Also, if the scar tissue break up was meant to be spectacular, then I haven't noticed it happenning yet.  What about you grapplingdude?

I haven't logged in for a while but just wanted to say well done on reaching the 1 year mark recently and well done on all the hard work!

Keep it up and take care

15 months and not many changes - I upped my BJJ to 2x per week in the weeks leading up to Xmas and that was working fine even though a couple of very hard session slightly aggravated the residual swelling. Not been doing much over the last week other than eating and 2 x 10 k runs.

The residual niggles are as they have been and I would like to see my OS again because I think that the residual pop-out swelling can be combatted quite easily either by simple draining or Cortisol.

Has anyone got any experiences with Cortisol or Draining?

It has been over 15 months since my ACL recon too. I have just come back from a few days skiing, which was the first real test for the knee, and it held up great.

I used a brace, more for psychological comfort than for any physical protection. The knee was really stable, and on the 2nd day I had enough confidence to really go for it and not hold back on the speed. No falls, so the knee didn't get tested with a twisting ski situation, but I am not going to force such tests! Did manage to collide with another skier (we were both trying to avoid each other by going over the top and both managed to turn exactly into each other), but no damage done.

I still have some stiffness on the lateral side, although it may be a bit better than before. Had a few incidences of what I think is scar tissue breaking up, but I don't think that process is finished. Still get cracking and popping, and occassional hamstring aches, otherwise no other problems. VMOs just about the same size on both knees, but the upper quad of the left leg still needs working on.

Over 16 months now, have been trying to step up the grappling but work and illness have partly foiled me that last month.

Nonetheless, I have had some very good grappling sessions and the knee is pretty much unchanged. Some residula pop out swelling and lots of harmless clicking.

I keep wondewring what to do to speed up breaking down scar tissue and have come across a Graston? technique which is meant to help...

I will try and get a final follow-up with the OS to see what he says. Other than that I will just keep going 

Well, just over 18 months now and everything is holding up fine    but my activity level has not been that high this month 

I actually saw the OS again and he says that he is not concerned about the pop-out swelling and some people just get it but he thinks that the thing is pretty damn firm! 

Well, that aside I am beginning to rely more and more on the knee again and am positive that things will continue to go well (or strong! really).