Hello!!Does the swelling come back after fbw?? and if so, when ??ive been fbw for 3 days, and the swelling has gone down a lot.. is this maybe because my mfx is in a non bearing weight part ofthe bone??Thanks!
Good news...The Dr. did an MRI last week and the defect has filled in!! The MRI report and the Dr. saw no signs of chondral damage or wear. I'm feel a pinching sensation/ache occasionally, so this should proof for many that even though the MFX was a success, you'll still feel pain but it should be resolved by 18 months.
Can you tell me about how many RPMs you usually bike? I guess it would be different when you do no resistance versus 11 resistance? None of the Steadman papers suggest how fast to pedal...My PT said the more cycles, the more synovial fluid getting pumped in and out, but I wonder if going too fast might cause excessive shearing fluid pressures or something. If you know how fast you usually did it, and had your good result, that would be a possible guideline for others.
The protocol appears to be very similar to yours. My current concerns keeping in mind i'm only on week 3 is intermittent clicking and aching sensation in the knee whilst on the CPM always on about 30 - 40 degrees of flexion, which then settles. I've also noticed pronounced wasting in my calf muscles despite regular ankle pumps with theraband.Just wondered if you had also felt clicking or an uncomfortable ache on passive movement?Were your calfs wasted? Did you do any strengthening work at my phase on them and what?Are you involved with a particular sport?Sorry about all the questions there, it's just the more info on common problems etc the better.It sounds as though your managing your case very well and i wish you all the best in completing your recovery successfully!I wouldn't worry about the heat aspect of things by the way, it's obviously just your body working away at that healing the affected area. I'm a physical therapist myself and have known patients with varying injuries/ops to experience heat etc up to 2 yrs post injury/op. Guess there are so many variants in all of this that it's mostly a case of symptom management later on down the line with the trusted ice. All i would add is that from my reading also on the subject, the more gradual the return to more vigorous activity the better, as we both know it's fibrocartilage that's hopefully in there not the original stuff. The biggest mistake we can make is ignoring symptoms later on after all the hard work.I'll look forward to hearing from you and keep up the good work!!
Week 8 and on:Exercise/ROM progression: PT exercises (5 days per week - once per day) include SLR's/quad sets/clams/heel raises/double leg press (60 degress max)/stretching and patellar mobilizations/treadmill walking at 7% incline for 5 minutes perday - increase 5 minutes per week/bike 25 minutes per day (light resistance)/aqua jogging in pool 20-30 minutes per day.Weight bearing progression: full weight bearing with normal gait.HELPFUL TIPS/OBSERVATIONS:1. After surgery, take off all the bandage they have on your leg when you ice it, otherwise the ice will not get through and will not be cold enough to help with inflammation. After icing, just wrap the ted stocking (if they gave you one for blood clot prevention) and the ace wrap. Also when icing, extend your leg straight and rest your heel on something. This helps with extension.2. When on limited weight bearing status, walk heel-to-toe to simulate normal walking pattern. 3. my swelling started to go down little by little, but when I went to full weight-bearing it came back. They say that's normal and will start to go down little by little again. The pool has helped tremendously with milking the fluid out.4.Read up on anything written by Steadman and BJ Cole.