Now I ask, is this enough? Today was my first real venture out for my follow-up, sutures removed, had an ultrasound to rule out a blood clot(normal thank God), fitted for a new and way better brace, and made it to lunch. Interesting blog. I also purchased an ice machine to help with swelling and pain management and used it as much as I could the first weeks. Though it is a protective mechanism initially, it persists and will make it brutally difficult to achieve a good quad index. Joint swelling. AMI is most severe in the first few days after joint damage, plateaus mid-term (up to 6 months) and then slowly declines in the longer term (18-33 months);7 however, AMI may still be present years after joint damage. I know that sounds like a long time but the change was gradual. I cried reading the whole thing because im about to go through this in less than a month and im beyond scared. I injured my ACL on June 28th from playing basketball. Selma, I’ve been asking so many people questions but this has truly helped me understand the procedure and recovery process.I was 19 and extremely competitive with my college sport career. Change ). I must say she wasn’t the gentlest of nurses and this fell under the category of “no fun.” After the IV was in she drew blood and then it pumped fluids into me, which caused my right arm to feel cold, but not uncomfortably so. I can bend my knee to about 90 degrees not enough to ride my stationary bike. If you’re still having problems with pain (and the meds aren’t helping) maybe you should talk to your doctor about it, just to make sure there’s no complications. Keep updating. Diminish Pain and Inflammation. Hi Holly, I am 28 years old and I torn my Acl in a soccer game. If so how long does it take to be able to move or get around in the least bit without being in extreme misery? It wasn’t until I experienced this personally with my own ACL injury, that I really could grasp this strange and frustrating phenomenon. Help to prevent early onset arthritis. I like how funny you got on the loopy drugs. What happened to you hand so you needed the surgery? I guess the one good thing about surgery is that my normally active and neurotic mind has been shut off. I also did therapy before surgery and it seemed to help. I was told to drink a lot of fluids and eat when I took them to help combat this common side effect, but that only helped minimally. Many thanks to Holly and all others for sharing their experiences. Most patients are fitted with a continuous passive motion (CPM) machine immediately after surgery. In summary, AMI sucks. Can rehabilitation help me to walk again? I’m a ball of nerves. Hi Jamie, hi,my name is andres.. im 15 years old and i tore my acl playing soccer in april, now i will be getting surgery in 14 days july 24th. Post was not sent - check your email addresses! Also, did the forms you signed allow for people (med students, observers, etc.) My brace wasn’t lined up with my knee which I was worried about. It’s a long road to get back to 100%. Hope this helps. Through trying different exercises: Bulgarians squats, split squats, reverse lunges with glider discs, isometrics at various knee flexion angles, single leg squats, etc., I’ve discovered what works best for me. 9) They wheeled me into the operating room, where “Welcome to the Jungle” was playing which elicited comments from the nurse and anesthesiologist. Were you scared? Do you have any sign of OA ? 3 Draining the joint post injury is routinely done in our office but hasnât always because sticking a large needle in the knee could be a source of infection. Thank you for your post tho! I do PT 3 times a week (its tough, but at least it feels like your accomplishing something). I am pleasantly surprised as I have just had minimal discomfort. I hope your recovery has been going well! Thanks for sharing your experience so I can see what I have to look forward to down the road. I am young, fit, enjoy an active lifestyle, ( walking, aerobics, gym, open to try new things, like skiing…. Snyder-Mackler L, De Luca PF, Williams PR, Eastlack ME, Bartolozzi AR 3rd. I had my ACL Reconstrustion Surgery yesterday.. Quad set 8 hours after reconstructive ACL surgery im expecting ur reply….. I can put weight on my left leg when I walk. Your email address will not be published. I had many worries and questions, and your blog helped to answer them! The only problem is staying one position all night–I woke up pretty sore. Iâm quite positive itâs related to my ACL surgery since it started after my surgery on the same day. Quadriceps arthrogenic muscle inhibition: neural mechanisms and treatment perspectives. Re-educate muscles. The quad âweaknessâ is a reaction to the knee pain/surgery. I’ve had a great outcome. I’m not a fan of needles. Ramp: with higher intensity, use a longer ramp for comfort. Good luck to those who have to go thru this. I am a teacher and put so much mentally into my job I feel like I will not have the mental strength for both. I am really worried about the recovery because I smoke a pack of ciggerates a day and I know that will mess with the healing process if I choose to go with the surgery. Essentially twitching quadricep muscles are no big deal. I have the nerve block also. I was so scared before my acl reconstruction ( donor ), I wanted to just not do it at all but I knew I had to so I could eventually walk normal again. I donât want to go into too much detail but during my surgery, my team used a FAW blanket called the Bair Hugger and it helped so much with my post surgical recovery. Does anyone have tips for me?? For this one they used a donor ACL. For my buddies no worries, dedicate yourself for rehabilitation and make the physio as your best buddy for the year. My surgeon does not think the surgery is necessary, due to my limited activities (as in I don’t play sports), but I am a retail manager on concrete floors. Do your PT religiously. It took me six months to be cleared for “all activities,” which included running and skiing. What not to do after ACL surgery? When he injected it, the muscles in my thigh started twitching violently. So this was super helpful on what is going to be happening before, during, and after the surgery. Change ), You are commenting using your Facebook account. I’m still in the brace and on crutches. Itâs not uncommon after major surgeries like an ACL surgery or a total joint replacement but can occur even with arthroscopy. Hi Sharon. Glad I could help set your mind at ease. I really appreciate the post. And the quads do need work. Denise. Good on your for sharing your experience. I had to undergo some reconstructive surgery in order to correct a severe trauma. I’m getting nervous as the day is getting closer, but Dr. Kharazzi also did my shoulder surgery so I know I’m in good hands. Please keep me in your prayers. I’ll post more about it if/when something that I think will be helpful to other people happens. Too long for my first outing, but I put actual clothes on (not yoga pants) and felt human again! Again, I go hard, not pitty-pat. I didn’t have full range of motion in my knee for at least a month & a half. Good luck! My knee still feels really tight at times but I can finally walk downstairs better.. The first thing I seem to notice with people doing after ACL surgery is getting over-ambitious towards their knee recovery. As far as I know, an ACL tear won’t heal on its own, but I’m certainly no expert. Hopefully I can get some feedback from you good people and the author. Hope my surgery goes well. Getting myself prepared for the surgery tomorrow. Q- How soon can I shower? Maximizing quadriceps strength after ACL reconstruction. From the day two I could feel the pain level coming down and have not been taking pain medication for the past three days. Anyway, I am scared. Seriously, I could not get through this without him. Your blog has helped to calm my nerves! Hi, on 13 june 2012 i had my ACL surgery done. Also does anyone feel intense pain when it rains ? I woke up in the recovery room feeling nauseated and in pain. Finally, if you made it to the bottom of this post, here’s a reward. Recovery from an ACL surgery is a long, gradual process, but every day there’s improvement. Thanks for all the insights but I have a couple of questions. Follow your surgeon’s instructions! I started decreasing my percocets for tylenol 10 days after my surgery and that stopped the dizziness. I just have a quick question… I am SO SCARED of needles. Once this happened, I had my own little pity party, but it made me realize so many others have it soooo much worse. I am finally getting my surgery done on Sept 12th and Dr. Kharazzi is also doing my surgery. I had my acl surgery 2 months back(hamstring graft)..been a bumpy ride..knee still feels weak and sore..still limping a little while walking..quads are weak..how long did it take for you to walk normally? Good luck you will do great. I tore my ACL on July 2nd and will be having surgery on the 26th. ð I know how it is hence my comments at 3AM. Boy, was I happy to see him! Waking up this morning it’s between 2-3. I am afraid that I won’t be able to manage the pain. Its been 4 months from the actual injury..with so little movement I am depressed.. ð. I was able to get back to hiking in no time. 1) I spent the rest of the day entirely on the couch. Best option is to put leg into a garbage bag and cinch it at the top. Rice DA, McNair PJ. My knee feels stronger everyday. My famous person down the hall was Magic Johnson, who had a concussion form the game the night before (they actually kept me two days). This knee injury(ACL rupture and long horizontal tear in lateral and medial meniscus) happened to me while attending dance class. Every morning it’s a fight to loosen up my knee so I feel slightly normal . I been going though therapy since the beginning of june 2014. Hoping for your quick recovery! It’s been six years. I’ts now 3:00 p.m. the day after surgery. It has been pretty sore since that tho. It’s helpful to read your story and others on this blog. For me it took 10 days to really start to feel any bit of normalcy. Second, when does even a simple trip to the grocery store not feel like I have just done a marathon? My first concern is surviving the surgery and preventing blood clots. I am scared. I feel NO activation of my quads. Thank you so much! Taking it day by day for now. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. We stopped by the pharmacy to have it filled. Multiple studies have shown gait deviations up to 8-12 months after knee surgeries such as ACL reconstruction, meniscectomy, and total knee replacement. I know it’s been a few years since your surgery, but my husband is having reconstructive ACL surgery next month. Goal of early ACL rehab: Early rehabilitation post ACL reconstruction is generally defined as the first two weeks after the surgery. Going for surgery in 2 weeks which is just about 5 weeks after I tore it… I tore my ACL completely skiing. I was cleared for “all activities” by 6 months post op but running about three months post op. I tore my ACL tumbling february 19, 2013 and im barelyngetting my surgery this Thursday, i put it off for so long due to my college career with sports and crossfit but my season is over and im ready to get this over with! They’ll give you more heated blankets if you want them. Julie, it’s been so good getting back in touch with you. Again another shaking, yelling, and tearful moment. Thanks for the Info.. Im having ACL LCL PCL reconstruction on the 18th of this month and was really nervous on what all would happen.. I’m also sweaty and a little clammy. I think I’ll reduce my pain medication the next time I’m due to take it. Konishi Y, Fukubayashi T, Takeshita D. Possible mechanisms of quadriceps femoris weakness in patients with ruptured anterior cruciate ligament. It is too intense.. Should I wait a day or two to talk to my doctor or should we let him know ASAP. I must admit most days I don’t move from my bed . http://www.health-tourism.com/anterior-cruciate-ligament-reconstruction/thailand/. I have done wonderful. I’m going in for ACL surgery in about 3 weeks. It may not be the same for everyone, so our job as physios is to help find the one exercise that facilitates the quad BEFORE surgery. but im glad to read about someone that has had it before and it felt better. No good stressing over everything so don’t research too much; but it is great to be prepared. I was off crutches on day 3. God bless you and thank your for sharing. Consider compression. 2. I would like to thanks the author for posting an informative article like this. Did you do patellar, cadaver or hamstring? My Pain gets so bad when I move that I just bawl my eyes out. They used my patella tendon for that one. Thanks again for the inspirational post ð. I am having my operation in one month time (4 months after injury). So, go ahead⦠give it a shot. Holly. My guess is that they do not. thanks for the info! I have my surgery next Thursday so I have just been hitting the gym like mad getting as strong as I can beforehand. McMaster University. I have no idea. Almost all blogs give horrific stories and most of those people are under 40 and athletic which scares me more. There was a lot of drowsiness so I just turned on a DVD and let myself go in and out. I hurt myself on a bad turn in a slalom race on Jan 5th. This promises to be a long, boring post, but hopefully it will help someone like me who wants to know exactly what happens when you have ACL surgery. I am kind of nervous but I will have good family and therapy support teams and I will do everything I can so I am back and able to play in our university rugby season in 8 months! I keep coming back to your post. Just wont to say it is nice to hear what some went thought and give me some insight in what i might be going to have to g thought. wish you a healthy life!! Do patients understand what they should be trying to do? Getting the quads to fire again after taking a piece of the quad tendon out, is so difficult as I later found out. I ended up using one crutch and Mick to slowly hop from the elevator to our unit.). I just want to be normal again. Palmieri-Smith RM, Thomas AC, Wojtys EM. Every day there was improvement so it didn’t feel like I was gimpy and then all of a sudden better. I just got my ACL surgery done a week ago, and since day one I have been documenting my journey as well. However my hyper extension of my leg hasn’t returned yet . If playback doesn't begin shortly, try restarting your device. I feel like anyone who has gone or is currently going through this is part of an exclusive club. Im almost finished with physical therapy, which has done wonders for my recovery. Thank you so much for posting this. Instead of taking baby steps. But at 3 1/2 weeks post op I definitely still felt gimpy–my surgery was in mid-June and I probably didn’t start to feel really normal until the end of August. It doesnt feel like muscle pain or swelling. ( Log Out / CASE STUDY ON QUADRICEPS INHIBITION. I am prepared for a few rough weeks. And each day it gets a little better . When he injected it, the muscles in my thigh started twitching violently. I assume its quite long excluding recovery room time. Anyone else with experience with the Patella? Thank you for sharing Holly! Reading this puts things into perspective and a good thing as to what to expect. We’re all different but we can do more than we think, if we’re willing to work hard and keep at it. Any movement was simply unbearable. Thank you again! The nerve block is injected into your femoral nerve and completely numbs the area. By the end of 3 months I was going up and down stairs like nothing happened, but I was definitely able to climb them (albeit rather gimpy) way before that. I’m not a physician, so can’t help you with your question. One of them was an Olympic volleyball player, but for privacy’s sake I won’t reveal which one. I am awaiting ACL surgery in a few weeks. Do yourself a favor and make sure your back seat is clear, because that’s where you’ll probably have to sit. I have a doc appointment 2 days from today..hopefully I will start swimming from next week..may be that will help a bit..let’s c..thanks for the kind words.bye. Hi, I get this surgery tomorrow morning, and just have one question. I am schdualed for surgery in 3 weeks but I am not sure if I want to do it because the MRI didnt say I have a torn ligament but the surgeon said I did. This information was really helpful because my daughter has also torn her ACL and will get her surgery in 3 days…. in my left buttock & leg before the surgery to which I attribute some of the numbness. Good Luck! She also put a finger monitor on me and attached some electrodes (not sure if this is the right word, but you know, the sticky things they put on you so they can attach monitor wires. Minimum required for tetany (20-30Hz). Luckily I was with my friend who is a PT and he had me doing therapy the next day. Things are changing though. Do your research. Thank you so much, and hopefully my procedure goes as well as yours. It is definitely not the most pleasant thing in the world but it’s not as bad as I thought it would be. I’m now 3 wks post op, able to do stationary bike, half squats, calf raise, stairs going up easily, going down that’s another story. I suppose it depends on the doctor. Surgery went wonderful and I’m 5 months post op. I’m still non-weight bearing, and with the knee locked at extension, but my swelling has decreased and I am starting to be able to leg raises with the brace on. Thank you for such a detailed post! I am now on day 3 and I am just uncomfortable. Just want to say thanks again for writing this. I just want to do my normal routine again. Consult with your doctor. ACL was repaired w patella and meniscus was sewn back together (no weight on my leg for 6 weeks because of meniscus). Along with quad strengthening and NMES, using cryotherapy immediately following injury will help with both effusion and pain. Making the couch-bed up in advance was the best thing I did though. I was 41 when I had my surgery and I don’t regret it for a second. It was also the beginning of the question: “Which leg is it?” (the left one). Quadriceps activation deficits may be seen following isolated ACL injury with AMI ranging from 3 to 8% when tested an average of 6 weeks to 31 months post injury. Definitely wish I would have had the nerve block at this point lol. I had a allograft using and Achilles tendon . And the doctor is amazing Dr Chant I just wish I could of seen the video. 1) We were told to arrive at 8am for a 9:30 procedure. Thank you! I was lucky enough to have my mom, sister or husband always there, and something that really helped was to have someone there to lift my leg and assist me as I sat down. The surgery definitely isn’t as bad as you’d expect though….but I hope I don’t have to go through it again anytime soon. First couple of days thought I was doing so great, and the swelling and bruising looks minimal. -Increase food intake gradually Prior to the surgery it went out twice and they were the most painful experiences of my life. Like you said manageable pain. These are questions you should ask your doctor. Up, Down, Happy, depressed and crying. Its very helpful information, again thank you so much. I’m trying to not think about the discomfort by playing Solitaire on the iPad and reading this blog of others’ experiences. Enormous swelling and pain. Up until that point, the pain was pretty bad but seemed to taper off after that. I still haven’t tried jogging yet and since I wasn’t a jogger to begin with my physical therapist hasn’t been in a hurry to have me run just yet. The PT I did made all the difference. Will I need help? I am not 10 days post op and I am still in pain, and I stopped taking pain meds due to severe constipation :(. Even as little as 10cc, will induce quad inhibition. I credit my super quick recovery to the blanket. Doc was not quite happy with the staples he had to use because of my soft bones in the knee. I need as much information as I possible can. Has anyone else ever had this happen? Thank you for sharing your blog. Thank you. Thanks Holly! I did have night sweats, and clammy skin. I have 3 questions. It has been a roller coaster of a ride. A modified neuromuscular electrical stimulation protocol for quadriceps strength training following anterior cruciate ligament reconstruction. I had the patellar graft and still have pain going down the shin from the graft but hopefully that will settle down! Surgery is often done under a local anaesthetic resulting in shorter wait times, less trauma and faster recovery. - YouTube. I get so frustrated and depressed not being able to do the simplest tasks without being exhausted on the couch and icing the knee to stop the pain. You have answered many questions. How long did you wait to get yours done. With additional joint damage (ligamentous, capsular, meniscal, and/or bony) in addition to ACL rupture, AMI of 15 to 41% can occur several months or years after injury.7. 2) The paper work they gave me at the pre-op appointment indicated I would receive phone calls from the insurance department of Kerlan-Jobe and the anesthesiologist. Made it through the night somewhat propped up with leg slightly elivated. He said that is he hadn’t been with me, he would have never believed that I tore it swinging my leg over a railing. Same with rest, listen to your body. Then I went to the dr for a new cast and much more pain medicine, as I’ve said. How long is the recovery for Patella? Did it help in the end and did it tend to slide of the leg? Dr. Kharazzi and his staff is amazing. Biphasic Asymmetric most often used for max quads force production. The nerve block is injected into your femoral nerve and completely numbs the area. How are you doing now ? It is a very common question to receive from the readers of this blog. Regards, I think it would be helpful to someone else who may be getting ready for the same procedure. It wore off about 7 hours ago and i want it again. I’m 8 days post op and and started PT immediately. Of course, I don’t expect to ski again for another year (or maybe switch to snowboarding, haha). Surgeon gave my husband a great report. I was wondering if anyone can tell me when the tightness will let up ? This is my third knee injury after a lifetime of sports. I just had Surgery to repair my diffused ACL.
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