or Connect
EpicSki › The Barking Bear Forums › Ski Training and Pro Forums › Fitness, Health, Nutrition, Injury, and Recovery › Quadriceps Tendon Rupture, Repair and Rehab
New Posts  All Forums:Forum Nav:

Quadriceps Tendon Rupture, Repair and Rehab - Page 129

post #3841 of 10835

Orthopaedic surgeon has given me an articulated brace a DONJOY X- ACT ROM and given me specific instructions on how to walk with it using crutches and set the dials to give me about 15 degrees of knee movement. Fortunately have now confirmed my occupational health insurance is going to cover all my rehab. The NHS appointments manager who was previously extremely reluctant to offer me any appointment was now clearly overjoyed to hear that I would not need any further dealings with them. The service I have received privately is of a completely different order- so the feeling is mutual. 

post #3842 of 10835

CATINTHEHAT-

 

Where are in your timeline after surgery? I am 9 days out from surgery and looking for approximate timetable for - Increasing weight on leg, Getting some degree of ROM in brace, progress in ROM with PT, etc.  I see my Surgeon next Monday 9-24-12.

 

Hope your recovery is smooth and complete.
 

post #3843 of 10835

I was just given instructions to walk with crutches with the 15 degree movement and bear weight as far as I felt comfortable with a view to seeing him in 3 weeks. I can go about 20 minutes around the kitchen doing washing up and assorted jobs like packing the dishwasher which gets approval from my wife but then my knee starts to ache and I need to sit down and raise the leg. Also I am sleeping in the old rigid padded brace as they new one has too many knobbly bits to be comfortable as I am a restless sleeper am concerned I could damage it.

post #3844 of 10835

CATINTHEHAT-

 

Thanks for the update. What week are you in since Surgery?
 

post #3845 of 10835

Richard,

    Sounds about right.Don't forget your ice and keep moving as much

as comfortable. Your confidence will increase each day.

                                                      All The Best,

                                                         Calhiker

post #3846 of 10835

In my case the first 2 weeks post surgery I could bear 30% body weight, weeks 3-5, 50%. Now at 5 weeks post surgery and expect to go to 100% which is half my body weight. Brace still locked at "0". Expect to begin Passive ROM PT this week. Using walker.

post #3847 of 10835

I had the surgery on the 31st of August so I am now nearly 3 weeks post op. My surgery was delayed as my original injury was on the 4th of August- for the reasons for the delay see my previous posts around 126.

post #3848 of 10835

I'm currently 7 weeks postop. I've got about 70degrees ROM, although it's taken quite a bit of work getting there so far. The whole joint still feels tight and full. Not painful, but feeling the fullness. I've been full weight bearing, albeit in full locked extension on the brace, for about 4 weeks now.  I'm hoping to get the green light to get out of the brace at my next Ortho appointment in 2 weeks - fingers crossed.

 

It seems the common theme is that, depending on the OS, there seems to be belief that at around anywhere from 6 to 10 weeks, the surgical repair has healed to the point that the risk of re-injury is low enough that activity can be liberalized.


I think the tough balance is being on the one hand conservative enough to prevent reinjury, while on the other hand allowing enough activity and ROM (especially in PT) to avoid too much gunked up scar and resultant limited ROM.

post #3849 of 10835

oldbumper, catinthehat, mettaman, calhiker,

 

Thank you for your descriptions of your experiences.

 

Richard2212
 

post #3850 of 10835

Hey guys,

 

I'll be 17 weeks post op on Sunday, I had a physio appointment today where I was put on a bike instead of the PT actually manipulating the knee for me. First he put me on a standard exercise bike, which was pretty hard work but then he put me on a bike where the pedal ratio could be altered to allow me to push the pedals all the way round, gradually lowering the seat until i could only get about 270° around, then holding it before pushing back the other way, repeating this approximately 10 times.

 

I must say I think this did some good as i came away with 100° at last, that said, i seem to be paying the price tonight with quite a bit of pain and a lot of swelling,, though i do think that a lot of this pain can be attributed to my slip down the stairs last week where my knee was forced to bend more than it should at the moment. I have a follow up appointment with my OS tomorrow, possibly my last , as long as he thinks I'm doing OK, and then an appointment with an occupational therapist on Monday to assess whether or not i can go back to my job, I really hope so because I've never spent so much time stuck home in my life, getting very bored now!!, although i think it's doubtful as i can't walk very far before i find myself in a fair amount of pain.

post #3851 of 10835
Hello to all new and old quad rippers. I tore my left quad completely 9/12/10 and had the repair 9/16/10. It's been a while since I've been on but wanted to come back to let people know a full recovery is possible. I am 100% recovered and able to operate in the same fashion I did prior to my injury.

Good luck to all, stay with it, and listen to your surgeon.
post #3852 of 10835

TexasDiesel,

 

My man from the lonestar!    How and the heck are you?    You ever burn down that smith machine????

 

 

BF

post #3853 of 10835

Now 5 weeks post op. Met with surgeon this morning. He removed brace and after a few minutes of passive ROM he had my knee bent at 60 degrees. It hurt. Surgeon wants me to be at 110 degrees in 5 weeks now that I can begin active physical therapy 2-3x week plus home exercises. Told me to take pain med prior to therapy to increase ROM. Still wear brace set at 0 when walking. OK to sleep w/o brace although I feel safer with it on at night. Driving at 8 week post surgery is the goal. It can't happen soon enough.

 

MD humor, " It's OK to stand in shower as long as you don't fall." Who writes their material?

post #3854 of 10835

Mettaman

 

I think you are doing well to be at 60° after 5 weeks, and to be at 110° at week 10 would be very good. I'm 17 weeks post op and only just got to 100°, it does look as though you are being treated

differently to me, in a brace as opposed  to being put in a full cast. I also think that your hopes to be driving by week 8 is quite realistic, as far as i can remember i was diving at either week 8 or 9' though i did borrow an automatic car from a friend whilst still in the cast just so i could get out of the house for a while, and that was about week 4, thought i'd share this with you as i thought it was quite funny, it certainly made me feel a bit better about the situation at the time!!


Edited by StevieP - 9/21/12 at 1:27pm
post #3855 of 10835
Hey bigggfred!!!! Nah, I use it at least once a week but make sure to put my stops in place. All is well.

How are you doing brother???
post #3856 of 10835

TexasDiesel,

Thanks for the update. One thing about this forum, is posters stop posting after about a year or so after their injury/surgery. I'm assuming folks generally get back to 100% and stop having this injury dominate their lives day in and day out. It's nice to get some confirmation from someone in that position. It's definitely an encouragement. Thanks!

post #3857 of 10835

Hi to every one

 

This is my update on 9-19-12 i had my 7 week followup with OS he Set my brace to 90 ROM but i am able to reach 120 Rom  With no pain & very little stifness

He gave me new PT prescription 120 ROM, Quad Flexing, Straight Leg Risers, & added Sitting Leg Risers, 2 a week with PT & 2 a day every day at home

My PT has done nothing for my ROM because I'm ahead of my prescription

The sitting leg risers are very uncoftable with some pain I can do 2 or 3 full extension

Is anyone doing these?

 

I went back to work last week, my shop had been closed for 6 weeks loosing money could not aford to stay home any more

I'm walking with brace on no crutches in shop, one crutch for longer walks, no brace no crutches at home

post #3858 of 10835

"This is my update on 9-19-12 i had my 7 week followup with OS he Set my brace to 90 ROM but i am able to reach 120 Rom  With no pain & very little stiffness

He gave me new PT prescription 120 ROM, Quad Flexing, Straight Leg Risers, & added Sitting Leg Risers, 2 a week with PT & 2 a day every day at home

My PT has done nothing for my ROM because I'm ahead of my prescription

The sitting leg risers are very uncomfortable with some pain I can do 2 or 3 full extension

Is anyone doing these?

 

I went back to work last week, my shop had been closed for 6 weeks loosing money could not afford to stay home any more

I'm walking with brace on no crutches in shop, one crutch for longer walks, no brace no crutches at home"

 

Fantastic progress!!!!!  I go to the Doc tomorrow for my 2 week post-op inspection.
 

post #3859 of 10835

Hi Richard2212,

 

Good luck on your followup

post #3860 of 10835
Quote:

The sitting leg risers are very uncoftable with some pain I can do 2 or 3 full extension

Is anyone doing these?

 

I've been doing those too. There is some pain with doing these for me too, about a 2-3/10. I'm doing 2 sets of 15 at PT. Other stuff that I'm finding helpful: squats to abotu 40 degrees with my back leaning against an exercise ball along the wall. This seems to be helping with starting the quad firing in a "natural" way again. I'm doing these in my brace locked to 70 degrees so I don't accidentally overextend and put an eccentric load on the quad. Also, I'm alternating wall slides and sitting heel slides assisted by an exercise rope for ROM.

 

I'm just about hitting 80 degrees at 8 weeks, so not terrible, but within reason it seems.

post #3861 of 10835

Muddog and other friends,

 

Just returned home from my 2 week post-op review. They removed the brace and leg wrap, remove bandaging from incision and cleaned the whole leg. Just that activity made it feel better. Doc said healing looks good - no redness, no swelling, no pain. He lifted my knee up to about 15 degrees ROM looked good - no pain. He had me do an active straight leg lift - he was pleased.

 

They put a big "sock" on my leg, reinstalled the brace with 15 degrees of ROM. He has me on two more weeks of home PT with Quad Sets, active leg lifts and walking around with walker or crutches with a 20 pound load limit.

 

Remember I am a 77 year old active Carpenter - I am satisfied with the progress - would like to be able to put more weight on the leg and progress faster - but I known this best. The weight limit is very conservative - I suspect he knows from time to time, getting up and down 10 to 15 times a day we do exceed the load limits for short periods.

 

SPECIAL : Thanks and Blessings to my wife Rita who continues to be an outstanding and patient Caregiver. I loved her a lot before this accident - now I know she is my Soulmate.
 


Edited by Richard2212 - 9/24/12 at 10:55am
post #3862 of 10835

Hi everybody – my update. I am 7 weeks after surgery. 130 Rom (uninjured leg -140), driving car, can walk without hinges at home (straight leg). But it is feels like rubber – I have to pull to bend my leg.  Working in the office every day.  My injured leg is very weak and OS told me no exercise until 6 months. Trying to find simple way to measure  % of muscle recovering  in the injured leg

post #3863 of 10835
Quote:
Originally Posted by Sam65 View Post

Hi everybody – my update. I am 7 weeks after surgery. 130 Rom (uninjured leg -140), driving car, can walk without hinges at home (straight leg). But it is feels like rubber – I have to pull to bend my leg.  Working in the office every day.  My injured leg is very weak and OS told me no exercise until 6 months. Trying to find simple way to measure  % of muscle recovering  in the injured leg

This is exactly what I'm talking about, here in the UK the surgeons are far too conservative in my opinion.By locking the leg up in a cast for 6 weeks the muscles waste away and the quads tendon and patella tendon both tighten up, which is why it's taking so long for me get get good ROM back.

 

Also it seems as though everyone else's surgeons seem to be more communicative with regards to what we should be doing to rehab the injury, all my surgeon said to me was that i should be pushing it harder to bend, therefore inflicting pain on myself, personally i think this is BS, it would be much easier to use a hinged brace from the start, allowing some movement so as to stop it all getting so tight.

 

I'm now 17 weeks post op and my ROM varies  from day to day from approx 85°-100° depending on swelling in the knee. When i recently saw my PT he said i would be very lucky to ever get to 120°, but then i saw my OS (or should i say his understudy) on Friday, i asked him how i can expect to do, he said i should be able to get full range back eventually, but then i see people getting almost full ROM in a much shorter time, which makes me think that the NHS is not very good or at least that seems to be my experience!

post #3864 of 10835

Slightly past 5 weeks post surgery and beginning PT. Trying to bend knee is very painful. At 58 degrees ROM; surgeon wants 110 degrees in 4 weeks - or I may face another surgery. Is he trying to scare me?

 

My knee is so tight it doesn't seem like it will bend any further. What has this group done to work through the pain and make progress? Thanks all.

post #3865 of 10835
Hi guys just joined forum thought I would share my injury with you all!
Tore my quad tendon off my kneecap on 11/9/12 jumping on a trampoline!!!had opp on 15/9/12 on NHS .
Week 6 post opp and I am at 60 degrees ! My scar healed well but discovered a bit of suture
Sticking out my leg after 5 weeks and it got infected. They pulled it out which was agony and had to go onto antibiotics for 7 days. Knee is still badly swollen but I can walk without my crutches. My knee cap clicks now and again, has anyone else experienced this?
I can walk around the house without my brace on but leg buckles all of the time,quite scary!
I started driving yesterday witch was amazing to get my freedom back, going stir crazy indoors for last 6 weeks!
I go on Thursday to get brace set to 90. Each time they set brace I have 2 weeks at that setting.
Will start PT on week 8 hopefully and so far I have only been told to practice straightening my leg with brace on. I can straighten it but its really painfull on my kneecap and really tight above my knee then it's swells up for a few hours!

Been reading a few blogs and some of you guys seem to be healing a lot quicker than others witch is encouraging.
post #3866 of 10835

7 weeks post-op this Wed. Currently having a blast at rehab. I'm at 90+ROM, my brace is unlocked to 75deg at home and I'm on one crutch, but trying to use it as sparingly as possible. I just started riding the bike...no full revolution yet because the PT just wanted me to get reacquainted with the motion. Started doing leg curls and more quad activation exercises. Walking unlocked and without any crutch in PT. All in all my Ortho and PT are thrilled with my progress and determination to become a normal person again. It goes without saying that I still have swelling in the knee and some discomfort when we do ROM stretches, but hell, gotta take the good with the bad. Not back at work just yet because my Ortho hasn't signed off on driving yet (right leg)....so I wait another 2 weeks. Hopefully at that time I will also be cleared to go to the gym so I can start training upper body again and start doing leg work on my good leg. lol

post #3867 of 10835
Quote:
Originally Posted by Davy c View Post

Hi guys just joined forum thought I would share my injury with you all!
Tore my quad tendon off my kneecap on 11/9/12 jumping on a trampoline!!!had opp on 15/9/12 on NHS .
Week 6 post opp and I am at 60 degrees ! My scar healed well but discovered a bit of suture
Sticking out my leg after 5 weeks and it got infected. They pulled it out which was agony and had to go onto antibiotics for 7 days. Knee is still badly swollen but I can walk without my crutches. My knee cap clicks now and again, has anyone else experienced this?
I can walk around the house without my brace on but leg buckles all of the time,quite scary!
I started driving yesterday witch was amazing to get my freedom back, going stir crazy indoors for last 6 weeks!
I go on Thursday to get brace set to 90. Each time they set brace I have 2 weeks at that setting.
Will start PT on week 8 hopefully and so far I have only been told to practice straightening my leg with brace on. I can straighten it but its really painfull on my kneecap and really tight above my knee then it's swells up for a few hours!
Been reading a few blogs and some of you guys seem to be healing a lot quicker than others witch is encouraging.

You are going to experience some "things" in your knee due to tight tissues and scar tissue that needs to be broken up. My knee popped once pretty good when some scar tissue had broken free from the skin above the kneecap. I just had a little click type pop today when walking unlocked. All that fluid, tissue (and scar tissue) needs to get going again....it's all tight and unhappy right now because they are being woken up. Don't freak. lol


Edited by chitownbob - 9/24/12 at 6:01pm
post #3868 of 10835
Quote:
Originally Posted by Mettaman View Post

Slightly past 5 weeks post surgery and beginning PT. Trying to bend knee is very painful. At 58 degrees ROM; surgeon wants 110 degrees in 4 weeks - or I may face another surgery. Is he trying to scare me?

 

My knee is so tight it doesn't seem like it will bend any further. What has this group done to work through the pain and make progress? Thanks all.

A manipulation to break scar tissue or a another tendon surgury? Once your PT starts doing the gravity hang (where your leg hangs off the PT bench, your ROM will drastically improve, and fast. This was the one single move that really got my knee moving. My PT also put a 2.5lb ankle weight on my bad leg when doing gravity hangs. Does your PT apply heating pads to your knee and leg to loosen up it up? If not, suggest it....it makes a world of a difference. My PT didn't focus too much on heel slides, we have only done them a couple of times thus far.....her main "entree" was/is the gravity hang.


Edited by chitownbob - 9/24/12 at 5:55pm
post #3869 of 10835
Quote:
Originally Posted by oldbumper View Post

TexasDiesel,

Thanks for the update. One thing about this forum, is posters stop posting after about a year or so after their injury/surgery. I'm assuming folks generally get back to 100% and stop having this injury dominate their lives day in and day out. It's nice to get some confirmation from someone in that position. It's definitely an encouragement. Thanks!

My Ortho said that at 4 months post-op I should be running again, and for him, that meant that I would no longer need to see him. PT would cease at that time too. He's done a bunch of these surgeries and has it and the rehab down to a science now. Typically at the 6 month mark, things have healed up enough that this "burden" is eased and we are back to our "regular" lives. Granted everybody progresses at a different rate, but I would venture to say that after a year, this is all just a distant (bad) memory. One thing is for sure, we will all find out. lol

post #3870 of 10835
Quote:
Originally Posted by Davy c View Post

Hi guys just joined forum thought I would share my injury with you all!
Tore my quad tendon off my kneecap on 11/9/12 jumping on a trampoline!!!had opp on 15/9/12 on NHS .
Week 6 post opp and I am at 60 degrees ! My scar healed well but discovered a bit of suture
Sticking out my leg after 5 weeks and it got infected. They pulled it out which was agony and had to go onto antibiotics for 7 days. Knee is still badly swollen but I can walk without my crutches. My knee cap clicks now and again, has anyone else experienced this?
I can walk around the house without my brace on but leg buckles all of the time,quite scary!
I started driving yesterday witch was amazing to get my freedom back, going stir crazy indoors for last 6 weeks!
I go on Thursday to get brace set to 90. Each time they set brace I have 2 weeks at that setting.
Will start PT on week 8 hopefully and so far I have only been told to practice straightening my leg with brace on. I can straighten it but its really painfull on my kneecap and really tight above my knee then it's swells up for a few hours!
Been reading a few blogs and some of you guys seem to be healing a lot quicker than others witch is encouraging.

Be careful walking without that brace if you are buckling. 

New Posts  All Forums:Forum Nav:
EpicSki › The Barking Bear Forums › Ski Training and Pro Forums › Fitness, Health, Nutrition, Injury, and Recovery › Quadriceps Tendon Rupture, Repair and Rehab