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As i have suggested many times, go onto amazon and get yourself a floor cycle - not expensive, about $50, the sit in your favourite chair and pedal away - works wonders.

JohnK/ Manchester UK
Any updates PEB?

Happy bday John...

And I am glad for your progress, Turbo.

I will be 17 weeks post op tomorrow.  Still going to PT 2 day’s a week.  Not sure when I will check in to 1 day a week.  I don’t have gym equipment at home or a gym membership, so it is nice using those at PT.  (But saving $25 a visit would be nice too)

They don’t really measure ROM anymore since it got to 120.  Not where my “good leg” is but certainly a workable range.  Still lots of stiffness and heaviness.  And pain to the touch.  Not much info on what is normal.

Progressing to more challenging strengthening.  I walk around the house without the brace and usually put it on outside or when I go somewhere.  I know they would like me to just leave it off, but my leg still buckles quite often.  Not sure if that is a concern given where I am in recovery or not.  It does certainly keep me cautious. 

I can now walk upstairs without going just one step at a time.  But do need to hold on and it can be a little painful.  A lot of my pain is still just below the knee.  And I seem to have developed some IT band pain.

I will be going with my 15 year old to a beach volleyball tournament in a few weeks.  Flying should be fine although I am sure my leg will get stiff and uncomfortable.  However all the walking around and walking on a beach could prove interesting.

PT suggests getting a cane for everyday use.  I am having trouble making myself do that...
Hi- Has anyone had any success with treating fat pad inflammation or impingement?  I sprained both knees doing a squatting exercise 4 1/2 months ago...lots of pain but no real swelling, just in the middle of the kneecaps and pain below the knee.  PT did not think it was Patellar Tendinitis but rather fat pad irritation & inflammation along with maltracking issues.  I try to do PT exercises & stretches faithfully, but I have one week of no pain & then the next I'm almost crying.  Walking up & down stairs is fine, & no pain while sleeping.  Ice them every night.  I was even jogging at one point in early November.  Pain also around the area of the kneecap.  I live in the US so an MRI takes 4ever to get...until that is approved- Can anyone give me any advice as to what can treat this successfully?  I'm starting to lose my mind here...I'm pretty healthy at 49, never had an injury quite like this.  Any advice would be so much appreciated!
Well, you will not believe it. I had to swallow my ego and use my walker to do this, but I'm doing it.

2 days after following the new protocol that my PT gave me (which consists of shifting my weight 100% on my right quadriceps tendon), the progress is astounding. I was unable to lift my left leg to walk when I first started. By the second session, I was putting full weight forward on my tendon as it is supposed to happen, and picking UP my left leg completely without issue.

It's slow right now, but I am officially able to:

1. Walk with connected steps,
2. Walk fluidly.

With the rapid progress towards normal walking that I am experiencing in just TWO DAYS, it begs the question: why was I not asked to do this form the beginning? I have experienced more rapid progress in two days than I have in two months doing all these other exercises.

Hi fastglycolytic .

May I know where is R3stemcell located exactly (clinic)? Is that where you got your injection done? How are you finding it?

Please let me know..

Amazing news! I can only imagine how excited you are....after all the effort, the weekly ups and downs....good news is so vital. I really think you are going through this process well, and now to know that you made the right decision!

The swelling is going to have to pass eventually, right? I can't imagine it would stick around too much longer. I am curious if it is some sort of warning sign that you still need to ease into things, no matter how stable and pain free you are. Perhaps, or possibly even more movement will help it further recede? Either way, small potatoes. I am curious, are you able to walk for extended periods of time at this point or does fatigue and discomfort kick in?

Please do take it slow though, you can't let your cartilage reach where mines at or it gets a lot worse, quickly, and that meniscus is your last resort. Just food for thought, coming from someone who wishes he had caught his pathology as early as you did....when I got my second opinion at Brigham and Womens and was recommended for meniscal transplant, I was told specifically no pivoting sports following; this seems to be the consensus amongst the majority of cartilage restoration specialists and it has to be for good reason. I absolutely want you to reach your goals, but would be crushed for you if something traumatic happened too early in the process. I have read a few stories out there going for second rounds of meniscal transplants after the first one goes!

I still go back and forth on whether I should go through with a meniscal transplant, even while waiting to see how things work out following my microfracture. This, despite my poor cartilage status (given that all major academic articles except those by Stone Clinic seem to predict failure for me with meniscal transplant). I dream (basically, just unrealistic expectations) that even over the last few years surgical techniques have improved, and literature hasn't yet had time to catch up. I will update my thread in a few weeks at the 12 week mark with my progress, but I can promise you lots of ups and downs. I find it difficult to take a step back and grade progress on tiny biweekly and monthly increments, when just months ago I had zero limitations.

One last thing (in attempts to not completely overwhelm your thread), definately agree with the social impact of this process. I am finally able to walk the dog and do household chores with somewhat more comfort, so my wife is pleased (who has been so helpful through this).  But, I have had to avoid so many get togethers, ski/hiking trips, etc in just the last 3 months that it really puts a perspective on the ability to be mobile. I know there are younger patients than I with worse knees, and I envy their will power and strength. And then to realize that we are talking about knees, when in fact there are those out there fighting much worse. Its an eye opening and humbling experience, to say the least, something that I likely needed. 

Keep the updates coming. After perusing this website and others, I feel like long term outcomes are so hard to find and so many people will benefit from hearing your story for years to come. Thanks again for the insight.

Good luck tomorrow, Nick  :)
Good luck tomorrow Nick. I really hope the surgeon can help you. Remember to take things slowly after surgery and try to keep your knee from becoming inflamed. Rest, elevate and ice. Until you have recovered fully from surgery, remind yourself that you have to say no to anyone asking for help with physical tasks, carrying things up or down stairs or walking/standing for too long. Running, if ever possible, is many months away even if you feel great after surgery. Attempting to run or push knee too hard or too soon could cause the scar tissue to return in your knee and you might end up worse than before surgery. Please take care of yourself and your knee so this surgery has a good chance of helping. Congratulations on your writing.

15/01/18 Scope#3 Pre-op diary

Becoming reality with the letter arriving Saturday morning and have to be at the ACDU tomorrow morning @07:15 leaving the house @06:30 my family work or live too far away to give my mum and I a lift to the hospital and back home again. My sister that lives locally is away in South Africa. Will be using a trusted local private taxi firm driving us 15 miles costing around £25 which is not a bad rate to be paying.

Have been on a 3-day healthy pre-op diet eating plenty of fish meals and green vegetables and fresh mango juice with plenty of pints of water to help the healing process that also reduces the negative side effects of the GA. Been helping out a young peoples group with additional needs this evening to take my mind away from the surgery in the morning. Say I am feeling calm and ok that will soon change once it becomes reality and in my gown ready to go into theatre.

I have always been the first patient in the theatre the previous two scopes was between 08:30 and 09:00 with the red digital clock ticking away in the theatre holding bay above the doors into the theatre. As I was called in earlier than expected think I will be at the back of the list as a last minute change? Might be wrong and be the first one in again, if not I am not in any hurry with my iPhone being my trusted companion to pass the time listening to Chris Martin Coldplay album X&Y on my earphones.

Not sure if I will feel ok or not to post tomorrow evening if all goes well should be a day case procedure as the previous 2 scopes have been. Best to pack a night bag just in case I have to stay overnight, doubt I will, better being prepared then not packing at all. Tracksuit, slippers and dressing gown are the main items of clothing I will be packing.

Hoping I am third time lucky, I am prepared that it might not help or make my knee worse rather than better! I will be happy if I can walk quicker and longer distances again a bonus would be running again this time next year that is unlikely to happen on top of my right hip impingement. The anterior knee pain varies that's delicate while gardening with eight clients lined up in the spring. Hope I am able to do longer hours or may have to do an office type job that is not ideal! I am more of an outdoor worker than an indoor worker. As a Support Worker, I can go on an outing or use the outdoor space in the school, home or centre that is more my type of work that I do volunteering being a father figure for young people with additional needs is a rewarding and enjoyable experience.

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Post-op diaries (<50 posts) / Re: MPFL surgery
« Last post by zendamme on January 15, 2018, 05:40:23 PM »

I'm happy to share my experience. Like you, I had a previous dislocation in my teens and by my late twenties had another one. If you can have the MPFL surgery I would say have it, I have 6.5 weeks out and it feels amazing to have a stable kneecap. The pain is bad at first but just stay on top of your pain meds (opioids are a must if you can tolerate them) and do try to walk using your crutches as PWB help. I know all surgeons have different protocols but I had no brace straight away which I think really helped with my progress and regaining strength in my quads. A few days in, I got a CryoCuff ice machine to provide compression and cold around my knee and that really helped with swelling, pain  and regaining ROM. Essential I'd say.

If you can, also start physio from day 1 - I was shown simple things like heel slides, quad sets and just did them little and often at first, resting in between and increasing as tolerated. I was able to do a straight leg raise by Day 10 once the swelling had gone down a bit. Once your quads re-activate progress comes quickly. Now at week 6 I am walking in the house without crutches and just take one with me when I am out for when my leg tires.

As far as PT goes, push through a little discomfort, but not pain and listen to your body when it needs to rest. I've had a few setbacks along the way where I have overdone it/wrenched something/my knee has buckled and I've had to rest more and do less PT temporarily, but I'm still making good progress. 

And I totally understand the anxiety about having an unstable knee; it sucks. To have surgery or not is a personal choice, but so far I am seeing results and happy to now have a stable knee for the first time in years. The rehab takes time and at first it seems like you're working all the time without seeing results, but if you keep at it, your knee will thank you.
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