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Thread: New ACL

  1. #51
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    Mar 2015
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    Boston
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    Yea for me its about the same with the early PT, first two weeks are easy movements and stretching. The original plan was to wait 2 weeks until the post-op but after several conversations with close PT friends it seemed like getting started sooner rather than later was the best bet. I'm happy I was able to get moving early on as well, it's day 8 and they've cleared me to unlock the brace and put tolerable weight on it around the house. Agree that the atrophy is the worst part, still very stiff getting out of bed in the morning's as well. Awesome to hear they've got you setting some goals to work towards, all about creating that positive mindset.

  2. #52
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    One thing I used a lot doing PT at home were those ankle weights with the 1-pound sandbags that you can keep adding up to like 5 pounds per ankle. I got them at Walmart pretty cheap. Did a zillion leg lifts with those things, lying on my back, my side, and my stomach. Those weights, along with a recumbent exercise bike I got for $100 on Craigslist, were my primary home PT exercises for the first few months, along with the usual exercises assigned by my PT (squats, lunges, wall sits, etc.).

  3. #53
    Join Date
    Nov 2017
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    Last week in PT my flexion was up to 115* then up to 117* on Friday. Then I got the bicycle pedal over the top and pedaled slowly for about 10 minutes, so that was kind of a milestone. Life is returning to my leg. It's weak...ready to start working it out.

  4. #54
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    Quote Originally Posted by Djongo Unchained View Post
    Then I got the bicycle pedal over the top and pedaled slowly for about 10 minutes, so that was kind of a milestone. Life is returning to my leg. It's weak...ready to start working it out.
    Awesome. It seems to come back pretty fast - I'm 4 days into the bike, doing about 15 minutes twice a day slowly (i.e. cadence ~ 50) with very little load, and my quads have gone from being a quivering mass of jelly to pretty firm already.

  5. #55
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    Feb 2010
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    north aspect
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    good job getting er done fellas! looking forward to skiing with you guys next season. funny reading about the atrophy, guess one would need to have something to atrophy in the first place to know how that works
    bF
    Alpental Indigenous

  6. #56
    Join Date
    Nov 2017
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    ^^^^had to laugh about the atrophy thing. That has become my only real issue, getting it to turn on. Once it does, things come back pretty well so far.

    Flexion to 120* today. Another goal met. Go to doc tomorrow for my 4 1/2 week post op checkup.

    Gotta buy my pass by Friday. $1479 includes a mt. collective 1/2 price tickets deal and a base Ikon pass. That means free skiing at Alpy next year. FKNA, I am Ikon. Oh yeah, there's a full season pass to JH included in there. So I got that going for me, which is NICE.

  7. #57
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    Feb 2010
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    keep training for Alpental
    bF
    Alpental Indigenous

  8. #58
    Join Date
    Dec 2011
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    1st PT visit, 4 weeks post op. Still -5* extension. 120* self flexation, 125* with manual help. Repaired knee is still 2 cm larger than good knee, about normal swelling he said. Getting around ok with no brace or crutches. I'm jonesing hard to swing a golf club, may go and putt just to get a fix.

  9. #59
    Join Date
    Oct 2002
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    ~2 months post opp, starting to strengthen, but still working toward full flexation but I'm walking down stairs with a bit of discomfort. My knee constantly feels tight, or pressurized for lack of a better explanation. Worse in am, but never great. Is that normal? Thx

  10. #60
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    Quote Originally Posted by PhishingME View Post
    ~2 months post opp, starting to strengthen, but still working toward full flexation but I'm walking down stairs with a bit of discomfort. My knee constantly feels tight, or pressurized for lack of a better explanation. Worse in am, but never great. Is that normal? Thx
    At 5 weeks that's about what I'm felling more of, tightness and puffiness, especially in the morning. Ice, elevate then stretching PT seems to help, plus not standing for more than 2*2.5 hours at a time


    add-my 2nd PT today, first real PT work out. My PT said the tightness and puffy feeling may not go away for 3-5 months
    Last edited by k2skier112; 06-06-2019 at 04:39 PM. Reason: add

  11. #61
    Join Date
    Nov 2017
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    Tomorrow is 6 weeks from surgery. Things seem to get better by a tiny increment almost each day. Tiny, I said.

    Flex is about 125/7 with a nudge. Extension is at +1 still. Hard to get the last few points and doc said because of an incision point for scope, it's a normal challenge. Using a crutch mostly but can motor around without for awhile.
    AM still is stiff and a few little pains. Not righteous enough to bust a move on, but nothing unbearable. Almost no swelling as it's smaller than my other knee today. Was noticeably swollen a few days ago though.
    Pressurized is a good way to explain my sensation. Less so when it loosens up. Stairs are still testy but I've been going up and down them since the first day as my room is on another floor; wanted to sleep in my bed not the La-Z-Boy. 3 nights sleeping with the immobilizer brace was enough.

    I am not the best on my own recognizance with my PT homework. Staying active doing stuff but not great with sets of stretches, heel slides, etc. Only wear my sport brace when I have an extended outing or sketchy walking. Almost zero pain medicating, not even Ibuprofen. Haven't used the ice machine for over a week, maybe 2.

    Some other things - Man, the crutches have kinda wreaked a little havoc on me. Get the right size...My first set was a hair too tall which fucked up my back. Had to go to a massage therapist twice and the Chiropractor a few times too to get it back to functional. Lucky to have an MT/friend who cranks me for 1.5-2 hrs for $80 at the drop of a hat. I have one of those percussion massage tools, it helps a bit too.


    Trying to be careful not to want perfection too early. I want this to be a non issue by ski season. Feeling real good about the pace, wish it were a little faster but PT gals and Doc say I'm doing great and right in the sweet spot for healing.

    Knock on wood, my insurance has so far kicked ass on this. Finally got the bill for the hospital portion of this gig. $31k and change. Bill for Surgical assistant - $2300; Still gonna be about $7k for the surgeon(his pre-surgery quote). My outlay - $1100, my max out of pocket. I upgraded my coverage last fall to a 20% copay with an 1100 max. Glad I did that now.

    Hey Mofro, How you doin?

  12. #62
    Join Date
    Dec 2010
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    Quote Originally Posted by PhishingME View Post
    ~2 months post opp, starting to strengthen, but still working toward full flexation but I'm walking down stairs with a bit of discomfort. My knee constantly feels tight, or pressurized for lack of a better explanation. Worse in am, but never great. Is that normal? Thx
    Exactly what I am feeling - like someone put a piece of tape over my kneecap or my skinny jeans are too tight, though all I wear is shorts. Worse in the morning and after long periods on my feet, good after massaging it or riding the bike or flexing the joint in a hot bath. Seems like it will take some time.

    Walking up stairs is OK, but going down only works if the knee is "warmed up."

    PT showed me how to massage the incision area and scarred tissue around where the drain tube was without putting lateral stress on the sub-dermal sutures, trying to get the skin to move more freely over the patella and getting the patella to "float" over the joint, seems to help quite a bit.
    Last edited by gregL; 06-07-2019 at 03:53 PM.

  13. #63
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    Dec 2010
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    西 雅 圖
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    11 week update:

    Still not "as good as new," but pretty damn good. Doc says one more week and we can start on more serious strength training and some jumping - weeks 6-12 is a "danger zone" when you start feeling pretty good but the new ACL has actually lost strength from necrosis and needs to re-establish a blood supply to bulk up again.

    Back on the road bike, started commuting to work again last week, ~90 miles total. Walking 2-3 miles on rolling terrain around the house. ROM is 0-130 degrees. Still some "tingling" around the kneecap as sensation returns and scar tissue is absorbed, not really pain but feels strange.

    Walking is pretty much normal, including up and down stairs. Starting to dream about skiing.

  14. #64
    Join Date
    Dec 2011
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    4 month check up was good. Full extension, and 140* flexation. No pain, been golfing for 7 weeks now. PT was pushing me hard, getting stronger feels good. I'm going on my own at a gym for a few weeks then maybe 2 a month with a PT to keep on schedule to make turns this winter

  15. #65
    Join Date
    Oct 2006
    Location
    Hokkaido
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    1,239
    Sounds like y'all have good, strong repairs. If I have any complaint about mine it's that it was never tight like you describe even from the start. At 1 week I had full extension and flexion. It was a lot more stable than it was before but never was as stable as the other knee. Probably gone again as it feels even looser after hitting a tree three years ago but it still works for skiing. My Lachmann test makes people cringe when they see me do it myself.

    I boiled my thermometer, and sure enough, this spot, which purported to be two thousand feet higher than the locality of the hotel, turned out to be nine thousand feet LOWER. Thus the fact was clearly demonstrated that, ABOVE A CERTAIN POINT, THE HIGHER A POINT SEEMS TO BE, THE LOWER IT ACTUALLY IS. Our ascent itself was a great achievement, but this contribution to science was an inconceivably greater matter.

    --MT--

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