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Quadriceps Tendon Rupture, Repair and Rehab - Page 27

post #781 of 10797

QTR Quick Test.

1. Sit with your legs relaxed and out straight. Press above your kneecap (patella) where the tendon should be and compare the good and bad legs.
2. If the bad leg has a soft void area, then that indicates that the tendon is missing and has peeled off the patella.

When I went in for a checkup, the PA did this test on me to suspect a QTR and to order an MRI to confirm.

post #782 of 10797
All, Welcome to the new QTRs. This injury sucks bad!

Happy Holidays to all, I felt compelled to post as several of you seem to be struggling with what to do about walking, rehab, progress, lack of progress, when to go back to work and when to follow physician orders. I am 11 months post injury and surgery. My knee still reminds me of the injury on occasion but I have no limitations.

A few facts- This injury is extremely serious and potentially debilitating injury. It affects approximately 7,000 people annually. Our OSs know much about the clinical process to reattach the tendon and the time required to heal. Those 7000 injuries are spread out over a huge number of surgeons and they dont get much exposure to this injury. Your body will heal the repair 80% at 6 weeks and 100% 12 weeks post surgery. This speaks only to the repair, not the rehab of the quad. You know all this.

My OS never wrote a PT order for me as he doesnt beleive in positive outcomes from it. He also told me I would be out of work for 8-10 weeks. I stayed out 2 weeks. He would not "authorize" me to do much of anything accept sit on the couch and eat bon bons. He gave me a ton of Meds to relieve the pain. Which I flushed after a week. Some of your OS are not this conservative but some are.

I am not a clinical person. The best recommendation that I can give you is that you need do what your body allows you to and dont be afraid to step out of that comfort zone alittle. I am not suggesting that you go to the level that SinRider did by basically throwing his brace away at about 3 days post surgery. I found that he motivated me to do a little more stretching, walk a little further and take some of the small risks that your OS would not authorize. SinRider is back on the slopes of VT and has skied appox 25 days this year because he pushed himself.

Our rehab experiences will all be different. I have found that the world of the my OS is an extremely conservative one. I am convinced that if I followed his recommendations to the letter that my recovery would have been a much longer protracted event.

OK, I am off my soapbox. I will ski downhill for the first time since my injury this weekend. I cant wait!

The best of days to all! VS
post #783 of 10797
Is your injury at your upper knee? Can you lift your lower leg while sitting up? I initially went to the ER when I fell, and also had x-rays which were negative. I did feel a large depression in the skin just above the knee, so knew something was terribly wrong.

The ER at my hospital only did emergency MRI's in cases of spinal compression, etc, so they didn't do one but said to see an OS the next day. When I saw the OS, he only looked and felt my knee for 25 seconds, before diagnosing the torn quad, and scheduled surgery for the next morning. Said an MRI wasn't necessary, with that large depression just above my knee. He said the bulge a few inches up higher was the end of the tendon, where it had become detached.

Sounds like the best outcome for many was the immediate diagnoses and surgery right away, as opposed to waiting weeks for the diagnoses and surgery. Try to get to an OS asap, and get the MRI if needed, and find out if you tore that quad.

post #784 of 10797
Idaho Guy: Thank you for responding to my question on skiing. That gives me some new hope that I may be able to ski again, not this year, but in winter of 09-10. I may try snowshoeing also, anything to get me out in the snow and the woods during winter. I'm still doing what I call "step ups" where you stand on a step with the bad leg and leave the good one on the floor and then "step up" and try to lift your weight with the bad quad to strengthen it. It is amazing how easy it is to lift your weight with the good leg, but the bad one is still not very strong. My wife told me tonight that if I'm going to try skiing again that I should not attempt it until my bad quad is as strong as the good one when I do this exercise and I would have to agree with her. I'll just keep plugging away at it in addition to the leg presses that I'm doing and try to regain full strength.

Your Christmas trip into the yurt sounded like fun. I would like to try that someday. Glad you had a good time.

chihibulldog: Glad to hear your OS said to try skiing. I don't know why my OS is so skiddish about skiing. Just being ultra conservative I guess, but it does not make me very confident to do it again when he is so against it.

Any other skiers out there whose OS said it was okay to ski or not to ski? Just trying to get a feel for what the general concensus is from the medical community on skiing again after this type of injury.
post #785 of 10797
Thread Starter 

Skiing . . .


I hope you can do a yurt someday - they are a blast, and it truly is a great vacation - no phones, no computers, just you and the snow.

Regarding skiing: I can understand the OS's skittishness about it. Skiing is by far the most difficult and physical thing I have done on my leg. It is similar to weightlifting in that the centrifugal force due to the speed control aspect may well exceed 3X your weight at times, but is less controlled in that you are balancing over a very narrow platform moving at a high speed over extremely variable terrain! I think it is the most difficult thing for a person with our injury to do - I am happy that I am doing it (but I'm not anywhere close to where I was exactly one year ago as far as aggressiveness and speed go). I'd be interested in hearing SinRider's take on it - 25 days so far! That is awesome! Anyway, I still say go skiing - - - - take it easy to start with, but I think if done carefully, it can be part of your rehab.

post #786 of 10797
Hi everyone, I've joined the club and got special 2 for 1 deal.

About me: 40 yr. old male, fell off my roof putting up X-Mass lights landed on my feet with locked knees, and ruptured both of my quads. It happened on Nov 29th, surgery the next day at 0830 hrs. 5 nights @ Anne Arundel Medical Center, 6 nights @ The Spa Creek Center. I had cast's on both legs from my ankles to my upper thigh until Dec 18th. I had my cast's and staples removed and new cast's put on, will get these removed on Jan 8th.

Currently at home sleeping in my 1st floor den on a hospital bed, I'm getting around with a walker and a wheel chair. I've been weight bearing as tolerated 24 hours after the sergery and do PT as much as I can. The last 3 days I went on a 8th of a mile walk each day with no pain. I'm a slow walker and look like a cross between Capt Ahab and Frenkinstien but l'm getting it done.
post #787 of 10797
Idaho Guy: I am gaining more confidence about skiing after reading your replies. I am going to forego skiing this year and keep rehabing the leg so I can be sure it is good and strong and then I will try skiing next winter. May get on snowshoes here shortly and give those a try. I have been on them before, but enjoy skiing more, both alpine and nordic.

Would like to get into biking this coming summer. May buy a cross so I can road bike and mountain bike on the same animal. Don't know much about bikes, but have a friend who is a bike fanatic and I'm sure he will help me chose the right bike. Would like to ride some trails in Grand Teton National Park and Yellowstone also. I think that would be great for the leg and get me in shape for skiing next winter.
post #788 of 10797

rehab beings

bilateral quadricep tendon rupture. Fell on 12/5/2008 - At Hooters Casino in Las Vegas. I had the surgery on 1/2/2009. So today is day 4. I went to the inpatient rehab center to start PT in the Morning. Being 6'3" and 330 lbs, makes me scarred that I will be able to get through the rehab. I was told that I'm going to be here for 7 days before I can go home. At least here in Michigan its too cold to be missing good weather outdoor. I was curious how long does it take to return to work? It's hard to believe that I'm going to have to wait 6 months to play golf. I know this is forum for skiiers, however, this was the only web site to share experiences. Happy New Year to all.
post #789 of 10797
Wow, PT after only 4 days post surgery. I'm 2 weeks post surgery, had my staples removed today, and am supposed to stay in the velcro knee immobilizer as much as possible for another 4 weeks, before beginning PT. Ugh! Feel like I could do some PT starting now.

The OS reminded me that the sportscaster Chris Berman had this same injury as the rest of us, and ditched the knee brace and overdid it too soon, and had to have the surgery done again. Guess I'll take it easy for a few more weeks, as I definitely don't want to re-injure this quad tendon reattachment.

As far as returning to work, depends on what you do for a living. I'm a pilot and am off for 3 months, but your mileage may vary, depending on when you can start PT and whether your job requires precision use of your leg, etc. Imagine your fitness at the time of injury has some affect on recovery time too. Good luck to you.
post #790 of 10797

Surgery Oct 14...progress

Today marked the first day I have walked while leaving my velcro/foam "immobilizer" at home. I walked all over my office today and felt fine, no pain at all and as the day progressed so did my range of motion. Guessing ROM is still just over 100 degrees but have not been to PT as we have had a major snow storm for the last 8 days, yes folks 4 feet of the white crap.

Anyways for all you guys out there, go easy, do your excercises as I have been and hopefully your recovery will be smooth and pain free as mine has...touch wood.

BTW, although I can motion to climb stairs normally, I still cannot support my own weight on my injured leg to lift myself up to the next stair without using hand rails, although it is getting better each day and I have 14 stairs to climb to go to bed which is where I am headed right now...adios!
post #791 of 10797

From further down the road

I had a full left quads tendon rupture in April 2007 and found this forum was one of the few places I could read of like-minded people having similar experiences - though with consistently more impressive positive mental attitude than I had some of the time!

Especially pleased to see IDG on skis! I am just coming back to tell those of you feeling a bit down that I was initially very lazy about PT, am way less fit than most of you but was back on skis in a rather careful way in March 2008 and was skiing black runs and doing fast turns down the sides of busy pistes last week in France (where, by the way, the snow is truly outstanding right now). So although it's sometimes a bit grim and often very boring, you can and will work your way through this one.
post #792 of 10797

progress....yet not fully recovered

Hi All,

I had my surgery on Oct 2 (I think-around there anyway) Tomorrow it will be 14 weeks since surgery. Leftylimpalong- I am at the same place as you as far as stairs go"BTW, although I can motion to climb stairs normally, I still cannot support my own weight on my injured leg to lift myself up to the next stair without using hand rails, although it is getting better each day
post #793 of 10797
But I slipped on sat. and I swelled up right below or on the patella. It seems to have hindered my range of motion. I was at 94 last time I went to PT the Monday before X-mas. And, it seemed to improve over my visit home. Now I don't know what the range of motion is, although I feel my quads are getting stronger. Because of insurance, I won't go back to PT until next week. We have a lot of ice here and I don't use my brace anymore, but on the ice I have been taking a cane with spikes on the end when I walk long distances outside. I just bought a pair of boots with good traction so that I can walk my dogs. I just started walking them again (had a dog walker the past 14 weeks) and I don't feel totally secure-my main worry is thta I will slip and fall. I have heard though after 12 weeks the tendon should be repaired; so, I hope if I fall it won't rupture or tear. I start work full-time next week.

This really is a slow process and recovery--the good news( from what I have read on this board, is that it will heal and hopefully it will be as good as before.

I can't wait to start running and doing yoga again. I realize that skiing is out for this season......
post #794 of 10797

Un-welcome to the club...

Hi to all of you!
I am a newbie to threading. Like a lot of you I was researching the net after tearing my left quad tendon skiing at Alta, Utah Dec 15, 2008. After reading all of your posts it has given me a lot of confidence. I can't say I was skiing a double black, but it
was a very cold day with white-out conditions when I crashed. I am an intermidiate skiier who can no longer do bumps because of knee pain and I have been skiing for 36 years with no major injuries. We were on our 4th run of the day skiing on a new pair of Vokl AC-30's. There was about four inches of new powder, while making first turn on a green run (Dipsy Doodle) I hit a patch of ice and the next thing I know, I'm going down (my bindings did not release) and I hear or feel a ripping in my left knee. Although I was in great pain I was able to put just enough pressure on my left knee to ski the rest of the way down to the lodge. Since it was still snowing so hard and my wife was not as experienced driving in the snow, I drove to my sister's house in Salt Lake City. Once there I got my knee up and on ice. When my sister arrived she examined the knee ( she is a General Surgeon) and said I should have a MRI the next day. Here is where my story gets a little more complicated. Three years ago after recovering from a torn rotator cuff surgery I had a massive pulmonary embolism one week after the surgery. The doctors said I was very lucky to survive, I attribute my survival to cycling the last ten years. My dad who is a retired surgeon told me it is very rare to get a PE from shoulder surgery, it is much more common to get a PE from knee or hip surgery. I was on blood thinners for six months, which sucks because they will not let you participate in any activity in which you might fall and hurt yourself further. Two years ago while out skiing in Utah I was having some shortness of breath. My sister who was on call for the ER Trauma unit had me do a full pulmonary work up. We were afraid it might be a recuring PE, which can be an ongoing threat. No PE, but they thought they saw a tumor on my pancreas, so they did another scan and sure enouth there was a large tumor on my pancreas. I had two thirds of my pancreas removed a month later. Thank GOD it was not cancer, but I became an insulin dependant diabetic overnight! The good news is I am still very active, although it is very challenging now, I ride my bike up to 20 miles a day, I am an avid scuba diver who specializes in underwater photography and I can still ski. I am subject to low blood sugar reactions (hypoglycemia) where you can pass out, which I did this last May for 14 hours. I ride my bike, not as hard as I used to up to 100 miles a week, always monitoring my blood sugar. Same with skiing, after a couple of hard runs I need to check my blood sugar to make sure it is not going too low. Fast forward to Dec 16, I get a MRI at a clinic in Park City, Utah. Have an Ortho Doc with Eric Heiden Group (yes the Olympic Gold medal winner). He suggests emergnecy surgery in Salt Lake City instead of waiting until I get back to Orlando, Florida, which my sister agrees. I have the surgery the next day on Dec 17. I had a partial tear (30%) can't even imagine a full tear. We flew home on Sat Dec 19 which was shear torture for 8 hours. And now I have discovered a bunch of people who have had the same thing happen and have returned to skiing which gives me much hope. I am keeping my leg in brace when ever I go out which is to go to the Doctor once a week to get my blood checked, because I am back on blood thiners, remember you are more prone to a pulmonary embolism after knee surgery, so keep moving so your blood does not clot! Right now I am not scheduled to do any PT until early Feb. I can barely bend the knee although I can walk on it. Thanks for giving me hope... KJN
post #795 of 10797

11 weeks!

left quad tendon rupture from patella - 10/21/08 surgery - 10/23/08

11 weeks from my surgery and feeling better every day. Rom is 133 and quad getting stronger. I'm going up stairs without needing to hold on to the railing. Going down I have to hold the railing but alternating legs. I'm using the elliptical trainer as well as the exercise bike. Visited the os yesterday and he gave me permission to exercise without limitations. Yes!!!

To our newcomers, my overall advice is to be positive - don't dwell on the negatives of the situation you are in because there is light at the end of the tunnel, generally around 6 weeks, and you will get better. What worked for me may not work exactly for you but here is my experience: pt twice a week starting at 4 weeks from the surgery has been critical to my recovery. My pt started with gentle exercises, electrical stim and massage and has progressed by this point to about 2 hours each session of aggressive exercises, stim, massage, etc. The days I didn't do pt, I did about 2 hours of rehab exercises at home including heel slides that were critical in raising rom and quad strengthening exercises. I have been doing these home exercises virtually from the second week after the surgery. I also have been working out on upper body exercises with a trainer twice a week. As soon as I could, around 6 weeks I think, I got on the elliptical trainer for 30 minutes a session. Now I alternate between the elliptical and the exercise bike. Yes, all this exercise has taken a lot of my time but I am certain the discipline and frequency of the exercises have been essential to my recovery.

I had mentioned in an earlier post that I used a cpm machine for weeks 3-6 after the surgery. In retrospect, I am not sure it made a significant difference. The heel slides and stretching with a rope were more effective in achieving rom for me.

I am very interested in the discussions about when recovery is sufficient to allow us to ski again. I am an advanced skier and had plans to ski in Colorado at this time but nixed them after my injury. The os initially ruled out skiing for this season (my surgery was in October), but yesterday said it might be possible at the end of the season, perhaps in late March or April. I'm not sure about this and will wait another two months to see how I am feeling and what the os says at that time. My gut is that it might make more sense to wait out this season. For now, I got my snow fix by doing some nice snowshoeing with my son in the hills of western Mass. It was great to be outdoors in the snow again!

Good luck to all of our newcomers. Stay positive - you will get better before you know it! Happy New Year to all.
post #796 of 10797

Great forum

This is a great forum and, as many have attested, gives one a positive outlook on - at least for me - a brand new injury. (Well, injured the day before Christmas and surgery the day after => bah-humbug)

(I'll spare you the blow-by-blow, though it was one for the highlight reel)

If I may, let me ask a question of you guys who are down the road a bit. I am 14 d post surgery, started PT yesterday and am working on walking without crutches, increasing ROM (now at 45d flexion) and the ability to hyperextend my knee. Straight legs lifts too....

I'll make the following assumptions: a positive attitude is always good, it's going to hurt a little so suck it up, and this whole process is going to take awhile....

I am trying to wrap my head around "acceptable discomfort" and deleterious discomfort"

My current conclusion is that if it hurts along the suture line it is probably time to back off and if it hurts elsewhere this is probably the nature of the beast.

Thanks in advance for everyones time and great post.



PS - I am amazed at all the different PT approaches I have read on this thread.
post #797 of 10797

Me Too

Hey, finally a forum where people are talking about this injury.
I'm 9 days post op for a complete rupture of my quadriceps tendon and fracture of my patella. OS has me in a splint for 6 weeks. Start PT after that. I'm an ex football player, now a 47 year old desk jockey. Pain right after surgery was extreme (almost as bad as when I fell). Now, very little pain.

I appreciate this forum to see what others have gone or are going through. Through my football career, I had never heard of this injury. Post op, my OS used the words "As bad as it gets". Kind of scared me for what I was looking forward to as far as rehab. He has stressed absolutley no bending of the knee for 6 weeks, or may have to do it over again. Def don't want that.

It's good to see others are making a complete recovery. Hope for same.
post #798 of 10797
I got my cast's off on the 8th. They took x-rays and put I-ROM braces on both legs. The right one is opened to 20 degrees and the left one is locked. My Doc said the x-rays showed the pattela attachment on the left had pulled out a little so it will 2 more weeks to before it gets opened-up, worst case it has to get done over again and that would suck. My right leg buckled a few times on Thurs but has'nt since. Both of my legs are swollen the left more than the right but I'm icing them down and slowly getting better.
post #799 of 10797
Originally Posted by DavidM View Post
Greetings to all.

Now for the bad news. Both the OS and the PT suspect that I have the beginnings of what is called a Baker cyst in my bad knee. Its a collection of fluid behind the knee in the joint area. More than likely its being caused by a torn meniscus in that same knee. I knew about this when I had the QTR repaired, and the OS told me that this issue had to wait. We are hoping that more exercise and PT will clam it down. If not, then another round of surgery will be needed. I knew this all along, so it isn't a surprise. Time will tell where it is going.:

Can you tell me what happened with the Bakers Cyst? I hurt my knee skiing last February and since then it would be stiff in the morning every once in a while, but didn't really bother me. When I initially hirt it, I went to the emergency room and he told me it was probably strained ligaments. I played softball and swam quite a bit during the summer and no problems, but about a month ago it got really stiff and I could hardly go up stairs a couple of days. I noticed the puffiness in the back of the knee. Since then it has been really sore and causing me to limp like an old man. I went to the doctor last week and he gave me some exercises to stretch it. Just today somebody told me about Bakers Cyst and the symptoms fit. Just wondering how you made out.
post #800 of 10797
8 weeks, injury 10/24, repair 11/17

Well I've just completed 2 weeks of PT after the 6 week mark.

After the 1st PT session, my ROM was 110 deg measured on the cycle. After a week of PT my ROM improved to 120 deg. I also had my 2nd appt with the OS, I demonstrated a horizontal leg lift and he said that I was doing much better than he expected. I didn't tell him that I attributed my progress by disregarding his instruction to keep the leg immobilized for 6 weeks.

I also started doing steps....initially using 2" steps and progressing to 4" steps. I can now climb the stairs at home (7.5" step) bad leg first without support. The therapist said that my leg might be strong enough to use the StairMaster machine next week. I think that will help me greatly.

This forum has helped me to realize how serious the injury is and provided valuable information about what to expect. My discussion time with the OS was less than 10 min so I didn't get much usable information from him. This forum has given me a realistic range of expectations of the progress that I can expect during recovery.

For some of the old timers, I would like to know how long it took for your leg to feel "normal" again. I can feel a dull ache when I sit for too long, while sleeping, and when I walk. My walking is getting better, I've resumed taking ballroom dance lessons again, but I still limp and am continually reminded of the injury. Also the ache has migrated to the quad muscles rather than the patella which I think is a good thing.

Life gets better once your ROM reaches 90 deg, you can do horizontal leg lifts, and have started PT. Some others in this forum started PT within weeks, and I don't know why my OS had me wait for 6 weeks before starting.
post #801 of 10797
Hi Super,

My pt constits of quad set, anke pumps and butt crunches. I'm also recieving OT, learning how to get up with 2 bad legs. I'm hoping to go home on 15th. OS said no stairs for 6 months
post #802 of 10797
Thread Starter 

Feeling "normal" . . .

Jerry: Feeling "normal" is something I am still striving for, almost 12 months after surgery. I have yet to "forget" that I have a weak left knee, and perform at an athletic endeavor as if it were more than a year ago. It is coming, but slowly. Was nordic skate skiing this weekend- did about 20K, but I had to take slow, choppy strides while climbing long hills - not long graceful strong ones. Similarly, when I am going downstairs, I "fall" off the bad leg onto the good one on the next step instead of lowering myself down. It is improving, and I look for those improvements on a weekly basis - that is, I can feel it strengthening over the period of a week rather than a day or a few days.

Went back to the PT for the first time since last June. She was impressed with my progress in some ways (i.e. long distance bicycle rides, snowshoeing into a yurt), but not in others - the lack of strength at terminal extension of the knee worries her. She tells me to focus more on really tightening up the quad during quad sets while the knee is extended past 180 degrees if possible. I still think I'm going to get back, but I have a ways to go until I am "normal" again. The goal right now is to be alpine skiing by April (at least a little bit), and to do the Boise - Ketchum 200 mile team stage road race the first weekend of June. I think I can get to the point cycling where I don't slow my teammates down.

Flatlander: I think your assessment of "good" and "bad" pain is exactly right on. Don't do something that feels like it is tearing, but on the other hand, if you are not hurting a little while doing PT, my guess is that your healing will be delayed. Good luck!

rlb: I hope you can ski this spring! I had surgery on Feb 2 of last year, and am hoping to alpine ski by this spring (I actually believe I could alpine ski now, but know myself and believe I would try to push it into the bumps and terrain, and would ramp up the speed to the point where I was torquing on the repair - so I'm holding off as long as I can). I don't think you can judge your "skiing date" by my progress, though. As Vermont Soldier's OS said: "every injury is different" and will require a different rehab regimen. If you feel strong enough in the weight room and on a bosu ball, I'd encourage you to ski - and report back so we can celebrate vicariously.

Welcome to all of you newbies - I am very sorry for your injury. Positive attitudes, though folks! Life is still sweet - you've got your loved ones who are pulling for you - we can do this!

Hang in there.
post #803 of 10797

Feeling "normal"

I concur with Idaho Guy, feeling normal seems like it is taking a LONG time, improvements are weekly/bi-weekly.

Idaho Guy I have been having success with doing peterson step ups to fix my weakness VMO vastus medialis oblique (quad muscles around knee) and really focusing on doing very strict slow form when lifting weights focusing on really flexing out at extension. I would not worry to much about the weakness at terminal extension, think this is going to be the last thing that comes back.

post #804 of 10797

Gotta stay encouraged

Wow, this road looks longer all the time. I'm at two weeks post op. Only another 50 weeks to go! Tomorrow I go in for my first post op appointment. Found out today I will be seeing the PA instead of the OS. Not sure if that is good or bad. Should get stapels out, so will be able to take a shower. I'll be asking about getting started on some PT, but I expect he'll tell me not yet. Post surgery the OS told me no bending the knee for 6 weeks.

Leg is feeling good. Very little to no pain. Can walk on it some but a little unstable. Don't know if it is the knee or the splint that causes me to be unstable. I can lift the leg a little bit (very minimal). I try to get outside and walk with crutches each day as weather allows. Luckily its been unseasonably warm around here.

I am hoping to be released to go back to work at least part time. I am bored out of my mind right now. Still haven't figured out exactly how I'll get to work. Can't get in the drivers seat for either vehicle.

Wife and family have been excellent to take care of me. Youngest kids are back in school and older Kids go back to college this week, so it will be mainly my wife and I. SHe has been great. I'm really going to owe her big time after this. After Wed. I'll be home alone. Wonder what trouble I can get into then?
post #805 of 10797

There is something to be said for being a 50 yo guy with a 7 yo son who has the ski itch! Vermont has had some great snow and cold temps this year. We have gone out to crank the boards twice in the last week and all is well. The quad gave me no performance issue with the exception of being maybe a little sensitive to cold. Maybe. It was about 10 degrees the first day. Stamina was not what it usually is in that i was ready for an afternoon break by 2pm. I stayed on the green and blue trails but the steeps were calling. I did one very icy single black with no trouble. I was tentitive. It even felt good to get up some speed on the wide cruiser trails. I hate to gloat but last April or May, I couldnt have imagined how great it would be to get back out on the boards.

Life is good for me this season!

IG, the yurt sounds like a hoot!

The best of days! VS
post #806 of 10797

Good Report!

Just got back from my first post op visist with OS. Two more weeks in splint. No bending. Get rid of splint in two weeks, start PT then. Weight bearing now as pain allows (no pain - I've been going for short spurts with out the crutches already). Can go back to work next week. Good news all around!

So: Total 4 weeks no bending knee. THen start PT. Thats two weeks shorter than originally planned! I can start straight leg lifts now. Any other exercizes that I can start though keeping a straight knee?
post #807 of 10797
Surgery 11/12/07 Rt quad tendon to tendon

Welcome to the new members of this group! sorry for your injury, but you found a good thread to learn and have support. Attitude is key, plus doing your rehab work. And attitude is more difficult than exercises!

Falcon71: welcome. you mention former football player, hope you weren't one of the ATL Falcons that beat my Vikes in MSP in '98! There is one link, I listed it April 07 (??) of a Browns pro who had the injury in Sept (?) and was back at training camp the following August! Of course he had continuous assistance and rehab, but still, that is a different level of activity. He was an offensive lineman, so legs are a huge key!
Think you mentioned (or someone?) seeing PA vs OS on first return visit. Me too! I was disappointed. But after the visit realized that first visit was to simply remove the stitches and change bandages etc. So no real reason to see OS.

Jerry: feel normal....i am still aware that my injured knee feels different...the "band", but no real pain, although I experienced more discomfort at -10F. I can do all I want, but know the "knee is there". Sleeping I am more comfortable if neither of my legs (side sleeper) is on the other. My OS felt that was nerve issues at incision/repair points.

Best to All!

Keep Pluggin'


PS: Will---you still there? Ben is back as one of our County Commissioners, as you I am sure know. Best to you! B
post #808 of 10797
Bulldog, Nope, never made it to the professional ranks. Small college as far as I went before knee injury ended my career. Now my bad knee is my good knee. When I tore my Quad tendon, my wife asked if it was my good knee or bad knee. I replied it WAS my good knee.

I am aware of the Browns player you mention. I have a copy of the rehabilitation program he used. It was in a write-up from his PT in the ProFootball Athletic Trainer Society Newsletter. Basically he was 6 weeks immobilized then a 26 week rehabilitation. This seemed to go along with my OS expectation as a time table for recovery. Like you said though, he had access to unlimited equipment, a full time PT, etc.

As far as seeing a PA vs the OS, it seemed to go OK. THe PA was knowledgeable about the surgery and answered all my questions as he assisted the OS during the surgery. I think he is optimistic as far as my rehab. He thought I would be good to go 6 weeks after removing my immobilizer. No brace would be used after. Yesterday, just moving my leg a little and getting ""a feel" for how my quad is doing. I can barely raise my leg in a straight leg lift. I can definetly feel the strain/pain in the knee where the tendon was reattached to my patella and my Quad is so weak! It's only been 2.5 weeks since the injury. I can only imagine how much weaker my quad is going to get in the next two weeks. I have to keep in mind this is a marathon, not a sprint.
post #809 of 10797
Falcon71: Yes, it is disheartening to lose the quad strength. My initial instructions sent home from surgery were leg lifts. I couldnt!! I could with assist from my good leg, but I was really down about that. Finally! On day 12 post surgery I managed 5 unassisted leg lifts!! I was so excited I noted it on my daytimer! And within 24 hours I fought to 20 unassisted! That was Nov 24. I was excited to be "coming back"! Then around Christmas, a friend saw both of my legs side by side and commented, your injured leg is 1/3 your other!!!! I hadnt noticed! But when I looked, I could see how much the injured leg had atrophied. It took, hmmm, maybe till the end of Feb or mid March before I could not notice a difference looking down. But!!! It does come back.

Some of you may recall I do a lot of yard work including woodcutting on my acreage. In April I was doing all my workout stuff plus cutting wood one weekend. It kicked my knee!!! Well, when summer came, June, I felt my outdoor activities were sufficient to keep me in shape. When fall came and I went back to my club I realized the difference!! Working out on a regular basis is not a substitute! Especially for us lucky ones that belong to this thread! I am not going to make that mistake again.

I should say, I have repeatedly reported the tightness, the band, and my OS felt it may be due to nerves at the surgical repair. After getting back into the routine at the club (typical leg, upper body machines, + pool work), that has minimized. Not to the point of unawareness, but minimized. When I finish my machine work (about 75 min worth), I go to the pool and "run" with 15# weights for 10-15 min, then 5 min without weights kicking my legs up as much as possible. I finish by holding my surgical area on the "in-jet" of the pool, letting the water pressure massage the incision, kneecap and repair area. I like that addition to my routine. The pool is great for those that have access, and if you dont have access to one, search one out if you can.

Best to All!

Keep Pluggin'

post #810 of 10797

New to this forum - Torn Bilateral Quads, Now What?

Boy, am I glad that I found this forum! Long story, short: I suffered torn bilateral quads falling down a set of cement stairs on the first day of my family vacation in the Caribbean the Monday before Christmas 2008. After a 12 hour adventure to get back to the states (my OS diagnosed my injuries over the phone, long distance), I was operated on Christmas Eve and spent 6 days in the hospital and then 12 days in subacute rehab learning how to make simple bed-wheelchair / bed-commode transfers and to begin low impact isometric PT / upper body strengthening and some OT. I am now home (in a rented hospital bed). My immobilizers are still on 4 weeks following surgery and my first visit with my OS is this Thursday, 1/22. I am hoping to get some definitive answer about starting regular PT and hopefully, a heads-up about losing these damned immobilizers!

I am a 51 year old male, 280 lbs. and pretty active. I'd like to hear from anyone nursing bilateral quad injuries and to also find out about your recovery and rehab experiences. This is by far the most difficult and uncomfortable experience of my life. Fortunately, I'm off the Percocet (although I have been warned that PT will be painful). So, any folks who have advice and stories to tell, please feel free to write away! Thanks for any advice ... Tom in NY
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