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Quadriceps Tendon Rupture, Repair and Rehab - Page 114

post #3391 of 10797

Well, I had my 2 week post op appointment today and they were pleased with the incision healing and the reduction in swelling. I'm glad I have been reading all your progress reports as it gave me a better idea of what to expect. Had I not known what you all have been going through I would have expected a freer regiment. 


I was told 4 more weeks of the brace with it locked straight. I am to remain on crutches and can start physical therapy next week. I got to lose the granny socks which was one of my big complaints.


A long way to go, but I am grateful for the fact that I can start PT. They said I was free to drive if I can get the foot in the car. I will attempt that trick this weekend, but to be honest, I have had no desire to leave the house for the past two weeks.


Thanks to everyone for documenting your progress. It is a big help.



post #3392 of 10797

I am 24 weeks from surgery and the most helpful part of this blog is updates from all of you as we provide the best info as to recoveries and updates and timelines. So here are mine:

....Can do most physical activities but land running....which is still my most frustration

----Stationary cycle and cycle outside as much as I want

---- Weight train at pre injury levels with exception of heavier leg exercises....can do light bar squats about 100 lbs

--- Physical Therapy now only once every 2 weeks....not much more he can do for me

---Still have tightness up and down steps

--- Feel like I have strength coming....but tightness in knee and quad still there which prevents me from running despite doing exercises to stretch them out

--- Bottom line....Despite all the work....and I work at it at least one plus hours a day.....I believe nature is telling me I am going to take up to one year with you despite whatever you do and even though that's against my nature it is becoming more apparent I must accept it.

---Keep up the great posts.....despite our wonderful surgeons and therapists we are the best sources of rehab info.

post #3393 of 10797

I have been reading all these stories and am amazed there are others in the same boat as me!

I ruptured my Lt QT while falling down one stair - with my left leg tucked up underneith me. I didn't hear the pop - I think I was screaming at the time, but I knew right away it was bad - off to the emergency department! The ER doctor said a fractured patella but the next day at the hospital's fracture clinic the othopod caught it - based on the swelling (the nurse said he was pround of himself for catching it, since it's rare) - and ultrasound confirmed it. I was in surgery with 36 hours of the injury - no problems with the Canadian health care system from my viewpoint! The governments pays most costs, insurance covers the rest and the care is excellent!. Of all the ways I could have screwed up the knee (acl, mcl, etc) the tendon was not a bad way to go - I don't even really remember much of the screaming pain at the time! Post op was painfull, but not for too long. I've seen the ortho at two weeks and I was using a cane and the emobilizer brace - he coulden't give me crap since the operating doctor told me to put weight on it (just no bending). I did get crap for taking out my own staples (22 of them!). Them were getting annoying so I clipped them in half with cutting pliers and then took out each end with a pair of tweezers - totally painless!

I see the Dr again at 6 weeks and I;ll get an bendable brace and PT appointments.

I'm already driving my car - the hardest part is getting in - the cluth is only painfull 'cus the brace diggs in.

I just hope the tendon will be just as strong - the surgeon said I had good strong tendons.

Note - my avitar is my knee the first night at the hospital!

Cheers; Greg

post #3394 of 10797

I have just found this thread, so I will add my experiences so far. I live in Northern Italy and ski - telemark - about 20 days per year lift served off piste and alpine touring. During the past year I have also started cycling fairly seriously and did a couple of Gran Fondos (Centuries in US) and cyclocross racing.


Accident - I ruptured my quadriceps tendon 11 weeks ago, slipping on ice whilst out for a walk. My wife took me to Pronto Soccorso, they kept me in and operated the next day. The day after, I was home with a plaster cast which I kept for 4 weeks.


Operation - the day after the injury, done under epidural, so I was able to listen to the drilling and hammering of the OS. They put my leg in a full cast.


Weeks 1-4 - Back home the day after the operation, still lots of snow and ice around, so very nervous getting from the hospital to the car and from the car to the house. Pain wasn't too bad, the only painkillers they recommended were paracetamol as anything else would be bad when combined with the Heparin. I took them for the first few nights didn't need them by the end of the first week. By the end of the second week I was able to put a reasonable amount of weight on the leg and get about with just one crutch.


Week 5 - Cast off and staples out (thought that was going to be painful but it wasn't). Amazed how much muscle I have lost in just 4 weeks! I was able to bend my knee to about 80° (the knee had been bent at 30° - 40° in the cast).  The OS was happy with the progress. He didn't insist on a brace, he said that I could wear one if it gave me confidence, but it wasn't really necessary - I wore one for the next 3 weeks.


Week 6 - Back to work this week. Health and Safety wont let anybody on site with a cast on. Even with the brace and one crutch I was quizzed by security every morning for the first week.  Visit to the doctor in charge of rehab. Appointments for the first round of physio. Repeated what the OS had said about the brace not being necessary.


Weeks 7 -9 - Started physio - manipulation, gait training, stationary bicycle, elliptical stepper and balance board.


Weeks 10 - 11 - Physio added knee extensions on the isokinetic bench. I have been walking about 2km during my lunch break and can manage 4-5 km with no problem. Stairs are OK climbing, but still a bit hesitant coming down. I have been cycling on the turbo at home, about 30 mins per day.



Edited by Barbarossa - 4/15/12 at 2:14pm
post #3395 of 10797

I am now 8 weeks post op and saw the surgeon today.  I was told I can lose the leg brace!  I am walking though with one crutch and wearing a knee sleeve that provides some support.  I am not going to set a deadline for giving up the crutch but would guess in another week.


The key in his decision was quad muscles control so for new members to our little quad tear club make sure you do your exercises.


Went to the gym tonight and toyed with various machines to figure out what I can and can't do.  On the stationary bike I can't get a full revolution but was between 2 o'clock and 12 o'clock.  Hopefully one day soon I will get the full turn and then I'll be on my way.


Old Runner Guy, you will appreciate this, the surgeon said I'll probably be running in 3 or 4 months.  We'll see but based on your experience I'm not banking on that time line. 


Anyway, things do get better but we're all in for a marathon healing and rehab process to regain strength and get on with our lives.  Ruptured quad tendons are serious stuff and take time to heal.  There are no quick fixes or shortcuts.  We all just have to keep on truck'in.....  :-)


post #3396 of 10797
I am 17 days post surgery. I had my 1st PT session today and as expected my strength and flexibility was minimal. I could not lift the straight leg off the table. I could barely fire the quad and did not have much ROM. I was given home exercises and have already improved somewhat after just a few reps.

One surprising event is that my good leg is atrophying as well. I am guessing that since I am am crutches that that leg is not getting its normal use. The therapist said to do the exercises with both legs.

I am excited to have exercises to do as I feel I am on the road to recovery. Today was the first day I drove and it felt good. Hard to get in and out, but once in I was fairly comfortable. It's amazing how we take such simple things for granted when we are well.

post #3397 of 10797

Will Run Again: Glad to hear you are progressing. Interesting to see that your surgeon said you will be running in 3-4 months. Same mine said.....but no way for me....I hope he is correct for you......that is the most important. Keep up your rehab.....I am glad I can bike....stationary or outside.    TOM....aka....OLD RUNNER GUY!!

post #3398 of 10797
It looks like I get the honor of being the new newest member of this elite group. My injury occurred 22 days ago. And my surgery was 11 days ago. Skiing over a little bump, I hit the next one head on. When my tips hit the next bump I flew forward and heard the evil "pop".
The pop was from my right knee, where I had had a ACL replaced four years ago. I was concerned the ACL repair had ruptured again. I was not in pain except when I would try to move my leg. Getting into the sled and out of the sled was a real pain, so to speak. Initially, it was thought that I had fractured the top of my tibia. I went to an orthopedic surgeon later in the day where i was diagnosed with a ruptured quadriceps tendon.
An MRI several days later revealed that I had torn about 90% of the tendon.
After finding this forum, I realized that this injury was much more serious than the ACL replacement I had had. At 69 years of age I was not looking forward to the long recovery that is described. Nor the pain.
Fortunately, except for a very bad two hours when my femoral block wore off, I have been relatively pain free. I am on high dosages of both short and long-term morphine and Gabapentin. I have been able to reduce the short-term morphine dosage so I am not floating as much as I was at first.
I am in the straight leg brace. And, am able to get around quite easily. Tomorrow I have my stitches taken out and will learn the surgeon's opinion of how the surgery went. The swelling has gone down quite well. So, I guess I am in for that several weeks of just waiting for the healing to occur before rehab can begin. I am going to the gym today to get a program of upper body workout to keep at least part of my body without a lot of atrophy.
I really appreciate the perspective on the rehab period that this form has provided. It sounds quite different than my ACL repair recovery.

Oregon Bill
post #3399 of 10797

Old Runner Guy (Tom), thanks for your encouragement and good wishes.  I am not even thinking about running in some set time frame.  Time will tell but tonight was a big event for me.  I finally got full revolution on the stationary bike.  I did maybe 30 revolutions with no resistance and then came home to celebrate.  Now I have hope I can do some cardio in the next week or two.  I am doing upper body work and endless leg exercises prescribed by the physical therapist.  I don't miss the leg brace at all but am using one crutch opposite side of injury.  This is a long process.


Anyway, I hope you are running soon.  I know how you feel.  One day you'll be out there just walking and the run will come naturally.


Oregon Bill, I would say welcome to the club but I wouldn't wish this injury on anyone.  A torn quad tendon is as bad as it gets.  In my case it was 100% gone but I had surgery within three hours of the injury.  I was very lucky.  I also went through horrific pain both before and after the femoral block.  Was in the hospital for three days as was in and out of severe pain for most of that time.


Prepare yourself for the removal of the stitches which I am sure are surgical staples.  I had 25 in my zipper knee.  When they took the dressing off I couldn't look it was so upsetting but got better once I got past that stage.


You are wise to work your upper body and any other body part that doesn't hurt.


Hang in there.  It will get better.  Time heals.



post #3400 of 10797
Just had my postsurgery, get the stitches out, doctor's visit. He said all looks well with the incision and could feel that the attachment of the tendon to the patella seemed to be as he wanted. So now the big four week wait until the tendon has had a chance to attach before we can talk about physical therapy. He said that if all looks as good then as it does now I can expect to start some simple range of motion PT at that time.

I will also be weaning myself off of the morphine that I have been taking. And instead, simply take something as needed. Either a fast acting morphine or Tylenol. Sounds like from what has been said on this forum that the range of motion work will cause some pain. What are you taking for that pain? Should I save some of my heavy duty pain meds for when I began PT?

He was very impressed with the crutches I found online. They are called Mobilegs and can be found at Mobilegs.com. In fact, he said he would be recommending them to a doctor at the hospital who is presently his patient, who two days before my injury, had a double QTR. I think of that poor guy every time I bump into some physical hurdle that causes me some problem.

I do appreciate all the positive comments that are made on this forum. It does make it all seem much more bearable.

Oregon Bill
post #3401 of 10797

Hello all,


Just thought I'd check in after many months to let you all know that you will heal and get back to normal.  I am a very active runner, cross country ski racer and coach, biker and hiker. I tore both my quad tendons in August 2010 and was in casts and locked braces for, I think, a total of 16 weeks.  Once I was able to unlock the braces I walked a lot every day, using my hiking poles.  Then I was able to get on a recumbant bike (need at least 110 degrees of flex for that) and in the pool to swim and walk in the water.  By January 2011 I was back on my cross country skis for the winter (I coach a junior team) and ended up skiing all winter and even jumping into 3 of our local Tuesday night races at the back of the pack. I was really careful with downhills initially but by the end of the season was ripping down most hills.  Starting in April I started running at the track and very very gradually ramped things up all through the summer, adding that to biking and rollerskiing for workouts and was able to do my annual hiking vacation in the White Mts in NH and felt good.  My knees do not hurt any more when I run (they had hurt every step before the accident).  I can now run well over an hour on trails with absolutely no knee issues, soreness, pain or anything.  They work great.  I ran two 5km races last fall and other than being slow, it was great to get back out there.  This winter I ski raced 8 races from 5km to 30km, pretty much back to the group I'd been with before I hurt myself, thanks to a lot of work last summer and fall. 


So, you will recover but it does take time and patience.  My advice is be patient and take it slow.  You don't want to re-injure yourself!  Too many stories on this forum of that happening. 


Be well!

post #3402 of 10797

Hi All!


New to the forum, I had surgery 5 weeks 2 days ago for a right ruptured quad tendon.  I started PT at week 3.  I am havng problems getting ROM back.  The first session I was at 28, then the next 34, and the last one 38.  I am going there again today.  I am into the 6th week and I don't get why my tendon is so tight.


I know a lot of people have slow ROM progression, I was wondering what is it making it so difficult.  My tendon at the knee is super tight, I go to a certain degree and it feels super stretched, and then any farther it is painful.  I am wondering if this is normal, and will this tendon eventually stretch.  I know it is early at 6 weeks and 40 degrees, but again will this tendon slowly loosen up or it is what it is.  When I bend there is no stretching of the quad muscle, just a tightness in the tendon at the knee cap. 


Everything else seems to be progressing normally, I can walk with a brace and no crutches, quad strength getting better.  My dr says I want to see 90 in the end of 6 weeks...yeah me too doc, but not sure if that is going to happen!  thanks all! good luck to all with this injury, Michael C.

post #3403 of 10797



It's a common occurrence to have tightness and the early struggles with ROM.  The biggest thing to help my progression was doing wall slides.  To do them, I'd lay on the ground with my butt 10 inches or so from the wall and my legs up the wall with my socked feet resting against the wall.  I'd then let gravity do it's thing and let the foot of the bad leg slide downward until it started to hurt.  I'd hold it there as long as I could stand it and then use the foot of my good leg to push my bad leg foot back up the wall to rest for 30 seconds or so and repeat.  The use of gravity with no real muscle effort seemed to increase my range of motion fairly rapidly.


If you haven't tried them yet, you might see what you think.  Before the wall slides, I'd sit in a pretty warm tub to loosen up the muscle on the injured leg and do heel slides where I'd try to bring my heal to my butt.  It would take a lot more effort than the wall slides but the heat from the water seemed to help too.


Good luck!



post #3404 of 10797



what your saying sounds good, I will give it a try.  I just came back from PT, my leg went to 50 degrees, from 38 last week.  It is painful and although it will stay there, the therapist had to hold it there.  He was able to crank it briefly to 60 but man did that hurt.


The entire process is just painful, but it is gradually loosening up.  I am having to fight for every degree since 23. 


What I did find out that at 5 1/2 weeks that repair is pretty strong, I can inflict more pain on myself that I was doing to start stretching it....as you said, let it slide down until you just can't stand it anymore.  Good stuff! Mike.

post #3405 of 10797

Metalhead: Welcome to the"Club". I can tell you I am 25 weeks from surgery.....surgery on 10/28/11. I have full range of motion and have had it for 10-12 weeks. I can bike, do eliptical machines and squat with about 120 lbs. Despite all the PT I still have tightness at 25 weeks. I can do strides in the pool but still can not land run with a strong enough stride to run. My walking gait is still tight. What you will find somewhat frustrating.....as others have had a similar comment....when your family and friends see you and people at your health club see you they comment that you look great and are walking fine. But only you know you are not there yet. Nature will take its time and we all heal at somewhat different rates. So....do all your rehab and I know as many have said on this site....patience is key....it is difficult but it is key. Make it a Gret Day !! Tom....aka OLD Runner Guy !!

post #3406 of 10797
All is going well two weeks post-op with the leg. The problem now is withdrawal from the morphine I am stepping down from. I'm only taking 30mg of long lasting (12 hour) in the evening at this point. By early afternoon I have had withdrawal symptoms including feeling very weak, chills and diarrhea since going to one pill a day. I have about three more days of the evening morphine. Have any of you experienced this and if so, what did you do, and for how long?
post #3407 of 10797

12 week update,


Update for my fellow quad-rippers: This was the week that I was going to shed that dreaded brace.  Luckily I was able to ditch it at 9 1/2 weeks due to some quad muscle strength and definition I developed. ( Since 6 weeks I was walking around with the brace unlocked 0-30 degrees.  I think that helped but risky and against Doc orders).  ROM was slow for me as well.  Started at about 30 and now I'm ~ 100 to 110 degrees.  All my PT is by me at home.  I have a program from the doctor and PT listed by 1-4, 4-6, 6-12 and 12+ weeks.  Never stretch more than the point of some pain so maybe I'm a little behind. 

I can walk OK but have to concentrate on not babying the bad leg. Knee/Quad area always feel tight.  Experienced the same knee "clicking" others had but it seems to have stopped.  Had to walk it out I guess.  Last week started walking up and down flights for stairs holding both handrails with a death grip.  Now I can get up stairs just holding one handrail.  Downstairs is a different story.  No way ready for that without death grip on handrails.  Doing some renovations to my home is a challenge.  Especially trim around the floor.   Actually laid down some ceramic tile while laying down on the floor....  Almost able to kneel but doubt the knee cap is strong enough yet - I know exactly what the Dr would say.
Able to use exercise bike (the one your legs are not directly below you and the eliptical machine.  I can set the bike up with some good resistance to build up my quad and last for 10 - 20 minutes. 

Heading for my 12 week post op visit Tuesday.  So I made it through the longest 12 weeks of my life.  When you are at 1, 2 or 4 weeks, twelve seems such a long long time.  My advice is don't think about!  Concentrate on each day and pat yourself on the back for a little progress each day.  This takes work, a positive attitute and of course reading all the experiences of other quad-rippers. 

Oregon Bill sounds like you are in withdrawls.  My doc had me off the morphine the first day and I took myself off Oxy in three days. I was sick for two days after that.   


Jim  (jtsull)

Edited by JTSull - 4/22/12 at 8:47am
post #3408 of 10797

9 weeks this coming Tuesday:

  • Surgeon told me to lose leg brace last Monday at 8 weeks.
  • Used crutch for several days of transition.
  • ROM 110 degrees as of last Thursday.
  • Starting to use stationary bike but very cautious.  Did 10 minutes with no resistance.  Felt okay but being careful.
  • PT more aggressive now.
  • Am going to start incorporating walks in my routine but will avoid hills for now, especially down hill stretches.
  • Going to gym to work on upper body but not much on legs let.
  • Will increase intensity of stationary bike and try the elliptical trainer when I feel up to it.  Think I better learn to walk again first.
  • Am icing the knee twice a day after PT.


Oregon Bill,


I don't understand why you are still on pain killers after two weeks.  Is that really necessary at this stage?  I had horrific pain and spent three days in the hospital but immediately stopped the pain killers when I got home.  I did have pain but feared the impact of the drugs more.


Old Runner Guy,


You're right.  At the Club they all tell me I'm doing great but I feel like a complete porker.  I haven't done any cardio work or broken a sweat since my accident 9 weeks ago.  It's driving me crazy!  Now that I can do the stationary bike I will pick up the intensity and try the elliptical trainer later this week and see what happens.




I really understand your death grip comment when you're going up and down stairs.  In the past couple of days I started alternating going up steps but the first attempt to go down steps was like a death defying leap.  For the last 8 1/2 weeks I have walked down steps backwards injured leg first obviously one step at a time.  Going down steps is not just a physical issue for me, it is also fear!  My accident happened rushing, jogging down steps.


To All:


Hang in there and be patient.  We are all going to follow similar but different paths to healing.  The biggest risk we all face is re-injuring ourselves so proceed with caution!


All the best to all,


Dan, still dreaming of running again.  :-)







post #3409 of 10797

Oregon Bill;


I was given morphine the first day, then prescribed 30 oxycodone pills, I used every last one.   I wish I had morphine like you, those pills didn't do anything except me me delirious..pain was still there.  They made me completely consitipated, I had to pound laxatives to get relief.  I am sure I had withdrawal but the constipation was far worse than the withdrawal. 




I am having problems keeping on track of the Dr's prescribed 90 deg ROM at end of week 6.  I was at 50 at the dr at the end of week 5, and it was a struggle to even get there... this weekend i spent pretty much most of the weekend stretching and trying to increase ROM, I think I am at 65 now.  My knee started at 23 degrees, i thought that my kneecap was not right or something was screwed up, but it is just the nature of the healing, things are stiff and have to be gradually loosened up.


I am at PT twice a week now at week 6, basically they are aggressively stretching my leg...they guy says, ok time to go past your pain threshold...we have to bust through and loosen up that joint...man absolute torture....but doing that in basically two weeks i went from 23 to about 50.  Every degree is an ordeal..doc says you need to get that knee to 90 relatively soon to stop that scar tissue forming.  If I didn't endure this pain I think my ROM would be at 40 or so...I tell you what, the therapist does this cranking over 20 mins....I do it far less violently at home over a period of hours.



post #3410 of 10797



Our ROM progress seems similar.  I have been given a program of stretching (leg slides on the floor), knee extensions (pushing down the knee to the floor) and lifting my leg while lying on my side three times a day (20 reps held 5 seconds) everyday.  Progress is just a little bit each day.  I started the same way, only 25 or 30% and wondered how I would ever get all of it back.  I did not get to a comfortable 90 until 10 weeks.  This is slower than some here but I never force it to the point of intense pain.  I actually should be further along but I slacked off due to work and all the walking I have been doing.  Made it tight and swelled. 

Now, even as I sit in this chair, I slide that bad leg under to keep stretching it out. If it gets tight or begins to swell, I stop.  Hoping I'm at full ROM by week 16.  Leg is getting noticable stronger but it takes a lot of work.  Wish I have avoided the darn ice last January.  Slip sliding away.....

post #3411 of 10797
Will run again

You're right, not all doctors go with morphine this long. My surgeon has a plan to keep you basically pain-free if at all possible. Therefore he loaded me up on lots of morphine. I was taking about half of what was prescribed as possible of the short-term morphine prescription. I was also on a long time release 12 hour morphine pill taken twice a day. This last week I've been weaning myself from the long-term and have been completely off the short term. According to another doctor friend of mine there is a new theory that your brain remembers pain. And it may be best to not experience any pain if possible. This's syndrome is epitomized by the amputee feeling pain in a limb that no longer is attached to their body. To avoid this possibility the doctor tries to eliminate all your pain. And, that's about what happened to me. After getting out of the hospital I had little or no pain to complain about. However, a consequence apparently is experiencing some drug withdrawal.

As of this afternoon I appear to be basically done with the withdrawal. I have taken nothing to mitigate the withdrawal symptoms today, versus Vicodin yesterday afternoon, and have had very little in the way of withdrawal symptoms. Tonight I intend to not take the long-lasting morphine pill that the doctor prescribed for the evening. We'll see how I feel tomorrow. Based on what I was feeling today, I expect that I will have little withdrawal issues tomorrow and that phase of this process will be over.

Metalhead 39

Sorry your doctor didn't have the same pain theory that my doctor had. It sounds like I had a much much easier time. For that I would take a couple of days of withdrawal again since I now know that taking Vicodin mitigates the withdrawal symptoms.
post #3412 of 10797

Oregon Bill,


Maybe I'm old school but I think we have pain for a reason.  A quad tendon rupture/tear is a devastating injury.  I view pain as nature's monitoring or regulating device that helps guide us during the healing process.  If we do too much too soon our knees let us know with swelling and pain.  If you are pain free due to drugs how do you know if you are pushing the envelope?  I don't mean to be self-righteous about this issue because I certainly needed every pain killer known to man during the three days following the injury while I was in the hospital but once I got home I viewed the intermittent pain as nature's way of telling me how I was doing.  Now at 9 weeks post op my knee still lets me know if I need to back off.  Maybe what I'm saying is; no pain, no gain!  :-)




At 9 weeks I am very comfortably at 90 degrees ROM and at my edge at 110.  We all walk a tight rope between doing too much too soon and not doing enough.  It sounds like you need to do some ROM catch-up work.  Once the scar tissue sets in it will be hard to gain ROM later.


Old Runner Guy,


I want to go for a run!  I really miss it.  :-(


To All New Members of this Distinguished Club.  In the early days following your injury when you are immobile and full of pain killers I recommend you eat prunes to keep things moving!  Really, nobody tells you that but there is nothing worse than having you plumbing backed up when you are trying to recover from such a catastrophic injury.

post #3413 of 10797

This whole ROM nonsense is whacked, I read many guys having 90 ROM at their own pace..my doctor wants 90 in 6 weeks.  I am spending the better part of my life right now

stretching...at 5 1/2 weeks right now I am looking at my leg, maybe it is 70 with discomfort....I don't go past the point of pain, just stretch up until it is uncomfortable.  My therapist puts me in a cold sweat when he cranks on the knee.  As long as my quad stays attached I don't care too much.  He was saying as long as there is no pain when he releases it there is no tendon irritation.


I have about a week until I see the dr, with a lot of work I might be at 80.  I will have spent 3 1/2 weeks stretching my leg every day.  The rate I am going I will probably be at 90 in 7 1/2 weeks, and that is with a lot of work.


Every since 7 1/2 weeks ago when I fell off the ladder my entire life has been pain from this psychotic.  I tore a distal bicep tendon 8 months ago and that was like a scratch compared to this.  Bad times man, bad times!



post #3414 of 10797
Will run again

I hear what you're saying. I was at the same belief too. However, this seems to be a new trend among both doctors and anesthesiologist. And, you do know what happened to the old no pain no gain. That went out a while ago.
post #3415 of 10797

Oregon Bill,


Yes, you're right.  No pain, no gain did indeed go out a while ago.  I recognize there is new thinking regarding the virtues of pain.  My point of view is that I don't want pain masked if my body is trying to tell me something.  I am also very sensitive to pain killers and other drugs and avoid them if I can.  Of course what works for me may not for others.  Whatever works to get you back to your former self is all for the best!  :-)




I hear you on the ROM issue.  I think you will gain ROM faster than you think.  I started at 66 degrees at six weeks, struggled through lots of pain to get to 77, 90, 106 and 110 in consecutive PT sessions.  It took me nearly three weeks to get full revolution on the stationary bike.  Each stage I was forcing myself (with help from the physical therapist) through the pain and the fear of reinjuring the leg.  This healing and rehab process is not for the faint of heart!


post #3416 of 10797

Yes, patience, perserverence, rationality, intelligence, and courage are all needed.  Doing something rash like lifting heavy grocery bags at week 2 (NO, I DIDN'T DO THAT) is guaranteed to result in injury.  I am impatient, but I pushed myself where they let me, did all my exercises religiously, and really strove hard to get to normal ROM (that's the most important thing).  Result:  1 year out, I can run, jump, swim, bike centuries, go up/down stairs--everything I could do before, only arguably better due to a huge weight loss.  At this point, the physical reminders that my right leg suffered this injury are receding in the rear view mirror of my memory such that I feel GREAT!  The thing is to think of recovery as a business or engineering project; everything has a a stage, every stage can be measured, and with intelligence and patience, the outcome will be totally positive--an affirmation of one's courage and will.  But rashness is punished. 

post #3417 of 10797

Almost 13 weeks,


Went to Doc today for my 12 week post op visit.  ROM is now at 125 without much effort.  I can walk up stairs. (down is scary) and walk without limping.  Using exercise bike and eplitical.

Doc cleared for those harder 12week+ PT exercises and said I was right on course and perhaps a bit ahead. (For his style of recovery).  So my PT has been not been the "no pain no gain" methodology but seems to be working for me.  Better each day icon14.gif   

post #3418 of 10797

I feel the need to weigh in on the pain topic. My PT was of the ilk that said pain was not my friend with this injury. I am grateful for that. The only stretching I ever did was on my own. The PT never stretched me. I was able to take it to the point of discomfort on my own, but I never took it to the point of pain. At that, it was the most intense stretching I've ever done in my life. Discomfort? You bet. Pain? No way. With that approach, I am now about 100% of the good leg on ROM (130 degrees). Strength wise I'm at 70%, but it's coming. If my PT had caused me pain, I would have switched PTs in a heartbeat. I am five months post injury and one week shy of that post surgery. I am now able to walk up and down stairs fairly easily, although I still think about each and every step, especially going down. I'm not sure when I'll quit doing that. I can ride my bike and walk pretty comfortably.


There is light at the end of the tunnel. As others have said, recovery from a QTR takes patience and persistence. Work hard at regaining ROM and then everything gets much better. Push where you can and savor the small victories when they come. Tune in to what your leg is telling you and note the changes...they are significant. That's my advice for the day. ;-)

post #3419 of 10797

I thought I would post an update and welcome all the new people who have just started to post.


I am at 13 weeks and have 135 degrees ROM. My knee, however, still feels stiff and sporadically weak. There is some mild swelling which does not seem to go away even if I lay off rehab for a few days. I was told that the swelling may last for months so mostly I just try to ignore it.  OS gave me a tight knee sleeve to use and the knee feels remarkably better when it is on - which is almost every waking moment. I rehab 3 times per week and have been riding a stationary bike for 30-40 minutes a day for almost 2 weeks (feels great to actually work up a sweat again). I was told not to use the elliptical yet by my therapist.


Last Saturday, with OS approval, I hit a few 7 iron shots on the range and walked 6 holes (not playing) without any problem other than a major fear that I was going to mess my knee up again - I originally hurt it falling on a golf course. I can't run anymore because of a hip replacement so my goal is to get back in shape (by walking and riding the bike) and on the golf course again. I have improved remarkably over the last 3 months but I know there is still a long way to go and sometimes it is hard not to feel frustrated. I still grab for something to hold on to when I go down steps. Also, the knee is still somewhat sore when I sleep on my side.


Luckily, I have not had to take any  pain meds (other than Advil) since about 3 or 4 days from the surgery. I couldn't get enough of them when the leg block wore off the day after surgery.  


Good luck to all and if any one has any good way to minimize swelling other than complete rest, ice or the knee sleeve let me know.

post #3420 of 10797

6 week 1 day post op.. Surgical site healed really well. still have some occasional swelling after a long day of moving around. weight bearing and walking(if thats what you wanna call it) without brace inside of house. Outside and at work still advised to wear brace which is set at 40 for rom today. I was told to move the brace an additional 10 degrees every week. The doc also wants me to rub and massage the injury area as often as possible. I was given some stretches and excercises to perform at home but no official order for PT. Doc said I can get into a pool but limit swimming with legs. The pool seemed to help a lot of folks on this site along with early weight bearing and stretches.. Im a Police Officer and Im in the Army reserves so this injury has literally put me on the sidelines but my ortho and pa gave me a shred of hope and some goals that I will meet head on. Im hoping to report to ft leonardwood for some training in the middle of August which is mostly classroom :)  So here is the Quap rip breakdown


42 year old male

playing basketball and injured during a attempt to dunk(no comment lmao!!!!) feb 28

surgery march 12 2012

back to er while experiencing the worst pain ever after nerve block wore off/ sent my bp through the roof until pain was managed/sent home with a handy little medicine ball that dripped pain meds through a cathiter and lasted a couple of days/ off pain meds after a week/pain free since.

March 26 2012 stapples removed still locked out at 0 in my brace/told i could weight bear

April 10 2012 brace moved to 30 for rom and PA stated she wanted me to be walking without crutches with the brace by next visit./worked on it for 2 weeks and proud to say im walking pretty good around the house in brace.

April 24(today) 6 weeks into this and my leg is feeling stronger everyday. brace moved to 40 degrees./told i could hang leg off of bed and aply light pressure to achieve 10 degrees weekly. next appointment not until 6 weeks from now. PA said I wont be running by august but he invisions me to be walking enough to be able to attend my Army school..(glimmer of hope and a real goal is set finnaly.


Overall a pretty good day today.. to my fellow quadrippers good luck in your recovery and to the new guys, stay in the fight! soon you will be at 6 weeks. once it gets going its a pretty fast ride.. This site is awsome..

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