Hi Tea, really good to hear you got to physio and the session went well. I am sure at some stage you will gently leave the crutches behind and go forth without - I remember my last knee surgery and it felt really strange walking on the duff knee, as if my foot was 6 inches below my hip- just no sense of control and direction. But it comes back at some point or another.Do you get any of the blood rushes down the claves that others have spoken about? Doesn't seem like it has been much of an issue? But still cramping? Trust Thanksgiving went well - always entertaining watching the US President giving an amnesty to a turkey (I'm a brit...)
Don't fret too much about the crutches. Everyone's experience seems to be entirely different, from folk like me who left them behind after 4 or 5 days and folk who kept using them for 4 or 5 weeks. A lot seems to depend on overall muscle strength in the leg; I was super strong going into surgery, and as a result my quads didn't shut down and I had no problem taking weight through the knee right from the start. More typically you have to wait for the quads to start firing and doing their job again for the leg to feel stable enough to take your weight. The good news is that getting off the crutches doesn't seem to be any indication of overall progress - for example, I was way slower on flex than people who were on crutches for more than a month longer than me.Here's a bit of interesting info on extension. I've got very slight hyperextension in my operated leg - maybe 2 degrees - whereas my good leg is at about 5 degrees. My extension hasn't changed since a couple of weeks after surgery, and my PT told me that I likely wouldn't regain matching hyperextension on the operated side. Apparently the surgeons test the leg at full flex and full extension, but not hyperextension - and so the new ACL sometimes doesn't allow the same degree of extension if you naturally hyperextend a lot. My OS hadn't mentioned anything about this, and I'm planning to ask him about it at my next followup to make sure the PT's got it right.I'm afraid your PT is right about needing to pace yourself and rehab being different for everyone. As the very wise Cosmicsnuffle once said, it's a marathon and not a sprint. Boy, it sure feels slow at times, though...Good luck with your continued recovery.
Hello Tea! I had replied on Sherwooa's Diary jsut a few minutes ago though i forgot to answer your question about where i had my surgery & yes I'm from California. My OS strongly recommended the Allograft right away. I had a meniscus trim as well, wasn't too much but i sometimes forget that was performed as well, until i start to walk of course. I'm 28 years old and play tons of soccer (That's how i got hurt), still, the OS advised me to go with the allograft. It is a B-PT-B graft.
Yep, those pesky quads - they play such a crucial role in recovery from ACLr. The good news is that once they start firing, they'll come on really quickly and the improvement should feel quite dramatic. I had a very sticky kneecap, too - get your PT to show you how to do patellar mobilizations so that you can do them yourself at home. They really help with loosening it up.My not-quite-five-month followup with the OS is tomorrow morning, so I'll have to remember to check about the hyperextension. My PT made it sound as though it's quite common, and I do recall one of the other ACLr folk here being told the same thing. Reading that you're doing bridges, here's a story that may encourage you. My PT got me to try doing a few bridges a couple of weeks after surgery. I told him it was easy, and so he got me to try it with single legs. First with the good leg - still easy. Then with the operated leg, which was missing its hamstring as I had a hamstring autograft. It couldn't hold me and I flopped straight down on my back - I hadn't realised it, but the hamstring plays a pretty important role in supporting a bridge. There are definitely advantages to having the allograft and not having to deal with all the issues caused by taking tissue from elsewhere in your own body!Congrats on ditching a crutch! That's definitely a big milestone. Hope the good progress continues!
Hi Tea, really good to hear of the bike revolutions coming on the whole way round - a brilliant way of moving the knee and squashing the swelling out of the joint. Sorry for not replying yesterday, I should have spotted that major milestone sooner! Do you have access to a static bike in the house at all? What flexion degrees give you access to the pedal bike - around 110 or so?Sounds like the cuts are still a little gooey I get my steristrips and stitches taken out next Wednesday so am both excited and nervous about what is actually going on underneath the stocking/plaster/steristrips....