball covered in razor blades and this forum mentioned stool softeners help with that.


3.) Anti-clotting meds - I was told to take aspirin but really didn't know what for.  I later figured out it was to prevent clots.  My OS asked me two weeks after the surgery if I was periodically rotating my foot at the ankle and flexing my calf to prevent the clots and I told him I hadn't because he never told me to do that.  After reading some horror stories around clotting, definitely take some precautions and ask your doctor about what they are giving you to prevent.


4.)  Iceman - You will have the option to get a device to help with the swelling and it is a small ice chest that has a hose running out of it to a large pad that goes around your leg.  The cold water circulates through and really helps with swelling and I enjoyed it because the tight wrap and pain meds had my body temperature up to the point the ice water flow helped cool the area and my whole body.  I used it the entire two weeks from my surgery until my first post op appointment and felt it was a godsend.


Definitely listen to your OS on how he/she wants you to let it heal and then rehab.  I had full thickness tear mid-muscle and not away from the kneecap.  I had to stay in the wrap and the brace for two weeks, couldn't bear any weight on it for 5 weeks, and could only do minimal stretching exercises to stretch the repaired area from weeks 2 through 5 until I was ok'd to start PT.  Get good direction from your OS before you are doped up because the post op instructions are hard to understand while medicated.


My OS said that the repairs he does, he tends to want them to be on the tight side and will test the leg so that it can bend 90 degrees max without comprimising the repair so that it heals up nice and tight but then it's up to us to work it out and stretch it.  He doesn't feel comfortable with it any looser because he wants to have that structural rigidity that will want to keep a person upright instead of allowing that give that could cause another fall.  I mention this because I never had that feeling of my leg giving way (buckling) like so many others described during their recovery process and I wonder if this had some reasoning behind it.


As far as the sitting on the toilet question: The good leg will take the brunt of the weight as your lower yourself but the repaired leg will need to stay straight.  I had a box in the bathroom that I'd use to prop the repaired leg up to take the weight of the leg as I sat and did my business.  Some people have purchased a special seat that you can put on the toilet that raises the height so you are more standing/leaning than you are sitting and feel that is the best way to go.  I had no issues with my box prop because my good leg was strong enough to raise and lower me.


Good luck and let us know if there are any other questions going in that we can help with.



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