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 131

post #3901 of 10808

skip intro


The thing is that the work I've done this week was a one off, my friend only had me with him because his usual helper was away on holiday

for the week, i really want to get back to work but my boss won't let me until I'm completely fit, due to the fact that we use ladders a lot and frequently work in buildings where there are lots of stairs, both of which are still difficult for me.


I could make out that I'm fit enough to do the job but when we use ladders on a commercial level, and with how serious health & safety has 

become here in the UK, i could easily come unstuck and would be considered a liability, so for now i think i will have consider joining a gym.


I've just gone back to your fist post and i see that you were also treated here in the uk, i'm also quite shocked that you were awake during you op, i can't imagine being able to watch the operation.

post #3902 of 10808

Old Runner Guy


I live in Rochester. Would be great to talk/get together sometime.

Email: dschmitz@holyspiritrochester.org

Cell: 507-281-8323



post #3903 of 10808
Originally Posted by StevieP View Post

skip intro......

I've just gone back to your fist post and i see that you were also treated here in the uk, i'm also quite shocked that you were awake during you op, i can't imagine being able to watch the operation.

I was on gas and air which makes everything seem like a party,  and had an epidural which meant absolutely no pain. So I wasn't being brave - it could have been someone else's knee! I even tried to crack a joke "is it a boy?" but nobody heard me. Made me laugh though.


Re gym - my feeling was that I only had so much energy - could use it up quickly in the gym or spread it through the day, or go for a walk up the hill behind the house; not much difference either way. Don't let me put you off though - it might be different for you.


NB I've only just got my nerve back on ladders and scaffolding so it's taken some time and I'm still taking it gently.

post #3904 of 10808

Holy cow!  this thread is just 90 posts short of 4000.  You people need to take better care of yourself...


I'm going in Tuesday for MRI on a meniscus injury with a tentative surgical date late October.  I feel like a pansy compared to the kinds of injuries here.

post #3905 of 10808

PT Update


Seven weeks post op and 1 week since surgeon green lighted PT. During that time I've seen 3 different PT's at the practice. I told the one I thought did the best job that I'd come back if I could have him work on my case. I want 1 PT to know my wound and track my progress. He agreed and I'm going to see if this works.


Measuring Range of Motion


Depending on my position my range of motion in knee can vary significantly. If I'm lying on the table and do a heel slide I can bend up to 60 degrees. Alternately, if I sit up and let my injured leg hang off the side of the table, gravity moves it to close to 80 degrees. That's a very dramatic swing. Makes me wonder which accurately represents my ROM.


I hope everyone is making progress and staying mentally "up" during this long process. 

post #3906 of 10808

Very happy to find this blog as I just had a complete tear of my quad tendon. I must admit I havent read all 4000 blogs, but I have been encouraged by those I have. Thanks.

post #3907 of 10808

Hi everybody – my update. I am 8 weeks after surgery. 135 Rom (uninjured leg -140), driving car, can walk without hinges at home (straight leg). But it is feels like rubber and muscle is very week.  I tried to walk and worked in back yard but find my knee swollen in the evening.  I set an appointment with PH even OS did not recommend it.

Is anybody knows PH in Toronto?

Good luck for everybody and speedy recovery.


post #3908 of 10808
Hi Sam65
I live in Georgetown ON and have been going to the same physiotherapy clinic since last November. Good luck on finding a clinic that is familiar with our injury. Best call around to them all and ask HOW MANY and NOT IF they have treated a quad rupture before.

The clinic I'm going to has three physiotherapists with a total combined length of service in excess of 35 years and I was only the second patient they had treated. My doctor has been in practice for over 30 years and I was only the 2nd patient that he had with the total rupture.

So, as we all know its not a common injury. With that said, the people who treated me were excellent. I still visit them once a week and can use third gym whenever I want. My leg feels good most of the time but walking down hills and stairs can still be a little challenging. I played golf today at Wooden Sticks in Uxbridge.

I'm 360 days since my slip and fall on a golf course in Burlington . Without my wife I'm sure I would have been admitted to short term care facility.

All the best to all of us, Time Heals All Wounds

Frank from Georgetown, frankwoz@hotmail.com
post #3909 of 10808
Depending on my position my range of motion in knee can vary significantly. If I'm lying on the table and do a heel slide I can bend up to 60 degrees. Alternately, if I sit up and let my injured leg hang off the side of the table, gravity moves it to close to 80 degrees. That's a very dramatic swing. Makes me wonder which accurately represents my ROM.





I have seen the same thing. A big part of it is the anatomy. The quad muscle attaches at the top end to the hip bone. As a result, when you are in a position that tilts the hip up and stretches the top of the quad, you are putting more tension on the entire quad. As a result, the knee joint can't flex quite as much if the quad is under tension.


I find about a 5-10 degree ROM difference between heel slides lying down (supine) vs. knee stretches seated, just like you. My PT did a bit of stretching with me prone (on my stomach), which REALLY stretches the belly of the quad muscle, and the ROM is even less.

post #3910 of 10808

Old Runner Guy,


I'm several months behind you in the healing process.  Closing in on 8 months post op.  Have run intermittently but never more than 400 meters at around 8:00 pace.  Can walk normally at fast pace without issues but land running as you call it is an issue.  Have started doing 3+ mile walk, jogs in the morning with equal part walk and job.  It's frustrating because the running parts are never more than several hundred meters.  I would guess my leg is 70%-80% there but I don't want to press my luck and risk re-injuring the quad tendon or surrounding tissues.


As background, I just turned 64 and had a complete quad tendon rupture in February.  Had successful surgery within hours of the accident which was very good luck on an otherwise lousy day.  My goal is to be able to jog a New Year's Day 5K and get 2013 off to a good start provided of course we all survive December 21, 2012 when the Mayan Calendar runs out!  :-)


So, what exactly are the land running issues you're having?  Is it your running gait, balance, leg strength???  I know you have exercised intensely but running is the last frontier in your healing process.  Anyway, interested to hear of your experiences.  We "Team Quad Tear" guys have to stick together.


All the best,



post #3911 of 10808

Will Run Again


It seems like you're doing well, but I would like to know how you're getting on with ROM. I completely tore my left quad tendon at the end of May, so you are about three months ahead of me

and I'm varying between 90-100°, i am able to walk quite normally but certainly can't run (as much as i would love to), i can also walk upstairs but coming down them is not quite so easy unless i skip down with with the bad leg, so as not to bend it too much (all very well while you're at home but looks a bit strange out in public!).

post #3912 of 10808


                                  Yes...I am a little ahead of you in surgery date. We are about the same age.....so natural healing time may be longer than when we were younger. I get that. My frustration with what I call land running is that even though I have very good strength in weight type exercises on machines....squats..leg pressess, etc. when I stride it is not normal and smooth. If your a runner you know the feel. I can bike....having done 50 milers....eliptical machines...no problem. But full weight bearing running and striding do not have the push and normal stride. I know my surgical quad is still 1" to 1 1/2" smaller than the good one. My gait still is not smooth despite balancing exercises. I never feel any pain and have found thru trial and error I function slightly better using the " Five Fingers" type of barefoot running shoe. This shoe forces a more normal forefoot strike compared to a regular running shoe. I think my issues are strength related as indicated by the smaller quad. Would be interested if other longer term rehabbers have different quad size ??

post #3913 of 10808



For those of you that had quad tears on right leg (and don't drive in the UK) how long did it take for you to drive again? Thanks.

post #3914 of 10808

Hi Mettamen

I was able to drive my car after 16 days post op, but had to move seat way back. After 3 weeks it was very comfortable driving.


post #3915 of 10808

Hello all.

Just finished reading the newest 8 pages of posts. The posts were in the 80 page range when I joined the club. Once you have been through this thing, it seems that you stay curious as to how other people are coping, so I come back periodically to read the recent posts even if I don't post anything myself.

So, thought I would update today. I am 55 years old, and I am 21 1/2 months form surgery for a complete left qtr. I've noticed that the OS methods, PT, and recovery still vary greatly. Dec 10 2010 was my injury date, with surgery following on the 22nd. I slipped on ice that was under the snow, and felt and heard the pop that almost everbody describes the same, and knew it wasn't good. Not a lot of pain initially, but after the surgery was horrible at best for the first few days. I envy the people that say they had little or no pain following surgery.  My OS was very conservative. He has seen and done many of these surgeries which made me much more comfortable. He is the team Ortho Dr. for the University of Illinois, so he sees a lot of injuries with the football and basketball boys. I spent 12 weeks in a straight brace, no hinges, but he did something I have only heard from one other member of our club. Begining the day after surgery, he had me using a CPM machine for flexation 4 hours daily, which required no effort on my part. It was the only time the brace came off other than showering from a seated position. And yes, it did hurt. It  started out at 25 degrees, which I was surprised is hardly any movement, went to 45 degrees by week 4, 60 by week 8, and 90 at week 12.So I had 90 degrees when I began therapy at week 13. At week 20 I had 135, which is full for me. After week 20 was almost all strengh training. My therapist NEVER hurt me during a session, and I was very strict with myself about doing the home exercises. My OS did not release me until week 24. He said that in his opinion the injury was not fully healed until then, and that it could take up to 2 years to feel completely normal again. Still waiting for that!

Which brings us to now. I am doing very well, can do almost everthing I did before the injury with a few exceptions. It still hurts considerably to kneel on the repaired knee due to the wires that run through my petella. Also cannot fully squat due to the pain. Going DOWN stairs still causes very slight discomfort, but hills and activities such as biking and jogging are no problem. I had a day last week for the first time in months that I had some swelling, but it was gone the next day. Don't know what that was about. I also still have a click or pop in my knee when I go up stairs, or straighten my leg from a seated position. Does not hurt, just annoying. I have tried different excercises for this, but none seem to help a lot. Texasdiesel gave me one earlier on that seems to help the most. Doing toe raises on a step with you feet hanging over the edge, and standing in front of the stairs, and slowly step up 2 stairs, and then just as slowly lower yourself with your injured leg. Only do this after you are well into your recovery.I have had another OS look at this, and both said that is just something I have to live with, and that it not hurting anything. Last but not least, I still have a large area around the kneecap that is somewhat numb to the touch, but when hit it hurts just like any other body part. At  the knee, my measurements are the same now, but mid quad I am still about 1/2 inch smaller on the repaired leg. 


This has gotten to long, so bottom line: Patience, ice, patience. Do as your OS and PT tell you. If your PT hurts you, run. No pun intended. Find another one. Ice will be your friend for a long time.

DO NOT PUSH YOURSELF WITH THIS INJURY. No good can come of it. You don't really want to go through this again do you?


Hey, any other old timers with condition updates, I would love to see how you are doing and know if you still have any issues.


Hang in there everyone. It does gets better.


Inpatientguy - Rick

post #3916 of 10808

Hi guys. Just found this site and browseing through it.


Now I've joined your club I guess I should introduce myself.

I'm 60 I live in the UK and I had QTR mid August.

Splint for 2 weeks then plaster for 4 more. Started mild physio after that.


One of the things that keeps coming up in the posts is the use of ice. So far that has not been suggested to me. When to use it, just before physio or........


A positive mental outlook seems important as well although at times that can be difficult.


One positive note for me is that having smoked for more years than I care to remember I have managed to quit as of the day I went into hospital with QTR.


Good luck to all in this club.



post #3917 of 10808



Thanks for the update, it's good to hear from somebody who is so far down the road of recovery, even though with what you are saying it would seem that you never truly get completely back to normal, but somewhere near.

I think i may have to try using ice myself, something my PT or OS have never instructed me to use!. And speaking of my PT, i think it might be time to look for a new one as he does push me quite hard, though not as much as the female PT i had when using the hydro pool, she actually seemed to like hurting me, so glad that is finished!.


Once again, thanks for the advice and welcome to the club Ian

post #3918 of 10808

inpatientguy (and for that matter, all the folks who are longer out from their injury),

Thanks for the long-term update. It's good to hear how things are down the road. However, I will be honest - I would rather like to hear if any folks further out from their injury feel like they've truly gotten back to 100%. It's discouraging to see residual issues, even if they are relatively minor, as far as almost 2 years out. I was, and still am, hoping to get back to 100% in terms of exercise, activity, and just feeling "normal". Any "old-timers" who can pipe in about being back to 100% would be a great encouragement.



post #3919 of 10808

I am roughly 9 months out from repair of a total quad rupture.  Walking is OK and basically at 100% pre-injury.  Going up and down stairs is also OK, however, I still don't have 100% the strength I used to have in my injured leg.  Cycling is good, no problems here.  Running is still not in the equation.  I tried to run again, however, it felt VERY unnatural and I decided that I would allow my body to heal for at least one (1) year before starting a jogging/running program.  Still have some swelling at the end of the day.  The good news is that for the majority of the time, I really don't notice any problems unless I have been sitting for an extended period.  Leg "buckling" is basically gone.  I concur with other contributors to this post.  The primary factor in the recovery process is to let your surgical repair heal.  It takes time........One thing is for sure, I am very careful when walking over uneven terrain and going up and down stairs.  I am very cognizant of what I am walking over.   I don't think that this will ever change.

post #3920 of 10808

Old Runner Guy,


I get your frustration.  I haven't measured my injured quad but am sure it is smaller.


The last two mornings I did three miles walking and jogging.  On balance much more jogging than walking this morning.  When I am "running" my gait is really not that bad and I did away with the knee sleeve today.  I am, however, in the worst condition of my life having gained 20 lbs.!!!  I feel like such a slug because I am a slug.  The lack of cardio activity the last 8 months has been hard to deal with.  This morning I felt like I was encased in cement.  I was totally out of breath and sweating like a pig.  It's like going through an exorcism!  I can tell you as a guy who used to be at the front of the pack it is instructive to be like this.  I certainly have grown to have more respect for the runners at the back of the pack.  This has been an incredibly humbling experience.


I am thinking about jogging, walking a 5K a week from Saturday.  I think at this stage I would be thrilled with a 10 minute pace.  In recent years 7:00 would have been more normal.  15-20 years ago mid-5:00 to low 6:00 was normal.  Now I can only dream of breaking 10:00 or more realistically just running a mile at any pace without stopping!


BTW, have you tried going to a track and doing straightaways and walking the curves?  That will help your running gait.  Just don't try to break Usaine Bolt's record!  :-)

post #3921 of 10808

The ICE question. Both my O/S and P/T are major proponent's of ice.

In general the use of ice after P/T or any exercise program and at night

(before bed) in the initial healing phase.

I do not know about the UK but in the US we can get the Iceman system

which pumps cold water (approx 40 degrees F) into a bladder that surrounds

the knee (ice does not touch your skin).Insurance should cover the rental.

I use it 2 or 3 times a day (every day) for about 20 minutes.

                                                                        All The Best,


post #3922 of 10808

HI, Had my 2-3 week check-in with my PT yesterday.  I'm at 20 weeks post-op.


Doing some strengthening by wt. training to balance the strength between the legs.  Still, going down stairs before being warmed up causes patella tendon pain.  Still not able to run with a normal gait.  Can swim.  I've been trying to run by setting treadmill to 4.5 mph and letting the belt come up to speed while holding myself off the belt (like a doing dips) and then lowering myself to the belt and letting my legs get going and then put my weight on it gradually.  This doesn't work more than about 2 minutes.  So...


My PT regimen for the next 3 weeks is:

- more strengthening - but limit to 3-4 sets instead of 10 sets, perhaps overtraining causing patella tendonitis.

- continued stretching for flexibility

- pool walking/running(!) and pool jumping (5-6 sets of 30 jumps)

- swimming

- continued calisthenics (push-ups, crunches, pull-ups, dips)

- new:  if not able to run with normal gait in 2 weeks, he told me to go buy some sessions of an Alter=G treadmill and start with about 35-50 percent body wt. and get some strength and coordination improvement.  These sessions will run about $15-20 each.  I'll try to get it done by pool work.  I'd rather spend the $ on pale ales and pizza.

- new:  cross-friction massage on the patella tendon after ultrasound, then ice.


Thanks to Old Runner Guy and Will Run Again for inspiring me to keep icing, ultra sounding and strengthening.


Actually, thanks for all you continual posters - it helps me see what's coming ahead and gives me new ideas to look into to overcome plateaus.

post #3923 of 10808

Inpatientguy,  I too share your curiosity about how others are faring and continue to check in.  My date of injury was 7/16/10 with surgery five days later.  I'd love to tell everyone that I don't notice a difference between my two knees but I can't.  I still have some numbness on my kneecap.  I have a lump of what is probably scar tissue on the upper outside of my kneecap despite massaging it for the last two plus years.  I still experience some stiffness.  All of these issues I consider minor but I am still hoping to get to the point where I don't notice any difference between my two knees.  I will say that functionally my repaired knee is as good as my other knee.  The strength is the same as the other.  I can hike, backpack, ski and do everything else just as well as before the injury -- even stairs which probably took the longest.  I think auscoach said that he received a 10% permanent partial impairment rating as a result of his injury --- he was hurt around the same time as me.  I don't think I'd rate mine that high but I am still working to get to the point where I feel no difference between the two knees.  Overall, I'm in better shape than before the injury because of all the effort I've put into my recovery.  It really is a nasty injury.  Best to all of you on the journey. 



post #3924 of 10808



I'm 18 months out and definitely over 100%.   I'll explain:   I'm 51 yr old powerlifter deadlifting and benching more than I did before the pop (full avulsion from squating).   I don't squat heavy any longer because I worry about the other quad tendon.    I was patient much like you.   Full brace for 10 weeks.  

As a heavyweight lifter I didn't run before so I waddle much like I did before the injury.   But.... no pain and I very seldom even think of the dang thing.   


There is hope.    I truly believe caution and patience are the key.   Hope that helps.


Big Fred.

post #3925 of 10808


Thanks for the encouraging words - they are greatly appreciated!


Quick update:


Injury 7/25/2012

Surgery 7/30/2012

Left quad near-total rupture jumping on a trampoline after 3 days of hard skiing, 41 years old, active


I'm now 10 weeks post-op and the OS has finally okayed getting rid of the straight, long brace. I now have a short "Playmaker" brace for when I'm out and about, and I am brace-free whilst at home! Just under 90 degrees ROM, so that's moving along slowly, but there is progress. My PT routine involves stretches in various positions, quad strengthening exercises (straight leg lifts, quad extensions without weight, squats in brace) and some massage/ice. Just got okayed to drive my manual transmission car (was a left QTR).


On the down side, the knee area still swells by the end of the day, and it's sore most of the time. I have a sharp pain on the medial border of the patella, where I think the retinaculum must attach, especially during agressive stretch. Of course, the leg still feels very weak.


So overall, some good milestones reached, but still a long, long road ahead.

post #3926 of 10808

Here I am back from my 4 week post-op visit. I am 77 and slipped in the yard and ruptured my right Quad Tendon on Sept. 11. The Doc said he thought I was doing Great. Increased my Leg load to 40 #. He also opened my Brace to 50 Degrees - Cheer-Cheer! He said not to put that 40# load on the Leg with the Leg bent - suggested I lock the Brace when I walk to protect the repair. I will continue Quad Sets, Toe curls and Active Straight Leg lifts and 1 x per week At Home PT for the next 4 weeks.


My loving wife and Super Caregiver tripped over MY WHEEL CHAIR and fractured a Hip Bone. She had a Minimally Invasive Smith- Nephew Joint replacement today. The surgery went well and she is doing wonderfully. I am now the Caregiver and with the help of out-of-town family members we will do great. My wife will be able to get around near normal and drive in three weeks.


God Bless my wife, myself, members of this Forum and the Healthcare Professionals in this great Country of America.


Healing to all!

post #3927 of 10808

Run again, I haven't logged on to this site in months.  9.5 Months post op; 10.5 months post injury.  I can't run yet, but my gait is mostly normal.  I hit the Precor AMT 2-3 nights a week which is sort like running without the impact. Biking is good but not great so I bought a hybrid bike and bike to/from work most days too.  My goal is to be able to downhill ski in Jan at 12 months post op.  The recovery time on this injury is unbelievable. I have pushed it too hard a couple of times and relapsed to where I am icing it at night and wearing a compression brace to bed.  


Recap of my injury: bent my knee backwards about 8 inches, complete quad rupture, partial ACL tear, my meniscus "exploded" per my doc, broke postier tibia pleateu, and grade one sprains of MCL, LCL, and PCL.  I did 4.5 months of rehab 2-3 times a week and since I have been on my own trying to strength my quad.  They had to scope the ACL and meniscus and those entry points still swell and hurt on occasion.


Can't wait for the one year when they say it won't hurt anymore.  We'll see right now I don't believe it. 


Good luck. 

post #3928 of 10808



I think you are right on track.  90 degrees is excellent for just out of 10 weeks immobile.   Patience is key.  Pain during PT is not your friend.


One thing that helped me was the patella tracking as pool walking.   I logged over 1000 laps walking in the pool.  It allows you to maintain perfect gait while rehabing.


Good luck.



Big Fred.

post #3929 of 10808



Wow!  When you hurt your knee you didn't mess around.  Is there anything else you could have injured?  Ouch!!!


I understand why you're not land running yet.  You have a lot of stuff to heal and strengthen again.  You really will need a year or more.


I'm eight months post op and am jogging a bit.  My issues are not just the leg.  Simply put I'm in the worst shape of my life.  This morning I covered 3.5 miles by jogging, walking, jogging, walking, etc.  Initially I made around 1/2 mile, walked maybe 30 yards and then jogged between 200 to 400 yards and kept repeating it until I finished the loop.  I think my greatest challenge now is not the leg but that I am in such poor running condition.  What used to come naturally and now really hard work.  It is going to take a long time to claw my way back but at least I'm making progress.


I am thinking about jogging/walking a 5K this weekend.  The race is for a good cause.  I might make a running shirt that says, "Team Quad Tear".  :-)


Good luck to you in your healing process.  Just keep on trucking and you will be fine again in time.



post #3930 of 10808


Thanks for the tips. I am planning to try the pool for the first time this weekend. You honed in on one of the main issues - gait. After 8+ weeks in a locked-in-extension brace, it's amazing how much you forget how to walk with a normal gait. I'm sure you remember that hitch, the hip tilt that becomes a habit. My PT has me doing an interesting exercise - walking over a series of small cones set up so that you have to lift your bad leg over each cone with each step, about 4 inches high.


Another frustrating thing about ROM is that even though I can consistently hit 90+ degrees now, it takes a few minutes of stretch to get there each time. The ROM immediately pulls back to about 75-80 degrees after I'm done with stretches. It's like the knee has become an incredibly tight rubber band that keeps snapping back into it's limited ROM.


Finally, I'm starting to notice a small lag in the bad leg - it definitely droops a couple of degrees compared to the good leg - does that improve over time?


Thanks for all the advice!

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