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ACL tear - looking for thoughts on recovery time - Page 6

post #151 of 330
Quote:
Originally Posted by Pierre View Post

I saw the doctor today and he has cleared me to ski. Yippie!!

 

I am to take it easy until the first of the year and then full bore if I want to.   My strength is much better than pre surgery right now. biggrin.gif



That is good news.  If you want someone to run with we can hook up at a Metro Park.

post #152 of 330

Got the clearance!  ACL reconstruction was June 22nd.  First time on skis and board will be Saturday in a race.  I'll be very rusty but snow has been so absent in southern New England that not many folks will be in the groove yet.

 

Picked up a new Sigi Grabner GS racing snowboard (178 cm) and am psyched to try it out but I think I'll start off the season with my shorter Volkl until I get used to it.

 

I managed a few rounds of golf in October.  It was nice to be able to squat down to read a putt for the first time since tearing the ACL.

post #153 of 330
Quote:
Originally Posted by patmoore View Post

Got the clearance!  ACL reconstruction was June 22nd.  

WOW...I had mine done on the same day in 1995.  It's also my birthday !  (some birthday eh?)

 

I got out about this time and had no problems except it was a bit stiff at the end of the day.  I did wear a brace for most of that season as a precaution and I was pretty much out of shape, and stayed out of the bumps till spring.

 

My only advice.....the race can't be as important as the knee.  Hurt it again and you loose the season.

 

Have fun and ski safe.

 

UL

post #154 of 330

I would agree with UL as I'd want some time on the hill prior to racing. You don't want the adrenaline of racing to fool you into thinking all is well. Chances are you won't be as strong (yet) as you were prior to the surgery. Glad to hear that you have been cleared!

post #155 of 330
Back on the boards yesterday for the first time since ACL recostruction on Mar.31. So glad to be back on the hill. I still have some room to improve as far as leg strength goes on that side and it was a bit awkward, but I was skiing more aggressively than I expected. Very pleased with where I'm at. Still proceeding with caution untill the leg is a bit stronger.
post #156 of 330

I was back on snow this past weekend and it felt very good.  I am in better shape than I have been in previous years.  My knee is swelled  up a bit though and has some pain.

post #157 of 330

I'm returning from ACL reconstruction on June 22nd and this past Saturday was my first time on snow.  I tried to take it easy but it's just not in me. 

 

I entered a Mountain Dew Vertical Challenge Race at Okemo and things went well. The MDVC is a laid-back competition but it does attract some talented racers. I made three runs on skis as a warmup and hopped in the gates. The official results aren't posted yet but I think I finished in the top ten of the approximately 200 racers. I then switched to my GS snowboard. My warmup consisted of the run from the top of the lift to the start gate. Again, I'm awaiting the official results but I'm pretty sure I had one of the fastest times on a board.

 

The doctor said I really don't need the brace but I wore it just to be safe.  The knee felt exceptionally good. In fact it felt better than the other knee which has had three surgeries stemming from a torn ACL incurred at a skydiving competition back in the sixties.

 

NASTAR Pacesetting trials are in early January and I feel confident that anything holding me back will be because of age, not appendages.

post #158 of 330

Glad to hear all of you (vermonte, patmoore & Pierre) are back on the hill. You'll only get stronger as the winter goes by and don't stop working out now!!!!! Keep it going.

post #159 of 330

I am happy to hear all the good news :-) !  I had my acl done also jun 22, I am going back on the slopes next week, doctor told me to take it very easy especially the first month; so we will see. Many doctors say that the golden standart is 6 months, so hopefully i will be fine. I think, mentally I will be worried, but hoping not

cant wait.

post #160 of 330

Hey giga, don't put your expectations too high, then you won't be dissappointed. just do what you can and enjoy the mountain!!!

post #161 of 330
Quote:
Originally Posted by Pierre View Post

I was back on snow this past weekend and it felt very good.  I am in better shape than I have been in previous years.  My knee is swelled  up a bit though and has some pain.


Okay I am pissed to find my own motality. Yeah I skied but my knee is still swollen and giving me grief 6 days later.  I have to come to the conclusion that getting in shape does not mean skiing like I want to.  I find that I am absolutely addicted to sht that my body cannot handle even in fairly good shape.  I find it discouraging to be able to technically ski past the physical ability even on a western type green slope.   I estimate angles last weekend at around 60-65 degrees and G forces of about 2-2.3.  That appears to be beyond what I can do and not pay dearly. Fuk the ski gods hate me!  This getting old sht is for the fkin birds. WHY ME!   I have only been skiin 52 years.  That is not enough time not to act like a teenager!  Hold my beer while I do this. This is not fair.

 

Ahhh oh, I did not mean that last statement. My daddy always said to me " Son when you hear the words "That's not fair" you are always listening to a loser. Ohhhha, we can't have that now can we!  Okay, rant over,  ahhh maybe, I'm still bumed no matter what my dadd said.

 

post #162 of 330

Hey Pierre/Son, How many people come back skiing 6-7 months after ACL surgery? Not many. Even the WC 'ers who get hurt now, do not make it back in the same season. You need to happy that are even on the mountain right now. Skiing is super demanding it & shows all of your weaknesses and inefficiencies. You still need to think big picture & be happy you are on the hill and just do what you can this year.

 

Next year seems like a long way to think about probably, especially after all the misery & pt you've gone through, but that's the way it is.

 

Still want to ski and be pain free? Ski with people of lesser ability and teach them. Don't try to keep up with your ski buddies. Its amazing to see people progress no matter what their age is. They will be so happy you skied with them. I don't mean to preach here, but my surgery changed my perspective on skiing in many ways. I firmly believe now that any day for me skiing is a good day. It really stunk not being able to ski since my surgery was in November & I wasn't ready until the following year.

 

Keep the faith.

post #163 of 330
Thread Starter 

Looks like I might be joining you sooner than I thought!

 

At my last OS appointment (beginning of Dec) he was really impressed with progress, and cleared me to ski on Feb 1st - a month ahead of schedule.

 

At my last PT appointment (a week ago) he gave me two additional tests to try: running fast figure-eights, and some jumping drills. He said that as soon as I can do both without discomfort, I can ski.

 

I've tried both, and they seem to be fine. I'll probably try a couple more times to be certain, but it's looking like I could be out there by mid-January!

 

It's been puking snow for weeks here, and the local hills look amazing. That's where I'll be starting out, and I can't wait.

post #164 of 330

kcxd that is good news.  I continue to have pain skiing.  I had a lot of nerve damage and those areas are coming alive now.   I was hoping for better but I am at least skiing.

post #165 of 330

It's now been almost seven months since my left knee's ACL was reconstructed on June 22nd.  I entered my first race (an informal Mt. Dew Vertical Challenge) in early December and was happy with my results on both skis and snowboard.  Since then I've done the NASTAR pacesetting trials, the NASTAR Open at Greek Peak, and three Monday Night Races in our local beer league.  My handicaps are lower than last year and the knee is pain free. I am wearing the Townsend brace as a precaution but don't think it's really necessary.  I'm able to get much lower in the turns on skis and board than in the past and that's contributing to the improved performance.  The right knee continues to give me some pain.  It had ACL reconstruction in '97 and two subsequent "tune-ups" to clean meniscus.  There's a fair amount of arthritis in that one and it will need a total knee replacement at some point but that's probably still a few years off.

 

I tend to recover from injuries faster than most so don't be discouraged if your recovery is slower. 

post #166 of 330
Thread Starter 

Well, happy news from the West Coast - on January 8th, one day short of six months after my ACL reconstruction, I was back on my skis. smile.gif

 

I went up to Mount Seymour and took it pretty easy for the first outing; I stuck to greens and blues and only skied for a couple of hours. The knee felt strong and stable, with no discomfort at all. That leg is definitely a bit weaker than the other side still, but not as much as I'd feared it might be - I was still able to put good solid pressure through that side in a carving turn, was able to go top-to-bottom (admittedly not all that far on Seymour, which only has about 1,000 feet of elevation) and by the last couple of runs was picking up the pace nicely.

 

It felt really, really good to be back on skis, and I can't wait for the next outing. 

post #167 of 330

Hi boys I am hearing some good news here, enjoy your skiing but still be careful.

My first ski day was dec.24, 6 months post op; the first run I was scare; Well every run it was getting better and better; my knee gets sore everytime I ski, the pain comes and goes, Advil helps; My doctor wanted me to start skiing feb.1, then he said I can go but be very very careful, he said that I am not 18 years old anymore and healing takes longer ( I am 35 by the way). Anyway I am so happy to be back there :-)

post #168 of 330

I am not a doctor and I don't want to rain on anyone's parade but please be careful if you are not at least a year out of surgery and are skiing with a hamstring graft. Scientific literature shows that the only graft that is strong enough to participate in sports in less than a year is the patellar tendon. Patellar tendons are good to go in as little as 3 months. Hamstrings have no bone blocks and can take months to attach to the surrounding bone. I will attempt to ski in February which will be 8 months from my quadriceps tendon graft which is technically stronger fixation wise than a hamstring graft. Just be careful because if the graft re-ruptures I would not be surprised (not that I would ever wish that to happen). I am actually surprised at the number of docs who are clearing people to ski at the 6-7 month mark with a hammy graft. Are your physicians sports docs? Just wondering if that makes a difference. I am just stating what had been described in many controlled clinical trials.  

post #169 of 330

Badgalskier, My doct. is sport orthop. he is great; he told me the same as you saying; I had my patellar tendon done, its going to be 7months post op; even I was cleared to ski; he would rather me to wait until feb.1

post #170 of 330
Quote:
Originally Posted by kcxd View Post

Well, happy news from the West Coast - on January 8th, one day short of six months after my ACL reconstruction, I was back on my skis. smile.gif

 

I went up to Mount Seymour and took it pretty easy for the first outing; I stuck to greens and blues and only skied for a couple of hours. The knee felt strong and stable, with no discomfort at all. That leg is definitely a bit weaker than the other side still, but not as much as I'd feared it might be - I was still able to put good solid pressure through that side in a carving turn, was able to go top-to-bottom (admittedly not all that far on Seymour, which only has about 1,000 feet of elevation) and by the last couple of runs was picking up the pace nicely.

 

It felt really, really good to be back on skis, and I can't wait for the next outing. 


kc,

 

Glad to read of your triumphant return to the slopes!(you too, patmoore)  Like BadGal said though, I'd be wary of the graft strength after only 6 months.  Have you been out again since the 8th?  Does it still feel good?  After whacking my right ACL in December, I read all 6 pages of this thread and have learned alot from everyone's contributions.

 

I'm still debating about what I'm going to do about my knee at this point.(which I'll probably start a new thread for)  I'm just over 4 weeks post-injury, and it was a very unusual one for sure!  I still have a month or two to 'ride the fence'(and heal) before needing to pull the trigger on scheduling a reconstruction.  My Orthopod says I should have the recon done, but I feel like it's too early to simply throw in the towel.(an MRI revealed that I'd had a partially torn ACL for years prior to this, although now it's completely gone)  Imagine my surprise!  I had no idea when I did the partial tear, and had been skiing strong and comfortably with it, apparently for many years.  Now that the ACL is completely gone, if I need to have a surgery to be safe, then so be it.  But I'm curious to see out how well it continues to heal up for awhile before committing to a recon.  

 

Good luck to you on your continued healing!

post #171 of 330

I'm no doctor either, but from everything I read before having surgery, if your going to engage in something that is as taxing on the knees as skiing, even though you might be able to, the risk is long term damage or a worse injury to your meniscus should you crash or otherwise move it wrong.  Even if you don't crash the laxity in your knee over time will cause deterioration of the meniscus and ultimately arthritis to the point that you will need a replacement at some point.  I have a good friend who has a partial tear and his doctor told him not to repair it.  He skis fine and it feels fine.  In my case I couldn't imagine that.  Mine was torn and I could feel it moving in a way that it shouldn't  Maybe if I waited and rehabbed it I would have felt as though I could ski on it, but up to the point of surgery that was unimaginable.  Easy for me to say because my surgery was 10 months ago and I only really missed a month of ski season but it wasn't that bad and at least for me looking back at it was well worth the effort to go to the surgery and rehab.

post #172 of 330

Vermonte, Thanks for your perspective.  I guess I used to be like your good friend with the partial tear, but with the new injury, I knew in the back of my head that a surgical recon will likely the best choice for a good long-term outcome.  BUT, the injury was really oddball and I'm a little confused as to what is what, which has been clouding my awareness of which symptoms will heal, and which will not.  I've never had the full ACL tear by itself, so I'm not sure how that alone 'feels' when the other  surrounding areas of the knee are undamaged.

 

In my case, my right knee suffered a grade 2 MCL tear; my remaining ACL strands ruptured, pulling a bone plug out where it attaches to the tibial spine, plus I also had a tibial avulsion(bone chip)  on the edge of the lateral(outside) plateau, right where there are a couple of tib-fib ligaments underneath the LCL.  Apparently, There is no meniscus damage...  And, it doesn't hurt as badly as it is supposed to.(or I have a high pain threshold, or something)

 

The details of how it happened exactly are a bit unclear, it happened so fast!  I was leisurely linking wide turns at only a medium pace on new skis(with my feet too close together - old habit) and, after carving out long left turn, I was in the process of tipping into a right turn while still almost perpendicular to the fall-line moving to my left.  My balance was fine, but I think(this part took a split-second so I'm unclear) that I caught an edge with the(now-unweighted) right ski, and it must've scissored under my left, just as I was tipping the left onto it's new edge.  I must've pinned my right ski down, which caused me to pitch right and forward slightly, but didn't allow me to 'hop out of it', like when you catch an edge on a cat track.  There was no release, and I think the knee hyperextended towards 'two-oclock' as I lurched forward, then my momentum must've twisted my 'pinned' leg underneath as I rode my left ski right over the other.  Then I fell.  I'm probably lucky that the damage wasn't worse, although this is bad enough!!

 

I picked myself up, thinking 'this is NOT good'.  A few minutes of rest and I skied down the rest of the run gimpily and had to take a chair(and another run) to get to the OTHER chalet, where my car was parked.  Good thing the runs are short here!  I had to drive myself home, but, ironically, I had previously scheduled an appt. with my Ortho for the very next day to go over the MRI results from an old, nagging shoulder issue.(torn labrum and another surgery apparently)

 

Anyway, to get back on track here, I haven't noticed much ACL pain yet.  Swelling in the knee has been minimal.  The worst pain has been from the MCL, but the tibial plateau avulsion has been causing the most issues, not allowing a full leg extension yet, and blood had been pooling down in my ankle and the top of my foot, causing swelling and numbness that made it hard to wear a shoe.  After five weeks (as of 1/24), the MCL pain & foot-swelling are beginning to subside, and I'm gaining alot of ROM back, (I'm guessing 2-125 degrees or so) I've been walking down steps for the last few weeks, and I haven't needed the brace since after the second week.  It feels like there's some stability coming back to the knee,(although still weak) but there are could still be some remaining issues.  Those are symptoms that might be associated with the MCL, which hasn't fully healed yet.  But, I really don't know for sure...

 

I'll be at the Ortho on Mon, and I think he's going to ask me to schedule the reconstruction, and while I don't want to miss out on next season, there is still time to put it off for a few more weeks without jeopardizing anything.  I don't think it'll hurt anything to delay my decision - (I'll still be able schedule it for mid-April, even if I wait) but the bigger question will be whether it is downright unwise to attempt ANY level of skiing before having the surgery, even if it tightens to where laxity is not much of an issue?

 

 

Vermonte, you've already given me solid advice, but, as you've noticed by now, I'm still trying to justify getting out there yet this season.  This would have to be the season that we've had record early snowfall,(for here) AND I bought a full season pass, too.  AND, after just missing out on most of the Epic Gathering last year, I had planned on making it out to this year's with my new skis.  I guess ole-man Murphy(and his law) has been following me around lately, and he really torched what would've been a great season.  hissyfit.gif

post #173 of 330

MNator, I felt the same way as you, i torn my ACL in february last season and decided to finish the season and then the surgery,

Its not just your knee which you can damage more; but any other part of your body.

My knee gave up on the end of the season and fractured my shoulder....that was not fun; acl surgery and fractured shoulder

Just be careful

post #174 of 330

Hi Everyone,

Can anyone help with info. I'm in Japan and the doctors have limited English, and I have ruptured my ACL.

I have just read through most of this thread.I have the time as I'm laid up 4 days after rupturing my ACL. I'm in Hokkaido, Japan on my annual pilgrimage to this powder heaven. Day 3 , light getting very flat so slowed down still enjoying fresh pow when I catch something and POP...you all seem to know how the story ends.

Got taken to private Orthopaedic Clinic for x-ray and MRI. (Reading some of your posts I seem incredibly lucky to have got an MRI straight away and cheap...about $350) ACL ruptured but all else seems ok.  My problem is beyond knowing that I have to ice and keep off my feet and leg elevated I had trouble finding out what to do next.

We are not meant to return home for another 6 days after the initial 7 days rest but I don't know if it is usual to start PT straight away of if more of the same rest will be ok till we are home.

Can anyone tell me what they did after that first 7 days of rest/ice/elevation???

I am waiting for my GP at home to email me but still nothing since yesterday.

Thanks for all your posts it good to know that even with a bit of age, I'm 50,  with effort you can make a good recovery.

post #175 of 330

Today, I just had my 5-week injury recheck.  My improvement in the last few days has bouyed my spirits, but I needed to hear what my OS thought about it before actually jumping for joy...  (Hot damn, I just tried a hop or two, and I can actually do that!!  Even on the one leg!  Well, I'm only elevating about 4" or so...)

 

Giga1002, you are right about the need to be cautious about coming back too early, but, as you might've guessed, the news is relatively good - He said that the MCL still has some healing to do(I heartily agree with him on this) along with the tibial plateua avulsion.(to me, as this has been the most 'pesky' of the three injuries) The ACL, well, it is what it is.  There is some knee laxity but, it's not too bad.  Until the MCL tightens up all the way, it's hard to gauge how much of it(laxity) is from losing my last few strands of ACL, and how much is from the rest of the 'carnage'.  There is NO meniscus damage, which is a blessing, but...  As mentioned already, most of the ACL was already toast prior to my injury Dec 21, so it's loss(to me, so far) hasn't felt so devastating, YET.  'Yet' is the keyword here, as I need to have a healed up MCL(etc) before knowing if knee laxity will pose a great risk to my still-virgin menisci if I ski yet this season, before my surgery.

 

Barring some sort of divine intervention, I will have a patellar allograft surgical reconstruction in mid-April... Up til then, it seems that there may be a limited amount of time available for 'light anaerobic snow-surface slide therapy' starting in late Feb..  I didn't push this, but I did ask him if skiing was out of the question before my surgery and he told me that as long as I realized that there's a potential to do further damage,(especially to my medial meniscus) I should be able to ski by the end of Feb. if my MCL keeps tightening more, as it heals over the next three(estimated) weeks.

 

This is great news for me, but it comes with alot of responsibility attached - I have to resist the urge to try anything I shouldn't be doing - even if that includes trying to get my money's worth out of my season pass out here locally, or attending a certain 'Gathering' in CO later on that I was hoping for this year.  The stakes are high because of my still-virgin menisci in that knee.  ROM, strength, and  the residual laxity after the MCL heals will be the key points in my decision-making process.

 

My surgeon is a skier also, so +1000 on that; BUT, I sent him photos of me skiing,(-1) in order to garner his understanding of my frustrations!(I hope that this didn't influence his directive any)  I just need to remember to remain smart about this!

post #176 of 330

Kerryn,

 

You're doing the right thing.  We call it RICE.(rest, ice, compression, elevation)  I'm not a doctor, but beyond RICE, you shouldn't try any PT for the next few weeks, other than some light flex/extension to asses your range-of-motion and to keep it from freezing up.  Don't push anything beyond what is comfortable to you.  Keeping off of it as much as possible and elevating it with some ice on it for the swelling is probably the best course, for now.  NSAIDs are good for reducing swelling, if you're not trying to heal bone matter.

 

There are many posts available online about the options you have available to you at this point, but, in general, the next step is to decide what you want to do for your recovery.(I started by searching 'knee' on Wikipedia)  There are basically two options:

 

1. Conservative Approach - You let the knee heal without surgical intervention, starting PT at an appropriate point during your recovery.

 

2. - Surigcal Knee Reconstruction - ACLs do not tend to heal - ever.

 

 

 

Once you have have ruptured or otherwise entirely torn your ACL, the biggest danger(for a skier) after the pain & weakness subsides is this:  Laxity

 

Your ACL criss-crosses in front of your PCL, connecting your femur to your tibia underneath your kneecap from the inside(medial side) to the outside(lateral side).  It helps keep your femur from sliding backward off of your tibia.  If your other ligaments cannot 'tighten up', or are not strong enough to compensate for it, you will experience 'extra' movement in in the core of the knee while walking and any number of things.  This movement is referred to as 'laxity'.

 

The ACL ligament, while usually never healing by itself, is not a necessity in order to function on a daily basis, and for some, is not necessary for skiing and many other physical activities - It truly depends on the type of activities attempted AND the individual.  But, even those that perform well with no ACL must assess & monitor their knee capsule 'Laxity'.  There are many tender 'parts' in your knee that are more susceptible to wear-and-tear injuries(including early-onset osteoarthritis) when knee laxity exists.  Excessive unnatural joint movement while doing even mundane activities, such as walking can wear out cartilage, and even certain minor torsional forces can stretch or tear a meniscus, which might be more problematic in the long run to fix than the ACL...

 

Granted, ACL reconstruction surgery and the subsequent rehabilitation is no picnic, but it usually proves to be the wisest course of action, especially for the long run.  I'm near your age and I'm facing a similar situation.  I decided on a patellor allograft for my(likely impending) surgery.   If you elect to have surgery, an allograft might be easier for you too.  My Orthopaedic Surgeon(OS) suggested an allograft rather than an autograft, because it's the least traumatic surgical reconstruction path you can take.

 

Sorry to hear of your injury, Kerryn - Bummer; right during your vacation.  I did mine on my first day skiing in December.  Good luck with your recovery!

post #177 of 330

 Mnator

thanks for all that information. I asked a girlfriend about anti-inflammitories as her partner is a doctor and he is just about to have surgery for ACL injury (with a good surgeon) and apparently they don't seem to be the go in Australia.

I think really my biggest concern is making sure I do the right thing next. 

When I tried to stand up after I fell I had total collapse of the knee so I get what you mean about the laxity!!! It's hard to imagine that will sort itself out before surgery. And surgery is definately the way I will go. The Orthopaedic specialist I saw here in Hokkaido said I would need surgery as my ACL is totally separated.

Thanks for the tips re- further info . I'll get all that medical knee jargon soon ! Nice to know I'm on the right track anyway.

Good luck with your re-hab and surgery too. Damn fancy doing yours on the first day of the season. 

post #178 of 330
Quote:
Originally Posted by Kerryn View Post

Good luck with your re-hab and surgery too. Damn fancy doing yours on the first day of the season. 


Thanks.  Yeah, my new skis bushwacked me at a rather vulnerable moment.  I've got some technical adjustments to make to my turning style, as these are my first "shapers".(Volkl AC50)  They're like rogue bulls!  After 40 years of skiing, I've ALWAYS been the boss of my skis.  They submit to MY commands, not the other way around!  Well, these babies push back - HARD.  I need to be gentler with them on the easier terrain.  They may have won the first round, but, as Arnold Schwarznegger said in The Terminator,  "I'll be back";  And, as the Borg said in Star Trek TNG, "They WILL be assimilated"!!
 eah, my new skis

 

 

Did your OS give you something to stabilize your knee like a brace or at least a neoprene sleeve to wear?  You should have something on it for when you need to get around...  At least, for a few weeks anyway.

post #179 of 330

Yes. I've got a brace to wear, just with a slight bend  - not able to flex knee at all with this one. Sounds like there are different types so I'm guessing I may get one with some flex later on.

So how much time am I looking at being off my feet...and therefore not at work?? I have my own business that I work 4 days a week and as we go into February trade slows down.

post #180 of 330

Everyone is different - many people can walk some pretty much right away.  I'm no doctor, so all I can say is "go at your own pace".  It won't be pretty at first, but once you can put weight on it, you should be able to hobble around some.  Just try not to overflex whatever ROM you're comfortable with, and stay in a straight line.

 

You didn't mention which knee you've injured, but what I'm saying is, if you imagine your injured leg on a stair-stepper machine, it only pistons up and down.  There's no twisting  Try to stay that way when you're walking.  As long as it's bearing weight, torsional stress(pivoting) should be avoided.  I looked pretty silly getting around for the first 2 weeks, making right turns took me many extra steps, so that I could keep my injured leg 'straight ahead'.  I play bass guitar and had to do a New Year's Eve gig with my band just 10 days after my injury.  It was tough, but I made it through, and I'm no worse for the wear.(good thing I had a stool to sit on when I wasn't singing, though) 

 

I also have my own business - I don't have work right now, so I'm not 'missing' anything, per se.  I don't know what your line is, so I can't say how much work you'd miss...  In my case, I do design enhancements for & project-manage upgrades to large-scale corporate network infrastuctures.(translation = Cisco Router Geek)  I could work from home using a VPN connection, depending on the client.  Most of the time, I do onsite office 'face-time'.(It tends to keep them happier)  Other than the difficulties that I had driving,(I shudder at the thought of rush-hour stop-and-go) I wouldn't have missed more than a day or two from work.  To navigate rush-hours, I would've needed about 1-2 weeks off.

 

That's just up until surgery, though.  If I were you, I'd make sure that you have at least 2-4 weeks blocked out for your recovery time.  It will take alot longer to fully recover of course, and you may not be able to work for a long time, if you depend on it heavily.  You might want to plan for surgery when business is slow.  With the economic slowdown we've had here in the US, I think I might be able to have both my ACL repair AND my shoulder repaired this year.(last year would've been a better year, but I'll just count my blessings that I can afford to take both years off)  Healthcare insurance premiums are killing me slowly, though.  I'm always watching to see what the US legislators are going to do about the escalating costs for care and insurance...  It should be an interesting year in Washington, DC...

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EpicSki › The Barking Bear Forums › Ski Training and Pro Forums › Fitness, Health, Nutrition, Injury, and Recovery › ACL tear - looking for thoughts on recovery time