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Author Topic: ACL Operation NHS 1st october 2012 diary  (Read 417 times)

Offline tonyhardy

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ACL Operation NHS 1st october 2012 diary
« on: October 06, 2012, 09:08:29 AM »
Damaged Acl over 17 years ago in a karate competition gradual deterioration repair to meniscus 15 years ago offered surgery for the first time 2months ago operation was monday 1st october i am now 5 days in low pain levels kept on top of with paracetamol only one problem hamstrings feel are twanging when i go to bed on a night usually when i am a sleep feels like someone has twanged my hams with an elastic band.Does anybody know what might be causing it ?
Day 1
Operation monday morning 9.00am Darlington memorial hospital 2hours later i came round in recovery hamstring in severe cramp eased by using a pillow under affected area pain level low. 30 minutes post op coffee and toast feeling good.Discharged 4 hours later no pain now hamstrings are also easing.Rest up rest of the day.Bad back from having to sleep on my back with leg elevated.Icing regularly to try and get swelling down.
Day 2
Wake at 7.00am low pain paracetamol only hamstrings are the most uncomfortable but feels more like cramp rest up all day and ice every 20 minutes.Feel rough at about 5pm just knackered early night.Again uncomfortable sleeping on my back.
Day 3
Physio appointment he thinks everything looks ok and said to start exercising can get my leg completely flat to the floor but flexion is tight and uncomfortable really struggling with bending it, but sticking with the excersises.Went to bed early hamstring felt like someone had twanged it really painful woke me up quite worried called physio at 9.00am following morning he said not to worry as long as i wasnt in sevre pain and it wasnt affectng my exercises so carried on.
Day 4
Still persevering with exercises feels realy tight getting bored sitting on my arse but cant be helped been told cannot drive for six weeks my boss going to love that one i thought about three weeks.Oh well keep going on exercises can get leg flat no problem and leg hangs no problem working on ROM
Day 5
Hamstring twang again during the night severe pain but only for 5 minutes then eases off dont know whats causing it keeping up with ROM exercises but swelling annd tightness stopping it going as far as i would like and worried i will snap the graft or rip out the screws.
« Last Edit: October 06, 2012, 09:23:33 AM by tonyhardy »

Offline Kaputt_Knee

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Re: ACL Operation NHS 1st october 2012 diary
« Reply #1 on: October 06, 2012, 10:02:15 AM »
If you had an autograft using part of your hamstring tendons, then that part of your leg has also undergone quite a hefty trauma. Try using ice on the harvest site as well to try and reduce the swelling as well as elevating your extended leg and doing ankle pumps like you were pumping up a slowly sinking life raft to keep it afloat!  ;D

And do not, whatever else you do, get into the "comfy" position with your knee supported with cushions. Sounds like you have been doing that from what you write. It discourages the passive extension, which is really important initially not the flex. I did not have this advice first time around and ended up having to have my knee physically extended under anaesthetic (Manipulation under Anaesthetic). If you want to support the leg, turn the pillows/cushions lengthways and support it from the ankle along the calf. At first it is uncomfortable, but you do quickly get used to it. It also allows you to ice under the knee without putting any pressure on the the area. Once you can do it you can also rest your foot cushions on a stool and literally let the knee hang passively to encourage full extension. I've got so used to it, I still watch TV like that today.

Once you have full extension, you can walk without a limp and the faster you get to this point, the quicker the flex comes back as well.

When do you start physio? If you are still waiting to hear from the NHS there is an excellent guide to general rehab/physio exercises that you could try (under advice from a real qualified person by the way). You will find this in the Information Hub where there is lots of advice about all aspects of ACL surgery and rehab.

Little and often and pace yourself are the best bits of advice I was given! This is a steady long distance jog rather than an explosive sprint of a recovery!

Sue  ;)

1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

Offline tonyhardy

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Re: ACL Operation NHS 1st october 2012 diary
« Reply #2 on: October 06, 2012, 10:21:11 AM »
Hi sue thanks for the info i can do the leg hangs with only my calf supported i thought the flexing was more important but do you think the full extension is more important also i have been stretching out my hamstrings by sitting on the floor with my leg flat reaching for my toes to get a gentle stretch in the hams is that ok.I dont want to get into the comfort zone by sitting on my arse all day but want to know the best exercises and how often and what not to do i see physio at acl clinic on thursday for first session in acl rehab group

 














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