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Quadriceps Tendon Rupture, Repair and Rehab - Page 300

post #8971 of 10860
Quote:
Originally Posted by Jaded View Post

Hello fellow female rippers. Put me on the female pile. I am 64 yrs old and fell on my kitchen tile floor March 6 and surgery was 10 days later. I also broke a small piece of my patella off which the os reattached by tying a string thing around it like a little package. I haven't read about very many of patella injury along with qtr did your patella break? Going to see the os today to see if I can stop using the immobilizer and a general check up.Actually I haven't had it on for several weeks even though his aide told me to. I bought a heavy duty knee sleeve made by Futura. It is comfortable and adds some stability. Helps with the confidence.My rom is about 105 at 11 weeks. I've been to pt a few times but they feel bad for me because of my 75 dollar copayment . So my pt guy gives me stuff to do everyday at home.. I have been walking and putting weight on it very early after the surgery. No real complaints other than missing the best fishing season this spring. I live in Florida and glad there's no ice issues here. I do however get swelling from the knee down to my ankles after exercise , guess that's normal. I also have a brown bruise on the back of my knee I need to ask about , doesn't hurt or anything just ugly. Most knee surgeries here in Florida are knee replacements so my pt guy is very familiar with those and says he has never seen our type of injury. I think I am going to see if I can find a new pt center. I've learned more reading this site than I have from any other source.


Hi Jaded.

Welcome aboard. Sorry you had the injury that then led you to this board. I am in a very small town and my injury, QTR, was only his 2nd. I think he did a good job, But yeah, it would be good to find a PT where you are that are somewhat familiar with your injury. Perhaps talk to your OS about it. And as far as that bruising behind the knee, I posted about mine with image back in April. http://www.epicski.com/t/66016/quadriceps-tendon-rupture-repair-and-rehab/8460#post_1869088  OS said is was just cosmetic as in didn't look great but was nothing serious. Like old blood caught up in the skin. You are right, this is a good forum. Good luck with your recovery!

post #8972 of 10860

Just finished week 19 since surgery.

Yesterday, mowed the yard, laid down newspaper in the garden placing clippings on paper to combat weeds. Leg was really sore after that, but drove 130 miles to mountain house to replace 4 ceiling lights. Was up on the step ladder to do that. Drove home 130 miles. Got up this morning and had a lot of difficulty walking. Lots of pain when putting weight on repaired right leg.

But the pain was outside of knee, below patella. I think behind patella tendon and more than likely the bone.

 

I had to do something as I had prescriptions to pick up at the AFB and had to deliver a 55 gallon plastic barrel over to my son's place, a 70 mile trip for the two things. And I was back on the cane to be able to walk! That sucked!

 

ANYWAY, took an 800mg ibuprofen, and that did not do it. Split a 10mg Oxy, and that did not do it. Took the other half of the Oxy, and that took the pain away. That was 7 hours ago, and pain is still subsided.

 

Knee is a bit stiff and slightly swollen, but otherwise fine. At least it is not pain in the quad area. I guess with weakened muscles in the thigh, the body will tell you when you're over doing it! We had a front move through today also.  I swear the pressure changes from storm fronts will affect knee injuries.

post #8973 of 10860
@Jaded
welcome to our little club. Sounds like you had what's called an avulsion fracture off of the patella. (I'm a PT and yes, we also are susceptible to physical maladies.) The ER dr thought i had one but i didn't. Actually my second surgery was the day after yours. My rom is about the same as yours which makes me feel a little better.
As far as your PT is concerned, knee rplacement rehab is quite a bit different than quad repair rehab.
There are quite a few different protocols on the internet, so if your PT doesn't have a big ego you could take some of those protocols to PT and see wha he/she says. And since you are doing quite a bit of rehab independently, you canadd to your exercise program drawing from those protocols unless your PT has strong reservations about those exercises. Like one of our contributors said, take ownership of your rehab. As you can see there is lots of info in this group. Take advantage of it. Even i've learned quite a bit from these guys. We're glad to have you with us!
post #8974 of 10860
:)Dbrow16 and fifedog! Thanks for the nice welcome to this special place! I had my appointment today and my OS told me I could chuck my brace! Yay! He is fine with my Futuro stabilizer knee sleeve. Told me to consider the immobilizer if I am in a crowded place, it helps just to keep people away from me. He was pleased with my progress and told me I'm doing remarkably well. I was also told to go to one more pt and then do it on my own for 3 weeks and come back for hopefully the last visit. He didn't fuss about my rom but seemed good with it and told me perhaps I may not be able to bring that foot all the way up to my butt but to try. The bruising on the back of the knee didn't concern him at all.
My what a long journey this has been. I look in my closet and see two immobilizers, a walker, crutches, cane, exercise bike, neoprene sleeves. I can start my own store. Does anyone know what charitable organization that I can donate this stuff to in the future. Superstitious to do that so soon though. Overall this old gal is pretty pleased right now.
post #8975 of 10860
@Jaded
if you only have one more PT visit you'll need one of those protocols. Take several to your PT last visit and see if has any preferences. You might want to keep those assistive devices for walking as you might need them in future years. I've used my crutches cor achelles, knee scope and two quad tendon repairs. If you still want to give them away, a senior center i your town might have an medical equipment room for donated eqjipment to lend to people who can't afford any. Or maybe a church you know of may have something like that. Any equipment would be greatly appreciated.
Finally, your journey is not even a quarter done. You'll be exercise for many months! But it's both the journey and the end result
post #8976 of 10860
Hey folks, I hope is well with everyone. Finishing week 13 of this journey and I think I am doing fairly well. ROM is at 117 as of today, I can do thirty minutes on the treadmill at 2.6 mph, up to using seven lb leg weights for my injured left leg, did a higher level of resistance on the recumbent bike today for ten minutes and I can really feel the difference. My leg aches the majority of the time but is getting better, my gait gets better everyday but still a ways to go. I can walk up steps carefully left, right, left etc. No brace for almost three weeks. I was wanting to know what slip on brace or knee stabilizer that you all would recommend for those times that I would need extra support, for example walking in the yard or any place that may not be stable for this point in the recovery process. As for the little victories, I can tie both my shoes and put my socks on normally. I was so excited on Wednesday of last week to do steps normally (almost) I had my wife come and watch what I could do! She mentioned to me again how she never realized how devastating this injury is (she is an RN). She also appreciates these minute but huge steps I have made since therapy began around six weeks ago. This being my first "disability" and at 55 yrs of age each little victory can be a bit of emotional event, I never would thought how humbling this injury can be but there is light at the end of that tunnel

Thanks!
post #8977 of 10860
Has anyone downloaded the app Goniometer on their iPad/iPhone? I use mine all the time. My PT measured it against his ruler like Goniometer and declared it very accurate. I find myself looking at people's knees when they are sitting, walking, etc and try to guess their r.o.m. I marvel how far that knee can bend. Never crossed my mind before...sigh . I guess I will be mentally scarred for life .
post #8978 of 10860
Quote:
Originally Posted by Fourdogs View Post
 I was wanting to know what slip on brace or knee stabilizer that you all would recommend for those times that I would need extra support, for example walking in the yard or any place that may not be stable for this point in the recovery process.

Donjoy makes a very good brace. I have the deluxe hinged one. You might get buy with the slip on without the hinge.

http://www.betterbraces.com/donjoy/knee-braces

post #8979 of 10860
Quote:
Originally Posted by Fourdogs View Post
I was wanting to know what slip on brace or knee stabilizer that you all would recommend for those times that I would need extra support, for example walking in the yard or any place that may not be stable for this point in the recovery process.

Also if you want a one that's under 20 bucks I use a Futuro (3M) model 46164. It has two flexible stabilizers on each side. Drug stores, Walmart , target, etc sells the. Blessed by my O.S. It's tan in color to help you find it. Easy off and on and no Velcro straps!
post #8980 of 10860
Quote:
Originally Posted by dbrow16 View Post
 

Donjoy makes a very good brace. I have the deluxe hinged one. You might get buy with the slip on without the hinge.

http://www.betterbraces.com/donjoy/knee-braces

 

Quote:
Originally Posted by Jaded View Post

Quote:
Originally Posted by Fourdogs View Post
I was wanting to know what slip on brace or knee stabilizer that you all would recommend for those times that I would need extra support, for example walking in the yard or any place that may not be stable for this point in the recovery process.

Also if you want a one that's under 20 bucks I use a Futuro (3M) model 46164. It has two flexible stabilizers on each side. Drug stores, Walmart , target, etc sells the. Blessed by my O.S. It's tan in color to help you find it. Easy off and on and no Velcro straps!


Thanks!!!!

post #8981 of 10860
Oh one more thing about the Futuro brace, it comes with a cut out for the patella. It's the only thing I don't like about it, it kinda bothers my scar which is a teeny bit still sensitive so I sewed that hole shut.
post #8982 of 10860
I am a 68 year old male that ruptured my quad on Sunday and have it repaired on Monday. This site has really helped me get ready for the long rehab it will take but since I am a super type A and can not stand to sit around. What did you do to make the days go by at first when you could not really do anything? I am also type 2 diabetic and this is considered high risk for me so the healing will be longer they say. Any words of wisdom will be helpful. Ken
post #8983 of 10860

Hi all -

 

My unilateral, 75% torn R QTR happened in November 2013.  I'm still rehabbing it.  It is a devastating thing, but you can beat it.  I've had to keep putting one foot in front of the other, literally and figuratively - every day, every day.  Consistency is the key.  On the topic of knee sleeves, I use the Mueller closed patella sleeves...$12.99...pay no more!

I have one other piece of advice for folks new to the injury:  be aggressive, yes, and be consistent, but BE CAREFUL.  This is an injury that does not heal in a week, and pushing things beyond reason will get you sent back to the start.  The UW protocol that's often refereed to here is excellent.

I have a question for the oldsters here.  I am pretty far along in my recovery, but the quad muscle on my surgical leg is still not quite there.  I'm working on unilateral leg presses but I'm interested in exercises that others use to get to the last ounce of recovery, particularly for the supporting muscles, and in the context of having moderate-to-severe OA (both knees).  Thanks!

 

- Stats Master E (Eric, but there's a lot of Erics here)

post #8984 of 10860
Quote:
Originally Posted by Kenneth Craven View Post

I am a 68 year old male that ruptured my quad on Sunday and have it repaired on Monday. This site has really helped me get ready for the long rehab it will take but since I am a super type A and can not stand to sit around. What did you do to make the days go by at first when you could not really do anything? I am also type 2 diabetic and this is considered high risk for me so the healing will be longer they say. Any words of wisdom will be helpful. Ken

Hey Ken.

 

Sorry to hear about the injury. I hurt mine on 12/29 and surgery was 1/7. 15 weeks into rehab that was going really well I re-injured it and have been in a cast (first time brace) for 5 weeks. Anyway, I have had a lot of down time. I like to exercise even in the winter. One of the pluses of having to go through this again at this time of year is the nice weather and NO ice. First time around I couldn't go anywhere because of the ice. So it's important that you get out and gets some sun and air. If you have any way to work the upper body, do it. Try to find something every day to keep you occupied. It's tough, but we all get through it.

post #8985 of 10860
Ken, I'm almost 18 weeks post op. Jeff is correct, do upper body exercises as soon as you can even if it's band exercises. As passing the time, think about something you've been wanting to do and never have. For example, I enjoy fishing. I've always wanted to to try and make walleye tackle. I looked on you tube where I found video on how to make stinger hooks and crawler harnesses. I bought the items I needed and by the time I was more mobile, I had over 100 stingers and 100 harnesses. Obviously 100 of each is way more than I needed (except for stinger hooks...darn snags) but I gave away alot of harnesses to friends. Hopefully you'll find a hobby so you can keep your sanity.
post #8986 of 10860
Quote:
Originally Posted by Jeff the Klutz View Post

Hi all.

Thought I'd poke my head in the door and see how everyone's doing. I don't have much to report on my re-injured QTR. I'm in a cast still. After tomorrow I'll have less than two weeks till getting this cast off. I just hope and pray that when the cast comes off, the knee will be recovering like it should. I'd hate to have the OS say, looks like you need more cast time. Another reason I haven't been coming over to the boards is a selfish one. It's hard for me to see how well everyone is doing and advancing while I took a HUGE step backwards. Anyway, this recovery really will be slow and easy. Just be careful until you are fully recovered. One thing is that my circumstance (re-injuring after 15 weeks post op) is very rare. So it most likely won't happen to you. After I get this cast off, I get to go back to my old buddy the brace. :-) Here's a recent pic.


stay strong!
post #8987 of 10860
Quote:
Originally Posted by KneeToKnow View Post

Day +62

Milestone(s) this week: Up to 4.25 inches on step ups/step downs; can ride exercise bikes now; able to enter cars normally, ie; pushing off with quad leg, from the drivers side (still need extra step to swing legs inside); no longer using brace even for deep knee bending exercises; ROM is up to 95.

Walking gait is unchanged from last week; apart from still needing to 'skip step' the quad leg to keep up with the other, in terms of overall balance, stability, front to back and side to side weight transfer over level and non level surfaces, the consistency level has been solid. Coming out of a theatre early in the week, going across the lobby, which was carpeted, to the walkway, which was tiled, I didn't notice until my feet started sliding out from under me that the floor had just been mopped and was still slick at the time, but I just steadied myself, kept going, and it was over so quickly I'm not sure if the person holding the door open for me at the time paid it much attention.  

Last week, I estimated the quad leg to be at 35% of the other leg, but since then I've come to believe that estimate was way too high and the true number is probably a lot closer to something like 25%, which rather clearly tells me where my priorities need to focused going forward.

And why is the estimate being lowered this week? Glad you asked. I have been doing step ups/step downs for nearly a month now, starting with a true crime paper novel, which was all of something like .5 inches, eventually making it to something like 4.2 inches at the moment, and just like I read somewhere I'm supposed to, I knock out 10-15 reps x3, try to do it twice a day or more, and afterwards the quad leg is so exhausted for a time afterwards my knee hesitates (locks?) when I try to move around normally. Now contrast that to the effortless motion of the other leg doing the same exercise, not even feeling it afterwards, and there is no comparison.

Another example? That would be doing leg presses in the gym, and for those who may be a little unfamiliar with it, this is the exercise where you are sitting down and pushing both legs in against an angled platform with weights attached to it. I started doing this again for the first time since surgery last week and noticed when I was finished with the exercise, whatever effort it was taking to push that platform, the real challenge was getting my quad leg off the platform without letting it just plop to the ground. Apart from grabbing and lowering it with my hands, what I eventually came up with was to lift up the leg first and make sure I had it, then let it down. In other words, I had to use a counter motion in the place of just simply moving the leg wherever that happened to be in its normal range of motion. And once again the contrast to doing the same thing with the other leg, which is to say I never think about it; I even rest the other leg on the platform between sets--it doesn't matter.

Point being made is that in terms of strength and flexibility, no way around it, the quad leg clearly has a long way to go, regardless of how well I might otherwise be able to fake 'normal' walking right now.

Rear and side walking has been one of my staple exercises from the very beginning, for the safety offered by something that could be done while still wearing a brace and also for specifically targeting and strengthening the quad early on, but now I've modified it to make it a lot more challenging. First I no longer do the movement with a brace on anymore, and now I also go as low as possible with the knee bends. The benefit of doing it with a deeper knee bend is that it helps to build stability and strength further out in your range of motion. It's the difference between the knee strength it takes to support a standing position as opposed to getting to your feet from a seated position. The motion could be described as almost like a reverse lunge in that the legs don't cross one another, more like a crab walk instead, which is what I call it now. 

My (new) Typical Routine


At Home

Session #1
  • Step ups/step downs over 4.2 in books (10-15 reps x3)
  • Treadmill 45-60 min @2.0 mph
  • Myofascial release/massage of quad/VMO area with roller stick
  • Seated leg raises (20 reps x3)
  • Seated Leg extensions with exercise bands (20-25 reps x3)
  • Seated Leg press with exercise bands (15-25 reps x6)
  • Myofascial release/massage of quad/VMO area with roller stick
  • Seated quad stretches held for 1-3 min (x3)
  • Myofascial release/massage of quad/VMO area with regular roller

Session #2
  • Seated quad stretches held for 1-3 min (x3)
  • Myofascial release/massage of quad/VMO area with roller stick
  • VMO exercise on treadmill (to exhaustion x3)
  • Decline scrambles (to exhaustion x3)
  • Wobble board (10-15 min)
  • Rear and side crab walking with deep knee bends (30-40 min)
  • Walking lunges (10-15 min)
  • Seated quad stretches held for 1-3 min (x3)
  • Myofascial release/massage of quad/VMO area with regular roller

In the Gym

Deadlifts @60 lbs (8-12 reps x3)
Squats @55 lbs  (8-12 reps x3)
Leg Press @55 lbs (8-12 reps x3)

Nothing is more comical to me than the mental exertion I put myself through every time I do step ups/step downs other than going through the back door of my house from the courtyard, which is about the same 4 inch step. Does my quad feel good? Did I get enough rest the night before? Did anything feel funny the last set I did? Does that pulling sensation mean its time to stop now? Am I going down too fast? Will the tearing come from the top of the leg or near the knee cap this time? After I've somehow done 2 sets and only have one more to go, I start replaying them in my head in an endless loop until the final set is done, but regardless of how many I do that day, I can never look down at the leg lifting up and setting down--never! Can't imagine I'm still remembering how I hurt it in the first place (sigh).
impressive rehab routine!
post #8988 of 10860
7 weeks... about 105 degrees... lots of time on the new step machine...did my first revolution on the recumbant bike... took my first stair step... using leg press machine and 5 pound leg extension. Brace at 90 when walking. No more crutches....promoted to Nordic walking poles. Had to relearn how to walk. I forget who recommended the roller for my prior is syndrome but I got one and it works great.

I continue to be impressed by the progress and posts of others.

Final observation... as stated before, my identity in the, town I live in was the exercise nut...biking,running,swimming,rowing,bodybuilding...lots of time in the gym. Now, on a daily basis, I need to tell my story as curious onlookers who were used to seeing me zipping around everywhere or pounding out sets in the, gym come up to me and ask what the heck happened to you. I must have told the story a thousand times.

Happy healing

Mega
post #8989 of 10860
Quote:
Originally Posted by Stats Master E View Post

Hi all -

My unilateral, 75% torn R QTR happened in November 2013.  I'm still rehabbing it.  It is a devastating thing, but you can beat it.  I've had to keep putting one foot in front of the other, literally and figuratively - every day, every day.  Consistency is the key.  On the topic of knee sleeves, I use the Mueller closed patella sleeves...$12.99...pay no more!


I have one other piece of advice for folks new to the injury:  be aggressive, yes, and be consistent, but BE CAREFUL.  This is an injury that does not heal in a week, and pushing things beyond reason will get you sent back to the start.  The UW protocol that's often refereed to here is excellent.


I have a question for the oldsters here.  I am pretty far along in my recovery, but the quad muscle on my surgical leg is still not quite there.  I'm working on unilateral leg presses but I'm interested in exercises that others use to get to the last ounce of recovery, particularly for the supporting muscles, and in the context of having moderate-to-severe OA (both knees).  Thanks!

- Stats Master E (Eric, but there's a lot of Erics here)
Your words of advice to us relative "newbies" are encouraging. We kind of knew already but it ALWAYS hells to hear them again and again.
About your question about exercises to strengthen all muscles, generally the best type of exercises are closed chain exers, ones you do in standing. I'm sure you have done them before during your formal rehab, but they still can help, especially those where you are moving. Any kind of lunges, lunge walking, monster walking espcially with t band around your legs, etc. Also, any of those where you're stepping/lunging onto an unsteady surface are even better. That would be something like a BOSU ball or an inflated disc called DYNA DISC. When you have to maintain balance when transfering weight onto a more uneven surface, that forces your leg muscles to work harder. Not sure if that's what you were asking about but it couldn't hurt your further progress.
post #8990 of 10860

Day +70

 

Milestone(s) this week: Deliberately stepping off curb on quad leg; ROM over 100+.

 

Overall, I really wanted to focus on basic strength building since realizing from last week how far the quad leg has fallen behind the other one while continuing to work on more range of motion, and I thought I accomplished that for the most part while getting a welcome, though unexpected contribution from the PT along the way. The biggest challenge was backing down semi gracefully after failing repeatedly to reach ad hoc emotional rehab goals I clearly was not ready for at the time, but the good thing to come out of all that was to positively identify a specific exercise to focus on going forward. Among the highs, the one that stands out the most was deliberately stepping off a curb with the quad leg for the first time since surgery.

 

Health wise, leg swelling has started to come down and stay down since elevating my leg when sleeping and wearing compression hose during the day; quad leg tends to be tight and stiff anytime it comes off and for right now I'm just going with it, but it is starting to become a concern. Lastly, myofascial massage is definitely a keeper.

 

Walking gait has started to branch off along two paths. When there is tightness, generally in the morning and anytime the compression hose is off, the way I've described it to my PT is that I look like I'm in a pirate movie the way I hop around on the quad leg, but when it's loose the 'skip step' needed in the past to keep up with the other leg is not very noticeable these days, if it's even still there at all. In terms of overall balance, stability, front to back and side to side weight transfer over level and non level surfaces, et. al., there have been maybe one or two hiccups where the leg was planted and the knee continued to go forward, however briefly, but other than that the confidence has remained solid.

 

In the gym, I did a lot more than I had any reason to expect at the time. I had assumed there would be some type of pulling or strain from the quad side that would keep me from completing full exercises, like the first time I tried to pedal on my bike, for example, and was prepared to accept getting as much as I could from it just the same, but much to my surprise, none of the heavy leg exercises I did put any appreciable strain on the repair site whatsoever, and maybe I also had some pent up frustration to get out of my system as well. I started light early in the week, progressed to medium with still no problem, and after that I just went for it, all the way to 315 lbs on leg presses and squats and 185 lbs on dead lifts.

 

 

I wanted to start off doing squats because of the extra focus and effort involved in going down and coming up under control with a weight on your back, but someone else was using the rack when I got there so I started off on the leg press machine (see above), which has its own challenges in that you are letting a lot of weight come down on your legs while bending your knees all the way back at the same time before powering it back up, and once I realized everything was holding up just fine at the lighter weights I tried to make it as challenging as possible for the time I was doing it, and probably tired myself out when I was finally able to do some squats, but by then I was having too much fun, even if I was barely lifting the same weight as before, but the whole thing with squats is that not only are you lifting against whatever is on the rack, but also your own body weight as well, which is one of the differences between the squat and the leg press, so all in all I was still feeling good and decided I wanted to do some dead lifts next.

 

Up to this point, I had been doing dead lifts by taking the bar off the rack and doing the reps from a standing position without first lifting it up from the ground, which is how it's normally done, but that initial lift with knees bent is an explosive type of move I really wanted to be careful with at the start and I had been all during the week, but as tired as I was by now, I still wanted to try it, so that's what I did and after a while, just like the other exercises before, I stopped mentally pausing to see if anything in the quad was straining or hurting as the bar came up, and considering how tired I was, I thought 185 lbs was ok.

 

On the down side, although I could finally fit the quad leg into the leg extension machine, which was some small victory in itself after trying for the past few weeks, I could barely manage to lift the swing roller for repetitions even with empty weight once I was on it. Oh well.

 

At home, step ups/step downs were easily the biggest disappointment of the week, but not because of the exercises per se, which I actually did much better with than before, but what I hoped they were leading up to, which was going up and down stairs at some point. Starting modestly with a half inch paperback novel last month on my own, I had worked my way up to 4.2 inches by last week when the PT decided just for the heck of it to have me do step ups over two phone books taped together, about 6-7 inches, as a 'new' exercise I was able to do something like 80-90 reps on by the time he came back, so I thought I was ready to graduate from phone books to real stairs and long story short, it was simply a disaster.

 

On the technical side, the way I had always done step ups was that I always went back when I stepped down, so needless to say I was unprepared to step down going forward the way you would with real stairs. In practical terms, once I made the commitment to step down, I was not able to bring my foot down under control as much as land on it with all of my weight and momentum coming forward, like lunging almost, and it didn't matter how high or low I was stepping down from to start, so going downstairs for real was completely out of the question. 

 

When it came to going upstairs, on the other hand, I found I simply didn't have enough ROM to swing my foot over the top of the next step in rhythm, like I could hit just below it, but no more than that, and it was so close I thought maybe I could lean the foot over anyway if I could get up on it closer, or exaggerate the movement somehow, or not bend as much, whatever, but all I managed to succeed in doing by trying to lift my foot to the next step without having the ROM to do it properly by the end of the day was to give myself a very painful hyper extension of the knee and a valuable lesson going forward: stepping up and down over phone books is not the same as real stairs, and if I ever expect to do the latter like before my surgery I will clearly need to do a much better job of owning this particular exercise.

 

With PT, I have to say he really stepped up his game this week and at times actually had me working harder for him than for myself, which I like to believe doesn't happen all that much, if at all, but give the man his due, at the time it was just what I needed. I had already been doing step ups/step downs on my own, but always conservatively, and when he pulled out 2 phone books taped together and asked me to step up on them as a new (for us) exercise '...and I don't even care how you step down', I went up quite a bit higher than before (6.5 to 4.2 inches), with a lot more repetitions, and at the time I couldn't have been happier, even if it did lead to a false sense of security I paid for the next day when I thought going up and down real stairs would be just as easy.

 

Apart from that, I just thought he showed a lot of flexibility in his willingness to skip or otherwise cut back on the things we were doing with exercise bands and beach ball type movements to focus more on the recumbent bike and leg press machine when he started to have a hunch I could handle the lighter stuff all day.

 

As always, seeing my ROM improve from mid 90's to over 100 earned compliments.

 

 

My (current) Typical Routine

 

At Home

 

Session #1

 

  • Kneeling quad stretches held for 1-3 min (x3)
  • Step ups/step downs from 2.5 to 7.5 inches (10-15 reps x6)
  • Treadmill 33-60 min @2.5 mph
  • Myofascial release/massage of quad/VMO area with roller stick
  • Kneeling quad stretches held for 1-3 min (x3)
  • Step ups/step downs from 2.5 to 7.5 inches (10-15 reps x6)
  • Myofascial release/massage of quad/VMO area with regular roller

 

Session #2

 

  • Kneeling quad stretches held for 1-3 min (x3)
  • Myofascial release/massage of quad/VMO area with roller stick
  • Step ups/step downs from 2.5 to 7.5 inches (10-15 reps x6)
  • Exercise Bike (30 min)
  • Rear and side crab walking with deep knee bends (30-40 min)
  • Kneeling quad stretches held for 1-3 min (x3)
  • Step ups/step downs from 2.5 to 7.5 inches (10-15 reps x6)
  • Myofascial release/massage of quad/VMO area with regular roller

 

In the Gym

 

Deadlifts @185 lbs (8-12 reps x4)

Squats @315 lbs  (8-12 reps x4)

Leg Press @315 lbs (8-12 reps x4)

Leg Extension @10 lbs (4-8 reps x4)

Rear Leg Press @60 lbs (8-10 reps x4)

Calf Press @240 lbs (10-14 reps x4)

 

There's something about watching my foot plop down like a rock falling from the sky compared to the silky smooth elevator ride when doing step downs with the non quad leg that makes it impossible to not drop just about everything else I've been doing with my rehab to get this particular area, i.e.; stairs, straightened out and moving forward. My ROM obviously has to get better so I'm not swinging my foot into the bottom of the the stair I'm trying to step up on, so that's definitely one thing to keep working on, but after that I'm going to do step ups and step downs in as many different ways as I can come up with this week to reach the goal of being able to go up and down stairs normally, as the last major rehab goal I've not yet accomplished. Should be fun.

 


Edited by KneeToKnow - 6/8/15 at 4:59am
post #8991 of 10860
Quote:
Originally Posted by mega View Post


impressive rehab routine!


Thanks!!

post #8992 of 10860

Came across a little e-book that might be of interest to anyone who has to deal with quad tendon surgery. It's written by a philosophy professor in Florida who wrote blog entries during his recovery in 2009. He published "Of Tendon & Trail: The Story of a Runner's Tendon" in 2011.  A friend suggested it would be worth adding to this thread.

http://www.amazon.com/Of-Tendon-Trail-ebook/dp/B004W0C6W4/

He clearly has a good sense of humor, which is always helpful during recovery from a serious injury.

 

His first blog entry from 2009 on the topic:

https://aphilosopher.wordpress.com/2009/04/21/quadriceps-tendon-repair/

By the author on the Amazon webpage:

 

In March of 2009 I fell from my roof, a victim of bad judgment (my own) and gravity. This resulted in a new found respect for physics as well as a long journey of recovery from a torn quadriceps tendon. In order to remain (mostly) sane during this process, I wrote regular blog posts as sort of a recovery journal. My main post on the subject received numerous comments including some urging me to put together a book relating my experiences. I finally decided to take that advice.

This concise (well, very concise) book contains the tale of my tendon and my road to recovery. If you have suffered from a tendon tear, you should find some interesting and useful information in the book about what happened to you and what you can expect in your own recovery. If your tendon is fine, then you will still find some interesting information as well as a tale of recovery that should prove entertaining. You will laugh, you will cry. Well, probably not. But at least you will learn about heterotrophic ossification. In the end, isn’t that what really matters?"

post #8993 of 10860

19 3/4 weeks post surgery.

Thought I would update. I mentioned before I was getting a lot of pain after mowing and laying grass in garden as a weed barrier, and then driving 260 miles round trip up to the mountain house.

 

Over that hurdle now! Do not know what it was but suspect all the extreme bad weather in Colorado with the low pressure cells was knocking my knees for a loop!. Pain was sharp, below the patella outside. I was wondering if I had done something to injure the patella tendon, or was it just arthritis?!? I was having difficulty using the recumbent bike due to the pain.

 

Back to normal now Still a little difficulty on walking up the slope from the garden as the knee seems to be slightly feeling like there is hyper extension. I attribute that to the muscle still just not being completely strengthened.

 

Just pressing forward on the recover. I am able to do stairs up and down using the banister most of the time. As the weather has subsided for a few days (my weather station shows almost 15 inches of rain so far, very high for Denver) I will take the Kawasaki KZ900 out for a spin.

 

Stats Master E is totally correct. This is not an injury that lends itself to a short recovery. Think about it. We are dealing with a part of the body that supports our weight and allows us to move. When you do not use that part of the body, it does lose it's tone. It takes time to build it back which is compounded by the healing process.

 

Took the KZ900 out for an hour ride. It was a nice day.


Edited by dbrow16 - 6/8/15 at 5:27pm
post #8994 of 10860
Quote:
Originally Posted by Stats Master E View Post


(Some material deleted)

I have a question for the oldsters here.  I am pretty far along in my recovery, but the quad muscle on my surgical leg is still not quite there.  I'm working on unilateral leg presses but I'm interested in exercises that others use to get to the last ounce of recovery, particularly for the supporting muscles, and in the context of having moderate-to-severe OA (both knees).  Thanks!

- Stats Master E (Eric, but there's a lot of Erics here)

My last added exercise was the seated knee extension, which my surgeon had suggested was dangerous. I felt that it would hit a spot on the quad I couldn't strengthen with other exercises and it has been helpful. I'm careful with the starting point, weight and procedure. See posts by me and eric308 around 12/9/14 as Eric explains the right technique.

My other legs weights exercises are squats, abductions, adductions, hamstring curls, leg presses and toe rises.
post #8995 of 10860
Quote:
Originally Posted by Kenneth Craven View Post

I am a 68 year old male that ruptured my quad on Sunday and have it repaired on Monday. This site has really helped me get ready for the long rehab it will take but since I am a super type A and can not stand to sit around. What did you do to make the days go by at first when you could not really do anything? I am also type 2 diabetic and this is considered high risk for me so the healing will be longer they say. Any words of wisdom will be helpful. Ken

Kenneth Craven  I would recommend learning as much as possible about your upcoming rehab process so you can participate as an equal partner and not as a bystander. I didn't get it, but the first time I met with my OS after surgery, I knew what a continuous passive motion machine was and mentioned it by name, and read up on enough different rehab protocols (made up a notebook of them actually) to understand which ones were more on the conservative side or progressive in context of why one or the other was better for me at the time, not to mention having a set of questions to interview PT with the first time we met ('...have you ever worked with QTR patients before? '), which I believe only helps your rehab to be the best it possibly can. All the best in your journey.

post #8996 of 10860
Quote:
Originally Posted by Stats Master E View Post
...the quad muscle on my surgical leg is still not quite there.  I'm working on unilateral leg presses but I'm interested in exercises that others use to get to the last ounce of recovery, particularly for the supporting muscles, and in the context of having moderate-to-severe OA (both knees).  Thanks!

 

- Stats Master E (Eric, but there's a lot of Erics here)

Stats Master E  Assuming you've probably done every rehab movement or exercise that's out there by now, if you are interested in rebuilding the strength of the leg I wonder if this might not be the time to consider joining a gym and finding a good trainer to start a basic leg training program that leaves nothing out. Wish you the best.      

post #8997 of 10860

I have a question -- I am 12 1/2 weeks Post Op TQR -- I had to be away on business and missed a weeks worth of PT. My last appointment was really rough -- did a lot of strengthening exercises in addition to the stretching.  At the end of that session I was at 115 degrees ROM.  Since then my knee has been aching -- it was usually sore for a day or so after a PT session but this time it is sore and aching for 4 days now.  The weird thing is that I can't pinpoint where it hurts -- sometimes I think its the top of my knee where the tendon tore and other times I think its near the bottom side of the knee.  I guess it could be both.  Has anyone had pain for 4 days after a rough PT session or had trouble identifying where the pain is coming from ?      

post #8998 of 10860
Almost 18 weeks and hit 126 rom today. To be honest I think I'm at 130 to 135 tops on my good leg. Not very flexible. I'm pleased with progress and noticed in the last couple of days I had less pain on the lower part of the knee when trying to do leg extension on my rocker recliner sitting back at a roughly 25 degree angle. I also noticed my limp is starting to reduce walking at a normal pace.

Kneetoknow...your therapy is very agressive and I'm impressed. I would love to throw on a bunch of weights on the leg press machine but due to my injury being workers comp, I have to follow my doctors conservative approach. When doc says no kneeling and no squating....kind of slows things down. I'm hoping at my next appointment in 2 weeks he gives me the go ahead. I had the same results on the leg extension machine at work....not happening.

Ny823. I've had pain in my knee for a couple of days after a rough pt session. Do what dbrow says...pop an aleve, elevate, and ice the crap out of it. I would also gently massage the knee cap and quad.
post #8999 of 10860
Quote:
Originally Posted by NY823 View Post
 

I have a question -- I am 12 1/2 weeks Post Op TQR -- I had to be away on business and missed a weeks worth of PT. My last appointment was really rough -- did a lot of strengthening exercises in addition to the stretching.  At the end of that session I was at 115 degrees ROM.  Since then my knee has been aching -- it was usually sore for a day or so after a PT session but this time it is sore and aching for 4 days now.  The weird thing is that I can't pinpoint where it hurts -- sometimes I think its the top of my knee where the tendon tore and other times I think its near the bottom side of the knee.  I guess it could be both.  Has anyone had pain for 4 days after a rough PT session or had trouble identifying where the pain is coming from ?      


I just got a refill on my ibuprofen but reduced it to 400mg. The 800's were giving me GI fits and the lower dose works fine.

I use those white fake ice packs. When they soften, I mold it around the knee and if needed run it over the calf and ankle to reduce any swelling. You might try some easy stationary bike riding. That seems to help me at least by just moving the joint.

If you can get your Dr to order Voltaren Gel, that stuff works great. Run a line about two inches right under the patella, and rub it in. REALLY takes any edge off for me in about 20 minutes.

post #9000 of 10860
I did use an "ACE" compression sleeve every once in a while when I had pain. Worth a try. I think I bought it for around 10 bucks
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