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Quadriceps Tendon Rupture, Repair and Rehab - Page 219post #6541 of 107976/6/14 at 3:58amRed Nighthawk: My hat is off to you for farming and doing farm chores in your brace and at this stage. Although I had a complete rupture, my surgeon called it an easy surgery and my full range of motion came back early. Go on your own schedule, respect your surgeon's insights and appreciate your own successes. I agree with Bill that you will likely soon hit that point of major gains. I am pulling for you.post #6542 of 107976/6/14 at 8:59am
Thanks for the encouraging words. The Lord knows I need them! I just got back for PT, still passive, and I'm only at 57 degrees. (at 10 weeks PO) I guess since I am still locked in my brace at zero what more can I expect. The PT gave me a new exercise that she gave me, with a wink and a nod since the doc has not given approval yet. Laying on my stomach, with the aid of a strap wrapped around the ankle, I will pull my leg towards my butt and hold. She also gave me a few others that will hopefully begin to loosen things up. PT hurts! Especially since my initial injury did not hurt at all! I'm counting on my OS to give the green light for more active PT on Tuesday. Thanks again for the encouraging and informative replies.post #6543 of 107976/6/14 at 6:07pm
Question about PT
Does it get any easier as one progresses through PT to increase ROM? Will it eventually get less painful to move from 60 degrees to 70 degrees than it was to get from 40 to 50? I'm hoping and praying it does get easier and quicker as one gets up there in the ROM. Also, did you folks take some kind of pain relief before PT? Thanks for your thoughts on this.post #6544 of 107976/6/14 at 6:30pm
I could lie to you and say ROM get easier. Wait until the PT puts you from 110 degrees to 140+. I tried to tap out but he just kept the pressure on the leg lock. He brought tears out and 4 letter words. Being bilateral, I had the double pleasure of restoring BOTH KNEES. Once you get full ROM it is then pain free to stretch it out yourself. As long as the pain goes away once he releases the pressure just suck it up. I thought it was the most painful process during the entire ordeal.post #6545 of 107976/6/14 at 8:06pm
That is not what I was hoping to hear SC, but I appreciate the candor. So you are saying the pain I'm experiencing to get from 50 to 60 is the same as it will be when I'm trying to get from 90 -100? I really thought I was tougher than this, but now I'm a tad scared at just the thought of going to basically a torture chamber twice per week. I can't imagine having this done on both legs!post #6546 of 107976/6/14 at 8:24pmRN: It could go as Skicarver said, it could also be that you hit 90 ROM allowing you to do the exercise bike and your ROM improves dramatically. Look back at old posts and I think you will find wildly different experiences on ROM. This rehab can drive you nuts if you think too far ahead. I know it is hard to turn off worry but I know I do best when I focus on what is in front of me now.
On warming up before PT, various posters have described either warming the knee or exercising beforehand. I rode the exercise bike before my appointments.post #6547 of 107976/6/14 at 8:32pm
OB, I did just the opposite this morning before PT. I iced my knee in the car, thinking if I could keep the swelling down the PT would be more successful. I'll try warmth next time. (I'm still new at this). I'm thinking of taking an Excedrin or Aleve an hour before PT. What do you think? I'm looking at such a long, painful road ahead that I tend to get down and disgusted, but your advice to focus on that day's objective is wise and I'll give it a shot. thanks.post #6548 of 107976/6/14 at 8:43pmI am 7 weeks post op and just got the ok to use either leg brace locked at zero or just crutches. This is exciting and scary. I'm doing p/t 3 days a week and home exercises the other 4. I was able to do full rotations on the exercise bike at p/t so I will start biking at home.
RN: I generally take 2 Tylenol an hour before going to p/t. I also take a bath before I go too. I feel it helps me relax and also loosens up my muscles. The head therapist told me to use heating pad at home before stretching.post #6549 of 107976/6/14 at 8:44pmGood idea on Aleve/Excedrin. We are all experiments of one. If one approach doesn't work try another the next time. I frequently suggest looking at old posts. I only got two PT appointments, so almost all of what I do came from Eric 308, Skicarver and Runnermx and others and my own experiments. You will beat this.post #6550 of 107976/7/14 at 4:16am
I think it is about 110 degree before the bike pedals can be rotated. Then the PT will make you move the seat ahead increasing the knee bend to 120 or more on every rotation. This PT leg lock hurts worse than the damn injury of the first week post op. It is only Temporary pain. It's a good 8+ on the torture scale. Cycling has been incredible for me. I have spared no horses. I bought a custom build Specialized Tarmac Elite yesterday. This thing cost as much as a car but is nearly as fast also. I am actually starting to see signs of knees and huge leg muscles. This is after countless 2 1/2 hr gym visits and 1000 miles cycling. If you rest with this injury you will 100% end up with a disability. Yesterday a friend who played University hoops and coaches University hoops could not come close to keeping up with me on a 10 mile bike ride. I love it when a plan comes together! Keep up the great work everybody. Remember, what you were able to do yesterday....you can do MORE today!post #6551 of 107976/7/14 at 5:49amQuote:Originally Posted by Eric308
....I understand your concern about losing the brace....I used a neoprene closed patella knee sleeve for a few weeks. Instilled confidence and actually felt great. As old bruce said...you should approach your OS about the exercise bike...typically need to be around 100-105 ROM for a full revolution, but you can do like halves at 90 or so. You'll be amazed how much this helps your ROM. You just have to adjust the seat lower from time to time to help your progress (more angle, more ROM). Glad to see everyone in on the fast track to recovery. I'm 14 months post surgery yesterday and can't even tell I had the injury. Best to all!
An earlier post from Eric on the exercise bike and ROM.post #6552 of 107976/7/14 at 5:55amRN,
The range of experiences here is amazing.
Skicarver is likely the toughest goat on this board, or at least the most exercise-focused, so his opinion is of great value. He has has a "double" repair which is beyond my comprehension. That said, I have not experiences ANY pain through my PT sessions other than being tired and sore and swollen when I finished. I just went straight to ice ( which they gave me at the PT place.) If I remember I do take a couple advil before I go, and also before I go on my 3-4 mile walk. I find it does help.
I don't know my current ROM numbers, but I am at week 15 and have been riding a stationary bike since week 11 with no problem at all. I experienced no pain moving through the ROM upgrades each week, which my OS set at 10 degrees per week starting week 4 until week ten was at 100. I now can bend my knee 99% as much as my good one though it is still a little tight. I golfed for the first time yesterday with no trouble. Biggest issue was walking down from elevated tee boxes and greens, along with my own mental hesitancy to really turn and drive down through the ball while swinging. I think my knee is tougher than my brain !
So I think the message for you, and other newbies, is the range of pain, and the cadence of recovery, varies wildly by individual and has very little to do with your toughness and pain threshold. Know that you WILL recover and all will be well over time so long as you do the rehab and other exercises religiously and you don't screw it up with all your farm chores !!!
Billpost #6553 of 107976/7/14 at 6:34am
The average pedal rotation is 30 degrees minimum and 110 degrees maximum for most people. This is plus or minus 5 degrees. I went through this Monday with the Specialized Factory Rep and a Certified Bike Fitter. At 90 degrees you won't be able to rotate but can go back and forth. Once you get to 100 degrees you will say the hell with the the extra 10 degrees and just go for it! That first pedal rotation is simply magical. It opens the door to restoring cardio and muscle lost due to atrophy. My cardio is much better now than pre-injury. Leg strength is progressing well also. Cycling has been my "Vehicle Back to Life". I hope everybody can find their own niche that they grasp on to. Bike fit is very important and even more critical for our injured knees. The saddle must be at the optimum hight with our knee position being at the proper distance with relationship to pedal rotation. A 1/2" adjustment in a bicycle seat makes a huge difference on stress forces to the knee. I also strongly recommend using clipless pedals with cycling shoes (the system actually clips to the pedals) to lessen stress on the feet and consistently puts your feet in the exact same position every time. Sneakers and flat pedals are the past.post #6554 of 107976/7/14 at 8:52amI wasn't going to post again on this but, in the interest of safety, I have to add something. When I was at 90 ROM and the surgeon suggested starting the exercise bike, he had some conditions:
1. Move the seat up or back (depending on regular or recumbent type bike to make it less of a stress on the knee.
2. Set the resistance at zero.
As I as able to do rotations, I was to add time first (until I got to 15 minutes), move the seat forward/ downward for more ROM second and only then add resistance, and even then just a little at a time. The OS stressed the zero resistance at the start about three times as he was outlining this.post #6555 of 107976/7/14 at 9:37am
Hi All -
I am a newbie to the board, having posted only a few times. This is a GREAT resource and community. Thanks for the chance to be a part,
I am 6 mos post-op, with a RQT...it was a partial but it was bad - 75% torn.
Here's my experience on some of the early post-op topics recently raised.
1. Pain: If you are in legit pain, post-op, say something. Don't tough it out. I had excruciating calf pain, as described elsewhere. After a series of misadventures - one paramedic pick-up and one ER visit in which I was told that "surgery involves pain, you know," another ER diagnosed a blood clot in my leg. This is 2014, isn't it? Assume nothing and be your own advocate. Hydrocodone, oxycodone...neither of these worked. Two things did...shots of Dilaudid (obviously not a long-term strategy) and oral Nucynta, which finally allowed me some relief.
2. Blood thinner: Just got done with a 6-month course of the blood thinner Xarelto, Great med, in that no INR readings were required.
3. Anti-inflammatory meds: Because I was on Xarelto, they prescribed Voltaren transdermal gel. Voltaren is an NSAID, but most of it is absorbed at the site where you want it absorbed. It works. I need to use it more than I do.
4. PT: You know what? I never had the experience of forced flexion described by others. They went at this gently. Massage, then a hands-on, gentle manipulation of my lower leg only to the point of pain, and then backed slightly off of that ...over the course of a few weeks, I was well over 100 degrees. I find more pain/challenge in the PT going forward from there.
My $.02...as was said, a widely variable set of experiences. I hope mine can help someone. Since my name is also Eric, I'll go by my handle.
- Stats Master Epost #6556 of 107976/7/14 at 10:49am
Just catching up with all of the posts here. Ran across this one, on the topic of prolotherapy. I've been to see Dr Hauser himself...he's located in Oak Park, IL.
It did not help me. There is some research out there suggesting its efficaciousness in some patients. I spoke directly with a Dr Don Rabago, from UW-Madison, who was first author on a study considered one of the best on prolo. He essentially said that if I was not seeing improvement after 3 sets of injections, which, BTW, hurt like hell, that I should DC this.
Hauser seems to relay on therapeutic touch and suggestion, as well as the prolo. Many of his claims are not testable. I have had much better success in combating my OA knees through Synvisc viscosupplementation every 6 months, and cortisone every 6 months off - one or the other every 3 months off cycle.
The effect of cortisone on my LQT rupture? God only knows. You make the most informed decision you can.
- Stats Master Epost #6557 of 107976/8/14 at 10:32am
Well, I am finally on the other side of the surgery for a 90% quad tear. I want to thank this forum for the support and information provided. It really helped me understand what to expect. Recovery is not going to be fun but at least it's on the uphill. Only problems so far are using a walker and finding muscles I did not know I had - pretty sore trying to walk and not put any weight on my leg. Also sleeping with the brace on is a challenge but I am sure I will get used to that. Day-4 and feeling much better. Stopped the meds after 2 days and not taking anything currently which is good. For anyone facing the same type of surgery this group has been through I want to say this site is fantastic. It was really the only good source of information out there and there we folks that responded and provided information which is great. I will continue to update my progress and hope any newbies will feel free to ask any questions they may have....post #6558 of 107976/8/14 at 12:10pm@Casa: Good to hear from you and it sounds like you are off to a strong start. Thanks for getting on to the forum before your surgery---it helped build our knowledge/ info base. Good news about the meds but listen to your body if you hit a point where you need them.post #6559 of 107976/8/14 at 12:59pm
Way To Go CASA!! The worry part is all over. Now it is just patience and accept all the support your friends and family can provide. Small pillows work excellent under the brace for sleeping. Sleep when you can. Remember to start your "Can Do" list. You will add to it quickly. For the next while you will just be putting in time to allow the tendon attachment to strengthen. Any movement you can do is good. Protect the repair. You only want to see the Surgeon in his office and not in the OR again. This injury is a tough one to recover from but you have read all the success stories and you will be adding your success story to the forum. Take care and ask "How do I" questions to us any time.post #6560 of 107976/9/14 at 6:50pm
Due to the excitement of finding this excellent forum on quad tendon ruptures, I feel I jumped right into making posts, without really explaining what happened to me. So here's my story for those who may be interested. I'm a 66 year old male. Decent skier, active lifestyle. Farmer. On March 10th I was walking off the snow at a ski area, down a short, icy, snow covered hill that was about 5 feet long, to get to the asphalt. I was carrying my skis and wearing a helmet (good thing). My left leg slipped out in front of me and my back (right) leg pretzeled behind me with my body weight coming down on it, and my head whiplashing onto the ice. No problem with the head due to the protection of the helmet, but my knee was definitely hurt, although I did not feel any pain. Weird? Ski patrol was nearby and came running right over to me. (They had just completed sweep at the end of the day.) They asked me a bunch of questions to gauge my awareness and perhaps checking for a concussion. I told them I heard my knee 'pop', but I asked them to stand me up so I could check out how I was. They did and I promptly feel back on to the ground. It was the strangest feeling to not be able to balance or stand up! They immediately called for transport to First aid. The nurse there took one look and said I needed to get to the ER promptly, because in that short time the knee was very swollen. A ski patroller kindly gave me a ride to the E.R. in a nearby town. By then the knee and lower leg was very swollen. They took X-rays, but because of the swollen nature of my knee at that point, the X-ray was inconclusive. The E.R. doc said he thought it was a quad tendon rupture and to see an OS asap, certainly within a few days. The next morning I called for an appointment and they couldn't take me for 9 days!!!! (I still can't believe they couldn't make room for such an emergency.) Instead of coming home, I stayed where I was because everything was on one floor. I had no idea at that point how hurt I actually was! While I was waiting out the 9 days, I went back to the ski area when their doctor was there and I had him look at it. While I was laying on a table in First aid, the doctor asked me five times to lift my leg off the table Each time I told him I could not. Finally, on the fifth time I looked him in they eye and told him 'Doc, trust me, if I could, I would. I can't!' He said I need to get to an OS soon, and probably have an MRI to be sure, but he thought the fact I couldn't raise my leg indicated a quad tendon rupture. Even then I had no clue how hurt I was. I thought, 'tendon'? How bad can that be? I'll be back skiing in April'. Ha! What a laugh! So nine days later I had the appointment with the OS. He said it was a quad tendon rupture and to get an MRI. Two days later I had the MRI and another appointment with the OS to schedule surgery. He then insisted I get a complete physical before he would operate! He's a very cautious surgeon to say the least! My GP made room in his schedule to check me out and gave the OK. This delayed surgery another few days though. I had surgery on March 27, 17 days after the initial injury! I had a complete rupture of the quad tendon, or severed quad tendon as the OS referred to it. While he had my knee open, he fixed a few other things in there while he had the chance. I was sent home that same day from the hospital with a subscription for percoset. The meds kept the pain controlled and after 2 1/2 days I switched to Tang Kuei, an herbal pain reliever. The percoset was binding me up and the constipation was horrible, actually the worst part of the process so far. I left the hospital in a soft cast and told to keep all weight off the right foot. About 10 days later, the soft cast came off and the immobilizing brace went on. For the first month I was instructed to keep all weight off the right foot, keep the brace on at all times, including at night. By week 5 I was able to 'touch down' for balance and that was a big treat for sure. I was able to obtain a E-stim machine to help to keep the quad tendon in shape and I used it for several hours every day. After about 7 1/2 weeks, the doc gave me permission to put all my weight on the foot, but still in the brace and still using crutches. He finally allowed me to start passive PT, once per week. It's now 10 1/2 weeks and I am able to walk without the brace and crutches, although the doc doesn't know it yet, and I'm not sure I am going to tell him. For PT at home I am doing the standard leg hang off a chair or table, sometimes pushing with the other foot. I'm trying to walk a mile every other day without the brace or crutches on very flat, asphalt. Leg raises with the E-stim machine to strengthen the quad, and I'm trying to do heal slides to improve the ROM. My ROM has gone from 42 degrees at week 8, to 53 degrees week 9, and 57 degrees at week 10. I feel way behind what I read on this forum. I have a OS visit on Tuesday and I'm hoping he'll give me the green light to start getting aggressive with PT. My knee and ankle swell every day, which has inhibited my PT. Only recently have I gotten more diligent with using ice and a heating pad for relief. I hope I didn't bore you to tears, and I thank all you QTR veterans for your insights and helpful natures.post #6561 of 107976/10/14 at 10:12am
I'm 10.5 months post-op today for my bilateral tear. I'm a 57-year old male and by the time this recovery is finished, will reach 58. Today I started by running 7 miles, the same 7-mile course I ran yesterday. My running is getting a little stronger and faster every week. Then I did some upper body work on the free motion machines and some core work, back and abdominal. Running out of time, I then jumped on the leg press and banged off a set of 40 at 390 lbs, maximum machine weight. I then did a set of 20 leg extensions at 90 lbs, a set of 40 leg curls at 110 lbs and a set of 80 hip abductions at 210 lbs. The rest of my day is pretty normal.
Various posts by Skicarver and myself have detailed exactly what we are doing to recover from our bilateral tears. If you want our progress, you will have to work for it, and this means working hard on a daily basis. Everyone out there will reach 10.5 months post-op before too long. You have a choice of having a normal life by then (but for a few nuances) or being deeply embedded in a prolonged recovery. Back in October, I could not run (and could barely walk), started at 50-70 lbs on the leg press (less than half my body weight), and was stuck at zero pounds on the leg extensions for weeks. The increased strength did not come to me on a silver platter; I had to fight for every pound of it.
Once the leg shackles come off and your tendons are healed, the rest is all you, and only you. Good luck!post #6562 of 107976/10/14 at 11:26am
@RUNNERMX is 200% correct. When given the green light - go at the rehab like it means your life to you.....because it does! Do what you can and increase it whenever you can. What you did yesterday you can do more today. Repaired tendons take 12 weeks to fully heal for most people. The repair site are usually the strongest portion of the tendon. Weights and bicycle are the mainstay of my rehab program. I actually saw my Physiotherapist I had during my hospital stay last night. She lives nearby. I was out on my bicycle. She was sooo proud of me. She is a pure fitness machine. I made sure I thanked her for her efforts to get my ass moving the day after surgery. We had the "Frankenstein Walk" perfected!! She would cover me up with 2 gowns to reduce the divorce rate among the young nurses too...LOL! Be faithful in your efforts to rehab this injury. And remember.... RUNNERMX and I had both knees to rehab!! I can recall looking at my legs in the braces wondering if my knees would ever work again. Rehab was the hardest work of my life but my knees and legs are back and getting stronger every day.
@Red Nighthawk - Don't stress over the number of your ROM. I was braced locked at 45 degrees and did not start any real physio until 11 weeks post-op with the real crazy stuff not starting until 12 weeks. I thought I was falling behind also. I went to 90 degrees pretty quickly and then my Physiotherapist made sure to bottom me out at 143 degrees, my maximum. Not the most pleasant thing I have ever experienced!! I went to Physio (Torture Chamber) 5 days/week to get this to happen fast. Both knees. No pain - no gain!! Once your tendon repair site heals, your physio person will amp up the knee bend. It was so nice when my ROM maxxed out. I told my PT the fun was now out of it for him because I felt ZERO pain. We are all going to heal at different rates. The thing we must all have in common is Success Stories.post #6563 of 107976/10/14 at 11:56amFour months post surgery observations:
Rehab is balanced with minimum of one hour exercise biking each day, minimum of 45 minutes walking or running each day (including at least three days on trails),weight lifting three times a week, elliptical four days a week, stretching exercises from PT daily and water walking twice a week.
Major change is starting to run. More of a shuffle at this point, but it feels good, like I am on the road back.
Taking Runnermx's advice and switching up some of the weight routines. Starting lower on the squats is particularly helpful.
Minuses: Pretty much everything is good. Occasionally I just want to be back to my old self as I have been rehabbing 15 months straight between my shoulder and knee, but then I try to follow my own advice and focus on the "right here, right now" perspective.
Overall: Life is good.post #6564 of 107976/10/14 at 3:41pm
Thanks for the replies, even if they are a tad intimidating to this 67 year old. The OS today finally gave me the green light for the PT to begin active therapy. I can't wait!!!! Wednesday it begins!!! The doc put the brace on 30 and told me to increase it by 10 every week. I can choose to sleep with the brace or not. I'm leaning toward keeping it on since I don't have any difficulty sleeping. The doctor told me it usually takes a year from surgery to recovery, so since my surgery was on March 27th, it looks like I can kiss next ski season goodbye. I don't see the doctor again for 6 weeks, which surprised me. So now it's up to me. I have no goals of being an olympic champion but I would like to resume my former life of skiing, working, and riding my motorcycle. My wife and I were New England tennis champions back in 1984 so we've had our time in the sun to be grateful for. I don't have a gym membership but I have a farm. Around here we call it 'farm fit'. Thanks for this great forum and for all the inspiring and challenging advice. Hang tuff and I'll cya down the road!post #6565 of 107976/10/14 at 4:12pmRN: Glad you got the go ahead. I am sure that your farm work will help greatly in your recovery. I would advise you to look hard at what you want to recover (skiing, working, riding) and design your rehab program to get you fit to do them again. I would share your goals with your PT and ask what will help me get back to these activities. You might buy a bike or exercise bike, for example. You can eventually do squats and lunges. What I am saying is you can design your own road back to what you want to do. Go get em.post #6566 of 107976/11/14 at 2:34am
Hello, and welcome to all who have just found this site! This site has been an invaluable resource to me throughout this QTR ordeal.
I'm not sure who mentioned it, but my knee also catches. Especially if I've been sitting for a while, when I try to get up it catches, and I have to bend it several times to get it to release. I have mentioned this to my PT and they haven't said much about it. Sounds like I'll have to go back and read some older posts for more info.
PT for the most part hasn't been super painful, except for lying on my stomach and having them bend my leg up...I know it's necessary so I just endure it, but the one PTA jokingly puts me on a table near the wall with my head towards the wall because I have been known to crawl away from the pain...Impossible to do when there is a wall in front of you! LOL Depending on how I feel before my PT session, sometimes I will take a Tylenol before going in. I go to PT 3 times a week, and once I get a good range of motion, it will decrease to 2 x/week and will start strengthening. PT has helped tremendously. Also, my pt has been at that office for 9 years, and I am only her 2nd QTR! I did tell her she is about to get her 3rd as my neighbor also ruptured his 6 weeks after me.
I am 4 months since injury, and finally getting back to a state of "normalcy". However, yesterday I had to drive a 6 hour round trip (took my dad to dr) and I drove the 3 hours straight through. Felt it as soon as I got out of the car...knee was so stiff and I could hardly walk without a major limp. Times like that remind me of my injury and that I am still in recovery.
Casa: glad your surgery went well and sounds like you are recovering nicely!
Everybody stay strongpost #6567 of 107976/11/14 at 10:16am
I ran a timed 4 miles today and stayed around a 10:30 pace. Finally, a breakout below the 11-12 minute pace where I was stuck for a few months. I can understand why some runners feel that it is not possible to return to normal speed. I believe that it is possible but, depending on the degree of one's extension lag, it can take extraordinary effort and perseverance compared to other aspects of this recovery. I still have a ways to go, but at least I am seeing progress. As the extension lag in both knees diminishes and the mechanics of my knees return to normal, the progress should continue.post #6568 of 107976/11/14 at 11:38am
Congratulations to Runnermx! I'm starting to think some of you guys on this board must eat nails for breakfast! lol Personally, I had my very first ACTIVE PT session today. I put a twinkle in the eye of the therapist when I told her the doc gave the green light. I'm still only at 58 degrees ROM at 11 weeks post op, so we both have a lot of work to do. She had me do a strap-assisted heal slide, and she put me on a bike. I could only rock it back and forth but at least it's a start. She said we'll celebrate when I can get it all the way around. Damn straight we'll celebrate! She did the usual excruciating knee bends that hurt so much I laugh when she's killing me. Maybe I laugh instead of crying, I don't know, but that's the reaction I am getting from that deep pain inside the knee. I have never gone through anything like this before in my life, but I don't want to be a gimpy cripple the rest of my life so I am listening to you guys who eat nails and write motivating posts. One degree of ROM at a time. 58, 59, 60----120! Let's hope! Good luck to all who are going through this. Best regards!post #6569 of 107976/11/14 at 12:08pm
Hi again all -
Reading all these great inspirational posts as I am doing my home PT. Thanks from this board newbie, albeit a 6-month-post-op newbie.
I wanted to continue to earn my keep by giving you my experience on a couple of topics.
1. The knee catching - mine does as well. It appears to be a patellar-femoral thing, and the leg feels unstable when it happens. To correct this, I have learned to keep my extension during exercises at 170 degrees instead of 180. It works for me.
2. My drug of choice prior to exercise, and when I have swelling, is Voltaren gel. Transdermal stuff...rub it on the knee area and above the incision...it's less of a stomach problem than the oral NSAIDs. Too, if you are on blood thinners, it's probably the safest NSAID. As always, see your doc... :)
3. Cardio: I've got a Schwinn that I am using to both get the cardio workout I crave, and work the quads etc, as has beens suggested elsewhere on this page. It's almost as satisfying as running. Speaking of which...
4. Running: I am a runner. I WILL BE a runner again. But, my leg still feels about 60-70%. Any thoughts on how to balance weight bearing exercise against the certain gains of the exercise bike?
Hope my input is valuable to some here...interested in any comments on the above. Everyone is an experiment of one...but it is always good to get ideas to try out experimentally! Thanks!
- Stats Master E (Nom de plume...I'm an Eric too.)post #6570 of 107976/11/14 at 1:03pm
Back on the bike today for a 31 km (20 miles) ride. Legs feeling better all the time. The last 11 miles in under 30 minutes. Top speed 38 MPH. Life is returning as I knew it. I have not attempted to run yet but maybe at the end of the month. Cycling is building the legs and trail hiking with the dogs seems to benefit the pesky VMO muscles. I am so enjoying this last 25% or so stage of recovery. RUNNERMX has got to be the King of Recovery. He inspires us all.
To the folks in the 2-4 month post op period. You are about to embark on the biggest fight of your life. Casual exercise won't cut it with this injury. You have to kick it square in the chops. Push yourself as hard as you can! That extra 10 minutes you throw in will have huge payback. To those who think you can do this without a gym....do yourself a favour and get a membership. Gym equipment isolates and targets specific muscles. Without the isolation other muscles will help out preventing the weaker muscles from getting full benefit. After sitting out last year skiing the renewal forms for passes just arrived. I am hoping to get back on the slopes this year but will have to be better than I am currently. Here is the new "exercise bike"
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