Here's more data than you want:
April 18, 2008 - Tore ACL grade 3. Also sprained MCL grade 1 or 2. OS said ACL needs to be replaced, MCL will heal on its own.
I'm 48, 5'& 180# and could stand loosing 25 pounds but I'm in good shape otherwise.
Lots of PT, home and at clinic (2~3x/wk). Focus on ROM
Knee was always swollen and would only straighten under pressure. Had knee drained a couple of time (42 CC then 22 CC of fluid). Scheduled surgery because it was believed a stump of the ACL was caught in knee preventing straightening and causing swelling
July '08 - In for surgery, couldn't complete because I had arthrofibrosis. Found that the acl still had continuity so no stump to worry about. OS drained and injected steriod and delayed acl reconstruction until arthrofibrosis is cleared.
Next couple of months did PT 2x/wk at clininc and other days at home. Drained a few more times and more steriod injections. PT focus ROM, Strength and then agility. Started running and could hop side to side on bad leg.
No improvement with regards to full extention and swelling so OS prescribes NO PT and to use leg little as possible for one month. Only stretching. OS says leg is strong and very stable. Probably needs a break since it been through so much.
After 3 weeks I go to the Chiropractor. To this point the leg doesn't feel much different; swells easy and stiffens preventing full extention. Chiropractor uses accupuncture and some sort of hamstring muscle massage. Leg feels GREAT! Best since accident.
Follow up with OS and he prescribes PT on my own and to continue with Chiro. Also prescribes a brace for skiing and recommends follow up in spring to see if surgery is needed/desired.
Since then to current. PT on my own is fairly consistent but could be better. Use the stationary cycle most. Now doing 60 + minutes daily at a fairly good cadence. Also do lunges and the like and use a bowflex.
After a good cycle ride, leg feels great and ROM is great. Next day too. I've been noticing that when I do the bowflex and the lunges too (not daily), my leg seems swollen.
Still go to Chiro monthly.
I used to do lots of leg presses at PT; 3 sets of 225~250 #12~15 reps and then 3 sets of single leg 125~150# 12~15 reps.
On Bowflex I max out at 210# but it is probably closer to 170# (not at max arch). I also do leg curls on bowflex at 45#.
Leg is better than it has been but now I'm thinking that the weight bearing exercises (leg presses) are causing the swelling.