or Connect
EpicSki › The Barking Bear Forums › Ski Training and Pro Forums › Fitness, Health, Nutrition, Injury, and Recovery › ACL tear - looking for thoughts on recovery time
New Posts  All Forums:Forum Nav:

ACL tear - looking for thoughts on recovery time - Page 12

post #331 of 358
Quote:
Originally Posted by andyaxa View Post

Sorry to hear about the knee.

I had a partial tear in '83 playing football in high school, two scopes and a lot of meniscus. Then in '85 I blew it out completely and had the ACL reconstruction, using the then fairly new, less invasive patellar graft procedure. I had a buddy who had one a couple years before that and he had a track from below the knee half way up the thigh and was in a cast for 6 weeks. With the "new" method, if it does go that way for you, they really work at ROM, fast...I mean right after surgery, as one poster said, you're in the passive motion machine. I can't add a lot more than the good stuff others have offered, but PT is the key. It sucks (and I sucked at it), but in the end, following instructions from the medical  and PT people and being vigilant with PT is the surest way to a quick recovery.

If swimming and biking are your things, you're in luck, because these are the first activities you can get back into, no pounding or lateral movement. You'll start on a stationary bike to protect the leg, but that motion is what they used for me to start getting back in shape and increasing strength and ROM. I never learned to ski before injuring my knee and then was too fearful to learn for the next 25 years. When I went back to my ortho this year to see what I needed to do to start, his belief was that braces are primarily a psychological aid the most important factor was muscle tone and strength in the bad leg.

Good luck!

 



Hi

I am wondering if you had your meniscus trimmed in the ACL reconstructed on the same knee ? The big issue that noone seems to talk about is oesteoarthritis after about 10 years from injury specialloy if you have had meniscus dammage.

Cheers
post #332 of 358
Quote:
Originally Posted by fabienzan View Post
 
Quote:
Originally Posted by andyaxa View Post

Sorry to hear about the knee.

I had a partial tear in '83 playing football in high school, two scopes and a lot of meniscus. Then in '85 I blew it out completely and had the ACL reconstruction, using the then fairly new, less invasive patellar graft procedure. I had a buddy who had one a couple years before that and he had a track from below the knee half way up the thigh and was in a cast for 6 weeks. With the "new" method, if it does go that way for you, they really work at ROM, fast...I mean right after surgery, as one poster said, you're in the passive motion machine. I can't add a lot more than the good stuff others have offered, but PT is the key. It sucks (and I sucked at it), but in the end, following instructions from the medical  and PT people and being vigilant with PT is the surest way to a quick recovery.

If swimming and biking are your things, you're in luck, because these are the first activities you can get back into, no pounding or lateral movement. You'll start on a stationary bike to protect the leg, but that motion is what they used for me to start getting back in shape and increasing strength and ROM. I never learned to ski before injuring my knee and then was too fearful to learn for the next 25 years. When I went back to my ortho this year to see what I needed to do to start, his belief was that braces are primarily a psychological aid the most important factor was muscle tone and strength in the bad leg.

Good luck!
 

 



Hi

I am wondering if you had your meniscus trimmed in the ACL reconstructed on the same knee ? The big issue that noone seems to talk about is oesteoarthritis after about 10 years from injury specialloy if you have had meniscus dammage.

Cheers

Edited by Finndog - 1/2/15 at 7:18am
post #333 of 358
Quote:
Originally Posted by Finndog View Post
 

Then try one leg squats with the free leg out front, then to the side, Go slow and again, keep the leg/knee straight (not to the inside or outside), don't lean over with your body when going to the side.  alternate and try dong these without touching your free foot to the ground.  you dont need to squat more than 45* but do them within your comfort range.  

 

This one is really good. I also enjoy the old fashion wall sit as well.

post #334 of 358
Quote:
Originally Posted by skidding View Post

The first thing to do is find out if the ACL is complete or partial tear.  Let us know what your doctor says.  It has been a long time since I had my knees done.  They are around 1988 and 1990 vintage reconstructions, along with some more cartilage tweaks in 1998.   My left knee was immobilized for 4 weeks to try because they tried to repair some of the cartilage.  You loose a lot or range of motion when immobilized for 4 weeks.  For my right knee, I woke up from surgery in a machine bending my knee to 90 degrees and they were much more aggressive with the early range of motion and exercises.  My guess is that is how things will be now, particularly if your cartilage is in good shape. They had me on an exercise bike very early, so I would expect that any cycling type activity would certainly be part of your rehab starting by the end of the first month after surgery at the latest.  Cycling and swimming are both great and will greatly aid in any rehab. 

Skidding did you have menisci dammage and do you have OA now ?

post #335 of 358
Quote:
Originally Posted by BaconMeCrazy View Post
 

 

This one is really good. I also enjoy the old fashion wall sit as well.


yeah, the wall sits are "classics"  don't forget properly done 'Butt walks" too! 

post #336 of 358
Add me to the list. Blew up my left knee today. No MRI yet but I'm pretty sure it's ACL
post #337 of 358
Quote:
Originally Posted by jzamp View Post

Add me to the list. Blew up my left knee today. No MRI yet but I'm pretty sure it's ACL

 

Sorry to hear that jz.  Mine has been 7 years now with zero, none, nada problems.  Hamstring autograft.

post #338 of 358
Quote:
Originally Posted by jzamp View Post

Add me to the list. Blew up my left knee today. No MRI yet but I'm pretty sure it's ACL

 

WELCOME! :D

 

a couple simple tests will confirm it......  MRI just shows it in detail and what other damage you did.  Thumbs Up  

post #339 of 358

I'm curious. How many people have had ultrasound diagnostics performed to evaluate their injuries? A good friend of mine is using it and likes it a lot. She says she can manipulate the joint and see what is going on inside which helps a lot more than static MRIs.

post #340 of 358

for an acl?  Lachmans test is the gold standard.  My OS said he relies on it more than an MRI (but would still order a MRI/A) . Not sure an ultrasound is going to give you the necessary detail to see tears or detachments of ligaments or meniscus. I get what you are saying but it sounds like a good tool to use in conjunction with an MRI/A and good physical exam.  

post #341 of 358

I think you need an experienced tester to get a reliable Lachmans test.  My general practitioner did something to my knee and told me it seemed stable.  (I hadn't read up back then, so I wouldn't have recognized Lachmans and as a result don't know if that is what he did.)  But net result, he missed the ACL tear.  It was immediately obvious to my OS (though to be fair, the knee had quite a bit more wear and tear by then).

post #342 of 358
Quote:
Originally Posted by mdf View Post
 

I think you need an experienced tester to get a reliable Lachmans test.  My general practitioner did something to my knee and told me it seemed stable.  (I hadn't read up back then, so I wouldn't have recognized Lachmans and as a result don't know if that is what he did.)  But net result, he missed the ACL tear.  It was immediately obvious to my OS (though to be fair, the knee had quite a bit more wear and tear by then).


+1

 

My family physician couldn't tell anything and moved things around in such a way that it hurt.  Then said I was "guarding" so much that she couldn't do anything else.  Ordered an x-ray that simply confirmed no bone damage.  The ortho PA a few days later moved things much slower and could find the little extra laxity in the injured knee in comparison to the other knee.  That was a few weeks after injury when the swelling was minimal.  The complete ACL rupture was confirmed by MRI but I didn't get to discuss it with the ortho surgeon for another few weeks.

post #343 of 358

I don't think you can guard a lachmans test. If the ACL is shot, when you pull up on the Tib, it moves!  Mine was so obvious.  The OS in the ER didn't even think to order a MRI. They did xrays to R/O broken tib/fib.  He just did  the Lachmans test on the left knee, and said "you see this? Yeah, this is a knee with an ACL", (then doing the test on the right knee) "Now see this, this is a knee without and ACL"  True story  :D  

 

 

I just did a quick search, looks like the Pivot test (which may have been done but I don't remember that one) and the Lachmans are very accurate for a quick diagnosis but not the only test that should be done eg MRI Xray. etc

post #344 of 358

My GP told me my ACL was OK after doing the Lachman test.  It was completely torn and unstable.  Not sure why he missed it.

 

http://www.sportsdoc.umn.edu/Clinical_Folder/Knee_Folder/Knee_Exam/lachmans.htm 

post #345 of 358
Quote:
Originally Posted by Finndog View Post
 

I don't think you can guard a lachmans test. If the ACL is shot, when you pull up on the Tib, it moves!  Mine was so obvious.  The OS in the ER didn't even think to order a MRI. They did xrays to R/O broken tib/fib.  He just did  the Lachmans test on the left knee, and said "you see this? Yeah, this is a knee with an ACL", (then doing the test on the right knee) "Now see this, this is a knee without and ACL"  True story  :D  

 

 

I just did a quick search, looks like the Pivot test (which may have been done but I don't remember that one) and the Lachmans are very accurate for a quick diagnosis but not the only test that should be done eg MRI Xray. etc


Probably not if the Lachman's test is being done correctly.  I have no idea what my family doctor was trying to do, but it certainly hurt and it wasn't a productive exercise.  My MCL had a minor sprain as collateral damage so that's the area that could be painful with specific movements.  Doctor never thought to look at my good knee.  I only went to get the referral to a specialist.  Luckily that worked out great.  So I had an appointment and MRI within a couple days during a holiday week.

post #346 of 358
That's one benefit to blowing your ACL in ski town USA every doctor in the ER has handled hundreds of these 😀
post #347 of 358
Quote:
Originally Posted by Snowfan View Post
 

My GP told me my ACL was OK after doing the Lachman test.  It was completely torn and unstable.  Not sure why he missed it.

 

http://www.sportsdoc.umn.edu/Clinical_Folder/Knee_Folder/Knee_Exam/lachmans.htm 

http://www.sportsdoc.umn.edu/Clinical_Folder/Knee_Folder/Knee_Exam/lachmans%20text.htm  -  "It is important in this test to make sure that the patient's hamstrings are completely relaxed or there could be a false negative test occurring."

post #348 of 358
Quote:
My GP told me my ACL was OK after doing the Lachman test.  It was completely torn and unstable.  Not sure why he missed it.
 
http://www.sportsdoc.umn.edu/Clinical_Folder/Knee_Folder/Knee_Exam/lachmans.htm 
-Snowfan

Ha, same here! Except I went to 2 doctors and both said it was ok. It wasn't. So 2x wrong result. Three years later knee gave out and in arthroscopic to repair the meniscus they saw the completely torn Acl.

So that test is crap as far as I'm concerned.

@jdistefa posted years ago about a machine that did the Lachman's test or something similar.
post #349 of 358
Don't get me wrong or take this the wrong way but gp's are great for colds and the flu but not so much for anything more.
post #350 of 358
Should have said both were orthos.
post #351 of 358
My ortho diagnosed the acl by feel, but confirmed with the KT1000. Yes, KT stands for knee tester. Brilliant, isn't it? It basically provides a scale to see how far the doctor can pull the knee. The criteria is the difference between good and bad knee. If they are both bad, you are out of luck.
post #352 of 358
Quote:
Originally Posted by Tog View Post


Ha, same here! Except I went to 2 doctors and both said it was ok. It wasn't. So 2x wrong result. Three years later knee gave out and in arthroscopic to repair the meniscus they saw the completely torn Acl.

So that test is crap as far as I'm concerned.

@jdistefa posted years ago about a machine that did the Lachman's test or something similar.


Fwiw, I have a NYC Orthopedic Surgeon cousin who when in med school (graduated top of class), told me they see allot of misdiagnosed ACL tears. The topic came up because of my history of knee trouble, which fortunately is not a ACL issue. And yes when my cousin performed the L test on me i passed as i expected i would, thankfully.

I'm sorry for those of you going thru this and wish you well.

post #353 of 358
MRI is still gold standard pivot shift is the best special test followed by lachman's gotta do both tho. Anterior drawer is hit or miss.
US imaging needs a VERY skilled technician but can be very useful.
I'm day 3 post injury full extension 125 active flex still a grade 2 effusion tho. Overall happy with progress so far!
post #354 of 358
Quote:
Originally Posted by neonorchid View Post
 


Fwiw, I have a NYC Orthopedic Surgeon cousin who when in med school (graduated top of class), told me they see allot of misdiagnosed ACL tears. The topic came up because of my history of knee trouble, which fortunately is not a ACL issue. And yes when my cousin performed the L test on me i passed as i expected i would, thankfully.

I'm sorry for those of you going thru this and wish you well.

 

With most injuries, and especially for ACL's it seems, there's no substitute for experience.  I'll take my odds with a OS who probably diagnoses 10 ACL's a week.......  

post #355 of 358
Hi, I have a question re: your allograft. How long did you wait to weight-bear? I just had surgery 9 days ago w/ an ACL allograft and feel great. Doc says 25% weight-bear and my PT says to full weight-bear IF you feel comfortable, which I do. I'm only walking in the house....very short distances, am elevating my leg A LOT and doing my PT...riding the bike and doing other exercises. My gait is almost normal and I have 120 ROM. I know I need to protect my graft for the next 6 mos.
Does this sound like I'm doing the right thing? Thanks for any insight!
ReplyQuoteMulti
post #356 of 358
Whatever your PT and doc say to do is the right thing. It sounds like your are progressing well. Keep up the good healing.
post #357 of 358
Quote:
Originally Posted by bellanapoli View Post

Hi, I have a question re: your allograft. How long did you wait to weight-bear? I just had surgery 9 days ago w/ an ACL allograft and feel great. Doc says 25% weight-bear and my PT says to full weight-bear IF you feel comfortable, which I do. I'm only walking in the house....very short distances, am elevating my leg A LOT and doing my PT...riding the bike and doing other exercises. My gait is almost normal and I have 120 ROM. I know I need to protect my graft for the next 6 mos.
Does this sound like I'm doing the right thing? Thanks for any insight!
ReplyQuoteMulti

 

You are progressing fast!  Everyone is different.  I went about two weeks after with two crutches while putting wait on the leg that had the ACL repair.  Went to one crutch and light walking for a few more weeks then at about 2 months was biking 12-20 miles 4-5 days per weeks and hitting the gym on off days.  The key is to progress as you feel comfortable and like mentioned earlier stick to your ortho and PT's plans - they will let your know if it is OK.

post #358 of 358

Technically speaking if it's pure ACL no other injury you could be FWB on day 1. keep in mind weight bearing status does not necessarily equal walking/jogging/running

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