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Quadriceps Tendon Rupture, Repair and Rehab - Page 128

post #3811 of 10835

Hello,

 

I am new here and no longer an active skier at age 77 with a Quad Tendon Rupture on my right leg. A slip in the woods on wet leaves did it on Sept 2, 2012. Surgery tomorrow AM.

 

I am active - work as a Carpenter and play golf - down now - but back up soon. I want to thank all of you who have "posted" over the years - too much to read all of them - but I'm working at it. Now my turn to become a "poster" in recovery!
 

post #3812 of 10835

Welcome Richard2212,

 

This forum will be a very valuable toll for you I it has been for me

It is along road to recovery but it feels better to know you are not alone

Many people have gone through the same missfortune before us

and thankfully share their experiance with us

good luck tomorow

post #3813 of 10835

15 WEEKS POST OP

 

It's hard to believe that it's almost 4 months since I had my accident and I've only got to 90° ROM. I think the worst thing is that it seems 

that this injury might possibly now affect me for the rest of my life.

 

I'm at the point now where i can walk up stairs almost normally, just with a slight hitch in my gait, as for walking down stairs, this is a little more difficult, as i lead down with my good leg i have to twist my body round slightly so i can reach the next step without too much pain.

 

The one good thing is that i can now walk pretty much normally, unless I've done too much and I'm in pain, and then i have a slight limp, but i will say this, every single step i take is a reminder of that fateful slip back in may, due to the constant discomfort i feel at the site of the surgery, something which i hope will pass in time but only time will tell.

 

Good luck with your op today Richard2012, i hope all goes well and welcome to the gang

post #3814 of 10835

Richard,2212

   A few recommendations that might help you during your first couple of weeks.

     1. Start taking Colace to prevent constipation (caused by anesthesia)

     2. Do not get behind in you pain meds that your OS recommends. You will have

         plenty of time to wean off of them.

     3. Ice is your friend. I used the Iceman cool water system ( Rx from your OS) but

         any ice will do.

     4. DO NOT try to do everything yourself. It will take a while to get good stability.

     5. A raised toilet seat and/or grab bars will make your life easier.

 

You will get ahead of this.All the Best.

                          Calhiker

post #3815 of 10835

Hello all.

 

Not a skier, but do find this thread beneficial and helpful.

One day after surgery, 16 days after injury.  80% torn right side.

Much more serious than I had thought.

Bummed.

 

Motohead in Idaho. 

post #3816 of 10835

10 months from surgery. Will not bore you with facts from previous posts....but I am 65 yrs. old....very active...have done the extensive rehab....have had full ROM for several months....can bike....have done a 50 miler and 41 miler on the roads with no issues. Have strength to do squats and other weight exercises for leg and quad. However....being an active runner....36 marathons and numerous other races in my background I still can not run. I can fast walk with a brace but still can not weight bear run. Left leg(surgical one) still 1 to 1 1/2  inch smaller than other normal leg despite many excercises. Cannot fully run stride. Starting to wonder if I will ever run normally again ? Had an MRI about a 5 weeks ago....no knee damage to meniscus or ACL. Just still tears in patella tendons that is part of our process. Frustrating....but keep plugging.

post #3817 of 10835

Me: 42year-old, left quad tendon 80% tear; injury 25 July 2012, surgery 31 July 2012

 

Question for you all: do you guys keep your brace open to your max ROM when you're not walking? Also, how often are you guys doing exercises (quad sets, wall slides, etc) whilst not in PT? Thanks.

post #3818 of 10835

Oldbumer,

   OS had me at 0 ROM first 4 weeks and gradually increased each week in conjunction

with P/T.Since week 4 have done exercises every day ( Currently in week 12).

                                                                                       All The Best,

                                                                                            Calhiker

post #3819 of 10835

14 weeks post injury

13 weeks post surgery

 

Wow!  What a journey.....  Have finished my PT (started at week 8), had my 12 wk check-up with my Ortho Surgeon and passed with flying colors!  I am free of my brace, am able to bend my knee to 120 degrees plus; can stand and sit with little difficulty; go up and down stairs pretty well (am slow and careful, as that s is where I injured my tendon); and walk about 4/10 mile every other day.  Still have some swelling in the repaired knee and some stiffness remains, but I'm feeling that I've made good progress healing and recovery and will continue to do so

 

Certainly, I was discouraged at the beginning and impatient at the time required for healing - thought there must be a way to speed things up and that just sitting around on my "duff" was pretty weak. I'm not a patient healer, by nature, started PT only 3 days after my second knee replacement surgery.  Was sure that this tendon rupture could not be that bad.... Oh, boy, was I ever wrong!

 

Through reading the postings on this site, I came to realize that there is no rushing recovery from this injury. You must simply wait for healing and that is hard (and very boring). Thank you all for the good information, the candid comments about your injury and recovery, and the notes on your step-by-step progress.  It helped me SO much! 

 

This has been a really long year - had knee replacement surgery on my right knee in July '11, a second knee replacement on my left knee in April '12 (for the record, recovery from each of those was pretty easy).  Then the left tendon rupture/repair in June '12.  My PT figured that I'd spent 22 of the last 52 weeks in pre-op, post-op, recovery, or rehab....  And that doesn't include the health issues that my husband was having.  Seriously do not want another 12 months like this!  Are my husband and I back to normal, yet - nope.  But, we're getting very close to "normal'ish" and that will do, for now. 

 

I read something, many years ago, that has helped me through this journey (can't "credit" it as I've completely lost the reference).  Is was this - "Pain in recovery and healing is mandatory....., misery is optional".  You have all helped me keep misery at bay.  Thank you!  Wishing all of you a safe, patient, and successful recovery. That patience, in the beginning, will pay off in your ultimate recovery.

post #3820 of 10835

Hello

 

This is my 6th month post op posting. At 0700 I was at PT getting my butt kicked for a hour and after that I had a appointment with the actual ortho doc. I told him that I just got back from Ft. Leonard Wood MO for a month doing training. His eyes got pretty big and asked how was it on my knee? I told him I have been pain free for months and the only thing I lacked was quad strength. He released me to full duty to my Police job..yeeha no more desk..LOL.. Hopefully my posts have helped a little. I know other posts have been a great guideline for my recovery. Her is a quick breakdown on my recovery

 

Feb 28 complete qtr

mar 11 surgery/leg brace locked at 0/full weight bearing/2 crutches

Apr 10 moved to 30 degrees/ add 10 degrees every week/1 crutch

May use cane/ rom 60

June 13 released from brace/ around 90/started PT/ walking at night/swiming everytime i got a chance(big help)

July PT ramped up to weight training and stretching/ 2 a days pt to prep for Army school/

Aug 1-30 lots of walking while on ft leonard wood lol/ running pretty normal at 1/4 mile intervals..

Sep released to full duty..

 

I hope this helps those of you that are new or just behind me in recovery. Patience is the key. As you can see I didnt start PT until 13 weeks so I had a small piece of mind on the healing. I will probably post again in a couple of months. Good luck to everyone. Stay in the fight!

Steve

post #3821 of 10835

Well here goes my first update,

 

9/2/12 - Slipped on wet leaves and Ruptured Quad Tendon.

 

9/11/12 - Had repair Surgery done by "Older" University of Tennessee Athletic Dept Sports Clinic. Doc said Repair was excellent. Has me in adj. brace locked at ZERO. Started me on PT at the Hospital - Toe Curls, Butt tightening, Injured leg lift 6-8" passive, Thigh muscles tightening, Injured leg slide sideways =/- 6". 3x per day everyday. Took ONE 12 hour oxy - knocked me out - could not leave hospital until next day because I was unsafe on crutches or walker.

 

9/13/12 - Clear head - no pain except when getting up and down about a level 7 - brace still locked at ZERO and will stay that way until 2 week postop Doc visit. Took 1/2 5 mg Perc when I sat down at home.

 

My wife has been fantastic - she does most everything for me. I can dress myself except for socks and shoes. With this injury i can't much of anything - cut grass, wash windows, drive, carry stuff, etc.

 

Its good to be home.  We have been planning to sell our house and downsize and move from Tennessee to Indiana - this all started before the injury.  This is going to delay a lot of this plan. We now have time to sort thru stuff and sell or get rid of unnecessary stuff. A lot of stuff isn't as important and necessary as was just 11 days ago!

post #3822 of 10835
Quote:
Originally Posted by CALHIKER View Post

Richard,2212

   A few recommendations that might help you during your first couple of weeks.

     1. Start taking Colace to prevent constipation (caused by anesthesia)  STARTED AT HOSPITAL

     2. Do not get behind in you pain meds that your OS recommends. You will have

         plenty of time to wean off of them.                                                       ONE OXY KNOCK ME OUT FOR A WHOLE DAY NOW USING 5MG PERC

     3. Ice is your friend. I used the Iceman cool water system ( Rx from your OS) but

         any ice will do.                                                                                        ICE ON KNEE NOW

     4. DO NOT try to do everything yourself. It will take a while to get good stability. GOD BLESS MY WIFE

     5. A raised toilet seat and/or grab bars will make your life easier. MY TOILET HAS PUSHUP/EASY DOWN POINTS ON EACH SIDE

 

You will get ahead of this.All the Best. THANK YOU FOR YOUR VALUED COMMENTS

                          Calhiker

post #3823 of 10835

THANK YOU
 

post #3824 of 10835

Hi Guys

 

Time for an update, I'll be 16 weeks post op on Sunday 16Th, at last today my PT got me to 96°, but when i mentioned that many of you guys who have posted on here have managed to get to 120°, 

he said i would be extremely lucky to get that much ROM back!. He does seem to know what he's talking about, although he only treats about 2 of these injuries per year.

 

Maybe it's down to the difference between how it's treated here in the UK and over in the US, here the surgeons seem to have a more conservative approach to healing procedures,

for example: I was put in a cylinder cast for 6 weeks, so no movement at all, yet many of you in the US seem to be put in hinged braces from the start, and starting passive ROM exercises within 2 to 4 weeks and therefore the tendon doesn't tighten up quite so much, or at least that's my theory. When i mentioned this to my PT he said that the surgeons in the US might promote early 

passive ROM exercises is that they may be worried about patients suing them for not getting enough ROM back in the injured leg. If any of you could shed any light on this then i would be grateful.

The one thing my PT said was that with such early movement, there might be more chance of re-rupture, so I'd love to know if any of you guys have experience with this problem.

 

Richard2012, i hope you are doing well, i will be following you progress with interest.

 

I wish you all good luck and speedy recovery


Edited by StevieP - 9/14/12 at 1:29pm
post #3825 of 10835

Hey StevieP, don't get discouraged. I am at 94 degrees ROM after 20 weeks. My surgeon said if I hit another wall he could always do another manipulation (he already did one after removing a bunch of scar tissue and that gave me about 30 additional degrees). Ask your doctor if a manipulation is an option. Nothing seems to discourage my doctor, he has the attitude of no matter what, there is a way to fix it, and that keeps me going.
 

post #3826 of 10835

StevieP,

   What is the ROM of your good leg? I have been told that comparison is more exact

than a pure number (i.e.. 120).Your natural ROM might be 105.

                                         All The Best,

                                          Calhiker

post #3827 of 10835

StevieP

 

I had my surgery 6 weeks ago I can do well past 90 ROM on my own with no pain & slight tightness

I've notised that as the swelling goes down I can bend it more

My OS has me at 60 ROM on the brase but when I take a shower I massage it with extremely hot water

While in the shower I do my PT exercises & floor leg slide as far as I can comfortably

I have a built in bench in my shower that has come in very handy

Every case will be different I guess I'm lucky

Maybe its because my legs are naturaly more fexable

 

Best of Luck

post #3828 of 10835

Hey guys

 

I have noticed that when I sit with my brace on (that is set to 60 ROM) & my legs bent like when sitting in a car or office chair for more than 5 minutes

I get a pain below the knee cap when I straighten my leg, if i move it slow to the full extended position it goes away slowly untill it feels normal.

The pain comes from what I think is the Patellar Tendon below the knee cap not the Quad Tendon Above

Has anyone experienced similar pain

My surgery was perfomed 4 weeks after ingury wich is more than most other on this forum

post #3829 of 10835

Hey Guys, 

Thanks for the advice, I'm glad to hear I'm not the only one not getting great range yet. I'm just getting really frustrated at not being able to do very much as I've always been a very active person,

even though i used to smoke i was always fit and active. Ironically i quit smoking two months before my accident, after being a smoker for 32 years, inspired by a friend who had done it, and then taken up running, doing a half marathon last year, I wanted to start getting fitter and join my friend but i don't think that will ever happen now.

 

That said, i do intend to start working out again, i just might not be able to do too much with my legs.

CALHIKER: My good leg is about 130-140°, put it this way, before my accident i could kneel down and then squat down so that my butt cheeks were resting on my heels, so I've naturally got good

ROM, which is why i find this situation so damn frustrating, but i do appreciate that it will take a long time, but i hope that i get there.

 

MUDOG: i get the same pain below my knee cap, it's from where they drill holes through the patella for the sutures, which damages the patella tendon to a degree, and that will take time to heal also, so do not fret, it's quite natural with this type of op.

 

Thanks for the input guys, all the best

StevieP

post #3830 of 10835

StevieP

 

Thanks for your reply, that makes sence

My OS dosen't talk very much He is very good but if I don't ask questions he wouldn't talk at all

Thakfully this forum answers most of my questions directly or indirectly

 

Thanks to all of you that take the time to share your expiriance

post #3831 of 10835

Hey guys. Update for the end of week 5. I'm at 65 ROM and man, it was eye opening. Still sore and it's been two days since PT. PT says I will be at 90 ROM by the end of week 6. Should be fun. I've got a question to ask you guys, have you ever had any pops or cracks come from the knee when the PT is "adjusting or bending" your knee? I had one and it scared the hell out of me....I thought it was the tendon. She assured me it wasn't....she said there's lots of tissue in the knee that is stiff from not moving and it's now "stuck" together and bending is loosening this tissue, etc. Any truth to this or did she injure me? I was able to do the rest of PT without incident, but man, the last time I heard a pop like that, I was in the ambulance heading to the hospital with a torn quad. Hard to mentally remove that.

post #3832 of 10835

Hi Chitownbob,

 

I've had poping noises but not that loud more like when you crack your knuckles

I havent had any manipulations,

The poping noise come ocasionaly when i move it normaly

My OS told me that if you can do straight leg raisers then the tendon shuold be OK

post #3833 of 10835

Hi chitownbob

 

I think you're very lucky if you get to 90° that quickly, I'm 16 weeks post op tomorrow and I've only just got to 96°, and my knee is still as swollen as it was after the op. As for the popping noises you hear, i get them all the time and have done for as long as i can remember, it's nothing to worry about, just nitrogen bubbles inside the body being squeezed between the joints. And i know exactly what you mean, i will never forget that loud pop followed by the worst pain i have ever felt in my life!!.

 

I'll say one thing, my OS seems to have done a good job of repairing my tendon,  whilst coming down the stairs this morning, my good leg slipped down a couple of steps because i was wearing socks,  this caused my knee to over stretch which gave me a great deal of pain but the tendon never felt as though it could re-tear, but then to add insult to injury, i had to take my step-daughter to a theme park for her 15Th birthday and while we were on one of the rides i forgot to tense my leg muscles,  and as the ride hit the first drop, my leg snapped back causing quite extreme pain, again though no damage done.  All this coupled with lots of walking round without any walking aids has left my knee even more swollen and taught me a valuable lesson....MUST TRY NOT TO ACT LIKE I DID BEFORE THE ACCIDENT....it really doesn't help, especially when you've got an hour and a half drive there and back!!.

 

So please take heed guys, even if you get to a point where you can walk normally, it doesn't mean that all is back to normal!!

post #3834 of 10835

50 yrs old

LQTR  Full Avulsion

 

 

StevieP,

 

IMHO you are on the right track.   My surgery was in Southern California and I was very conservative with recovery.  End result:  1 1/2 yrs later and I'm stronger than before (powerlifter).    My last two posts a page or two back chronicles this.    

 

When I first expereinced this injury I read everything I could including every post on this board (page 1 through page 80).   I can tell you many of folks have suffered re-injury or a noticable loosening of the repair because of short rest and too aggresive PT.   At the risk of offending anyone, PTs don't know crap about rehabbing this injury.   They equate pain with progress.  Not so with us.   The only pain we should have is working out scar tissue.   Establishing ROM is not the most effective method of working out scar tissue.   Popping, crackeling, forced ROM and pain may be effective for knee and ligament replacements....not so with our quad tendon.

 

Good luck and be patient.  

post #3835 of 10835

buggered

 

Many thanks for the advice and reassurance, I have read many of your posts and am aware of your success in rehab. I have to agree with your idea that Pt's have no clue with regards to this 

type of injury, mine says he's been qualified for seven years and treats one or two of these tendon repairs every year ( not very many if you ask me ), luckily my main PT sessions have now come to an end and I'm only going to be going along to work on an exercise bike from now on, so hopefully there will be no more painful therapy sessions.

 

In spite of being laid up for some time, I've not yet had time to read through every page of this forum but i am going to try to read it all soon.

 

Thanks again.

post #3836 of 10835

2 days away from 6 weeks post op. Therapy went extremely well. I'm moving to 70 degrees before I get tight and that lingering tightness is the skin and tissue below the surface of skin being "glued" more or less to each other. On my next visit Friday, some thorough massage and ultra sound therapy should loosen that skin & tissue up and allow me to move a lot easier. I also am down to one crutch while walking now, so that is a huge mental boost. All in all, I'm happy today.

 

FWIW, anybody that thinks they are going to be able to go through PT without experiencing any discomfort is fooling themselves. If you think otherwise, this is going to be a brutal process as your mind resists the  therapy. You will hear and feel things...it's the nature of the beast. After your knee has been locked straight more or less 24 hours a day for weeks on end, things are going to get tight throughout your entire knee and it may require some discomfort to loosen up. Keep your PT informed....if it hurts or bothers you, tell them to stop. My PT sessions are dictated to my therapist through my Ortho, so it's not like she is playing cowboy. He has given her a list and she follows it. Any and all changes have to be approved by him or else it's a no go. The guy that put me back together is calling all of the shots. lol
 

post #3837 of 10835
This has been a great help! Healthy runner, slipped and fell on beach in Australia. Had bilateral repair in rural Au within 24 hours. Now at 6.5 weeks am at 90 degrees flex in therapy, The things I've learned that may help other|: used a walker instead of crutches, much less wear and tear on the body and safer by my account, 2. you will need a chair inthe shower,3. if you can have two sets of braces, use one for the shower, that way you can stand and it is much easier.
4. READ, the remarks about the therapists knowledge are like my experience, guidelines from MGH and other academic health science centers are on the Internet and can guide your rehab, I am at an Academic Center, in a Sports Medicine Service and this Injury is pretty odd, you have to read, talk with others and advocate for yourself. 5. The earlier post on colace is great advise, if that fails try Miralax, the longer you take narcotics, the greater the problem 6. VIT E oil on the scars has made the almost invisible..at 6.5 weeks.

My strongest suggestion is the walker...it's a great portable chair, easy to get up from, easy to use.

good luck and good health to all!
post #3838 of 10835

to BCraig, I had a partal tear for about 7 years , I did not know about the tear until after my rupture repair, but it made a lot of sense and with 20/20 hindsight i figured out when and how I originally  injured the tendon, I skied 30 days a year much of it in pain, especially bumps and racing. It finely ruptured in fresh powder. not sure about how the healing and Pt would be on a partial tear but am sure it should be easier. I never went to th doc to have it checked out, did not want to hear it. so I just did what I wanted until it gave out, wish I had taken everyone 's advice and had it checked out and repaired before it ruptured. The pt is long and brutal . I am 51/2 month out and am doing great. Not quite full ROM but strength is as good as it was before rupture . I blew my ACL 15 years ago on the same knee and never had it operated on just did light PT so my ROM was less than normal. Good luck , I would have it fixed before you have no other option and mush harder recovery.

post #3839 of 10835
Quote:
Originally Posted by StevieP View Post

buggered

 

Many thanks for the advice and reassurance, I have read many of your posts and am aware of your success in rehab. I have to agree with your idea that Pt's have no clue with regards to this 

type of injury, mine says he's been qualified for seven years and treats one or two of these tendon repairs every year ( not very many if you ask me ), luckily my main PT sessions have now come to an end and I'm only going to be going along to work on an exercise bike from now on, so hopefully there will be no more painful therapy sessions.

 

In spite of being laid up for some time, I've not yet had time to read through every page of this forum but i am going to try to read it all soon.

 

Thanks again.

Whoops......This was supposed to start off with Biggfred, not buggered....that's spell checker for you!!

post #3840 of 10835

Hi to my recovering associates,

 

9/2/12 Sipped on wet leaves and Ruptured Quad Tendon.

 

9/11/12 - Had repair Surgery done by "Older" University of Tennessee Athletic Dept Sports Clinic. Doc said Repair was excellent. Has me in adj. brace locked at ZERO. Started me on PT at the Hospital - Toe Curls, Butt tightening, Injured leg lift 6-8" passive, Thigh muscles tightening, Injured leg slide sideways =/- 6". 3x per day everyday. Took ONE 12 hour oxy - knocked me out - could not leave hospital until next day because I was unsafe on crutches or walker.

 

9/13/12 - Clear head - no pain except when getting up and down about a level 7 - brace still locked at ZERO and will stay that way until 2 week postop Doc visit. Took 1/2 5 mg Perc when I sat down at home.

 

My wife has been fantastic - she does most everything for me. I can dress myself except for socks and shoes. With this injury i can't much of anything - cut grass, wash windows, drive, carry stuff, etc.

 

Progress-

 

9/19/12  8 days post-op. Learned from others on the Forum and have a Raised Toilet Seat (great help - a must), using walker around the house(Bedroom,Bathroom,Living Room) my new range of travel, also use crutches to stay in practice, nightly stool softener a big help, continue Quad Exercises - Breg T-Scope Brace still locked at ZERO, doing upper body exercises with 5# weights to start. Pain level is low - since the brace is still locked at ZERO. My wife has been more of an Angel than I ever thought before - I am blessed.

                                                                                            ****************************************************************************************

Next Monday 9-24-12 I visit the Surgeon first time since I was released from Hospital. I don't know what to expect as far as more weight bearing (now 20@ max), starting ROM, more PT Exercises, etc. I want to be patient and go slow but its not easy - as you all know..

 

 

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