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Quadriceps Tendon Rupture, Repair and Rehab - Page 103

post #3061 of 10808
Originally Posted by Blue Belt 2012 View Post

to any new folks. Wear your brace all the time the first 6 weeks, accept in shower and IMO at 2-3 weeks VERY CAREFULLY walking in lap pool.. Do tons of straight leg raises in the brace. If you can lay on your back and raise your leg straight about 18 inches off the bed and do 3 sets of 15-20 reps easy, start to gradually add weight. Use a 1 pound ankle weight to start and do the 3 sets of 15-20, move up to 2.5 lbs then 5lbs then 7.5 then 10 pounds as you tolerate it. You can get these ankle weights cheap at Ross. You should feel only mild discomfort at the surgical site usually on the last few reps. Do these straight leg raises every day. Always do them with the brace on. These are very important in salvaging some quad muscle, if u don't do them u will be ok, but you will definitely prolong your recovery as your quad atrophy will be greater.

Hi blue Belt 2012.  I'm 7 days post op for a QTR on my right leg.  I was told to expect six weeks in the immobilizer with no weight bearing.  I havent been given any PT assignments so far.  My first return to the hospital will be on the 18thAs for the straight leg raises.... wow... that sounds scary!.... I tore my quad not from the patella but up where it attaches to the quad group of muscles.  In the MRI I could literally see the tendon which looked a lot like a belt extending up from the patella and then curling up as if it snapped...  I would imagine my OS sutured the tendon back to some kind of attachment point in the quad muscle group.  I'd LOVE to start building up my quads with straight leg raises but Im afraid of the tendon pulling out the sutures.  Is my fear ungrounded?


post #3062 of 10808

Hi Lirod, I'm in the same boat as you!  I blew out my right quad tendon 6/23/11, went in for surgery 7/08/11.  Im really happy to have found this site where I can relate to others who have suffered the same mind boggling injury that I have, and to read some really great posts from some very positive folks.  Its absolutely priceless. 


It almost seems inconceiveable that an injury as serious as this can occur from such a small incident.  In your case you merely mis-stepped on the last step of a dock just as you were jumping and it happened...In my case, I just got home and pulled into the driveway when my cocker spaniel bolted out the door and was headed for the street to check out a doggie on the other side of the street.  This happened during rush hour traffic and I knew I had to save his life.  I chased him down the driveway.  I was yelling his name but he didnt hear me.  I knew I had to catch him.  As I ran, I  didnt notice the uneven pavement where the driveway rose up to meet the sidewalk... thats when it happened.  The next thing I knew, I was sitting on the pavement unable to stand.  I landed on my kneecap and the pain was pretty intense for sure, but the main thing that I noticed was a concave area above my kneecap... like there was nothing there.  Thats when I knew that this was different.   I wasnt going anywhere under my own power.  Just to be sure, I tried to stand but the pain was intense and i fell again.  I called 911, and went to the ER and got the news... quadricep tear...what??? How??? Why???  I thought I was healthy for crying out loud!   Fortunately my cocker spaniel made it across the street without a snag.  I only wish I were so lucky!


Let me tell you Lirod, the toughest part of this entire ordeal is staying positive and adjusting to what is almost a sedentary existence for the next 6 weeks.  The rest will be easier in comparison.  I love your determination to succeed at getting better.  Thats what it takes.  I know I will get better too.   In 2007 I had surgery on my left knee which was injured in a car accident.  That one took 12 weeks of non weight bearing and let me tell you it was the most difficult thing I have ever done in my life!  In fact, Im adjusting much better this time around because the non weight bearing part is only half.


I hope to hear from you as you progress and I will do the same.  Lets help each other get through this ordeal better than we were before! 

post #3063 of 10808

Hi Socalman,


Sorry to hear about your injury.  Like me, it's so frustrating how such a minor slip, fall can lead to such a tramatic injury.  You had to wait two whole weeks prior to surgery?  That must have been total hell for you.  I was lucky.  I live in a small city in Northern Ontario and was lucky to be able to have my surgery the very next day.


I also saw Bluebelt's post about doing muscle strenghtening exercises, but my OS clearly stated to do nothing for 6 weeks, remain in brace with zero weight bearing.  I have to admit that I have started putting a tiny bit of weight on my leg when standing and have successfully tried to do the leg raises, but am not going to push it until I get the ok from my OS, which will hopefully be next Monday (that will be my 5 week mark). I am also hoping that physio will start soon.  I am going stir crazy and getting tired of the crutches.  I am hoping that the OS will also give me permission to get into the lake and float around for little bits at a time.  I am suppose to spend a week at the cottage and the weather is suppose to be great.  :)


Anyhow, I will definitely keep in touch and sign off for the weekend as I am heading to the lake.  Stay positive and have a good weekend.



post #3064 of 10808

7 months 2 weeks post injury

7 months 1 week post op

Full QTR left leg on December 1,2010

I have not checked in for a while.  Thought I would put in my 2 cents for those recently injured.  At 7 months I am feeling pretty good and very close to normal  Unlike others who are more aggressive in their exercise regimens I have been slow in ramping back up to full activity.  I would rather ease in and trade a rapid return to fitness in favor of avoiding re-injury.  To those of your new to the forum:  you will recover!  Wear your brace as long as required, follow the PT regimes to the letter, and know that your ROM and then your strength will return. 


I first attempted leg presses with the injured leg at about 10 weeks.  Could only move 25lbs!  Now about 4 months later I can do 225lb for 15 reps.


To the "veterans" still checking in---any one have a recommendation to reduce or eliminate scar tissue?  I have a lot of popping and clicking at the exterior side of my knee.

post #3065 of 10808

I am so glad to hear from those that have 'been there and done that' with regards to a quad tendon rupture.... and it's most reassuring to hear most say that this injury is one that I will recover from!  Glad to hear that you are doing and feeling well.  How long did it take before you returned to enough mobility where you could resume working?  Approximately how does ROM correlate to being able to get around without crutches?  Do you find that you are favoring your leg?  Do you envision a day when you will have no fears of this injury recurring?

post #3066 of 10808

Hi Lirod, yes I had to wait two weeks before getting surgery but it wasnt too bad.  I read somewhere that if you wait more than a month before surgery, scar tissue can become a problem during surgery which wasnt my case.  During the two week wait period I was cheating a bit and not wearing the immobilizer, as well as doing some weight bearing with about 45 ROM and almost no pain at all.  I could also drive with no problem so it wasnt bad at all.  Since surgery though, its been a different picture totally.  I wear the brace whenever Im using the crutches and when sleeping.  I was told not to drive because my brace is on the right leg....a situation that I have found a way to circumvent:)  Yep, I found a way to drive daily now with the brace on... which makes this injury much much easier to accept.


Have a great weekend at the lake and let me know how things go when you go in for your 6 week appt with your OS.  Keep getting better and feeling better... I will do the same. 

post #3067 of 10808


Yes I had a complete tare to my quad in all three spots...Both sides and the top...My knee was 6 inches into my shin at the time of the accident. I had surgery 8 hours after the accident, they drilled three holes in my knee cap and tied everything through the holes for the tear over my patella. I guess the stitched the sides back to the tendon coming from the bone.


I ran down the diving board and jumped as high as I could, upon decent I pushed as hard as I could with my quads to get as much force as I could out of my legs when my feet hit the board.

Once my feet hit the board my left knee blew and I fell straight through the end of the board hitting my back and head on the end of the board. Once I was in the water I knew something wasn't right, so I swam to the edge and noticed the major deformity in my knee. It's been 1 month today, I have an appointment Monday, Hopefully I be able to start PT and get my leg working again.


Thanks for the questions. I hope your doing well.



post #3068 of 10808



OUCH!!   Man, I can't imagine.    


I experienced a very similar injury but in a much different way - squatting (post #2856).    I'm 16 weeks post surgery.   


The single biggest lesson I learned was extreme patience during the first 6 to 8 weeks.   I started weight bearing in week 4 and although I didn't aggravate the injury site, I look back and wish I would have simply protected the leg.    I didn't gain a whole lot and was risking a bunch by pushing it. 


I highly recommend spending the first 6 weeks in the immobilizer.   The only activity with the injured leg I recommend is leg raises.  


Outside of weight bearing and leg raises, I didn't do much until week 7.   In week 16 I'm squatting 20 reps with 100#s and just started light deadlifts.  I'm about 20% of strength with 125 ROM.  I know now I will recover 100%.   It just takes time.

   It will get better.   The first six weeks are the hardest and are critical.    


Some on this board have recouped much faster but they are the exception to the rule.    My two cents.   



post #3069 of 10808

Hey Everyone;


I haven't checked in for quite a while.  My injury was 1/26/11 with surgery on 2/3/11.  I had a full rupture of the right quad tendon above the knee.  I had surgery and they drilled the holes in my knee cap and sutured the quad tendon through the holes.


I did PT starting at 6 weeks and went 3 times a week and doing exercises at home every day.  I am happy to report that just before the 6 month mark, I now have full range of motion and am more or less back to normal.  I still have some strength to gain back, but really can do everything I could do before the injury at this point.  This past weekend, I curled again for the first time since the injury (ice sport, throwing rocks, you watched it in the Olympics......yes, the one with the brooms!).  I had no problems whatsoever and also played golf today.


For all of the new members, THE FIRST 6 WEEKS ARE CRITICAL!!!!!  Listen to your OS and do as you are told.  I did not miss a day of exercises in this period.  I ditched the brace at 4.5 weeks, about 10 days earlier than I was told due to incredible back and hip pain from limping.


I was very diligent on the bike and that was the real key to my progress.  Once I started the bike, the improvement came super fast.  Try really hard not to limp.  I held on for dear life going down stairs until I could do it slowly on my own.  Lots of ice, tons of stretching and a god like amount of patience.  I pushed myself and really listened to my body and really nobody else (within reason). 


All in all, things are going OK.  I am not feeling totally normal yet, but I know that is coming soon as well with continued work.  To all our new arrivals, don't panic, you will recover.  I could not do a leg raise at 4 weeks and was wheeling around on the bike at week 7.  You will recover if you do your part.  Push yourself, listen to your doctors, do your PT when you can, lots of ice and you will get there.......I promise.


My thoughts are with all of you, I think of this forum every single day and how it helped me survive those first 6 weeks.  Good luck to all of you.



post #3070 of 10808

Way to go CG!


My story is a bit different, My first surgery was 1/29 and at first it seemed that my recovery was progressing well but at about three months most if not all improvement stopped. I was never able to reduce the lag of about twenty degrees when doing leg lifts, had really bad knee buckling, and was not able to walk unaided (cane) or even at a normal pace. It takes me an hour and a half to take my daily walk of 1 1/4 miles. This despite the fact that all tests that I have had show my quad strength in the injured leg is very nearly as strong as the uninjured one.

An MRI has shown Meniscus damage and the OS has discovered a problem in the center of the knee where the tendon is still attached but is not working correctly. Next Tuesday, 5 months and 27 days after the original surgery I will be going in for open knee surgery to repair the tendon and repair or remove the meniscus.

I just pray that they get it right this time!!!

post #3071 of 10808

QTR 6/23/11

Surgery 7/8/11

11 days post surgery


Hello and best wishes for a speedy recovery to anyone and everyone who has had a quad tear and surgery.  From the sounds of the posts, its really important (job #1)  to be conservative and do as the OS instructed for the first six weeks!  Its so great to be able to come here and gain some perspective on the fact that I'm not alone!


I had my surgery done at the VA Medical Center in La Jolla, CA.  My OS was super.... a real professional with a reassuring, friendly bedside manner too.  He really gave me the impression that he knew what he was doing from A to Z. 


Yesterday, (day 10 post op) I went in to have the staples removed (not too bad), and was fitted with a ROM leg brace set to 30 degrees.  Not bad, only 10 days and already Im gaining some mobility back.  The ROM allowed enough movement to allow me to drive normally!  With the immobilizer, I had to prop my leg up on the passenger seat and use my left leg on the gas and brake pedals.  No more of that:)


Everyday I think of my bike and how I cant wait to ride again.  Watching the Tour de France everyday reminds me of that too!  I have a great feeling about this injury in terms of recovery.  My leg suture is healing great with very little swelling visible.  I feel like I could bear almost my full weight if I tried but I dont want to press my luck until the 6 week mark.  Im scheduled to go back to my OS in two weeks. 


So for now its heal, heal, and heal with a little added ROM at 30'.  Two weeks from now I think they will increase the ROM to 45'.  Two weeks after that I should begin PT and building up my quads and slowly increasing the ROM.   Can wait to see the strength building up in my quads again!


Thanks to all of your posts that have shown me the light at the end of the tunnel... a light that is getting brighter every week!


Keep thinking positive because the history of this injury is mostly postive too.  You WILL recover, as will I and we will soon be looking back on these days and smiling as we go another mile!!!

Edited by socalman - 7/19/11 at 9:47am
post #3072 of 10808

I haven't made an entry in quite awhile.  I'm at the 4+ month mark after surgery, so it would be good for some of the newer folks in the "club" to see where you might be.  I am a very avid road bicyclist who rides from Alexandria, VA to/from work in the heart of Washington, DC, and does long, recreational touring rides in the Virginia countryside on weekends.


Updating my status:  Injury (fall and resulting quad tendon detachment) - 2/28/11. 

Surgery to repair quad - 3/21/11. 

Begin and end PT:  4/1/11 - 7/6/11. 

Slow return to biking:  First bike ride:  a very slow 8 miles on 7/4/11.  Since then, I've made progress in the biking sense.  7/14/11, 7/15/11 - Commutes to work in downtown Washington, DC from "in-close" lot - 18 miles round trip.  Yesterday, 7/18/11:  Commute to work from further out - 30 miles round trip.  Speeds have increased from a pitiful 12.5 mph to more than 13.5 mph. 

Downside:  The only downside of biking that I see now is that it loosens up the tracking in my knee, since my patellar tendon is still not very strong, and my hamstring gets stiff after the rides.  As a result, I sometimes get that weak legged feeling and phenomenon. 

Continuing treatment:  I am continuing "PT" on my own in the gym with full leg extensions, leg presses, knee curls, abduction/adduction exercises, squats, etc.  I am wanting to re-establish some kind of jogging routine, but my leg doesn't feel stable enough to do that, even though I can walk 5 - 6 miles.  My next step, in late August, will be to begin working with a trainer to get full leg functionality again.  It is not acceptable to me to be able to walk and bike, but to have continued weakness and instability in my right leg. 

post #3073 of 10808

Socalman u can definately safely do slr in the brace locked at full extension. There will be minimal stress on the surgical site. be reasonable and listen to your body. If your quad is feeling sore with it...good! If the surgical repair is feeling sore....stop. You won't hurt yourself. My PT folks have managed a lot of these and I was in PT per my OS orders the day after surgery. At my 3 month checkup my surgeon told me he was shocked at how little atrophy I had. he said most folks are still looking very thin a twiggy at that point. My quad is about 90% or more recovered in size. caveat is I have been bodybuilding 30 years so I am intimately familiar with "good pain" and "bad pain" with muscle building. I think the slr are very important early on as is the passive range of motion and scar/patellar mobilization. The first 6 weeks you need the brace. If you wear it religiously and you are very careful when nescessity removes it(bathing) you wont hurt yourself. Showers and wet tile while unbraced are big dangers so be sure to avoid them. You definately dont want to slip with your brace off. You can also definately weight bear in the brace at full ext and i recommend it. Just be careful when doing so to avoid swinging your leg wide during your stride. Try to move the leg straight forward. When u start tiring you will swing your bad leg in an arch....use a walker or crutches at that point so as not to develop bad gait habits. My view of the goals are as follows



weeks 1-6

avoid injury

wear brace almost the entire time

goal is to allow the tendon repair to begin to knit together and get some strength to its scar

range of motion to avoid excessive scarring. this is passive at this juncture

avoid complete atrophy by stimulating the quad and hamstring with isometrics(slr, heel presses with leg braced straight) EMS

I believe EMS is very important here


weeks 6-12


begin to relearn to walk and rid yourself of any type of brace/crutch


start gentle strengthening exercises under PT guidance

work proprioception at the knee

break up scar tissue


weeks 12-17


strengthen eccentics(stepping down) start with very short steps...1 inch for example and work your eccentric quad ctx(negative)

continue strengthening the quad and ham, ROM, break up scar tissue


17 and beyond


add heavier weights in a controlled fashion over the next 2-3 months and restore your quad to full strength and ROM by month 6-7.

relearn how to run.


7 months and after. Avoid tearing opposite quad(if you havent already) return to the world of the ambulatory athlete


post #3074 of 10808

Thanks Blue Belt 2012,  Im a tru believer in getting second opinions on recovery techniques, PT, etc regarding not only quad tears, but any surgery.  It sounds like your particular situation benefited a huge amount from early slr's, ROM, and weight bearing, but what is EMS?  I gave the slr's a try today.  My leg feels fairly good with almost no pain at all and weigh bearing doesnt seem to cause any pain either.  No surgical site pain.  The leg raises Ive attempted so far are @ full extension and I assist the leg off the ground with my good foot and then allow more and more of the bad leg to do the lifting... it feels really great to once again feel the tug of my quads pulling again...a feeling I will never take for granted again!  I truly dont want my leg to atrophy too much so I'm glad I happened to read your posts.  At this point I dont feel anything that could be bad pain when doing the leg raises so I will continue daily.  Thanks a whole lot for ALL of the great tips!


What do you mean by "proprioception"?


How long was it before you were walking again sans the crutches?



post #3075 of 10808

I used a walker about a week, then walked a lot with nothing but brace, supplementing with crutches when i started to swing the bad leg too much....after two weeks i was able to weight bear without any assistance but the brace most of the day. If I started swinging the leg I took breaks with a cane. By three weeksI used the brace only, and  had no need for cane or walker. I started pool walking without the brace at all but only in 3+ feet of water. I am nearly 6 feet tall and my first day in the pool 3 feet of water was shaky and I was super careful and used the lane marker for a little support. when I got to 4 feet deep it wasnt too bad and 4.5 feet of depth I felt pretty steady. I would walk 16 laps of a 25ft pool, using the lane marker for support in the 3-4 ft depth. Very quickly I adapted and my leg became stronger and after about four sessions I could walk the 16 laps confidently with no assistance at any point. at four weeks I started holding the side wall of the pool and doing gentle slow careful no weight squats to comfort level(slight pull at the knee) in about 4 feet of water, by 5 weeks I was able to squat to near 90 degrees flexion in 3 feet of water, 3 sets of ten. I did these very slowly and very carefully, just trying to stretch the surgical site with the assistance of the bouyancy of the water. It felt awesome to be out of the brace and feel that freedom, even if it were only in the pool. To get in and out safely i simply sat down at the pools edge, took off the brace, then with my good leg looped under my injured one at the ankle I swung them both out over the edge and using my arms in a tricep dip fashion angled my legs into the water, once in a few feet the water supported the weak leg and it was easy to stand. To get out I got to the pools edge with my back to the wall, looped the good leg under the bad, pushed myself up with my arms, good leg under bad till my ass was on the side and then swung both legs onto the cement, then put the brace back on and stood back up. I loved the pool walking. It felt good to get out of the brace and the deeper water was a breeze to walk in after a few sessions. By week 6 the brace was off and I didnt even need the crutches my OS thought I would. The leg was a bit shaky but I focused hard on it and had only a few buckles at the knee over the next 3 weeks and by week 9 was pretty ambulatory, and starting to work steps. If u do the pool just be seriously focused. The deeper water is very safe but initially the 3 foot is dicey. That resolved after about 2-3 sessions in the pool and then even the 3 foot was easy.


EMS is electronic muscle stimulation. I bought my own for $350 and used it at home daily for 15 minutes on the quad. Proprioception is your knees sense of position in space. That is tested around week 6-8 by flexing the injured knee about 10 degrees, and using the good leg to tap positions at 12,3,6,9 on a clock...work with a pt on this, but I feel the pool walking and the wt bearing in the brace prepared my knee a bit early for this.Best of luck. Remember week 1-6 primary goal is "dont fuck up the surgery" so when doing any of these aggressive techniques you must do it fully awake and aware. If you do so i don't think u will have any trouble. Also watch out for wet slippery tile when getting out of the shower without your brace.....it is the workings of the Dark Side for sure......use the Force and carefully get that brace back on.

post #3076 of 10808

Thanks.  It sounds like you were on your own in the pool.... or were you being coached by a PT?  Was your aggressive PT schedule made up by your PT, OS or were you progressing on your own?  It sounds about where Id like to be in 9 weeks if possible.  Great work!  Now if I can even come close without screwing up my surgery I will be ecstatic.  I'll keep in touch if you dont mind blue belt 2012 as I progress?  Your experience is a better teacher than any classroom and this injury seems a bit unique. 

post #3077 of 10808

I read the pool stuff here, dont recall the guy, but whoever it was big TY!. Be very careful in the pool, but I think u will see after a few nervous first sessions you will be very confident. If u want to be even safer get in a lap pool at 4 foot depth, if u are around 6 feet tall this should be very safe, the bouyancy protects you. After a while the 3 foot level will become easy. My PT worked largely independantly, but they had a lot of experience with the injury. They did take some cues from the OS about every 6 weeks as to what his concerns were. Some things I figured out on my own. I think the goals i set on an earlier post, as to what should be most important in relation to the weeks post op is pretty good to keep in mind. I am closing in on 4 months now. One obs from my recent weeks is that I have some more pain and swelling now then I have had in weeks. I believe this is because my PT is really working my quad hard every session. after 3 months they accelerated the stress of the work out. The point now seems to be to get me back into running shape. I am doing one mile light jogs on a treadmill. keep at it everyone and hang in there. 100% recovery is a definate possibility. Best of luck.

post #3078 of 10808

Date of tear: 9/12/10

Date of repair: 9/16/10


Hey boys and girls!  It's been a while since I checked in so I thought I'd share some good new about that light at the end of the tunnel.  I'm 10.5 months since the repair and I'd say I'm damn near 100%.  The only thing that keeps me saying I'm 100% is that I'm not back to my pre-accident strength levels.  I noticed a couple of weeks ago that I was going down some stairs fairly quickly and I wasn't thinking which leg was leading down the stairs nor was I thinking about how my repaired leg felt during the descent.  I've been playing some golf and a few months ago I would notice some tightness in the repaired leg after playing or hitting at the range but I've hit for 4 straight days after work (for an hour) and both legs feel the exact same.  We went on a minivacation with our neighbors to San Antonio and went to Sea World one day and Six Flags Fiesta Texas the next.  It was two straight days of walking around for 10 hours in 104 degree heat (I know I'm stupid) and there was no fatigue or tightness.


I feel really good about everything and I'd just like to get back to my previous strength levels to finish this thing off.  I can squat and deadlift 405 lbs for reps, so I'm getting closer and closer.


Keep the faith my friends because your hard work (and patience) will pay off!!!!!!!!!!!!!!!!!!!!!!!!  Remember what my OS said..."There is no substitue for a motivated patient."





post #3079 of 10808

Here I sit, six months to the day after RQS. It is also two days since my second RQS. Went in Tuesday for exploratory surgery since I was never able to regain full extension of the right leg and had a continual problem with buckling and major swelling of the leg. The OS stated that almost all of the previous surgery had failed and the only thing holding the repair together was scar tissue. I have been having a lot more pain than I had the first time, but I hope that is because of the previous surgery and will improve soon.

The OS has said we will be taking rehab a lot slower this time and with the stronger materials he use it may last this time. I sure hope so because this is the last time I will be having this surgery on the same leg. Good luck to all of you that are recovering from this injury.

post #3080 of 10808

That really sucks.  I had worried about you when you were having the lag and buckling issues.  Did the OS have any insight on what caused the previous surgery to fail?  Can you recall any event?  I remember when Idaho Guy was rehabbing, the PT had him jump onto a BOSU ball and he felt it tear and give way. 

post #3081 of 10808

Hi Texas, yes it does. I was still loopy when the OS called the day after surgery, but he only said there was only scar tissue left and some thing about a tear that was allowing knee fluid back up into the repaired area. I really would like to know but doubt I will ever get the whole story... but here is my guess: I started PT at home at about four weeks. The first appointment I could only reach 30 degrees ROM, at the next appt. I was at 90 degrees and two days later at 130. From what I have seen here that just does not happen, so was the repair done right? I knew at three months it was not right but it took two more months to have the OS agree. During this time we had some interesting and loud discussions about the fluid buildup problem (he said it was not the problem and was not hurting the recovery) and if I was working hard enough to correct the problem. Since I was working on the Quad over four hours a day and it was nearly as strong as my uninjured one I thought he was an A$$HOLE, which I shared with him. At that point the relationship seemed to get better and he stopped looking for things I did wrong and started looking at the signs that the repair was either wrong or had become compromised and went in for the exploratory surgery.

I do expect things to go better this time with rehap since I know what to expect and what I am trying to accomplish, but judging from the increase of pain from this surgery it may not be a easy recovery. Plenty of scar tissue in there now so that may be a problem.

post #3082 of 10808

Blue Belt 2012,


It sounds like youre really progressing steadily and it gives me some hope to hear that someone else with my injury is doing well.  I can only hope that I'll be able to  treadmill jog for a minute after onlyh 4 months like youre doing.   I've noticed that I'm gaining strength as far as lifting my leg goes.  After the injury I couldnt lift my leg at all. Now at 3 weeks post op, I can lift my braced leg into bed at night easily, and can lift it enough on its own, while sitting in a chair to change clothing.  Its not a lot but its a move in the right direction...mobility and strength.


Ive been giving the straight leg lifts an occasional try too as suggested.  When i do them, I dont feel pain in my quad so much as I feel a pull and some pain just above my patella. theres some numbness around patella too where I can touch the skin and not feel anything.  Im not sure exactly how the surgery was done or where the sutures were attached since my tendon tore/ruptured a few inches above the patella.  Im not sure if there were holes drilled in my patella or not.  All I know is that there were sutures used to do the repair.  Im thinking that with any QTR, the patella is wired in place to hold it secure during rehab, do you know if thats true?  Did you experience any numbness near the surgical site?  Im wondering if the pain I feel while doing leg lifts is "good" or "bad" pain.  Im not sure. but one thing I am sure of is that the ability to lift my leg is improving since doing the excercises.  I can feel the pull of my tendon again.  The ropes and pulleys are attached again!  I REALLY dont want to screw this up so im reading this blog a lot and picking up tips.  Yours were especially helpful and Ive printed them out and refer to them daily. 


Tomorrow I go in for a follow up appointment to check my progress with the 30 degree ROM setting of my brace and to hopefully adjust it to 45 degrees ROM.  Ive got a long road to hoe it appears but by achieving little plateaus of progress, its much easier to stay positive. 

post #3083 of 10808

socalman it will be numb a good while, possibly a year. Swollen too. takes a long time to go away. You should feel a mild discomfort just above the knee at the repair site during leg lifts. This pain should not be severe, its should just feel like a mild toothache. Try to do 3 sets of 15. If that is easy do sets of 20, if thats easy add 2-2.5 pounds ankle weight, if thats easy add 5 and so forth. Good luck, stick at the leg lifts, you should be able to do them.

post #3084 of 10808

Hello All,  Just a quick question.  My husband had surgery 2 months ago today.  He has been in PT three weeks and doing well. Four days ago he started hearing some popping noises with no pain.  He has been getting more and more active.  He washed and changed the oil on the car  two days ago.  So, now he is hearing and feeling even more popping  (still without pain) and the knee feels very tired.  He is also is reporting a feeling of the knee locking up that he has to push through.  The locking up feeling comes at the first part of the bend, not so much the later part where I would expect it.   Yesterday was not a good day mentally.  Has anyone experienced this?  Is this a set back or is this just part of the recovery?  Is he pushing too much? 

post #3085 of 10808

quadwife there are definitely good days and bad. The injury takes so long to heal that this is somewhat inevitable. He has to keep his eye on the big picture, and look at things in terms of weeks and months and not so much days....some days are better then others. In all likelihood the pooping is a tracking issue with the patella. Nothing to worry about. Due to the presence of a fair amount of scar tissue, typical of where he is at post op, the knee cap will briefly get hung up on some sticky adhesions in the knee, there will commonly be a pop, and some momentary discomfort. This gets less and less as the scar tissue dissolves. Be sure his PT is working on resolving the internal scar tissue as much as possible. It should clear up in another couple of months.Good luck!

post #3086 of 10808

quadwife there are definitely good days and bad. The injury takes so long to heal that this is somewhat inevitable. He has to keep his eye on the big picture, and look at things in terms of weeks and months and not so much days....some days are better then others. In all likelihood the popping is a tracking issue with the patella. Nothing to worry about. Due to the presence of a fair amount of scar tissue, typical of where he is at post op, the knee cap will briefly get hung up on some sticky adhesions in the knee, there will commonly be a pop, and some momentary discomfort. This gets less and less as the scar tissue dissolves. Be sure his PT is working on resolving the internal scar tissue as much as possible. It should clear up in another couple of months.Good luck!

post #3087 of 10808

Hi everyone.  Thought I'd post an update since I am at the 7 week mark.  Saw the OS last week and was advised that the healing is going very well and that I can start weight bearing.  This was such a relief and in the past week, I have gone from a little weight being put on the injured leg, to walking without crutches.  I can't believe the improvement in both the leg and with my emotional state.  I can actually see a light at the end of the tunnel. I am also spending some time out of the brace and walking around with the crutches.  It's amazing how insecure I feel without the brace on.  I need more work in this department, but it's going well.


I am experiencing some aching in the evenings, but attributing this to all the changes in weight bearing and doing so many more things.  I have been at the lake for the past two weeks and have been swimming daily and even taking 4-wheeler rides (although going slow). I even managed to go blueberry picking.  It's amazing at how one's outlook and mood improves when reaching little goals and seeing the progress take place on a daily basis.


I don't start physio until August 10th and am really looking forward to it.  The OS told me to flex the quad muscle as much as possible when the leg is straight and to attempt bending the leg but to stop as soon as there is pain.  I am able to straighten the leg completely and flex leg muscles with no difficulty, however the leg bends are a little more difficult and painful, but I am willing to work through this pain. I can do several leg lifts with the brace on and a few without it, however my quad muscle really aches when I try them without the brace.....time, repetiveness and determination will definitely help me out with these.


I have to say that the people on this site who have repeatedly posted about being patient, listening to the OS and not overdoing it have really helped keep me at bay and not push myself too much. Thanks for the warnings and comments.  They have definitely gotten me through the first 6 weeks.


Anyhow, good luck to all and will post an update once physio commences. 

post #3088 of 10808

getting there,


Brother I feel for you.  That is wild that it basically gave way during the increasing ROM time.  Hopefully plenty of electric stimulation and massaging will help reduce that scar tissue.  My PT guy had me freeze a bottle of water and then rub that over any area that felt knotted up.  Of course, that was probably 7 weeks after surgery, but it really helped me get a lot of it worked out.  He would always massage the area after each session and the first time he really started digging, it had me completely lifted off of the table and ready to take a swing at him.  After a week of PT and me doing the frozen water bottle for 20-30 minutes a day, I was golden.




Where is the popping?  If it's all around the kneecap area, Blubelt is probably correct.  I had a tracking issue with my patella that caused what I described as a "catch" where the kneecap would slide to a point and the stop until it kind of popped into line for the next range of motion.  There were two exercises I felt helped me the most with this: One was sitting on a short stool that had wheels on it.  I was told to use only my repaired leg to pull myself forward maybe 6 feet and then push myself back the 6 feed along a taped line on the ground.  I started doing it 5 times and stopped doing the exercise when I could easily do it 35 times.  The other was basically doing a squat with my bodyweight until I could sit on a weight bench and then stand back up.  I would go up as quickly as I could but I would lower myself as slowly as I could.  The strengthening of the quad seemed to get the patella back in line and I was good to go.  I believe I started these exercises at week 7.


If it's popping higher up and feels like the stitches or something closer to the repair, you probably want to bring that up to the OS.




Sounds like you are exactly where you need to be.  Keep doing those wall slides for ROM.  It is amazing how weight bearing can lift the spirit and help the healing process.  It seemed like my leg was pretty worthless when I first started opening up the brace a bit but within a week, I could have walked easily without the brace, had there been no fear of something causing a fall and risking reinjury.  Keep on keeping on and realize you will be getting closer to normalcy every single day...


"There is no substitue for a motivated patient." - My OS.

post #3089 of 10808

Socalman: ruptured quad tendon June 23, 2011

QTR July 8, 2011

4 weeks post op



Blue Belt 2012;


I went in for follow up on August 1st (3 weeks 3 days post op) and my OS adjusted the brace out to 60 degrees.  He also said its ok to start applying some weight bearing.  What a boost in positive feelings it was just to feel my bad leg handling some weight without pain...  Yesterday I walked from the car into the house with only one crutch and it felt good, only minor twinges of pain on a few of the steps.  Im noticing improvements almost daily.  This morning I was able to lift my straightened leg without the brace while sitted in a lazy boy chair and hold it there about 2" or so off of the floor. As expected there was a little tightness and aching in the area just north of the patella and I could see my quad tendon spark to life in the once concave area above my kneecap.  It was a great thing to visibly see and to feel.


I share your fear of a PE and Im just past the critical stage of 3 weeks post op with no signs of any problems.  I take 2 1000mg fish oils morning and night (thins the blood) as well as an aspirin once a day to ward of any blood clots.  Fish oil is a great natural blood thinner.  I was told to stop taking them a week before surgery to avoid excessive bleeding during surgery....thats how good they work.


I can finally see a light at the end of the tunnel at only 4 weeks.  Thanks for the great tips.  I plan on starting a regimen of daily leg lifts and will update this site with my progress as well as a few tips of my own.


Keep the faith and do as I learned to do regarding depression....use "positive self talk" to ward off any negative thought patterns associated with being injured or laid up for a while. I found that I was automatically and almost subliminally telling myself the worst of things such as' I'll never recover from this', and 'this happened because Im a loser', and even thoughts which turned into feelings that I somehow deserved it!  Its so important to write the underlying thoughts down when they happen and in a short while you will be able to see them as they happen and shake them off with positive thoughts.  The process is amazingly simple but extremely effective!  I keep telling myself that its only an injury and it can happen to anyone.  Whenever I start to feel depressed, its a warning sign that Im automatically running a dialogue of "stinkin thinkin"!  I write down the negative thoughts on a piece of paper and find it easier and easier to dismantle the negative logic with positive thoughts and understanding for my predicament.  Its helped me immensely to ward off the depression and anxiety demons.  Indeed, its actually helped me to become more of a positive person which will last the rest of my life.  In that respect, Im actually greatful for this injury and how it has forced me to change the way I think about my daily life from a moment to moment perspective.   A great book which helped me immensely is "Been There Done That?  Do this!" by Sam Obitz.


Good luck to you and to everyone facing recovery from QTR!

post #3090 of 10808

nice post socalman, a friend of mine who did both QT during a heavy squat about 10 years ago gave me the sage advice for this injury.....its a long process. Every day try to remind yourself of something positive that occurred, even the smallest of things. Take it one day at a time and concentrate on the positives....they are there. We will all "get there" eventually. best of luck. It seems like only very recently I was one of those depressed and in the first few weeks post op....envious to be truthful of the guys a few months down the line who had begun running and lifting....but here i am now one of those guys. You noobs will get there too...have faith and work hard! Read this entire board, there is a tremendous amt of help here. Thank God for Ol IdahoGuy who started this whole thing....I wonder if he realizes how much good he accomplished with this thread????


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