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Quadriceps Tendon Rupture, Repair and Rehab - Page 32

post #931 of 10802

Welcome to the club Al, great stuff J, Tom and Steve in pa!


Stay positive folks! I know my "glass half full" is being tested!! 







post #932 of 10802

I am reporting in after my second PT session.  I have not hurt so much since my injury.  The PT tried to force a stretch by lifting my leg, folded at the knee, and leaning on it pushing my thigh back towards my chest.  It hurt at the time but I could barely walk 30 minutes afterwards.  I really think he was pushing too hard.  I was happy with the progress I had been making...walking pain free, driving, etc.  Now I am waiting (with ice on my knee) to see if this is a major set back.  Bummer.

post #933 of 10802

It has been a little while so welcome to all the new guys. 


Here is some background - one of the few females here - accident occurred 2/19/08 while walking down the driveway and found a lonely patch of ice and down she went.   Straight leg brace for 8 weeks, then allowed to walk with brace open at 30 degrees.  5/20/08 was told to go it without the brace.  Steep inclines still concern - mainly my driveway, mainly mental I'm sure.  Stairs took some time but I able to get down faster now but will one step if I'm carrying things.


I have just returned from my 1 yr follow up with the Dr.  The repair is looking good but there is still some weakness that I need to work so there I will not have problems later on down the road.  No need to go back unless there is some problems.   I will admit to be lazy with PT - I have 3 kids to chase and haul around.  I'm using my treadmill and working on getting regular use out of my Wii fit ( the kids want it).  Waiting for spring to arrive in Western Pa ( most likely to happen in June) so when baseball starts up I can get lots of outside walking done during practices.   I'm hoping to get lots of use out of our pool this summer as well.


So mainly some aches from the knee but nothing major.  I do not seem to have any noticable swelling. now I just need to make the time for the strength exercises.



post #934 of 10802

Do you have room for one more? I'm 3 wks post injury (I guess we're using DTR). As so many of my newfound brothers and sisters, I wasn't aware of the life altering nature of this injury... I too found some ice in my driveway and found myself strangely unable to get up and walk away after I slipped..luckily my wife heard me yelling and came out to help me...when i got to the OS 2 days later he stuck his finger behind my knee and dxed me in about 10 seconds..had surgery 2 days after that..and now I'm STUCK in my long leg brace..my special problem is that unlike alot of others,my physical challenge is the NYC subway...my goal is to ride the commuter train into the city and then the subway to my job...the OS originally said 6 weeks and I said YOU'RE CRAZY!..but since then I've adopted a more long range attitude...now its 21/2 wks after surgery and I've just gotten clearance to try to walk with the brace on (He said to me "You're wearing the brace all the time right?)..anyway,that's my tale. At this point I'm waiting to be cleared to start PT..I'm a bit concerned that the effects of this seem to linger, from what I see in the posts,O well..Stay Strong!--H

post #935 of 10802

SteveFinMD: Painful knee bending is part of the rehab fun with this injury !! Need to try and get that range of motion back, I would say within the first 12 weeks after surgery before that scar tissue matures. Longer it takes to get the ROM back the harder it will become.


My ROM got stuck at 100 degrees because of scar tissue adhesions and had to have a second surgery LOA (lysis of adhesions) and MUA (manipulation). I did not make much progress past 100 degrees after week 10 or so. It was stuck so bad that I was lowering 200lbs on the leg extension machine at the gym and just would not bend. 

post #936 of 10802

IN2FALLING, thanks for your reply.  I am hoping to feel better tomorrow.  If not, I guess I will contact the OS and see if an MRI is needed to determine if any damage was done by PT.  I took a prescription pain med today, for the first time since the week following the surgery.  My leg has not hurt this much since the injury.  I am so grateful for this forum and the experiences that you all are willing to share.


post #937 of 10802



Just making my first post after checking out the discussion a few times.


On Jan 29, I was on my way to work a bit early as my cell coverage was out, no home phone, and I wanted to call my girl friend and let her know I was okay.  Drove down my driveway, then remembered we were out of cofffee at my clinic. I left the car at the bottom of th diveway (about 75 meters) and ran up to my cabin, grabbed the bag of coffee, walked carefully down the side of the drive in some fresh snow. 

As I noticed a vehicle pull up a ways behind mine and stop, I was apprently distracted, Right foot slipped sideways, and the reflex that could have saved me from falling activated just a spit-second too lated, as I was down with all of my weight on my kneeling left leg, hyperflexed, and felt and heard a prolonged tearing, seemed like a full second.


I immediately thought "I'm screwed" and at the same time, "I'm done skiing for the season". I had just received some great backcountry skis which I had just used about 4 days. 


Meanwhile, the person in the other vehicle sat there, apparently afraid to go around my car. I got up very slowly, pusing the patella back into place, sorta. I limped down the drive, had amazing pain when I bent the knee enough to get in my Subaru. The other vehicle still did not move, driver did not approach to offer help. This was curious! I live in a very rural area, and people generally tend to help one another.I then drove carefully to the clinic where I am the sole medical provider (I'm a physician assistant) at the only medical practice in a 40+ mile radius. I was breathing rapidly, and sweating hard during the 7 mile drive.


I had an initial eval that day, 90 minutes from my home, then an MRI a few days later. Meanwhile, my girlfriend arranged an appointment with a very well regarded O/S in Missoula. , for Feb 6. I continued to work, painfully, through Feb 5. The surgeon  said there was a complete quad tendon tear, and found at surgery on Feb. 11 some significant tearing of the lateral retinaculum, and also the medial quad (VMO).


I had initial PT on 2/13, started on a CPM machine that evening. There is controversy regarding the use of these devices, but I  think it has been helpful at slowly and safely increasing the knee flexion.  The key, of course, is to stretch the tendon which has been repaired without risk of compromising the repair. The protocol followed by this surgeon calls from increasing from 0 to 30 degrees flexion by the end of the third week. The rest of the rehab for now is some gentle theraband and ROM exercises. The next 3 week period should take me from 30 to 60 degrees.


I used to be very active in ultra marathon and trail-running, but have not been at a very high level rthe past five years.  I once did 139 + miles in a 24-hour run, ran several 100-mile trail  runs, 3   200-mile trail runs, and run across Ohio. Now looks like my desire for a "comeback" is really going to be put to the test.


Funny, I really don't care much right now whether we get more snow for a while. We had over 100 inches at my place through December.


Thank God for Kerry Rae!  It'd be REALLY tough without her help.


PS: The surgery told Kerry I can probably be ready to run the Le Grizz 50-mile in October.




post #938 of 10802
Originally Posted by runamok1 View Post



"Thank God for Kerry Rae!  It'd be REALLY tough without her help."


AMEN, I don't know what I would do without my wife.  I know some of you must be single.  How do you cope with the limited mobility or when you need to see a doctor?  Life gets so complicated some times.  Good luck with your recovery.





post #939 of 10802

SteveFin - with yr progress, I can think of no good reason for yr PT to be that aggressive! The ROM will come with time, tell him to back off - better yet, switch to a female PT, more gentle!  


Jackie - great of you to drop in, I recall reading your experience, as I have read every post since the beginning! lol Great to hear you are doing well!


Welcome to the club Houdini, maybe you can undo all of our pain with some magic!   Yes, patience is a must.


in2falling - with mine apparently stuck at 35 degrees, I have been thinking about yr experience at 100 but I don't think this will happen at 6 weeks (?), but I am concerned!


Welcome to the club Robin - who did you say Kerry Rae is? At least you already know a good PA! 


 Later - Steve 




post #940 of 10802

It seems like there's an epidemic of QTR going around . . .


Thanks again to all for sharing perspectives.  I'm doing a transcontinental flight tonight, 10 days post surgery, (OK'd by OS) and I thought I'd share some suggestions for traveling by plane that seem to be working.


1.  Get to airport early, and use a baggage cart.  If you have crutches and a brace, TSA will let you take the cart through security to gate.  It's much easier than trying to pull a bag behind you or carry one.  You could also get a wheelchair, I suppose, but that simply doesn't appeal to me.


2.  Bring a large, freezer-size ziplock bag, an ace wrap, and a surgical sock on the plane.  The sock will help prevent lower-limb swelling, and flight attendants can help  keep the bag filled with ice.  Use the ace bandage to keep the ice on the knee and prevent swelling.


3.  If at all possible, UPGRADE to business or first class where you'll have adequate leg room (and a free glass of wine or two).  Use a pillow, blanket or backback as a foot rest.


4.  Drink lots of water.


5.  Get up every hour or so and move around.


I hope the suggestions are helpful.

post #941 of 10802

Thanks-I wish I had some magic to give all of you- The thing that jumps out at me is the disparity in treatment options..I'm 2 1/2 weeks post op and my OS says its 4 weeks until I start PT... that kind of drives me crazy..it seems to me that the surgical options are pretty 20th(or 19th) century..tie the thing together with big sutures and wait for it to knit together..then try to undo the damage to your other muscles with PT...shouldn't there be some kind of microsurgical options with quicker turnaround at this point? just asking...

post #942 of 10802

http://www.kneeshop.com/proddetail.asp?prod=0771X  I was web surfing and found this forum.  I don't know if anyone here has experienced what I am now experiencing.  This past Sunday (2/22) I had a bad fall right outside my front door.  I was diagnosed with bilateral quadriceps tendon rupture.  Yes, that's right.  BOTH LEGS.  Apparently this is a VERY uncommon occurence.  I'm still in a bit of shock, and am scheduled for surgery on Monday.  My biggest concern right now is obtaining a straight leg brace ASAP that can ensure that my knee is locked straight.  Currently I have two of those velcro knee braces that have not done the trick - I can still bend my knee slightly enough to fall down.  I've fallen a couple times since I've been using them.  I can walk fine - no pain, but ONLY if my legs are completely locked straight.  I was reading the forum and noticed that someone recommended the breg t-scope (see link above).  Will this lock my legs in a straightened position?  Because as soon as my knee bends (while I'm standing), it will give way and I'm on the floor practically in tears.  My orthopedic doctor told me that rehab is going to be VERY tough.  I only hope I can get through this experience.  My prayers go out to anyone of you who have experienced this.  Thanks for all the information provided on this forum - it's helpful.

post #943 of 10802

Adrian C,

I am using a very similar brace made by a different company.  Here's a link: http://www.alimed.com/ProductDetail.asp?style=64395&fprd=Ossur+Innovator%26reg%3B+Post-Op+Knee+Brace&oid1=&oid2=

It does lock straight.  As with all of these braces, keeping the velcro properly tightened is something of a challenge.  They seem to want to migrate "slide" down.

Good luck with your rehab.


post #944 of 10802

Hey Adrian: Welcome to the BQTR club ... I did both of mine on the 1st day of my family vacation in the Caribbean falling down a set of cement steps 12/22/08! You will find a few of us "2 for 1" plan victims here. Rest assured that the full leg velcro-immobilizers WILL keep your legs straight (as long as the stainless steel rods in them are kept straight and the velcro straps are tight). I have worn both immobilizers for pretty much 8 weeks and have had no bending whatsoever. So, be certain to pull each immobilizer ALL the way up into your crotch area (I'm not kidding). You may need some assistance getting the immobilizers tight. I'm really surprised that you're trying to walk. You should NOT be moving around at all until after surgery! Has your OS allowed this? Wow! I am 10 weeks post-op now and in recovery with PT. I'm feeling good and yes, you will walk again and if you follow your OS and PT's directions, you WILL recover. But for goodness sake ... get off your feet now and take it easy until after surgery to repair those tendons. You'll have plenty of time later to discover the "wonderful" immobilizers that will be your constant companions until your surgery has healed. Keep in touch and I can let you know what to expect as you progress through this experience. You'll make it ... hang in there. Tom in NY

post #945 of 10802

Hey Fellow QTR's,


Wow the numbers of us keep building.  Welcome Adrian, Houdini, and runamok to the marathon we call recovery.


Well finally!!!!  My OS released me to start PT yesterday at 8 weeks  Post Op.  I have my fist session Monday and will go three times a week.  He also took my brace away.  I had been going without it in the house for the past two weeks.   I did notice yesterday that as the day wore on, my quad got tired and I had more difficulty walking.  It gave out on me about 3 times walking to my car after work.  Not enough to fall, but enough to concern me.  I've been doing leg raises for several weeks and thought my quad strength was doing well.  Looks like I've got more work to do.  Not going to let it get me down, I'm so pumped to be moving into this next phase of recovery.


Take care all,



post #946 of 10802

I've been reading this blog for sometime now and have decided to share my tale of woe. I am a middle aged woman who fell down the stairs the day before Thanksgiving. Went to Urgent Care and received an immobilizer . I saw the OS a week later and she said it was a severe sprain. I fell again three days later because I wasn't able to lift my foot when walking. Saw OS  again 10 days later. I had an MRI that day and had to wait a week for results. It was a complete quadricep tendon rupture. Had surgery 3 days before Christmas. We were also in the middle of an 8 day power outage due to an ice storm. Had to sleep on couch in different people's homes. I am now 9 weeks post op and just got rid of my long brace. I am making much more progress without that cumbersome thing. I drove my car today for the first time i 13 weeks. PT is going fairly well. I have gone from 60 to 90 degrees in 3 weeks. I can't believe how much work is involved. I am so glad I found this blog as very little information exists on this injury. No one seems to understand how serious it is.

post #947 of 10802
Originally Posted by Houdini View Post


....it seems to me that the surgical options are pretty 20th(or 19th) century..tie the thing together with big sutures and wait for it to knit together..then try to undo the damage to your other muscles with PT...shouldn't there be some kind of microsurgical options with quicker turnaround at this point? just asking...

You've torn the attachment of one of the biggest muscles in your body, and it simply requires big sutures to put it back together again.  Often a tension band (nylon or metal) is used to support the tendon and allow graded movment during recovery.  The rest is nature taking its course, and of course the relatively low blood supply to the quads tendon means that time is required for things to knit together. Unfortunately there's no short cut at this stage in the game.  What the future may bring is the use of local growth factors to speed tissue healing.


Originally Posted by AdrianC View Post


http://www.kneeshop.com/proddetail.asp?prod=0771X  I was web surfing and found this forum.  I don't know if anyone here has experienced what I am now experiencing.  This past Sunday (2/22) I had a bad fall right outside my front door.  I was diagnosed with bilateral quadriceps tendon rupture.  Yes, that's right.  BOTH LEGS.  Apparently this is a VERY uncommon occurence.  I'm still in a bit of shock, and am scheduled for surgery on Monday.... My orthopedic doctor told me that rehab is going to be VERY tough. 

You're not alone.  We operated (one doc on each leg) last year on a guy who tore both his quads tendons from jumping off a diving board.  He basically collapsed into the pool.  Very healthy/fit/active 70 year old.  Keep your chin up, it will be a long journey back :).

post #948 of 10802



I'm 9 months post surgery and have had, from what I can tell, a recover that's at least in the top 25% -- I'm running 30 miles a week and am pain free.  My right leg is not as strong as it was before but I don't have any stabity issues,and haven't since about 90 days post surgery.


I say that to let you know that I was very serious and dutiful about rehab -- and they never did anything that hurt the way you described.  I think pushing on the ROM is nuts, with me my leg had a clear "end point" with respect to how far it would bend, and my Dr. and PT were more focused on movement and regaining muscle strenth than pure ROM.  If you do you rehab steadily the ROM will come, and I would strongly encourage you to be your own self advocate and let them know when they're hurting you.  Unless you have an unusual accumulation of scar tissue, your ROM will come back without excruciating pain.


All the nebies out there keep the faith, if you were active before then you can get back to it.  I started really training again 7 months post surgery and thinkg are on a good track.

post #949 of 10802

Hello everyone. Hope everything is going fine with your recoveries. I haven't posted here in a while, but I thought I'd post here to offer some encouragement for those who are wondering what lies ahead in the future. I'm roughly 17 months post surgery (ruptured my left quad back on 09/15/07 playing sand volleyball). I can honestly say I am close to 100% recovered, and back to playing sports again. If anyone wants to hear my story, please ask. My "success" of course was based on some definite luck, the skills of a good surgeon, and perhaps my consistent (but not grueling or too time-consuming) rehab plan.


Sure, there's still some tightness that may never go away, and I'm still working on a little diminished strength/quickness with my injured leg, but I would have never guessed I'd be at this level the first few months after my injury/surgery. May all your recoveries go as well as mine, perhaps better.

post #950 of 10802

Hi Tom,


Glad to hear your doing so well as one of the other Bilaterals, 8th week post op, I've started outpatient PT.  Had my second appointment.  It has been a workout that has been similar to what I've been doing at home.  Quad sets, short ark leg raises and straigt leg lifts, however we have added weights.  I'm at 90 degrees on both.  I have not started to use the stairs.  do you have railings to help go up and down?  I have not been given the go ahead to not use the imoblizers yet.  Hope that comes soon.


Lets keep in touch.


Bob in MI

post #951 of 10802

Hi AdrianC,


There are a couple of us that are in the same boat as you.  Read the post by Tom in NY, he has written a good recovery plan.  My experience was very similar to his.


Stay in touch


Bob in MI

post #952 of 10802

Hi Bob (rdanehy):


I had my final home PT visit today and got some great news: 108 degrees left / 120 degrees right and this is only 9 weeks+ after surgery! I am returning to work on Monday 3/2 and start outpatient PT the next day. Fortunately, my home PT guy is the same person I'll be seeing for outpatient PT so it will be a seamless transition.


It's hard for me to put a finger on how I have been able to bounce back so quickly (just 4 week's ago I was in the 30s ROM on both knees). I think the interesting thing here is that were each different in the speed of our recovery ... I'm 51, 6' and about 275lbs. but, I've always been active and had decent mobility. It's interesting that a number of folks I've spoken to also swear by "visualization" when it comes to bone / tendon healing. I also have heard lots said about the need to stand a lot to encourage bone and muscle strengthening. The body is a pretty cool machine in that regard.


I decided for myself when to get out of the immobilizers even though my OS doesn't know that it's been a good 2 weeks since I started really weaning myself of them. They are falling apart anyway and are no longer really effective ... in fact, I think that there comes a plateau in recovery where you need to keep stretching the hamstring and starting knee bending. I've found that having the immobilizers off while in bed is REALLY good ... some mornings I wake up to find that I am in a fetal position and easily over 100 degrees ROM in BOTH knees!


I still have momentary scares where I wobble a little (like when one of our dogs brushes up hard against me), but all in all ... I am feeling great and more confident each day. My goal is to get on a stationary bike soon and to also get into a pool. Let's keep in touch and good luck to you (and to us both).


Tom in NY

post #953 of 10802

I began PT this week and I can't tell you how good it feels after 6-1/2 weeks to be out of the house, driving and finally doing something!!!  I know my PT is happy with my state of ROM and strength at this early stage given just how serious my damage was (the tendon took a piece of the kneecap with it when it tore away).


I have one question which they didn't answer to my satisfaction.  When using the e-stim machine, they not only abandoned the handheld unit because it wouldn't zap me strong enough but they have the big unit dialed way up.  In fact, after the assistant set the machine, the chief therapist came over, took a look and said "holy cow" when she saw the setting.  She observed that most people even after working up to it for a matter of weeks don't get the unit dialed up this high.  I'm trying to figure out what this means.  Do I have a high pain tolerance?  Is there nerve damage so that I'm not feeling the discomfort I should feel?  Even shrunken 2-1/2", I have big quads.  Does the size/distance of the connections make a material difference?  Anyone have any ideas?


Did I say how great it is (mentally) to be able to drive?!  I actually had a job interview in New York City today and drove the hour in and back and felt pretty good all in all after a day of rehab, driving and walking.  May every day be this good.  OK...most of them.  :)

post #954 of 10802

6.5 weeks Post Op 


Hello to all, and thank you in advance!  I have been reading posts for the last couple of days and just decided to join in.

12/25/08-slipped on ice at Northstar (Tahoe) walking to the shuttle!  I am 58 yr old, 6'1"/210 and have been reasonably fit and active my whole life.  I have been riding my road bicycle about 200mi/week for the past year before my injury.  I ended up in an ambulance and emergency room at Truckee.  Easy diagnosis by ER doc.  Pretty significant depression where the quad had retracted.  Because of the holidays, it took a few days to set up the surgeon that I wanted to do the surgery.  Surgery was 1/7/09 on an outpatient basis.  They used a "block" in my upper thigh, which really helped control the post op pain.

Seems like my protocol was about "middle of the road" from what I have seen or read so far.  Lock out brace for 1st week.  Set to 30* week 2 and 3.  60* and adding no more than 15* the next 3 weeks.  PT rx'd, but really not much more than some massage and jaccuzzi and minor ROM efforts.


Just had my 6 week follow-up.  No crutches, use immobilizer (90*) when I walk outside.  Started right off walking about 30 minutes every morning.  ROM was 108* @ PT yesterday.  Was able to get on my indoor bicycle yesterday, and had to "fudge" a touch to get the pedal to turn all the was around, but after a few RPM's I was able to manage about 70RPM with little resistance for 20 minutes, 2x/day.  I am pretty happy so far.  Like most, just getting off the d......n crutches was such a RELIEF!!!  I almost feel giddy just getting to walk around the block!


I really want to ride a "century" again this spring, and will try to put the effort into my PT that it takes to get back up and in the saddle ASAP.


I was wondering.....does everyone/anyone feel as vulnerable as I do??  It happened so damn fast!  I THOUGHT I was in pretty good shape.  I dont know if I'll ever get my confidence back.  Great Forum.....I am really gratefull I found it...Thanks for all the info, and support that you didnt even know I was getting.



post #955 of 10802

Good for you camelliabowl71!  I had the same surgery you did on the same date.  I tore my quad tendon above the kneecap in my left leg.   I was put on crutches and given a cloth knee brace which I wore for six weeks and just got it off on the 23rd Feb.  I started PT 2 weeks after the operation. I am able to do the straight leg raise easily.  My problem is that realative to everybody else with this injury on this site I am way behind with rehab and flexion progress.  Today is the 4th day without my brace and I only can get 30-40 degrees of knee flexion.  then it seems to be stopped by a Unbeleiable tightness and stiffness around the area above the knee cap which was repaired. This area is also visible swollen.  This makes walking and sitting at a desk difficult. need some feedback from all you experts with this injury about what My problem maybe???



post #956 of 10802

Hi All,


Male 51, 6'3", 240 lbs, 7 Weeks today QTR at the patella, Rt leg


Wow, the membership ranks in our exclusive club unfortunately continue to swell! 2 more overnight. Welcome all. 


PT yesterday, got my ROM to a whopping 55 degrees or so! Hallelujah! Slow n steady hopefully wins .... indeed!


Melvin 588 - you're not behind everyone else with this injury at all, you are 5 days ahead of me post op but what you describe is identical to what I'm going through. Not sure that you should be abandoning the brace completely at this point though but only you know for sure?


Camellibowl - you would be 7 weeks 2 days, but who's counting! lol I would only be acutely aware of this because your operation was 2 days before my rupture day. Congrats on the ROM, yrs may have been a tendon to tendon repair vs a tendon to patella? Yes, I share your sense of vulnerability. I think most of us do. A fear of it giving away again, that wobbly feeling or God forbid having the the same thing happen to the other leg!


Jon143 - good work, they haven't e-stimulated me yet, darn, hope the interview went well! 


Tom in NY and Bob in Mi - great progress, I hope I can duplicate yr results with my one busted leg! I just can't imagine two!


Congrats on graduating Jomama69 and paulsenw. 


Good reality check jdistefa.


Welcome munchkin, great to have another female in our ranks! Things seem to be going well for you and yes it is hard work! Slow n steady definitely wins this race


Falcon, good stuff.


Welcome Adrian, good luck with yr surgery, can't imagine bilateral but there are 3 or 4 in da club, do be careful when you have to get out of bed! I have found the zimmer like you currently have is more comfortable then the brace you seek.


Houdini, patience is unfortunately the key for this injury if you can't give us all some magic! 


Jakster, hope your flight went well?


The best to all - Steve  



post #957 of 10802

7 weeks PO

Tigger- my understanding is that my repair was to the patella.  I had 4 holes drilled in the patella to attach the quad.  Does that constitue a tendon/bone vs. tendon/tendon?  I really THOUGHT my physician was being pretty conservative with my rehab, but seeing the different rx's here, its hard to judge for sure.  My OS is the head of the sports medicine clinic at UC Davis, and the chief OS for the Sacramento Kings.  I did some research on him BEFORE I went to him (including "firing" the first OS that I met with!).


Melvin588-you described the feeling of "tightness" about identical to how I would describe mine, especially at week one.  I didnt have any exterior stitches, when I first saw my incision, it was just sterry-stripped together.  I see a lot of posts in here about having sutures removed. I never did.  One thing that I started to do at week 3, was to spend an hour a day in a jacuzzi tub at my neighbors house.  In the hot water (102*) I was able to more comfortably begin to do some ROM work, not much, but some. I was told to use a lot of ice and compression and elevation, and my PT said my swelling/edema is significantly reduced!  I can ALMOST see some lines around my patella!


I dont know if this had any positive effect on my recovery, but I have been eating about 1.0gram of protein per lb. of lean muscle mass.  In my case, almost 175-200grams/protein per day.   Some of the reading I was doing suggested that this amount of protein encourages/supports recovery and growth of muscle.  Made sense to me at the time...and what the heck did I have to lose anyway!!!!!


Like several others on here, I also did my best to do upper body exercises with bands/tubes and dumbells almost every day.  It just felt like I was at least, getting some circulation.  I DO see a positive relationship with the visualization techniques.  When I focus on the exact muscle to engage, I seemed to be able to get "it" to move.  Try it.


It feels so good to be able to "talk" to others that are in the same boat.  THANKS AND GOOD LUCK TO ALL!~

post #958 of 10802

end of 9 weeks post os


Finished out the week at pt with 125 degrees ROM.  Walked up the stairs to therapy wed and today.  Today definitly felt better walking up than Wed.  Pt told me to go down them normal today but hold on to railing.  Chickened out untill last three steps, didn't feel to bad.  More mental then anything else.  Was doing step ups and step overs with a 6'' step box in pt today. 

   Jon143 as far as the e stim it has to do with conductivity, feeling in your muscles and nerves and finally pain tollerence.  When I first started with the e stim my level number was 64.  As the weeks went by my number started decreasing after 7th week of therapy my level is now 43.  Look at it like your muscles are in a deep sleep from not being used it is going to take more stimulation to get them to jump.  as you start using the quad more it starts strengthening and is not as week so takes less to wake it up.  One day i told the pt i was around 60 so she cranked it up and let me tell you that day 60 was way too much, had to back it down to 56 so your level will change as you continue pt.

    Newbies sorry you had to join the club.  But as I'm sure you have read and found some valuable info on this site.  as far as i'm concerened this site has the most info on the web for real life QTR's on the injury, recovering, rehab and life after the injury thanks to some of our veterans on here.  As stated by many This is not a sprint but a marathon, so push your self to be in this for the long haul.  It does get much better as you go.

    Melvin588 every day you go with out the brace is a day you have accomplished something.  I have been without my brace for 1 1/2 weeks and it feels great both mentally and physically.  Each day you are one step closer to the finish line.

     Tigger keep up the good work your range of motion will come.  Important thing now is to strengthen the quads to be ready for walking with out brace.  Don't get discouraged the rom will improve as pt continues.  I never thought i would get to 90 degree's starting at 35 but it will come. 

        Have a great weekend everyone and continue to work hard.  As we all have read hard work will pay off in the end as so many vets. have stated they are back to doing pretty much their normal activities after one year.  


              steve in pa.

post #959 of 10802

Tom (Gellertt), thanks much for your very kind response.  It really gives me hope.  The only (limited) walking I'm doing is in the house with both knee braces (tightened to the max) and crutches.  I'm on the upper floor (three level town-house).  There is only one step when going into my office - and as long as I'm in full concentration and take my time, I'm able to get down that one step.  I have this technique where I slowly lift my left leg (fully extended) and make sure my heel touches the floor first and I slowly bring my weight forward onto that straightened leg.  Then I can bring down the other leg.  I can actually get up a flight of stairs very slowly (luckily there is a rail on either side) - but there is ABSOLUTELY no way I can walk down stairs - so I just sit on my butt and slide down each step one by one - when I get to the bottom I can lift myself up (of course legs fully extended).  I'm in no pain whatsoever.  The knee immobilers I'm using:  http://helyweber.com/product.php?id=59  I was told to position them with my kneecap at the center.  But you're recommending them all the way up to the crotch?  I may try that.  My one question....will my mobility be any less (than what it is now) right after surgery (mine is scheduled in 3 days).  Just trying to get an idea as to what it might be like post surgery.  Once again, thanks for the reply (to everyone)

post #960 of 10802

Hi Adrian:


OK, my leg immobilizers were the full length of my leg, maybe shy by about 6-8 inches. If you have shorter immobilizers then it is possible that you should be focusing on isolation of the knees ... now I understand what you were talking about. Who gave you those immobilizers? Most of us veterans here had the long immobilizer(s) post-op. Chances are that you will too as they help to keep your full leg straight which is vital for your quads to heal initially. BTW, quad surgery takes 6-8 weeks (optimally) to heal ... some take longer.


Mobility: Here are some of my immediate impressions immediately after surgery:


1. Pain: I was on morphine and Percocet for a week to deal with the post-operative pain. Just a suggestion: If you have a choice of anesthesia for your surgery, you might consider opting for a spinal (epidural) with a mild sedative on top of it instead of general anesthesia. The post-op effects of general are pretty uncomfortable. I had a spinal with a mild sedative ... I was asleep for the operation but woke up with about 10 minutes remaining and had no lingering post-op stomach nausea associated with general anesthesia and bounced back just fine.


2. What to expect in recovery: it's strange but as I came out of surgery it felt like my knees were bent even though they were completely straight and wrapped in full leg immobilizers. Part of this sensation is due to the reattachment of your tendons and the other is due to the surgeons putting both of your knees through a complete range of motion flexion before you wake up (this is to make certain that the sutures are holding and that the tendons are secured). 


3. Mobility: In a word ... you'll have none immediately following surgery. My OS had me weight-bear within 2 days following surgery BUT, absolutely no ambulation! The tendon reattachment has to have time to take. Depending on the rupture, you may or may not have taken some bone with the tear in each knee. The healing has to be given time and you must be patient. It's doubtful that you'll be doing much more than learning how to make simple transfers in and out of bed to a chair to sit up or to a wheelchair and eventually, to a commode chair. So, don't plan on being too mobile. If you had only rupture a single quad, things might be different. You and I are special cases, though. Time is on your side, so don't rush to get back to being mobile. P.S. No mobility until those stitches come out (usually 14 days post-surgery).


4. Eventually, you will be given the OK to begin simple whole leg isometric exercises to keep your circulation going and to work on some hip, thigh muscles that have weakened during recovery. Your legs will weaken significantly in the 6-8+ weeks that you are in immobilizers. Atrophe is common and you will eventually start PT to strengthen your reattached quads, get your hamstrings to loosen up and to start simple range of motion work. Your PT will also give you deep tissue massage after the staples (surface sutures) are removed. This helps edema (swelling) and will also guarantee that there is little if any scar adhesion from the surgical incisions and your tendons.


I can give you lots more information if you want to contact me directly at: gellertt@harborfieldscsd.org.


Bottomlime: you'll pull through on the surgery ... don't sweat it. Then, clear your agenda because you've got a long recovery ahead. Don't worry, you'll get through this ordeal and successfully!


All the Best, Tom Gellert

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