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Quadriceps Tendon Rupture, Repair and Rehab - Page 302

post #9031 of 10860
Hello all especially Jeff TK, fifedog, mega and jackKnife. Thanks for your support, camaraderie and advice. It's priceless. A little about me. 68 years old, retired physician (2013) although I still work 3 days per week hourly for a state facility, punching a time clock feels pretty weird. Was chief of staff at a medium sized hospital for my last 13 years of practice. Yeah I'm a techie but in other ways very active. Ride a Goldwing and have crossed this country 5 times with many shorter trips on innumerable 2 lane ribbons. I snow ski, water ski and jetski. My wife and I take care of 22 acres and grow fruits and vegetables. I use an ATV for the grunt work. To stay in shape for this I lift weights and ride a stationary bike. I've worked out on a nearly daily basis since 1975. My wife has been telling me to slow down for some time now, now she tells me daily. We have 8 children and 8 grandchildren, #8 born today! I intend to take this rehab slow for 16 good reasons even though my motorcycle calls my name every time I enter the garage. My immediate post op went well because I could "talk shop" with my surgeon and anesthesiologist and they listened to my preferences about intraoperative and postoperative medications. I also know a good doc when I see one. I will be posting about my rehab as time goes along with the hope that it will help and encourage others. Many thanks for your support.
post #9032 of 10860

All is not well here.  Surgery was January 7, 2015.  I had fallen on May 19th in my kitchen.  Had to see PA who said everything was fine.  When I saw the OS (operating surgeon) on 6/4 he ordered an MRI which was done Tuesday.  In the meantime on Monday night I feel again - this time backwards - took one step back and bam.  Thursday OS nurse called and said there appeared to be another rupture but surgeon was out of town until Monday & to wear immobilizer and use crutches.  I told her I never had crutches so I'm with the immobilizer and cane.  Tremendously depressed.  Sunday was 5 weeks since surgery.  PT had discharged me on 6/1 saying I knew what to do even though I still has 35 insurance covered visits left.  No one told me you couldn't step backwards! 

post #9033 of 10860
rjudith,
I'm so sorry to hear that. It must be very depressing. But you get to see the OS on Monday? At least not much longer till you know for sure, and they can start to fix whatever the problem is. I wish you all the very best, and for the best possible news on Monday.
Tony.
post #9034 of 10860
@rjudith
rjd,
i'm really bummed to hear about your mishap! Like jeff the klutz we really feel your pain. We're hoping and praying you get better news on monday. Another example of how you have to "respect" this injury. If you really did re-rupture, i wish you a successful re-repair. You know everyone here, especially jeff and i are with you all the way.
However, like i told jeff, you were so far along with your first rehab, you'll be more ready for this experience than the first time. Here's hoping qyou won't be faced with that again. Let us know the results of your dr visit on monday. And keep your head up! Your not alone.
post #9035 of 10860
@dockslipper
your minibio sounds really impressive. It's great to have another medicl professional in here now. I'm a physical therapist, and have been trying to give my viewpoint from that perspective. It will be interesting to get a Dr's impressions. I guarentee, unless you've had another experience with rehab, that you'll gain a new appreciation for PT. Hope you get a good one. I've lear ed quite a bit
post #9036 of 10860
@dockslipper
accidently hit reply before i was done.
I've learned quite a bit from quad tear survivors here about how pt's react, and actual therapy knowledge people here have gained from there own research and what they've gotten fron their own therapist. So i'm lookong forward to hearing what you have to say.
By the way i am one of 8 children and i have the same respect for you as i did for my
parents, i'm sure all your children turned out great, just like my siblings. The jury is still iut on me!
post #9037 of 10860
Quote:
Originally Posted by rjudith View Post
 

All is not well here.  Surgery was January 7, 2015.  I had fallen on May 19th in my kitchen.  Had to see PA who said everything was fine.  When I saw the OS (operating surgeon) on 6/4 he ordered an MRI which was done Tuesday.  In the meantime on Monday night I feel again - this time backwards - took one step back and bam.  Thursday OS nurse called and said there appeared to be another rupture but surgeon was out of town until Monday & to wear immobilizer and use crutches.  I told her I never had crutches so I'm with the immobilizer and cane.  Tremendously depressed.  Sunday was 5 months since surgery.  PT had discharged me on 6/1 saying I knew what to do even though I still has 35 insurance covered visits left.  No one told me you couldn't step backwards! 

So Sorry rjudith! You are in my thoughts and in my prayers! We always tend to think the worst and it might not be as bad as you imagine as the OS has not given his opinion yet so please think positive. Appears to be and an actual rupture are 2 different things. No broken bones so that is a plus. Quite a few on here are on their 2nd one and they are doing well and our support is encouraging them so we are all here for you too. It must have been just an odd backwards misstep as walking backwards alone should not have done it. In my last physical therapy session they laid out different size blocks in a row and I had to step over them walking frontwards and backwards and it posed no problem.

 

You take care and keep us updated.


Edited by Changed My Life - 6/13/15 at 7:19pm
post #9038 of 10860
Quote:
Originally Posted by fifedog View Post


hey jeff the k,
really glad you're out of the cast prison. I hope i'M RIGHT about your leg not being as bad. Sounds like Your dr seems to think it's doing OK. You really sound like you've become super careful, a sentiment i share. But i still get "scolded"by my orthotist, actually he's my friend as well, for not wearing my brace he gave me at work. Despite your increased caution you sound like you are really set for the long haul emotionally which is what you'll need. Since going back to work 4 weeks ago it's been a kittle harder to continue the rehab (PT at 6am to 7am) but actually gives me a reason to exercise regularly. That and riding my bike in the basement has become a routine. Having a goal of getting back on my bike OUTSIDE beforethe end of the summer motivates me.Anyway, welcome back to the world of intense rehab!
Welcome Dockslipper! Really glad you've joined us. You'll find lots of information here as well as great advice and support. I also saw how fast you posted after your surgery. Really impressive! You probably did set a record for fastest post. I also like the theme for your name. Mine would have been sidewalker slipper or stairway slipper. It's gòod you can find humor in your situation. That will help in your journey back to a normal life. It will be a long one but you have lots of new friends here. Welcome!

Thanks Fifedog. Even my wife (yes, I take her with me to all appts...or is it the other way around? She too thought it would look a lot worse. I will tell you this. When they have the immobilizer brace on, your are not 100% immobile. That is a cast. Then you are really immobile. Anyway, working the stiffness out of my ankle. But yes, I know the long road of recovery ahead and yes, I will take it slower this time.

post #9039 of 10860
Quote:
Originally Posted by dockslipper View Post

Hello all especially Jeff TK, fifedog, mega and jackKnife. Thanks for your support, camaraderie and advice. It's priceless. A little about me. 68 years old, retired physician (2013) although I still work 3 days per week hourly for a state facility, punching a time clock feels pretty weird. Was chief of staff at a medium sized hospital for my last 13 years of practice. Yeah I'm a techie but in other ways very active. Ride a Goldwing and have crossed this country 5 times with many shorter trips on innumerable 2 lane ribbons. I snow ski, water ski and jetski. My wife and I take care of 22 acres and grow fruits and vegetables. I use an ATV for the grunt work. To stay in shape for this I lift weights and ride a stationary bike. I've worked out on a nearly daily basis since 1975. My wife has been telling me to slow down for some time now, now she tells me daily. We have 8 children and 8 grandchildren, #8 born today! I intend to take this rehab slow for 16 good reasons even though my motorcycle calls my name every time I enter the garage. My immediate post op went well because I could "talk shop" with my surgeon and anesthesiologist and they listened to my preferences about intraoperative and postoperative medications. I also know a good doc when I see one. I will be posting about my rehab as time goes along with the hope that it will help and encourage others. Many thanks for your support.


Hey Dockslipper. I'll be here with my rehab results right along as you post yours. I think that most of the people on this forum or maybe just those of us who have suffered this, kept ourselves in pretty good shape. So, we all want to get back out there as soon as we can. But you can't safely cut corners on this injury. Good luck!

post #9040 of 10860
Quote:
Originally Posted by rjudith View Post
 

All is not well here.  Surgery was January 7, 2015.  I had fallen on May 19th in my kitchen.  Had to see PA who said everything was fine.  When I saw the OS (operating surgeon) on 6/4 he ordered an MRI which was done Tuesday.  In the meantime on Monday night I feel again - this time backwards - took one step back and bam.  Thursday OS nurse called and said there appeared to be another rupture but surgeon was out of town until Monday & to wear immobilizer and use crutches.  I told her I never had crutches so I'm with the immobilizer and cane.  Tremendously depressed.  Sunday was 5 weeks since surgery.  PT had discharged me on 6/1 saying I knew what to do even though I still has 35 insurance covered visits left.  No one told me you couldn't step backwards! 


@rjudith

 

Holy crap! It sounds like you don't know yet if you totally retore the tendon or not, correct? I'll tell you the awful feeling of knowing is if you absolutely cannot do a leg raise.  I know you know this already. When I redid mine, I kept thinking that I could raise it. But no, not to be.  And I do remember you talking about falling in the kitchen. I also think you meant to say 5 months and not 5 weeks since the surgery (same day as my first one). I am putting out good vibes for you that it isn't re-torn. If it is, there will be all kinds of emotions you'll go through. If you have certain questions, etc. ask away.

post #9041 of 10860
Quote:
Originally Posted by fifedog View Post

@rjudith
rjd,
i'm really bummed to hear about your mishap! Like jeff the klutz we really feel your pain. We're hoping and praying you get better news on monday. Another example of how you have to "respect" this injury. If you really did re-rupture, i wish you a successful re-repair. You know everyone here, especially jeff and i are with you all the way.
However, like i told jeff, you were so far along with your first rehab, you'll be more ready for this experience than the first time. Here's hoping qyou won't be faced with that again. Let us know the results of your dr visit on monday. And keep your head up! Your not alone.


Good words of advice, fife!

post #9042 of 10860
Yeah cutting corners is the enemy. Tried to do that with the pain meds and it took 8 hours to catch up! I was awakened at 5 am by a sudden decrease in pain. For the next 4 weeks the only " exercise" I am allowed to do is frequent leg lifts while wearing the straight leg brace. My orthopod knows my type and he gave my wife a severe lecture while I was still in recovery, she gladly relayed the contents of that to me. I guess all of us that are rehabilitating can spend time slowing each other down. I have never had a serious injury before and am completely new to rehab.
Rjudith just looking at that picture you posted brings back really painful memories. Be careful out there and I wish you the best.
post #9043 of 10860
Quote:
Originally Posted by dockslipper View Post

Yeah cutting corners is the enemy. Tried to do that with the pain meds and it took 8 hours to catch up! I was awakened at 5 am by a sudden decrease in pain. For the next 4 weeks the only " exercise" I am allowed to do is frequent leg lifts while wearing the straight leg brace. My orthopod knows my type and he gave my wife a severe lecture while I was still in recovery, she gladly relayed the contents of that to me. I guess all of us that are rehabilitating can spend time slowing each other down. I have never had a serious injury before and am completely new to rehab.
Rjudith just looking at that picture you posted brings back really painful memories. Be careful out there and I wish you the best.
hey there d-slipper,
I'm not telling you to ignore your surveon, but before you limit yourself to one exercise for four weeks, look up some rehab protocols for quad tears. There are many out there. Just google quad tear rehab protocols. One popular one on this site is is from univ of wisconsin. Look them up and run them by your surgeon. Another tip, this is one i keep recommending, is to get what's called a "functional electric muscle stimulator"unit. I used it from about 1 week after my first repair as well as after my second, and i think it helped keep my quads, especially my VMO from getting 3ven weaker. There was even a slight definition of muscle when i started to really strengthen in rehab. Ask your surgeon if he would write a script for it. He may know of some distributors in your area. Anything you can do to keep quad strength for the first 4-6 weeks helps down the road.
post #9044 of 10860

No where as bad as the first time.  Back in January if you offered me a million dollars I could not stand nor lift the leg.  I even got myself up , finished that "run" and did two more at nose work class Monday when it happened.  Here I am after the fall!  Leg is stiff but I can lift it when lying down and lift it about 2/3 as high as the right one when sitting.  Nurse said she would have doctor call Monday but I do not have an appointment.  What scares me is why this keeps happening. 

post #9045 of 10860
Quote:
Originally Posted by rjudith View Post
 

No where as bad as the first time.    What scares me is why this keeps happening. 

rjudith, back in 2008 with my left knee I fell maybe 4 times, so understand your concern. Knock on wood have not fallen on the right knee repair.

 

Hang in there and keep us posted. Ability to raise the leg is very positive.

post #9046 of 10860
Quote:
Originally Posted by rjudith View Post
 

No where as bad as the first time.  Back in January if you offered me a million dollars I could not stand nor lift the leg.  I even got myself up , finished that "run" and did two more at nose work class Monday when it happened.  Here I am after the fall!  Leg is stiff but I can lift it when lying down and lift it about 2/3 as high as the right one when sitting.  Nurse said she would have doctor call Monday but I do not have an appointment.  What scares me is why this keeps happening. 


judith. Unless you are super woman, and you may very well be, I don't think you ruptured it this time around. To be honest, the 2nd time I did it it did not hurt as bad. But within 20 minutes, my leg locked up and shut down on me. Anyway, with the MRI, they should be able to get a good luck at what the problem is. Don't you hate this waiting stuff? I had to do it both times I hurt myself. Hate it! Anyway, what you described in this post to me is good news.

post #9047 of 10860
rju
I concur with jeff the k, if you can support your body weight, extend your lower leg when sitting and can do a straight leg rais, it doesn't look like you ruptured again. It might be a partial tear but there may be enough left to heal and doesn't need to be repaired. Hopefully that's what you'll hear on monday. As tom petty said, "waiting is the hardest part". Hang in there, monday may bring good news!
post #9048 of 10860
Quote:
Originally Posted by rjudith View Post
 

No where as bad as the first time.  Back in January if you offered me a million dollars I could not stand nor lift the leg.  I even got myself up , finished that "run" and did two more at nose work class Monday when it happened.  Here I am after the fall!  Leg is stiff but I can lift it when lying down and lift it about 2/3 as high as the right one when sitting.  Nurse said she would have doctor call Monday but I do not have an appointment.  What scares me is why this keeps happening. 


That's a good sign you could get back up and perform and you were able to lift it. With my complete rupture I could not stand nor lift it at all, so I am hoping that will be good news for you. Again your in my thoughts and prayers and hopefully Monday will be a good day for you.

post #9049 of 10860
RJ prayers and good vibes coming your way!
post #9050 of 10860
DS..I have looked at my Ultra Limited almost everyday for 3 and a half months. The OS cleared me from PT last Thursday and told me to do whatever I like, including golf and the bike. Going on fifteen weeks PS a few more weeks.....
post #9051 of 10860
Best wishes to all the new rippers, Judith- I hope you don't need surgery again, all the best. Jeff- nice to hear your on the mend, stay safe.

17 weeks PO tomorrow. All is okay, a part from ROM which is not complete as yet, best guess is around 135 deg, heel about 3 inch short of the butt. That only about an inch and a half short of my other leg ( repaired TQR of 5 years ago) so not too bad. Probably my fault for neglecting specific stretching as it's in that area that I don't use often.

Getting good sustained power on the bike in trainer. I'm able to pedal for 30 secs or so out of the saddle before it becomes uncomfortable, I wouldn't try this on the road yet though as my weight is all over place. I'd end up in a ditch.

Extension machine in the gym is a tough one. I don't have to stick 5kg on it and leg trembles from the first lift ( single repaired leg only, 70 deg max) All progress though, and week to week it feels better and stronger.
post #9052 of 10860
Quote:
Originally Posted by dockslipper View Post

Hello all especially Jeff TK, fifedog, mega and jackKnife. Thanks for your support, camaraderie and advice. It's priceless. A little about me. 68 years old, retired physician (2013) although I still work 3 days per week hourly for a state facility, punching a time clock feels pretty weird. Was chief of staff at a medium sized hospital for my last 13 years of practice. Yeah I'm a techie but in other ways very active. Ride a Goldwing and have crossed this country 5 times with many shorter trips on innumerable 2 lane ribbons. I snow ski, water ski and jetski. My wife and I take care of 22 acres and grow fruits and vegetables. I use an ATV for the grunt work. To stay in shape for this I lift weights and ride a stationary bike. I've worked out on a nearly daily basis since 1975. My wife has been telling me to slow down for some time now, now she tells me daily. We have 8 children and 8 grandchildren, #8 born today! I intend to take this rehab slow for 16 good reasons even though my motorcycle calls my name every time I enter the garage. My immediate post op went well because I could "talk shop" with my surgeon and anesthesiologist and they listened to my preferences about intraoperative and postoperative medications. I also know a good doc when I see one. I will be posting about my rehab as time goes along with the hope that it will help and encourage others. Many thanks for your support.
ahoy there... a familiar story. I,too, am a physician,65 years old working 3 days of contract work a week. Tore my right quadriceps tendon 8 weeks ago, partly do to my fanatic exercise routine. Progressing as expected, thanks,in part, to the excellent information here. Wishing you a successful rehab...enjoy the challenge.
Mega
post #9053 of 10860
Quote:
Originally Posted by rjudith View Post

All is not well here.  Surgery was January 7, 2015.  I had fallen on May 19th in my kitchen.  Had to see PA who said everything was fine.  When I saw the OS (operating surgeon) on 6/4 he ordered an MRI which was done Tuesday.  In the meantime on Monday night I feel again - this time backwards - took one step back and bam.  Thursday OS nurse called and said there appeared to be another rupture but surgeon was out of town until Monday & to wear immobilizer and use crutches.  I told her I never had crutches so I'm with the immobilizer and cane.  Tremendously depressed.  Sunday was 5 weeks since surgery.  PT had discharged me on 6/1 saying I knew what to do even though I still has 35 insurance covered visits left.  No one told me you couldn't step backwards! 
wow...I hope it's not torn! Scary at 5 months.
post #9054 of 10860
Hello everyone,

I have been lurking for a few days and have decided to post.
Last Friday June 5th I tore my bilateral quad tendons. I am 29 year old male. I was at a trampoline park, tore them within 20 mins. Hear two pops and immediately went to the hospital. Doctor performed surgery the very next day and I was released on Sunday 7th.

I am in braces and doctor has given me instructions that I can put weight on them with braces. Truthfully, since I've been home with help I was only able to get up twice and could not step forward. I am wondering if this is normal at this stage of recovery?

I went from going 100 miles an hour to zero. What a crazy injury I would of never thought this could happen. Taking it one day at a time.... Hoping to regain some mobility soon. If anyone has some sort of guidline what I could expect for the first 4-8 weeks that would be great.

Thank you all.
post #9055 of 10860

@oneandonly

I ruptured both quads Sept 2013.  The best way to start walking is with a walker.  You have to do the "Frankenstein Walk"  swinging your legs from the hip.  I did it every day for the first 6 weeks of recovery until the immobilizers were traded for hinged braces.  Try to walk as much as possible to help with blood circulation and prevent some muscle atrophy.  It is a life changing injury.  You won't be able to do much hard work until the tendons heal.  Bilateral is 5X or more worse than a single leg.  Make sure those repairs heal before doing too much.  Recovery and mobility will be a fight but it is one you can win.  I am not back to my old self yet but a good 90 % and still seeing improvement.  My initial recovery was a gym program developed by a fellow bilateral member.  I have been using cycling as my main exercise.  I have just been able to get off the pavement and trails and hit some off road stuff...YAY!!   Good luck with your recovery and feel free to PM me any time with any questions you have.  I have travelled the road you are just entering.  Hang in there as there is light at the end of the tunnel and it gets closer every day.

post #9056 of 10860
Hello everyone , I feel like I know all of you since I've been following each of you since I had my surgery on March 6, 2015. I feel so bad for setbacks any of you have had, RJudith. When I read your post I exclaimed Oh No. My family said what's wrong! I guess we can see that happening to any one of us. Just as you're making progress and start to feel confident something could happen like that. I was outside using the hose and I almost tripped over the darn thing today. Shakes ya up a bit. I made it to 120 degree rom this week. Had my last pt session. I am to do them at home now. My pt guy refers to me as the 75 dollar copayment patient. Is that copay unusual? They make a big deal about it there. Next week may be the last trip to my OS I was told. It would really be awful to start all over again. I am so hoping the best for you RJudith. Please let us know how you're doing.
post #9057 of 10860
Jaded, I had my surgery on March 6 also. Just finished pt also but my copay was only $20. ROM is at 121 as of Friday. Still scared to death to fall or trip, especially after the unfortunate setbacks our forum friends have gone through, their continued recovery as and is in my thoughts every day.
post #9058 of 10860
Good morning all. Rjudith so glad you have function in your leg, I hope your doctor says all is well. Fourdogs tell me about your first ride! Oneandonly my surgery was June 5th, I guess we'll be comparing notes. I'm pretty lucky. One tear, very little pain, able to do the peg leg walk and only 3 days post op. Question for all you who are ahead of me in your rehab, any hot tips about living with the straight leg brace. Sleeping, sitting at table, bathing, sitting on the toilet, etc? Anything you've discovered that would make life easier would be greatly appreciated!
post #9059 of 10860
@oneandonly

I'm bilateral as well. 49 yo man. Fell down stairs while on a mission trip in Guatemala on 4/5. Flew back to the States and had surgery in 4/7.

Stayed in hospital until 4/11. They had me up and "walking" on a walker 14 hours PO.

Went from hospital to SNF for therapy until 4/17. Then home for healing and rehab and in home PT. Wore immobilizers until 5 weeks PO when OS said I could remove them for weight bearing once I could do 20 straight leg lifts in each leg. Didn't use locking brace at all. However he limited my ROM to 90 degrees. Walked a little without left brace during PT the following day. Slept without the immobilizers that night and boy did that feel great. Walked without either immobilizer for the first time on 5/17. Haven't had the immobilizers on since 5/22. Started moving from walker to single cane on 5/28. Now using only the cane except while showering.

Started outpatient PT last week. Doing 3 days a week for now. God is good.

Everyone is different. Our injuries were different, we all progress at different rates and our OS and PT's all have different ideas of how to proceed. That being said I hope my experience gives you some idea of what to expect at least for the first 10 weeks PO which I will celebrate tomorrow.

First five weeks were no fun at all. Not going to candy coat it. It sucked. Most of the time was spent setting in wheelchair with legs extended. No getting around it. Depending on OS, expect 5-8 weeks of that. I'm an attorney so luckily I was able to work some from home.

But things get better. I promise. Saturday night my wife and I had our first date night since my injury. Our favorite restaurant and Jurassic World. Hope you have a good support system too. Don't know what I would have done without my wife and our 3 sons. Remember to celebrate every improvement no matter how small it may seem.

I still use the wheelchair to sit in at home most of the time. Standard seats can be very low and difficult to get up and down without assistance. If you have any questions I'll be happy to share my bi experience. Just let me know.

Wish you the very best recovery possible. Prayers for all.
post #9060 of 10860
Dockslipper are you allowed to put weight on your leg.? This straight leg stuff phase 1 of healing is the worst because you have to figure out what works best for you. Here's what I did. I used crutches or a walker for about a month, slept mainly on my back which I always hated but now after 13 weeks is my favorite position. (Even though I no longer have to) For showering I bought a rubber sleeve that goes from my thigh to the foot. I think I got it at Walgreens or cvs. I just chucked it yesterday. I hadn't used it for about 5 weeks or so. When sitting on the john I would put a shiny page from a magazine under my foot of the straight leg and let it just kinda slide out away from me. Be careful and make sure you feel balanced before you slide your foot. And mainly sat on my butt and read all I could about this injury. That's how I found this great site. You'll be surprised how fast time does go and next step will be the adjustable brace, the rom and strengthening challenge, pt etc. I have just had my last pt and probably last os visit coming up. I still get swelling and stiffness every day especially when I'm on it a lot. Missed spring fishing, worst part of my injury. Remember everyone is different and heals differently. So don't despair if you feel like you're behind or have a setback. Some of these posters are athletes and some like myself just an older 64 year old gal who needs to slow down a bit I guess. The OS scared me during one of my early visits and started talking about manipulation under therapy for those who couldn't get their rom back. That was my challenge I said no way am I gonna let that happen. So I started stretching as soon as I got the green light. That's not pleasant but it's something you gotta do. . However for now just take one day at a time. Good luck.
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