KNEEtalk

The SPECIALIST'S OFFICE => Ruptured patellar tendon or ruptured quadriceps tendon => Topic started by: AL-M on November 21, 2006, 10:28:31 AM

Title: Ruptured Quadriceps Tendon
Post by: AL-M on November 21, 2006, 10:28:31 AM
Ruptured my quadriceps tendon 8 weeks ago. Had the op on day 2 and released from hospital on day 4 after weekend.
Fitted with back cast for first 2 weeks, then full cast for next 3 weeks. Now fitted with a knee brace set at 90 deg by consultant.
Doing exercises advised by PT to build up muscles which appear to be working but slow!!!!!. knee still swells up pretty badly at nights and aches a lot.
Initial target set by consultant and PT is 90 deg of knee bend and so far can get about 80/85 after some work (about 8/10 mins).
PT have advised to take off knee brace during time at home and only use it when walking about outside. I am seeing consultant next week so will wait
to see what he says. Everything seems to be going ok but would appreciate any experiences of other kneegeeks.
Thanks in advance.
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on November 29, 2006, 03:13:55 AM
Glad to see some other individuals with a similar problem.  I just found this site, and am 13 weeks post-surgery for a quad tendon rupture.  I have been given the okay to wean myself off my IROM brace (adjustable hinge brace). I still wear it when working out in the yard, but for normal around the house and office I don't wear it.  When the snow flies, I may use it more.  My quad muscles are very weak. I am only up to doing leg extensions with 6 lbs. of wt. on the ankle.  That's up from 4 lbs the week before.  Very slow, but steady improvement.  My range of motion is good...about 130 degrees, and that seems to improve slowly as well. 
I have little discomfort now, just some stiffness if I sit too long. 
12 weeks seems to be the magic number...that's how long it takes the tendon to heal.  My P.T. and surgeon told me it will take another three months to get the muscles back... my P.t. says more like one year, since I am an avid bicycler. 

Title: Re: Ruptured Quadriceps Tendon
Post by: AL-M on November 29, 2006, 12:29:08 PM
Thanks for the reply. Saw my consultant yesterday 27 nov. Says I can remove knee brace unless going for long walks. Much more comfortable. I can now get 90 degree knee bend with a bit of effort but hard to get more at moment.
interested in your comments about leg weights as that hasn't been mentioned yet (10 weeks). muscle build up going very slow. I've been told to expect 80% in about 4 months but full recovery could take 18 months!!. still using one crutch but can manage to get about the house without it. Can you tell me more about leg weights? is it safe to drive because i can switch between the pedals and press down on brake very hard?
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on November 29, 2006, 06:59:03 PM
The ankle wt. thing I have wraps around the ankle with velcro and has 10, 1lb. wts. in it, so you can add wt. as you improve. I think I got it years ago at a sporting goods store.  I have various exercises my P.T. gave me. Sit on a bench and extend leg straight out. Lie on the floor and do whole leg raises. (up over your head)  Also, put small firm object behind knee, slightly bent, ( I use a 5 lb coffee can) and then do leg lifts.  This latter one is also lying on the floor.  I started out at about 10 weeks doing these with no wts., and then moving up 1-2 lbs. per week. It can't be rushed ! >:(

I have an automatic tranmission in my car, and my injured leg was the left one, (I'm in the US) so the hardest challenge was getting my leg through the door when it wouldn't bend much.  As far as applying a brake, I would try it out, if you are gaining some strength, it might be doable. You could always apply the parking brake in an emergency if its the lever type.  I found that my surgeon was very conservative about how much I should do, and I tended to do more, earlier than he thought I should.....so far it has been fine.

My P.T. says once you get to 90 degree bend the rest should come easy. 

It's nice to be able to share.......
Title: Re: Ruptured Quadriceps Tendon
Post by: AL-M on November 30, 2006, 09:10:40 AM
Tks for the reply. Sounds like leg weights are a good idea. Will try to get some from my local sports shop.
Lucky you for it being the left leg. Mines the right and yes its hard getting it into the car (RHD) but once in I can manage the pedals ok.
can manage quite a few steps without crutches so will work on that a bit more. Tks agn for the interest. Will post again when something significant happens
Title: Re: Ruptured Quadriceps Tendon
Post by: robwalk on December 10, 2006, 05:04:27 AM
I slipped and fell in June 2006, and went to the ER, they sent me home, in trying to get up the stairs, I fell and had to return to the ER. They admitted me for 2 days, and told me nothing was wrong with me, and sent me home. I was not able to extend my legs, or stand. Finally in July with the help of a home therapist I was able to get to an orthopedist, who did an MRI, and told me I had Bilateral Quadricep Tendon ruptures. Two weeks after that I was operated on, and spent 10 days in the hospital, 7 of those days in PT. I wore braces for about 3 months, and am now able to walk with the help of a cane, but mostly use the walker, since I have a balance problem, and live in San Francisco which is very hilly, and don't have a problem going up but going down is scary, and have fallen at home while doing exercises.

I guess my real concern is, do any of you have swelling in the knees, and the calf, and feet. I am fine when I wake up, but during the day of walking and sitting by the time I got to bed (and I dread going), my calfs and feel are very swollen,and when I arch my feet it feels as if they are so swollen I am not able to bend them. I just had an UltraSound and clots were ruled out where I fell, and according to my doctor I pulled a calf muscle, and my ankle, and heel were very bruised, which has not cleared up.

Would be interested to know if  any of you have the swelling in the knees to the feet, other than that I am ok, just started back to the gym, and am riding a bike, and walking on the treadmill, albeit at a very very slow pace, but better than nothing. I am 68 y/o.

I have been through bypass surgery, and this quadricep thing is worse.

Thanks for any replies.

Rob
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on December 10, 2006, 12:30:03 PM
Rob, 
I have not had any swelling of my knee, lower leg or feet.  If your swelling is in both legs and it worsens as the day goes on - you may be retaining fluids, probably not directly related to the quad tendon surgery. You may want to ask your M.D. about that. 
Title: Re: Ruptured Quadriceps Tendon
Post by: robwalk on December 11, 2006, 09:15:38 PM
Frederico, Many thanks for your reply. I have been to my Primary Care Physician about it, he is an endocronologist, and I am a diabetic, and sees nothing wrong with it..I notice during the day the knees are full of fluid, and as the day progresses it subsides, to the calf and the foot, but thanks I will keep pestering them until they can do something about it.
Rob
Title: Re: Ruptured Quadriceps Tendon
Post by: AL-M on December 18, 2006, 09:18:54 AM
Re the knee swelling. Yes I get it every day. when I wake up the knee is normal but starts to fill with fluid when I start to move abolut. I can walk quite normally and at normal speed without a stick at first. However by the afternoon I slow down quite dramatically and limp a bit. I can get about without a stick but tend to limp a lot. Not a lot of pain now but aches every night.
I usually spend the evenings with the leg elevated to releive the swelling and yes I get calf swelling too. Its 12 weeks since the accident now and by all accounts am doing good but seems very slow going. I can drive ok which helps a lot. can't think of any advice to help with the swelling in fact would like to know what I can do to stop mine!!!!!! 
Title: Re: Ruptured Quadriceps Tendon
Post by: robwalk on January 02, 2007, 02:57:28 AM
Al-M..the PT told me not to elevate my legs..but I will see my orthopedist on Jan 22 2007, and will inquire as to why I swell. I too seem to be progressing, but too slow for me..I have moved fast all my life..this is like stand still. I am back at the gym, and did fall on the treadmill, but was able to maintain until I could get the belt stopped, so did not go all the way down. I guess that is good sign, and as of 12/10 it was 6 months, but the doc already told me it could be 6 months to 1 year...and I am driving also. I can walk around the house without the aid of a walker or cane, however on the outside I panic, and feel as if I will fall..don't know how to overcome that.

Will let you know what the doc says.

Rob
Title: Re: Ruptured Quadriceps Tendon
Post by: sjdean on January 07, 2007, 11:57:32 AM
Hi All,

Thought I'd check in and see how you were all doing.

My this board has certainly come alive.

For those who don't remember/know, I ruptured my quads tendon in April after a slip on the stairs.

3 months after that, I ruptured it again as I slipped in a car park.

The second time around was more horrendous for me given the timing of it. It happened in July, and obviously Autumn (with the rain) and Winter (with the ice) was just around the corner and I was extremely worried. And also, having a re-rupture in close succession caused me to lose a lot of strength and confidence.

Im happy to report now though that my strength is slowly returning. But my mental and physical energy is just dissipated. Im supposed to be trying to do some exercises at home, but Im really really too tired. And when I do try, my knee hurts. Not that bad, but enough to make me wanna just cry and give up.

The scar is worse compared to last time, it's still very red in places, and this is six months afterwards. But Im seeing an excellent physiotherapist department at George Eliot hospital in England who are absolutely fantastic. I've been referred onto knee classes and have done the beginners class - which is basically a co-ordinated controlled gym session with stepping machines, wobble boards, rowing machines and cycles.

I've finished that and am just awaiting my referral to the intermediate where apparently there will be running and jumping. I hope it's not that much, because, I really cannot run.

I still don't have full range of movement, my knee is comfortable. I just still really lack a lot of strength, and I can't kick properly. I still have to be careful with what I do because it does hurt my knee every now and again.

So so though, everythings going well. At least I havent fallen over again and at least the main thing, I can slowly feel the strength coming back. I feel more glued to the pavement, even though I still have a problem going up stairs leading with the bad leg.

Fortunately, unlike some of you, my knee isn't swelling. It is swollen compared to the good knee, but it's a sort of constant swelling. The thing im most concerned about is how it feels with my hands. Compared to last time, it feels sort of bony and jarry, it's like I can feel protrusions or edges of bone and just above my knee cap, there's this sort of pronounced hollow, then a bit further up a big lump of something. Doesn't feel right. And trying to do leg extensions sends a shooting jarring pain up the right side of my thigh.

Just been reading through what everyone has been saying. Rob, I can't believe how you were treated in the first place. I mean, I can understand that maybe they missed something, but then having to wait two weeks for the operation, and the idea you were doing physiotherapy so early just sends shivers through me. I hope they were just helping you to walk on crutches rather than any real exercises? Also I can't believe no one has advised not to elevate the leg. That's the main thing doctors where I am have advised, since, just after major surgery for the next few weeks, things will be healing, and you don't want big nasty clots forming.

Of course, six months on, swelling shouldn't be a problem. Maybe you just need to take some anti inflammatories?

How are you progressing now? It seems you are doing some gym work, I take it you're just about getting about? I've only ruptured one quadricep tendon, but bilateral, that 's got to be awful. You can't rely on any leg to take the strain. I would imagine it would be somewhat slower for someone in your position.

What's your Range of Movement like? And is the strength back? Are you still relying on crutches or anything?

I too am rather fast paced. So this has really hampered me. My first surgery though went like a dream. My second surgery, the rehab protocol for that was completely different and so much slower. six months down the line, and I still don't have a full range of movement - stuck at about 120 - and that's compared to last time where I achieved full ROM within 3 months.

But there's something to think about - you don't want this happening again. Work on the strength and the confidence.

I've basically put my life on hold with not taking too many unnecessary risks - like, going to the cinema, or going clubbing!

And how are you doing Al-M? Did you get in touch with me via my blog? Your nick seems familiar. 12 weeks for you, how's your ROM and strength?

Cheers everyone.... I wish you all continued good luck and pray this never happens to any of us again...

Bye for now...

Cya
Simon
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on January 07, 2007, 10:48:15 PM
My thoughts and prayers to you all for your progression in rehab.  I went out on my mountainbike the first time on an unusually warm January 1st.  It felt great to be on outside and moving under my own power.

Take your time my fellow quad. tendon repair friends, is all I can say.  It takes time, (much more than I ever thought) patience and diligent discipline with the exercises. 
Title: Re: Ruptured Quadriceps Tendon
Post by: BLUEFIVEVA on January 13, 2007, 10:25:37 PM
Hi All,

I had my quad tendon ruptured two months ago and repaired a month and a half ago due to a misdiagnosis. I am in one of those braces with 30 degrees of motion.  It seems like I have no strength in my quad musscle. Today was the first day I could do any Straight Leg Lifts.  I get a lot of pain in the patella tendon on the way down.  Is that normal?  My range of motion was measured at 110 degrees last week at PT and from what I have read here that seems at least about average.  Does anybody really get back to normal?

BLUEFIVEVA

Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on January 14, 2007, 02:26:25 AM
I know I could not believe how little strength I had in my quads after the surgery.  It was absolutely pathetic!

My experience was as yours,  I tried to do a straight leg lift and had the patella pain. If you have 110 degrees of motion and you are 6 weeks post surgery, I would say you are doing great.  I am 4+ months out and have gotten my pre-op ROM back.  It is possible, but it TAKES TIME. My surgeon and P.T. both emphasized it takes 3 months for the tendon to heal. (and I would have to agree with them, despite being totally skeptical about it)  Before that you have to be very careful not to overstress the tendon. 
Title: Re: Ruptured Quadriceps Tendon
Post by: robwalk on January 23, 2007, 05:27:13 PM
Well Simon, thanks for asking. I am doing much better. I am now driving, and can drive myself to the gym. I do use the walker in the gym, because it is very busy, and don't want to fall with all the activity. But mostly I use the cane, a little scary especially since I have a problem descending, no problem going up the hills just down. I only work out 3 days a week, I concentrate mainly on leg extensions, leg curls, leg presses, and bike riding. I tried walking on the treadmills at 2.0 mph, but the knees buckeled, however I did not fall all the way, and was able to stop the belt, although that was tough, because I could not straighten the legs, while the belt was running,  right away. The doc told me not to do the treadmill, but just to ride the bike more, I also tried the stair master, but the knees buckedled again, and then I tried the stair master mountain climber, same problem. I am also back to upper body training, with machines not using free weights yet, and where I used to do 300 crunches daily I now am back to 100. I am gaining in the range of motion, can almost touch my butt with my heels...but I do some exercises every day, even though I only go to the gym 3 times a week yet. I spoke with my doc about the swelling in my knees and he said it was normal, and he is still telling me 1 year from my accident.He also told me I have some arthritis in the knees which is one problem because they are stiff. I am going a Therapeutic Pool Group where I can do water exercises for that problem. I am 68 year old, I am diabetic, and as I stated have had a heart attack, and quintuple bypass surgery in 1998. I felt 18 before the accident, and now I feel 20..so that isn't so bad. You will be ok, I guess it takes time, and each of us recovers differently. My main problem is depression which the doctor told me now to get into, but cannot help think why me?...guess if you live long enough a lot happens to you. The fact I can drive again helps me, love to drive my car it goes 0-60 in 7 seconds, much faster than I can walk at this time.  Good Luck to all, and Thank God for this site it has helped me tremendously. Rob
Title: Re: Ruptured Quadriceps Tendon
Post by: sball on February 01, 2007, 08:36:53 AM
Hi. I'm new to the website and new to the ruptured quad tendon problem. I managed a complete rupture of the right tendon while falling down stairs in the UK in December. I live in Dubai and only managed to have the repair done 2 weeks after the slip. I am now 15 days post op and still in plenty of pain, especially at night.

I'm in a canvas brace but have been advised by my consultant to take it off when I can and to move around as much as possible. He wants me to be able to bend to 45 deg by end Feb (6 weeks) and I can already manage 25 - 30. He says tendons heal better when they are moving. I can bend it more in the morning than in the evening - is this usual?

My biggest worry is slipping before the healing is complete.

Can anyone advise how to minimise the pain at night? Its keeping me awake.

Any advice for the new guy?
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on February 01, 2007, 10:57:21 PM
Welcome to the world of quadricep tendon recuperation.  I am now 5 months out, and I remember the first three months being very trying. 

I also had pain at night, which in my case seemed to be relieved by getting up and moving around.   I would get up a few times each night make a couple of loops through the living room and dining room and it always seemed to ease the pain by getting the knee moving.  My P.T. ascribed it to the impaired post-surgery ciruculation.  i.e. all the lymph vessels and veins were disrupted from the surgery...when there wasn't any movement, things sort of stagnate....by getting up and moving around the movement flushed out the toxins and noxious by products of the healing.  Seemed to make sense to me.  He also did some massage of the area to help the process of the vessels and circulation to be re-estalished. 

I had an IROM brace, which has a hinge which you can change gradually allow an increased range of motion.  It seemed to work well, because each week I would increase the ROM 10 degrees.  There was a safety valve in that I couldn't go more than that. I was warned time and again - NO sudden extreme bends of the knee. 
I would agree that tendons heal much better when they are moving....just as long as it is not too much too fast! 

I was able to bend my knee more in the evening than in the morning. 

I would agree...slipping and being out of control with that leg before healing....at least three months...is a BIG concern.   My first three months, the only time I took the brace off was to bathe. However, in that controlled environment, I would try some gentle bending and stretching.

Advice....take it slow and steady.  Don't expect to make gains in ROM or strength...just very gradual progress. It takes a while and you cannot rush it. 
Title: Re: Ruptured Quadriceps Tendon
Post by: sball on February 06, 2007, 09:00:09 AM
Thanks for sharing your experiences Frederico. I'll try walking around at night.

How long before you were able to drive?
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on February 07, 2007, 06:49:20 PM
Be interesting to see if the walking around at night works for you....let me know.

Driving...I think it was three weeks before I could drive, primarily because I couldn't bend my knee enough to get it through the door to get into the drivers seat.  Prior to that I had to scoot myself into the back (bench- type seat) and be chauffered by my wife.  That gets old quickly. That said, my injured leg was the left one and being in the US I only needed the right leg to be functional.  Once I had enough flexion to be able to negotiate the door opening, I was good to go.  I don't think I could have used my injured leg to drive though, as I didn't have enough strength to pick it up and move it.
Title: Re: Ruptured Quadriceps Tendon
Post by: rob johnson on February 17, 2007, 06:28:06 AM
Hi, I ruptured my quadricep tendon on January 6, 2007.  I had surgery on January 12, 2007 to repair tendon. I started rehab on January 17, going twice a week to rehab.  It has now been five weeks ago today since surgery.  I am at 100% knee bend.  I just started flexing my knee without the brace on.  This is a very slow process and at times I feel like my knee is never going to get any better.  I have to walk in the brace and am off the crutches now.  I walk 1 to two miles a day depending on how I feel.  I work my knee about two or three hours a day at home.  Thanks for the comments. 
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on February 20, 2007, 04:48:54 PM
Sounds like you are doing super fantastic Rob J.! 

I just had my 6 month post -op appointment and was told I was doing well. ("summa cum laude") I should continue to work out with leg weights.  No squats with weights.  I can ease back into running but should take it v-e-r-y slowly. Still no "ballistic" movements. No jumping for a few more months also. 

Overall my course has been of a slow progressive improvement both in range of motion and quad strength. The only glitch which I troubleshooted was some locking/clunking of my knee. Initially, I thought it was the knee cap catching, but upon further analysis, it was the tibial-femoral articulation.  I had ripped my medial retinaculum quite a bit when I ripped my quad tendon, and I think the articulation was out of alignment after the surgery.  My P.T. did some gentle stretching and manipulation of my lower leg and it improved! 

Regards to all and best wishes for your rehab.
Title: Re: Ruptured Quadriceps Tendon
Post by: JDELUNA on February 22, 2007, 02:58:52 AM
I had a ruptured Quad tendon and had surgery for it back in August 2004. My doctor told me that it would take approx. 1.5 years before I would be back to normal where I do not think about my knee, etc. and he was right. I had PT sessions, etc. and after PT even did exercises on my own, still do now.  I will be honest with you, it was a SLOW process, but keep it up and after a while you will doing things normally again with your knee, I know I have...thank you God !!! ALso YES going down stairs I had a problem just like most of you, as I thought my knee or actually my leg would give out, but know I can walk normally up and down the stairs. It just takes time to get the muscles to get strong again, so all of you out there, please do NOT give up, just take it a step at a time, 1 rep after another, keep at it, do not give up,  and remember the results are not instant, but they are cummlative. So hang in there and God Bless  :)
Title: Re: Ruptured Quadriceps Tendon
Post by: sball on February 25, 2007, 09:44:29 AM
Hi Frederico and Jdeluna.

I was also told to expect around 18 months for a full (95% power) recovery. I'm now 6 weeks post op and still having significant pain at night. In fact, I haven't had a full night's sleep since 15th Jan when I had my surgery. I'm in pain, exhausted, REM deficient and somewhat grumpy!

Did any of you guys also have pain at night and, if so, how long did it last?

I'm also having some clunking and clicking when I flex and extend (around 100 - 110 degrees now) and there is some pain with each click. It really does sound/feel like the patella is sticking.

In the evenings, it feels like the patella has locked down tight over the joint and is restricting movement. Did anyone else have the same problem?

Thanks for all the good advice.

Stuart
Title: Re: Ruptured Quadriceps Tendon
Post by: sball on February 25, 2007, 09:56:26 AM
Oh, and one other thing - at night, when my knee swells and tightens up, I also get a strange tingling sensation on the top of my right foot - feels like a nerve is being constricted or something like that.

Any thoughts from anyone?
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on February 26, 2007, 01:01:56 AM
Stuart,

Sorry to hear you're still having pain at night.  Does getting up and walking around help at all with this?
I think mine night pain persisted up until about three months out.

I think I had some patellar catching as well, but as the muscles strengthen, this seems to improve.  My P.T. had also done some "myofascial release" around the patella as well.  Because of the incision, there can be some scarring down of the patella, so this needs to be released. As I'm remembering as well, with vigorous activity (p.t.) the patella would get sore and be more uncomfortable.  Gentle stretching to push the system without overtaxing is key, but admittedly hard to discern where the balance is.

I put hot compresses on my knee evening and that seemed to loosen things up.

Tingling sensation usually =  nerve being pinched, you're correct. Why? I don't know.

Regards,

Fred

Title: Re: Ruptured Quadriceps Tendon
Post by: sball on March 14, 2007, 12:20:21 PM
Hi Fred

36 degrees celsius (97 F) here in Dubai today and its still only spring. Looks like its going to be a stinker.

Yes, getting up and walking around does help. I'm 2 months out now and I suppose I can put up with another month as long as I know there's hope in site.

I've been told not to start any real strengthening exercises until 3 months - lunges, squats etc., so I'll have to wait to see if this improves the patellar catching. I must say though that there has been a small improvement in this. The worst is that things seemed to be getting better and then 4 days ago quite a lot of the pain came back - day and night. I didn't do anything I can remember to disturb the repair and the PT says he can see no new damage, so I don't know what this is. Possibly either over-use or some physical jerks at night during the odd half-hour patch of sleep.

Vigourous activity certainly seems to over stress things. You're right - hard to discern the balance.

I still get a lot of swelling at night.  I've tried icing but that hasn't achieved much. I'm going to try the hot compress route tonight. I'm also going to ask the PT about myofascial release. I have a really good guy - used to be the PT for the Swiss handball team and certainly seems to know what he's about.

He tells me that I'll need to start riding a stationary bike soon to impove motion. Oh joy!

I'm also wondering if there is a correlation between age ec. and the time it takes to heal something like this. I'm 44, 1.84m - just over 6 feet - and weigh 98kg and I'm interested in your (and anyone else with the same injury and repair) stats, if you're willing to share them in a public forum like this. If not, no worries. I'm also a type 2 diabetic whch I'm told does effect healing times. Interestingly enough, research would tend to indicate that people with diabetes are at higher risk of this type of injury. Guess I'll have to take it easier and be more careful in the future - just so hard to remember when you're running around having fun, playing with the kids etc.

Thanks for continuing to respond.

Stuart
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on March 14, 2007, 08:57:39 PM
Hi Stuart,

It is spring like here....67 F with a gentle rain. The geese have been flying northward in droves, always a good sign of warmer weather.  Up till last week it had been unseasonably cold.   

I found once I was able to handle the motion of the stationary bike, it helped, as long as I didn't over do the time I did it or the resistance.  I have an elliptical trainer which I used intially and that worked well with a very light resistance. Once I was able to make the range of motion with the bike pedal, the gentle resistance and motion seems to pump the knee, helping the patella find it's groove and increasing the overall flexion.  The few times I pushed too hard on the bike, I could feel it the next few days in stiffness and some discomfort around the patella.

I am 54 y.o., 6'1" and 84kg. Everyone has been telling me that the older you get the longer it takes to heal - I have to agree.  :(  I was in pretty good shape prior to my accident (lots of biking) which I think was a benefit to my recovery.

If you are a well controlled Type II diabetic the healing should be relatively normal...only if you are poorly controlled will the healing be slowed.

Keep the faith on the recovery...three months is a good benchmark to shoot for in terms of starting to be able to rebuild the muscle.  The tendon should be pretty much healed by then.

Regards,

Fred
Title: Re: Ruptured Quadriceps Tendon
Post by: wahrenjie on March 15, 2007, 04:25:11 PM
Hello, I just discovered this site yesterday and I hope I can get some feedback from people with the same issues. I ruptured my left quad tendon on 11/3 and had surgery on 11/7. I was in a cast for 2 weeks and a hinged brace locked at extension after that. I didn't start PT (meaning I didn't bend my leg at all) until exactly 10 weeks post op. I've been going to PT 2/3 times a week since. On day one I got 33degrees ROM. 2 1/2 weeks ago they got me to 90 degrees with excruciating pain. For the last 1 1/2 weeks I've been able to gingerly pedal the bike all the way around. I'm not using a cane or crutches anymore but most of the time I walk with a limp. I still have pain in the bottom left area of my patella. So I'm only allowed to do leg lifts and isometrics. Yesterday my PT told me he spoke with my OS and feels I can't get any more ROM using PT alone and I should get MUA. Is it to soon (this is week 8 of PT) for them to recommend this to me? They say with this i should be near normal function in less than a month. Any input will be greatly appreciated. Thanks.
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on March 15, 2007, 09:56:12 PM
So...what's MUA?  I started my P.T. about 5 weeks out but had almost 90 degrees at that point from the hinged brace. I stretched my leg on my own with some tightness, but never pushed to extreme pain. I can't say I can offer much input on the appropriatness of this. 
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on March 15, 2007, 11:11:26 PM
Okay, I'm a bit slow on the jargon.  MUA = manipulation under anesthesia. Sounds painful to me- but I don't know much about it.
Title: Re: Ruptured Quadriceps Tendon
Post by: robwalk on March 20, 2007, 05:38:38 AM
Stuart,
I, too, am diabetic, and my doctor has never told me, diabetics are prone to this injury. However I suspect Lipitor has something to do with it. I asked my Cardiologist, and she said it would have caused severe pain in the muscles, then continued to tell me it does affect the tendon. If you read my post, you will see I did a slip and fall in June, and was not operated on until July 26, 2006, and I had "Bilateral Quadricep Tendon Ruptures"...if you only had one leg ruptured you are luckier than I, because I did not have another leg to help. To make a long story short, yes I had a lot of discomfort, I would not call it pain, but I did swell, and even today I have a burning sensation in my legs, and feet, and have been told I have "neuropathy"..whether this is because of the diabetes, (and it does cause neuroptahy) or not I do not know. I have read, and continue to read as much as I can about this and have to ask my Primary Care Physician about it, even though I have mentioned the numbness, and burning sensation I get.

I had braces for about 4 months, and they took them off when I was in PT. I now go to the gym 3 days a week, and do other exercises at home. At the gym, I do a warm up the PT gave me, and I do Calf Raises, Leg Curls, Leg Extensions, Leg Presses, and I ride a bike for 35 minutes, 5 mins being a cool down, in addition to upper body exercises, and I am able to do 150 Crunches, (before my accident I was doing 300 crunches 5 days a week, and running). I have tried walking on the Treadmill, but fell, even though I did not go all the way down, I feel it must be because I have more strength. It is frustrating, and there are days where I think it will never end, and I will never be the same, however the doctor has told me not to get despondent, that I will be fine in 1 year. I use a cane mostly, but do use the walker at the gym, in order to navigate the crowd of people there. I now go out for dinner, and entertainment, i.e. movies, symphony, etc. The only other problem I have encountered is trying to cross streets, and I must have someone with me because I need to place my hand on their shoulder to balance in order to get across, otherwise I can walk fine with the cane, and around the house I walk without it most of the time. I do drive, and am able to get to the bank (drive up ATM, and the post office, again a drive up Mail Box).

You will be better, I know I am, I just have a problem with hills, going down them that is, I have no problem going up, (I live in San Francisco California), which has lots of hills, but they tell me it takes more strength to go downward.

Best of Luck,

Keep Posting, I am interested in all who have had this.

Also, I found a site you might want to read, it is a professor at University of Virginia, who fell in while on business in Istanbul, and ruptured both of his tendons, , it is:
http://faculty.darden.virginia.edu/clawsonj/HTML%20DATA%20and%20LINKs/Bilateral_Quad_Tear_Blog.htm

Copy that and read the whole story it is interesting.

Regards,

Rob
Title: Re: Ruptured Quadriceps Tendon
Post by: sball on April 10, 2007, 12:20:35 PM
Hi Rob and Fred

How are you guys doing? Progressing well, I hope. I haven't had the chance to visit the board for awhile.

I'm almost 12 weeks out now and see my surgeon on the 12th for my 12 week checkup. Physio is going well and the pain is lessening now with much less pain at night and better sleep.

I'm not doing any gym as such yet - the physio is waiting for clearance from the surgeon before I start the serious stuff. He says I'll start with lunges & squats. That's gonna be fun! My biggest goal is to be able to ride by motorcycle again (and support its weight on my right leg). That's what keeps me going.

It still hurts when I move it too much but more of an ache now with the odd sharp pain. I've started walking in the swimming pool against the resistance of the water and I hope this is doing me some good. There's also a slope in the pool and its possible to go down the slope with the added bouyancy of the water. I can't go down slopes on land yet. s soon as I exercise it, the knee stiffens up so I go into the pool with a relaxed knee and come out with a stiff knee. Then I go into the sauna and it relaxes again, only to stiffen again later. Did you have a similar experience and is it still the same for you or has that now passed?

I'm having trouble getting back into normal walking motion. At present, I lock my right leg back before putting weight on it and this has become my normal walking habit. I have no idea how to get out of this habit ans back into the normal bent knee walking motion. Do you have any advice?

Rob, I had a look at the guy's story on the website you gave me - quite a story. I don't know how you (and he) managed with bilasteral ruptures. He also has some interesting things to say about the statins and I've stopped taking the Lipitor until I know more. I've just read an artical by Patrick Holfird that says that Niacin (vitamin b3) significantly outperforms any of the statins in the reduction of cholesterol. He also says that 500 micrograms of Chromium per day outperforms Metformin in the lowering of blood sugar levels. I'm going to give these a try - certainly can't hurt. He says you should never take Metformin without taking vitamin B12 too, as Metformin knocks out B12. He also says you shouldn't take statins without supplementing Co-enzyme Q10 (CoQ10) because the statins reduce its production and it is a nutrient for the heart and reduced levels induce heart muscle dysfunction. In fact, he says that 19 out of 20 healthy people taking statins have abnormal heart rhythms. Scary.

Keep on walkin'

Stuart
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on April 12, 2007, 02:44:41 AM
Hi Stuart - glad to hear that you are almost at 12 weeks....that was a big milestone for me. I have been progressing slowly.  I cleared seven months a last week and have been working my quad. muscles at the gym.  I have to say I still feel some tightness and discomfort from time to time, especially if I overwork the leg with exercise.  I recently was working out in the yard and going up and down a steep hill with armfulls of fire wood.  Boy, was my leg sore the next day.  But of course, I haven't done anything like that in 7 months......that's where I slipped and ruptured my quad.  :-[

I still have can't go down stairs perfectly normal yet. It will take more time.
 
I had some problems resuming my normal gait walking as well.  I tended to swing my bad leg out to the side.  The only cure was just concentrating and practice.

The pool exercise sounds great.  My wife tried to encourage me to do it, but I was bull headed about not going. I just couldn't envision myself doing it.

I can relate to the motorcycle in that I ride a bike and standing up and cranking on the pedals was a big breakthrough moment for me when I could finally do it.  Your leg will let you know when it's ready.

I surprised the P.T. said he would start you on lunges and squats.  I was told to avoid them for a while yet.... or at least do them in a very limited manner.

Glad to hear the pain is lessening and you are sleeping better - that is an improvement in itself.

Regards,

Fred
Title: Re: Ruptured Quadriceps Tendon
Post by: robj on April 20, 2007, 11:32:28 PM
I ruptured my quadricep tendion on January 6, 2007.  Had surgery on January 12, 2007.  Started PT on January 18, 2007.  I had to wear a leg brace for the first 6 weeks.  At 7 weeks after surgery I was able to take off the brace and start driving again.  At 8 Weeks I started to squats and lunges.  I was off from work for 11 weeks.  I started back to work 3 weeks ago.  My knee feels great.  I go down the stairs slow but normal.  My Doctor said that it will be 6 months from surgery before I can start back running again. Every once in a while my knee will buckle when walking but is getting much stronger.  I walk about 2 to 3 miles every other day.  My walking is real slow.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on April 21, 2007, 06:17:14 AM
Hi

You are doing very well after such a short time -  watch your driving as you need full strenght for braking.

Keep up the PT and walking.   How did you rupture your Q Tendon?

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on May 09, 2007, 03:35:36 AM
Hey just reading some of your posts from your surgeries. I'm having surgery on a ruptured tendon myself and just curious as to what you have experienced. i am wondering how soon i can start doing pt., and how soon you all were able to get back to work.  im supposed to be in a full brace for eight weeks. any feedback would be helpful thanks
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on May 09, 2007, 04:24:38 PM
Cynthia,
I started gentle P.T. about 6 weeks post-surgery.  I went back to work 2 weeks after the surgery, albeit somewhat liimited duty.  (I am a dentist) 
I had used my leg brace, an IROM brace, for about three months and then weaned myself off it per instructions from my surgeon. 
As mentioned in posts above, take it slow, but always try to improve, don't try to rush anything, and don't expect any great leaps in improvement.  It just takes time!  I am 9 months out and still am working on building up my quad muscles.  My flexibility is good, but I still occasionally have some stiffness in my tendon. 

Best of luck with your surgery.  I'll pray for an uncomplicated recovery.

Regards,

Fred 
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on May 09, 2007, 07:36:28 PM
Thanks so much for your reply.  I had therapy till Jan of this year.  My quads are strong as well as hamstrings.  Just afraid of them failing like they did on lr.  I  appreciate the slowness.  I want to get better. I work retail and at a grocery store so I doubt i will be back after two! He said four but i was out six just for the lr, of course thats when i fell and ruptured tendon.  Anyway thanks agian for the feedback I'll keep you updated date is set for june 20th
Title: Re: Ruptured Quadriceps Tendon
Post by: sball on May 28, 2007, 11:26:08 AM
Hi Fred & Rob & now Cynthia

Haven't visited the site for a while.

I'm 4 weeks out now and faring much better. The pain is almost gone and mainly stiffness and discomfort now. Some days are stiffer than others and there seems to be a correlation between exercise & stiffness. If I over exercise it stiffens up. If I don't exercise at all it stiffens up. Seems there's a happy medium somewhere - just have to find it.

Frederico - are you the same dentist who's story is on Jim Clawson's blog? You probably spend a lot of time on your feet - was that hard ot handle? Have you seen Jim Falvo's most recent addition to Jim Clawson's blog about the nerves getting reorganised? If not, have a look - makes good sense.

Cynthia - Fred gave me some very good input - it will get better, the pain will recede, progress is slow and don't push it too hard or expect rapid improvement. This helped me get through the first 12 weeks. I can now go up stairs with some discomfort and have even started going down stairs left leg first (I ruptured my right quad tendon). Seeing very slow but steady progress every week now.

I think the main problem for me now is that its still going to be a year before I can trust my knee and start using it normally again - this is the feedback I've had from sufferers and the medical proffession alike. One just has to get used to the fact that there will be a certain degree of incapacity for a long period and perhaps even forever. My surgeon said I am likely to regain about 90 - 95% of the power in my right leg and that's OK for me, although 100% healing remains my goal and ambition. As long as it takes, I'll be working on it.

Averaging 42 degrees C (108 degrees F) here in sunny Dubai as we move into summer. Within the next 3 weeks, the temps will increase to around 47 C (120 F) and humidity will climb up to 95% and remain this way until end August. Things here shut down now, many expats go home to avoid the heat and one cannot go to the beach or walk around, so there goes my exercise for the next couople of months. Looks like I'm stuch to squats & lunges at home.

Good luck and good health to all

Stuart in Dubai
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on May 28, 2007, 02:45:02 PM
Hi Stuart   

I read   your   input - must say that your sumary is just about right in as much you should end up with about 90/95%   ROM. 

Send us some sunshine please  - we have a typical Bank Holiday weekend, cold, wet     dismal

Best wishes

JohnK/ Manchester    UK
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on May 30, 2007, 01:14:01 AM
Stu, Rob, John & Cynthia,

Greetings to all and hope all is well. 

I had a potential setback last week, the effects I still haven't fully discerned.  I was abroad and walking down the sidewalk, which had been recently washed off.  I was looking up and around instead of where I was walking and stepped on a slanted piece of pavement, sliipped and instinctively stopped my fall with my repaired leg.  IT WORKED.  I had a moment of panic because the move was exactly like how I originally tore my tendon.  The down side is I felt some burning/discomfort on the medial and lateral sides of  my knee (retinaculum) and for the rest of the day it felt strained.  I had some increased stiffness in going through the ROM. 
A week later it feels better but I have this uncomfortable feeling that I have may set back or strained some ligaments such that I will have to be careful not to subject them to further stress for 6-9 weeks again. 
I'm debating about consulting with my orthoped M.D. but I think he'll just dismiss it since everything is working. The rest of trip I made a point to stop walking if I wanted to look up at the architectural details of the buildings! 

BTW Stuart, no, I'm not the dentist in Jim's blog.  I didn't have much problem standing....I sit mostly. It was more the up and down thing that was difficult when I was first back to work.  I learned to use my opposite leg more and control the foot pedal with the good leg as well.

My little reminder of how quick it could be to be back in a leg brace has inspired me to re-up my membership at the gym for a few more months to work on my muscle strength. 

Best regards to all,

Fred
Title: Re: Ruptured Quadriceps Tendon
Post by: Mage66 on May 31, 2007, 08:29:28 PM
Hi all...

On May 23rd of 2006 I fell down some stairs and landed on my left knee. It was quite painful and I couldn't get up from the floor. A few people helped me up onto a chair and after a few minutes of rest, I tried to stand. My left knee buckled and I fell again. At that point, we called an ambulance and waited for it to arrive.

As I was waiting I noticed that there was a depression in my left leg just above the kneecap that wasn't there before. It was VERY odd.

I pointed it out to the EMT who took me to the hospital and again in the emergency room when I got there. They took X-Rays of my knees and after a few hours released me with a pair of crutches, a leg immobilizer, and a prescription for pain relievers. They said I had a "Deep Muscle Contusion" and I should be ok in 3 to 5 days.

A friend picked me up and took me to my car, and after wrestling my way into it, I was able to drive home and get down my steps into my home without major trouble. About an hour after I got home, I wanted to change out of my bloody pants (I had badly skinned the right knee), and took off the immobilizer so I could remove the pants.

Shortly thereafter, my left knee buckled and I fell again. I lay on the floor of my apartment for an hour until the world stopped spinning and I could climb up a chair and get standing again.

I was fine for several days, and went to see my GP who prescribed Darvocet and Therapy which I would start the following week. I mentioned the dip in my left knee to him, but he didn't think anything of it either.

Two days later I was going out my front door to an appointment and fell again, this time landing on my back on the concrete and hitting my head again. This time, the fall now added chest pain whenever I went from supine to standing position and moderate back pain.

The day before I was going to start therapy, I fell one last time. I was getting dressed holding on to my kitchen counter while I put pants on as I made breakfast (toast and coffee), and my left leg gave. On the way down I grabbed the counter and tried to catch myself with my right leg, but it made a snapping sound like a tree branch breaking and I fell to the floor.

I tried for two hours to get up and couldn't. Finally I used my broom to knock the phone off the hook and call an ambulance, and they took me to another hospital than the one I went to from work the week before.

That was a year ago today.

An orthopedic surgeon saw me and said I had ruptured not one but BOTH Quadriceps. Which he said was unusual. He'd only seen it once before. And he gave me the choice to do one at a time, or both together. I didn't see the point in waiting, so we did both at the same time.

He told me that anyone who told me I had a deep muscle contusion was just wrong. Judging by my description of the first fall, and the dent in my knee... Undoubtedly that's when the first quad ruptured. The second rupturing that morning.

The following day we did the surgery and reconnected both quadriceps.

Being diabetic they weren't optimistic that 6 weeks would be long enough for me to be weight bearing. But through watching my intake and doing lots of in-bed exercise, at 6 weeks I was walking again with a walker. 6 more weeks I was released to my home. I did in-home therapy for about a month, and then graduated to a local Therapy Clinic where I continued therapy until about March of this year.

They say that by tomorrow I'd be at 100% of whatever my 100% will be. But, I'm still having trouble going up and down stairs and can only carry a fraction of the weight I used to.

Oh... I finally insisted on an MRI due to a lot of pain in my back, a knife-like pain in my right leg and numbness only in one foot. Turns out I also ruptured 3 vertebrae.

It was a long road. Not particularly hard. Just had to keep my spirits up and keep doing the next thing.

I'm walking with a cane and do most things except carrying anything heavier than about 10 or 20lbs and especially carrying things up or down stairs.

I recovered at the Moss Rehab Center in Philadelphia, and they were wonderful, as well as the Willowcrest Extended Stay Nursing Facility in North Philadelphia where I did the bulk of the 12 weeks.

Magnesium helps with the back pain, and I try not to take the Darvocet that much.

I've had several slips. But, no falls. I'm able to catch myself fairly well.

But my legs and calves are still half their original size.

That's it...
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on May 31, 2007, 08:46:38 PM
Hi

Read your interesting post - you have certainly been through the mill - a pity that you did not seek a second opinion after the first fall - however, thats all water under the bridge.

You have made good progress in the last twelve months and assume that you have made adjustments to your daily life - Every day is a blessing and one hopes that you gain more and more strenght in your quadriceps.   

Have you returned to work?  are you allowed to drive? 

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Mage66 on June 01, 2007, 12:06:14 AM
Hi

Read your interesting post - you have certainly been through the mill - a pity that you did not seek a second opinion after the first fall - however, thats all water under the bridge.

You have made good progress in the last twelve months and assume that you have made adjustments to your daily life - Every day is a blessing and one hopes that you gain more and more strenght in your quadriceps.   

Have you returned to work?  are you allowed to drive? 

Best wishes

JohnK/ Manchester UK

I've had the immobilizers off since about October of last year and was cleared to go back to work at the end of December. But, because I can't carry any weight or navigate stairs carrying anything heavy I don't do the job I used to do. Which was, onsite computer repair.

Now, I staff the help desk. I answer the phone and write service tickets for the other guys. I have to say I feel blessed that my company kept me on in this position at the same salary. I can't complain. My company has been really good to me.

I am able to drive. I started driving in October of last year short distances. Just to and from PT and to the local market which are quite close by. I've been driving to and from work since January which is about a 20 minute drive away, mostly on a highway so I can use cruise control.

I've twice driven to visit my sister in New Jersey which is about 1 1/3 hours drive. That is hard, but doable. The last time I did that, which was last week... It was much easier than the first time.

A positive attitude is the most important thing, I believe. I also made my room a safe haven for the nurses. I was never cross with them, always smiling and happy and often playing nice music. It meant that the few times I needed help each week, I got it fairly quickly and with kindness.

My therapist was funny. Every time I said I was having pain, he'd say..."There's no Pain, I don't feel a thing!".

I always tried to over-perform in PT. Always trying to a bit more reps than they asked for, or turning up the treadmill a little.

I'm not good at home, by myself. But I have an exercise bike, leg and hand weights, a ProStep (for Hamstring Stretching), and a hot/cold belt for my back.

My apartment complex just opened the pool, so hopefully this weekend I'll be able to use it.
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on June 01, 2007, 05:00:49 AM
Wow thanks for some feedback.  Mine is coming up quickly June 20th.  He said that when he goes in to repair the quad tendon he has to put an allograft in?? Has anyone else had this done?  Also just preparing myself for foodwise how long in bed will I be after surgery?? I know at least a week.  Just the nervous and anxious feelings before surgery. I at least get a vacation out of the deal going to Yellowstone Park next fri with family for a week right before surgery. HOpe everyone is doing well.  I'll keep you updated!
Title: Re: Ruptured Quadriceps Tendon
Post by: Mage66 on June 01, 2007, 02:37:18 PM
As far as I know, I didn't have an allograft. What I did to prepare myself for my home convalescence was to subscribe to NutriSystem. For about $10 a day, I got Breakfast, lunch and dinner. All calorie controlled. So I didn't over-eat.

Anything like that should work.

I also ordered take-out food to be delivered to break up the monotony.

I was in bed 6 weeks, but I had both knees done. You'll probably be in bed for a week just to let the surgical wound get a good start on healing, and the stitches are removed.

Don't be afraid. All will be well. Trust your Doctor. Thousands of people have this done each year. This is pretty routine surgery for an Orthopedic surgeon.

You'll be fine.
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on June 02, 2007, 05:05:25 AM
Yeah Im actually more anxious just to get it over with.  I have to go in for my pre sugery testing fri morning and ask them for some crutches since i don't have any.  I still need help with steps since that is how I fell last time. KNowing that Ill be in a brace helps and makes me feel more secure.  How soon were you back to work after yours??? I know you had both done at the same time so Im sure it will be different. I work retail and at a grocery store so Im planning on at least six weeks.  Anyway thanks for the feedback
Title: Re: Ruptured Quadriceps Tendon
Post by: lobo on June 04, 2007, 12:48:17 AM
I Ruptured my left Quadriceps Tendon  On Dec. 5 2006.  This has been a horrid ordeal since I am a steroid free Powerlifter and was working on breaking 700lbs in my deadlift at age 47.  I could tell you all the details about how I fell and the surgery etc, that would take a very long time, so I wont.

I am just really pissed off since I am 6 months out and squated 315 x 1, and deadlift 500 x 1.  You may think that is good considering the injury, though my right leg and back and other supporting muscles actually did the work, since I can barely do one leg leg extensions with 10lbs.  Going down stairs without the rail-I can do this-though I look as if I have serious nervous disorder an a DEE DEE DEE too.  I have a liitle over 95% volitional bend, she(my rehab pt) can push me to 120%.  I did have huge quads before, quite small in my view now.  I am sAying that the Knee HURTS, feels totaley [email protected]*% UP, and is not IMPROVING.

I am self employed personal trainer who lost 3-1/2 months of work and a client loss of over 700 a month.  Know in debt big time, will may be bankrupt, or dead.

For the past month, I reiterate the aforementioned not improving quality of the knee.  My knee is never going to be normal, I will not be able to set new steroid free state DEADLIFT RECORDS OR SQUAT OVER 500-OR 400.  And from reading some of the posts, will need another surgery??  I am in a bad place-I fell on a clients icey driveway.  Was a fluke fall, one in a million.  Said female clents husband is a lawyer and did not get one bit of support from them when at home alone in a cast, cann't drive(jeep is a stick), other people helped somewhat.  I am not one to litigate for money, though thinking about since she acts like it never happened when I train her each week.  It would be difficult since he is a lawyer, and I don't really feel right about this.

What can I expect for this Knee? Lie to me!!!!


Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on June 04, 2007, 07:06:34 AM
Hi

I wont lie - but a few hard facts ......

You might get some improvement over the next few months, but not a lot - I slipped on ice, and still suffering four years later - 

A tendon injury is unlike a bone injury, and I dont know anybody who has returned to 100% fitness after this type of serious injury.

It`s obvious that you might have to reconsider what you are going  to do in the future, but I dont see weight lifting coming into that catogry.

Her`s wishes you the best for the future - make the best of it...

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on June 04, 2007, 05:04:10 PM
Lobo - I'm sensing a lot of anger about your situation- yes - it is unfortunate.  Like you said a one in a million fluke fall.  Mine was too.  We can always look back and analyze what shoulda coulda been done, but it is what it is.  Think about how you could be a valuable resource to others who are recuperating from this injury and what to get back to being a powerlifter or some other higher performance athlete.
 
My P.T. told me it would be AT LEAST one year before I'm back to where I was pre-accident.  And as I work my way through this - I think that is only if I work on the muscles a every day but at the same time don't overdo it and also don't reinjure it as well.  (see above post) My guess is it will be closer to two years.
Tendons just get old, they don't improve with age!

I am about 9.5 months out and while I see a great deal of improvement, my leg is still weaker than the good one.  I can tell that it is going to be a l-o -n-g time before it will be anything close to the good one.

Take your time, enjoy the scenery and let the anger go....all it does is raise the blood pressure. 

Regards,

Fred
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on June 20, 2007, 04:39:32 AM
okay guys going in in less than 10 hrs im still scared trust the doc but hate going under! i will do a post op diary and send some pics. thanks for all your help. 
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on July 02, 2007, 05:11:15 PM
Hey everyone.  I wanted to reply to you guys since you helped me answer most of the questions.  I had surgery june 20.  I am doing very well.  I am in an immobilizer.  I am giong in this week to have a new brace made, with a lock set at 15 degrees.  I had tremendous amount of pain the first couple of days.  The morphene really helped. Other than that I have ditched the crutches am walking fairly well and havent fallen yet.  I am in no pain as of right now but do feel the tendon getting tight at times.  Ill keep you all updated hope all is well.
Title: Re: Ruptured Quadriceps Tendon
Post by: Mage66 on July 02, 2007, 05:43:32 PM
Cynthia,

That sounds about normal for this kind of surgery. Morphine got me through my first few days too...

See? We told you there was nothing to be frightened of.

You did/are doing great!!!

Just keep up the healing! I recommend supplementing with Zinc, Calcium and Iron. They will all help the healing go faster and better.

Also, a good brand of Omega 3 and Pycogenol will help the blood flow to your leg that may have been disrupted by the surgery. My brother in law takes a shot glass full of Quinine water every day in lieu of the Pycogenol. It helps him a lot.

I also took Magnesium to help with the muscle spasms.

Keep us clued in to how you're doing. We're all pullling for you!

Al
Phila, PA
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on July 02, 2007, 06:07:45 PM
Thanks again! I will keep you updated when istart ptherapy and get my new brace.  Glad to see Im on the right track! I am going to be job searching in the next couple of weeks for an office position I would like to postpone any more of these surgeries:) PLus am in need of career change.
Title: Re: Ruptured Quadriceps Tendon
Post by: mlvdan on July 05, 2007, 03:08:39 PM
Hey folkes, i had my quadricep tendon repaired on May 14th and just over 5 weeks of therapy. I am at 80 ROM and still on crutches. My OS says to start putting weight on wean down to one crutch.  Can only tell me at what point were they able to walk without crutches or a walker? Do you still use brace?
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on July 05, 2007, 09:49:24 PM
Hey there, congrats on your success! Makes me feel better already.  I ended up being able to full weight on my crutches and was able to ditch them after five days.  Everyone is different so don't get discouraged.  I am in a new post op brace only able to bend at 15 degrees.  Slight problem, I want to be able to drive!!! If I were you and you feel safe doing so go on one.  I would ask your pt for advice.  I do have a quesiton for you guys what kind of knee excercises were you doing your second week???? I am receiving a lot of tightness in back of my knee. I am stretching which helps. But I want to be up to pace. I can not do a straight leg raise yet. I was walking with a limp for a year before my surgery. I think that might have a lot to do with it.  I do know my quad is a little weak yet, and I have  a lot to go before I get there. Any advice on some exercises would be helpful thanks again!!!!
Title: Re: Ruptured Quadriceps Tendon
Post by: robj on July 05, 2007, 11:49:57 PM
I was off work for 11 weeks from a ruptured quadricep tendon.  I have been back to work for three months now and my knee is doing fine.  Occassionally my knee will buckle on me for no reason at all.  I do standing squats and lunges three days a week.  I have no knee pain.  I get a little scared whenever I go down a slope or hill and go down walking sideways.  Just down right scared to walk straight down.  My Doctor said that I can start back running at the end of the month.  The main thing is just listen to  your doctor and dont over do it.  Progress is slow but I am improving every week.  From everything I have heard it takes about a year to get back to normal.  After every workout do lots of stretches.  My PT said stretch before and after and I can tell that it has made a big difference.  I have lost several pounds since my injury also.  My doctor has told me many times that any extra weight will just prolong the recovery.  Keep a positive attitude and you will be just fine.
Title: Re: Ruptured Quadriceps Tendon
Post by: mlvdan on July 06, 2007, 02:34:38 PM
This recovery is so strange and fustrating at times. Last nigt at PT he got me to about 90 by all the pushing and pulling....darn it hurts.....it felt good to hear him say  I was cost to 90, but when I sit or walk i dont feel close to 90 at all...more like 65 or70........

cynthia, I am gonna let the one crutch go this weekend and see what happens. My PT says just be careful of crowded areas(ie: malls).  I have been back to work for about 2 weeks now being a desk job. I can drive but it takes time putting seat back to raise myself in. I can get just enough bend and no pain to do it. I bring ice with me in the office and at lunch time elevate and ice on my desk......This past week I drove to Delaware which is 1 1/2 hour from where I live in NJ. Most of the pain or being uncomfortable came from my hamstrings.....anyone have that ? 
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on July 06, 2007, 08:35:07 PM
That sounds like what I have. It moves in back of my leg from the tightness. I would ask your pt for hamstring stretches.  Since you can bend your knee more they will help you out a lot.  Ive just been icing and trying to stretch the back of my leg as much as possible.  It helps but still hurts.  Right now Im just doing some quad strengthining.  I go to my ptherapy Tues. I cant wait to go. Can you remember what exercises you were doing for your first couple weeks??  How long was it when you started driving?? I am not doing to much right now. I hate sitting at home all the time. I know it takes time but i like to be independent so to speak lol.  WEll keep me updated! Im sure ill have more questions as well.   
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on July 07, 2007, 01:56:39 AM
Cynthia, my Orthopod only wanted passive stretching for the first 3 months post-surgery.  I started doing some leg extensions with no weight, and he was fllipping out at that.  It takes the tendon three months to heal back, so go slow and go low (reps & wt.)
I was able to drive after about three weeks, but that was because I had a big car door to get into, my injured leg was the left one, and I live in the USA.
I ditched the crutches after 3 weeks ( I think). 
I was glad my hamstrings were pretty stretched out prior to the injury, I can imagine that if they weren't they would have been sore because of all the straight leg standing and stretching I did!   
Title: Re: Ruptured Quadriceps Tendon
Post by: mlvdan on July 10, 2007, 06:30:51 PM
I only wished that my hamstrings were more flexible...I think that is what is holding me back some...anyway  I am progressing slowly... Yesterday  I had PT and he decided to put me thru the normal workout and then do measurement and it came to about 87 ROM.. as you recall the goal was 90 ROM or there would be talk of MUA.......I was alittle disapponted in falling short, but have to admit I did alot more walking than excercising this weekend, so there is some guilt. In anycase, I know that i have made some progress and wouldnt be surprised when I go back today, although still sore, I'll be loose......

My knee cap is quite sore and I was told that was due to the walking that I did. I was advised to wean down to one crutch and that is what I am doing. I am still wearing brace and that helps steady me.....

Thats it for now....
Title: Re: Ruptured Quadriceps Tendon
Post by: mlvdan on July 11, 2007, 03:24:46 PM
Saw my OS last and right now I am about 87 degrees. The goal was to hit 90 so I was close. He is now giving me another 2 weeks to get to 110 ROM..... He advised me to stop using crutches and remove the brace........I know everyone is different, but can anyone give me their ROM experiences based on their weeks after post op?

At 8 weeks post op is 87 ROM good or bad....

Thanks...
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on July 11, 2007, 07:38:56 PM
87 is almost 90 in my book and I think that is great for 8 weeks out. I had an adjustable brace, which I received 1 week post surgery. I started out with 10 or 15  degrees motion and increased it 10 degrees/ week.  That seemed just great for me. The brace protected the knee from too much flexion, but it allowed it to get a bit more motion each week. That should get you to about where you are after 8 weeks. Keep working on passive knee flexion, little by little- and as my OS told me "no ballistic moves"!
Title: Re: Ruptured Quadriceps Tendon
Post by: mlvdan on July 11, 2007, 08:14:40 PM
Thanks Frederico,

I think sometimes that my OS is just alittle too aggressive....so I have no feeling of whether I am doing well or not..this board helps for sure...
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on July 11, 2007, 10:56:49 PM
Hey guys, Im back from second day of pt.  It was a great feeling. I can bend my knee now 40 degrees. I do have my brace set for 30 tho. At least Ill be able to start driving and doing more on my own. I felt worked when I got home.  Still not able to to straight leg raise against gravity, but can lift it when a mat is underneath it. That is a sure sign ill be able to do them soon.  I am just so happy about bending it enough to put shoes and socks on!! Its third week since surgery yayay ;D
Title: Re: Ruptured Quadriceps Tendon
Post by: philt on July 15, 2007, 03:28:13 PM
Hi all.  I'm a newbie to this board but have been reading your posts for a few weeks.  Decided to take the plunge and make a contribution today.

I ruptured my quad tendon 10 weeks ago and had emergency surgery the next day.  Was then kept in a removable splint for the next 6 weeks before being allowed to do any sort of exercise.  PT started 4 weeks ago and initial flex was 40degs.  Now just over 90.  A few days ago my PT added one legged balance for 1 minute and one legged calf raises (30) 4x per day to the static knee bends, hamstring curls and quad contractions she's had me doing.  Talk about a reminder to unused muscles!  Seem to be making progress daily but under instruction to wear the leg brace if I venture out and still have to wear the thing at night.  Have ditched the crutches for getting around the house but still need them outside.  PT won't allow me to drive until I can do stairs unaided (she wants to be sure I'm strong enough to brake in an emergency in the car) and that looks some weeks off yet.

This has to be the most frustrating injury I've ever had (knee still the size of a grapefruit) but I'm taking everyone's advice to take things slowly and steadily.  That said I've set myself a goal to be back skiing by the end of Jan (holiday booked prior to the accident) and that's what's keeping me going.  This board has been extremely helpful so far so thanks to all who've taken the time to post.  I'll let you know how I'm doing over the next few weeks.  PhilT 
Title: Re: Ruptured Quadriceps Tendon
Post by: ppv on July 17, 2007, 07:10:48 PM
wow, I somehow missed this thread when I was going thru the diagnosis, but I am another ruptured quad tendon victim.  Injury happened on 2/26/2007, surgery on 3/13/2007.  The ER doc said it was a strained muscle, but it never got better.  I got in for surgery just after the 2-week window they like to operate in.

I don't recall the specifics, but I was out of work for 2 weeks, and I worked from home frequently in the 3 weeks following that.  I stopped using the crutches after about 4 weeks and started PT a little over a month post-op.  I think I stopped using the brace about 2.5 months out.  I'm now at a little over 4 months post-op.  Flexsion is very good.  I'd say I'm within 10-15 degrees of full ROM, although it's definitely passive and sometimes hurts quite a bit to get that far.  I was a little worried about the ROM because I had a couple of very, very sore days.  Most of the pain seems to be on the patellar tendon, rather than above the knee.  There is still a decent amount of swelling or something going on.  My knee definitely does not have the same shape as the other knee.  Day to day, things are good.  Going down stairs and hills are a bit of a challenge, but I don't need a handrail and I'm fine if I'm careful.  I don't think I'm walking with any noticable limp, but there are times when I am noticably cautious.

PT just gave me the OK to start going to the gym and using weights more aggressively.  I have been a bit lazy about the strength training side of PT.  My wife and I have 6-month old twins (they were 7 weeks old when the injury happened...) and after getting home, eating, spending time with them, getting them to bed, etc., PT is the last thing on my mind.  I know I need to start being more disciplined about it, since they will be more mobile soon and I want to continue to ski, hopefully this winter.

So that's my quick story.  Now that I found this thread and saw that its pretty active, I'll check back in the future.  Good luck, everyone!

Pete
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on July 17, 2007, 09:52:03 PM
Wow , at least I know there's more people out there with this same kind of surgery.  Im now four weeks post op.  I started therapy one week ago, and flexion is at -4degrees and Rom is 50 degrees. My goal is to beat 50 by thursday at least 55 she said. I am getting a lot of pain in the patella tendon as well when I try to bend my knee and have some tightness that doesn't want to go away underneath the kneecap. I am pretty sure that is whats holding me back.  Thankfully this is my second knee surgery so I know a lot of the exercises already and can do them before I get there.  I am also supposed to be getting one of the estim units?? The things that shock you lol.  Hopefully that will help. I could never do a straight leg raise and my Vmo I guess is now working?? I don't know all the muscles lol. It hurts like heck when I try to lift it. The tightness in my tendon is calming down now but I do get spasms at night whcih are sometimes painful.  Well hope all is well thought I iwould give a little update:) 
Title: Re: Ruptured Quadriceps Tendon
Post by: mlvdan on July 19, 2007, 01:51:19 PM
Hey folkes,

Its been abit of a crazy week for me at work. Its been about 3 weeks now that I have been back to work. My job is primarily behind a desk. Sitting is getting better , but I do find that I need to get up about every hour to stretch so i walk around and visit co workers as a break.  My PT is on vacation this week and I am working with another and this one is good, but after the second session  I can tell he is being overly cautious  and not pushing me. Today I am going to ask for more because I need to continue to progress...I have til next thursday to get to 110 degrees and right now I am just over 90.......

I am completely relieved offof the brace and crutches...I may use a cane right after therapy because of how sore I am or when out in crowded public areas..... sleleping is getting better but still use a pillow between my legs as cushion and it feels so good to sleep on my side......
Title: Re: Ruptured Quadriceps Tendon
Post by: ppv on July 19, 2007, 08:30:55 PM
I am getting a lot of pain in the patella tendon as well when I try to bend my knee and have some tightness that doesn't want to go away underneath the kneecap. I am pretty sure that is whats holding me back. 
my PT said the patellar tendon pain is normal.  Since you've been immobilized for so long, all the muscles in your leg are affected by it.  The tendons lose their elasticity when they're immobilized, so it will be some work to get it back to normal.  I thought it was weird, too, that all my pain was on the patellar tendon and not above the knee.  I'm 4+ months post-op and that's still where I feel any pain.
Title: Re: Ruptured Quadriceps Tendon
Post by: philt on July 21, 2007, 11:52:48 AM
I got the same reply from my PT yesterday after experiencing the same patella pain. She then proceeded to make me suffer it further by introducing me to stairs and making me lead up with my bad leg!  Taking it one step at a time (literally), have done the stairs at home a few times in the last 24 hours (took a while to take the first step up - lack of confidence/brain forgotten what to do I think).  The pain in my patella tendon eases the more I do.  Can't say I'm about to run up the stairs any time soon though! 

PT also sat me on an exercise bike - I couldn't do one revolution of the pedals - not because of lack of strength, it's simply because my leg won't flex enough.  Have bought a second hand exercise bike on ebay this morning - PT wants me to use the pedals to stretch my quads and hamstrings.  Target is to get my leg over (!) by the next time I see her (10 days) and be confident going up and down stairs without support.  If I can do this she'll let me drive (yippee!). 

11 weeks out now from surgery and passive ROM has improved from 90 to 100 (110 - with pressure) in the last 8 days. Targetting 120 for my next PT session.  Take care all.
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on July 22, 2007, 05:27:45 PM
At least Im not the only one being tortured lol.  Yeah that bike did me in as well. I can pull it up as for going down the tightness just puts me to a hault. Im hoping I will do better Tuesday.  I am almost five weeks post op at about 60 degrees rom .  So I guess thats pretty good.  After the messaging Thr I think made my patella tendon hurt but the next day not so much. I have tried to do steps up bad leg up first.  Its more of a confidence issue for me as well. I don't want my knee to sublux anymore, but I think with the tightness its pretty impossible lol.  Any ideas when this tightness will go away?? I keep bending and stretching doesnt want to budge.  Well take care everybody. 
Title: Re: Ruptured Quadriceps Tendon
Post by: mlvdan on July 26, 2007, 12:17:32 AM
Wow...you guys are making great strides...I have hit a bump in the road at 10 weeks post-op and getting about 95 passive ROM and maybe 107 with alot of pressure. My OS feels that I am behind schedule so  I will have an MUA on Monday. I have heard from others that it will help and will feel somewhat of a setback, but after two weeks my ROM will be further along. I have endured like many of you the intense pain from the bending and pulling by my PT. Also a machine  I call the bone crusher. I have not enjoyed being strapped in and this machine lifts and bends....however i do understand the severity of my injury and that its battle beween the scar tissue and my tolerance for pain...I'll be back on track soon........

It seems like the patella pain is common. I just started that pain last week. I have also been able to endure sitting longer without wiggling around like a toddler...LOL....

Thanks for sharing your info...it will continue to help as we all get better

John
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on July 26, 2007, 02:23:05 AM
Hey there! What's an MUA??? Muscles under anesthia??LOL   Hope whatever it is its not more surgery!   i am at 84 degrees. They took rom measurement yesterday.  avg 30 degrees a week so hopefully if i work hard by next week ill hit 120.  I see os next week. Pain in patella is weakening. Im on week 5 ;D  Feeling really good so im going back to work next week for 15 hours. Ive been applying for less strenuous retail.  So I have an interview for a bank coming up.  Hopefully Ill get something.  Good luck everyone.  Hope all is well!
Title: Re: Ruptured Quadriceps Tendon
Post by: mlvdan on July 27, 2007, 05:56:14 PM
Cynthia,  Unfortunately I am not getting the ROM I should at 10 weeks post-op. I am about 95 passive and 107 with alot of help from my pt.  My OS feels that I might get stuck somewhere down the line and not gain full ROM. The procedure (mua) is manipulation under anesthesia. He will bend the leg and get thru all the scar tissue that because of pain I have not been able to do on my own in PT. 
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on July 27, 2007, 10:39:08 PM
Hey sorry to hear that your having diffculties.  I am hoping that won't help.  Are they doing any massaging at all for you at pt?? That seems to be doing the trick for me other than bike and heel slides. I am at a hault at 90 degrees. I am hoping that this won't stay tight forever that is my only complaint right now.  They ordered me an estim unit? For home so on my own I can use it twenty min a day that seems to help my quad muscles etc a lot.  The swelling comes and goes. I guess that is the way after surgery.  Good luck to you hope  you don't have to have another procedure, this one is already costing me a fortune!
Title: Re: Ruptured Quadriceps Tendon
Post by: binkeyhb on August 05, 2007, 03:14:46 AM
Boy, my knee caps hurt too(have bilateral rupture). ICE is my friend! i'm also using lidocaine patches. didn't ask the surgeon but they help. wish you Goddd's speed.
Binkey
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on August 06, 2007, 10:36:10 PM
Hey everyone hope all is well! Thought I would give you a six week update. I was last measured at 112 for rom, although I am sure im doing 120 now.  I successfully rode the bike at pt for the first time on friday. .Boy does that help! I went back to work so far three days in a row, I am so sore. I have charlie horses and super tight on lateral side of leg.   I know this is normal and takes time.  The first day back to work I went home in tears because it hurt so bad!  I am doing a little better, hamstrings still need a lot of stretching and  ;Dare super tight.  But other than that I am walking great and OS is happy with me. I was told not ot worry about the brace because I have regained control of my knee .  I just dont feel like Im gonna lose balance or fall flat on my face anymore so i guess thats good. I was perscribed to therapy until i got better hahahaha. I hope everyones recovery is going well, My os keeps saying patince it will get better.  Talk to  you soon ;D
Title: Re: Ruptured Quadriceps Tendon
Post by: binkeyhb on August 13, 2007, 05:06:40 AM
Hi All, I'm 12 weeks post-op from bilateral quad ruptures.  Can go upstairs  but can't go down.. also P.T. doesn't want me to try elliptical yet.  I was jogging 40 miles per week before ruptures. Surgeon tells me I can't jog anymore. anybody else a sidelined ex-jogger?
Binkey
Title: Re: Ruptured Quadriceps Tendon
Post by: mlvdan on August 14, 2007, 02:39:40 PM
Hey guys...well the manipulation went well. My OS was able to get me to 140. A few hours afterwards  I went to PT and they measures me at 120. At 11 weeks  I was 95 passive and even that took alot of pain. Now its two weeks since manipulation (13 weeks post-op) and I am still around 120 after dropping to 110 last week. I am walking without brace and no crutch or cane. I am walking with a slight limp. Sometimes  I will get a feeling like the knee has given out, but my pt says that my quad muscles are so weak they are not ready to support the patella.

Cynthia: I know what u mean about the tight lateral feeling on lateral side. Mine is on the inside of my leg. I was beginning to wonder if it was scar tissue. I just massage it like crazy morning and night.  The nights are tough  with my legs touching so  I stil sleep with pillow between my legs. I am back to work and bring ice paks in a cooler to keep the aches and swelling down.
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on August 26, 2007, 05:56:36 PM
I am celebrating my one year post tendon rupture.  I have to say at this point it feels pretty good and strong.  It occasionally gets stiff if I sit to long without moving it, but otherwise feels good.  The worst part is the flashbacks to last year at this time when I went from being very active to sitting around with a leg brace and the impending surgery.

I was careful the last few days not to venture to the part of the yard where I slipped on the wet grass....sort of bad karma.  But, overall I have been working there, careful when I walk down the inclined slope that caused the spill.   

I haven't jogged yet. I hoping to venture into that shortly, however.  I do credit doing a lot of biking over the last 3-4 months with rebuilding my quad muscles and getting the tendon back to relative normlity.  I did both road and mtn. bike doing up to 30 miles at a stretch with significant hills and a partner who pushed me.

To all of you who are early in the rehab process....keep your chin up and leg moving.....it will get better!! 
Title: Re: Ruptured Quadriceps Tendon
Post by: mlvdan on August 28, 2007, 06:59:03 PM
Thanks Frederico. How much pt did you actually go thru after your surgery. Are you able to go up and down steps without any problems? Not sure what type of climate you live in, but how much has the weather played a part in your rehab and does it affect you?

Thanks....

John
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on August 29, 2007, 02:15:44 AM
John,  I went through about 3 months of PT.  The first month was strictly passive stretching.  Only after 90 days post -surgery would the OS allow any active stretching.  My PT knew I would work out on my own, so he was okay with me D/C treatment with him.  I joined a gym and have an elliiptical trainer and bike trainer which I used for the next 3 months until it was warm enough to get out and bike on the roads. 

I can go up and down steps with no problemo.  That was one thing that took seemingly forever to get back to normal.  I can remember hearing me going down step-step....step-step.....

As far as weather...I'm not sure whether you mean the weather changes affecting how my knee feels, or whether you're just talking about snow, rain, cold ice etc.  I can't say the barometric pressure affects anything at least that I can tell.  I know I have heard others say it affects their joints.  I took it easy over the winter here - being very careful with ice/snow etc.  (I live in NE Pennsylania) As I mentioned above - I did most of my exercise indoors until the weather broke, which was late this year.  Slipping on ice/snow/ wet pavement was a recurring nightmare for me, and I took it waaay slow for that reason.  I did have one incidence which I relayed in a previous post, and it scared the begeebers out of me, as well as stressed my leg significantly, so the 6-12 month period is still perilous with regards to re-injury in my mind. 

Hope that answers what you asked! 

Regards to all.   
Title: Re: Ruptured Quadriceps Tendon
Post by: mlvdan on August 29, 2007, 02:11:00 PM
Frederico: Thanks for the info. As you may have read from my past posts I had some difficulty in reaching decent ROM after surgery. But now its been 4 weeks post-MUA and my passive rom is 130...starting to work on strenthening the quads now.... I was interested in how the weather change/barometric pressure might affect this type of injury. I ruptured my achilles about 7 years ago and the Barm. pressure did affect it the first two years or so, but now I cant tell...I live in NJ so we get pretty much the same type of weather....For now I am going to pt 3x week for the next 6 weeks......I live in NJ so we get pretty much same type of weather maybe you alittle more cold and snow. I live by ocean so snow accumulations are not as bad as it is inland. Believe me I am not looking forward to ice and snow this year and its just around the corner.....

Being one year out, how is your sleeping.  I still have to sleep with a pillow between my legs to ease the uncomfortable feeling when sleeping on my sides and my knees/legs touching.  Do you still get swelling or those sharp shooting pains?


Thanks again for you comments .. they were helpful
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on August 30, 2007, 12:05:39 AM
John, I have no problems now sleeping on my side with my legs/knees touching.  However, I remember it being many months post-surg. (3-4?) before I gave up sleeping with the pillow between my knees.  I have no swelling or any shooting pains. Really, no discomfort in my leg currently except some stiffness from time to time.  I might add that my wife thinks I have a high pain threshold...so maybe that is a factor as well. 
Congrats on getting some more ROM.  I found doing some yoga stretching was helpful in keeping the stretching going beyond what I did at the PT.

Best regards.


Title: Re: Ruptured Quadriceps Tendon
Post by: philt on September 06, 2007, 07:08:10 PM
Hi again all.  It's been a few weeks since my last post and good to see everyone's making progress.  I'm now 18 weeks post-op and have got full rom back - can now kneel down and sit back on my haunches without too much discomfort (not sure I could do that before!).  Interested in the comment about yoga as I'm thinking of taking it up having never done it before.  Does it help with strength building too?  Currently hitting the gym morning and evening before and after work and working on strength (bike, step, hamstrings, squats).  Stairs coming down are "clunky" when I lead with my good leg as my bad leg still can't take the full weight but it's getting better even though I look a bit ungainly!  Have also picked up the skipping/jump rope which has been interesting experience as it's the first impact work I've done.  First attempts wouldn't have looked out of place on a TV video clip show but just starting to get the rhythm back now so hoping that will help too.  Biggest frustration is stiffness around the knee but hoping that this is just a matter of time.  Take care all.  Phil
Title: Re: Ruptured Quadriceps Tendon
Post by: philt on September 28, 2007, 06:09:20 PM
Had a follow up with my PT today.  She tested the strength of my quads on a cybex machine.  Came out at 40% of normal compared to my "good leg".  What a downer!  Good news was that my hamstrings are now back to full strength.  21 weeks post op and 40% normal strength!!  I'm taking comfort from other posts that things will get back to normal eventually.  In the meantime plan to hit the gym even harder - next cybex test in 2 weeks and PT looking for improvement!  Anyone else experienced cybex?   
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on September 29, 2007, 12:03:10 AM
For everyone's edification.....I have done yoga for many, many years and felt it has been beneficial in keeping me free from back problems - an occupational hazard for me. 

Anyway, there is one yoga pose and I'm not sure it an "official" pose, but a transition to a pose, that I have found really stresses, and stretchs my quad tendon.  Try it. 
Lay on your back on the floor with your knees raised and feet flat on the floor.  Grab your ankles and raise your pelvis up off the floor.  In this position, then pivot your knees slightly to the left and right and you will feel some additional stretching.   

btw, I have never heard or experienced the cybex.

Regards to all.
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on October 09, 2007, 03:51:43 AM
Hey everyone.  I thought I would say hi and post since I haven't done so in a long time.  I am doing okay. I have 100 rom.  I have full hamstring strength. I am still having problems going up and downstairs( hyperextension, confidence) .  There trying to help me with that. I think it will be at least a year before im okay with it.  I am doing cybex in ptherapy. It seems to be helping me out a lot. I have weakness still not as bad as before. Most of the pain is gone now, except in ptherapy and working 10 hour shifts.  Other than that I think thats it.  I had my 3 month check up , same old takes time and lose weight.  At least I could say I lost 10 lbs so far in recovery.  I hope everyone is doing well Ill check back in. 
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on October 12, 2007, 10:24:16 PM
What a great resource to have found, thank you all for your posts and replies, very helpful.  I am a 45 yr.old male, very active, hike, gym 4 days a week.
I ruptured my rt. quad tendon in 3 places, and tore part of my quad muscle...Playing Golf!  A small piece of the knee cap broke off too.  I had surgery two days later, the OS said it was a bit chellenging and took 75 minutes to perform.  I was placed in an immobilizer and told I would be on crutches for 6-8 weeks.  Last week I took myself off of the painkillers (Percocet) they were making me crazy. I take Iburofen once or twice a day now. My next appointment is in 4 days and I have many questions thanks to this site. 

I am anxious to begin some kind of therapy, but don't want to push to fast and have a setback.  Besides moving my foot and rotating my ankle, flexing my calf muscle...is there anything else I could be doing to help?

Thanks for your time,

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on October 12, 2007, 11:18:48 PM
I would recommend isometric exercises - just tensing leg muscles as much as you can. One exercise I did early on was a straight leg raise.  Lie on floor on your back and raise leg up from hip.  Alternatively, sit in chair with leg on ottoman and raise it up.  Depending on the degree of movement within the brace, you may be able to do some tiny leg extensions as well, but take it easy on that until you are a few months post-surgery.  Of course lots of walking can be done early on.  Just watch the slippery or uneven surfaces. Another exercise is the what I call the reverse leg lift.  Lie on your stomach and attempt to the lift your leg up off the floor.  A variation of this is to get on your hands and good knee and attempt to lift injured leg out straight behind you. 

It's always great to get off the narcotics.  Microwavable heat packs are helpful to promote circulation and healing at this stage also.  Glad you found our comments to be a help.  I remember the wave of relief I had when I found this site and found there were others in my plight!
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on October 13, 2007, 01:57:09 PM
Hi,

I also ruptured my left quad tendon almost three weeks ago (24 Sept 07) while hiking.  I have posted in a couple of forums here on Knee Guru (thank goodness for a site to read so much info and experiences of others).

I had a question to see if any others are having the same experience, my knee was operated on 4 days after the rupture, unfortunately only 2 days later one of the patella anchors let go, so I was back in surgery 5 days after the first surgery, where the surgeon just used the sutures thru the patella instead of the anchors.  I was fitted with a full leg cast for 1 week, and went back this past Tues (4 days ago) and now have a immobilizer.

He (the surgeon) also gave me a smaller knee immobilizer that he has set to 30 degrees, and wants me to be using that immobilizer by the time I am back to see him on 24 October.  After reading several posts here about quad tendon rupture, it seems many people have been in the immobilizer or casts for several weeks before even starting ROM... and of course I am so afraid of undoing the surgery what would be a 3rd time, if it happened. 

Does this seem too aggressive for trying to ROM?  I still having a lot of pain when I try to do anything maybe beyond 10 degrees.  Also I am still completely unable to even come close to a straight leg raise, I have to use my good leg to manipulate the bad leg around.

and on the mental side, this has really been devastating to me... up to 3 weeks ago I was an avid cycle tourist, hiker, always on the go type of person... and I am terrified that part of my life is gone, where I'm sure I will be able to walk again, but never with the vigor I had.  It is amazing how life can change in an  instant (I had twisted my right ankle while descending a mountain and tried to catch myself with a hard slam of my left leg... rupturing the quad tendon)

Thanks everybody,
Bob White
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on October 13, 2007, 06:40:55 PM
Hi Bob,

Very sorry to hear of your injury, looks like we are just a few days apart on our injuries and operations. My OS placed me in an immobilizer and told me that he did not want me to put ANY weight on it or attempt to bend it.  He did mention that around the one month mark, he may opt for a "Bledsoe" brace that will allow range of motion.  (I was supposed to go to Mexico on vacation 10/20) He thinks I could go if I am extremely careful, but I cancelled.

It has been 23 days now since the operation and I have not done anything regarding stretching, leg lifts, tensing the quads...not only for fear of doing additional damage, but the OS did not advise.  I see him again in 3 days. Like you Bob and I'm sure many others on this site, we are devastated by these types of injuries and slip into a funk, a depression of wondering if things will ever be the same.  It is scary, wondering if complications will arise and such...stay strong and when you are able to begin rehab, stay committed to the exercises and good things will happen. 

All the best,

Brandon

Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on October 14, 2007, 12:28:28 PM
Bob, don't get discouraged at this point.  I am just over a year out after my quad rupture and pretty much have returned to normal activity, and I was pretty active (road biker) prior to the accident.  The only tangible symptom/deficit is my tendon gets stiff and sore - moreso it seems if I don't exercise it.  THe ROM is good. 
The only other annoyance is I can't kneel directly on my knee without some extra padding over it.  Not a big deal for me. 

I remember the first few months being discouraged about how slow I was progressing and how weak my leg was.  After the three month mark, my P.T. encouraged me to push and I had steady but slow improvement.
It takes time, and you can't rush it, but the improvement will come.   

My experience with the OS is that they tend to want to err on the side of doing too little.  Probably wise especially in your case.  I tended to push my leg carefully every week to see what I could do and when I had discomfort and tried to maintain a balance between that.  I was afraid that if I didn't try to push a little more each week, I would end up with a restricted ROM or great difficulty getting back to my pre-op ROM.     

When I was given the IROM brace, which I believe was about two weeks post-surgery, it was set at 10 degrees, and I thought that was waaayyy too much freedom.  However, I quickly adapted to it and increased it on my own about 10 degrees each week thereafter. To start out at 30......hmmmm that sounds like a big jump from my experience.

Best regards to all.
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on October 14, 2007, 08:00:25 PM
Thank you both Frederico and BTI for your responses...

BTI, sorry you missed your trip to Mexico, I also had to cancel a trip to San Francisco for a huge musical festival they had last weekend, there was no way on earth I could have taken any trip at all, I still have great difficulty getting into a car. 

My OS seems to be aggressive, I was going to start using the smaller brace set to 30 degrees tomorrow (15 Oct), but maybe I will wait a bit longer, it has not even been 1.5 weeks since my last surgery.

Frederico, how is your bike riding doing? are you pretty close to the same level you were before your misfortune?  Are you hill-climbing abilities still the same??  I was a pretty aggressive rider (not fast, but certainly I had some great stamina, I did a lot of bicycle-touring on a loaded bicycle, as recent as June I was cycling in Colorado with no problems for a 55 year old guy).

You must be so happy to have all this behind you now?  I guess there is no choice but to keep pushing thru this!

BTI, we'll get thru this!

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on October 15, 2007, 12:19:07 AM
Hey Bob,

Yes, we will get through this!  I had a great day today, off the painkillers for a week now and I only needed Ibuprofen once.  Went out to dinner for the first time since the operation, sat in a booth with my leg up on the bench seat...no problems!  A feeling of "normalcy" is creeping back into my life. 

I still have very restless nights and difficulty sleeping more than 2.5 - 3 hours at a clip.  Picked up some Melatonin and will give that a shot.  Both you and Federico sound like you were pretty competive bike riders, I'll have to get my mountain bike off the racks and do some training when able.  I'll send another update after my next OS appointment on Tuesday.  Really looking to hear some good news so I can take the next step in this journey. 

At this point, (24 days since surgery) I have not put ant weight on my foot while standing, Haven't done any PT, leg raises or any kind of lifts...Taking it slow and easy, do not want to undo any work that has been done.  OS told me I have many sutures in the tendon and even the quad muscle. 

Send an update soon...

Best regards,

Brandon

PS:  Federico: Thanks for your valuable input, much appreciated!
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on October 15, 2007, 12:55:11 AM
Bob, my biking has been great this year!  ;D Actually, it is the best year I have ever had, thanks to finding a riding buddy who has spurred me on to longer and harder rides. (I turned 55 this yr. also) Hill climbs have been outstanding as well. My quad cooperated with the increased riding very nicely, although I would still get soreness in the tendon if I pushed it too hard too fast. The only minor setback I had was in subconsciously favoring my bad leg early on (or my bad leg not really working as strongly as it seemed)  and getting a slight tear in my opposite calf muscle to the point I had to take a few weeks off to let that repair. 

Anyway, there is life left after you get rid of the brace! Just take it slow and steady- the hard part.   

Yes, it is nice to be one year out from the incident, and it keeps me humble to read your postings and recollect the straits I was in one year ago. Then, to realize how much leg has improved - a miracle of modern medicine, the human body, and God's grace.

Keep the faith. 
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on October 16, 2007, 05:58:19 PM
Update: Day 26 post Op. Complete Rupture Quad tendon. OS appointment today, Dr. said he is pleased, all looks good.  2 more weeks in the full immobilizer, then go to Bledsoe brace with range of motion.  At that point I can begin weight bearing, passive stretching, light exercise.  I've been off pain meds for 8 days, feel better with a clear head and body.  It is a slow process, significant atrophy...which is depressing, but I see small improvements daily...

Best regards,

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on October 16, 2007, 07:47:17 PM
Hey Brandon,

Sounds like you are coming along quite well, boy the different ways that different OS's treat this surgery (or any other at that), seems to be totally different!  I am only 13 days post-op, and for the past 2 days I've been using the 30 degree lockout immobilizer, and been slight weightbearing (they told me that OK once I had that huge cast off, which was just 6 days post-op).

I hope they're not being too aggressive with me, I'd rather have a solid repair and take baby steps to get back, then have a repair that may re-rupture in the future. 

I am still getting around on crutches, still cannot do any type of straight leg raise, even though when I do get in bed at night, it is a bit easier to drag my foot across the bed, like maybe I am taking a bit of weight off to slide the foot in easier than it did before.

My surgeon (who is on vacation this week, but I see him next Wednesday, 3 weeks post-op), he was pretty adamant that I start working on ROM, even when I was in the cast, he told me to wiggle about inside the cast as much as possible.

Hopefully both you and I will do just fine, and come out of this with just a scar on a leg!  The process is so slow sometimes, the inability to even carry a glass of water to the table is so foreign to me!  If I have to go through this whole process again, I swear I could not do it.

The rest of my update, is tomorrow I will head back to my home (I have been at my sister's house for since the surgery), since I live by myself, I will have to be preparing my own meals, etc.  Friends are going to help me out with groceries, chores, etc.  I am going to try to get back to work the following week (likely, right after my OS appt).  I am running low on money with this unexpected disaster, and my boss (who is switching his automatic minivan with me, I have a manual shift) is going on vacation for 10 days, and I told him I would try my best to help out with coverage (and money for me).  I'm a pharmacist in a hospital, so all I really need to do is get there and settle into a comfortable chair with a computer terminal and a phone.

Even though it's been over 3 weeks since I ruptured my tendon in an instant, it all still seems like a nightmare,  I wouldn't wish this on anybody, but I realize there's not much I can do, but put the time in to get things healed, and look forward to each milestone (like driving a car, or getting rid of the crutches!!!!)

Brandon, I wanted to ask you where you lived, do you live in the UK?  Just wondering about the difference in care between areas, I already know the difference in regards to me feeling I'm doing too much, especially after reading the postings here on the bulletin board.

keep up the good work!,
Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on October 16, 2007, 10:19:58 PM
Hi Bob! 

Thanks for the detailed response, very helpful.  Yes, it seems my OS is bringing along more carefully, it's okay with me, I am just anxious to build the muscle and strength back as quick as possible.  Keep in mind, I had 3 separate & complete tears of the quad tendon and I tore part of my muscle too.  There was a small piece of my Patella that broke away that they removed and they filed down a bone spur that was on my Patella also.  So maybe he wants to have 2 more weeks with the immobilizer for extra insurance.  Take it easy, don't try and be so independent and push yourself too soon.  We do not want any relapses!

Be well my friend...

PS: I live in Orange County, New York.

Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on October 21, 2007, 12:21:05 PM
Hi from Australia,
I echo the sentiments of others and find this site has answered many of my questions.I am a military freefall instructor in the Australian Army and I ruptured my quadriceps tendon (left) after an inexperienced jumper cut me off on landing and stole my air.This happened 10  days ago .I had surgery 24 hours after the accident and have a leg brace on at the moment and am getting around on crutches and I have no pain unless I jar the knee.My main concern is how long will it take before I will be able to drive my manual car and will the repair be as strong as the original tendon?Thank you for answering so many of my questions and allaying some of my fears.
Regards,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on October 21, 2007, 12:58:46 PM
Hi Bill,

I just love Australia, I was there last year for 3 weeks, and spent a couple of months in New Zealand cycle-touring (I won't be doing anything like that this year).

Well Bill I am now almost one month after my ruptured quad tendon, and I guess it is true what everyone seems to be echoing here on the "ruptured quad tendon" thread, and others I have talked to.  It just takes time, it seems what people say, the outcome is pretty good, but the amount of time to heal is almost unbearable (and I am only a month into this).  My OS said 6 months for full recovery, with continue strength building for another 6 months.

What it really sounds like you have going for you, is the swiftness you got into surgery, I have seen it mentioned several times that fast intervention has given better results than folks that have to wait longer for surgery.

I am still on crutches, bending my knee in a brace now to about 20-25 degrees, I have a surgeon followup appt this Wednesday and start PT on 29 Oct.  I am hoping things will go along faster than what's happening now.  My leg is feeling ever so better, but by tiny little increments each day.  Sometimes there's a day or two that I think it's slipped back... but then it seems to come about and slightly improve again to another little tiny step better than a few days ago.

I also have a manual shift car, and am going to switch cars with my boss for a few weeks (he has an automatic), plus my car is a small car (Subaru) and the limited bend of my knee makes it very difficult to get in the car.

The whole process seems to be a nightmare and definitely life-changing for the immediate future, I was very very active until this happened to me, the past month has been a wakeup call to the vulnerability of my life (I've never been in a position like this in my life, I have always been the "helper" and the strong one).  It looks like it's a matter of putting the time in to heel the injury.

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on October 21, 2007, 02:19:51 PM
Bob,
thanks for your reply,it`s good to know this forum is read often.I go to see my doctor tomorrow and have a review with the orthopod on Monday week.I am away from my family at the moment as I was instructing on a military freefall course when this hapened so I am hoping the surgeon will be able to bend my knee enough for me to sit in an aircraft to get me back to Brisbane.I should get my staples out this week.I can walk slowly without my crutches but with the brace on.I was running 3 times a week before the accident so  am hoping this will help my recovery.I hope everyone gets better soon.I will certainly keep in touch through this forum.

Regards,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on October 23, 2007, 03:32:36 AM
Hey Guys,

Good to read the updates, thanks.  I'm at day 32 post op from my quad tendon rupture (3 places) and a quad muscle tear.  Sutures are out, incision right over the knee cap is healing very well.  I'm an active athlete and lifter and I lost 15 pounds!  I am eating much better, taking supplements and protein drinks.
Feeling much better, off all pain meds for 2 weeks now.  I am still in a full leg immobilizer, will go to a hinge brace next week with some range of motion.  Knee is still a bit swollen, but overall I feel pretty good.  Can't wait to build back muscle and strength, my leg is the size of my arm!!

I look forward to reading your updates on your rehab and recovery. 

Best to all,

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on October 27, 2007, 09:01:27 PM
Hi guys,

Kind of a dreary day here, rainy all day... been back home for a few days after being at my sister's for 3 weeks.  Had my OS f/u appt this past Wednesday.  He seems to think things are going good.  I am still on crutches, with the biggest pain actually off to the side of my knee, away from the surgery.  I had pain in the same area 3-4 years ago and treated totally by exercise, I guess this tendon rupture and repair will really mess up the alignment in there.

Brandon, it sounds like you're doing pretty good... your OS certainly seems to be more conservative than mine, I have a flex now to 30 degrees with comfort though.  I just don't want to do anything stupid.  This is probably the best news, I can actually do a leg lift with some concentration and effort, but at least it seems to be all reconnected.  But the process is so slow, it really bums me out at times.  It seems I make no progress at all some days, but I guess it is better.  I still can not weight bear totally on the repaired leg, not even just standing.

As for driving, I still have great difficulty getting into a car.  My boss dropped off his Dodge Caravan, and I had to fight my way into it, with a lot of stretching and pain that felt like I could have been on the verge of messing things up, the car is also kind of high of the ground.  Then once in the car, it wasn't comfortable either... even with the seat all the way back,  my legs are a bit long, so I'm sure that adds to the problem.  (I always drive with the seat all the way back anyways, so there's not much give from normal for me).  I will try again tomorrow to get in the car... I am scheduled back to work on Tuesday.

The other thing, is my first PT appt is Monday. 

Just a bit down today, sometimes it seems things will never get back to normal.  Only had one phone call all day.  A friend of mine was going to come up from Massachusetts to visit, but something came up and she couldn't make it... funny, I guess I was really looking forward to a visit.  Oh well, I'll catch the Red Sox and Colorado Rockies tonight and call it a night.

Hey Brandon, funny, but I have lost 15 pounds too... you would think the weight would go on, but knowing the excess wieght could hurt the recovery process, I am doing a good job of fending off the urges of the kitchen!

Bob

PS Bill from OZ, how are things going out there for you?  At least summer is on the way!
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on October 28, 2007, 12:33:44 AM
Bob,Brandon & other fellow wounded,
I am 16 days post op now and I go and see the os tomorrow,I think everything is coming along fine I can put full weight on my leg and can walk albeit slowly without my crutches.The scar is drying out and it joins my collection of others picked up as 35 years as a paratrooper.I am going to get 30 degrees or more of knee bend tomorrow to allow me to sit in a plane seat as I am going home to Brisbane on Tuesday.One of my worries is how to keep of unwanted weight gain due to enforced inactivity do you have any suggestions on how to stop this happening?I have yet to do any real physio, what sort of exercises are we able to do when we can?Yes Bob at least I will be able to get into my pool when I get home as the weather in Queensland is getting warmer with summer approaching.Anyway thanks for providing a sounding board during this time I hope you are progressing well.
Regards,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on October 29, 2007, 12:09:19 AM
Bob & Bill,

Your updates are much appreciated, I look forward to them.  I am at day 38 post op.  This Tuesday is my 6 week post op follow-up where I will be placed in the Bledsoe Hinge brace and hopefully get the go-ahead to begin physical therapy.  My leg feels like it wants to do more than just sit idle in this full leg immobilizer!
Bob, you sound like you are making progress, don't be so hard on yourself when you don't feel as if you are making gains...lots of damage in there, takes time. 
My wife and son went on a road rally race today with 270 other Mini-Coopers!  I sat comfortable in the front passenger seat for over 3 hours!  I can't wait to drive...I feel like I can however, but the wife says NO!  Bob, I can't get over how much you are doing so quiclkly...GOOD FOR YOU! 

Bill: 16 days and you are standing AND walking a bit!  WOW!  You are an animal...be careful...don't get cocky and think you can do it all...Oh, lay off the junk food! Ha!

I'll send another update on Tuesday to let you know what the OS advises regarding rehab and range of motion.  I feel like I can do leg raises, walk with a cane...but I am very cautious, fearing I will do additional damage. (some of the posts really freak me out!)

Be well guys...stay positive!

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: sjdean on October 29, 2007, 09:27:51 PM
I would recommend isometric exercises

One thing I've learnt, is that different OS have different approaches. The second time around, my physio wanted me doing all sorts of stuff (as the doctor never gave any advice to her). It was only when I caused a stink and spoke to the doctor that I was told good god no, under no circumstances should I be doing the exercises proposed.

I think it's useful to discuss what treatment regimes we all had and give the victim, er, patient something to go back to the doctor with and ask.

Your doctor should be telling you what to do. If he isn't, he isn't doing his job IMHO.

Cya
Simon
Title: Re: Ruptured Quadriceps Tendon
Post by: sjdean on October 29, 2007, 09:40:00 PM
Sounds like you are coming along quite well, boy the different ways that different OS's treat this surgery (or any other at that), seems to be totally different!  I am only 13 days post-op, and for the past 2 days I've been using the 30 degree lockout immobilizer, and been slight weightbearing (they told me that OK once I had that huge cast off, which was just 6 days post-op).

Unfortunately, one can never be sure what technique they used inside, whether it was a straight join and sewing back together, or some more elaborate move involving drilling holes in your kneecap. Sadly as I've realised, all injuries and all repairs are sadly not equal.  Though six days post op seems ridiculously early. I mean, if you twist your knee in some way (accidents are common), you could do that repair quite a bit of damage - unless they've gone and repaired it incredibly strong.

It's every patients duty to enquire, and every doctors duty to tell you what they've put inside you and what their reasons are.

Hopefully both you and I will do just fine, and come out of this with just a scar on a leg!  The process is so slow sometimes, the inability to even carry a glass of water to the table is so foreign to me!  If I have to go through this whole process again, I swear I could not do it.

You could. You definitely could. You've been through it once, you're an expert. You know how to hold the crutches, you'll be back on your feet in no time. The only thing that will get to you, is why different surgeons have different protocols and why have they given you no explanations as to what they're doing or expect.

First time I went through the process, I struggled like anything. I couldn't use the crutches or anything properly. I didn't know how. I broke down in tears in the hospital because I felt so helpless and useless.

Second time around, I whipped the crutches to my side and got straight up and about. I had already figured out how to sit down, how to get into bed, get around the house, get out of the house, how to get in the car (to be driven), how to get up and down the stairs, how to wash. All those things you had to learn before, you know them now.

Next time, it'll be easier.

But one word of advice.

Don't do it again.

Cya
Simon
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on October 30, 2007, 12:47:51 AM
Hi guys,

Simon, I think it is true, everyone seems to have different approaches and speeds for recovery.  Bill, I think it's fantastic that you are weight bearing, sounds like you are well on the way to recovery.  I feel like I am somewhere between Brandon and Bill as far as the aggresive (or conservative) approaches to this recovery!

Well today I had my first PT appt.  It was great, they seem to understand the seriousness of the QTR, and my OS, even though he had me in a 30 degree locked brace from just a couple of weeks post-op, he wants me to stay at that 30 degrees for now.  I am now able to hit the 30 degree lockout easily... just becomes uncomfortable if I have to keep it at that 30 for a long time (like sitting in an uncomfortable chair at a restaurant... that happened today).  But as I said, it will remain at 30 degrees until at least Wednesday of next week (which will be 5 weeks post-op).

The PT was mostly evaluation, but Pam (excellent and very understanding of what was going on, and being conservative)... basically has me continuing to massage around the surgery area to break up scar tissue, and showed me how to push some pressure left/right and up/down on the patella to help break down scar tissue... all part of the "aggresive massage" to the surgery area that the OS had me start once I got the cast off.  The last part of the PT involved electrical stimulation (I don't know the exact name of the machine) of the inner quad muscle... it was a 20nminute session of stimulation for about 5 seconds, with 12 second intervals between contractions.  I would work along with the contractions the best I could... I guess this is all to reteach my muscles on what they are supposed to do.  It seemed to be productive, like working out without working to hard on my part.  I have two more appointments this week, Wednesday and Thursday, then the OS next week.

Even though it seems very slow, I guess I am making progress once I think about where I was a week ago.  One thing though (and Bill, I'm jealous), I still can't go without the crutches... I can get buy with one crutch for a bit... but my bad knee will seems to not support my weight yet.  And that brings this wordy response to the most visible and positive outcome for me so far:  For the longest time, it seemed I could not even begin to do any type of straight leg lift... even after the surgery it seemed my muscles were just not attached (I was beginning to think I had ruptured my patella tendon too... it really concerned me).  Well anyone that is going thru this type of recovery, I'm happy to report that I am finally able to lift my leg of the ground, but I have to concentrate on how to do it, it's almost surreal that I just cannot pop that leg right up into a lift like my good leg does... so I guess this is the point of the PT right now, is let those muscles get their brains back!

On the life quality side... I drove today for the first time in 5 weeks!  I was going to borrow my boss's Dodge Caravan, but I could not get into the Caravan, the seat was too high and the door just does not open enough.  I can fit great into my Subaru, but I can't operate the clutch pedal, so I bit the bullet and rented a car today, and I can drive!!! Which brings me to my first day of work, which will be tomorrow (Tuesday).  I hope it goes OK, sometimes keeping the brace on for a long time bothers me, especially an uncomfortable angle in an uncomfortable chair, tomorrow will tell all.

Sorry for being so wordy!

Bob 
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on October 30, 2007, 01:59:21 AM
Bob,

I can tell your sprits have been lifted!  Congratulations on your progress, way to go!  Good luck on your first day of work, get comfortable and don't move around too much.  I'll send an update after my OS appointment tomorrow-going to a new brace after 6 weeks!  I can do a straight leg lift...but I won't due to strict OS orders.
Like Simon said...we really don't know unless we ask our Dr. to expalin in detail what procedure was performed.  So, we will have different plateaus of development and recovery.  I belive the most important area to pay attention to: Do Not Re-Injure Yourself!  Simon went through HELL!

Take care all,

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on October 30, 2007, 11:40:39 PM
G`day all,
I am pleased to see we all seem to be progressing.I saw my OS on Monday and he got me to sit on the bed and with him supporting my ankle see how much the leg could bend before it became uncomfortable I think it was about 40 - 50 degrees when I became anxious as the top of my quad was becoming very tight.He let me have 30 degrees which seems quite comfortable using the special brace, so I could fly home,he is also happy for me to walk as long as it is even ground and obviously with the brace on.The flight went well but I almost went arse up getting on the fast moving down elevator steps at the airport,I led with my good leg and as I cannot bend my crook one the good one was on the way down the elevator and my other wouldn`t bend so I nearly fell.Bob I wouldn`t be jealous of me I am green with envy that you are driving,we sold our automatic recently and now have 2 manuals so unless I do as you have done and hire a car it`s up to my wife to get me around.Also I am yet to do any physio so you go for it.Well guys it has been great reading your reports and for you allowing me into your club,will email when there is something of interest to pass on.

Cheers,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: binkeyhb on November 02, 2007, 03:19:57 AM
Hi Bill,
I'm 5 months post-op with bilateral quad rupture. Drove manual after 3mos. Jogging but real slow. Scars keep getting bigger(more scar tissue). No ROM below a 90degree squat. not sure I'll ever get that back. Surgeon wants me in the pool. Been a jogger for 45 yrs+. Hang in there!
Good wishes,
Bink
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on November 02, 2007, 09:02:17 AM
G`Day all,
thanks for all your encouragement it`s 3 weeks today since my operation and everyhing seems to be settling down.The scar is almost dry and I am putting some ointment on it to stop it becoming too tight.I was allowed to bend the knee 30 degrees to allow me to travel by air but I didn`t ask my OS if I should leave it at 30 degrees or straighten it again (I did) and can I continue to bend the knee when I get into the car and sit at a table or should it still be immobilised until the initial 6 weeks period is over.Thoughts?Hope you are all progressing well.

Regards
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on November 02, 2007, 10:44:53 AM
Hi Bill,

This is where OS's seem to have different approaches.  But for me I have been in a 30 degree brace since a little less than 3 weeks post-op. I am now 4.5 weeks post-op, the OS wanted me to stay at 30 degrees until my next appt (6 Nov next week), where he said he would most likely increase the ROM.

It was very difficult to even come close to bending my knee a couple of weeks ago, but now I can bang right up to the 30 degrees with the brace with no pain (because of the stretch of the velcro/material I am maybe even doing 35 degrees.  But anything after that is very tight (when I take the brace off and try to bend, it seems I hit a real tightness right away),  He did want me to try to increase a little under controlled conditions without the brace... but not to force anything uncomfortable.  So to answer your question, I think you are fine doing 30 degrees at the point you're at.

I have done PT three times this week, and have made great strides into the straight leg raise, I can do 10 at a time quite easily now... just 2  weeks ago the leg felt like it wasn't even connected, so that's some progress for sure.  They have me massaging the area quite hard (but controlled) to break up scar tissue though.  My knee is very "bulky" shall we say, it looks to be all aligned but "bulky", but I am told it has scar tissue and that's why it's a bit deformed looking.

Hope everyone is doing great with their progress.... boy this takes a long time!  Life changing for sure.

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: philt on November 04, 2007, 09:53:18 PM
Hi all, it's been a few weeks since my last post and sorry to see some new names on the board - you have my sympathy!  There have been some great words of wisdom from Frederico and co and so I'll simply let you know my experience to date to help with your expectations.    I'm now 6 months post-op following a complete rupture of the tendon at the start of May.  Surgery 18 hours later and in a leg brace with no ROM for 6 weeks until PT started.  I'm now fully mobile, and have full ROM (am probably more flexible than before!) and working on re-building lost muscle.  Like others, I have lost weight (between 16 and 20lbs) which I can only put down to having the same concerns about weight gain post-op and my current exercise regime.

I'm guess by now that you all realise that recovery is a a slow process - the only thing I'd say is stick with the excercise and PT - I was told that the biggest risk I'd face was easing off once I became mobile.  I'm glad I didn't and my goal of being able to ski by January now looks like becoming reality.  I'm currently hitting the gym for an hour at least 5 times a week for intense work on my leg to rebuild the lost muscle - must look a bit of a plonker doing loads of one legged exercises but I don't care 'cos no-one's going to do them for me!  Today I managed several reps of 25kg on the quad leg raise machine with my bad leg and for the first time didn't feel any pain under my kneecap - my next appointment with the PT is Tuesday and I'm facing the dreaded cybex machine for a stength test.  I'll let you know how it goes.  Take care all.  Phil T
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on November 05, 2007, 01:12:17 AM
Hi Phil,

Thank you for the positive news.... those are the kind of outcomes I think we all want to hear... even though it is a long slow crappy road to travel to where you are, the good thing is there is some happiness at the end of the tunnel.  Thanks again.

Bob
Title: Just sayin' hello
Post by: milkoholicBear on November 05, 2007, 03:55:12 AM
Hello everyone,
I am 15 days out of surgery for a torn left quad tendon. I couldn't add anything that has not been written in this thread. Even my knee looks very much like Bill Cochrane's (with quite a few less staple marks though, I only had 12 or 13).
Not having any kind of flex yet, my brace is locked into 0 degrees. 
On Tuesday, I am meeting the OS and might have some news then.

Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on November 06, 2007, 09:50:06 PM
G`Day all,
sorry to see a new name appear as I wouldn`t wish this injury on my worst enemy.Went to my new OS yesterday,another Army doctor reputedly very good.Told me to begin quad contractions to at least keep my quads doing something.He also said I could continue bending my knee 30 degrees and basically another 3 weeks in the leg brace followed by physio.The doctor who did the op told me I could be jumping again in 3 months, this guy is much more conservative he reckons possibly 12 months I have news for him! The most frustrating thing for me so far is not being able to drive,I can`t wait.I will keep in touch continue getting well all.

Regards,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 07, 2007, 03:57:25 PM
Hey Folks,

It is good to see everyone making progress.  I had my 7 week post op appointment yesterday for my ruptured quad tendon, the OS is very pleased with my current condition.  He believes it is healing very well and moved me into a hinge brace with a lockout of 30 degrees (which I can achieve).  He is a careful and cautious OS, as he doesn't want me to start putting full weight on my injured leg as I continue to walk with the crutches.

I am not that comfortable in the hinge brace, the straps tighten just above and below my kneecap which causes it swell.  I will see if there is a better fitting brace available. Has Anyone Experienced This Problem?   I still do not have the go ahead to drive, it is strange how you can miss certain things so much more than others. 

My follow-up will be in two more weeks where he feels I will be able to drive and begin physical therapy.  The atrophy I experienced is quite depressing, need to get in the gym and start rebuilding some muscle mass. 

Looking forward to reading your updates, good luck everyone...

Brandon

Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on November 07, 2007, 10:26:53 PM
Brandon,
I am using this brace http://www.sportstek.net/rehab_knee.htmand I must say I find it very comfortable.
Mine is still locked at 0 degrees (no flexion) but I can have it on for hours and hours.
Title: Re: Ruptured Quadriceps Tendon
Post by: sjdean on November 07, 2007, 10:35:17 PM
You'll need a lot more than 30 degree ROM to even get into the car. You'll also probably need to be weight bearing with maybe one crutch before being able to drive.

Can't remember what happened to you there Brandon (if I read anything at all)  ???

Sounds like a slow and ultra cautious recovery. The conservative regime for knee bend when you feel you can do more than the knee brace will allow is very frustrating. I've been there. I don't envy you one moment. But Im glad to report I pretty much have full ROM. So I guess it's just to concentrate on building up the strength slowly rather than stretching the tendon too much in its early stages.

Swelling may or may not be down to the brace. Im sure you know that with an injury like that your knee can naturally swell up, so it's always good to keep elevated. Some docs have different guidelines on anti-inflammatories like Ibuprofen. When I did my knee the second time, the docs didn't want me taking Ibuprofen as the anti-inflammatory agent stops the natural healing process apparently.

Remember to write down all your notes, all your concerns and raise them with your OS when you next see him.

Good luck!
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 07, 2007, 10:36:18 PM
Milkoholic Bear,

Thank you for the speedy response and feedback, checking it out now!  I'll keep you posted!

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 07, 2007, 11:34:20 PM
SJDean:

Thanks for the helpful note and tips.  I am fortunate to have been off all pain meds (Percoset & Ibuprofen since the 2nd week). I've been getting a good amount of protein in my diet even though I lost 15 pounds!  I am taking a few vitamins and drink a high quality protein drink each day.  I practiced with one crutch and then a cane today, easing into bearing weight with it.  It feels good and stable, not pushing it though.  From many of the stories I have read, I DO NOT want to re-injure this!  I do not remember my two ACL's being this tough a recovery.  Ah, yes...but I was a younger man then...

Talk to everyone soon...

Brandon

Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on November 07, 2007, 11:47:47 PM
I read again the last few pages of this long thread, and I find quite amazing how different people have had various paths towards regaining ROM and dealing with this surgery.
In my case, I am 20 days after surgery now. My OS has still not allowed any flex in my hinged brace, but tested the knee during my last visit, and apparently I could get a good 30-45 degrees (difficult to estimate) without any effort or pain.
He recommended using only one crutch for walking, so weight bearing is OK, but still no bending. I was secretly hoping he would allow some flex, I am sick of forcing my 6'3 frame into the back seat of the car for the daily drive to work.
Alas, it will have to wait. 
I will be starting physiotherapy on Nov 16th, I am looking forward to it.


Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on November 08, 2007, 06:07:59 AM
Wow! there has been some action on this site since last night.G`Day all.My os has let me keep bending my leg to 30 degrees when getting in the car or sitting down but that is all until I see him in 2 weeks time.I believe it is physio from then.I have 2 leg braces one is a hinged type which I wear when I go out and the other is a lighter fixed brace which I wear at nightime and at home.I am still sleeping with this brace on is anyone else sleeping with a brace on or am I being a wimp.I can weight bear with it off but I have only done this when showering or changing braces.My knee feels a little stronger when I do not have the brace on but I wouldn`t like to try walking without some support just yet.Hopefully a work colleague is going to loan me his automatic soon and I will be able to return to work I am looking forward to that.

Well keep up the good work everone.

Regards,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on November 08, 2007, 06:20:59 AM
Bill,
I am sleeping with my hinged brace on, have been since my surgery on Oct 18th.
Whenever I need to turn on my right side, I need to put a pillow between my legs so that the metal hinge does not press against my good knee or leg.
Otherwise, I am sleeping like a log, the brace did not really prevent me from doing anything I really wanted to do, within reasonable limits of course.
The trick is to find the perfect degree of tightness, so that your brace will not slip down and it won't clamp your thigh too hard either.
This is what I am talking about:
(http://www.sportstek.net/images/g2-rehab.jpg)
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 08, 2007, 02:22:49 PM
MilkoholicBear,

Wow, that brace looks like something out of the Terminator!  I'll talk to my OS and get his thoughts.  Your brace looks more comfortable just the way the straps are positioned.  My brace has 6 straps and two of them are just above and below the kneecap which is very uncomfortable.  If I do not tighten them, the brace slips down. Thanks for the link.  I'm at 7 weeks post op today, (my birthday!) and I have slept without the brace 3 times with no problem, but I still like to wear it through the night...just in case.  Since I'm not wearing my Bledsoe hinged brace due to it being so uncomfortable, I'm in my soft immobilizer and take it off throughout the day and massage and bend my knee a bit.  I have to climb 17 steps up and then down throughout the day to get to my bedroom, I believe this is helping quite a bit.  I am beginning to weight bear and stand with more confidence. 

Continued success to all!

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on November 08, 2007, 10:12:49 PM
Howdy there co-healers!

This is quite an active board since the last time I signed on!  Once again it amazes me how the treatment plans are different from OS to OS.  I have always been afraid my OS was being too aggressive, I want to make sure that tendon is back on the bone good before I go pulling and tugging with increased ROM.  I did suffer breakage of one of the suture anchors, 36 hours after my first surgery, so I was operated on twice in 5 days (28 Sept and 03 Oct 2007, injury was 24 Sept) , so I am always afraid of undoing what was repaired!

After saying that, I did have my 6 week (for the first surgery) follow-up appt with the OS yesterday.  He said that I was coming along well, and I'm right where he would expect me to be (I have been in a 30 degree lockout brace since 3 weeks post-op).  I am able to do 35 degrees ROM comfortably, so they have increased the brace to 60 degrees, with an appointment 3 weeks from now.  It is still very tight across the top of my patella if I try to press pass what I can do now, so I will be very conservative and let things work out slowly.  I am still in fear of undoing the repair, especially since I've done that once already.

Things seem to be going OK, Just like Bill, I still cannot drive my manual shift car, so I am still renting a car at $200/week.  I am finally getting around a little bit without crutches, however, I am far from a normal gait.  I have been to work, but doing half-shifts right now, and Brandon, I think you mentioned the swelling?  At the end of the day I am miserable from the swelling.  The brace I have is smaller, with 4 tabs made out of the scuba suit material and held in place with velcro, then two sturdier velcro nylon straps that kind of secure over the first tabs.  At the end of the work day, my knee is pushing flesh out in all directions!  Overall the swelling seems to be going down, the tabs and straps seem to be reaching farther around than when I first started with the brace, but work still is testy. 

As far as sleeping, I also wear the original brace I received in the beginning of this mess, it's no-bend immobilizer brace at night, but I put it on very loosely... just so I don't bend my leg in my sleep as I dream about all the activities I used to do (One year ago this month, I was just getting ready to embark on a 3 month bicycle-tour of New Zealand ( http://www.crazyguyonabike.com/doc/nz2007 if anyone needs to past some time) ... I just hope I can do that again soon!!!!  When I am lying on the couch watching TV or whatnot, I always take the brace off completely.

The recovery news seems to be promising.  The straight leg lifts that I could not do at all just 2-3 weeks ago, are becoming so strong now... I can easily do 50 of them, without the brace, and now with minimal pain!! This is what has been the most exciting for me!  I am doing PT 2-3 times/week for the past 2 weeks, they have been zapping that inside quad muscle with the russian cyclic electrical charge... and I am even beginning to see a little definition of that muscle coming back in my thigh.  The leg is actually feeling quite stronger over the past couple of weeks.  (Funny how this is so exciting for me, it's all relative, for 2-3 weeks after my injury, I kept re-living the way I did the injury... "if I had done this, or if I had done that, why did this happen to me??"   So my attitude is better about getting this behind me, and hopefully learning some things about myself.  And we are all going to get there! I really thank some of the recent posts from the people that are doing so much better after several months!  This really helps us newbies ya know!!!

I hope everyone's doing great!

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 13, 2007, 03:04:44 AM
Hello All,  (Quad Tendon Rupture, kneecap damage, muscle tear)

7 Weeks & 4 days post OP!  I finally received the correct hinge brace today and was able to obtain 50 degrees easily.  I have been in a straight leg immobilizer this entire time.  I feel pretty good, everything seems to be progressing as planned.  I will see the OS next Tuesday and I should get the go-ahead to use a cane, drive and begin physical therapy!  (keeping my fingers crossed) I am weight bearing and using one crutch at times throughout the day, still being very careful. 

Ciao!

Brandon

Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on November 14, 2007, 04:06:42 PM
 I am new here, and I am glad that I have found you-all, I ruptured my right Quad in Feb 07, and have had 2 repair surgeries, my first came loose and I have had another in august, I am now on my way to post op fun. I have alot of questions for any one who'll chat with me.
 I see alot have been locked straight for many weeks, my first surgeon freed me up "out of brace" after about 5 weeks, and I know now that he was wrong, this led to my second surgery "new Dr. too"
 My New Surgeon said at my last appt, that I was now looking at 6 months of rehab, and that I would return to about 75% of normal, all based upon the 1st repair coming undone.
 Does it hurt everyone to do straight leg lifts? will it forever?
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on November 14, 2007, 04:38:24 PM
Hi

My Consultant stated that whatever ROM is reached in 12 months, is about the maximum you will achieve. Strait lifts stretches the tendon and will hurt.   You should aim to reach a minimum of 115/120 ROM,  I reached 115ROM and that`s it  -  I am going to send you three e-mails, the attachments I received over a period of time following rupture of my Patella Tendon.

Hope you find the contents of some use.  Be free to contact me at any time, either direct e-mail or via this thread.

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on November 14, 2007, 06:29:56 PM
 How old is everybody here? from what i've learned this is something that happens to older folks. I'm 46, and Have never had any knee probs before, now, I have a stupid leg, and the other hurts from compensating for it.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on November 14, 2007, 06:38:44 PM
Hi

A Ruptured Tendon is known as a sports injury in the age group 25/40, football, basketball,baseball etc - otherwise it is known as a trauma injury, in my case, slipped on black ice.  At 68, it sucks and is painful at nightime, even after nearly five years. Yes, the good leg, does compensate for the injured leg and one gets sympathy pains as well (overusage)

Best wishes

John
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on November 15, 2007, 12:20:26 AM
Hi Irish Knight,

I have been a bit concerned about my OS being aggressive, whereas I read here about some folks in full imobilizers for weeks, for instance Brandon just above was immobile for 7 weeks, and was able to hit 50 degrees once in a hinged brace.  I have read a couple of places that being immobile for at least 6 weeks, will make a stronger repair, but will result in less ROM.  I guess it's all different from person to person.

My OS seems to have backed off, stressing me to not push ROM that was uncomfortable in any way.  I am now 7 weeks post-op and hitting 45 degrees (that is the limit right now, there is pressure at that setting), I am easily hitting 35 with no pain.  I am off the crutches indoors, but have a definite limp due to lack of ROM... one thing, I always wear the brace when I am standing.  I take it off at times when sitting and laying down.  I wear my original immobilizer brace very loosely at night, just so I don't kick my leg beyond the ROM at night (while dreaming of being healthy running a marathon).

My straight leg lifts are easy and almost pain free, I can do several, and can hold my leg up for well over a minute.  I did my injury while hiking down a mountain, I do not know if I would ever be comfortable again hiking down a steep rocky mountain (prior to this injury I used to "rock-hop" down a mountain with no problem and lots of confidence).  My goal is to primarily get back on my bicycle, be able to walk care-free, walk forest trails with moderate grades. 

I am 55 by the way, and like you, other than some crunchiness and sporadic little pains, I never had major knee problems... my knees were feeling great the day this injury happened to me, I had hiked up with absolutely no problem, and injured the knee when I tried to save myself after twisting the ankle on the opposite leg... if I had just fallen and not tried to save myself, I would have just had a couple of scrapes.  But that's not what happened, so like everyone else here, I have a long journey back.

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on November 15, 2007, 12:49:08 AM
Bob and all other quad rupture amigos.

I am 55 as well and now am 1 yr. 3 months out from my repair.  I biked pretty heavily (for me) over the summer probably ~ 75 miles/ week, with hills.  My tendon has recovered nicely. I am happy to report I went hiking in Nevada in a steep, tight canyon this past weekend and boulder hopped as you described, Bob.  It went well.  I could feel some tightness in the tendon and fatigue after a while, but all in all it was very doable, considering I haven't tried that up till this point.  ON top of that the previous day I went mtn. biking in the desert and hit a sand patch, which sent my bike askew.  I reflexively stuck my repaired leg out to keep me from crashing and it held up well.  No, pain or strain,  just strength. Thank the Lord for that.

I was where you all were and felt the same way last year.  Keep the hope up.  It does get better.  I think someone mentioned previously about the tendency to ease off in your rehab once you get your ROM and basic movement back. I think that is true.  Once the tendon is healed you have to intentionally keep pushing to get the complete strength back in your quads.  This takes alot of time!! (and can't be rushed, unfortunately)  My PT said it would take up to 1 yr. and I would have to agree with him. Your good leg will tend to make up the difference for a while, and you have to keep pushing to make the repaired leg take up the slack. 

I think the discipline to keep after the rehab for such a long time is tough - it does work and there is the hope for normality back to the life you knew before the tendon blew!   Keep the faith.

Best regards.......
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 15, 2007, 02:21:51 AM
Hey Guys,

Nice to read the updates, thanks.  Thursday I will be 8 weeks post OP from my Quad Tendon Rupture/Muscle Tear.  Even though I am feeling much better, have increased confidence in my leg, I am still being brought along slowly and carefully by my OS. I have been using one crutch quite well and getting along fine with a cane.  But I still go back to using both crutches to appease the wife and OS!

I feel as if I can bear full weight and even walk, but am hesitant until I see my OS on Tuesday.  Like the rest of you, I (was) vey active in my life.  I just turned 46, but look 36 and feel even younger! We hiked the Grand Canyon last year, I  weight train 4 days a week, lots of walking, a bit of mountain biking.  I tried to attach some pictures but I can't seem to get it to work.

We all feel a bit disconnected from our "normal" lives and routines, it will take effort and patience to get back where we were.  Personally, I don't mind being a bit more careful so I NEVER experience this again.  I must say, this seems to be healing and progressing much better than my two previous ACL"s.

Bob, you seem to be coming along fantastic!  Keep up the good work my friend...

Sadly, I measured my quad last night and it showed 19 inches!  My good leg is 25!!  Talk about depressing!  I can't wait to start rehab and be strong again.  Good luck to all and keep sending updates.

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: robwalk on November 15, 2007, 06:46:47 AM
Well guys I am in my 16 month after surgery, had my fall in June 06, was not operated on until July 26...but I am using the cane outside of the home, and at home I use nothing.. Still working out, and getting better...I find the leg presses, (both legs, and then the right and then the left one helps, the PT told me early on that doing each leg invidually helps with balance).. at 69 year of age balance problems are common..the only problem I have is walking down hills...I can do it if I have someone to lean on to balance, but not alone, I also refrain from walking across streets, since I cannot walk fast enough to keep up with the traffic..although there are some places I have tried it.. but around here (I live in San Francisco)..the drivers, especially the Public Transit System have hit, and in a lot of instances killed pedestrians, and I am not ready to leave this earh yet.. so I am very very careful.. For those of you who don't know I had Bilateral Quadricep Tendon Ruptures.. and like someone else I just read about on here, I was misdiagnosed, and sent home, only to lay around for over 1 month..anyone have any advice on walking downhill?..Thanks.. good luck to all..

Rob
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on November 15, 2007, 10:54:23 AM
Hi Rob

Walking downstairs and downhill is one of the problem one encounters after a tendon operation.   What ROM did you reach??


JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on November 15, 2007, 11:50:44 AM
Rob,

One of the things I did for rehab, which should help with balance as well are "step downs".  Stand sideways on a step, (you can use the railing for balance), one leg held up in the air (over then next step down) and then do a dip with using the leg with all the weight on it. Use your judgement to determine how far to dip down.
This is equivalent to what you are doing on the weight machine, and with the additional benefit of helping  to develop proprioception in the joint, because you are forcing it to balance more than you would sitting on a machine doing leg presses.
Hope this will help you negotiate the downhills better!

Fred
Title: Great improvement today !!!
Post by: milkoholicBear on November 15, 2007, 03:34:09 PM
Fantastic improvement today, which will have a huge impact on my lifestyle for the next weeks.
This morning, I could get in the passenger front seat of the car, instead of sideways on the rear set !!!!
I guess I can bend the knee enough now to squeeze in, my hinged brace is still locked on 0 (no flex) but there is always some degree of flex in these braces, it's not like a cast.
Good thing to celebrate the 4th week since surgery (today at 17h30).
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on November 15, 2007, 03:39:56 PM
Hi

One very good tip,   sleep with a cushion/pillow between your legs, you will appreciate the difference.

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on November 15, 2007, 04:10:53 PM
 It's great to hear from all of you, it seems alot have limited ROM, I have pretty much the same as prior to my fall, yet the strength issue is what I'm concerned with, I can barely step up, or down stairs (in a controlled setting). It's been almost 4 months since my 2nd surgery, 10 months since I fell,  straight leg lifts hurt each and everytime, sitting leg curls, are a little painful. But I can tell that this time it is getting better. My thigh muscles are starting to ache after I work them.
 After my first surgery, my leg was completely unreliable, it would collapse whenever, and when my second OS had an MRI done, it looked like a frayed bungy cord. 
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on November 15, 2007, 06:58:48 PM
Hey everyone,

I'm glad to see there is a lot of positive things happening to us all.  First I want to thank Fred(rico) for hanging in there on this board and letting us know that "normal" will return with time.  Sometimes the healing process is so slow, that I have learned to measure progress by the week, and not by the day.

I have put in my third full day of work (10 hours), my leg still swells, but not as bad as the first time I tried this 10 hour trick.  I get to sit down about 40% of the time, and have been walking at work without the crutches, but not very uncomfortable...or terribly painful, but there is some pain that seems to move all over my knee... I like to think of it as the scar tissue breaking up.  The PT people do break up scar tissue when I first arrive for my appointment, and it does feel better after they are done pressing hard with their thumbs and fingers.
I am still doing the TENS unit for my quad muscle... but I do see some definition returning for that muscle (very slowly though).

Brandon, you mentioned about the size difference in your quads, the folks at PT told me you lose 30% of that quad muscle in just 48 hours post-injury! and to regain it back, going to the gym 3 times weekly, it will build back up at just 3% per month!!!  Which is just about right on the mark of the one year return to full strength! 

Another goal that I reached today is..... drumroll please..... I have socks on both feet! and I put them on with no help from anybody or any "grabber" devices.  Funny how little things can excite you!

Also, not sure if I mentioned this before, but I am back driving my standard shift car.  My ride to work (25 miles) is mostly open highway, and other than 3 traffic lights right at the end of my commute, I can pretty much sit back in 5th gear and let the Subaru go in cruise control.  Renting an automatic at $200/week was not good for my net pay results!

A quick question, any of you out there that are doing some ROM, do you wind up having pain UNDER your patella at times?  It doesn't last for long, but it is definitely there when I try a little too much (like putting my socks on this morning was a challenge!)

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on November 16, 2007, 12:31:26 AM
G`Day to you all from Oz,
good to see everyone is still helping each other and we all seem to be progressing,I too have found out that with a little bit of knee bend I can get into the front passenger seat of our car so now at least we can go places as a family again.It is 5 weeks today since I had my surgery and I feel a bit more stable on my injured leg,I have been walking about the house with the brace off, albeit very carefully,and have also tried a neoprene knee guard I have which gives me some stabiity and is comfortable to wear.I am between OS appointments at the moment so I haven`t had any medical feedback on my injury for a couple of weeks so I am hoping that surgically at least everything is OK.As for physio I haven`t really done any yet.I checked out a physio close to home yesterday and when I get the brace off (28 Nov) after 7 weeks I will begin then in earnest.My workmate came around with his automatic jeep yesterday and I was overjoyed to see that with a little bit of contortionism I fit into the drivers seat so from next Thursday I will be back at work and mobile...Oh Happy day!!!This must be what it is like when you get disqualified from driving,very frustrating with a perfectly good car sitting in the drive way and not being able to use it.
How often do you go to the gym and how long do you work out for?I am a very fit 53 year old who has been in the Australian army both regular and reserves for over 35 years as an infantryman so I am hoping my recovery period may be influenced by this.What do you guys think?I am a little concerned about some of the long periods of rehab, I want to be skydiving again within 6 months and maybe now is the time to take up walking instead of what passes for running at my age.
Thanks again for your comments,this forum has helped me immensely.Keep up the good work!
Regards,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: 225Champ on November 16, 2007, 04:01:59 AM
Hi All -
Thanks for offering great insight into what is determined to be a rare and unusual injury. Like Rob I am recovering from Bilateral Quad Tendon Ruptures.
Six months ago I took a nasty fall while out for my usual run. I am a fit 52 year old male and have always been physically active. Without any systemic conditions (diabetes, gout, steroid abuse, etc.) to blame this on, my injury baffles me and the medical staff. I was in the OR within 10 hours. After 4 days of hospitalization, I was sent home in soft-sided braces/casts and was wheelchair bound for 8 weeks. Weight bearing was not an option for weeks. Both the OS and PT person were conservative with all my movements. My scars healed quickly and ROM improved with each PT visit.  I graduated from the wheelchair to a walker, then to crutches. I wore compression stockings that help reduce swelling that lingered in the knee area.
 Physical Therapy ended in late September. I have periodic dull aches, but no pain, some noise that sounds like slight snapping/cracking when getting up from a sitting position. I am dealing with an "extensor lag" on my right leg. In a straight leg lift, the leg below the knee drops a few degrees. The OS thinks this will improve with strength conditioning. Future surgery to help the lag is the other option.  My left leg is stronger, and didn't suffer as much atrophy as the right. The left leg was the first to pop on injury day, and the right popped seconds later. I saw my OS yesterday and the next visit is scheduled for 3 to 6 months away. He is proud of my progress, but will monitor the lag. I am back at the gym, continuing to work on my core, and hip flexors, essential to my improvement bilaterally. Wishing you all the best recovery.  Danny 
Title: Re: Ruptured Quadriceps Tendon
Post by: spt on November 16, 2007, 04:29:40 PM
Hi All

There's some real inspirational characters on this thread and it's helping motivate me whilst I recover.  Some dozy motorist T-boned me on my bicycle 7 weeks ago resulting in 50% severed R quad tendon (I sliced my leg open a bit just above the knee), broken femur (a complete break half way down - great x-ray), a couple of broken metacarpals in my left hand and numerous cuts, bruises etc.   Been doing physio in the hydrotherapy pool for 3 weeks now and am up to about 80 degrees ROM, but the strength in my right leg has just completely dissapeared.  I can appreciate the length of time that people are stating it takes to get that strength back.  My first aim is to get enough ROM to put my other bike on the turbo trainer and get pedalling.  The femur is supported by a titanium rod going down the middle of it (intramedullary nailing), so that shouldn't restrict my recovery.

nhbob - i get quite excruciating pain at the bottom of my patella at times but it seems to go with a bit of rest.  The physio doesn't seem too concerned with it.

Even with 80 degrees ROM I can't get in the front of the car.  Maybe being 6'4" doesn't help.  In any case I don't fancy driving for a while as I wouldn't have the speed or strength to do an emergency stop.

Take care everyone.
Stephen
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on November 16, 2007, 05:05:04 PM
Hi Stephen

Driving is top of the list of achievments after such a serious Tendon injury -  just a tip - watch out that your car insurance Company could bar you if you drive without the authorisation of your Orthopaedic Consultant.

Putting the car seat right back, gives you additional lenght, but O you have the strenght in your knee/leg to undertake an ermergency stop?

Insurance Companies are very wary of injurys to the leg, so think about it.

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 16, 2007, 06:16:25 PM
Hey Everyone,

Yesterday was 8 weeks post OP  and I celebrated by going to a Bruce Springsteen concert last night in Albany, NY!  It was a comfortable 90 minute drive, I had my hinge brace on, set at 50 degrees.  I was very lucky to sit on the outside aisle where I could extend the leg.  The concert was great, lasted a little over 2 hours.  I used one crutch throughout the night, figuring two would be really difficult with the crowd.  I handled the stairs like a champ and got around very well.  This morning, I felt fine, no swelling or aches. (I haven't has any pain meds or over the counter pain pills in 5 weeks)  :)

I believe I am ready to use a cane or even walk without support but will wait for my next appointment with OS on Tuesday.  I have not yet started physical therapy yet, perhaps next week. 

Stay strong all, send updates!

Brandon
Title: Re: First physio vist
Post by: milkoholicBear on November 16, 2007, 06:58:38 PM
Yesterday evening I celebrated 4 weeks since surgery.
This morning, for my first physio visit, I got to 60 degrees without any effort! I was expecting less, taking into account that my knee had not bent in 4 weeks and been out of business since my accident in July.
By the end of the visit, my PT tested my flex again, and, surprise, I was at 75 degrees! Still effortlessly.
Next target is now 90 degrees.
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 17, 2007, 05:33:35 AM
MilkoholicbeAR!

At 4 weeks you are having this much success?!  ;D Great for you!  I'm at 8 weeks and Have not had any PT yet...Hinge brace at 50 degrees set...able to use cane!

take care all!

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on November 17, 2007, 05:54:08 AM
Brandon,
Yes, I was amazed myself at how flexible my knee was, I must admit the 75 degrees have been a big surprise.
Brace-wise, I am still with my hinges locked at 0, I'll see if my OS will allow some flex in my early December visit.
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 17, 2007, 11:48:29 PM
MilkoholicBear,

I'm curious to know if you have wonderful ROM at this point he is not allowing you to open up the hinge brace.  Your leg is achieving ROM in PT and you are able to bend it...I stayed in my full leg immobilizer for nearly 8 weeks then was able to go to the hinge. 

Next appointment with OS is Tuesday, should get the go-ahead to use a cane and DRIVE!

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on November 18, 2007, 06:44:20 PM
Hi MilkoholicBear and Brandon,

That is impressive, 75* just 4 weeks post-op.  I am suffering a bit of scar tissue (I had 2 surgeries), my guess is I'm at 50* right now, with my next OS appt Wednesday, 28 Nov.  My brace is set to 60* right now, but I can tell I'm not hitting it, but I am getting close.

The PT people on just my last visit had me doing some easy heel slides, the first time they worked on the ROM.  Prior to this I get a nice massage breaking up the scar tissue (it hurts a bit, but it seems to help afterwards), then they always put me on, what I think is a TENS unit, and I wind up having a cyclic stimulation to my quad muscle for about 20-25 minutes, it's called a Russian Stimulattion of some sort... 4 seconds of stim, then 10 seconds of resting... for 20 minutes.  I haven't heard this kind of PT mentioned anywhere on this board, is anyone else doing this?  I can see some definition coming back of my quad muscle.

I am off the crutches most of the time, I just use them when I'm outside between home, car, work, store, etc.  But my walking is still not graceful, even with the 45-50* of flex, I still feel like I walk like a monster from the deep! 

Driving has come back very comfortably for me, it was hard at first, but now it's much easier, and I am driving my standard shift! (it's my left knee).  I have some good flex in my ankle that helps steping on the clutch, but it is working OK.  I just wish I could walk a little bit better. 

I am at work today, and experiencing the "swelling", I have to stand about 60% of the time at work... it's a 10 hour day too... but I only work 2 days/week (that's all I worked anyways! I USED TO SPEND MY TIME having FUN!!!).

Brandon, it seems you're really doing great... I am sometimes a little worried becuse my OS had me doing 30* early on, and I do have transient "deep" pains, that occur, but do not last long.  The pain I don't care about, as long as I know I will get back to where I was, or at least back 90-95%.  It is still such a shock to go from being so healthy and carefree to being in such a jam!  But it certainly is an eyeopener to living your life to the fullest!!!!

Bob in New Hampshire
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on November 18, 2007, 09:14:53 PM
Hey Brandon,

I see both you and I have graduated to "MiniGeeks", with 20 or more posts.  Once we break 50 posts I think we will be well on the road to complete recovery!  As a matter of fact, I will most likely pass through NY in the spring on the way to a music festival, or hopefully riding my bike on a bicycle tour... I will buy you a beer if I pass close to you in celebration to our complete recovery and the the complete recovery of all the other posters here!

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on November 18, 2007, 10:07:04 PM
G`Day fellow wounded,
I read all your posts with envy and cannot wait until I start my physio and get on the way to full recovery.Up until now I have had little or no pain as I have been immobilised for the last 6 weeks.I see the OS next week and I am anticipating he will clear me for physio.I have had my leg at 45 degrees according to the scale on my brace and can get into the front seat of larger cars,my Irish friend is going to drop off his car on Thursday and I will return to work on Friday.I have a 35km drive to Brisbane Airport but it is mostly freeway and only a couple of sets of lights so should`t be a problem.I spent all day Saturday teaching people to skydive I may not be able to do the jump yet but I can still do the instruction.I wore my adjustable brace  (you should have seen the looks I was getting from the newby skydivers to be!!) all day and didn`t use my crutches so my leg was a little swollen by days end but not too uncomfortable.Well gotta go i will keep in touch with my rehab regime and progress.

Regards,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 18, 2007, 11:09:29 PM
Hey Everyone,

Yes, Bob...we are MINI-GEEKS!   8) I would very much enjoy your company when you come through New York. I am right off of Interstate 84...exit 2.  Keep me posted on your trip.  Bill, you are quite brave jumping (no pun intended) back into your game.  Bob, you too...working on your feet like that...wow.  I thought I was tough attending a Sold Out BRUCE SPRINGSTEEN concert!  Ha!

I am looking forward to my next OS appt. on Tuesday.  I am confident I will get the green light to use a cane (which I have been doing) and drive!  I am very anxious to start my physical therapy also. 

Success to all!
Title: Re: Ruptured Quadriceps Tendon
Post by: S53 on November 19, 2007, 02:04:10 AM
Being only 1 week out from surgery for bi-lateral rupture I have little experience to add to this thread. Seems it went similar to many. First went when I slipped in my own yard on damp ground cover, on a mild slope. Thinking ACL I managed to get to my driveway and steadied myself on parked cars. Of course when I got away from those for support and took a few steps I slipped again, managing to rupture the right quad.

Surgery started within 6 hrs. Reportedly after the repair there was 90 deg ROM in each knee (was still under anethesia.) Now it's imobilizers, wheelchair bound. "Toe touch weight bearing" only, which isn't much. No standing for sure. Key instruction was not to "fire my quads." Managed to get to work for 6 hours each of two days so far. Pretty much a desk job with meetings, email, etc.

Had no indicators or conditions that indicate this might occur. Am 53. Been running and cycling for 30+ years. Most recently running 3x week, swim 2000m 3x wk, and cycle 1 hr (ironically to keep my quads tuned.) Managed to not skip a day in several years.

Am told the schedule will be: Sutures out at 2 wks. Walker and crutches with limited weight bearing at 3 weeks. PT a bit after that. I think the OS said I'll be in the immobilizers 8-12 weeks. Can't imagine that. Hope I can get ROM devices sooner than that.

Have two questions. Somewhere along this thread an anchor came out for one guy? How can you tell? I ask since the first day after surgery a PT inadvertently had me doing lifts and slides that supposedly put the repair at risk. After day 5 I've been down to acetominaphen 2x day. So no real pain.

I don't see swimming mentioned in any of the recovery regimens. I know I'll have to do the gym stuff. Would like to know there is hope for rebuilding aerobic capacity. Seems swimming would not risk damaging the repair. I don't kick much to begin with and could use the leg floats people use to work on pulling only. Holding those floats limits ROM anyway. Is anyone swimming?

When I get along in PT I'll pass on progress. That's a ways off for me yet.

Thanks for the inspiration that things will get better with work.

Steve



Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 19, 2007, 03:58:03 AM
Hey Steve,

Sorry to hear of your troubles...I find it very bizarre that your PT would have you doing lifts and slides ONE day after your surgery.  Did the PT not read your file or communicate with your OS? Was this person new? Why would you even agree to this?  I would have said...huh?  are you all on drugs or what?  I would certainly have a serious talk with your OS and get some answers.  From what I have learned through this site and my experience, most patients are brought along quite slowly and carefully due to the delicate nature of the injury and repair needed.

Youv'e been around the block a few times, I would not hesitate to question EVERYTHING.  This is your athletic and active future at serious stake, this is nothing to fool around with.

Take care...and take it easy...

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: S53 on November 19, 2007, 05:07:40 AM
Brandon,

I went along since I didn't know any better. First AM, post-op. Painful, sleepless night. Assumed PT knew the right thing.

OS was livid.

I question everyone from that point forward.

Thanks,
Steve R.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on November 19, 2007, 12:35:51 PM
Hi Folks


Just a reminder - sleep with a cushion or a pillow between your legs - you will take the weight off your injured leg and get a better nights sleep!!!!

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: robwalk on November 19, 2007, 03:00:46 PM
John,
Not sure what the ROM number is, but I can lay face down, and push my heel against my butt...

Thanks Federico for the "downhill advice"..

Rob
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on November 19, 2007, 03:03:21 PM
Hi Rob

On you next visit to your OS, have them measure your good leg and the injured leg - this will give you an indication of your ROM


Best wishes

John K
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on November 20, 2007, 01:56:54 AM
Steve,

I did some swimming but not really part of my rehab...it was well down the road - probably 9 months out. 
However, I don't see why it couldn't be done pretty early on (after 3 months).  Just don't slip poolside! 
When I was swimming, my leg felt better with the conventional flutter kick of the crawl, and of course the sidestroke.  The one time I did aggravate the tendon was doing a backstroke with fins on.  Just my 2 cents FWIW. 

Best wishes,

Fred
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on November 20, 2007, 02:00:42 AM
Hi Steve,

Welcome to the club that nobody wants to be in! 

I am the "lucky" one you mentioned in your post who had the suture anchor break.  I was about 36 hours post-op, and I had some company that night, some friends came over and made dinner, they cleaned up everything and had just left.  I got up off the bed to go to the bathroom (I had a solid immobilizer on my leg, no bend at all)... as I crutched along to the bathroom (all on the same floor)... I slightly stumbled, I wasn't going down or anything like that... but I do remember my quad muscle fired (it still had some strength I suppose), and there was a definite pronounced POP in my knee again!  It was way above the normal popping we sometimes feel in our kneecaps... I could even feel some of the tightness give way.  I could tell something definite and bad had happened... and it was quite upsetting.  I was back into surgery in 4 days, and the OS (who has a very good reputation and only does knees) told me the anchor had actually broken.  Only some of the repair was affected, and he even said that it "might have been OK... but he still did have to reattach some tendon back to the patella.  The second time he used the "old-school" method of just suturing through the hole in the patella.  So I am held together with one suture anchor and then one "old-school" method.

Per my OS, everything is coming along fine now, I am hitting about 50* ROM, and it is 7 weeks post-op tomorrow.  I was on crutches until about a week ago... but I still use crutches when going any distance outdoors... even though I did do a large grocery store/parking lot today w/o them.

The worst thing, Steve, about this whole healing process, is it takes forever!  You do get better, but it is so slow.  Don't even try to measure things day to day.  Believe me, there will be some "better" days, that will be followed by a couple of days that aren't as good.  There are times I really do feel like I go backwards... so I try to look at things once a week.  That's when you see the progress.  For instance, a week ago I finally got off crutches, but limped a lot... this week I'm off crutches, and still limp with the "straight-leg" syndrome... but I spend the whole day of crutches now, whereas last week, I would almost have to use them at the end of the day at work.... it's just slow, and not better every single day... but better by the 7's as in sets of seven days.

I, like you, was also very active: cycle-touring in New Zealand and the Colorado Rockies this year, hiking 3-4 times weekly, going to the gym "working my quads", and this injury blind-sided me too.  Many people on this board I think have similar stories.  Just plain sucks! 

So I hate to have to welcome you to this crappy club of ours... but we all seem to be nice, Fredrico is a good source of someone who has been through the whole process, and he has given me real hope by his positive posts for getting back to where I was, and I'm sure you and the rest of us kneegurus will all be there eventually.

Good Luck!  There is a bunch of good people here that are supportive as hell, and that support has no limits (unlike these damn immobilizers)

Bob

 
Title: Re: Ruptured Quadriceps Tendon
Post by: 225Champ on November 20, 2007, 03:01:19 AM
Hi All-

Steve I am 6 months out from surgery/recovery/rehab w/ this bi-lateral issue.  I was told by active friends that the pool would have been a great place to get in a workout during recovery and my PT agreed. Active in other ways, but I am  not a pool person.

Sometimes my OS visits were prior to my PT visits, and I had a long list of questions ready. Whenever the PT reccommended I do a particular exercise, I would always have to say - NOT OS approved. The PT started communicating closer via computer to the OS. Both OS and PT have been extremely supportive - but I questioned everything. They didn't mind.
 
 3 months after surgery, I was given the ok to use the ellipitcal machine at the gym which has helped with the cardio or aerobic of my workouts. I am still careful,  even with the gliding of this equipment. I tend to have sporadic muscle spasms after using it.
Also the I've used the recumbent bike at the gym - with my legs out in front, not the regular bike.

The atrophy I've experience has improved w/ leg lifts and quad isometrics.  I have come a long way in six months - it's great to be in the  driver's seat again. I 'm not too fond of going up/down  the 15 steps in my home, but am thankful that I am able to do so.

I used John's method with the pillows -and my OS reccommended elevating my legs, at the feet - I slept that way for weeks.

It does get better.  Keep your spirits up.

Wishing everyone all the best  -

Danny / US/ Long Beach California



Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on November 20, 2007, 05:20:33 AM
Folks,
I keep reading about these "bilateral" ruptures, and I must admit I don't really understand what it means.
Is it that the tendon broke in both your knees, left and right ?
Title: Re: Ruptured Quadriceps Tendon
Post by: S53 on November 20, 2007, 08:08:34 AM
Yes bi-lateral means a rupture in both legs.

Thanks to all for the answers to my questions.

So far as I've been told my PT works directly for my OS group. Should be coordinated, but I'll always be checking both along the way.

I figured swimming wasn't part of knee PT. I'll be careful on the deck when I'm allowed to go there.

Luckily I haven't heard or felt a "pop" during or after the PT that shouldn't have been. OS felt my anchors were still intact.

Like I said before I'll not have much to report for awhile that will be of any use. I can see this is an inspiring bunch.

Thanks,
Steve
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 21, 2007, 01:10:48 AM
Hey All!

61 days post Op for my quad tendon rupture!  Saw my OS today and I have the green light to use a cane and drive my 6 speed Mini-Cooper!!  Wow, I feel whole again!  He also opened my brace up from 50 degrees to 90.  I cannot achieve anything past 60 degrees at this point, but he feels I'll be there in a few weeks with very moderate physical therapy.  I sahred with him my concern of the PT's not always being on the same page as the OS, he reassured me that this would not happen as he closely oversees all activity.  Having heard this, I felt much better.  He also said the last thing he wants to see happen is a re-injury. 

For those of you out there hurting pretty bad right now, it does get better and your life will improve.  Back in September, it felt as if I hit bottom, the pain, the little or no progress, not being able to shower, side effects of the pain meds, loss of appetite...it was horrible.  Now, everyday is a good day and small improvements are made.  I kept telling myself to be patient and not rush anything...

Contined success everyone!

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on November 21, 2007, 06:53:06 AM
G`Day all,
nothing further to report yet but I see my OS next week and I should begin physio immediately after.I never thought the 6 weeks of immobilisation would ever come but it has.I have one or two worries at the moment,I tried to do a leg raise today and I couldn`t even make my leg move at all I can move it sideways but not vertically lying on my back.Is this normal?The other worry is does the scar tissue affect the ROM and can it be eased by massage?I tried to operate the clutch in my manual car today and if I can get a few more degrees of knee bend I think I will be able to work it after a bit of quad buildup.Can any of you guys give me some good exercises to get started with.My friend is lending me his automatic tomorrow for a month so I will be able to get around and go to physio etc.I start work again on Friday I will see how I go and let you know.Keep up the good work.

Regards,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on November 21, 2007, 09:56:49 AM
Hi Bill,

Good to hear from you, hope all is well in recovery.  Let me see if I can give you some of my experiences, since you are a wee bit behind me (I'm  7 weeks post-op today from my 2nd surgery).

I can do the straight leg lifts quite easily now... but it took a lot on concentration in the beginning to get my leg to go.  I started do the leg lifts from a standing position!  When standing with my crutches, I would slowly lift the leg in front of me, keeping it straight, until the leg was out about 60 degrees, it was easier from the standing position because it wasn't all deadweight just being lifted straight up.  Once I started doing them while lying down, in the beginning I had to concentrate, saying to myself, I am going to lift that leg... and believe me... once I did, the lift was just a millimeter, and lasted a second.  Good news, once it started, it came back very quickly... it seems to be true, we need to re-educate those muscles, within a week i was doing champion leg lifts.  You've been locked in for a long time in the immobilizer, those muscles need to "get it" again, and they will!

The massage for the scar tissue... that is something my OS wanted me to do early on, he wanted my massaging the area, almost aggressively from the very beginning.  Each trip to the PT, at the start of the session, they spend 10-15 minutes doing a real hard but controlled massage, I can feel the scar tissue breaking up... it hurts a bit, like someone sticking needles in there, but when they are done (and I get into the real PT), it always feels a bit more free and better.  So from my perspective and experience... the massage is very good!!!

And finally the car... It was very very difficult when I first tried my clutch.  I could not do it.  After renting a car for 2 weeks (I was offered a mini-van by a friend, but I could not get in it), I did go back to my car again... and at first it was very difficult.  It has been a couple of weeks, and it's very easy now, so I think driving the clutch has been a bit of therapy in itself.  But you can ask all this from your OS today!  Good Luck, and don't get discouraged about the leg lifts... it was impossible for me in the beginning, I remember thinking how weird it was to have to concentrate and relearn such a simple task!

Good luck wih the OS today!
Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: S53 on November 21, 2007, 05:46:15 PM
I am almost sure I saw a post inside this thread with a liink to a ROM brace made in Australia. There was even a JPEG photo pasted in. It was blue.

I've spent a few hours searching this site and poring over the web. Can't find it anywhere in my tracks. Can one  of you long timers tell me if such a post was in this thread? If it was here I suspect it was removed.

It's not my intention to divert this into a ROM brace discussion.

BTW am taking heart that people are driving their cars w/manual transmissions within 8-12 weeks.

Thanks,
Steve
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on November 22, 2007, 12:52:50 AM
Hi all,

I have been doing some reading on the net about quad tendon ruptures and can give you some sources to read and hope for the future as well. 

There is a great article by Lyle on Emedicine. 

In section 9 he states:

Several authors advocate immediate postoperative motion to potentially increase ultimate range of motion. Studies also have shown that mobilized tendons heal faster and are stronger than are immobilized tendons. In 2 studies, artificial graft was used to augment the repair and to allow early motion. Konrath and associates reported successful immediate motion without routine augmentation. However, other studies have shown that range of motion is routinely regained after up to 6 weeks of immobilization.

Rougraff and colleagues found that nearly all patients (including patients with delayed repairs) regained motion to within 2° of their uninjured leg. Additionally, their study provided the only comparison of immobilization and immediate motion in the literature to date; however, but the immediate motion group was very small. No significant difference existed in ultimate range of motion between the groups. Future research comparing larger groups of patients treated with immobilization and early motion is needed to help resolve this issue.  

I would encourage you all to read the whole article at:

http://www.emedicine.com/orthoped/topic274.htm

Another article I came across by a group in Ireland states: 

Symptomatic outcome following surgical repair was excellent with a mean symptom score generated of 22.7 out of a maximum of 25. 18/19 patients returned to their premorbid level of activity on average 18.1 weeks following injury. There was no difference in quadriceps girth comparing affected and unaffected limbs. Less than 5 degrees deficit in range of motion existed between affected and unaffected limbs. Approximately two-thirds of patients were the same or better when comparing peak torque/body weight, average power, maximum average peak torque and total work/body weight in affected and unaffected limbs.

This was a rather small group study.  But at least it gives one some hope!

I find it interesting that many of the posters on here had a very active pre-injury life. Does this mean that more active people are prone to this injury?  That would be an interesting study. 

Everyone have great Thanksgiving! 

Best regards,

Fred
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on November 22, 2007, 06:21:57 AM
I remember reading somewhere that if age is not a factor (< 60), then the "weekend warrior" types are the most exposed to this king of accident.
If none of the above, then most certainly a nasty combination of stairs and gravity are involved (this happened to Bill Clinton).
In my case, I was riding my recumbent bicycle about 25 km daily to and back from work (12.5 each way).
Then one hot and sunny day, when I got to the parking lot where my car was waiting, I put my left foot down, heard a loud pop, and you all know the rest.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on November 22, 2007, 01:39:20 PM
Hi Fred


My Consultant states that a Ruptured Tendon is in most cases due to a sportsman injury or
a Trauma, i e    an accident.

Baseball, volleyball, football, rugby etc cause the greatest number of ruptured tendons.  In some cases, in can be proved that the tendond get weak if you have been taking steroids.

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on November 22, 2007, 06:45:03 PM
John and Bear -

Really what I meant to say was that despite being in decent shape athletically, from what I'm reading on the board, most people sustained their injury while doing something routine and commonplace. (i.e., slipping on steps)   For example, I was in great shape from biking and my quads were strong.  However, I sustained my injury when I slipped on some wet grass.  I think there is someone else who posted a similar cause.  My point is that we weren't doing a overhead scissors soccer kick or an extreme jump to make a dunk shot in basketball.

You can't strengthen tendons, however, you can strengthen or keep the muscles strong that attach to them.  My impression from my accident, (and I have gotten the impression from some other posters)  is that if I hadn't been in good shape when I slipped, I would have just fallen and maybe bruised my butt (and ego).  However, because my quads were strong and I reflexively attempted to "catch" myself, tightening the quad on the supporting leg, which then overpowered the tendon and resulted in the rupture.     

I haven't seen any studies with regards to that, but it would be interesting to know whether others feel similarly about their injury. 

Of course the extension of that train of thought is can it or will it happen again?  My tentative conclusion is that it can....mainly because of the reflexive tendency which happens so fast you can't override it.  Why can't we just relax and fall like we did when we were kids? 

Just some Thanksgiving day musings.  It is 60 degrees here and I went out for a nice ride on my road bike! 

Fred
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on November 22, 2007, 07:06:25 PM
Hi Fred

So you fall in the catogory of a trauma rupture - could happen again - so take care - just let the tendon heal properly - could take some time.

Best wishes

JohnK/ Manchester Uk
Title: Re: Ruptured Quadriceps Tendon
Post by: S53 on November 22, 2007, 08:34:46 PM
Fred,

Your incident sounds similar to mine. Slipped in my yard, wet, poor footwear. OS said my quads were so strong from years of cycling and running that tendons had little chance.

I think when we were kids we naturally, tumbled. We didn't try to protect or prevent.

I will pay religious attention to stretching in the future. Got fairly lax in last few years when it was probably far more important.

BTW I presume you ride clipped into your pedals. Think how many times you walked around in cycling shoes, even for a few steps. Like skates.

Steve
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on November 22, 2007, 09:42:18 PM
Well Fred,

I do agree with you wholeheartedly with your points.
and also now that I look back, I can see the things I did (or failed to do) could have contributed to my injury.

I also was in very good shape, especially aerobic and lower body.  As you probably know by my postings, I am an avid hiker and cyclist.  When I hike, there are two mountains that I hike non-stop to the top for exercise... the one I ruptured my quad on was one of them.  I never have really stretched in my life to any great degree... so my legs have always been very tight, but they have always worked very well, with the transient aches and pains... but never anything like this has ever come close to happening to me.

My injury, like others here, was the result of a fall, the result of twisting the ankle on the right leg, and trying to "save myself" at a high velocity fall to a steep downhill, I manged to get the left leg out to stop myself. I even remember thinking for a second, "Whew, I caught myself"... but the "pop" came so fast from the left knee and I collapsed like a ton of bricks to the ground, I was dumbfounded! 

My OS, who is a young guy (like me, he's in his 50's... that's young, right!), he only does knee surgery, and he said it was just a bad situation of the angle my leg hit the ground, bent just right, the foot hitting the ground, and the most critical firing of the quad at the same time... it was the firing of the quad that really did me in.

It was explained to me, imagine you have some strong packing tape, that can hold 1000 pounds suspended, or even dropped straight down... now imagine that same packing tape over the edge of a table with the tape bent at 90 degrees or so.... you then drop a weight of 250 pounds off one end of the tape, and as it heads to the floor, you violently pull the end of the tape above the table horizontally with another 250 pounds of pull... the tape would likely break, because of the force in two directions violently at the same time, even though it's just a total of 500 pounds, but it's the bend at the table's edge (read patella there), that put a force on the tape (tendon), that it just snapped! 

If only we could have read the future! 

So I do agree, I think a lot of folks had a certain degree of fitness, but (as in my case), I think I knew I should have been stretching (I think it would have given me a little bit more leeway), I should have been looking where I was going (why I twisted my ankle in the first place), I guess I'm paying for it now.  just like everyone, I just hope I can get back at least to 90% of what I had, I know that at 55 years old, I will most likely always be aware of this injury... I'm not sure if I will be over-cautious now.  Will it always be in the back of my head that I'll back off from doing things... maybe I should be backing off at 55, I don't know.

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on November 23, 2007, 08:47:35 AM
G`day all,
well did my first day back at work today without any dramas,drove my mate`s jeep it sure feels good to back back some sort of control again.I still have nil to report re physio but that will change next week after I see the OS.I will keep you all informed.I think the thread about well developed quads having something to do with these ruptures rings true,my injury was similar.I will post again next week.

REgards,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on November 23, 2007, 11:51:48 AM
John, Steve, Bob, Bill - thanks for your comments!  Bob, that analogy you gave is insightful to the event.  However, the backing off.....I feel the same.  I have backed off on some of the stuff I do - at the same time you can still push yourself, just not to the degree and manner one did in the past. The body is not as forgiving.  "A mans got to know his limitations" Clint Eastwood said in one of his movies.

Steve- yes I use step in pedals - and yes, I have slid skate-like on the very smooth garage floor in them.

Best regards to all.

Fred
Title: Re: Ruptured Quadriceps Tendon
Post by: spt on November 23, 2007, 12:35:06 PM
Looks like I sustained my injury in a different way to most as I was actually cycling at the time.  Got hit by a car and sliced my leg open about 5 inches wide across the top of the knee and 50% severed the tendon.  Not sure what part of the car did the slicing bit though.  :-\ 

They had to put a titanium rod in my femur as that broke so the dilemma is whether the replacement bike should be a Litespeed titanium to match.   ;)
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 23, 2007, 04:37:38 PM
SPT: All banged up and you still have a sense of humor...I love it. 

A quick thought on the subject of "who this happens to" most.  I agree that most of us are active, over 40, good to great shape and attempted to save ourself from falling or slipping.  Thinking back, I initially injured my quad hiking the Appalachian Trail. I stepped up on a wet rock with my right leg and slipped, spun around and tried to keep from falling backwards and I felt the pain.  6 months later...POW! 

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on November 26, 2007, 09:55:53 PM
I was just wondering,
How much are you people "pushing" your knee when you're at the physio and he is measuring the flex angle ?
I am kind of chicken, and, as soon as I fell something, anything, above my knee, I stop. I live under the impression that, if I forced just a little bit, I could go a few more degrees, but I don't dare.
Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on November 27, 2007, 12:35:00 AM
 Here's one to ponder, I have been having a hard time in PT, no strength on leg lifts, and near constant pain, not in a patella fashion. One of the Pt's was asking whether my Meniscus was looked at after my fall, and I do not know. he says where the pain is centered is where, the meniscus is located, below knee cap inside. anybody have this problem along with the quad?
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on November 27, 2007, 01:25:04 AM
Irish knight:
Nope, no such thing in my case. The pre-surgery MRI showed an intact meniscus.
I had no pain whatsoever, neither before nor after the surgery.
The only "discomfort" , I wouldn't dare call that "pain", is whenever I do my leg extensions, I feel it below my patella, at the patellar tendon level; it lasts for the first few reps, and then disappears progressively. By the time everything there is properly warmed-up, all discomfort is gone.
The other sensation that I have, is some exhaustion on my VM muscle, which literally vanished during this quad tendon rupture ordeal.
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on November 27, 2007, 01:38:00 AM
Bear, when you first do the flexion, you will feel some resistance/discomfort, but if you hold it just below that point for a minute or so then you will be able to go further as the tendon stretches.  If you release and then do it again, it may go further yet.  I talking a few degrees more each time.  You kind of have to ease into the whole process, and if you can do that everyday or every other day a bit, you'll gain a bit each time.  

Irishknight - can't say for sure, but I do have medial (inside) menicus problems which pre-dated my injury and  I had no discomfort from that during PT.  The only thing I can offer that is remotely similar was my femoral - tibal articlulation, (which is medial also), was out of alignment after my surgery.  My PT did some stretching of my leg (pulling down on my foot when I was lying down) and it seemed to seat that articulation better (the medial meniscus sits between those bones)  I had no pain per se, just some discomfort which was relieved after the manipulation.  An MRI of the knee would give you some insight as to the status of the meniscus.  
Keep us posted.

Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on November 27, 2007, 01:39:11 AM
Hi Irishknight,

Yes, I had the same pain, on the inside... more pain than any part of where the surgery was... but in the last week or two it has subsided (I am now over 7 weeks post-op). 

My leg lifts were also non-exisitent for 2-3 weeks post op. then they started to come back slowly, I found I had to concentrate to do one, and even then, it would me a small 1-2 inch lift.. then it seemed. all of a sudden, maybe just about 3.5 weeks post-op, the leg lifts came back almost over 2 days, first with some pain, especially below the patella and under the patella.  Now at 7 weeks, leg lifts are very strong with little pain.  It sounds like you are on the same track, when was your surgery?

I also had a OS checkup today. I am only doing 50-55 degrees flex, mostly pain-free, but there is a real tightness when I get up to 45 or so.  The OS told me to try to hold the flex right at the tightness for 5 minutes or so, just to free things up, but still don't go crazy.  The best news is I have finally been off the crutches for a week now, and can feel my walking strength getting better each day... still doing a stiff leg walk a bit, but that imp;roves too as the flex returns slowly to the knee.  This past Saturday was the 2 month mark of the injury.  Just in the last few days, I can stand one-legged unassisted for 30 seconds with no brace on the repaired leg... PT told me to do this exercise (near a table to catch myself if needed), this helps to build up the balancing muscles. Just 1-2 weeks ago, I couldn't even comfortably stand w/ 50% weight on the leg... so there is little "spurts" of improvement in what overall is a very slow process as a whole!

Driving my standard shift car is now a snap, but still getting in and out, I still have to put the seat into the semi-recline position and "pop" myself in and out, but at least there's no more pain.

Hope everyone's doing well,
Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on November 27, 2007, 01:47:42 AM
 What fun we are having, thanks for the info,
  I see my OS on the 6th of Dec, going to ask him some questions, and have him review the MRI. He's good, my first OS was a Spine guy, dont think he was "up" on the work.
 I go to PT twice a week, gym every other day and I am again seeing no improvement, my ROM is pretty much normal but strength is not returning very well, knee gets loose under me at times and almost collapses.
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 27, 2007, 01:50:11 AM
Guys,

I'll be heading to my first PT session tomorrow.  I'm a little over 9 weeks post OP. I'll give a report on exercises, strength and pain. So far, I have not had any pain yet, I've been walking around the house without a cane, out of the house I use a cane.  I just started driving, no problems there.  I am only reaching 60 degrees on my hinge brace, not forcing anything yet.  I'll send an update tomorrow...

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on November 27, 2007, 01:55:51 AM
Hey Brandon,

Good Luck tomorrow, I am right behind you timewise, our injuries only being 4 days apart... you're hitting 60, and I'm hitting 50-55.  Looks like you're doing great, so I hope to follow in your footsteps... healthy footsteps!

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on November 27, 2007, 02:32:05 AM
Frederico: you are absolutely right! This is exactly what happens!

It is amazing how we all have different approaches to this recovery.
I read that many of us have not had physio before 9 weeks. I started in my 4th (am now 5.5 weeks post surgery).
Yet, my hinged brace is still in the "Forrest Gump" position, that is 0 flex!
I am so looking forward to drive my car!

My PT is tracking a few metrics:

1. Flex
4th week: 60 degrees, 75 after stretching
4.5 : 50 degrees, 60 after stretching (Pt discovered a "knot" in my quad, after massaging it I went back to 70 degrees flex)
5.5 : 75 cold , 85 after warm-up and stretching

2. Extension (type 1): Lying on my back, PT lifts my leg from my ankle and then asks me to hold it in the air , as straight as I can.
4.5 weeks: -25
5.5 weeks: -15

3. Extension (type 2); Lying on my back, PT places a cylinder about 25 cm in diameter beneath my knee (which causes my knee to bend slightly) and asks me to extend my leg as straight as I can.
4.5 weeks: -10
5.5 weeks: -5

Anybody else tracking extension ?
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 27, 2007, 02:51:39 AM
Bob:

Yes, it will be interesting to track our progress and compare notes.  My PT is for 3 x a week for 6 weeks to start.  I am figuring after that, as long as I am not experiencing problems, I can either do the exercises at home or at my gym. 

Bear:

Thanks for the detailed notes on your exercises, it will help me as I go forward. You are doing very well!

Brandon
Title: Another question for the smart people in this thread
Post by: milkoholicBear on November 27, 2007, 06:02:31 AM
I keep hearing the term "fibrotic" about my injured tendon/muscle, and non one was able to explain this concept to my understanding.

A bit of history about my accident:
- 18 july == d day, fell off my bike, could not get up alone, ambulance to emergency room, spent the night there, xrays, cat scans, dog scans, conclusion: nothing broken, go home and take tylenol. Extreme swelling above the knee, halfway up the thigh, which was at least twice it's normal size and hard as a rock. No pain. 
- In the next 6-8 weeks, my GP followed me, send me to do ultrasound check of my veins ( the swelling was not going down ), I've been told that as long as the knee is still swollen, I can't do an MRI as they won't see anything. I progressively started walking on it, with a good limp ,but my knee was not stable.
I could do a semi squat, I could go up the stairs on my bad knee.  At about 6 weeks I started driving my car ( standard xmission, with a clutch pedal). I had enough control in my injured knee to handle the clutch with ease.
I could not do a straight leg raise (from supine) and I could not do a knee extension against gravity (sitting on a chair, thigh horizontal, calf vertical, knee at 90 degrees - straighten the knee until calf gets horizontal and leg is straight; when my calf was getting to about 45 degrees, it would not go any higher despite all my efforts). For the SLR, the same, my heel would not take off from the bed but my knee was bending and when my knee got to about 45 degrees, then my heel was taking off from the bed.

All this to say that  there was something left, but not everything that should have been.
Fast forward to October, I finally got to the MRI, the found a complete tear of the quad tendon ( how could it be complete if I could drive my car ?)
Anyway, OS operated 24 hours later (three months hour for hour) and told me that there was some "fibrotic material left" and that the tendon was not completely severed.
Yesterday, my PT throws again this "fibrotic" something at me, now related to my quad muscles; I ask for more explanation but could not get anything satisfactory and did not insist.

Maybe one of the smart people on this forum could shed some light on this fibrotic schmibrotic thingy ? I googled it but only got more confused.
Any hints or maybe a web site that could explain this in understandable terms ?


Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on November 27, 2007, 01:40:28 PM
Bear, think of term fibrotic as "scar tissue".  When one considers scar tissue, it is a hodge-podge of tissue that has healed in a disorganized way (just really to fill in a gap) and therefore interferes with the normal function of the the tissue, which in this case is tendon and muscle.  Muscle and tendons fibers are oriented in specific ways so that they can extend and contract and thereby function effectively to move the part they are attached to.  Therefore, if there are fibers/mucles that have healed in a way that is disorganized and not in alignment with the function, they are not going to work as well.  In Lyle's article which I referenced in an earlier post, early surgical repair of the quad tendon gives the best prognosis for recovery. 

Hope that helps.
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on November 27, 2007, 11:04:23 PM
Guys,

From what I learned from my OS is that scar tissue develops in some and not in others.  If an injury has gone untreated as yours BEAR, more scar tissue can develop to "fill in" the damaged tissue gaps as Federico was pointing out. Our bodies react to trauma and healing very differently.  From all my research and asking other doctors, the absolute best treatment for our type of injury is immediate surgery.  Unfortunately, this did not happen for you Bear and may be contributing to some of your issues.

On another note, I had my first PT eval today. (9 weeks post OP) They were very thoughtful and thorough, asked me a ton of great questions regarding my injury, surgery, expectations for recovery, current activity, pain levels, etc.  Without any effort they measured 68 degrees flexion.  I start actual therapy on Thursday and they gave me some exercises to do at home.  I found out I was holding my cane in the wrong hand! Right leg injury, use your LEFT hand for the cane...didn't feel much difference though...

Get well everyone!

Brandon



Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on November 28, 2007, 04:51:58 AM
Frederico and Brandon,
Thanks for the explanations, it starts making sense now.

This morning, I got 93 degrees flex in my injured knee!!
I hope my OS will et me drive my car soon!!!


Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on November 28, 2007, 05:07:37 AM
G`Day to all,
well saw the OS today and he said to take off the knee brace so I did.I then amazed myself when asked to raise my leg and with a little bit of willpower and effort I did! I am going to see a physio on Friday to work out a rehab plan and have spoken to the gym instructor at my work about a weight program when I can lift my leg a few more times.How often are you guys going to the gym and to physio? As I am working I think I will only be able to go 2 maybe 3 times a week do you think this is going to be sufficient to get me back on my feet quickly?The OS doesn`t want to see me for 6 weeks. Great to see all of you are progressing so well, I too am revelling in the freedom of being able to drive albeit in an automatic at the moment, with the leg raise today I am optimistic I will be in my manual by the time my mate needs his car back. Keep up the good work regards,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on November 28, 2007, 03:16:51 PM
Bill,
I am going to physio twice a week. No gym for me yet, but I have been promised that when I'll get 90 degrees flex AND my OS gives his blessing, they will let me ride a stationary bike. Flex - check, OS blessing - maybe this coming Monday when I met with him.

Good luck in your recovery.


Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on November 29, 2007, 10:18:12 PM
Hey guys,

Things are going along here in New Hampshire OK, just not the fast track, but I guess it's about putting the time in.  I had an OS appt on Monday, he kept my brace at 60 degrees for know, even though I was almost hitting the 60 without effort (but not quite). But of course starting yesterday, I noticed I was banging the 60 without effort, today they mesaured me at 68 degrees at PT, and that was with some effort for the last few degrees (I can do about 63-65 no effort).  I am 8+ weeks post-op my 1st surgery and as of tomorrow 7 weeks for the second surgery... I've been told that the scar tissue may be more due to the 2 surgeries.  But we'll get through it.

I think back about 3-4 weeks ago and I couldn't even MOVE my knee w/o pain, so I have definitely advanced for sure... just wish it was faster, and of course, I wish I knew the final outcome...

There are some other "subjective" positives: of course the crutches have been gone for a week and a half, I was using them outside, but feel very confident on my feet.  I still have a limp from not bending the bad knee all the way while walking, but it is much smoother than a week ago.  I have started not wearing the brace while inside at all, the brace keeps slipping down and I feel like I get a better bend and less limping w/o the brace.  The quad muscle is developing very nicely!  I can do an easy hundred straight leg lifts, and have started adding 2lb ankle weights.

Bill: Congratulations on the leg raises, I know that just about a week ago you said you couldn't do them at all, I think you mentioned you had some effort (almost like you have to concentrate: lift that leg, lift that leg).  It will come much easier over the next few days, it's amazing how fast it comes back!  You are all your way, and as driving the clutch, it was tough at first for me, but the same thing, in just over a couple of days, I had the extra ROM to drive like the leg was almost feeling back to normal while driving.  I also think driving the clutch is good therapy, I have even started sliding the seat up a notch or two, once I'm comfortable, this makes me do a little bit more stretch to get on the clutch!

Brandon: You're my hero man!  I think you & your OS have done this whole thing (except for the injury of course) the right way.  You were immobilized for a long time and pop out of that brace doing 65!  Fantastic work!  As I said, I feel like I'm right behind you on this train... you're 9 weeks post and I'm 8 weeks.  I just wish that damn suture anchor hadn't broken on me, I think I have more scar tissue (aven though at least newer scar tissue)... they are always breaking it up at PT with massage and pressure (I do some myself too).

Bear: It sounds like you are doing great considering the long time before surgery, hitting over 90 degrees, and you are just a little ways down the "6-12 month" road to recovery.  I am no where's near 90.  I bet your body has some how come back and compensated for the first few months of your injury, but it sounds like you are doing just great!

Hope everyone else is doing great... albeit slow, it sounds like we are plugin' along!

Bob in New Hampshire (where the days are too short and it's too cold, I am jealous Bill!!!)
Title: Re: Ruptured Quadriceps Tendon
Post by: S53 on November 30, 2007, 06:10:43 AM
Figured I'd give an update even though I'm just 3 wks into a bi-lateral repair.

At 2 wks the staples came out and OS bent my L knee 10 deg. Commented it was stiff and then appeared to get it to 45. Minor twinge. He felt around for firmness to verify anchors didn't come out. That was it and back into the immobilizers. Said he was able to make a good repair. 90 deg. post op. Recall I was in surgery within 6 hrs. of falling.

Cleared me for full weight on my feet. Crutches or walker. See him again in 3 weeks.

A PT came by to get me on crutches. What a debacle. All I can do is move one leg at a time, about 1 foot. Immobilizers felt heavy. Spread out pretty far. Looks like that won't be a ticket out of the chair.

Since there is no way into my house w/o climbing stairs I've been staying in our garage. (Long story that enabled me to get home. Isn't that bad at all.) I did manage to get up and down 6 steps onto our rear deck. I'll take that all the way into the house this weekend.

Next action is to get into the rear seat of our mini-van. (We rented one with a ramp so I could get to work every day.) That's about all the PT I think I'll get for next 3 wks.

Am hoping I'll be hobbling on braces at 8-10 weeks, and maybe driving an automatic.

Thanks for keeping up the posts on progress.

Steve

Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on November 30, 2007, 07:17:41 AM
G`Day all,
well first physio session this pm,mainly assessment and showing some exercises.54 degrees of knee bend which I think is OK for a first measurement.I have 3 visits next week so I will post again next friday with some new results.They did an ultrasound and some electric current machine which felt like ants running across the patella,I think it was to stimulate and break up scar tissue.It is good to be doing something at last.Well I will keep in touch.Keep up the great work everyone in the words of old Mr Rumbold "You are all doing very well" (that`s one for the Poms amongst us).Oh and Bob I am going to get in the pool later it is really warming up as tomorrow is the first day of summer here I`ll think of you with your cold weather,why do you think we live here?

Regards,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on November 30, 2007, 10:30:14 PM
 Here's a question for any and all, What is the re-rupture rate? how many of us under normal conditions are going to go through it again?,  and again. I'm my number two
 
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on November 30, 2007, 10:49:29 PM
Hi


Only know of one other posted in last five years .....


JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on December 01, 2007, 04:49:03 AM
 sounds wonderful









Bob/Tooele, Utah.
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on December 01, 2007, 03:12:12 PM
I did search on MEDline and didn't come up with any studies on re-rupture of quad tendon. 
Keep on doing your stretches and PT - you're all doing great! 
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on December 01, 2007, 03:23:38 PM
Flex progress update:

4th week: 60 degrees, 75 after stretching
4.5 : 50 degrees, 60 after stretching (Pt discovered a "knot" in my quad, after massaging it I went back to 70 degrees flex)
5.5 : 75 cold , 85 after warm-up and stretching
6 : 93 degrees after warm-up
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on December 01, 2007, 06:56:35 PM
Excellent - but remember that the Tendon is still very weak - dont push it too much.



John
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on December 01, 2007, 07:58:04 PM
John,
Yes I am aware that I am right in the middle of that tricky period where you have the feeling that everything is well, but there is laways anasty danger lurking in a shadow somewhere. I try to be even more careful than before.

But your point brings on a very interesting question: What can one do to strengthen a tendon ?
Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on December 01, 2007, 09:12:27 PM
 Has anyone seen the percentage of quad ruptures? was wondering just how rare this is.









Bob/Tooele, utah.
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on December 01, 2007, 10:38:00 PM
Couple of interesting stats....88% of ruptures occur in 40+ year old males.  The achilles tendon is the most often ruptured major tendon, the quad, much less common.
Partial ruptures are common in a younger age group - average age 28. 
The army did a study and blacks were 13X more likely to have a major tendon rupture than whites. 

RE: Can you strengthen a tendon?  Well, sort of, from my perspective.  The tendon itself is what it is: a collection of fibers with little blood supply attached to muscle at one end and bone at the other.  The place where it ruptured is the point in question because this is where the tendon fibers are attached into bone. This union can be improved by stressing the attachment ever so slightly over time, enough to result in some remodeling and improvement in the intimacy of the attachment, but stress it too much and the opposite occurs: the fibers detach from the bone.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on December 02, 2007, 09:15:04 AM
Rupture of the Patella Tendon and Quad Tendon are classified as sports injuries, because of the excessive strain placed on the tendons.  My Consultant stated that Tendons are weakened if one is taking steriods.

Ruptures are very RARE.


JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on December 02, 2007, 02:45:38 PM
Hi All,

I have a question for you guys... the past couple of days I've been having a lot of pain around my knee, below, above.  Feels more like a overall soreness.  I have been working the last two days (I'm at work right now), and have been on my feet 10 hours, basically the whole time.  I did have some swelling at the end of the day yesterday.  I feel like my ROM is even reduced a bit.

The strength seems to be fine, I am able to stand one one leg and do my several leg lifts no problem... but just in the past couple of days I just seem more sore.  Don't think I'm going backwards, but sure seems to be at a standstill since Thursday or so.  Is this normal? I have been doing more, and I'm hoping to hear all I'm doing is breaking up scar tissue?!? I've done nothing compromising to re-injure, other than being on my feet 10 hours at a wack.

Anyone have (or had) these periods of a feeling of increased aggravation to the repair.  I am now 9 weeks post-op and pushing 65 degrees (with tightness in the last 5 degrees), been off crutches 2 weeks now, but walking is a bit more painful with the aggravated irritation I'm feeling, which inturn hinders my "good form" of walking (swinging them knees and legs).

Thanks!  Bob

ps... we are getting up to 16 inches of snow tonight/tomorrow, I probably won't make my PT appt tomorrow... Brandon, how much snow did you guys get in NY?
Title: Re: Ruptured Quadriceps Tendon
Post by: binkeyhb on December 02, 2007, 03:21:44 PM
Hi Steve,
I'm 5 months into bilateral quad rupture and I'm just about to go running; well I don't run unless an ex-wife is chasing me but I jog(about 4 miles). On a serious note, I really feel blessed. I never thought I would be able to ever reach down and put socks on and here I am jogging! Hang in there!
Binkey
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on December 02, 2007, 03:35:43 PM
Hi Bob

Simply put - I am of the opinion that you have not given enough time for the Tendon to heal properly - rest and icing is required.

Ease up until you can reach 95/115 ROM

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: S53 on December 02, 2007, 05:08:00 PM
Binkey,

That's just what I needed to hear from where I sit (bike happens to be just across the room.) I'll indeed feel blessed to run 4 miles again. That's huge.

Making it up and down stairs okay w/o crutches. Still a little wobbly on crutches. Afraid of falling backward. Motivated to be rid of the chair.

Thanks Much,
Steve
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on December 02, 2007, 06:16:56 PM
Hello Everyone!

Bob: I think you are pushing yourself a bit.  I know what it's like to feel good and you forget how careful you should be and you end up over doing it a bit.  take a rest for a few days, ice, massage, keep your leg up in your favorite chair...I believe it is normal to have a few bad days where you feel as if you are regressing.  When our bodies are stressed from too much activity...it tells us by hurting a bit.  No worries...take it easy.

Snow!  Yes! Only 6 inches though...I was out doing some LIGHT shoveling.  I am now at 10 weeks post op, walking WITHOUT a cane, my PT is going well, very easy exercises, nothing too challenging yet.  I stretch a bit and believe I am at 70 degrees.  I can walk UPSTAIRS!  Not down yet, quad still too weak. 

About the re-rupture: Heard of a few from my OS, he performed two re-rupture surgeries on the same person, 27 year old male. OS said he did NOT follow his advice on healing.

Successful recovery to all,

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on December 02, 2007, 06:54:27 PM
Hi Brandon


Cannot emphasise enough - watch out walking on snow & Ice ......



John
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on December 02, 2007, 08:44:24 PM
One more addendum:  Spontaneous tendon ruptures are also associated with taking fluroquinolone type antibiotics....cipro, levoquin, floxin, noraxin are some examples. 

Yea, watch the snow, ice and other surfaces made slippery by the same. I went skidding across my garage floor today after shoveling about 6 inches of the white stuff.  However, I didn't make any "ballistic movements" as my OS used to say. 

Bob, re: soreness around knee - At your stage of the healing I would expect the soreness around the knee esp. if you are pushing the use of it.  It happens.  Just take it as a sign to give it some rest before you push some more.  As you suggested, I attribute it to remodeling of the scar tissue. I would usually do some massage/heat packs when it felt like that  to encourage blood circulation and get the noxious breakdown products out of the area.   
Title: Re: Ruptured Quadriceps Tendon
Post by: binkeyhb on December 02, 2007, 10:43:09 PM
Steve, 
Thought I would never be able to get ROM and spin bike pedals. Finally got around after two months. OS wants me to be Lance Armstrong and rather than jog I usually ride a recumbant bike for an hour/day. Before  quad ruptures I was running 40 miles/week. Been doing that for over 45 yrs.
It's snowing here in western Mass. and I slipped on the stairs and thought I tore quads again...my hard training has paid off; boy, did I scare myself.
 I also do squats with about a 100lbs. (can't get below 90 degrees). Need to get to a swimming pool, but I haven't.
Started driving a manual shift at 3 months. Right quad is worse than left...don't know why; surgeon may have gotten tired. Ice was my best friend.
Hang in there, it gets better!
Bink
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on December 02, 2007, 11:57:29 PM
Hi All,

Thanks for the input, it's always helpful to hear from the people that have been there and made it through.  It's always so encouraging to hear there are brighter lights at the end of the tunnel.  Of course, just 3 weeks ago I was thinking I couldn't wait to get off the crutches, and I'm past that point now... things just never seems to come fast enough.

I will take the advice of Brandon, Fredrico and John, and slow down a bit, I have to confess that at work yesterday, I pretty much shed the brace most of the day.  I work in a safe level place, with only one other employee on weekends.  PT had been doing balancing exercises and walking exercises w/o the brace on... so I do confess, I probably went too long on my feet without the brace yesterday.  Never had a mishap or even close to a mishap, I was careful, but I was tired at the end of the day, and had the soreness I described later on.  Today at work, I had the brace on about 90% of the time, taking it off only when I was sitting for a bit and had to get up for short stints to retrieve items.  Still a bit sore, I did get in and break up some scar tissue with massage. 

It's hard not to be a bit aggressive, I think we all want to be back where we were... I will take the good advice from those have been there and be a bit more conservative.

As far as snow, the PT dept at the hospital where I am having PT, which is right smack in the middle of ski country, I have been told the best help is something called Yak Trax, I bought a pair for about $29 US at EMS, a store for outdoor sports & activities... here's a link to the YakTrax:

http://www.ems.com/catalog/product_detail_square.jsp?PRODUCT%3C%3Eprd_id=845524442585761&FOLDER%3C%3Efolder_id=282574488340929&bmUID=1196639708014

We had a couple of inches of snow last week, and they seem to work quite well.  They are advertised as working on ice too, even though I have not tried that yet, and do not intentionally intend to test them to any extreme, just looking for insurance!

Thanks again, hope everything's great with everyone!

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on December 05, 2007, 05:51:05 AM
Quick update. met my surgeon yesterday, he told me that I can ditch the crutch and get a cane, also that I don't need the brace anymore unless I walk for long periods or outside, on slippery surfaces. We got almost 50 cm of snow here in Montreal, so I guess I'll keep the brace for a while when walking outside.

I am cleared to drive my car and essentially do whatever I want as long as I wear the brace set on 90 degrees flex (bye bye Forrest Gump brace :) )

Next step for me: getting on a stationary bike and start pedaling.
Title: 7 weeks update
Post by: milkoholicBear on December 11, 2007, 03:44:40 AM
Update at 7 weeks:
Flex: 115 degrees
Extension: Maybe 10 degrees lag, according to my PT, my quads are not strong enough yet to fully extend my knee under gravity.
Strength: Still not where I would like it to be, but getting there.
Walking: Still hesitating, I am going to get a cane soon and drop the crutch. Yet, with all the snow we got here in Montreal, the icy sidewalks (thank God my wife still drives me to work and drops me like 5 meters from the building entrance) I am in no hurry to do this. I am not wearing the brace anymore, except for walking outside on slippery surfaces, or when I am not very sure on what I am going to walk on.

Thoughts: Flex is really good, I can do almost everything now, sit down normally on a chair, drive my car (manual shift), anything.
What I really have to work on from now on is muscle strength.
My PT let me do a few minutes on a stationary recumbent bike, and told me that next time I can come 30 minutes early and ride the bike before the session. I am seriously going to do that and gradually increase time on the bike from 30 minutes to 45 then to one hour.
I really hope pedaling will make my VMO work ( I was feeling it today) and this will help bring my strength back.


Title: Re: Ruptured Quadriceps Tendon
Post by: philt on December 11, 2007, 08:45:03 AM
Seven Month update

Hi all, great to see everyone making more progress.  Thought you might like to know how one of  us "old timers" is getting on  :).

Saw my PT yesterday and had the strength of my quads measured again.  Now at 70% of full strength compared with my good leg.  She's pretty pleased with progress (up from 60% 5 weeks ago and 40% on 12 October which was 5 months post op) but it's taking some hard work in the gym to make this progress (4 or 5 hrs per week).  Now pushing leg extensions with my bad leg only at 55 lb and 66 lb reasonably comfortably and can do a limited number (6 or 7) on 77 lb.  First set always a little painful around patella but once warmed up pain diminishes.  PT has told me to focus on low reps and increasing the weight in order to improve strength more.  Next appointment is in Jan, the week before I go skiing in the French Alps. 

Apart from this I'm just getting on with life as normal.  Still suffer from tightness around the tendon when walking but not letting this stop me doing carrying out normal day to day activities.  Still cannot play soccer with my 7 year old although can now kick a ball in an ok fashion (enough to score past him anyhow!).  Next challenge is to get some "spring" in my leg so that I can start running round with him too (i've had enough of him running past me!).

Take care all.

regards

Phil
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on December 14, 2007, 12:47:19 AM
Hi all,

Looks like it's been quiet here for the past week or so, first time I've checked in in a while.

Things still seem slow for me, I am only bending to 70* and it's 10 weeks post-op, Bear I am so jealous!, you're doing 110!  But on the opposite scale, my leg seems very strong.  I do my straight leg raises with 5lb weights now, can easily do a hundred (and I do that many).  Just the bend is very tight, increases very slowly for me.

Also like you Bear, I only wear the brace when I am outside.  I take it off at home and at work.  I am only a hundred miles away from you (Jackson,NH) and we have had a ton of snow... I wear the YakTrax on my shoes whenever I'm outside to grip the ice/snow.  Been able to shovel snow easily, take in firewood... but still limited to "one step at a time" on stairs, even though at work when I have to go upstairs, I am able to do so because of a smaller pitch to the steps at work.  Going downstairs with the bad knee is just a pipedream at this point.

Phil, thanks for the update... for us "newbies", your sharing your progress gives us hope for some return to being normal someday, it is such a struggle.  This injury is will easily occupy 2% of my current lifetime and I don't like it!

I have an OS appt next Wednesday, I expect that he will finally give the green light to get bending aggresively, being 11 weeks post-op when I see him.
 
How is everyone else doing out there?!?!  I hope things are going well for everyone.

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on December 14, 2007, 11:28:39 PM
G`Day all from sunny Australia,
can`t say I envy you with all that snow shovelling and ice and stuff,it`s about 30 celsius here today and my most pressing need is to get the leaves out of the pool,oh and get in it after I have finished.Seriously though it seems like everyone is progressing if a little slowly.Bob I have had 5 sessions of physio now and have 78 degrees at the moment,we have not done any aggressive bending yet.I drove my manual at week 9 and it is getting easier every time.I haven`t worn the brace for a couple of weeks now and only put it on with so many degrees of knee bend if I am going somewhere with a lot of people,like my sons swimming carnival last week.The physio gives me strengthening exercises a ultrasound and massage  to break up the scar tissue along with some sort of stimulation machine for 20 minutes each visit,we will start gym and hydro pool soon I believe.

You are right this is taking a long time my knee feels like it is a lump in the middle of my leg at the moment,not at all normal. All movement is forced but it seems to be improving I can walk up stairs easily if I put my foot on the same step it gets a bit harder if I try to put the injured knee up a step higher as you would normally do,going down is still sideways injured leg leading but I think of the positives since the injury which is now almost 10 weeks post:

I no longer need my crutches or leg brace
I can sleep without a brace (and on my side)
I can drive my manual car (probably the most important development to date)
I can do a full days work without any worries.

There are probably a few more but I will get this posted,look forward to hearing from you all and keep up the good work.
Title: Re: Ruptured Quadriceps Tendon
Post by: philt on December 16, 2007, 03:59:52 PM
Hey Bob, I can remember the frustration at being stuck at 70* myself.  Don't know what exercises your PT has given you but mine started me doing "assisted heel slides" at about that time - assisted in the sense that I had a bath towel twisted together like a rope and looped around my heel. I pulled the "rope" once I'd maxxed out on the unassisted slide and stretched the quads/tendon a little more than they'd otherwise go.  Also found hamstring curls helped  - lying flat on front and bending knee as far as I could towards my backside - which wasn't that far at the time!   

It took me about 18 weeks to get full rom back and remember often wondering whether it would ever happen.  It has but man has it taken a "lifetime"  - sometimes feels like 2007 has been a missing year!  On the plus side I actually played footie with my son today  - just seeing the joy on his face as we ran around (him mostly but me to a limited extent) has made all the hard work to date worthwhile.  Makes me more determined than ever to keep pushing this recovery forward. 

Good luck!

Phil

Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on December 17, 2007, 06:49:37 PM
Help!  I think I need some advice/answers/encouragement!

Yesterday, 17 Dec, I had a setback... almost back to crutches.  I'm just wondering if anyone has had anything like this happen to them:

Up to the last 2 days, I've been doing great, a slow steady climb, but feeling better and stronger everyday.  3-4 days ago (I'm not sure if this is related to my new problem), I was shoveling snow, and my back became sore for about 2-3 days.  I just worked three days in a row, and the first day at work I took a Ibuprofen... well my back cleared up within hours, but my left calf (the recovering leg) was a little sore, but it was OK.

Day number 2 at work, the calf was a little bit more sore... but I was still walking around fine and feeling strong, not using the knee brace at all.

Day number 3, I wake up to a even more sore left calf... off to work I go, and within hours the left calf was very painful, especially when trying to stretch it out while walking (that would be when the leg was behind as I took the next step with the good leg.  Even more disturbing I noticed a definite loss of strength in the lower leg (the quad repair and upper leg remain strong and painfree).  I cannot even raise myself up on my toes with the bad leg... when I could do that just a day ago easily.  Since I work at a hospital, they did a bloodtest and ultrasound that day for blood clots... all negative.  I caught up with my OS today, he seemed somewhat concerned about the pain, and loss of mobility.  He checked the knee repair and all was fine and strong there, as it still remains now.  I will see him in 2 days again, but this pain/weakness in the calf almost seems to be a separate thing (maybe sciatica... my guess), I have had no traumatic jerks,falls, etc... just the sore back (which the back btw, is not sore at all anymore!)

OK, I know I tend to be wordy, but if anyone has read thru this and have had anything like this happen to them?  I know it's not normal, but it sure is scary again.  On the good  side, the joint remains solid, and the joint itself is becoming more pain free, and I am now getting close to 85* of bend... but with this newest problem I can feel a lot of pressure being placed on the joint as I once again try to compensate for another problem.

Thanks all,

Bob

PS  We've had about 14" of snow since yesterday AM... and it's 14F right now, 2pm, this is way too cold!!!
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on December 18, 2007, 12:23:38 AM
Bob, sounds like you strained your calf muscle doing something.(shoveling snow? trying to protect your back?)  I didn't have this happen to my injured leg, but did have it happen to my good leg, because I was subconsciously overcompensating for my bad one. 

The muscles in that leg are probably weak to begin with and it didn't take much to strain the calf. 

Check out this link: 
http://www.upmc.com/HealthManagement/ManagingYourHealth/HealthReference/Diseases/?chunkiid=11984

You will have to baby the calf now for a few weeks, but it will come back.  Just don't stress it anymore.

Regards,

Fred
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on December 18, 2007, 03:32:53 AM
Hey Everyone!

I'm at 12 weeks post OP from my quad tendon rupture.  I'm achieving 90 degrees, getting around without the brace and walking almost normal.  I go to PT 3 times a week (had 5 sessions so far).  Like you Bob, I wear the YakTrax outside on the snow and ice. 
I agree with Federico, your body isn't used to physical exercise or exertion and you simply overworked and strained your calf.  Try and take it easy and it should pass in a few days.  Try alternating some ice/heat, Biofreeze if you have it (gel solution for soreness). Good Luck!

Glad to hear most are progressing quite well with their recovery!

Best regards,

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on December 18, 2007, 04:40:43 AM
Bob,
I agree with Federico, you probably either strained your calf muscles or you slightly overused it. talk to your physiotherapist about it, these people can sometimes do miracles with cramped muscles.
On my side, when I started using my leg after surgery, I was getting those huge cramps in my toe muscles in my foot, probably because I was using them in a way there were not meant to be used while compensating for other parts of my leg not working. I also used some myoflex on my sore muscles and it worked quite well.
Also, expect to have other muscles protesting against the treatment you take them through after such a long period of laziness. :)

In my case, I spent today a full half hour on the stationary bike pedaling through a home brewed program of varying intensities while maintaining about 65RPM. I must say that what hurts the most is my butt! My left gluteus did not appreciate one iota being awake from the cozy hibernating sleep it was in since July!

On the knee front, at 7 weeks, I am getting almost all the flex I will ever do (122 degrees in the bad knee, 130 in the good one). Yesterday, for the first time, I felt that what stopped my knee from flexing is my thick thigh and not my knee.
I must admit I am the first amazed by how fast and well my knee progressed, flex wise. Even more, taking into account that I have particularly inflexible joints, significantly below the average human being. But this is that, and I will not complain.
Extension and strength remains an uphill road to me, as I can only progress in this domains.
I still have a ~15-20 degrees of extension lag, apparently due to the vanishing of my VMO.

Functionally speaking, the only annoyance is this @#$%^&* snow that keeps falling and the icy, slippery outside surfaces.
I stopped wearing my brace completely, but I tend to avoid walking outside more than the strict necessary. I am still using the crutch outside, on snow and ice, but indoors, in my home and my office, I don't need it anymore. I limp when I walk, but my knee feels a lot more stable and safe then it used to. I can go up the stairs on both knees, down on my bad knee is something I did not dare trying yet.

I am seriously thinking about joining a fitness club to get a daily hour of stationary bike. It felt so good after today's short workout!

Here are some pics about how my neighborhood looked like today:
(http://pages.infinit.net/bobnico/dsc_1524.jpg)

(http://pages.infinit.net/bobnico/dsc_1530.jpg)

(http://pages.infinit.net/bobnico/dsc_1538.jpg)

(http://pages.infinit.net/bobnico/dsc_1590.jpg)

(http://pages.infinit.net/bobnico/dsc_1594.jpg)

(http://pages.infinit.net/bobnico/dsc_1596.jpg)

(http://pages.infinit.net/bobnico/dsc_1602.jpg)

(http://pages.infinit.net/bobnico/dsc_1616.jpg)

(http://pages.infinit.net/bobnico/dsc_1621.jpg)


Title: Re: Ruptured Quadriceps Tendon
Post by: S53 on December 18, 2007, 06:04:46 AM
Had my 5 week OS visit today. I was a bit disappointed to get no more than 40 deg flex in both knees.  I'll have to look back along this thread. Thought most everyone was getting more like 50-55 deg at 3-5 weeks. Seems like I'm dreaming if I think I'll  be spinning my bike on a stationary trainer within the next two weeks.

As planned OS changed  me from the heinous immobilizers to a ROM brace set for 30 deg flex. Great to be able to sit almost normally in a chair. I've been using a walker for the last two weeks. I've ditched that around the house, office and other familiar places. Still push it around in public places like supermarkets or crosswalks. Will start PT this week, 2x/wk passive stretching.

Got permission to lap swim with no braces so long as I don't kick my legs. We'll see how getting in and out of the pool goes.

Can't imagine getting through this in a snowy winter. I'm wimpy approaching the slightest downhill pitch and slick sidewalks in the mild rains of southern California.

Steve
Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on December 18, 2007, 01:48:10 PM
 I had my first repair done on feb 8th 2007, my second repair, to the repair was done on july 25th, I had done nothing that I felt could have caused the repair to have failed, no slips etc. I am now going on 5 months post op from the second repair and it has been a slow up hill battle, trying to get my right quad to return. My Os says he'll see me again on jan 6th, and we'll go from there. My leg is getting better now, but for a long time it felt as if I was beating my head against a wall, I was not improving much, and it just plain hurt.
 If I may offer any advice it would be to take it slow, don't hurry the recovery.


Bob/Tooele, Utah.
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on December 18, 2007, 07:07:19 PM
Hi folks,

Well I just came from PT, my knee is now doing an easy 75*, no pain(in the patella/knee), feeling strong.  For the first time I am able to put my bad knee up onto the stairs in my house (they have a steep pitch).  I have my OS appt tomorrow... everything sounds good, but the bad news continues....

with this totally hurting calf/hamstring, this has set me back tremendously.  I am almost back on the crutches (not quite), PT try to do a "spinal traction" to see if it was a disk in my back that is resting on a nerve.  Blood clot has been ruled out (it seems to be a nerve thing anyways).  I had a backache episode similar to what's happening right now back in 1995, it was horrendous, pain in my leg that is so unbearable.  The pain doesn't seem as bad as the first time (it's mostly in the calf muscle), but there is definite weakness present this time, which I think wasn't last time.  In the end the 1995 event resolved, with just a little sensory depravation to by big toe.  I am hoping that this resolves soon, I was doing great up until Sunday morning!

Hey Bear, those pictures look a lot like what's around here!  I went the post office yesterday down in the village of Jackson and wished I had my camera, it sure did look like the "Picture perfect" postcard.. but darn cold!  I sure coiuld use some tropical experiences right about now!

And yeah Fred, you're right, I'm going to have someone come over and shovel me out, I'll still have to do some minor stuff to get to the car in the AM (I park the car close to the downstairs door)... I did way too much the day before I started have some back pain followed by the leg pain (back doesn't hurt at all anymore, just the leg now).  The day before, I had shoveled, brought in firewood, put together some shelving units down in the basement and loaded stuff on those shelves, and followed the whole mess with 3 10-hour days at work.  I guess I did overdo things.  I need to be patient, I just hope the current crisis resolves soon.

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: S53 on December 20, 2007, 04:14:50 AM
5+ weeks, first PT visit. Easily reached 85 deg of flex in both knees, and do 15 leg raises up about 45 deg. PT didn't want to press flex any further. Am guessing my knees loosened up in the last two days walking around with a 30 deg ROM set on my braces. Gave me my homework.

Hope everyone has good holidays.

Steve
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on December 20, 2007, 05:11:11 AM
Steve, Bob , Bill and others,

Do you guys have any extension lag ? Like, when do your straight leg raises, is your knee perfectly extended to 0 degrees, or is the knee slightly bent when you raise the leg ?
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on December 20, 2007, 05:32:50 AM
Hi Bear,

My leg has always been straight on the straight leg bends, it looks nice and solid when I do a leg raise.  Of course the quad muscle is still developing, but the patellar tendon looks real solid.  I am only bending maybe 80-85 if lucky.  Myneuro problem is still happening though, I am going for a MRI of my back on Friday or Monday.  I have had sudden pain/weakness in the lower extremity, can not stand on toes at all anymore.... very scary.

How bent is yourl leg when you do a leg raise?  I heard the thing to do is rest your foot on something and let the leg rest into a hyperflex, maybe even drape an ankle weight over theknee. Here's a link to some ROM exercises to the surgeon that did my surgery:

http://www.nhkneecenter.com/ROM.pdf

The first couple of exercises deals with the flex you're talking about, hope it helps!

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on December 20, 2007, 05:46:30 AM
I have absolutely no issues with ROM, I can go from 0 to 125. Passive extension is good, goes to 0, just like the good knee.
In active extension against gravity though, I have a lag of ~ 15 degrees whatever I do.  Active extension without gravity ( lying on my side ), I can go to 0 degrees without any problems.
When I do my SLRs, the knee bends very slightly (~15 degrees) before the heel lifts off.

Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on December 20, 2007, 06:13:26 AM
 After nearly 5 months I still lag about 15 degrees, I can move it straight with a little effort, but it doesn't want to straighten out.  Today at Pt, I did 13lbs in a straight leg raise..

Bob/Tooele, Utah
Title: Re: Ruptured Quadriceps Tendon
Post by: BTI on December 20, 2007, 09:22:21 PM
Hey Guys,

I'm 13 weeks today, wow, never thought I would come this far...BEAR and the rest, I do have a "lag" when doing a straight leg raise. I guess it is from lack of Quad strength.  I rest my heel on the toes of my good foot, flex the quad and raise...I get a bend of a few degrees.  I'll see how this improves over time. 

My friend has an indoor pool right next door, think I'll do some pool therapy a few times a week.  Heard it was great for the legs...
Going tp PT three days a week, getting stronger. 

Bob: I hope your setback isn't serious...keep us in the loop.

Brandon
Title: Re: Ruptured Quadriceps Tendon
Post by: S53 on December 21, 2007, 04:37:00 AM
No lag on straight leg lifts, but I am lifting only the weight of my own leg. Think I'm planned for only passive PT for another 2 weeks.

My R knee gave slightly twice when walking down a slight incline, dry ground. Pretty sure the ROM brace at 30 deg. held me up. Am sure there are lots of unexposed weaknesses I'll find when the weights appear.

Steve
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on December 21, 2007, 11:35:34 AM
Hi Guys,

I continue to have this weakness in what is appearing to be my calf and hamstring muscles.  This has been so sudden and devastating.  Because of the holidays, they have scheduled me for a spinal MRI for next Thursday, the best they could do.  This is becoming very scary, today being one week since symptoms started.  There is now a physical lack of muscle tone I'm seeing in the back of my leg.  Cannot do any type of a toe lift with the affected leg (a week ago, it was easy as pie).

Quad muscle remains strong, easy to do leg lifts, my ROM is now 82 degrees,, but walking is hard and painful in the full length of the back of my leg.  8 days ago I was almost walking with a normal gait and painfree... totally different now.  I hope to have some answers soon, this came out of the blue, definitely seems to be a neuro thing thru the back.

Glad to see everyine's doing pretty good, home to join you all soon on that path.

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: patrickM on December 24, 2007, 01:37:17 AM
I am now at the four month mark, after surgery for a ruptured quad. The difference in strength in the quads is surprising. I can extend 92 lbs with my good quad and 32 lbs with my "bad" quad. I continue to ride a stationary bike and elliptical, along with leg presses and squats. the strengt is coming back quickly; yet, I remain nervous. I have full ROM, which I had since the three month point.

It would be great to hear from some who has reached the six month or more mark. I am wondering if anyone has returned to running, tennis or skiing. I am guessing it will take a year before being able to get back into active sports.
pat
Title: Re: Ruptured Quadriceps Tendon
Post by: philt on December 24, 2007, 05:24:49 PM
Hi Patrick

I'm not long past the seventh month post-op mark.  I can now just about extend 88lb (well, do a couple of reps anyway) with my "bad leg".  This only after warming up starting with 10x 55lb and working up to 88lb (can also remember struggling with 22lb a couple of months ago!).  Going skiing in 4 weeks time - have no idea how my leg will stand up to this but going anyway.  PT is supportive but she's also aware of how hard I've been working in the gym since I started weights.  In truth I don't expect to be fully functional for a few more months (judging by posts from others who've had the same op) but I'll just be glad to get back on some skis and will settle for some lazy blues rather than mogully blacks!  I've posted previously and if you track back you'll be able to get a sense of how I've progressed.

Hope it goes well.  Merry Xmas all!

Cheers

Phil

Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on December 30, 2007, 06:19:57 AM
Last status for this year, all is fine in bear land.
10 weeks post op, I only use one crutch when I have to walk on snow and/or icy, slippery stuff.
Knee still feels funny, but, it gets better and feels safer almost everyday.
I am using a stationary bike at my physio, about 45minutes twice a week; in January I intend to start going to a fitness club to get more bike time.
The only concern is that I still have an extension lag of about 20 degrees that does not seem to want to go away.

Happy new year to everyone who may be reading and let us all take better care of our knees in 2008 than we did this year !!!

PS: Bob, did you get the result of that spinal MRI that you had scheduled for this week ?  I hope that all is well.
Title: Re: Ruptured Quadriceps Tendon
Post by: 225Champ on January 01, 2008, 11:55:17 PM
A few weeks since my last post.  I am now 8 months past bi-lateral surgery. I'd like to think that I can return to being the physically active 52 year old. Don't know if I'll return to running. Will miss the ski season. The OS said I should get beyond 12 months before returning to certain activities.  On my own w/ any type of PT now.  Still making it  to the gym for more upper body workouts , rather than lower.  My leg therapy is limited to hamstring curls, some light leg presses, and hip abductor/adductor machines. Recently did some light hiking, but the downhills were tough for me.  I am walking better, some dull aches, a little difficulty getting up from seated positions.  I also have periodic calf, hamstring and lower back aches which I think is partly from my overcompensating to watch each and every step/move. I don't want to risk a setback. ROM is great, and improved remarkably with time. My extensor lag (15 degrees) exist on one leg, but it has not affected strength or mobility. 

Wishing you all a stronger 2008

Danny
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on January 05, 2008, 02:04:56 AM
G`Day and a Happy New year from Oz,
well it seems as if most of us are still progressing with our rehab,Bob I hope everything is better for you now.
As for me I now have just about full ROM but when I extend my leg I still have a slight bend but it is getting better everyday.I can now drive a manual without any problem my  gait has improved with only a very slight limp,I can walk up and down stairs although down is still a little shakey.I have been on physio for about 4 weeks and most of it now is strengthening and trying to get the receptors in my knee working again,the knee joint feels better but it is still nowhere near strong enough to run or jump on and I cannot kneel down yet but I have been walking up to 5km a few times a week so that is good.Well I will go now and will keep in touch.

Bill
MILESTONES
complete rupture left quad while military ff jumping 11 Oct 07
surgical repair 12 Oct 07
immobilised for 7 weeks
walk without crutches week2 (no ice or snow here we only have to worry about ice cream and other spills at the shopping centre)
drive manual 8 weeks
physio for 4 weeks
Now at week 12 and I expect to start gym work next week




Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on January 05, 2008, 07:42:19 PM
Hi Everyone,
It's been a long time since I last posted.  Things have not been too good here in NH.  The knee is healing pretty darn good, bent 97 degrees at PT a week ago.

The bad news is, I was way too aggressive in trying to do things, I now know exactly what I did in retrospect, and I'm pretty mad at myself.

First, I have a herniated disk at the S1-L5, descending into the nerve canal (whatever that is called) and pressing on the S1 root nerve... which is the cause of my leg pain and leg weakness that I have been having for three weeks this weekend.  I was coming along fantastic up to Dec 16 or so... when I started with some back pain, that resolved quickly into leg calf pain, then into calf weakness... which has an affect on my walking.    The real bad news is, the disk is so herniated, I need to have back surgery, and I am having that this Wednesday.  At first I was hoping a conservative approach, but because of the weakness, the neurosurgeon I saw a couple of days ago, said go in and get that disk fragment off the nerve now.

So here I go again, my third surgery in 3 months!  This is a real setback as you all could imagine.  It will be a small incision with a micro discectomy... but still out of work again for 3-4 weeks.  Don't know how it will affect my knee therapy, but I will be going to PT for two things now.

So a real bummer for me... I know how I did it.  At the time I didn't know it.  I was at the grocery store and picked up a 50 lb bag of snowmelt to put in my shopping cart.  Because I could not use my knees, it was all back lifting with one leg doing the anchoring, as I just got to the top of the lift, there was a "slip" in my back.... no pain, just a slip.... then 4 days later the symptoms started.

Oh well.  I just have to go thru this... that's why I haven't posted for a while, I'm just at a standstill, except for the knee itself seems strong and doing OK, I just don't want to overcompensate the knee with the compensation I'm giving for the leg being weak.

That's it for now, I'll let you know how things go after this next round of skin slicing....

Ugh!

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on January 06, 2008, 06:36:40 AM
Bob,
Ouch man, this is a huge bummer, I really can not imagine much worse than another surgery right now.
Hold on tight, I'm sure it won't belong before you'll ride your bike again.

Good luck with the new intervention.
Let me know if there is anything that I can do to help you. Maybe, when you'll get better, I'll drive down and have a beer together. 
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on January 07, 2008, 12:35:46 AM
Whoa, Bob, that is a real bummer!  My best wishes for a straight-forward surgery and uncomplicated healing - so you can get back at the quad strengthening.
Title: Re: Ruptured Quadriceps Tendon
Post by: 225Champ on January 07, 2008, 01:45:44 AM
Bob, wishing you all the best going forward.   Despite the setbacks, your attitude is inspiring.  3 surgeries in 3 months is alot to handle.
Keep yourself mentally well and the physical will follow. I know all too well,  it has been a tough 8 months mentally, with both legs keeping me from doing things like the simple movement you made to lift.

Sending good thoughts your way today and especially on Wednesday.

Danny
Title: Re: Ruptured Quadriceps Tendon
Post by: S53 on January 09, 2008, 03:53:21 AM
Boy that's rough. Think I've got a fairly decent 8 week update. ROM is 120 deg in both legs w/o pain. OS prefers I don't go past 110 for another 4 weeks. He let me remove the braces I've had for the last 3 weeks, at least when I'm walking around fairly level and familiar areas. Got permission to kick during lap swimming. Got on a cycle today for 10 minutes of light spinning at 60 rpm. Got permission to drive my manual shift Civic. Won't start any real strength training for another 4 weeks. I don't have a lot of confidence walking, especially going down stairs, but it seems to be coming back. PT guys are great. Re-teaching me how to walk through some balance exercises. I don't think I could ask for more at this stage. I've been religious about doing my home exercices 3x/day. Trying to keep a positive attitude when progress feels slow. Seems that's how Frederico made it all the way back.

Steve
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on January 11, 2008, 02:15:53 PM
Hi Everyone,

Just a quick note on how things are going with me.

Quick synopisis:
Ruptured quad 24 Sept 07, repaired 28 Sep, broken suture anchor day2 post-op, surgery a few days later on 03 Oct.  Things went well until 11 Dec, I foolishly  picked up a large bag of snowmelt at the grocery store and put it in the shopping cart, unknowingly rupturing a disk in my back, weakness/sensory symptoms in the repaired leg started a week later.  Weakness was the scariest symptom.  2 days ago (9 Jan 08), I had microdiscectomy to remove a fragment in my S1 , and that's where I am right now...

Today's update:  I have a lot of pain, day 2 post-op (they said day 2 would be worse than day 1, and they are right!!)  They say the back will heal in 2-4 weeks.  Right now I am limited to knee work on just the Biodex to increase motion with the passive ROM the Biodex offers.  But I will not be back in PT for at least a week.  The back and weakness problem, well my back is quite sore (it wasn't before), my strength shows no improvement as of yet, I am hoping for some improvement, but there was a huge fragment sitting on my nerve, that at least is not there anymore.  Hopefully things will come back... there was no guarantee, back/neurosurgery is not as clearcut as the tendon repair.

The knee as almost 100 degrees ROM, it feels strong, I just need to get over this latest hurdle with my back.  Unbelieveable how my life has changed,  I am still hoping to be the active person I once was 4 months ago.  I believe the knee will be fine in the end, it's the back now that I worry about.

Don't be a fool like me!  Even though you feel strong as you heal, I made a big mistake picking up a 50lb bag of snowmelt!

That's it for now, hopefully once I get home (I'm at a friend's house/computer in Massachusetts), I can have some further (and improved!) updates.

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: cynthiab4 on January 14, 2008, 07:43:27 AM
Hey all, thought I would post since its been a long while.  Well, its been six months since my last operation.  Stilll improving everyday thankful I can walk without a limp.  Unfortunately I received some bad news. I was in my docs office and referred me to a podiatrist.  He diagnosed my foot with tarsal tunnel.  I apparently have been favoring it mroe and more since the last two surgeries not realizing it.  Basically for those who have never heard of it its a pinched nerve.  It hurts like crap and worst of all its in my good foot! Have any of you experienced anything similar after surgeries if so what did you do about it.  There was talk about surgery to relieve me of pain. Im tired of surgeries. I am not having another on hopefully for a long while.  Podiatrist is going to perform some nerve testing to see how bad it really is. Just curious to any advice.  Thanks happy healling!
Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on January 15, 2008, 05:40:08 AM
 Wow, I thought I had strained mine, I hurt bad in my good calf, thought I had pulled a muscle.
 I go to my OS on Thursday, going to try to get cleared to return to work, it's been almost 6 months since my second surgery, I still can only lift 5lbs cold then once warmed up I do 10lbs. been walking stairs at PT, up down etc, I don't ever think I'll be completely pain free.
 stupid leg!
Title: Re: Ruptured Quadriceps Tendon
Post by: fitnesskitty on January 15, 2008, 04:08:46 PM
Hello All,

I hope you don't mind my jumping in here.  I saw your posts on extension lag and wanted to ask what that is.  My extension is good, but when I try to do straight leg raises, I cannot lock my knee straight; it bends a little.  Is this extension lag?  If I sit with my legs bent at 90 degrees, I cannot lift my calf out straight, only about two-thirds of the way.  I have seen some improvement in how high I can lift it but was wondering if it is just a lack of muscle or what else it is, and will it come back in time?   

Just a little background info, so you understand my injury and surgeries since it is different from yours.  In August 07, I fell coming down my stairs and dislocated my patella.  I had a surgery six days later to realign the patella, repair a tendon, and remove bone fragments.  I was then immobilized for about a month or so and then started PT.  I got stuck at 50 degrees ROM and it got progressively worse.  My OS referred me to his partner, who said I had developed scar tissue, and a week later on the first of November, I had another surgery to remove scar tissue (LOA), a lateral release, then he did a manipulation under anesthesia.  I had 20 degrees ROM on the day of surgery and he got 120 on the OR table.  I started PT the day after the surgery and got to 80, then 90 a few days later.  I am now at 134 degrees, only 4 away from my other leg, but as you can imagine, my muscles atrophied through all of this and I am working hard on my home PT exercises each day and I do weight machines at PT and at my gym and I cycle on a recumbent or stationary bike and use an elliptical at PT.  I go to PT twice each week so I use the bike and elliptical there and then supplment that with an additional 1-3 days per week at the gym, getting there as often as I can.   

I really hope no one minds my jumping in and I hope you are all doing well in your recoveries!

Take care.

Sarah
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on January 16, 2008, 12:22:47 AM
Sarah,
What you are describing is precisely that, extension lag.
It means that you can not, under gravity, extend your leg fully. Imagine the knee at 180 degrees, that would be zero lag. From there, you start to measure, and, if you can only extend to, say 160 degrees, then 20 is your lag. 
By "under gravity", I mean like you're saying, sitting on a chair, knee at 90 degrees and attempting to straighten (extend) it (bring the knee to 180 degrees) using your quads strength.
This is extension under gravity. 

As I am having one ( extension lag) too, I found out that, in general it is not being given as much importance as ROM. Eventually, it will disappear, with patience and exercise. Nevertheless, it is still a good idea to see your OS to get a confirmation that everything is all right with your extension mechanism (quad muscles, quand tendon, patella, patellar tendon).

HTH
Title: Re: Ruptured Quadriceps Tendon
Post by: fitnesskitty on January 16, 2008, 01:49:09 PM
Hi There,

Thank you for the explanation.  My OS does know about it, and I have seen some improvement in it since I last saw him.  It was a lot worse, so I am probably just being impatient with it.  He said I just need to get my muscles build up.  I see him in a couple of weeks, so he will be examining my leg then but I think everything is fine.  It is just a follow up appointment.  I just need to be more patient.

How many weeks post op are you?  I hope that you are moving along smoothly in your rehab, despite the extension lag.

Take care and have a great day!

Sarah
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on January 16, 2008, 05:58:33 PM
Sarah,
I am now 12 weeks post op for a ruptured quad tendon, that occurred in July. 
My ROM recovery was above average, as I got it all (~130 degrees) back by the 7th week post op.
I am walking now without any aid, with only a slight limp. I only use the crutch when I have to walk over snow or ice (I live in Montreal)
The only dark spot on my recovery is my lag, but, after meeting with my OS yesterday, I have been told that everything is OK in my knee, and that the lag will eventually disappear.


 
Title: Re: Ruptured Quadriceps Tendon
Post by: fitnesskitty on January 16, 2008, 07:23:53 PM
Hi There,

I guess I am just being impatient with my own lag.  It is very strange to see that you cannot lift the calf out straight though, isn't it?  So weird.  I am 10 weeks post op from my second surgery and had some atrophy from the surgery I had in August too, so I suppose my recovery is probably on track considering the degree to which my quads/hamstrings have atrophied.  It is good to hear that others know what I am dealing with.  When I tried to tell a couple of friends that had never experienced knee issues, they looked at me like I was nuts, because it was hard for them to comprehend not being able to fully extend the leg from a sitting position and only getting perfect extension passively, when sitting or lying with the legs out straight.  So, it is nice to be able to come here and talk knee issues with people that really get it. :D 

Thank you for helping me to better understand my own issue.  It sounds like you are progressing really well, especially since your OS is happy with the progress you have made.  How is climbing up and down stairs for you?  I cannot do that yet either.  I go one step at a time since my muscles are weak, and especially going down steps, my knee likes to give out.  If I know there is a ramp or an elevator, I am using those for now, till I get strong and confident again in taking stairs properly, and my house just has a few steps, so not to big a deal to look silly going up and down one at a time. :-)

Anyway, I hope you have a great afternoon!  Take care!

Sarah
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on January 17, 2008, 05:47:16 AM
Sarah,.
Stairs are still a somewhat iffy enterprise for me, mostly going down.
Going up, I am doing one by one, and am trying to push on the bad leg each time, to strengthen it.
Going down, my bad leg is far from being at ease, so I am only using my good one.
I use a crutch every time at my house (one straight flight of 14 stairs to the upper floor). I must say, it looks like a ravine when I look down...., and I am paranoidly cautious going down.
At my parents in law, there are two flights of 9 and 7 stairs, and I don't use the crutch, but it's still one by one and I really need the railing.

I spoke to many people, and, without wanting to scare anyone, there is a remote possibility that one will never be as comfortable as before going down the stairs after an extensor mechanism injury such as ours. If this is going to be my case, than so be it. Maybe it will get better with time.
 
Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on January 17, 2008, 06:18:30 AM
 My Pt has a good excercise to work on, while using stairs, step up backwards a few steps, then down each step normally, after about 15 reps of these there'll be a good ache in the quad.
 I go to my OS tomorrow, I think I've reached about as far as I can go, 6 months post op from second surgery, still have about 15 degree lag, weekness is persistant, no pain unless I over work in PT, which I do 3 times a week with visits to local gym after and in between PT visits.
Happy happy




BOB/ Tooele, Utah.
Title: Re: Ruptured Quadriceps Tendon
Post by: 225Champ on January 19, 2008, 10:27:55 PM
8 months post-sugery of Bi-lateral Quads rupture(both legs).  I have more or less  a 15 degree extensor lag on one leg. My OS seems think it will improve w/ exercise and additional time. The other option would be to have surgery again. The OS says give it a year.  I am hoping for improvement. I continue to do straight leg raises, but the lag degree remains the same. Despite a change in my walk, the lag, and various minor aches/clicks, I am feeling really good. Walking the 15 stairs at home is difficult, but has improved.
I am just glad to be up and moving around after spending greater part of last summer in a wheelchair. 

Wishing all the best recovery
Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on January 19, 2008, 10:50:46 PM
 Well Dr says that I have 3 more months then I'll be at maximum. he wants 3 times a week PT with Gym as much as I can tolerate. groovy






BOB/Tooele, Ut.
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on January 21, 2008, 02:34:00 AM
G`Day to all from sunny Oz,
it`s now 14 weeks plus since my repair for a complete quad rupture and I have just been given the all clear to begin at the gym,my first session will be on Friday.The knee is getting stonger every day but is still weak compared to the good one (I really feel for you poor blokes who have had bi lateral ruptures), I have a slight tightness down my kneecap when I stand or sit for long periods but walking has improved out of sight.The OS said I have a 10* lag and walking and light weights is ok but no running yet, couldn`t run if I tried at the moment.I have been driving my manual for about 5 weeks now and have almost full ROM still no skydiving yet but the physio reckons I should be okay by end of March OS says he will reserve judgement until after next visit in April he seems to think my military parachuting career may be at an end...We`ll see about that!!

well better go keep up the good work everyone and hang in there.

Regards,Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: fitnesskitty on January 21, 2008, 05:33:45 PM
Hello all,

For the first time since my injury, I walked up my stairs properly!  My quads are finally strong enough to do this, though they are still weak.  Slowly but surely I am getting there though.  I got terrified when I looked down the flight, and chickened out and ended up scooting down on my bottom, but still, going up them the right way was a huge accomplishment for me.  I am proud of that.  My injury occurred on a fall going down these stairs, so my fear is more escalated by that.  I dislocated my patella and only tore the tendon a little and chipped a few tiny bone fragments, so my injury is different from all of yours, but the recovery period has been sort of similar.  I have about 6-9 more months before my quads will be built up again completely and I will feel completely normal.  My injury was in August '07 and my surgery was a few days later.  Then I had problems with scar tissue and ROM and had a scope to do an LOA and LR, followed by an MUA in November, so it really was not until November that I got to really start my recovery. 

I now have all but 4 degrees of flex of my ROM, I can do 35 minutes on an exercise bike, at least 20 minutes at a time on an elliptical machine and I can do 50 lbs on a leg press and seated hamstring curls.  At this point, I hav no choice but to take it one day at a time, so that is what I am trying to do! ;D

What causes extension lag?  If you have already said, I apologize.  I am just wondering why I cannot lift my leg out straight, it is so weird! 

Thanks for your help, and I hope you are all having a good day!

Take care!

Sarah
Title: Re: Ruptured Quadriceps Tendon
Post by: 225Champ on January 23, 2008, 07:44:32 AM
 

My OS thinks I may have been too agressive in PT which could have caused my extension lag. In my opinion, surgery could have been performed differently on one leg over the other. Thus, his suggestion of another surgery, if necessary.  Who knows? 
I find that the quad of my extension lag leg is not as strong and there's a tendency to feel something similar  to a cramp, when I perform certain exercises such as straight leg lifts or isometrics (quad tightening). I just back off from the exercise until the feeling subsides.
 Walking  feels quite  different ,  but to watch me,  it would be difficult to tell that I had a bi-lateral injury.

The body is phenomenal and healing does come.  Be patient!  PT and gym workouts have helped me get back on track. Take extreme care in your recoveries, and keep up the GOOD work!

Has anyone ever heard of IT Band?  The iliotibial (IT) band is a tough group of fibers that run along the outside of the thigh. It's causing a popping sound, from time to time,  when I get up from a seated position.  It's not painful, but the last thing I want to hear is any type of noise. An audible pop was heard when I fell running. The stretching exercises given to me has helped.
 
Danny
Title: Re: Ruptured Quadriceps Tendon
Post by: JoMama on January 25, 2008, 11:44:43 PM
Hi everyone,

I'm new here, and wanted to say hello. I too am a victim of this (rare?) injury. I ruptured my left quad tendon while playing sand volleyball back in September, 2007. I think I scared everyone on the beach with the loud pop! I'm quite surprised I didn't find this site earlier. I was really coming to the conclusion that I wasn't going to discuss this topic with anyone who has been through this.

I'll give you my some quick details of my current progress. It's been about 4 months post-surgery, and I seem to be doing good. I've been jogging 2-3 days per week, running up stairs/bleachers, and weight-training. The running is going okay, though I'd say my jogging pace is about 50-60 percent of what it was. Of course I'm not expecting it to return to normal at this point (or ever?). I'm doing some relatively light weight-training, though I'm sure my good leg is doing more of the work. I was cleared to do perform the leg-extension machine, and can only do perhaps 10-15 lbs with the injured leg.

The only concern I really have is whether I'll ever be able to play beach-volleyball again (and at a relatively competitive level). From looking at the posts on here, there are some stories that give me hope, and some others which, well, give me a reason to be a little pessimistic. Is there any chance of a "full", "pre-injury" recovery for this injury? I understand there are many variables in this question. If any of you have recovered fully, please let me know! :-).


Anyway I wish you all luck in your recoveries. I understand it will take some time to ever return to "normal" - if we are all fortunate enough for this to occur.

Take care,
Joe

Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on January 26, 2008, 02:23:45 PM
Welcome to the quad tendon rupture board, Joe!  It sounds like you are doing great for 4 months post-surgery.

Whether you return to the pre-injury level of performance is a guess.  My OS told me a quad tendon rupture is a "career ending injury" for a professional athlete - not because of a lack of strength, but a lack of quickness that results from the injury.  Not being a professional athlete, I can't comment on that.  I can say that I have substantially returned to my pre-injury level of activity.  However, there is still the nagging fear of re-injury and I tend to consciously or sub-consicously protect or guard my injured leg somewhat, even after a year and a half post surgery. 
If I were playing a competitive sport, (I bike, hike, swim, and train on an elliptical trainer), this would probably translate into not being as sharp as I was previously.  I would imagine over time that would self-correct.   

As I have said many times, recovery is slow but steady,  just don't try to push it too fast.
Keep up the training!  Best of luck to you and all the others on your recovery.

Fred
Title: Re: Ruptured Quadriceps Tendon
Post by: philt on January 27, 2008, 08:42:53 PM
Hi all, been a while since my last post so here goes the 8.5 month post-op update (repair to full rupture right quad tendon, aged 51 next month):

The good news:  just got back from 6 days skiing in the French Alps - (Belle Plagne in the Paradiski range for those that know it).  Day one was a little tentative - stuck to blue runs and nothing too demanding.  Experienced occasional twinges of pain through the patella (especially after hitting a bump) but quads held up fine - just had to grit my teeth from time to time.  By day six I was off piste in powder.  Felt fantastic and worth all the hard work in the gym over the last few months.  However, I stayed away from moguls and un-pisted black runs - didn't want to risk a serious tumble and twist to the knee.  After effects each day were swelling and stiffness both of which I expected.  Also needed a couple of km of piste each day to warm up the muscles.  However feeling very little, if any, patella pain now - will wait and see of this returns in the gym over next few days.

The bad news: saw my PT the week before I went (2 weeks ago) and the right quads were still only 70% of the strength of the left quads - no progress in 5 weeks despite regular gym work which was a bummer when she told me.  Will be working on this over the next few weeks and am hoping the skiing has helped.

The lesson so far (for me): having a goal (my pre-accident/op planned ski-trip) has helped enormously - I was determined to make this ski trip and achieved my aim even though I genuinely didn't know until I got on the piste whether I'd be able to ski or not (I took some work and DVDs with me in case it didn't work out!).  Now looking forward to my next ski trip at Easter and even more determined not to let this injury rule my life - I'm treating it for what it was - a freak accident. 

Hope this tale helps - there's life after a ruptured quad tendon - go find it!!

Take care all.         

Phil
Title: Re: Ruptured Quadriceps Tendon
Post by: fitnesskitty on January 28, 2008, 07:23:35 PM
Hi Phil,

Congratulations on skiing!  I bet that felt amazing!  Great news!  I am glad to hear that there is life aft a full rupture.  Mine was partially torn when I dislocated my right kneecap, so if there is hope for a full rupture, then there is definitely hope for me too!  Keep up the hard work at the gym and I am sure you will get more strength in that weaker quad!

Best of luck to you and keep it up!

Take care,

Sarah
Title: Re: Ruptured Quadriceps Tendon
Post by: John Cope on January 30, 2008, 12:20:16 PM
 Hi gang,

Just joined in for the first time. I am a strong but slightly overweight 58 year old keen cyclist. My quad tendon repair was on 05/03/07 and I have been through the slab cast, adjustable brace etc. I was signed off by my surgeon in May and started careful cycling then (roads & trails only). At first I had to have my saddle uncomfotably high in order to turn the pedals, but soon got enough flexibility to ride normally. I found that cycling was better physically & psychologically than all the physio excercises. BUT it has taken a long time (December sometime) to really feel like I was getting back to normal. In particular I was left with a lack of stability in the knee which made normal walking, particularly down hill, difficult. I spent months walking with the knee stiff & locked-out otherwise it would collapse sudenly. In fact I find cycling easier than walking still. I am now back to mountain biking doing tough technical trails allbeit I am slow on the uphills due to loss of fitness and extra 8 kgs weight. But, knee strength & flex is good with little or no pain but some stiffness after a ride.

 I am spinning at the gym twice per week during the winter to try & improve my general fitness, but I am  a bit concerned that high RPM & sprints may risk the repair. My surgery followed a period of about 10 days after my original accident during which time I hobbled around thinking that I had just torn ligaments. I was told that late surgery is more likely to lead to failure of the repair. I don't know if I am still at risk of undoing the surgeon's good work. My original injury was caused by a slip & hyperflexion of the knee under my full weight. I feel cycing offers the least risk of repeating similar injury. I only use flat pedals on my bike, not clip-ons to avoid risk of twisting or entangling with my bike in case of a bail-out.

 I would be interested to hear others' views on the long-term robustness of the quad tendon repair.



 
Glad to see some other individuals with a similar problem.  I just found this site, and am 13 weeks post-surgery for a quad tendon rupture.  I have been given the okay to wean myself off my IROM brace (adjustable hinge brace). I still wear it when working out in the yard, but for normal around the house and office I don't wear it.  When the snow flies, I may use it more.  My quad muscles are very weak. I am only up to doing leg extensions with 6 lbs. of wt. on the ankle.  That's up from 4 lbs the week before.  Very slow, but steady improvement.  My range of motion is good...about 130 degrees, and that seems to improve slowly as well. 
I have little discomfort now, just some stiffness if I sit too long. 
12 weeks seems to be the magic number...that's how long it takes the tendon to heal.  My P.T. and surgeon told me it will take another three months to get the muscles back... my P.t. says more like one year, since I am an avid bicycler. 


Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on January 31, 2008, 12:08:34 AM
Phil, sounds like you are doing fantastic.  I like your close - "there's life after a quad tendon rupture, go find it".  That's inspirational!

John, welcome to the quad tendon message board!  It sounds like you are doing great also. 
If you go back to some of my previous posts, I am a biker and feel I have recuperated fully.  My impression for the "robustness" of the the repair is excellent....that is with the traditional suturing through the patella.  Mechanically it makes sense to me. There is one poster, Bob, who had the "suture anchor" type repair pull out shortly after his surgery, so they had to go back in and redo it in the traditional manner. 

I wouldn't be concerned with high RPM while biking, my only initial concern when doing rehab was the high pressure (hill climb) type biking.  As time went on that was less of an issue. I feel now I can push the repaired leg just as hard as my good one while biking.

Best regards to all.     

Best regards to all.
Title: Re: Ruptured Quadriceps Tendon
Post by: John Cope on January 31, 2008, 11:34:35 AM
Hello Frederico & everyone,
Thanks for your input Frederico. It was your posting & mention of biking that caught my attention yesterday. So you are fully recovered after what about 18 months? That gives me encouragement, though I was not too concerned as I continue to see almost daily progress & that is without any special physio or excercises. Just living my life, spinning at the gym twice per week & mountain biking at weekends. I found I did not have the self-discipline to do the recommended excercise regime! I just got a wobble-board mail-order as one continuing problem is balance. This bit of kit is suposed to improve (re-train) proprioception (good word!). I guess the original injury & surgery wiped out these positional nerves. Anybody else had similar experience? Regarding the durability of the quad tendon repair, you words are helpful. It sounds like there are not too many failures.
So, I am planning mountain biking trips to Tenerife in March (down-hilling) & a traverse of Scotland in May. Wish me luck. Cheers everybody. John Cope Cheshire England
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on January 31, 2008, 07:00:40 PM
My thoughts on biking and quad rupture:

Without being a very technical or performance rider, I used to ride about 30km daily while commuting to work (15 km each way).
In 2006 I accumulated almost 1500km and I was on my way to beat that in 2007 when my injury occurred.
I am so looking forward to get back on the bike, I have no words to express it.

My main concern right now is balance and strength in my left (injured) leg so that I can support my whole body on it in case I loose balance on my bicycle and have to lean on the left side. The last thing I want is that my left knee buckles and I fall again.

Federico and John, at what point during your recovery (iow how long after surgery) have you felt good enough to ride again ?
I was maybe thinking of getting one of those recumbent trikes (tadpoles) to ride for a year or two while my knee gets better and my confidence returns.
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on January 31, 2008, 11:31:33 PM
John, I feel like I am fully recovered now - I can bike as well or better than pre-injury.  Not to say that it feels completely normal like my good leg, as I still have some stiffness or soreness in the tendon, especially if I don't exercise or stretch it.  I think that is the way it always will be.  It doesn't interfere with my using it. 
With regards to the balance issue, my PT just had me practice standing on one leg and moving my upper body around and that re-educated the proprioceptive receptors straightaway. 

Milkaholic - I started biking on a trainer about 3 months post -surgery (Nov.), which just about coincided with the beginning of winter.  So, I stayed with the trainer until April or so at which time I was able to get out on the roads on my bike.  I worked my leg pretty hard on the trainer, but there was still a transition to riding on roads due to the hills.  I was a little nervous about having to lean on my repaired leg once I got out on the roads, but it seemed to do well. 
There were two techniques I used on the bike trainer - one was to duplicate the hard out sprint by going up into a higher gear and standing on the pedals and cranking hard for a few minutes (until fatigued).  The other was unclipping my good leg and just crank with my repaired leg clipped in the pedal.  Again, you can only do it for a few minutes at first, but it really works the leg muscles and forces you to concentrate on powering through the whole 360 degree cycle.   

Best wishes to all.
Title: Re: Ruptured Quadriceps Tendon
Post by: John Cope on February 01, 2008, 09:30:17 AM
Good morning chaps,

In answer to Milkaholic, I started CAREFUL riding on roads & trails in the 4th month which was about as soon as I could turn the pedals all the way round on my injured side. This very quickly improved my flexibility & quad strength. Much quicker than physio excercises, but that is probably down to better motivation. Return to cycing was an enormous phsycological boost too. By the 5th month I was doing 40-50 mile loops, still on road & trail. I was conscious of a fear that my operated knee might give way if I suddenly had to put that foot down. I avoided busy roads, but had a few scares negotiating gates & obstacles. Once in month 5 I got into a bit of trouble riding down a steep grass slope. I decided to get off & walk down carrying the bike but found I was unable to walk at that angle. So I slide down on my arse! Anyway, no problems since about month 9. I have got my confidence back. Balance on the bike is fine -better than on my feet! Regaining fitness is the main task now. Good luck if you go recumbent. They scare the life out of me!

Hey Frederico, I clearly have some way to go on the balance thing. The wobble board is really hard work. So, it should be doing some good & the novelty will keep me motivated for a bit.

Cheers & best wishes to all fellow sufferers

John
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on February 01, 2008, 03:58:38 PM
Hi everyone,

It's been a while since I posted here, as some of you know, it's been a tough road for me!

Little recap: L Quad Rupture on 9/24/07, repair on 9/28, suture anchor broke 2 days later... 2nd surgery on 10/3/07 a few days later.  Everything was beginning to come together, then foolishly I lifted a 50lb bag of snowmelt at the grocery store and ruptured a disk in my back (protecting the healling leg, I put all the weight on the good leg).  Disk fragment descended down and lodged on my S1 root nerve, causing numbness but more alarmingly.. weakness in the calf of the healing leg. 1/9/08 I had surgery to remove the disk fragment in my back off that nerve.  This has been a horror show as one can tell!

Well here's my update, 4 months post knee surgery and 3 weeks post-op back surgery.  My knee is now doing about 105 degrees, and the reapir is feeling strong.  I am able to ride my stationary bike at a comfortable seat height, I am now pushing to get that next 30 degrees or so.  The back surgery healed quickly, the symptoms did not dissipate right away, but now at 3 weeks post-op, there has been a definite improvement in the numbness in my leg from the nerve being compressed, and there has been some improvement in strength that is still coming along (I hope it is!)... I still cannot stand up on my toes the way I could before the disk rupture... but there is some improvement in strength, hopefully the improvement will continue.

A friend has loaned my a treadmill (I live in snow country, and there is no non-ice areas to walk other than Home Depot and Lowes)...  I do about three miles daily at just over 3mph without a limp.... above that speed I begin to limp (more to the fact I cannot push off with my toes well with the back injury).  I still have patellar tendon pain when I overdue stretching the knee on the bike... but the ROM does seem to improve slowly and the pain threshold moves along to a better angle as the ROM improves.

One thing that I have noticed, if I have to sit with my repaired knee bent at 90 degrees on more for an extended time (eg move theater, etc), it really hurts a lot when I first straighten it out.

I cannot wait for spring to come so I can go outside and walk, and especially get back on my bicycle.  I know there's a lot of cyclists on this board, and if there's something I miss more than anything, it's cycling... and second, hiking (which is how I screwed the knee up in the first place).  Hiking uphill will be difficult if I do not get back the full strength of my calf though... so I'm hoping that S1 nerve contiunues to heel.

Just wanted to drop by and say Hi to all, let's bring spring on!  (Except for poor John in OZ, the winter is coming, but your winter I'd take anyday!)

Bob

PS What a kicking thread this Quad rupture is... I just noticed we are just about to break 10,000 views on this thread!
Title: Re: Ruptured Quadriceps Tendon
Post by: sball on February 04, 2008, 12:25:10 PM
Hi Frederico and all

It's been months since my last post. Recap: Complete rupture of R quads tendon in Dec 2006, traditional suture repair on 15 Jan 2007.

The good news is that it does get better, slowly but surely. I'm now a year post surgery and have full movement. Still some stiffness after a long walk, a short quick walk, a long ride on my motorcycle or standing for an hour or more. No real pain, just some discomfort if I sit with it bent at 90 deg for too long. Can't stand on the footpegs for too long off road yet, so I guess no skiing for me. (Yes, we do have an actual indoor ski slope in Dubai).

Not being particulary active, I don't have any cycle or hiking stories. I only did about 6 weeks worth of physio up front and just got on with my life in general since then. I look forward to the 18 month mark and hope by then that I wil be able to run and jump off things without worrying about the knee.

More good news - if you don't go to gym and work it out all the time, it still gets better and the pain still goes away. I was without hope at first but guys like Frederico and Al M were really helpful. Thanks.

Keep the faith.

Al
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on February 08, 2008, 03:39:12 AM
A high level basketball player has suffered the same injury as most of us here.
It will be interesting to follow his evolution from now on.
http://sports.yahoo.com/nba/news;_ylt=ArCce4cMZKqBSq6jAB4XvRCLvLYF?slug=txrocketsfrancis&prov=st&type=lgns
Title: Re: Ruptured Quadriceps Tendon
Post by: S53 on February 10, 2008, 06:51:26 AM
12 week update. OS essentially said his job is done and I set my own limits from here on out. He knows I've wanted to return to running. Got the green light to start out slowly, and slowly it is. He commented my tendons might be stronger than pre-injury. Still no apparent reason for the injury.  Despite swimming 1600 yds 5x week my aerobic capacity for running is very poor. I can jog for 20 min. and I'm gassed. No knee pain. Only pain afterward came from places like calf muscles which I should have expected. Coincidentally I asked if basketball was ever a possibility. OS said no reason why not. Of course I was never NBA caliber. I was just trying to find an outer limit from the OS or PT. Am wondering if Mr. Francis suffered a complete rupture like us. That link indicated he'd played the last few seasons bothered by it and he's a top line player. We know you can't play through this.

Other stuff. ROM is 145 in both legs. No lag on light lifts. Since I managed to trash both legs I have no reference point for quad circumference.Walking fairly normal. No problem going up or down stairs. I don't descend as quickly as pre-injury. Still occasional swelling in my lower legs if I stand and don't keep moving around for a few hours at a stretch. Driving doesn't seem to pose any problems. PT is working on strength now. He can tell my running form shows my quads need strengthening. Not much bounce. Finally starting to sweat in PT and the stuff is difficult. Lots of balancing, working one leg at a time, squats, small hops.  I'm thinking I'll be doing at least some of these balancing exercises for life.

Good to hear that things continue to improve even if you stop PT. Carried a 40 lb bag of compost on my shoulders about 30 yds and then I remembered Bob's snow melt story and set it down. I've found there are small improvements each day or two. Pretty thankful for where I am now. I couldn't ask for more. Of course I'll keep working to regain strength and agility. Glad I found this bulletin board when things were bleak. Never thought I'd get as far as the folks on this thread. Perseverance.

Thanks,
Steve


 


Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on February 25, 2008, 07:38:08 PM
 Giant question for all, 
 Immediately post surgery, did any of your O/S's want you to excercise your quads? My first Dr. wanted me to do 50 quad tightening excercises a day, which is what we feel caused my 1st repair to fail.
 I'm almost 6 months since 2nd repair and am about max strength which is considerably less than norm. any help would be grand..thanks




Bob/tooele, utah.
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on February 26, 2008, 03:28:54 AM
No.
None of that in my case.
I had about 10 days of total immobilization, until my staples were removed.
Then, maybe one more week (I can't remember correctly) after which I started physio and began the static quads.
Title: Re: Ruptured Quadriceps Tendon
Post by: irishknight on February 26, 2008, 04:30:37 AM
 Thanks, from everyone who replies, I really need to know if your Dr's had you doing any form of physical work with your quads immediately after surgery, mine did, and now we are thinking that's what caused me to re-rupture, or have the 1st surgery fail.
 I'm about 1/3 normal or less now, after almost 6 months post 2nd surgery and 3 day a week physical therapy, with gym in between, been working hard with very limited results.



Bob/Tooele, Utah.
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on February 26, 2008, 02:37:38 PM
Bob, my OS didn't have me due anything other than passive stretching up to 3 months post-surgery.  I did isometric quad exercises on my own as well as limited leg extensions, (no weigh) also on my own. 

I wouldn't be too discouraged about your progress. I think it takes a full year of aggressive rehab to build the quad muscles back up - maybe longer.  My injured leg works well but still can't match the good leg in leg extensions, and I'm 1 yr. 6 mo. out from my surgery. My rehab consisted mostly of alot of biking. 
Title: Re: Ruptured Quadriceps Tendon
Post by: philt on February 29, 2008, 08:10:03 PM
Bob, I was under instruction not to do anything for 6 weeks post op other than could weight bear whilst keeping my leg in a straight splint.  Specifically told not to try and bend so as not to put any pressure on the repair.  Rgds Phil
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on March 04, 2008, 03:09:12 AM
G`Day to all from sunny brisbane,
it`s been a while since my last post but I have been checking up on your progress regularly.Bob my OS also said no movement or exercises of any kind for the first 6 weeks and on my 6 week visit I was only allowed to do quad filling exercises and some hydro therapy which I did in my own pool.At the 3 months mark I was told I could continue quad filling and strengthening exercises but no running and see you in 3 months!I am now at 5 months and have just started running (shuffling) on the treadmill at the gym which I have been going to for about 2 months 3 times a week,I am really starting to feel good and have enjoyed it so much I joined the gym so if anything good has come out of this accident is is that I probably will end up fitter than I was before it (that is if I don`t overdo it and injure myself).There is light at the end of the tunnel at last!!! I also hope to get the all clear to begin skydiving again, it has been a hard 5 months without a skydive so I am really looking forward to that,as for the military jumping I will have to wait for my medical review in April for that, fingers crossed.I am not trying to brag here what I want to say is 5 months ago I thought life as I knew it was over but now it is finally coming back on track with a lot of patience and hard work I am not at 100o/o but I am on the way.

Hang in there.
Regards to all
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: JoMama on March 04, 2008, 09:01:07 PM
Hello all,

Just checking in to give a 5-month (post-surgery) status. Things continue to improve. At this juncture, I seem to be doing pretty good. I'm still jogging about 5-10 miles per week, and running stairs (two steps at a time). My jogging pace is probably 75% pre-injury level, and I can even "sprint" relatively quick. Still continuing with the weight training (leg presses, and leg extensions). I'm doing about 30 lbs (10 reps), isolating separately with the injured leg. I don't seem to experience much pain, and my flexibility is close to my pre-injury level.

Oh yeah, I'm also riding a bike every now and then. I almost feel 100% when doing this (probably since it's a low-impact exercise).


The only issues I have currently are a lack of some "bounce" in my injured leg, especially when I jog (takes me a lap or two to get it warmed up). It would appear this lack of a bounce involves the strengh you would get when your leg is very slightly bent, and it seems to be involved with the other noticeble side-effect of this injury: walking down stairs. There is a noticeable hitch/lack of fluidity when I walk down steps (not up). I'm also experiencing a lack of lateral dexterity and quickness (and quickness overall for that matter). And of course, as expected, there is still some noticeable muscle loss, most of it at the injury point (right above my knee).

As far as normal life and low-impact activities, I'd estimate my recovery is close to 80%. Since I haven't been cleared to play sports yet, I can only estimate that I'm probably close to 50% recovered from that aspect, which is to be expected..

I know it's just one case, but I'm pretty satisfied with my progress so far. For all you recently injured ladies and gents, there's reason to be optimistic. Good luck to you all.


Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on March 24, 2008, 10:16:57 PM
Wow, it sure looks like this thread quieted down... that is a good thing I would say!  Less ruptures out there.

Tomorrow is my 6 month "anniversary" of screwing up my knee.  The knee is coming along quite well, I am within 6-8 degrees flex of my good knee.  I even went upstairs the other day at work 2 steps at a time!  Never thought I would ever see that again.  From time to time if I sit too long at 90 degrees or more, it's a bit stiff when I get up.  Still a long way to strengthen the quad though, still there is a visible difference along with a visible "swollen" look to the repaired knee.

Just last week I finished up PT, and I just worked 6 days in a row, but plan to hit the health club tomorrow and start those leg presses.

The sad part of my story is the back problem (herniated disk fragment on my S1 nerve), resulted from picking up a 50lb bag of snowmelt while compensating for the injured leg.  Not only did I have 2 knee surgeries, but back surgery on 11 Jan!  The results of that surgery still has me with a weak calf (most notably I cannot raise myself up on my toes with the same leg with the knee surgery).  My message to anyone with ANY kind of injury, is take it easy... I screwed up and tried to do too much and am paying dearly with this strength loss. 

The knee feels like it will go all the way and be just about as good as it was before my injury, the calf weakness from the nerve damage is scary and non-predictable (right now it doesn't seem to be improving much).

So I'll leave ya with good news... the knee is good and getting better (yes still slowly, but improving)!

Good wishes to all!
Bob
 
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on April 07, 2008, 09:55:28 AM
G`Day all from Oz,
well physio has finished after 6 months but I am still going to the gym to build up the quads.The really good news is that I did my first skydive since the accident on Saturday.The freefall was no worries but the winds in the landing area were very turbulent and my landing was less than graceful but my repair held with no problems so I was more than happy,the way I see it is if I can survive a bumpy landing I`m well on the way to being back to normal.

Bob it`s good to hear you re on the mend I hope your other setback is sorted out soon.

I still have to see the orthopod in 2 months and get my military medical cat upgraded so the journey continues.

Good luck to all.

Regards,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: ufcike on April 17, 2008, 12:02:52 AM
     March 22nd doing my final pro wrestling match in Milwaukee, Wisconsin, I completely tore both quad tendons off my knees. Double surgery was March 25th.  I am 39 years old and live in Tampa. I had just moved to Tampa in Feb and started a new job. Came home to Milwaukee for Easter to see family and have a farewell match for fun as I knew I was not going to take any chances in the ring. I was going to keep things real easy and simple. Ironically I was just warming up before my match by running the ropes. Something I have done a million times. I hit a low spot in a poorly set up ring and watching the video in slow motion, I  saw the ring sink 6 inches causing my knees to buckle. It happened so fast they both snapped withing a 10th of a second.
     
      The day before I ran 3 miles and windsprints and was feeling great. In Tampa I was training for competition inline skating and was doing 10 to 15 miles a day. Maybe this was God's way of telling me to slow down. Well he got my attention big time! This has changed me forever. I am fortunate to have friends in Milwaukee that I can stay with. I am walking without a walker in leg immobilzers. Saturday night my brother took me out to dinner and it was much needed. I can get in an out of the back seat of a car pretty easy.  I weighed 217 before surgery and now weigh 195. Great weight loss plan I may add.
       
       Being one of those people who has to do every sport, this has been very hard mentally and emotionally. My doctor told me that 90 percent of my healing is from the neck up. I am not afraid to admit that one day I just broke down and cried very hard for 10 minutes straight when the pain would just not go away. I have felt better ever since then and I am getting stronger every day.  I think of those kids in the Walter Reid Hosptial who are coming home from the War with their legs blown off and I am so thankful to only have these quad tendon ruptures.

       Does anyone know how long it will take for me to walk without a walker or crutches after my immobilizers come off on May 6th? I was hoping to rehab in Milwaukee for 3 weeks and safely fly back to Tampa around June 1st where I can continue my rehab. How long after May 6th til I can drive myself in my own car to go to the gym or the store?

        Most of my swelling and pain is gone. Does the rehab and leg bending cause the knee to swell greatly again at the end of the day?

         Anyways it feels good to post my story to people who can truly understand and appreciate it.

        Andy

         
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on April 18, 2008, 05:05:09 AM
Andy,
Be assured that we understand what you are going through, this injury is really devastating. There is hope, things WILL get better, you just need a ton of patience.
Each and every one of us heals differently, I gained my ROM very quickly (way above average, 7-8 weeks) but it took me lot longer to get my strength back (still working on that, 6 months after surgery).
Good luck with your recovery!

Title: Re: Ruptured Quadriceps Tendon
Post by: ufcike on April 18, 2008, 05:48:32 AM
   
      Thank you MB,

      Its very appreciated. My friend told me to look at the bright side. Because I did both legs, I won't be favoring one during rehab. LOL 

       A couple of notes. My doctor told me 6 weeks immoblized and he doesn't want me doing any bending. I was able to do leg lifts very easily after 2 weeks and can do 50 per leg. Hope that is a good sign. He told me to fire my quad when I was in his office last week.  I told him I was afraid to flex it because I thought I would re rupture it. He laughed at me and said, "your not that strong buddy".  After 3 weeks now, all my swelling is gone and I am completely off all pain meds.

        I ruptured mine on Easter weekend but went to Milwaukee's best hospital and they did an MRI right away so I got a proper diagnosis.  I feel so bad for each and every person on here that was misdiagnosed. That is so horrible and I can't imagine the anguish that has caused each of you. 

        I was also fortunate to gradutate high school with an OS and my friend emailed him right away.  He took the time to call us on Easter from his vacation in Hawaii.  He told me that the doctor assigned to me had only one year on and further told me it was my right to switch doctors. He recommeded his partner who had 7 years on and I switched over to him immeidately.  He has been excellent and I am very glad I made the switch.

       I will update my progress after my Dr appointment this Tuesday.  Take care all.

       Andy

       
       
Title: Re: Ruptured Quadriceps Tendon
Post by: JoMama on April 18, 2008, 06:25:46 PM
Andy,

Whoa.... It saddens me to see these rare bilateral ruptures. I can only imagine what you're going through. Having one rupture is bad enough, but I'm sure two ruptures is far worse than "twice as bad". At least us "lucky" single injury guys and gals can usually get around hobbling on our good leg.

I can't offer tons of pertinent advice on your bilateral injury, since I only injured one leg, but myself, and others here, can provide some answers. I'm about 7 months post-surgery, and I believe I'm coming along just fine. I'd say at the 3-4 month juncture, I recovered to a level of about 80-90 of the typical activities of normal life (this does not include athletic activity). You appear to have a good attitude about your condition, and you also had a quick diagnosis and surgery. I'm guessing you'll be able to jog, and lightly weight train at the 3-month mark. From there things start progressing pretty steadily (though not as fast as most of us desire).


I was a little unclear how you got injured. What does "running the ropes mean"? It also sounds like if the floor hadn't given way, you'd be just fine. Sorry for your bad luck. Things will get better for you though, and I'd say you've gotten past the most difficult part.

Note there are a few posters here who have basically fully recovered. They're kind enough to continue to post here, and offer valuable advice. Frederico is one of them. Hopefully he, and perhaps one or two of the other guys who have had the unpleasant experience of injuring both legs, will give you some advice soon.



Good luck,

Joe
Title: Re: Ruptured Quadriceps Tendon
Post by: ufcike on April 19, 2008, 06:00:34 AM

     Hi Joe,

     Thanks so much for your comments.  I know most people don't understand the goofy world of pro wrestling and most don't care for it and I don't blame them.  The fake word is often thrown around but inside the ring it is brutally demanding and the injuries are all to "real". It is something I have done for the past 14 years as it was a love of mine since I was a kid. Never made the big time, but had alot of fun and met some great friends on the local level.  Basically we do shows in front of crowds of 400 people. 
   
          If you ever watched it on TV.  Running the ropes simply means just sprinting back and forth across the ring and bouncing off the ropes each time.  I always did it 3 or 4 times just before my match as a last minute warm up to get the juices flowing. Nobody and I mean nobody ever got injured just running the ropes and warming up.  I have to be the first ever. That means I hit a "hole" or very bouncy spot in the ring just right creating the perfect storm and snapping my tendons instantly. Problem is some wrestling rings are set up poorly and 6 inch gaps can be found between the boards under the mat. Also they can very bouncy in spots almost like a "moonwalk" as the floor can be very unstable. The bouncier the ring, the  more dangerous it is on knees and ankles.  Because when you are running and plant your foot, your mind thinks hard landing and then it gives way and knees and joints hyper extend very easily.

         I can't look back with regret.  I did it doing something I loved. Will never do it again though. That is for sure. Your right Joe, two knees is bad but I never did one so I don't know how much worse off I am.  We are all in the same boat. I just got  thrown and extra curve ball.

        Right now my biggest question is: When the immobilizers come off, how long will I need my walker or crutches before I can just bear full weight and walk on my dial braces?  I am guessing  3 to 4 weeks. 

         I know once I can fly back home to Tampa, drive myself to the gym and store, then I will have gained my independence back and will feel alot more normal.   I am targeting 10 weeks post surgery for that. Around June 1st I hope?

        Thanks for all the advice it is really appreciated.  My favorite joke that I used to tell people was that you could find "sympathy" in the dictionary between sh## and syphalis.  Now I have to tell that joke to myslef. LOL  That is a good one and it usually is good for a few laughs.

         Take care, and have a great weekend.

         Andy
Title: Re: Ruptured Quadriceps Tendon
Post by: milkoholicBear on April 19, 2008, 11:53:31 PM
Andy,
I am not sure if you read this already, it is the blog of another fellow with a bilateral rupture.
http://faculty.darden.virginia.edu/ClawsonJ/HTML%20DATA%20and%20LINKs/Bilateral_Quad_Tear_Blog.htm
HTH
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on April 20, 2008, 10:55:29 AM
Hi Andy,
firstly sorry to hear about your ruptures,I had a single complete rupture of my left quad tendon nearly 7 months ago and my life is almost back on track again with only one or two minor changes.I did mine after a heavy parachute landing with the Australian army and it sounds pretty much like yours.I probably cannot relate to a bi lateral rupture but here are a few of my results:
injury 11 Oct `07
repair 12 Oct `07
able to travel by air 3 weeks post op
able to weight bear almost immediately following surgery
able to walk using adjustable leg brace immediately following surgery (although too long on the leg can cause swelling)
was able to drive an automatic 6 weeks post op (orthopod will let you know) you will need an automatic car and be a able to brake suddenly
return to work 6 weeks
commence physio 6 weeks post op
commence gym 12 weeks
back to full military jump status 6 months
since I began at the gym my knee is improving every day.It still feels a little different but it is so much better.
At the moment you probably feel you will never get back to where you were a short month ago, I did, but now I can tell you you will get there,once you get to the gym phase it is a down hill run but as you are an athlete I am sure you will have no problems.

I hope this has been some help Just hang in there

Cheers
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: beezkneez on April 20, 2008, 10:05:30 PM
"Hi" fellow "knee-geekers" .. !! I've read many great contributions, but this is my first post.

I stumbled on a central vacuum hose, coming down some stairs on March 7th, 2008, and landed bent-knee, full-force on my left heel. The impact ruptured my quad tendon and I went into surgery 40 hours later (couldn't pass the 'straight-leg lift' test, so MRI not needed). Was into an immobilizer and home same day.

Iced it 4 times/day until staples removed on Day 19. Was told that icing would "just make your knee cold", so stopped and left it alone, except for some isometrics (knee pushing downward and holding for varying seconds). Tomorrow begins Week 7, and I'm still immobilized in a fabric cast.

 ??? : I'm now wondering if I should be heating the tendon, considering how little circulation/blood they receive ? Might it help with the healing process ??

 ??? : I've also read that many of you are doing ROM and PT work 3 weeks post-op. My OS suggests that because the tendon takes 3 months to heal, this conservative straight-leg phase is best for the first 8 weeks. I'm wondering then, what the potential upsides/downsides might be to an earlier, more aggressive approach, versus a later, more conservative rehabbing schedule ? Is there any net advantage to either when measured, say, 12 - 18 months later ??

Any thoughts or comments are most welcome .. thanks.

Thanks for this site, in helping make the waiting days and tougher nights feel much less lonely and hopeless. I'm certainly looking forward to walking "normal" again sometime (soon ?).

darrell_


 
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on April 21, 2008, 01:08:00 AM
Hi Darrell- welcome to the quad tendon rupture board!   Sorry you are in the same boat we all have been. 

I can't comment on the long term pros and cons on earlier vs later rehab approach - just what I experienced.  I started PT about 6 weeks out and it was just heat packs, massage and passive stretching until I hit the three month mark.  I also had a IROM brace - (adjustable ROM) which the OS started out at I think 10 degrees at a couple weeks post-surgery and I moved it up 5 (or 10) degrees eah week. All that worked well for me and I have pretty much my full ROM back.   

At 7 weeks, I think the massage and heat packs would be beneficial. 

If you read the boards here, there is a variable experience with when rehab was started and how it was done.  I don't think the orthopedic community has a consensus on early vs later rehab.  It probably relates to how they were trained.   

Listen to your body and don't try to push too hard too fast.  The rejoiner to that is I was always trying to do a little more a little sooner than the orthopod wanted me to, maybe because I was bit bull-headed, maybe because I wanted to prove something.  Read the comments on the boards and take them all into consideration and try to apply what you can to your situation. It will get better! 
Title: Re: Ruptured Quadriceps Tendon
Post by: ufcike on April 21, 2008, 03:15:19 AM

     Hey MB, Thanks for the site. Wow that guy has alot of information.  Very useful and good to read.

     
     Bill, Thanks for your post.  You really summed everything up into time frames nicely for me.  Just what I was looking for. I think when we all get to the point where we can drive ourselves around, that is a huge step forward because driving gives us so much of our independence back. 

      We are defineltey in an elite club guys.  After reading all these posts., I truly believe that we are all in the same boat and that the guys with one rupture have gone through the same hell as us guys with two and us guys with bilaterals have it no different. 

       Anybody up for starting a quad tendon rupture club that meets in Vegas once a year?  It could be fun. We could go to dinner, tell all our stories, compare scars and gamble a little.Ok alot! LOL  And I think it is safe to say we would all be staying on the first floor of the hotel. LOL 

      This site has been great. You guys are awesome. Thank you and don't forget to support your Milwaukee Brewers. Ah common at least make them your second favorite team. Its been 26 years since a winning season.

          Andy
Title: Re: Ruptured Quadriceps Tendon
Post by: beezkneez on April 22, 2008, 01:58:33 AM
Thanks for your comments Fred(erico). Very much appreciated .. !!

I just met with my OS and he is happy with the look of things (Week 7 began to-day), - incision is healing fine, swelling down, etc. He wants me to begin putting weight on the leg (while straight-braced only), and begin PT, - his instructions being to work to 60 degrees ROM over the next 4 weeks. 

I also asked my OS' opinion about post-op ROM efforts started earlier than mine. His stated belief is to be "conservative" for this first period (6 weeks), preventing any potential detaching or damage that might interfere with the healing of the tendon. My visit to-day make me realize that I'm in total sync with my OS on his approach, whereas maybe 2 weeks ago, I was impatient to get going.

I realize that having faith in your surgeon is of absolute importance, as it will be with the physio therapist. One of the lessons I've learned from this forum, is that it's only our fault if we don't ask the questions, that get us to the level of confidence we need in those we trust, to help us get fixed up.

I know I'll be soon needing to review your postings about the early days of physio. My next phase now begins .. !!

Regards to all. And I think Andy's idea about us all meeting in Las Vegas is a great idea. Maybe the "QTR Anniversary Club" for those over 12 months since their "pop(s)" ?

Cheers,_darrell (from Victoria, BC, Canada)
 


 
Title: Re: Ruptured Quadriceps Tendon
Post by: Stevejam on April 22, 2008, 05:18:05 PM
Hi everybody
                  Just found this site. Ruptured my left quad tendon during the British Powerlifting champs Sept 07. I am now back in the gym and training going well considering I once thought I would never walk properly again.
                                    Steve
Title: Re: Ruptured Quadriceps Tendon
Post by: 225Champ on April 23, 2008, 12:43:19 AM
Hi All,
 It's has been several months since my last post. To those that are new to my postings,  I am a member of the Bi-lateral group, as I approach the 1 year mark (April 28th). I slipped & fell , while out for my usual run. It  is quite the blur now, but it seems I went down on both knees, and heard the audible pops.

I am back to being the active 51 year old  after such a rare injury. I am working out, but not running(only in my dreams). I am also doing other  excercises and activities (light cycling, walking, horizontal leg presses, etc.). I hope to get back to water/snow skiing. The OS said it could be  more than a year for certain activities.   I went bowling Saturday night and the first few frames were terrible. I  improved, to my friend's amazement, before the night was over.

My left leg is doing so much better these days, the right leg still has an extensor/extension lag. But it has not hampered my getting about. There's a bit of quad atrophy just above the knee on both legs. 
I am just glad to be walking, period.  I have not seen my OS since November.  I will see my OS again in May and pray that another surgery on the lag leg is NOT an option to assist in correcting. Our hope (OS & I) is that time would help strengthen the lag leg.

Andy, It took about 8 weeks to graduate from the wheelchair to the walker &  crutches. Allow yourself time to heal, don't rush it. Slow steps are key when you start weight bearing.  My gait is definitely different. At times I want to walk fast and realize I'm somewhat limited with my pace.
We're  lucky to have friends/support units  that have come to our aid. My friends spent weeks doing things for me. It was a great day when I drove myself to PT.
I know your agony to a large degree. I am quite happy with where I am today. Let's not think about the other option. I've  asked "why?" so many times. I journaled my plight and find it quite helpful in getting through the days/weeks/months.  Although it's easier said than done, try to keep a quiet mind and the healing will come. There will be lots of turning points on the road to recovery.

I am glad this site is available.

Be Well,
Danny  Long Beach, California
Title: Re: Ruptured Quadriceps Tendon
Post by: ufcike on April 23, 2008, 02:53:39 AM

      Hi Danny,

   
      Thanks for the message and encouragement.  Today is 4 weeks since surgery. I saw my OS today and he was happy with my progress. I asked him if he used anchors and he said he did not. He just drilled holes and retied tendons. He was very adament about me not bending at all for 2 more weeks and staying with the 6 weeks of pure immobilization.

       At the 4 week mark I have little or no swelling on either leg and have little or no pain.  I am guessing that is all gonna change when I start rehab.

        The nice thing about Florida when I get back home in June is that there are very few buildings with stairs. Most homes and businesses are single level.  Also no ice. I was going to come home to Wisconsin next Xmas but I honestly think I am not going to because I would be deathly afraid of slipping on the ice. Just not worth it.

        Has anyone tried Rollerblading after this injury? I would be curious to know if I am ever gonna skate again. I assume that would be easier to get back into than running.

         Take care everyone.

          Andy
Title: Re: Ruptured Quadriceps Tendon
Post by: Bill R on April 23, 2008, 03:20:30 AM
 ???  Last summer, I ruptured both Quad tendons.  All I was doing was standing up.  Previously, I was having knee pain around my knee cap (especially when sitting).  In the year prior to my accident, I had a series of 3 cortisone injections in both knees.  I do not have any underlying medical condition (to my knowledge).  Any idea why the tendons ruptured?  I am now 8 month post op.  I can get around fairly well.  My question and concern is: why did this happen, and what is the chance of it hapening again?  My knees hurt when I strian them to stand.  Getting up off the floor is difficult (especially if I don't have something to grab when standing.  I really don't want this to hapen again.  Any ideas?
Title: Re: Ruptured Quadriceps Tendon
Post by: beezkneez on April 23, 2008, 10:10:05 PM
Hi Bill. Great to hear from you .. !!

You are one of the elite bi-lateral forum members, sympathetically envied by those of us who've only 'popped' one QT. (Not that we really want to join your group, you understand.)

A stumble down some stairs caused mine, but when I mentioned to the OS that my quad tendons had bothered me for the last few years (stiff and difficulty getting up from sitting), he mentioned "systemic causes" in quite a few of the cases he'd seen. About a third of the way down in this link, are some conditions believed to contribute to the deterioration of the q-tendon, which you might find informative : http://www.emedicine.com/orthoped/topic274.htm

If you haven't already, you may want to have a chat with your GP about your concerns. What's been your rehab process, to get to the point you're at now ?

Fyi, my first physio was yesterday (44 days post-op), and like my OS, my PT is taking a conservative approach. No ROM allowed just yet, but am EMSing to strengthen the quad muscles. Also doing sets of straight-leg raises, knee isos, calf exercises, massaging and icing it when it begins to swell. And have begun to put weight on it while using a cane around the house.

It's a toss-up as to whether my ankle diameter is greater than my wasted thigh (just kidding, kinda).

Bill, I bet you'll hear from some of the regular contributors, they're all great, but I thought I'd give you these thoughts ..

.. best regards,_darrell


Title: Re: Ruptured Quadriceps Tendon
Post by: Bill R on April 24, 2008, 05:47:29 PM
Darrell: Thanks for the link you offered.  I found it informative.  I want to share my experience with those of you that are dealing with ruptured quad tendons.  I had surgery the morning after my accident.  In the ER, I was correctly diagnosed with total bilateral quad tendon ruptures.  I stayed in the hospital 4 days post op.  I was able to stand (with help) shortly after my surgery.  With casts from crotch to ankle on both legs, getting into the standing position was vey difficult.  When I finally got home, I stayed in a hospital bed in my family room (my bed room and shower are upstairs so, I was confined to the main floor of my home).  I had some discomfort with my casts rubbing on the back of my legs.  After being in bed, about two weeks, I had to be transported by ambulance to my Dr's office to have the staples removed from my incision.  I was hoping to have the cast removed so that I could wash my legs, but that did not happen.  Holes/windows were cut in my casts so that the staples could be removed, then the windows we covered back over with casting material.  I ended up having my casts removed after 6 weeks.  My OS wanted to be very careful not to tear his work.  With casts on both legs,I was helpless.  Thank god for my wife staying home to take care of me for the first few weeks.  Being bed ridden made it impossible to go to my bathroom (this was unpleasant for my wife and I).  I had home care nurses come by along with home phlebotomy, and home PT visits.  The one thing that I found very helpful was having a wireless computer available to help me pass the time.  I never did have much need for pain medication after I went home.  After 6 weeks, I had my casts removed and had immobilizers set at 30 degrees.  Back at home, I was still stuck in my hospital bed,but I was able to stand with help.  I had home PT twice a week.  The PT was very conservative and cautious, which was a good idea.  I was still stuck in bed for about 3 more weeks.  Between PT visits, I would remove my immobilizers and work on the exercises that the PT outlined for me (in bed).  The biggest reason I was stuck in bed was because you need to get your feet under you to stand.  Eventually, I was able to find a way to stand up by my self.  I had a trapeze (? sp) over my bed to help me turn and pull my self up in bed.  With help and work, I was slowly able to get my range of motion up to about 100 degrees before I was given the OK to remove my immobilizers.  I had my second Dr.s office visit at about 12 weeks post op.  With continued work, I was able to get my ROM to 130.  Some milestones were: getting my casts off, my immobilizers off, finding a way to sit on a toilet, being able to get outside, being able to ride in a car, being able to drive a car, seeing progress with my ROM, and SHOWER.  Being so helpless was a real struggle!!!  I was able to go back to work 1/2 time 3 1/2 months post OP.  I am a clinical lab scientist, so I needed to be up and down alot, but not physically demanding otherwise.  After 3 weeks at 1/2 time I was able to go back to work full time.  Its now 8 months post OP.  I am still working on building strength.  Things that are still difficult are getting up and down off the floor, standing from a regular height chair or couch.  I guess I should let you know that I am 58 years old, 6'5" and weigh about 255, so I am no light weight.  I know that if I could/would lose some weight things would be easier.  It was hard not to gain alot of weight while I was bed and home bound.  I can now walk 4 miles, but not at a real fast pace. I still find a leg starting to buckle from time to time, but I have not fallen.  After working 8 hr.s, I found it hard to find the time and energy to do the workouts that are needed.  Overall, I am happy, and can do most of the things that I could do before the injury.  I hope that my story is encouraging, and offers hope to all of you that things will and do get better!!!  If any of you have questions, please ask.
Happy Trails  -Bill- 
Title: Re: Ruptured Quadriceps Tendon
Post by: 225Champ on April 25, 2008, 09:31:33 AM
Bill -  I spent May 07 to Jul 07 sleeping in the bed set-up in the downstairs living room. I was able to transfer from my bed to the wheelchair that was modified to keep my legs out straight and elevated.  My other life (bedroom, home office, main bath) upstairs seemed so far away, when only 15 stair steps kept me from it. Wow! reading your post brought back so many memories that mirrored mine & I hope never to relive. During the 3 months, I often thought how someone heavier (I am 6ft 178 lbs ) than I would handle what we've endured. Like Andy, I was brought to tears while learning to cope.
It amazes me how this injury can happen. You were only standing and my slip and fall was not a large impact. I did not have any systemic conditions prior. I was asked repeatedly by my OS if I ever used steroids. I've never suffered from diabetes or gout. I am told both are related conditions.   ???

Swelling did occur after PT and weight bearing started. If this becomes an issue, alternate icing and heating helped(end w/ ice). My therapist recommended thigh high medical leggings. A good investment and the lower compression version can be ordered without a prescription.
I grew tired of taking ibuprofen and weaned myself off of them.  Rarely do I need them now.

Here I am a year later with minimal dull aches, buckling, and lower back pain. I tend to put too much pressure on my lower back when rising from seated positions. I am now focused on using the quads/legs later in recovery so this doesn't occur.

Today's gym workout was great for my overall  body/mind/spirit. I am so glad to use the ellipitcal and the cycles (regular & recumbent). I was at the " top of my physical  game" when I was injured and plan to get back to something close.
 
Andy, I've looked at the rollerblades so many times, hoping someday to get back in them. I just don't want to take the risk at this point. 
Our physical lives have changed, but it doesn't mean we have to give into limitations.

Cheers to a great day and better tomorrow.

Danny
Title: Re: Ruptured Quadriceps Tendon
Post by: beezkneez on April 27, 2008, 07:40:50 PM

Bill, "thank you" for sharing your story.

I can't imagine it being more challenging than what you (and your family) faced and endured. You are to be commended for your fortitude and perserverence. Your recovery efforts and progress will no doubt provide inspiration to those future folks who meet with similar unfortunate circumstances, but who luckily find this discussion board.

I attended my second physio (post-op day #47) and attempted my first knee-bend. Struggled to get to 35*, so have much work to do to achieve the 60* my OS wants by Week 10. I see it as a huge, daunting task to get to your 100* Bill, and will ask the OS why I'm being reset to 0* between sessions.

Continued success everyone,_darrell
Title: Re: Ruptured Quadriceps Tendon
Post by: golfproquad on April 28, 2008, 03:41:30 AM
Howdy Boys!

Well thought I would share my story too.

November 2, 2007 Popped the right quad tendon while going up for a dunk, the floor was slippery and when i planted the foot went forward about an inch and that caused my leg to hyper-extend with full load. I actualy thought one of the guys i was playing with "kicked" me as I asked the question, to which they all said "no". I looked down and knew it right away. The best was the reaction from the Nurse on call (I was playing pickup at the College I teach at for the Fall Semester) when she came down to the gym and I was already ehading to my car to drive home (about a 45 minute drive). She said," are you the one hurt?" I said yup severed my quad tendon, (took my thumb and pressed it down on my leg and went all the way down to the bone). She looks at it and says "ok, well let me know how that works out for ya" She was quite speechless.

So on the drive hoe I call my sports injury guy (I'm a golf pro and basketball junkie so you need the rehab guy on speed dial) he prepped me for the hospital. (Oh yeah I'm 6'4 and I had the seat reclined so far back so that my right leg could operate the gas with just my foot the whole way home..quite hilarious) Got home, wife and kids took me to emergency, and here is a bit of useful info the next time you go to Emergency tell them your pain is like a 9 out of 10. Mine was more like a 3 but the Rehab man was right cuz i got in in 5 minutes. The attending walks in and says Well sir what did you do to yourself? I said i ruptured myquad tendon. He asked how and I said basketball but I was a golf pro as well. He said "can you straighten my slice ?" T which I said " can you get my leg fixed?" He turns and it just so happened the attending Orthopedic surgeon was in the next stall!!! Talk about lucky. Anyway he sent me home with an immobilizer and crutches, and had me come back on the next day which is when he operated.

3 strands of teflon and I was right as rain. 10 days on the couch not moving and I couldn't beleive how much it kicked my ass! i was exhausted! Had one slip getting out of the tub and accidentally bent the knee a little too far, but my surgeon said that bending wasn't the problem cuz he had my knee around my ear in the OR!!! he said that it is the loading of the quad that you want to refrain from. So 6 weeks on crutches with the littlest of rehab. I was monitored, and in week 4 I actually started oscilating on a stationary bike at the highest seat setting. I only wore my immobilizer for 14 days, but I lived on the crutches for the 6 weeks.

Dec. 13 got the ok to start rehab and I walked out of the hospital without the crutches (albeit a little limp)

Been 4 and a half months and I killed myself under the watchful eye of my trainer. The best was the raction from my surgeon when I went back at the end of January and had 95 % of my range of motion back and the quad was firing perfectly.

I want to pass on that the key issue I have found on my rehab has been a great mix of rest and hard work. Make sure you ask questions, get the best rehab (sports injury specific) person you can find. If you are in Toronto, Ontario or surrounding area David Wright, Mind To Muscle, Iceland Arena, Matheson Blvd. Mississauga, Ontario is the absolute best! It was funny the other day there were 3 of us with the same injury in the center doing a variety of rehad stuff.

Carry on boys, don't give up. Remeber this: No matter how hard the road to recovery will get, stay the course and don't ever quit. Keep telling yourself: "It's not over until I WIN!"

I'm out!

Doug. :)
Title: Re: Ruptured Quadriceps Tendon
Post by: ufcike on May 08, 2008, 12:08:48 AM
  6 week post op update on my Bi lateral quad ruptures.  39 year old, 210 pound male. I'm bending to about 60. I hate those new metal braces more than the immobilizers. Last night slept with no braces. Today was able to sit in front seat of car. Am able to walk up steps as long as I hang on to the rails. Going down I go backwards. 
   
    Found a neat trick for heel slides toward the butt. I took the top of a large rubbermaid container and greased it with petroleum jelly. Barefoot,I can slide my feet towards my butt real easy. Like night and day. Also took a towel wrapped it around my shin and pulled my heel toward my butt and held it for 60 seconds.
     
     Hope to be biking and driving in two weeks.  This is awesome! I am really enjoying the PT. Hope you are doing well. Might go rent "Men of Honor" this week because that scene at the end with Cuba Gooding walking against all odds is one I could watch over and over. Definetly at big motivator if you are a movie buff.

     Take care everyone. 

      Andy
Title: Re: Ruptured Quadriceps Tendon
Post by: ufcike on May 17, 2008, 05:56:48 AM
   
        Update on my bilateral quad ruptures: I  am seven weeks post op. I am driving a car now with no problems accept getting in and out slowly. I was able to pedal the recumbent bike today on level one for 10 min. Couldn't control my smile on the bike. Someone had to think why is that crazy guy laughing on the bike. My PT guy did not tell me to do this and does not know I am biking.  I did this on my own. I have learned quickly that PT is just a minimum guideline and the you have to fill in the dots and take things to the next level. Know your body and don't be afraid to try something new. You cannot just sit back and wait for a PT trainer to tell you when to do stuff. Nobody knows your body better than you. Just start doing some things slowly and cautiously and you can really suprise yourself.
     
        Setbacks: My left leg is way behind my right on range of motion. I still have continuous pain and stiffness and I feel like I will never be able to walk without supports.

         Take care all my quad tendon friends

         Andy
Title: Re: Ruptured Quadriceps Tendon
Post by: beezkneez on May 17, 2008, 04:18:41 PM
"Hi all .. !!"

It's been a while, so I thought I'd update you with what's happening with this geek :

10 weeks post-op and can't get past 50* (45* mostly) ROM, non-passive.

The problem is with my outside quad above the knee - the tendon there is hard as a rock and will not release or stretch past this point. During efforts to bend it, the knee tightens and feels like it will explode from the pressure-build. My OS yesterday, suggested that if we don't see improvement over the next 4 weeks, he'll think of scheduling MUA (says that kind of work should be done before Week 16).

It is very likely scar tissue from the lengthy immobilization era, and I'm wondering if anyone can recommend any exercises or things I can try. I've been doing physio twice weekly: heating it well before the sessions and icing it after, religiously. My PT is at a loss beyond ultrasound, knee-bending, and TENS work.

I want to do everything possible to get more range asap, and am getting kinda desperate. Fyi that the adjoining quad/tendon areas are excellent, so if I can just get this one spot to loosen up ..

Any thoughts from your experiences, will be very much appreciated.

Thanks,_darrell

Title: Re: Ruptured Quadriceps Tendon
Post by: mdina15 on May 20, 2008, 11:04:07 AM
Hi, everyone:

I need your help. I had a quadriceps tendon rupture several years ago and have not been diagnosed properly then. I have not been operated yet, as couldn’t find an OS qualified enough to help me in my country. It has been going worse recently with pain, less strength and more stiffness.

Can you, please, recommend a good OS, who has already done sucessfull operations on ruptured quadriceps tendons? I was told that I could find such a good OS in Germany.

So, dear all, I need your opinions and recommendations on experienced OS in Germany or any other country who could help me!

mdina
Title: Re: Ruptured Quadriceps Tendon
Post by: 225Champ on May 23, 2008, 02:42:48 AM
Bi-lateral rupture 2007 April 28th:

One year follow-up appointment today with my OS. The reason for the visit is due to the 15 degree lag on my right leg w/ a straight leg lift.  The left leg is practically it's old self again.
The OS has scheduled an MRI (medical image to visualize the structure and function) on the right leg. He states I have good muscle growth, but I have a dip in an area right above the knee which could indicate the tendon may have seperated.  We will review the film together. Surgery may or may not be an option, as I can easily live with this lag. Surgery may or may not correct the lag, no guarantee.
I am physically active and feeling the best I've felt in the last year.

I recommend to those with Bi-laterals to focus on the core stability exercises  (ask your PT)  to prevent lower back issues. I favored my quads when rising from seated positions and it put pressure on my lower back.
Overall, The OS is  pleased with my progress the last year.

Andy, you'll get the range of motion and I was at a point where I thought I'd wouldn't be able to get about without  the support.  It'll happen,  Please don't rush the healing. My OS has given me the green light for my list of exercises (seated or horizontal leg presses, the bike(s), etc.). I am a testament that all is not lost.

Keep the faith -
Danny
Title: Re: Ruptured Quadriceps Tendon
Post by: ufcike on May 23, 2008, 03:25:18 AM

       Hey Danny,

    Thanks for the update. Yes the scariest thing besides a re rupture is not knowing how we are gonna feel in a year. Probably the most frustrating thing is that when I walk and look normal. My family and friends see me and think everything is 100 percent healed. What they don't realize is how weak my legs are and the constant non stop pain I am in. I can't blame them. They only people that understand are people on this board or friends that have had major surgery. 

     Tuesday was my 8 week post op update.  I drove myself to my doctor. He saw me walking in out the window and couldn't believe it was me. He took me off the leg braces and told me I can wear them at my descretion. They are in the trunk of my car and I haven't worn them in two days. Scary feeling!!  I ride the recumbent bike at the gym now for 20 minutes at level 5. Hurts but it loosens up now after a few minutes.  He told me I can do some very light leg pressing and that has really helped me break up the scar tissue.

      I can't complain. Everything is great except the constant pain. I dropped off my walker and raised toilet seat at the Salvation Army today. LOl I am hoping someone that can't afford those things can use them cuz I am done with those items forever! : )

     Everybody have a great Memorial Day Weekend and don't forget to cheer for my Milwaukee Brewers! LOL

     Proud bi lateral member, Andy
Title: uad tendon
Post by: lamar on May 24, 2008, 08:55:18 PM
I too ruptured my R Quad Tendon 2 yrs ago. Had surgical repair shortly thereafter. About 3 weeks after surgery, while rehabbing on CPM, getting the knee to a 90 degree bend - some stitches tore right above the knee cap. This resulted in a 2" hole in Quad tendon. Went thru extensive PT, but Surgeon did not want to re-repair. 2 yrs later, the compensation for loss of strength,stability,etc, has wreaked havoc on my L Achilles tendon(badly torn) & R foot(requires surgery). I've played golf, and bicycled, No hiking or walking - and am now so badly torn up that I am in process of lining up re-repair with different surgeon.
So, please be careful with the 90 degree bend & CPM machine.

Best Wishes & Happy Memorial Day Weekend

Lamar
Title: Re: Ruptured Quadriceps Tendon
Post by: Newgene on May 29, 2008, 05:01:46 PM
Hey Everyone,

I'm new here, and here's my story.  I'm 32 years old, and I have been weightlifting for 20 years and bodybuilding for probably around 14-15 years.  I'm around 6'1" 260 lbs.  I have been completely healthy up until I tore my right quadriceps on Easter Sunday of this year.  It was a pretty nasty tare, too.  I completely severed my quad tendon including 3 of the 4 heads of my quad.  It was a nasty injury that I knew immediately.  I was actually spelunking in a cave and started to repel down the side of a cliff.  I had too much slack in the rope, and when I leaned out, I hyperextended my leg under full load.  I heard it when it ripped, and the rest is history.

I had surgery 8 days later, and I saw the PT 4 days post-op.  This is pretty much how my progress has went after each week ending:

Week 1 -- pain in the knee; could do calf exercises, but everything else was tough; electrical stim kit was very painful; walking awkwardly on crutches; full brace set at 30 degrees
Week 3 -- Brace opened to 60 degrees; machine bending leg to 75 degrees
Week 6 -- Brace opened to 90 degrees; started using weighted leg weight (5-10 lbs); started riding recombant bicycle (painful at top of peddle)
Week 7 -- Started using upright bicycle and peddling much faster; ROM at about 115; Can hold bodyweight
Week 8 -- ROM at 122 (good leg at 145); can steps up and down at around 5" (controlled step-ups); At 8.5 weeks, was able to do 10 minutes of elliptical trainer

This has all been a lesson in how to suck up my pride.  It has been majorly depressing, and at first, I thought I had hit the biggest milestone in my life.  I'm learning now that it wasn't quite so.  Sure, I have taken pride in having very large quads, and now I have one that looks like it belongs to a 12-year old, but I think it will come back.  One of the hardest things to handle was crying in front of my wife.  I tried to hold back tears while my body was shaking and was seeing stars from being about to pass out.  I don't know if I was actually crying or was squeezing tears out my flexing eyesockets.  It was the worst I EVER been in in my life.  The daily progress keeps me motivated and takes my mind off how much more I have to go.

BTW, I work my hurt leg every night with the prescribed PT exercises, and I also do some other odd recommended exercises 2-3 times/week while I'm working my upper body.  I think age has a lot to do with recovery time, but I think effort has even more.  As depressed as I was when it happened, I'm more impressed by how it comes back.

Take care everyone, and I'm glad to have a place where I can share my stories with others who have been through what I have.

Gene
Title: Re: Ruptured Quadriceps Tendon
Post by: Newgene on May 29, 2008, 05:09:17 PM
John and Bear -

You can't strengthen tendons, however, you can strengthen or keep the muscles strong that attach to them.  My impression from my accident, (and I have gotten the impression from some other posters)  is that if I hadn't been in good shape when I slipped, I would have just fallen and maybe bruised my butt (and ego).  However, because my quads were strong and I reflexively attempted to "catch" myself, tightening the quad on the supporting leg, which then overpowered the tendon and resulted in the rupture.     

I haven't seen any studies with regards to that, but it would be interesting to know whether others feel similarly about their injury. 

I agree 100% with that.  My quad was in great shape, and I annihilated it when I fell over on the repel.  My quad tried to stop the weight of my body from falling far below parallel.  Because of it, my quad tare was awful.  I always lifted heavy, and I have squatted every week since I was at least 17.
Title: Re: Ruptured Quadriceps Tendon
Post by: ufcike on May 30, 2008, 06:38:18 AM
   
        Hey Newgene,

    It was great to hear your positive attitude. I am 9 weeks post op from bi lateral ruptures. Yesterday I rode the elipitical on level 2 for 15 minutes and then rode the bike for 20. Started light leg pressing as well. I feel my knees 24/7 in every movement every day. Still have pain and swelling but  manageable. 

     I have honestly done all my PT on my own. Saw my guy 3 times. Thats it. Everything has been on my own. I was walking through the mall the other day and was just laughing and smiling to myself. Never thought I would be walking through the mall free and easy. It is still hard to sit up from a seated position such as a lawn chair.

    Today I munched down a Big Mac and fries. I never would have ate that before this happened. Just don't care anymore after going to Hell and back. Gonna enjoy life and if want a Big Mac, I'm gonna eat it. LOL 

     Take Care and I cry everytime my Brewers lose. Which is almost daily.

    Andy
Title: Re: Ruptured Quadriceps Tendon
Post by: Newgene on June 02, 2008, 02:58:36 PM
Andy,

That is so true.  I was actually in the middle of a good clean diet when mine snapped.  I had taco bell yesterday, and the wife and I use the evenings I see the PT as an excuse to go out and eat.  On those nights, I don't have to do my PT at home, and we actually look forward to it.  At this moment, I am exactly at week 9.  I have gained some weight, but as soon as I can really start hitting cardio, I will change the diet back and get it off again.

I don't know how you handled the bilateral tare.  That had to be tough.  If it makes you feel any better, I'm not sure a single is as much better as people think.  My "good" leg is now creaking very bad at the knee, and the ankle on that side is popping every time I move it.  I know I'm doing some serious damage to that leg, and I'm hoping my bad one strengthens quicker.

I'm pretty much climbing steps, but I'm not sure if it's much better than last week.  I feel like I'm more willing to bend it while sitting and stuff like that.  I hit 125 ROM on Thursday, but it was a painful push that my PT did just for the sake of seeing the max.

On a different note, I was planning to buy a motorcycle, but I'm rethinking it.  I told my PT, and she thinks it's a bad idea.  We just bought a new bike for my wife (very small bike), and drove it up and down the street.  I have no confidence whatsover!  I'm so terrified of snapping it again that I baby the bike to one side.  This bike at 350 pounds is only 50 heavier than most 250's.  The bike I plan to get it 660 pounds!  Needless to say, I'm not ready.  My wife will just have to ride a little without me or leave it in the garage until I'm ready.  Taring the quad at this point would surely be a disaster.  My OS says he had a very good reattach, and he feels I'll be back nearly 100%.  I know he doesn't think that would be the case if I tore it again.

I guess I just have to wait until later this year, or even next summer.  I'm just glad to be walking just about normal again.

Take care,
Gene
Title: Re: Ruptured Quadriceps Tendon
Post by: JoMama on June 02, 2008, 10:28:54 PM
Howdy everyone.

Just thought I'd post here again to give my 8.5 month status report. Ruptured my left quad on 09/15/07 jumping to spike a volleyball in the sand. Surgery was done on 09/21/07. I have to say I'm more than content with my progress so far. One of my biggest fears was being unable to play sports again semi-competitively (or being so limited in my recovery that I wasn't the same again). I went out to test my leg the other day, and damned if I haven't pretty much recovered fully already. I ran around in the sand, and hit a few balls and I felt almost as good as I did pre-injury. Some of my friends tried to persuade me into playing a real game, and I then decided to come to my senses and pass on their offer (actually thought about it for a second though). Basically I can run and jump about 85-90% of where I was pre-injury. With more rehab I truly believe I can make a complete recovery, perhaps with a little stiffness, and mental guarding of course.

For what it's worth, and if anyone's interested, some highlights listed below for my specific case. Hopefully it can be used, if nothing else, for inspiration.

- A consistent rehab plan. Every week since my surgery I did something to improve my leg. I wasn't too gonzo either, but I'd never let more than 1-2 days pass before doing something beneficial. And I never got too extreme like some I've seen. If I went to the gym, I'd merely do 2-3 different exercises for my leg (3-4 sets). If I rode a bike, I'd go for 30 minutes tops.

- Though I know I could have benefited from a professional physical therapist, I basically did it all by myself. I was disappointed in the experience level of the PT's my insurance provided (first 3 visits all they did was hook me up to a TENS unit :-)). To increase my ROM, I simply did heel slides 20 minutes each night for the first month, carefully pulling hard at my shin to get a little more each week. One of the best ROM exercises was simply holding my bent leg in the best possible range for 30 seconds of so (being careful not to push it too hard, but always applying slight pressure).

-A variety of strengthening exercises which included running, biking, and weight-training. I'm not sure, but the running might have been the most effective if I had to choose one (at least initially). At the three month mark my surgeon suggested jogging. Well, the first couple of weeks I'm sure I was pretty pathetic to look at, as I "jogged" (limped) around the block. Each time though, it got a little better.  Then if I got tired of running, I'd hop on the ol' bike and go up a few hills. In terms of weight-training leg-presses and leg extensions seem to work just fine. As my injured leg started to get stronger, I found it beneficial to isolate, and use only the bad leg. Yes, it can be embarrassing to have only one plate of ten lbs. on the machine, when a 110 lb. female then walks over and lifts ten times as much weight, but you have to start small.

- As has been stated here many times, progress is very slow. However it is steady. You may not be able to perceive any improvements week-to-week, but when I looked back each month, I was definitely able to see milestones being made.

Anyway, good luck to you all. I'll post again in a month or two. I'll be careful not to overdo it until my doctor gives me the green light.

-Joe
Title: Re: Ruptured Quadriceps Tendon
Post by: 225Champ on June 04, 2008, 08:07:56 AM
Gene - don't beat yourself up too much.  Remember, mental health works hand in hand with physical health. Thanks for sharing your experience. I found myself journaling during the last year, not so much now, about what I was feeling, my recovery, and the wonderful people in my life that supported me.
You may find it cathartic, if you are so inclined. Just getting back to the gym will help with the mental focus.
I was at the top of my game physically, for a young 52 year old. For now, I feel I've comeback as best I can for a Bi-lateral rupture.  I actually went out for an extended bike ride last weekend, the first outside the gym's stationary equipment for over a year. What an accomplishment. Also, I will never take the ability to walk for granted.
My OS is one great guy who has been supportive as any Doctor could be. He scheduled a MRI for my right leg due to an extensor lag. We'll review the film together and determine if another surgery would enhance my straight leg lifts & improve on the lag.  If there's no true  guarantees, I may bow out of surgery, as I can obviously live with it.

Andy - keep up the good work and positive perspective. I am surprised that you've had limited PT contact. My provider was so concerned with the Bi-lateral injury that I saw the PT at least once a week
from May 2007 to September 2007. I was told the time would have been shorter with one rupture. Other rehab work was on my own. The PT visits were beneficial for me. Alternating heat and cold for short intervals, ending with iice helps with the swelling.
Wishing your Brewers the best......short of any curves or fastballs.

Eat, drink, & be merry but watch that waistline  ;D.

Be Well everyone-
Danny
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on June 06, 2008, 03:56:22 AM
G`Day to all fellow quad rupture sufferers from Oz,
it pains me to see so many new names on this forum, but if they are going to find relevant information about this injury this is the place to find it.For those of you who haven`t read my few posts my name is Bill and in October last year I completely ruptured my left quad tendon on a military freefall jump.Following my highly experienced aviation medicine doctor`s comment about "life changing injury" I wanted to know everything about this injury and this forum with its many experienced posters was my salvation.

There are a lot of members here who can give you information on this injury the physio who first saw me immediately following mine had never seen a complete quad rupture so the people on this forum are more than qualified to offer advice.

Just a few landmarks about my own case:

Injury - 11 Oct `07
Repair - 12 Oct `07
9 weeks immobilised
Physio commenced - Dec `07
Gym work commenced - Feb `08
Cleared for Military and Civilian Parachuting (no restrictions) April `08
First jump after injury - 3 April `08

I could drive an automatic car 9 weeks after the accident,I could weight bear almost as soon as the brace was fitted.It is now 8 months since my injury and I have joined my gym and go at least 3 times a week.I can now do the following things that at the time of my injury I never thought I would do again

I can run 5km in 30 minutes (not fast I know but I am over 50 and getting faster)
I can leg press weights of up to 160kg
I still have a little trouble going down hills but it is getting easier every day
My quad muscles have returned since starting at the gym
I can play football with my son (of a fashion)
I can skydive again
Basically what I am trying to say here is that I can now do things that immediately after injury I worried I would not do again it all comes back with determination and hard work.

Guys I have to go now but I have my final (I hope) visit with my orthopod in 2 weeks time and them this brief interlude in my life will eventually become just a memory.Hang tough.

Regards,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on June 06, 2008, 10:44:31 AM
Hi Bill

Read your very interesting post this a.m.  There is a similar thread on an Oz thread, but nowhere as good or informative as KneeGaru.

You seem to have made good progress - keep at it - you will reach near perfection, even if not 100%

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on June 17, 2008, 07:17:57 AM
YEEEHAAAAAA!!!!,
saw the orthopeadic surgeon today and he said he never wanted to see me again! Just what I have been waiting to hear.
Hang in there everone and it will happen to you to.

Cheers,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on June 17, 2008, 07:19:39 AM
Hi Bill


Delighted  -   what ROM have you reached?

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on June 17, 2008, 12:16:01 PM
Hi John,
I am practically back to normal as far as flexibility and ROM go.The only residual problems I have at the moment are going down stairs and steep hills still are not quite back to normal and a vague feeling of weakness in the knee joint itself,if you know what I mean , but I am getting stronger everyday.I have really been hitting the gym hard and my quads are well on the way to what they used to be.I credit my recovery to my physio who was excellent and to a re found love of the gym.

Keep up your good work and you will get here too.

Cheers,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on June 17, 2008, 12:31:14 PM
Hi Bill

Everybody has problems walking downstairs - more importantly, watch out when walking on wet roads, grass and ice/snow - don`t get over confident.

Best wishes

John
Title: Re: Ruptured Quadriceps Tendon
Post by: JoMama on June 17, 2008, 05:55:20 PM
Hi Bill,

Great to hear about your recovery. Can I ask what you believe your strength to be in your left leg (compared to its pre-injury status)? And how about mobility/quickness?

Thanks.

Joe
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on June 18, 2008, 09:43:22 AM
Hi Joe,
strength is about at the same level as pre injury but speed and agility still has a way to go.I am improving every day but as I said in my previous post the knee joint itself is not yet as strong as I would like it but again it is improving all the time. Mobility is not a problem but speed has room for improvement.I can run in a straight line without any worries but as for rapid changes of direction and running backwards I still have to try them out,I`ll let you know how I go.
I have been cleared to jump by my army doctor and now by my orthopod and I have already done a few jumps so as I said with more gym I should be back to 99-100 percent soon.

Cheers,
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: Newgene on June 20, 2008, 04:08:40 AM
Hey folks,

So many threads to keep up with, but I admire everyone's positive attitude.  I had a little bit of a setback, and I'm not sure if it was something I did to overwork it or some crazy arthritis.  I lost 5 degrees of ROM and had so much pain, I couldn't do a leg raise.  Really was weird because it went away this week.  I just hit my strongest on the biodex machine, and I have all the lost ROM back and a little more.  The good thing is that my confidence is back, and I feel like I could even jog a little slowly.  I guess the point is that if you would have asked me how I was doing last week, I thought I had re-ruptured it, and it was all downhill.

Geesh...what a difference a week can make.  Cheers everyone.

Take care,
Newgene
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on June 20, 2008, 03:40:57 PM
Newgene...could it have been a bit of scar tissue?

Sue
Title: Re: Ruptured Quadriceps Tendon
Post by: Newgene on June 27, 2008, 02:18:09 PM
Newgene...could it have been a bit of scar tissue?

Sue

It may have been.  But my OS seems to think it is a pre-mature arthritis situation.  I pretty much wore a spot in the cartilage under my pattela, and he believes that is what I had.  I wound up cranking up the ibuprofin and went back on Ultram, and the problem is now completely gone.  The strength and ROM is right back on track.

I have also learned that the best thing for me for ROM is to lay on my back holding a towel under my thigh, and with my thigh perpendicular to the ground, let a weight hang from my ankle.  I'm a 135 with a slight push in.  So, I'm probably real close to getting a full ROM, or at least I should by the time all this is fully recovered...I hope.
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on June 27, 2008, 03:12:22 PM
That's great ROM to have back! Congratulations!

My OS never wants to see me again and that's a good thing!

Happy weekend...

Sue :-*
Title: Re: Ruptured Quadriceps Tendon
Post by: ufcike on July 20, 2008, 10:18:56 PM
   Hey all my quad tendon ruptured friends. This is Andy. I am 4 months now post op on my bi lateral quad tendon ruptures. Life is pretty normal. Little or no pain in either. However when I bend them, it still feels like a rubberband stretching inside. I am able to do the eliptiical machine and ride the bike no problem. However last week I was walking and I tried to mix in a slow shuffle jog. Felt no pain and it was fine but the next day my right knee was swollen pretty big. So I am gonna back off on any jogging for another month.

   If you are new to this board, don't ever stop believing. In March I was in a wheel chair for a week, then a walker and didn't have one good leg to stand on. LOL. 

     I really believe my OS's approach of having me in immobilizers for 6 weeks without any kind of bending was the best choice.  Others may disagree but I am very happy with the progress and results.

    Take care everyone and don't forget to cheer for my World Series bound  Milwaukee Brewers!
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on July 22, 2008, 11:14:36 PM
G`day all from OZ,
I have just returned from remote NW Australia where I was instructing on a Military Freefall course and did 30 jumps without any problems so I am nearly back to where I was 9 months ago.I am just about to go to the gym to do a workout, my treadmill running is fine but road running is not too elegant yet but it is coming.ROM is now full range and there is no pain.The repair feels strong and scar is fading rapidly.Life is back on track,something I didn`t think possible just after my injury.I am not bragging but just trying to let all my fellow wounded know that they too will get back on track.This forum was my inspiration back when I did this life changing damage to myself, it is a life changing event but it can only be a short one if you apply yourself.Good luck everyone and thank you all for your mails,they heped me to get here and I couldn`t have done it without your encouragement.

Hang Tough.

Bill.
Title: Re: Ruptured Quadriceps Tendon
Post by: Jobo Pooks on August 06, 2008, 02:37:59 PM
 ;D High all. Stumbled upon this site weeks ago and download these pages to read offline. A great site and so much info.  Rather than bleet on about my injury, which is so much like many of yours here I decided to knock up a page on my website with my story and progress. You're welcome to visit and take a look.

 My Quad tendon rupture (http://ricklennie.www.idnet.com/JOBO_POOKS/labyrinth/quadricepstendonrupture.htm)
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on August 06, 2008, 04:01:07 PM
Hi

What an excellent write up - can learn a great deal from your webpage and very unseful information to other sufferers.

I should have added that you should try and sleep with a cushion/pillow between your knees.

You should also applly to your local council for a car disability badge - you qualify for one, and indeed in time very useful for parking at Tesco`s etc .... contact mke if you wish any further advice.

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Jobo Pooks on August 07, 2008, 10:20:48 AM
Thanks for the reply. Yes I know about the pillow between the knees, I used it years ago when I first injured my spine and have used it on and off for a long time.

I first injured my spine 34 years ago and was told no more weight lifting and take things easy and all the usuall stuff doctors and experts tell you. I got to know my own body and listen to it and have been training with weights and doing a hard manual job ever since.

But hey, what do I know, it's just my body after all. ;D

 
Title: Re: Ruptured Quadriceps Tendon
Post by: beezkneez on September 09, 2008, 01:49:15 AM
Hi everyone. It's been six months since the injury.
 
And since my last post (a long while back), I've had a 2nd surgery (arthroscopic lysis of adhesions) to clean out the scar tissue and manipulation (MUA) to find my potential range of motion. Was on a CPM continuously for 2 1/2 days following, during my hospital stay.

I changed physiotherapists - the first wasn't sure how to work with this kind of injury, so I moved onto to a sports PT. Turned out to be the best decision I've made - this fellow really has been into getting me better. We were at it 4 days a week, 3 hours a session, hard for 4 months. The muscles had shrunk a little so we've had to lengthen them (still do) while working on the ROM. Went from 50* before the 2nd surgery, to 90*, then improved in 5* increments almost every 10 days over the last 6 weeks or so. Our last big push got it to 118* and we know 120* is there for next time.

I can again ride the bike (after a good 5 min warm-up to lessen the stiffness) and have recently began working in the pool, which I find is the right thing at this point in time (maybe I shoulda/coulda started the pool-work sooner ?).

To-day I saw my OS, who's ecstatic, and wants next to see me April '09, "to just touch base". He cautioned me about pushing it beyond 120*, fearing that I may risk breaking the re-connect. He wants me to be happy with this level : walking normal (95% there) and running again (dunno when).

Now, I feel I'm improving at about 1% each day in knee-speed, strength and control of motion. I begin seeing the PT only once a week, as I think most of the improvement going forward will be from walking, biking and being in the pool.

It has been a long, long journey back to this point. BUT I KNOW now that I will be at 99.9% by the anniversary of the stumble that caused it all on March 7th, 2008. Many times, I didn't think I'd get this far or even close to this, but by "investing" through hard work at physio, believe me, it DOES pay off .. !!

"Best wishes" to those who unfortunately follow. Experiencing a QTR is a absolute bummer. But time, optimism, and true, consistent effort WILL help you get your life back. Trust me - I've been there and I'm (almost) back. And after all the humbling crap I've been through, it's beginning to feel like MY knee again.
           
darrell  ;D 
 
Title: Re: Ruptured Quadriceps Tendon
Post by: spt on September 09, 2008, 09:46:06 PM
Hi everyone again.  Just a quick update - broke my femur and partially severed my quad tendon about 11 months ago when a car decided to take me out whilst cycling.  Still some way to go for me.  Can cycle 20 odd miles no problem (except cars too close that is  ;) ) but cannot walk more than about a mile with significant leg pain.  Metalwork problems I think but that's not really for this board (having an x-ray and seeing the OS next week to find out more).

Just really wanted to know if anyone has had any problems with clicking/grinding knee cap as a result of their injury.  PT says that its caused by tightness in the quad and tendon and also a general weakness of the quad (kneecap not running smoothly in the groove).  She says it should improve with stretching/strengthening but not much improvement happening thus far.
Title: Re: Ruptured Quadriceps Tendon
Post by: Newgene on October 02, 2008, 05:30:58 PM
Great update Darrell.  I have to agree with you 100%.  Now, I'm relatively young for this injury (32 when it happened), but constant PT is what got me back to where I am now.  I made 6 months since the surgery yesterday, and other than a bad scar and some tenderness when I try to run or walk fast, I really don't notice it in normal day to day stuff.  The key to all of it was finding a PT who wanted to get aggressive with it.  She's had me doing single leg presses on the sled for the past couple of months, and she to heavy enough to where I can barely do more than 12 reps on my bad leg.  She doesn't like me going too far parallel, but I try to go as deep as I can with no pain.  I even sneak in some leg extensions on the bad leg!

I can't stress enough pushing the limit on the bad leg.  Do whatever it takes.  I know am the proud owner of a new top-end elliptical machine, which by the way is one of the best exercises you can do for this type of injury.  I do it every day, and I swear by it.

My outlook now is so very different than the first few weeks post-op, that I am surprised I was even thinking the way I was.  I really thought that this was the end of everything.  In fact, I think I have found some weird kind of motivation to come back, and it seems to be pushing me with getting leaner and building more muscle everywhere else.  Again, I just can't describe how different I look at the outlook now than back then.  Intense physical therapy got me here, and I can't stress it enough.

Take care, all.
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on October 15, 2008, 11:01:48 PM
Hi all,

I thought I would sign back on to this board that helped me so much a year ago when I was way down in the dumps.  I see a lot of new names (and still some some old names here too), so I thought I would give an update, especially for the "newbies" to the Quad Rupture world.

A quick synopsis (I had some bad luck, as you'll see)... 07 Sep 24 I ruptured my left quad completely while hiking down hill, repair was done a few days later, unfortunately the suture anchor snapped in the repair, and I had to have a second surgery a few days after the first... not a good start.  Things were slow, but then to even compound everything, in December, I foolishly lifted a 50 lb bag of rocksalt without proper body mechanics (I was protecting the healing knee), rupturing a disk fragment onto my S1 nerve, and essentially killing off most of my calf muscle in the same bad knee leg (how's that for screwing things up!!!)....  all I'll say is take it easy and don't be a hero while heeling!

I thought I would give my one year update so the new folks know things WILL GET BETTER, even after all the screwups I did!  I am able to cycle my touring bicycle again fully loaded in the mountains (about 50-60 miles/day), I do notice some lack of pre-injury strength, I would say I'm about 80-85% (of course a lot has to do with the ruptured disk, unrelated to the knee injury).  I am back hiking, a little bit slower, but not too bad... the tough part is going downhill still... after a long hike with a long downhill, the knee will be sore when I get home.  Most of my problems seem to be related to the calf weakness from the disk rupture, even though I do see slow improvement (very slow!), I'm told it may take up to 2 years to regain the strength from that nerve damage... we'll see.

Anyways, hang in there!  The first few months after surgery I thought my active life was kaput, and I can tell you, things will get better!!! but it will be slow!!

If anyone is interested in my story, I kind of did a journal of my misadventures, up to the point I took my fully loaded bike to the road this past summer:
http://www.crazyguyonabike.com/doc/?doc_id=2732

Bob
Title: Re: Ruptured Quadriceps Tendon
Post by: golfproquad on October 25, 2008, 06:03:43 PM
Gentlemen,

It's been a while since I was last here visiting the site, but I must say WOW! Lots of good advice and some hard luck stories too! Just a little update for those who may be getting towards the end of(or you think is the end) of your rehab. Don't stop. Next Friday Oct. 31st will be exactly 1 year to the day from my rupture of the right quad tendon. I think that I was extremely fortunate to have such a great rehab guy that I have come back in the best shape of my life. WHat did it for me and why i kept goiung even though it was a little (ok a lot ) tedious, was the thoughts he gave me about not the immediate results of the rehab, but the long-term results and what shape i will be in 10 years from now. He basicaally said if you want to be able to do the things you do now in 10 years you have to keep up with the program!

I am happy to say that I played my first scrimmage of basketball in a year this past Wednesday and I know that i went pretty hard but not all out. The leg held up perfectly and I had no swelling what so ever.

One bit of advice I would like to pass on is that we used a topical anti-inflamitory creme called: Tremeel. It is sold in helath food stores here in Ontario Canada. We put it on the scar tissue and used the ultrasound and the gel (lots of gel as the creme doesn't conduct so about a 3:1 ratio) used it at a .60 kilajewel setting. This broke up the scar tissue and reduced the swelling and fluid andreally helped speed the healing process.

I hope that those who are just post-op can understand that you will get out of your rehab what you put in so good luck and for those who are farther down the rehab road...keep up the hard work!

Cheers,

GolfProQuad ;D
Title: Re: Ruptured Quadriceps Tendon
Post by: Jobo Pooks on October 30, 2008, 10:35:37 AM
Hello all.  :D

6 months in now. Moving in the right direction. Here's my blog rather than fill up this space. Hope it helps those who may need encouragement.
KNEE JOB (http://ricklennie.www.idnet.com/JOBO_POOKS/labyrinth/quadricepstendonrupture.htm)
Title: Disabled Parking Disk
Post by: sball on November 15, 2008, 06:16:30 PM
Hi all (especially John42)

I haven't been on for monts - since moved from Dubai to the UK. I managed a comlete rupture of my right quads tendon in Dec 06, with surgery Jan 07. Also diabetic.

Now 22 months out. Still ongoing pain, although ROM good.

John42 - you mentioed about applying for a disabled parking disk. Can you advise hpw to do this?

Rgds

Stuart
Title: Re: Ruptured Quadriceps Tendon
Post by: lamar on November 16, 2008, 12:26:14 AM
Hi Stuart,
I was able to get a Temporary Disabled sticker from AZ DMV with a letter from OS.
It has come in handy.....Good Luck.
Lamar
Title: Re: Ruptured Quadriceps Tendon
Post by: rann on November 17, 2008, 04:59:49 PM
Hi,I ruptured my (right) quad tendon 7 weeks ago and had surgery 6 weeks and 3 days ago. I start out patient PT this week and had a PT come into my house for several weeks- just working on leg lifts basically. I have an adjustable brace-but it is set at 0 extention right now. I am able to walk around the house without crutches, but i take one crutch with me if i walk outside. My knee really seemed to improve after 5 weeks. Now my biggest concern is how tired I get if i walk outside or even go for a ride and to the store. (I still can't drive) But my energy level is so low. And yesterday i was out for about 5 hours and i came home and slept 12 hours!! My knee did well-but my body did not! This lethargic feeling is so hard for me to deal with. I was fairly active before this injury and practiced yoga and use to run--I have not started work yet. I teach and am doing lesson plans and grading from home-but can't go in to the classroom yet.

I am really worried about my lack of strength and energy. Does anyone have advice?
Thank you so much.
ann
Title: Re: Ruptured Quadriceps Tendon
Post by: rann on November 17, 2008, 09:57:18 PM
I just posted an entry, but I forgot to say that I am having difficulty raising my leg at all from a reclining position. I can tell the muscles are getting a little stronger around my knee, but i can't believe that i am unable to really lift my leg from that position. I am a little over 6 weeks since surgery.
Any input would be appreciated. Thanks!
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on November 19, 2008, 05:36:24 PM
Hi Ann,
Re: the lethargy....it will diminish.  If you were like me (and I assume anyone with this injury), you have been pretty sedentary for several weeks, and it will take time to build your stamina back up to pre-rupture levels.  I can remember going out to rake leaves for a half an hour (while recuperating) and being wiped out the rest of the day from it. I can also remember going out to the store with my wife early on and after a very short period of time just telling her I needed to leave and go home I was so tired!  That is one of the frustrations with this injury....healing, recovery takes a long time.
 
Keep up with trying to raise the leg from the reclining position, that too takes time before you can do it effortlessly.  Keep plugging away and don't get discouraged.  ;D
Title: Re: Ruptured Quadriceps Tendon
Post by: rann on November 20, 2008, 08:55:31 PM
Thank you for your reply. It makes me feel better that you also were very tired after this injury and surgery. I start out-patient PT tomorrow and an very excited. :)
Title: Re: Ruptured Quadriceps Tendon
Post by: shooter on November 21, 2008, 09:28:10 PM
Hi, I hope I'm in the  righ area. I broke my left ankle, Fractured my left Fib and topped it all off by rupturing my right Quad Tendon on 11/09/2008.  I missed two stairs and went all the way to the bottom landing. I had my staples and stiches taken out yesterday. No pt of any kind until Thanksgiving day. I have to say this is a VERY humbling experence. I envy some and glad I'm not others. I am a very active independent person, and having to learn to relay on others is tough.You all have helped answer alot of my questions. I don't know how you all managed to stay up beat as you have. How did you do it?
Title: Re: Ruptured Quadriceps Tendon
Post by: z06 on November 23, 2008, 04:28:59 AM
I ruptured both Quad Tendon in a fall in Dec 07. Went through all the braces & stuff( 6 weeks ). Have been going to PT for 8 months, 5 days a week. Still having pain in left knee. Had OS on right knee in Aug 08, not too bad now. Have to see surgen again in Jan 09 about left knee. Can drive & go up stairs, but coming down is still tough. Can walk on treadmill for 12 minutes, & then too much pain. Boy, almost a year & still having problems. How long is this going to be? Starting to get on my nerves.
Title: Re: Ruptured Quadriceps Tendon
Post by: Griceberg on December 30, 2008, 01:31:56 AM
MAN! That is tough. You ruptured BOTH tendons?!?!?!? I can't imagine how horrible that must've been.

I am now 30 months post op and I still have a good deal of pain. My tendon pulled right off of the kneecap. I think the repair itself is the cause of the pain. You can tell that my kneecap pulls inward at the bottom. This, I believe, is from the tension of the sutures pulling it in.

I wish I had some beneficial tips for you, but I have tried everything and still have pain, atrophy, and lack of strength.

Good luck!
Title: Re: Ruptured Quadriceps Tendon
Post by: LIL ITALY 8888 on January 21, 2009, 04:31:17 PM
Hello everyone;

I fell four years ago on my left knee, and my diagnosis was a chronic rupture of the quadriceps tendon with chondromalacia of the patellofemoral joint.  I have had nothing but problems with my knee and quadriceps tendon.  My knee gives away and always hurts.  I have fallen many times too many to count.  My knee just does not work.  The surgeon did not repair it for 6 to 8 months after the tear.  And I cannot walk up stairs, my knee gives away all the time.  I am in pain all the time I know have post traumatic digenerative changes in my knee.  Any advice for me?

Thank You
Title: Re: Ruptured Quadriceps Tendon
Post by: Griceberg on February 04, 2009, 10:24:37 PM
Lil Italy,

I still have a good deal of pain. It's like a really bad "sore" feeling. And my strength in my right leg is probably about 75% of my left leg. When working out in the gym, my left leg compensates so much for my right one on leg press and squats that I have just about quit doing those exercises all together.

It's been 4 years? Just out of curiosity, how long after the accident did you have surgery?
Title: Re: Ruptured Quadriceps Tendon
Post by: z06 on February 15, 2009, 11:27:51 PM
I ruptured both Quad Tendon in a fall in Dec 07. Went through all the braces & stuff( 6 weeks ). Have been going to PT for 8 months, 5 days a week. Still having pain in left knee. Had OS on right knee in Aug 08, not too bad now. Have to see surgen again in Jan 09 about left knee. Can drive & go up stairs, but coming down is still tough. Can walk on treadmill for 12 minutes, & then too much pain. Boy, almost a year & still having problems. How long is this going to be? Starting to get on my nerves.
   Well it's been 14 months since my surgery. Still having problems. Now I'm waiting for the call to have my left knee scoped to remove more scar tissue & junk. Taking alot more time than I figured.
Title: Re: Ruptured Quadriceps Tendon
Post by: Firechik on February 19, 2009, 02:34:46 AM
First time posting here, new visitor.  I wrecked my motorcycle on 9/4/08 and fell on my bent knee (took all my weight).  Resulted in broken patella and complete rupture of the quadriceps tendon.  Had surgery that day to reattach (one piece of patella was too small to wire back so they tossed it out).  Very slow recovery, I'm still using a cane, and physical therapy 2x/week.  About 3 weeks ago I notice a lump next to my incision towards the top of the knee.  Then the next day my knee locked up twice.  Saw the OS a couple days later and he thought miniscus tear, so order an MRI.  After trouble with insurance, finally had the MRI on 2/9.  OS never called with results so PT called hospital on Friday to get the MRI report.  MRI shows partial rupture of the tendon.  I'm so bummed out I can't tell you.  I've done EVERYTHING I've been told, I haven't fallen or even stumbled, I haven't over-done things.  Called the OS today and was told they could get me in NEXT WEEK!!  I about lost it!  Called my primary doctor and she got me an appt on Thursday at a Sports Med/Ortho practice an hour away on Thursday (my OS isn't a sports med guy -- I live in a very small town and he was my only option for emergency surgery).  Has anyone else out there had this?  I have no idea what to expect.  Can more surgery be done to repair or is it too late?  I'm so upset.  I'm a wildland firefighter and I'm so afraid this could be career ending.  Thanks for any help.   
Title: Re: Ruptured Quadriceps Tendon
Post by: z06 on February 24, 2009, 09:32:21 PM
I wouldn't get too upset about more surgery. The repair should work. Just takes lots of time. I've been 14 months since surgery with both Knees ruptured. I need more surgery on my right knee & they say it will be 6-12 months before they can do it.  :'(
Title: Re: Ruptured Quadriceps Tendon
Post by: LiL Italy on March 01, 2009, 04:26:40 PM
Hello Griceberg;

It was about 6 to 8 months after I hurt my Quad when they repaired it.  But it has been 4 years plus since I hurt my knee.
Title: Re: Ruptured Quadriceps Tendon
Post by: Griceberg on March 12, 2009, 06:02:24 AM
Hello Griceberg;

It was about 6 to 8 months after I hurt my Quad when they repaired it.  But it has been 4 years plus since I hurt my knee.

WOW! Sorry to hear that. I had to wait 15 days to have mine fixed, and I thought that was absurd. According to most of the research I have done, it should be repaired within 48 hours.
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on March 23, 2009, 10:41:06 AM
Hi all,
it`s been 17 months since I completely ruptured my left quad tendon after an awkward parachute landing but I am now fully recovered and have been jumping since last April. I have kept up my gym membership and have recovered my quad muscle mass which I lost due to enforced inactivity following injury. I also thought I would not be able to do the physical things I enjoyed prior to the quad rupture but if you want something badly enough and are prepared to put in the work it will happen. when I returned to skydiving I was careful and worried that a fast landing might put me back to where I was but now I know that the repair is strong and do not even think about that anymore. Just keep the faith and work at getting what you want and you will be back doing the things you see others doing normally that you are currently unable to do without a lot of effort and some pain, (like walking without a limp).

Good luck everyone.
Regards
Bill from Oz
Title: Re: Ruptured Quadriceps Tendon
Post by: bluefinz on June 28, 2009, 02:43:01 AM
Just checking if this strand is still active.  I noticed the last post was in March.   Just had the misfortune of rupturing my quad. Surgery coming on Thursday.   
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on June 28, 2009, 07:47:07 AM
Hi

The thread is very much alive, but no posts received for some time.

Wishing you will for your upcomming operation.

Let me have your e-mail address and I will let you have some documents giving you an idea of the post op rehab process.

How did you do your accident?    Where do you live.

Best wishes

JohnK/ Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: Daren on July 11, 2009, 03:38:06 PM
Hello all, had my left quads tendon repaired 7 and a half weeks ago..... lovely scar!!!
Is it me or do the health care professionals not have a clue regarding the rehab.
I've taken my brace off and stopped using my sticks because I just want to get on with things - I obviously walk (if you can call it that) with a limp at the moment - and it gets much worse throughout the day.
Anyone out there pushed it a little too much???
Any good advice???  Really quite desperate for peoples past experience of rehab.

Cheers all.

(after subsequently reading around this forum I see that there is a lot of good advice - but still, has anyone pushed the rehab too much?)
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on July 11, 2009, 04:36:14 PM
Hi Daren

It`s a fact that a lot of the PT`s dont have the proper idea of the rehab process with a Ruptured Quadriceps.    I am of the opinion that you are pushing it too far.

I am sending you three documents wich cover the rehab process of the Ruptured Patella Tendon, which is very similar.

How did you do your injury?    Where do you live.

Best wishes

JohnK/ Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: Daren on July 12, 2009, 11:26:06 PM
Thanks John, had a quick look at the info - but I'll have a better read through when I'm applying frozen peas to my knee in bed!!!
I tore my quads tendon by falling down ONE step - although I did end up 3 metres further away and down another two steps.  I heard the snap and thought it was my femur - wish it had been!!! (I felt my knee cap at the side of my leg).
I tore the synovium as well because my leg was like massively swollen with blood (which is why instant diagnosis didn't happen).

I've got Physio on Thursday and I'm hoping that she's spoken to my consultant to find out what he recommends next - although I'm not holding out too much hope.

I live in Todmorden - which is probably just North of you (I had the surgery at Rochdale Infirmary).

Thanks again,

Daren.
Title: Re: Ruptured Quadriceps Tendon
Post by: binkeyhb on July 17, 2009, 05:58:54 AM
Hi Darren,
Sorry about my email snafu. I don't get it.
How did you make out on your diagnosis?
Bink
Title: Re: Ruptured Quadriceps Tendon
Post by: AntRn on July 22, 2009, 04:27:52 PM
Hi, great forum. Have just been taken of my motorbike by a car thinking it could force its way into my gap. Suffered a 100% rupture of the quadracep and a fractured Patella. Was operated on 6 days later and have been in a half cast for just over 2 weeks. Due to go into a full cast tomorrow, although there still seems to be swelling there so who knows?

I guess at the end of all this there is PT. How long does it take to get 100% usage back. I am fairly fit but at the tender age of 58.

AntRn (UK based)
Title: Re: Ruptured Quadriceps Tendon
Post by: tickertrouble on July 24, 2009, 01:06:18 PM
Hello all, had my left quads tendon repaired 7 and a half weeks ago..... lovely scar!!!
Snip.......
Anyone out there pushed it a little too much???
Any good advice???  Really quite desperate for peoples past experience of rehab.

A cautionary tale...
I ruptured my right quadriceps tendon on Christmas Day 08 and had a QTR in early January 09.
Post op I was fitted with a brace adjusted for 90 degrees of flex and felt sufficiently confident to remove the brace after the 3rd week.
By the 6th week I was walking without a limp and had 100 degrees plus of flex.  I could manage a reasonably brisk 6 mile walk and my only difficulty was descending stairs or walking down inclines.
Then, in mid March I carelessly led with my good leg coming down some stairs and collapsed in a heap with severe pain and swelling to the knee.  I saw my physio the next day and he rightly moaned that had I been wearing my brace I would not have suffered the damage.  However, as soon as the swelling subsided sufficiently he started me on an intensive exercise programme.  Nevertheless, my leg continued to feel unstable and I had developed an obvious limp and a 15 degree lag performing a straight leg lift.
After a further 6 weeks I had regained 90 degrees of flex but still exhibited the limp and the lag.  I asked my consultant if he could open my knee and check for damage but his answer was that the hospital did not do exploratory surgery.  He was not particularly bothered by a limp on an old fart of 61 years, but it was affecting my mobility and I was convinced that something was wrong.  After some persistence he organised an ultrasound which showed that only 20 percent of the tendon mass remained attached and so it was fairly obvious that physio alone would not have returned my knee to good order.
The QTR was repeated 9 weeks ago.  For the first 6 weeks I was in a brace with 0 flex and then adjusted to 30 degrees.  This has been progressively adjusted to 75 degrees and the plan is to incrementally release by a further 15 degrees every 10 days.  Although I remain in a brace, I can accomplish all of the physio routines that I could do following the initial operation and my leg now feels very stable.  There is no discernible limp or lag and my physio suggests that I will be "sports fit" in 12 to 15 months.
The moral to this tale is do not try to rush recovery, persistently question if anything feels wrong, and unlike me continue to wear any leg support until instructed otherwise.
Good luck!

Jack
 
Title: Re: Ruptured Quadriceps Tendon
Post by: ufcike on August 10, 2009, 05:22:06 PM
  Its been a long time since I came on this board or posted. I was one of the lucky ones with bi lateral quad tendon ruptures. Meaning I ripped both tendons clean off at the same time. This happened April 18th, 2008.

   I am a 41 year old 220 pound athletic male. I have made a full recovery. I live pain free and I bike, run, rollerblade and do leg presses in the gym. I have decided  I will never do anything ballistic or high impact anymore as its just not worth it. Such as no beach volleyball or tennis or basketball. But I can do most things and have a very active life.

   I guess I am writing this to give inspiration to anyone who is in the recovery phase. Whether you think so or not. You will get better and should heal 99 to 100 percent. Its not up to your doctor and its not up to your PT person. Its up to you. Read, study learn and become your own expert on rehabbing that injury. Don't rely on others to tell you when you can drive again. When you can take your brace off. When you can ride a bike in the gym. Thats all up to you. You decide when you that. Go by how you feel. Listen to your body but push yourself and don't measure your recovery by the day. Access it every Monday. Just once a week and look to see how you are doing.

   Good luck and don't ever stop believing not for one second.  Take care everyone.
Title: Re: Ruptured Quadriceps Tendon
Post by: SeatownShuffle on August 11, 2009, 05:20:50 PM
Greetings All,
Looks like I will be joining the club today.  Last Thursday Aug 6th 2009 I tripped down the stairs while on vacation and took my first ride to the emergency room at age 38.  The eRoom staff appeared to be as well trained on this injury as others have reported and sent me home with muscle relaxents and pain meds and orders to use plenty of heat over the next few days saying I had pulled a muscle in my right leg.  Of course none of this occured before they reduced me to tears trying to have me get up from the table after "clear x-rays".
Needless to say upon return to my room I immediately started RICE and called an ortho who I met with yesterday Aug 10th 2009 which brought me to this group.
I am heading to the operating room today to have my Quad reconnected.  Seeing that this is going to be a long hard road I plan to try and post some observations each week in a hope that those who follow behind can gain some insight into one more person's journey.
So here is my first observation:
Today I pretty much feel no pain and am wondering why on earth I am going to put myself through this journey.  Then I tug on my brace to move the dead weight attached to my hip and am slapped back to reality.  I am profoundly sad/scared/nervous ect and find it hard to keep from crying while typing this post.  I know everything will be fine and that staying positive is the key to sucess...its just really hard with so many unknowns.
How am I going to keep up with my work?  I am a senior manager in an electronics firm.
How am I going to get to work and when?
How am I going to keep my wife and 2 children under 6 as unaffected by my stupid injury as possible?
How bad will this really hurt?
Do I need a wheelchair or will crutches work?
So many questions I should have asked the ortho but was to shocked to get out.
I am glad I found this board and will do my best to come back frequently to read all your stories of support , motivation and ultimate sucess.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on August 11, 2009, 05:49:06 PM
Hi

If you would let me have your e-mail address, I would send you three documents which would give you an idea of the rehab process, although in my case it was a Ruptured Patella Tendon, but the rehab is similar ...........

I will respond to all your questions later on as soon as I receive your e-mail address.

Where do you live????


You dont require a wheelchair, but you will be on crutches for about 6/8 weeks.

You wont be able to drive for some time - however, now is the time to apply for a car disability badge ......

You will have to get a driver, and line prone on the back seat of the car for the timebeing.

Once you get fit for driving, you will have to have the car seat right back.

You dont get much direct pain, but will experience swelling.

Please be free to ask as many questions as you want, that what we are herefor having ruptured my pattela tendon six years ago.

Are you on MSN or SKYPE?

JohnK/ Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: SeatownShuffle on August 12, 2009, 05:17:09 PM
Just had my surgery yesterday.  Went very well and was so much less of an event than I had worked it up in my mind to be.
My anesthesiologist was amazing.  Placed a femoral block on my right front leg wich wore off about 20hrs later and then put me to sleep quickly and effectively for the entire 45-1hr surgery.  I kept sleeping for another hour in recovery and woke up like I had just had the best nap of my life.  No hangover or after effects at all.
The only pain I experienced so far is a deep knee throb last night which was quickly erased by a Percocet.  All medications have wore off and I am still totally comfortable this morning.
I will get to shower and see my new trophy scar tomorrow.
I will be heading back to the doctors office in 2 weeks for a follow up and to get the staples removed :(
I guess the story is true...the only thing we have to fear is fear itself.
Day one is complete now onto the journey of recovery.

Tim
Title: Re: Ruptured Quadriceps Tendon
Post by: SeatownShuffle on August 15, 2009, 09:34:29 PM
Well, the pain monster caught me at the 24 hr mark post op.  Max percocet dosage couldn't keep up as muscle after muscle went into spasm.  Pain level got to the point of inducing tears again.  Had the doctor switch me to vicodin at a higher dose.  Worked much better both in pain reduction and in pulling back the haze and drowsiness.  Muscle cramping and throb had streatched from my knee all the way up to my lower back and right hip.  I was suprised at the amount of discomfort in my back an hip caused by this injury and related positioning.
Worst experiences for this first week though are the dreams of my fall.  I have them or some altered version every night and wake up with pain from knee contraction inside my brace...not a great way to wake up...really wish I could get them to stop.  Sleep has been much better now and I am able to find ways to lay my leg that are comfortable enough to last most of the night.
I am very anxious to get on to exercises but know that patience is a virtue until my follow up visit.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on August 15, 2009, 10:34:08 PM
Hi

As mentioned before - sleep with a pillow/cushion between your knees....

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: SeatownShuffle on September 06, 2009, 04:28:38 PM
Wow time flies and real life has a way of catching up to you.
I am now 4wks post op.  Absolutely no pain since the first week. Scar is healing nicely and knee is starting to take the shape of a knee again.  Swelling throughout the day is pretty minimal but still noticeable.  I went back to my desk job at week 2 and have been putting in 45-50 hr weeks.  Elevating into empty chairs is a hassle but helps.  Sometimes uncomfortable but bearable.  Crutches got unbearable this weekend and I have transitioned to a walking stick with my brace locked.  Leg feels great and walking on it with my brace is making my hip feel so much better and is reducing my sciatic nerve pain.  Knee and leg are weak but I was finally able to get my braced leg off the ground in a leg lift this last week.  Amazingly hard to do but very satisfying. Getting a little better every day now.  Really not looking forward to the big bend on the 22nd (week 6 post op) but excited to start the next phase.  You may hear me from wherever you are :)  I am focusing on streaching and leg lifts (the only allowed leg work my dr gave me)
Title: Re: Ruptured Quadriceps Tendon
Post by: conan_oz on September 13, 2009, 05:36:21 AM
Hello all,

I ruptured my right quad tendon 11 weeks ago. I had the tendon repaired 2 days after the fall and was placed in a straight leg brace for 8 weeks. At the end of the 8 weeks when the brace was removed I had around 30 degree ROM, over the last 3 week I have have just on 90 degree ROM now. My nee is still swollen and very tight around the nee cap. I still walk with a limp that gets worst as the day goes on.

My question is how long have others taken to get full ROM back and also walk with out a limp?

Right now its feels like I will never get past the 90 degree ROM, I also think if the swelling and the tightness in the nee would go down I could walk better.

Any advice appreciated.  :)
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on September 13, 2009, 08:17:44 AM
Hi

Welcome to this thread.

Reaching 90ROM after 11 weeks is quite normal, but PATIENCE IS REQUIRED.

You do not mention if you are having PT and suggest that firstly you get your good leg measured which should be in the region of 130/140ROM.

Your next milestone is 120ROM, which should be atainable within the first six months.  Anything over 120ROM is a bonus.   You can walk OK with 120ROM.

Please let me have your e-mail address, and i will sen you some useful rehab information.

How did you do your injury?   Where do you live.

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: conan_oz on September 13, 2009, 09:13:28 AM
Hi John,

Thanks for your response. I started PT the day the brace came off and do my exercises twice a day.
This week I have started using an exercise bike and after a bit of pain can now do full rotations.

The had the fall on a steep driveway, I did not see some green slime, slipped and tried to stop the fall. Some how I dragged myself back up the driveway and drive home, by the time a got home about 45 min drive my nee had blown up like a balloon.
I live in Queensland Australia.

My surgeon has been less that helpfully with what to expect, he basically said its up to PT now and I will see you in 6 months.

At time thoughts and doubts as to whether the surgery was successful fill my mind, so its great to here form other people who have been through this experience.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on September 13, 2009, 09:26:38 AM
Hi

The problem is that you have sustained a rare injury -  would suggest you try to obtain a floor cycle -   ask your pt have he/she seen this type of injury before.

Let`s have you e-mil address and I will send you three documents which hightlight the rehab process and gives you a better frame work of recovery time.

Best wishes

JohnK/ Manchester Uk
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: philt on September 17, 2009, 05:32:01 PM
Conan (your real name??): See my earlier posts for a full history but in a nutshell: 18 weeks to get full rom back.  After 10 weeks I only had 90 deg ROM and a knee the size of a grapefruit!  At the time I never thought I'd get full rom back, but with patience and hard work and after lots and lots of frustration it came.  Was able to ski 7.5months after my accident and haven't looked back since.  That said, I've accepted my knee will never be normal - I can feel it every day and sometimes every step - not in a painful way, just that the tendon doesn't work as well as before.  It's not stopping me getting on with my life though.  Happy to help with any further questions or advice but in the meantime - if you don't yet have a goal (I had my ski trip) then set one and go for it but be realistic - it's a slow recovery.

kind regards

Phil
Title: Re: Ruptured Quadriceps Tendon
Post by: beezkneez on September 22, 2009, 05:46:30 AM
Conan,
I too was in a straight leg brace for 8 weeks. Many posts you'll read here talk of lesser immobilization periods and quicker placements in adjustable ROM braces (some very soon after post-op). My belief now, is that a conservative approach is best in the long run, but that some complications can occur (RSD etc).
In my case, after my immobilization I was unable to bend past 60 degrees even with intensive physio and as a result, a 2nd orthoscopic surgery was done 4 months after the fiirst: a 'lysis of adhesions' to cut the build up of scar tissue in the knee.
And while in the hospital for a second time, I spent 2 and a half days on a CPM (continuous passive motion) machine set at 100 degrees (as determined by the surgeon who had manipulated the knee [MUA] and encountered post-op resistance at 105-110 degrees).
I then returned to intensive physio, pool work and stationary biking and found that I could improve my ROM immensely. I have 135 degrees at 17 months out and am working on strengthening it ongoingly.
I tell you all this because I suspect that you may also have developed restrictive scar tissue which will have to be removed surgically. IF you see no ROM improvement after your phyio due dilligence, I suggest you contact your surgeon for his opinion on this. (There are good articles on scar tissue on this site.)
Good luck Conan - keep plugging away but be patient. It will come back with work, time and maybe some help with any scar tissue.

Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on September 25, 2009, 11:55:48 AM
I ruptured my left quadriceps tendon on Sept 7, 2009.  Not realizing the seriousness, I did not seek medical attention until the following morning.  I had surgery on Sept 9.  The surgeon said that there was complete dettacment.  I spent the first post-op night in hospital and was discharged late the following day.  Pain was significant immediately after surgery, however I was off all froms of pain killers within a couple of days.  I have kept the leg in a brace (splint) that keeps the knee completely straight (take it off at night).  Spent the first week on crutches, but around the house, I found them to be more of a risk than just walking (especially on stairs).  After the first week, I have found that with leg held straight in the brace, I am able to walk with no pain (none).  I am now 2 1/2 weeks post op, and I am very mobile with the brace firmly on.  The staples are out, the incision is healed and the swelling is slight.  When lying down, I can passively bend the knee but I have never bent it to feel and significant pull on the tendons.  So far, I have had no mishaps that have stressed anything.  I am amazed at how mobile I have become with no pain, swelling etc.  I have no intention of trying anything with the brace off, infact I have added an extra stiffener to the back of the brace to make it less flexible.  I had the surgery while on vacation, so I am now not near the surgeon.  My family doctor does not seem concerned about my mobility, however I will be seeing a local surgeon in the next week to start to plan rehab.  My current plan is to stay as mobile as I am, but not allow any bending of the knee to protect the repair for 6-8 weeks.  I am clearly more mobile than I was initially lead to believe I would be.  Am I lucky, or am I setting myself up for a more difficult recovery?  Anyone else have experience with crutchless recoveries?
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on September 25, 2009, 02:16:09 PM
Hi Ian

How did you do your injury?    Where do you live?  Did you have your op at a NHS hospital?

If you would let me have your e-mail address, I will let you have some rehab information which would be useful for you.

Keep posting - lots of buddies out here to help you.

Tip - sleep with a pillow between your knees, DONT drive until you are fit to depress the pedals, otherwise you will invalidate your insurance policy.

Best wishes

JohnK/ Manchester Uk
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: philt on September 25, 2009, 05:18:57 PM
Ian

Sounds like you're having a similar experience to mine.  I too found it easier to get around without crutches but, on the advice of my physio, used them whenever I went outdoors - you really don't want to risk a slip and damaging another limb!.  My physio also advised against any attempts to bend my leg for 6 weeks so as not to risk damaging the repair and on her advice I wore the straight leg brace 24/7 for 6 weeks - even in bed although it was darned uncomfortable and made sleeping for more than a couple of hours a nightmare (excuse the pun!).  My guess is that your surgeon will simply refer you to the physios (I think the surgeons lose interest once the cutting and splicing is over!) and let them take over your rehab.  Best advice at this stage is to get some DVDs in and put your feet up - it's going to be a long haul.

Regards

Phil, Cheshire UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on September 25, 2009, 06:54:09 PM
I live in Canada.  The injury involved a fall down a short rock face.  Right foot slipped, but my left foot hung up so the leg folded up behind me.
 
Don't know what a NHS hospital is?  I was in a small rural area, so the initial hospital would not have touched me unless it was life threatening.  I ended up going to a regional facility 4 hours away (good facility).  It was a stroke of luck that I got dealt with as quickly as I did.
 
I have basically gone back to work 6 hours per day or so.  I am easily mobile enough to get around the office easily, and it keeps my sanity.  I am so mobile, that my intent is not to stop using the brace for several weeks.  I want to ensure that the repair heals.  I don't care if the full recovery takes a year or more, I am not willing to risk the repair in the early stages.
 
Driving is not a problem.  It is easy to get in and out of either of our vehicles, and they are both automatics, and left hand drive, so the right leg does all the driving.
 
Title: Re: Ruptured Quadriceps Tendon
Post by: Segocia on September 30, 2009, 08:55:18 AM
Hello... I just found this!  Last 11/26/08 I had a total knee replacement, then hours later, while still drugged, I got out of bed and fell on the 'new' knee and ruptured my quad...[a week later developed a MRSA infection in the knee...10 weeks in hospital, 22 weeks on 4 hrs of IV daily...waaa, waaa, waaa]  My biggest problem is my knee buckles.  Often.  Nearly a year later, I walk around the block (using a walker) and my kinee gives out twice per block.  I haven't fallen yet, but I'm dealthly afraid of falling.  ROM is pretty good, but I can't drive because I can't bend my knee enough to get over the door threshhold -- as a passenger I'm fine.  Sometimes at night I have a spasm at the site of the rupture attachment and that freaks me out until it stops.  I'm a 63 yr old woman who used to hike but can barely do my city blocks now.  Any ideas for that buckle problem?
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on September 30, 2009, 01:36:17 PM
First of all.....good for you for keeping your spirits up!

Two big questions: have you gone back to the doctor to see about this buckling? Are you or have you been doing any physiotherapy?
Title: Re: Ruptured Quadriceps Tendon
Post by: Segocia on September 30, 2009, 08:23:51 PM
Thanks for the Reply.

Yes, I've been back to the doc -- a number of times.  He's THRILLED with my progress, and very proud of his work.  For a long time he was afraid that I might "lose my knee" or even "lose my leg" so I'm fortunate.  He says the buckling will get better and that it's fairly common.  That doesn't help my fright though, nine months later.

I had physio until May, then sessions were moved to a location difficult for me to attend -- busy San Francisco area, no parking, working husband had to drive me to and pickup, etc.  Nevertheless, I do my exercises pretty regularly.  Walking is my primary activity; I love doing mild hills (with my walker) but am terrified on the downhills as my knee feels most vulnerable then, even going a short distance, like down a driveway.
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on September 30, 2009, 10:16:04 PM
I would go back to physiotherapy. You need at least 90 degree flexion for normal activity. it doesn't seem as though you have that. Surely there has to be physiotherapy in your neighbourhood. I am still doing physio on a fairly regular basis and I am almost 3 years out.

The buckling will get better but only if you get your muscles back.....my opinion, for what it's worth....
Title: Re: Ruptured Quadriceps Tendon
Post by: Segocia on September 30, 2009, 10:52:38 PM
Nay.  Your opinion...is worth lots.  Thanks for the nag. 

I live in a residential district in SF and there really is no PT place out here, but I'll try harder to get a ride to the physio.  Public transport is out of the question as I'm too unstable on my feet.

I'm dismayed at hearing you are 3 years out!  Egad.
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on September 30, 2009, 11:24:43 PM
I'm sorry if I led you astray....I am doing physio by choice because I am looking at knee replacement surgery within the next year on one knee and inevitably on the other.....
Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on October 07, 2009, 11:00:00 PM
Week 4,

I am now 4 full weeks post op.  I have now been scheduled for physio, but it is not for another 2 weeks.  I continue to walk with the brace on, only taking it off for bed.  I have found in bed and bath that the knee will bend slightly before I can feel the muscles tighten up.  Particularly in the bath, I find I can straighten the leg with no discomfort.

I continue to be amazed at how mobile I am with zero pain (thank God for good surgeons).

Anyone got any idea what the timeline for healing of the reattached tendons is?  How far along is at 4 weeks.  What will the physio likely recommend in a couple of weeks time?

My plan remains to keep the brace on for all activities, and only remove it for physio in a controlled environment.  I am petrified of having a slip or fall that re-injures the leg.  None the less, I feel blessed that I have the mobility I have at 4 weeks, considering I had a total dettachment of the quadricep.  Anyone else out there with similar positive outcomes?

Ian
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on October 08, 2009, 01:29:47 AM
Ian, you are wise to keep the brace on except in a controlled environment.  I was told it took 90 days for the tendon to reattach.  The surgeon cautioned me many times about "no ballistic movements" (no sudden stress inducing moves similar to the cause of the tendon rupture) 

I am 3 years out and have had a pretty complete recovery all things considered. Just take it slow and easy.  Try to push, but only a little at a time and back off if you feel too much discomfort.  It is a fine dance between pushing the muscles and tendons and not stressing them too much.  Once you get beyond the 90 days the PT can be more proactive. 

Title: Re: Ruptured Quadriceps Tendon
Post by: conan_oz on October 08, 2009, 11:41:05 AM
Well its week 15 now and my ROM is now 140 and I am walking well. Nee is still swollen and gets worse if I work it to hard. I have a little trouble coming down stairs. All in all doing much better.  :)
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on October 08, 2009, 05:04:59 PM
Hi Ian B   

Having just returned from vacation, I have seen your post.

Please let me have your e-mail address, and I will let you have some rehab information which applies to Ruptured Tendons.

Best wishes

JohnK/ manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: maryc on October 08, 2009, 06:25:48 PM
Segocia - I too live in SF and I know what you mean about the buses.  Because the steps on some of the buses are really steep, when I was on crutches I would have them lower the wheelchair lift - it made it much easier, just to ride up and down.  This link will take you to a list of the bus lines that have wheelchair lifts.
http://www.sfmta.com/cms/mcust/access.htm
Sending healing rays your way
Title: Re: Ruptured Quadriceps Tendon
Post by: Segocia on October 12, 2009, 02:40:08 AM
Hi MaryC ~  Thanks for the info.  Isn't it wonderful that we have kneeling busses?     Wouldn't you know -- I live on the L Taraval Metro line with handicapped access at only two stops, both blocks away from me.  I'm unsteady on my feet anyway and couldn't handle the jostling about, especially with my Rollator (walker+seat).  Tried ParaTransit too, but 2-3 hours waiting both going and returning home took too much out of me.  I'm seeing if I can fit in times with a neighbor's medical appts nearby.  Thanks again for the caring idea though!
Title: Re: Ruptured Quadriceps Tendon
Post by: nhbob on October 13, 2009, 01:02:50 PM
Hi All,

I am over 2 years since I ruptured my left quad. Ian, to answer your question... there are some good outcomes.... but believe me, it was 18-20 months before I finally felt like my knee was back and I had confidence in it again.

I once again hike and bike easily, if I do a long day, it does get a little sore... but my good knee gets the same soreness, so the soreness really has more to do with old knees than the rupture repair.

AND I had to have 2 surgeries!  (I slipped slightly 3 days post-op and fired my quad unintentionally breaking a suture anchor).... even after that my knee bends today as much as the good knee with just the slightest hint of tightness when bent to the max (which I never normally do anyways).  Hiking this summer in New Hampshire & California, I was able to step up on large rocks and ledges with no problem.

I never thought I would be able to do most activities that I did before... but really, at the beginning of this summer (which really was 20 months), I still had twinges of pain, and some lack of confidence, but the summer activities have alleviated those fears and twinges almost completely!

So there really is light at the end of the tunnel... it's just a long damn tunnel!!!!!

Bob White
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on October 13, 2009, 01:49:28 PM
Agree with you Bob -  PATIENCE is required - some take a little longer to get walking near normal again -

JohnK/Manchester U.K.
Title: Re: Ruptured Quadriceps Tendon
Post by: z06 on October 15, 2009, 03:50:04 AM
Almost 23 months since rupture of both knees. Still having pain in left. Dr. released me to go back to work with restrictions for life. I wouldn't wish this on anyone. It's been a slow tuff process, but I won.
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on October 17, 2009, 05:10:05 PM
Congratulations! It's been 2 years since my surgery and I'm probably 85% of what I once was in terms of what I was able to do. I would not wish this injury on anybody EVER...even my worst enemy deserves better!  ;D

It's a lonnnnnnnnnngggggggggg process!

And now I'm headed into knee replacement on the other knee...it just keeps coming!!

Sue
Title: Re: Ruptured Quadriceps Tendon
Post by: stylabull on October 28, 2009, 04:17:38 PM
Hi all, new to the board so if I duplicate anything am sorry! Ruptured my right quad tendons early Aug 09, slipped whilst walking off raised tee on a golf course, knee didn't follow foot and ping there it went. Had surgery two days later, then full plaster for about 7 weeks, am now in a full leg velcro brace which I can remove to do various bending exercises. Just wondering, my physio only seems to want to see me every week, in fact from my last visit it will be over 2 weeks before I see her next, has anyone else had this length of time between visits or should I be seen more often? My knee seems to stiffen up a lot after exercise and when I next take the brace off it seems to have reswollen and needs a degree of massaging before I can move it again. Also wondering if I should have a brace that is adjustable rather than fixed, many people on here seem to talk about them but my physio and consultant didn't seem to have any thoughts about one. Know it is going to take a lot of time and patience though!
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on October 28, 2009, 04:25:43 PM
Hi

Welcome to this thread   

Yep, you are in for a long haul to recovery but PATIENCE and hard work is required.

If you let me have your e-mail address, I willl send you three documents outlining the rehab/pt process.

Best wishes

JohnK/ Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: johnde on October 29, 2009, 11:26:20 PM
Another first timeer with a sad (or not so sad story):

August 30, 2009 - about to start competing in a world masters sailing competition near Halifax, Nova Scotia.  The tropical storm blew through the previous night and soaked everything well.   On my way down a grassy hill to my boat, carryin about 50lbs of sailing gear, my right foot slipped, my left leg did not slip and I collapsed in a heap of pain on the ground.  My first words were "Get me an ambulance".   Luckily there were paramedics on duty at the competition (some 350 entrants) so I had some medical attention in about 2 minutes.  Ambulance arrrived in 15 minutes and I was in the hospital an hour later.

September 2, 2009.  After being wait-listed for surgery I finally got done after 3+ days. I was released the next day and flew home on Sept 6 to Alberta - leg in a splint and a row of seats for me at no extra charge - thank you WestJet!.  Staples out after two weeks. 

September 22, 2009.  Got answers via fax from the Halifax doc regarding treatment (I never met him in person!) Gist of the advise was:
Physio can start at 10 days for gentle quads exercises
Keep leg in splint for 4 weeks except for gentle ROM exercises.
Can allow full wt bearing in splint now.
Maximum tendon strength is at around 3 months.
Can begin v. light cycling indoors at 6 weeks.
Wait for 6 months before going sailing again.

September 24, 2009.  3+ weeks - first physio - gentle load bearing exercises and quads tightening,

October 8, 2009 5+ weeks - excercises as before but out of splint. Also beginning ROM exercises.

October 15, 2009, 7+ weeks - first walking exercises.  Trying bike but only enough ROM for 2/3 of rotation.  Achieved bike rotation at 7 1/2 weeks.  Started waliking on treadmill at 0.5 to 1 mph for a few minutes.

Oct 15-29.  Increased treadmill to 10 minutes at up to 1.5 mph.  Have been usiing a rowing machine to get ROM  - just legs and have a G-clamp on the beam to stop the seat moving too far forward.  Move the clamp a small amount every day.   Riding the bike (Computrainer) for 10 minutes at 50-60 watts.  Still feels a bit tight but OK if cadence is not too high.  I can now climb stairs normally in the house but not enough strength for going down.  Started driving to work using clutch on Oct 19.

Generally it looks like I am proceeding well compared with some of the horror stories I have seen on this forum.  Managed to walk without crutches to the coffee shop today - over 100 yds each way.  General ache all the time in the knee but mostly bearable - just taking a couple of ibuprofen at night if wake up and can't get back to sleep.

John D-E
Edmonton, Alberta
Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on October 31, 2009, 11:36:27 PM
Johnde,

You sound a lot like me.  I am now at 7.5 weeks following a total tear (Sept 6) of the left quadricep tendon.  I quit the crutches after 10 days.  I was passsively exploring my ROM within a couple of weeks.  I took the brace off for good at 6 weeks.  I was driving after a couple of weeks.  My job allowed me to work my way back to work (30-35 hours per weel).  I am now back full time.  I was disappointed with physio and only went once.  I can now bend my leg so my foot is about 6" from my butt, and that continues to improve.  I have enough ROM to do anything I need to do.  I find when I walk and climb stairs a lot, I tend to swell a bit.  I am fairly comfortable.  It does not bother me much to push the muscles.

I plan to keep walking and climbing stairs as much as possible.

My surgery was less than 48 hours after the injury, which I suspect lead to a good recovery.

The least comfortable time for me is sleeping.  I find if I lie on my back with the leg straight, the leg is comfortable.  Unfortuantely, no other part of me feels comfortable.  As soon as a roll on my side, it is only a matter of time until the knee starts to bother me.  In the overall scheme of things, this is a minor issue.

I am still a long way from being 100%, however I am in good enough shape to function just fine.  I am very careful and think ahead if I have to move something or climb soemthing.  If it takes several months to get from here to 100%, it will not be a big hardship.

Reading many peoples experience, I feel very lucky.  I am so much better off than I expected.

IanB
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on November 01, 2009, 07:20:37 AM
Hi Ian

A good sleeping tip is to sleep with a pillow/cushion between your leg.

I will send you three documents with good rehab information, if you let me have your e-mail  address.   

How did you do your injury?   Where do you live?

Best wishes

JohnK/ Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on November 01, 2009, 11:26:13 AM
John,  You sent me the documents after an earlier post.  Thanks much, they were very helpful.

Ian
Title: Re: Ruptured Quadriceps Tendon
Post by: johnde on November 02, 2009, 03:23:54 AM
Ian B, you seem to be a bit ahead of me.  I was using one crutch but finally got rid of it last week.  I'm also doing stairs - going up in fine but going down gives me some pain in around the knee cap.  As with you sleeping is the most aching part of the recuperation at the moment.  I tried the pillow between the legs and it seems to help.  My physio seems quite good - my daughter in law works there so they had better be.   Now doing a bit more every day.  My physio says the pain at the kneecap should go when the quad gets its strength back.
Title: Re: Ruptured Quadriceps Tendon
Post by: bloodknock on November 15, 2009, 02:29:34 PM
Peter - South Wales
Hi fellow patients. Ruptured quad tendon 15 week ago, immediate operation after accidental fall.
Working through rehab with hospital PT, and various home execises.
Finaly got knee bend to 130. Quads wholly weak and cannot climb a stair yet - a long way off I think.
Worst things are the swelling - lots of ice packs applied - and bad stiffening a night - 3/4 times - which is only relieved by rubbing and walking about.
Is this normal and any ways of tackling this?
This site is such a support for me with fellow sufferers
Title: Re: Ruptured Quadriceps Tendon
Post by: beezkneez on November 26, 2009, 05:02:22 AM
Hello Peter of South Wales, from Victoria, Canada

Congratulations on attaining 130* so quickly !!! - I was almost 8 months out to achieve similar ROM.

My PT always reminded me of "length (ROM) before strength", so you're ahead of the game if you continue to do things right.

As you've read in many of the posts that have kept us company during our respective recoveries; work, ice, more work, ice and TIME are the keys. Your swelling will subside more and more, but keep working it and icing it regularly. Do NOT let it get too warm (scar tissue build-up).

Fyi that I STILL ice mine whenever it feels like it needs to be (once or twice a week), and that is after 19 months of steady bike, treadmill, pool and elliptical work.

Have faith Peter, - your strength WILL come back and knee swell less, but you are some time away. It will when it chooses to - just keep your end of the bargain.

Let us know how things go, okay?  :)

Best,_darrell
 
Title: Re: Ruptured Quadriceps Tendon
Post by: nrd515 on November 26, 2009, 11:08:12 AM
Hello everybody! This is long, I apologize..

My little tale of woes begins in August '07, I had just turned 51. I was in a hurry, and stumbled, piledrivering my right knee into the sidewalk. The impact point was right where the doctor taps the hammer to test your reflexes. It went numb instantly, there was no pain at all in my knee, but I put my right arm out, and I severely tore up my shoulder up. It needs surgery, but I'm waiting until I can walk normally, or a heck of a lot better than I can right now. It swelled up to an amazing size in minutes, making the loose fitting pants I was wearing very tight. Since it was numb from about 4" above the knee, to about 6" below it, it seemed like it wasn't as bad as it would turn out to be. I originally didn't want to go to the hospital, and the EMT's said if I could get into my truck without help, I would probably be ok. I did manage to get in, but when I tried to turn around to actually drive, my thigh hurt so bad I started screaming, and off to the hospital I went. I got there about an hour after it happened, and it was already turning a very dark purple. The doctor walked in, looked at it, and said, "How long ago did it happen?". When I said an hour, he shook his head and said, "Oh man, it's gonna be really bad!" He was right! I went home with an immobilizer on my leg, and it was diagnosed as "Severe knee sprain". When it was at it's worst, my leg was purple from about 6" above the knee, to about the same below it. My Achillies tendon and the tendons in my foot were stretched out too, so I had red stripes down my leg and around my foot. At the impact point, I had a dark red area covering the whole top of my leg that looked like a map of Australia. For almost 2 weeks I laid around, and on the 13th day, I got into my truck and went to the bank. I yelled several times doing it, but I didn't care, I had to get out of here for a while. I finally figured out a way to get in with only a moderate amount of pain (In my thigh, the knee never hurt), but I had to put my left foot behind my right one, so I could hit the brake pedal with enough force to stop without screaming from the pain in the thigh. My thigh was as hard as a rock for about 6 weeks, then suddenly released one day on the way home from work, and I instantly was able to walk much better, but my knee was still "dead", and it didn't feel stable. I fell a couple of times when it seemed to give out for no apparent reason. I started therapy, and for the first few times, I did ok, but that would all change.

I went one morning after work, and it was kind of amusing, as I had suddenly began walking much better the day before. I have no idea why, but people at work that day saw it and mentioned it. I thought, "Wow, the therapy is working!". After doing my exercises, I started to get off one of the machines, and my right leg folded up, and I twisted my LEFT knee! It wasn't nearly as bad as the right one, or so I thought, and it hurt really bad. I couldn't get up, and the same EMTs I had rode with before took me to the same hospital as I went to last time. They took X-Rays again, put an immobilizer on it, and were going to send me home, even though I couldn't get out of a chair! I went into the bathroom with a nurse helping me, and had a bad reaction to the Demerol they had given me for pain. I was close to passing out and they decided to admit me, and put me into the cardiac ward! My blood pressure was sky high, and they put me on meds for that, and then proceeded to keep me awake for the next 72 hours, coming in constantly and taking blood, or asking me if I had chest pains, or was short of breath, and besides that, the area was very noisy, to the point earplugs didn't help. On the third day of this nonsense, the doctor came in, and I let him have it. I told him to either let me alone so I can sleep, or I was going to walk out (Barely) the next morning. I was allowed to sleep, finally, and then they sent me to inpatient rehab for both knees!

When I got to the rehab place, my roommate was an 84 year old guy who seemed to lose his mind as soon as the sun went down. He yelled all night, and the next day, I had them move me to a private room. On the third day of therapy, the therapist had me go up and down on my left knee, holding onto the walker I had, and I tore my left quadriceps tendon. I yelled some things that greatly upset the more sensitive folks in the therapy room, and the next day I went to the doctor, who confirmed what I diagnosed the night before on line. I had surgery the next afternoon. I read most of this thread and it seems like my repair and recovery was done differently than most of you. I have to say, the ONLY pain I had after the tear itself was right after the surgery, where I had severe muscle spasms just above where it was repaired. They gave me morphine for it, and it did nothing, more morphine, which still did nothing, and even more morphine, and it still didn't do a thing. The nurses were very impressed that I was even awake, let alone wide awake. My mother is "immune" to morphine too, so it wasn't a shock that I was too. I said, "Give me a percocet or vicadin, and I'll go right out!" They said, "OK!", and 20 minutes later, I was snoring away. When I woke up, it was in the middle of the night, and the pain was gone. I haven't had any pain in either knee since then, but I kind of wish I had, what I have is worse.

They don't put you in cast here, they put you in an immobilizer, and the next morning, you are walking on the leg with full weight on it. When I was in bed, I was allowed to loosen up the immobilizer, and move my leg a little. As soon as my knee was healing nicely, a few days after surgery, I was allowed to hang my leg over the side of the bed, and the therapist would bend it several times. After a couple weeks, I started leg lifts. When they measured my ROM the first time, it was about 85 degrees, and soon was over 100. Like I said, there was no knee pain at all, I would get tired from the exercises, but no pain. My right knee was still numb, in the front, from about 4" above to about 4" below the knee, most of the tiime. My left knee just felt odd, like it was "loose", but the doctor and therapists agreed, it was stable, and I soon had 90 percernt strength in my left leg compared to the right. Since the right leg is weak, I don't think that's as impressive as it sounded. They assured me, my leg strength is within normal range, but I disagree, there is nothing normal abouit either knee. Both legs were, I would guess twice as strong as they are now, at least.

They sent me home as soon as my left knee was able to flex, without warmup or help, over 110 degrees, and it was too soon. I went home, and back to work a couple weeks later, and it was a huge struggle to do anything. I wore a hinged brace for a long time on my right knee, but it began to bother me, so I got rid of it a year ago. My right knee is still, over 2 years later, numb from just above the kneecap, down the right side of my shin about 6" from the center of my kneecap. Most of the time, it feels like bugs are crawling inside it, but sometimes it feels almost normal. Occasionally, it feels like electric shocks are going through it, like something is "tapping" under the kneecap (My dog could hear it!), and a couple of other annoying nerve things. One of the common things is it feels like ice has been put on it, and had just been removed after making my knee area really cold. My left knee still feels loose, I don't know any other way to describe it. Both do something very unpleasant, to put it mildly. If I step on a door threshold, or anything else, that raises my right heel up about an inch or so, and put weight on my leg, It feels as if a big electric shock is passing through it, along with an odd feeling, sort of like my leg fell asleep and I had just gotten up and walked on it. Toss in a kind of toothachey feeling, and that's pretty close. I dread it happening, it's one of the most unpleasant things I've ever felt. I grit my teeth and grunt when it happens, and make a face that looks like I'm totally disgusted. The left knee has a kind of similar thing it does, when my toes are up above my heel, with my weight on it. It's unpleasant, but nothing like the right one.

I have great difficultly with stairs over about 3" high. Less than that, I do ok, I walk with a very strange gait, and have back problems because of the way I walk. I can walk about a half mile to maybe a mile before severe muscle spasms start in my lower back. I've put on about 50 pounds since this happened. I have started riding an exercise bike, but I don't ride it too long, as it "stimulates"  the nerve in my right knee and that drives me nuts, and makes my knee feel like it's going to give out. So far, it hasn't happened, but to be honest, I'm terrified it will. My doctor tired a couple of meds, Gabapentin, and something else I can't remember the name of, and they helped me sleep, but did nothing for my knees.   

I am slooowly getting better, but I don't think I will ever be able to walk my dog 3 miles at a crack like I used to. I would be thrilled to just be able to go out on my front porch and step up into the house without grabbing the doorframe and yanking myself inside. It's pitiful.

Have any of the rest of you had any nerve issues along with your mechanical injuries?
Title: Re: Ruptured Quadriceps Tendon
Post by: Segocia on November 27, 2009, 08:41:29 AM
Egad 515, ... but that sounds so horrible!    What a hard time you've had.

Your descriptions of neuropathic pain is right on. 

I've had plenty of trouble with intractible neuropathic pain when only vicodin did the trick. But for every day awful pain, I take 1800mg of Gabapentin (600 3X a day) and 75mg of Nortriptyline which I've taken a long time -- I can't say it does anything, but I continue with it.  The Gabapentin at that high dose however, has made a difference.  Sometimes binding the area tightly helps.

Peace
Title: Re: Ruptured Quadriceps Tendon
Post by: nrd515 on November 28, 2009, 09:38:48 AM
Thanks for the reply. It's not pain, it's more like the feeling when you sit on the toilet too long, and your leg goes to sleep, when you first step on it. I can't stand anything tight on it at all, that's why I had to stop wearing the brace, it seemed to aggravate the "Electricity" feeling, and when I drove, I would squirm from the shocky feeling I would get from it. I tried another kind of brace, one without a hinge that was held on with straps and it wasn't any better. I rode the exercise bike too long yesterday, about 15 minutes a day is all I can stand, and I went 25, just to see what it would do, and it really was going when I went to bed, and the bugs crawling feeling kept me awake until it calmed down, and a couple of times today, it felt shakey. Both times it gave out, I said to the therapists, "It's feeling really shakey today", a few minutes before each disaster, so I won't do that again! 15 minutes is it for the time being. I would rather have mild pain than this weird stuff it's doing. If I sit and bend my leg enough to tighten up the knee area, and keep it there a while, and it's no problem for me to do it, I can "kick myself" with no problems, it really gets it going. Maybe I should be happy I have no pain. I have a very high pain tolerance anyway, I guess, as things have happened to me, and the doctors have asked me, "Didn't that hurt like hell?" And I would just shrug my shoulders. Worst pain I ever had, period, is when I kicked at, and missed my dog's ball on the floor, and kicked my mother's insanely heavy steel bedframe. I hopped around that afternoon, but was walking ok when I went to bed. I woke up about 4 hours later, and it was horrible! My whole foot was purple, and I couldn't take even the sheet on top of my foot. I drove left footed to the ER, and they took xrays of it that showed nothing. It hurt so bad, I almost threw up several times that night. Then, the doctor, who is my neighbor, comes in and says, "I think you have the gout!" Well, I cracked up laughing at that one, and my regular doctor thought her diagnosis was just plain weird. He took a couple more Xrays, and it was pretty obvious most of the problem was a broken big toe, along with spraining my foot. It took months for me to walk without pain, even with the Butazolidin I was taking. Without it, I could barely walk with a shoe on for about 6 weeks. I couldn't believe anything could hurt that bad.

I nearly died from peritinitis from a ruptured appendix when I was 12, and I would rather go through the 6 weeks of misery that was than this, and at the time, I was pretty unhappy about it. I burned my hand up when I was 13, and I would take that again, before going through this. I just want to walk like I did before I got hurt. Funny thing is, I slipped on mud and fell on my right knee twice, about 10 days before the "big one", and didn't have a scratch or even a bruise on it. And then I go and fall on a dry, roughly textured sidewalk, and start all this. A funny thing about the Gabapentin, I misread the bottle when I first got it, and was taking about the same amount you're taking, and at first, it made me sleep great, but after I ran out because I took the month's worth in 10 days, I went down to the prescribed dose after being yelled at by the nurse for 15 minutes, and for a short time, it still made me sleep, but soon it stopped doing anything at all, so I stopped taking it.

Good luck with your problems. How long have you had the pain?
Title: Re: Ruptured Quadriceps Tendon
Post by: Segocia on November 30, 2009, 01:41:25 AM
I thought I had a miserable tale of woe until I read yours!
A year ago, the day before Thanksgiving, I had a total knee replacement of my left knee.  Hours later, while still drugged up, I got out of bed and promptly fell on my left knee, rupturing my quadriceps in that newly repaired knee.  (Nursing was short staffed due to the holiday. Alas, I I didn't get to celebrate a holiday until Valentine's Day.)  A week later I was transferred to rehab and the ambulance tech dropped, yes, let go of me and I slid under the bed.  The bed had all the mechanisms for legs up, head down, etc.  Rusty bolts under the bed scraped open my surgical incision and something punctured between my toes. 

A week later I came down with a raging MRSA infection -- which we believe was introduced at the fall under the bed.  Back in the hospital, I started 22 weeks of daily intravenous infusion of a very caustic antibiotic (Vancomycin) that had to go in very slowly --  4+ hours.  Daily.  For 22 weeks.  It caused a neuropathy in both arms and hands extreme enough that no pain killer touched it and I bawled a LOT when it flared up.  Binding helped some.  'Electrical' is a descriptor I use, and the limb falling asleep -- and that first feeling PLUS when you've been out in the cold and come inside, that feeling. A newer sensation is it's like I've been hit with a taser.  It hits my fingertips -- not all at once, but at random.  I had serious neuropathic pain in my knee/thigh, but it's quieted to the point where Vicodin works -- also binding with an Ace bandage.  The hands and arms are another issue.  I’m typing right now, but that's not always.  I slather lotion on them all the time as that gives some relief -- whether from the massaging motions or the cooling lotion, I don’t know, but I’ll take any relief I can get.  A handheld shower on the most intense pressure sometimes helps, too.

I cannot bend my knee sufficiently to get over the door threshold of the driver’s side of a car so I cannot drive myself to PT.  I had someone come to the house for a while but that benefit ran out, so I do all of the exercises and motions I’ve been taught.  The leg feels stronger, but buckles on average twice per block on my walks.  I haven’t fallen yet, and I’m terrified that will happen.  My walker has a seat so that I can rest when my back starts to hurt – another story.  But if not for the back, I think I could stand forever.  Walking has no affect on the neuropathy other than I don’t go when hands or knees are flared up.  All this, mind you, 11-12 months old.  BUT I have NO arthritic pain in my knee!  Stairs are something else.  I go downstairs backwards, and up using my good leg only.  I can use the left leg but only if I have it in a certain position.  As a result of the ruptured quad, my foot is at 10:20 instead of 6:00 – I’m talking the position of the foot.  To do a stair step I have to have my foot in the 6:00 position and two siderails or it hurts big time.

That’s my story – or some of it.  I’m very positive and know that this will pass.  I’m a 64 year old woman so I hadn’t planned to climb any more mountains – although I’ve ‘done’ several in the Eastern Sierra in my time.  If I can handle a coastal hill sometime before I’m 65 I’ll be happy. 

Peace
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on November 30, 2009, 03:18:20 AM
Segocia

You have my admiration and my best wishes! You have been through the mill and come out the other side with a postitive attitude! Keep it up...as you say, it can only get better!

Sue
Title: Re: Ruptured Quadriceps Tendon
Post by: nrd515 on November 30, 2009, 05:34:45 AM
Segocia- Wow, your ordeal is horrible. Here, you would probably beset for life, money wise, after being dropped like that. My mom had her knee replaced when she was 75, and had a very good recovery, but she has a whole lot of other problems and isn't walking anymore. She needs the other knee done, but wont do it at this point. She has severe pain everywhere, but mostly in her back and feet, can't see or hear well, and has shoulder and neck issues too. Her 25 years of smoking has caused her to have COPD, and she is in the last stages of that. She has an amazing memory though, and still is fine mentally.


The only reason I never fell was pure luck, and my being really stubborn and refusing to get yanked out of my wheelchair by the nurses because they were in too big a hurry to go get the lifting machine. The day before my quad popped, I took a shower, and when I got out of the shower stall, my right knee went out and one of the assistants somehow kept me up on my feet, even though she was way less than half my weight and 65 years old. My right knee shook like a leaf for a few seconds, and my left knee hurt badly, and she just grabbed me and held on tight. Before that, I had a close call getting off the toilet, because the nurses yanked me up and didn't understand how bad my right knee was. After the shower deal, I decided to refuse to let them yank me up out of my wheelchair later on that day, mostly because it hurt like hell, but I kind of thought the law of averages was going to get me, and I would go down. They tried to talk me into it, but finally I got them to get the lift to get me out. I wonder sometimes if the approx half dozen close calls in the hospital and rehab places were part of the cause of my quad rupture.

Good luck.
Title: Re: Ruptured Quadriceps Tendon
Post by: Patrick49 on December 03, 2009, 12:08:47 PM
Hi,

New here. New injury slipped on some wet tile at work on Monday  and crashed down on left leg causing complete rupture of left quariceps tendon. HAd MRI and saw orthropedist yesterday.  Surgery this morning in a couple of hours. I live in the USA in Arkansas. I'm 49 and was pretty active till this. Ran 30-35 miles a week also weight traininng. My doc is saying he will immobilize for 6-8 weeks and then begin therapy.  Reading through some of the posts it sounds like many of you start PT much earlier. I don't want that knee to completely lock up. I'm sure I'll find lots of information but if anyone has some immediate post surgery advice on pain control etc. and what to do on going home I would appreciate it. My anesthesilogist is suggesting a spinal with some additional sedation during the surgery so the spinal effects can last for 6-8 hous post surgery then use a morphine pump overnight for pain controll.
Home Friday if all goes well.
This is a great forum. Thanks in advance.

Title: Re: Ruptured Quadriceps Tendon
Post by: philt on December 03, 2009, 05:34:32 PM
Hi Patrick

Sorry you've had to join the band of ruptured quadders!

Apart from some pain immediately after my op (within 18 hours of my fall which completely ruptured my right quad) I was remarkably pain free albeit in a leg brace with strict instructions not to try and bend for 6 weeks as you have been advised.  I could also walk and bear weight with crutches within 24 hours of the op.  Hopefully you'll be the same.  Based on my experience I wouldn't worry about your knee locking up but i think you'll have to accept it'll take a few months before you can fully bend again.  Time, patience and exercise in due course seems to be the course of action (plus determination to work to getting as fully fit as you can).

regards

Phil
Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on December 06, 2009, 02:16:45 AM
Hi Patrick,

I am now 12 weeks post op from complete tendon tear.  My recovery has continued to be great.  I basically have full ROM, and I am walking quite normally.  Still have pain and swelling when I am on the leg for long periods, but it gets better every week.  I was walking on crutches within 24 hours of surgery, off crutches 10 days post op.  I took the brace off for good after 6 weeks.

The worst discomfort continues to be when I am sitting or in bed.  Even that is slowly improving.

I concluded early on that as long as the brace kept the leg straight, the repair could not be re-injured, so I walked lots with the brace on, full weight bearing on the straight injured leg.  I only went ot one PT session and was disappointed with what was done.  I felt I was better off on my own.

I credit my recovery to 3 or 4 factors.  Surgery was less than 2 days after fall.  I had a good surgeon (that was good luck, I was not being picky at the time).  I do not think I had any serious collateral damage, everything else around the knee was just fine.  Lastly, although I was very careful not to risk falling or re-injuring, I pushed the envelope continually with regard to my mobility.

Hope your recovery goes as well.

IanB
Title: Re: Ruptured Quadriceps Tendon
Post by: Patrick49 on December 09, 2009, 03:06:06 PM
I'm six days post surgery and I think I'm doing pretty well although in honesty I have not done very much. My post op instruction were non-weight bearing on the injured leg so I've been careful not to put any weight on it. I wonder if I should request to bear weight? Would that accelerate my rehab?

My pain is very mangeable. I took some of the narcotic pain pills the first couple of days but they made me dizzy and nauseated so now I'm just taking naproxyn. I wonder if anyone has any opinions on other non narcotic pain relief. I see the OS on Monday wonder if I should ask for celebrex or something elsde or just stick with the Aleve and Motrin? Night time is the worst.

Patrick
Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on December 09, 2009, 09:53:00 PM
Patrick,

I was very fortunate with regard to pain.  I was off the rpescription pain meds 3 days after surgery.  Took the occasional Tylenol, but nothing on a regular basis.  If you have a good brace that keeps the leg straight, and you do not have big pain, I would weightbear.  I did with no problems.  After 10 days, I was walking on it.

Ian
Title: Re: Ruptured Quadriceps Tendon
Post by: nrd515 on December 11, 2009, 08:11:40 AM
Hi Patrick, welcome to a club nobody wants to join. It seems that pain ranges from almost nothing, except right after surgery, like mine was, to continuing pain for some time. I had a couple of hours of muscle spasms, and that's it. I've had, let's see, 4 other operations, and this was by far, the least painful, but it's having a longer recovery than all of them put together, and one of them almost killed me. I think the keeping the leg motionless for more than a few days is an old timey thing, and isn't really a good idea, as movement will get blood circulating and also keep clots to a minimum. As long as no weight is put on the leg while bent, it's not likely to hurt anything. I was having my leg lifted just a few days after surgery, and they asked me if I was feeling pain, and I kept saying "No", so they kept bending it. I was sliding on a pad it in therapy soon after that. I was exercising today, and there is no difference whatsoever in my range of motion between the leg that had the blown quad, and the other leg, I can kick myself with ease. You might want to talk to your doctor about moving it a little.

A friend of mine had his leg kept motionless after he blew his about 15 years ago, and it took him a long tme to get any real range of motion back. He was back to running after a long period of recovery, but stopped after his knees decided they had enough of that, and told him so. I wish my right knee would hurt a little instead of being numb, I would be thrilled.

Hope it all goes well for you.
Title: Re: Ruptured Quadriceps Tendon
Post by: PAShoe on December 14, 2009, 08:32:34 PM
Hi Patrick

Sorry you've had to join the band of ruptured quadders!

Apart from some pain immediately after my op (within 18 hours of my fall which completely ruptured my right quad) I was remarkably pain free albeit in a leg brace with strict instructions not to try and bend for 6 weeks as you have been advised.  I could also walk and bear weight with crutches within 24 hours of the op.  Hopefully you'll be the same.  Based on my experience I wouldn't worry about your knee locking up but i think you'll have to accept it'll take a few months before you can fully bend again.  Time, patience and exercise in due course seems to be the course of action (plus determination to work to getting as fully fit as you can).

regards

Phil
Title: Re: Ruptured Quadriceps Tendon
Post by: PAShoe on December 14, 2009, 08:57:05 PM
Ruptured my quadriceps tendon 8 weeks ago. Had the op on day 2 and released from hospital on day 4 after weekend.
Fitted with back cast for first 2 weeks, then full cast for next 3 weeks. Now fitted with a knee brace set at 90 deg by consultant.
Doing exercises advised by PT to build up muscles which appear to be working but slow!!!!!. knee still swells up pretty badly at nights and aches a lot.
Initial target set by consultant and PT is 90 deg of knee bend and so far can get about 80/85 after some work (about 8/10 mins).
PT have advised to take off knee brace during time at home and only use it when walking about outside. I am seeing consultant next week so will wait
to see what he says. Everything seems to be going ok but would appreciate any experiences of other kneegeeks.
Thanks in advance.

Hi Patrick

Sorry you've had to join the band of ruptured quadders!

Apart from some pain immediately after my op (within 18 hours of my fall which completely ruptured my right quad) I was remarkably pain free albeit in a leg brace with strict instructions not to try and bend for 6 weeks as you have been advised.  I could also walk and bear weight with crutches within 24 hours of the op.  Hopefully you'll be the same.  Based on my experience I wouldn't worry about your knee locking up but i think you'll have to accept it'll take a few months before you can fully bend again.  Time, patience and exercise in due course seems to be the course of action (plus determination to work to getting as fully fit as you can).

regards

Phil

I am trying to figure out how to join this discussion.

I fell stepping down a stair at the Wachovia center. I when to an Emergecy Room near my home ( I could drive since my left leg was the problem). They took an x-ray and gave me a brace. The next day I called a surgeon and he saw me and told me I had torn the quad off the knee completely. On day 4+ I had surgery in which thay reattached it with holes and screws. It is now week 3+. I am still wearing an immobilizer exept when off my feet to sleep or shower. I can walk easily but use a cane when out. I am 70 years old and am retired. Prior to the spill I was golfing 5 days a week. My only job now is to get back to full strength so I can golf again. I had a home care PT for 2 weeks and he discharged me with 5 fairly mild exercises, which I do daily.

My surgeon told me I was wear the brace for 6 weeks and then he would check me out and then I would begin rehab. I found this site while looking to find what I can expect in rehab.
Title: Re: Ruptured Quadriceps Tendon
Post by: CoachB on December 15, 2009, 04:44:46 AM
I am a 63 yr. old male who was very physically acitve and in real good physical condition.  I completely tore my left quad tendon playing basketball in early Oct. when I was 1700 miles from home.  First major injury of my lifetime.  Had surgery back home in late Oct. and am now bout 6 wks post op. I was put in an immobilizer for 1st 4 weeks and was immediately weight bearing at about 30%.  Started PT at about 4 wks. Since going to physical therapy have made a lot of progress in terms of range of motion.  Today I was at 105 ROM.  Feel good about being able to sit in a chair and have both feet on the ground. Easier now to get in and out of the car (I am 6'7"). Patience and adherence to a good rehab program seem to be the key. Still have swelling in knee, which increases as day progresses.  Walking normal except when swelling becomes an issue.  Be diligent about doing your exercises, be patient, and above all get a physical therapist who knows what they are doing. This is not a common injury.  I have an experience PT and he only sees 3 or 4 of these injuries per year. I have been reading posts on this website and others and am glad to share my experiences with you.  I am a retired college basketball coach and there was never anything easy about preparing to win.  The same can be said about overcoming this injury.  But it can be done!
Title: Re: Ruptured Quadriceps Tendon
Post by: bloodknock on December 16, 2009, 09:52:05 PM
Hi Darrell - VICTORIA, CANADA

Thanks for your message of support and encouragement.
Stiffness at night has eased but not totally gone away which helps.
Just managed to bath in the last few days for the 1st time post op. which was enjoyed.

Finding walking hard outside but try to do some daily - 100m at the moment which is not much.
Working at the exercises, and PT group in the hospital and trying to get my head down to see it through - frequent iceing every day a must.
Hope that you are in good nick - Christmas Greetings to you and all your family.
Regards

Peter
 


Title: Re: Ruptured Quadriceps Tendon
Post by: shytiger on December 17, 2009, 03:44:13 AM
This is the biggest torn quadricep tendon thread I've seen so far.  I'm 38 yrs old and partially tore my quad tendon a year 1/2 ago.  I was replacing some shingles on my roof when I lost my traction and fell and landed in a power squat.  I heard a pop then rolled.  I went to the ER and they did an xray an told me that I didn't tear anything.  They gave me a brace and crutches and sent me on my way.  After the swelling went down I should have gone and seen a surgeon.  I was still able to straighten my leg, even with resistance on my bowflex.  I ended up rehibilitating myself.  A year after my accident I finally went to see a orthopedic surgeon.  As soon as she observed my quad she told me I had torn it.  It was late in the game but she said they could still do the surgery and then she went on to explain the recovery procedures.  I had an MRI done and they sent it to her.   She called me back and told me if I wanted, that they could do the surgery but it was not mandantory.   I haven't had the surgery and I don't know if I should.  My knee is not 100% however I can still run and jump, but I have to be careful.  I'm really hesitant to have surgery because I'm afraid that I might be worse off since I waited too long.

Here's my before and after pics.  The first one is right after I returned from the ER.  The Second is what the injury looks like now.

(http://farm2.static.flickr.com/1407/617601016_64ec8e99d6.jpg)  (http://farm4.static.flickr.com/3021/2807704274_4b4ff01df6.jpg)
Title: Re: Ruptured Quadriceps Tendon
Post by: Griceberg on December 21, 2009, 03:44:57 AM
Shytiger,

My advice would be to NOT get cut on unless it is 100% necessary, i.e. your tendon completely ruptures. If you are ambulatory and can run, jump, etc., be happy with what you've got.

Good luck and have a Merry Christmas.
Title: Re: Ruptured Quadriceps Tendon
Post by: shytiger on December 22, 2009, 03:35:05 AM
Thanks for the advice Griceburg.  The doctor explained to me that they would haveto sever the remaining parts of the tendon that are still attached and suture them them through the patella as well.  It just didn't sound like a logical approach to me.  But you're correct...I should be content with being 80% rather than risk coming out worse than I was.  I just hope it does not effect me when I get further along in age.

thanks again.
Title: Re: Ruptured Quadriceps Tendon
Post by: ruddski1 on December 27, 2009, 02:05:25 PM
Hey everyone, glad I found this siite.. I just found out wed. that I ruptured my Quad tendon. Slipped on the ice on mon(Dec 21st) and I'm scheduled for surgery on Wed the 30th. Nice to find a support group that has gone through this before. Because this happened around the holidays I have not been able to call back the doctor yet and have very little info. The good news is I have checked into the doc and have heard very good things about him. Do I get a full cast or knee brace? what kind of incision?he said that staying overnight is my option, but I noticed some people said that they stayed 2 nights. Also I am an avid skier and he mentioned he would not recommend ever skiing again, is that sometyhing I should just forget about or is he just being overly cautious? I know the skiing part should not be my concern until I heal, but it is a big part of my life.Thanks in advance.
Title: Re: Ruptured Quadriceps Tendon
Post by: CoachB on December 29, 2009, 04:07:40 AM
Sorry to hear about your injury.  I am now 8 weeks post op and doing fine.  Now have 120 degree ROM and ability to step up.  Next have to learn to go down steps.  Started riding the bike at last rehab with PT.  As I mentioned in a previous post I think the PT is really important.  Try to find the best you can get.  The PT needs to be able to evalute where you are ane apply approprite protocol. I think it a good idea to be patient, work hard on the rehab exercises, but dont try to do too much too soon. With regard to your upcoming operation your incision will be from above the knee cap location to below. Mine is now hardly noticeable.  My doc used regular stitches.  You will have the option to stay over night.  I did not.  Make sure you take your pain medication for a few days.  Keep your leg elevated.  My doc had me apply about 30% weight with the use of crutches.  I was placed in a knee brace immobilizer.  I had to keep in on for about 4 weeks. It will be difficult for you to sleep in bed, drive a car, use the bathroom, and put your pants and shoes on.  But you will learn how.  The Quad tendon rupture is a dehabilitating injury and it requires a long rehab ( I was told 6 months for complete recovery).   The first four weeks were the worst for me, as I was not able to do much of anything.  But doing fine now.  If it is your left quad tenton you will be able to get yourself in the car and drive.  If it is the right, it will take you much longer before you can drive because you will not have enough range of motion. Good luck and I hope I was able to answer some of your quesitons.  I am Coach B and I have an earlier post. 
Title: Re: Ruptured Quadriceps Tendon
Post by: ruddski1 on December 29, 2009, 05:18:20 PM
Thanks coach B, I appreciate your help. I go for surgery tomorrow and am in a good mindset, Just going to do what they ask and work on getting better.  I already have a good P.T. that my wife has workeed with in the past and I'll take it 1 day at a time.
I'm sure at 6'7" it's hard enough to get in a car without this injury. This is also my first majoor injury (I'm 47) so I guess i should at least be grateful for that. Will post again after surgery.
Title: Re: Ruptured Quadriceps Tendon
Post by: Griceberg on January 02, 2010, 05:01:05 PM
Hey everyone, glad I found this siite.. I just found out wed. that I ruptured my Quad tendon. Slipped on the ice on mon(Dec 21st) and I'm scheduled for surgery on Wed the 30th. Nice to find a support group that has gone through this before. Because this happened around the holidays I have not been able to call back the doctor yet and have very little info. The good news is I have checked into the doc and have heard very good things about him. Do I get a full cast or knee brace? what kind of incision?he said that staying overnight is my option, but I noticed some people said that they stayed 2 nights. Also I am an avid skier and he mentioned he would not recommend ever skiing again, is that sometyhing I should just forget about or is he just being overly cautious? I know the skiing part should not be my concern until I heal, but it is a big part of my life.Thanks in advance.

Hey man. Sorryt o hear about that injury. Quad ruptures SUCK!!!!

As for my surgery, I had a straight leg brace for about a month, then to an adjustable brace to work on ROM. I had staples to close the incision that was about 10 inches long. By the way, everyone told me that staples don't hurt coming out. "They" lied.

As for the skiing, I sure hope you can return to that activity. I was very involved in powerlifting prior to my accident. My doctor told me that squatting was something that I did not need to do under any circumstances. Now, my PT had me doing squats during rehab and a VERY qualified exercise physiologist recommended squats in my rehab program. All that to say, sometimes you get conflicting information and suggestions from the doctor and PT. I have had a problem for over 3 years now with chronic pain and atrophy. Squatting and a return to powerlifting training is pretty much out for me. Hopefully, your situation is better. I'm not trying to paint an ugly picture of this situation, but you need to be ready for the worst case scenario.

I hope the surgery went well and you have a very smooth recovery.
Title: Re: Ruptured Quadriceps Tendon
Post by: ruddski1 on January 02, 2010, 06:35:28 PM
Had surgery wed at 7:30 am. left hospital at around noon so that went well. Uncpomfotable no matter what I do with immobilizer on, but it keeps moving and the bandages slid dpown, called my Drs office and doc on call (new years day) told me to rewrap myself which I did. Not thrilled about exposing my wound when I wrapped it but it had to be done, now sliding again and i"m about to rewrap. Griceberg thanks for your help, luckily I was assuming taking the staples out would hurt! will post again and let you know how it's going.
Title: Re: Ruptured Quadriceps Tendon
Post by: in2falling on January 02, 2010, 09:38:38 PM
Hey man. Sorryt o hear about that injury. Quad ruptures SUCK!!!!

As for my surgery, I had a straight leg brace for about a month, then to an adjustable brace to work on ROM. I had staples to close the incision that was about 10 inches long. By the way, everyone told me that staples don't hurt coming out. "They" lied.

As for the skiing, I sure hope you can return to that activity. I was very involved in powerlifting prior to my accident. My doctor told me that squatting was something that I did not need to do under any circumstances. Now, my PT had me doing squats during rehab and a VERY qualified exercise physiologist recommended squats in my rehab program. All that to say, sometimes you get conflicting information and suggestions from the doctor and PT. I have had a problem for over 3 years now with chronic pain and atrophy. Squatting and a return to powerlifting training is pretty much out for me. Hopefully, your situation is better. I'm not trying to paint an ugly picture of this situation, but you need to be ready for the worst case scenario.

I hope the surgery went well and you have a very smooth recovery.

Yes quad tendon ruptures do suck, they take a long time to recover from. I am 1 year and about 8 months out from a complete rupture and repair from a bad skydiving landing. I had to have a second surgery to clean out scar tissue after I developed secondary fibrosis 7 months out from the first surgery and my ROM was stuck at 100. I had one of the best knee docs in the US working on my knee (also did my ACL 10 years ago on the other knee). He was able to do the quad tendon repair with about 2.75 inch incision and closed it up with dissolving/absorbable sutures, I was amazed and shocked when I first took off the bandages.

It took me over a year to get back to doing free bar squatting because of pain that would develop in patella tendon, had to use the squat machine for the longest of time so that I could keep my feet and knees more out in front of me as to not put lots of pressure on the patella tendon. The patella tendon pain slowly went away and was able to do normal squats again and strength is almost back to pre-injury.

I did all my own PT and only went to PT 5 times, main because of the cost and convenience. My plan on recovery was to get ROM back quickly, get repair/soft tissue pliable ( knew early on that I was developing scar tissue) and build back strength, but the scar tissue problems really set back my plans and it has taken a loonnggg time to regain my strength back.

I would say that I have recovered about 90 to 95% with the only remaining issue being off and on tightness/stiffness at the repair site (I feel the stiffness quite often), which has slowed down running and jumping movements. But the tightness/stiffness seems to be very slowly subsiding, that or I am just getting use to it. 
Title: Re: Ruptured Quadriceps Tendon
Post by: Raggy on January 03, 2010, 01:11:13 AM
You guys are lucky, i have had ruptured quads in both legs goin into my 10yr & i still hav'nt been operated on. I am off to see my consultant on monday to see if there any hope for me. I have lear'nt how to walk in a different way, pain is really unbearable at times, but what choice do i have but to get on with it.
I am finding it the hardest now as i have a 17mth old baby girl & i want to get on the floor playin & to be able to carry her, so now i need them to find me an answer but i also dont want them to leave me worse off, i have fought had & long to have the mobility i have now.
The docs said it was all in my head thats why my legs didnt work & that i must be lazy & not doin the exercises i was given, it was only when i broke my arm in 3 plaes in PT that someone took notice that was over a yr down the rd, then i got messed about with doctors & here i am today found a doctor who is willing to taken me on but he doesnt seem to be in any rish to fix me.
Whats going to happen to me in the future i want to be fit for my daughter, not a knackered wreck!
Nicky
Title: Re: Ruptured Quadriceps Tendon
Post by: CoachB on January 03, 2010, 05:08:11 AM
Had surgery wed at 7:30 am. left hospital at around noon so that went well. Uncpomfotable no matter what I do with immobilizer on, but it keeps moving and the bandages slid dpown, called my Drs office and doc on call (new years day) told me to rewrap myself which I did. Not thrilled about exposing my wound when I wrapped it but it had to be done, now sliding again and i"m about to rewrap. Griceberg thanks for your help, luckily I was assuming taking the staples out would hurt! will post again and let you know how it's going.

This is Coach B. Good to hear you made it through surgery.  The bandage slippage is normal. I also had to rewrap. I did not have staples, so I am not familiar with that.  The big issues is how long it takes to return to normal.  The first four weeks of post op were the hardest for me.  I got a little depressed, but once I was able to get out of the house it got a lot better.  Is it your right or left leg, because that will make a big difference in how soon you can drive again.  My doctor told me the biggest issues were infection, reinjury, and the length of time for complete recovery.  You mentioned you have a good PT, that is real important.  I am doing good at 9 weeks post op. Had 125 degree range of motion, walking well, and riding a bike.  However, today I slipped while mopping the floor and I think I aggrevated my injury because my leg is swelled more than normal.  My PT told me not to try to brace myself if I slip, but it is instictive to do so, and I did today.  I will be ok, but there can be these set backs. I am not sitting in my recliner with my leg elevated and icing down.  Good luck and keep in touch with issues.
Title: Re: Ruptured Quadriceps Tendon
Post by: Griceberg on January 04, 2010, 12:33:36 AM
I was very fortunate in that when I started PT at about 6 weeks after the operation, my ROM was 130. After just two visits, my right (injured) actually had more ROM than my left. It was surprising to everyone. Especially since it was two weeks after the accident before I had surgery.

Be sure to follow your PT's instructions and do the "homework" religiously.

Good luck!
Title: Re: Ruptured Quadriceps Tendon
Post by: philt on January 07, 2010, 08:33:01 PM
Hey everyone, glad I found this siite.. I just found out wed. that I ruptured my Quad tendon. Slipped on the ice on mon(Dec 21st) and I'm scheduled for surgery on Wed the 30th. Nice to find a support group that has gone through this before. Because this happened around the holidays I have not been able to call back the doctor yet and have very little info. The good news is I have checked into the doc and have heard very good things about him. Do I get a full cast or knee brace? what kind of incision?he said that staying overnight is my option, but I noticed some people said that they stayed 2 nights. Also I am an avid skier and he mentioned he would not recommend ever skiing again, is that sometyhing I should just forget about or is he just being overly cautious? I know the skiing part should not be my concern until I heal, but it is a big part of my life.Thanks in advance.

Full details of my rupture are in previous posts but if it's any comfort, I was back skiiing 7.5 months after my full right quad rupture (May 2007 rupture/op/repair, first ski Jan 2008).  I didn't do anything stupid (moguls, off piste etc) but once through the confidence barrier was pretty much back to normal (well as normal as my skiing ever gets!).  Only problem I had was pain in the patella tendon whenever I hit a bump but the repaired quad held up fine.  The same tendon took a while to settle down again post ski-trip which limited more rehab activity in the gym.  I had a hiccup last year when I jarred my "bad knee" when putting my ski boot on - I pretty much skiied for a couple of days on my good leg with a lot of pain in the patella tendon of the "bad leg" but this settled down again after some anti inflammatories.  Hasn't put me off and I'm going to the French alps in a couple of weeks and Banff in a couple of months and can't wait to hit the slopes again.   Good luck with your recovery - as they say on the slopes, "you have to get up to go down"!

Cheers

Phil T     
Title: Re: Ruptured Quadriceps Tendon
Post by: ruddski1 on January 08, 2010, 03:17:56 PM
Thanks for the support guys, it's good to read some posts about the progress (slow as it may be) from all of you. getting my staples out next week and looking forward to being told I eventually I can sleep without the brace. I know it's awhile off but not only would that mean I'm making progress but that has been one of the most frustrating things about this ordeal. Phil, thanks for your post about skiing again, I am setting a goal to ski next year now and since I have pretty much a year I know I'll be ready, great hearing about that.  I do not have a bike in my gym but I do have an eliptical machine, does anybody know how long before being able to use, also I guess I'm going to need a bike because it makes sense not to be standing when first working knee out.
Title: Re: Ruptured Quadriceps Tendon
Post by: philt on January 08, 2010, 04:01:27 PM
I was encouraged to get an exercise bike by my PT and so picked one up cheaply on ebay.  Proved to be invaluable as a means of helping to  stretch my quads and hamstrings back to normal.  First use of a bike was 11 weeks post op, in the gym with my PT, and I couldn't do one revolution because my knee wouldn't bend enough!  Got their eventually and used the ebay bike regularly at home each day thereafter.

Rgds

Phil
Title: Re: Ruptured Quadriceps Tendon
Post by: CoachB on January 09, 2010, 11:01:47 AM
ruddski1
Good to hear you are going to get your staples out, I remember how difficult it was to sleep at night. Had to stay on my back. As for the bike my PT did not put me on it until about 7 weeks post op, and he told me I was ahead of schedule.  I sure was tentative the first time on the bike.  At 9 weeks it is no problem.  Guessing you will need to get to near 120 ROM before being able to bike.  I saw my surgeron this week and he was real pleased, but told me it was important to proceed slowly.  Do not try to do too much.  At 9 wk post op I am now working on stepping down steps.  I continue to have swelling as the day progresses.  Surgeon & PT tell me this is normal and that even after 2 yrs my knee may swell to some extent.  But I have no pain.

Good luck.  These are the toughest times for you.  After 4 wks you should begin to feel a lot better in terms of comfort and ability to move around.  Proceed at this time in all of your movements with caution.
Title: Re: Ruptured Quadriceps Tendon
Post by: Patrick49 on January 13, 2010, 05:23:25 PM
Well I'm now 6 weeks post-op and just started therapy today. Passive ROM and Quad sets. My ROM is only 80 degrees and that's with a fair amount of discomfort when he pushes it that far..... PT honestly told me he has only worked with one other quad rupture and he's an experienced therapist. So I'm wondering how far I should ask him to push it.  Any suggestions on other things to do to improve ROM?
Title: Re: Ruptured Quadriceps Tendon
Post by: Hudswell on January 14, 2010, 05:47:54 PM
Well possibly the newest addition to the club, I do not recommend exiting the attic without a stable ladder...anyway 1 week post op, which was the day after my injury, follow up at the two week point next week when the staples will also be removed. ROM brace fitted with probably 10 degree of movment and touch weight only.  Why in the attic...day before a  house move which has obviously been postponed..until beginning of Feb anyway.  Pain the evening when in bed but I must admit my leg feels more stable already. Judging from the posts I am in for a long period of Rehab, but moving to the Med might speed things up, weather, pool etc!!! always look on the bright side of life...just getting there will be a pain...literally..

Hudswell :)
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on January 15, 2010, 01:06:19 AM
Hey Patrick 49-  take it slow with the rehab.  You have to do a dance with pushing the ROM to improve vs taking it too easy. Your tendon will let you know what to do.  I was told the 1st three months, passive stretching only, active stretching after that, and I followed that.   

It's been several months since I've been on the board and I can see the tendon ruptures contineue. I'm out 3.5 yrs. from my QTR.  It's doing great and as much frustration as you have, it will get better !! Keep the faith. 
Title: Re: Ruptured Quadriceps Tendon
Post by: charnsophie on January 20, 2010, 05:36:18 PM
Usually I am quite proud to join a "group" that I choose...unfortunately not the case here. Not proud to be a fellow QUAD RUPTURE victim, but reading all of your posts and info somehow puts me in a bit of a more peaceful place.
Long story short:
42 year old active medical practitioner and photographer, slip and fall on last 4 steps in my home 3 days before Christmas.
I make my own diagnosis as I lay on the floor in a heap screaming bloody murder. I call my boss who is our head surgeon and he tells me this is an impossible diagnosis...there is no way I have a Quad tendon rupture and I laugh and cry at him on the phone and tell him to meet me at ER so I can show him.
SUrgery done one week later. Wow! I have never had that much pain; however, about 2 days after it was like the sun came up and pain dissipated.
I was pretty mobile on crutches pretty quickly.
Sutures came out yesterday at day 22 ( little late but ortho was on vaca and I had very hard time taking out my own sutures!)
PT to commence next Thursday which will be a little over 4 weeks post op.
I am so excited to start PT because it will mean this long road is getting shorter.
I finally can sleep at least 3-4 hours at once whereas the first few weeks I never slept more than an hour at a time.
The saddest part for me is passively contracting my poor quad each day when I shower, rebandage and seeing how weak and soft it is...
You folks are helping me see the light at the end of the tunnel.
I wish all of you the best successes with your rehab and may we all feel better than the previous versions of ourselves in the best due time.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on January 20, 2010, 06:38:03 PM
Hi Maria

Delighted that you have found the correct thread on KneeGaru - lots to learn by reading previous posts and exchanging personal experiences.

I hope that the 3 documents which I have alreeady sent to you will give you a rough idea of the PT procedures.

Best wishes

JohnK/Manchester UK


Title: Re: Ruptured Quadriceps Tendon
Post by: Patrick49 on January 21, 2010, 12:42:53 AM
John K,

Could I ask you to send me those as well? [email protected]
Thanks in advance.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on January 21, 2010, 05:45:06 AM
Hi Patrick



Three documents sent to you, which will give you an indication of the rehab procedure -

Patience is required as you are in for quite a long haul to recovery.

Best wishes

JohnK/ Manchester  UK
Title: Re: Ruptured Quadriceps Tendon
Post by: stylabull on January 21, 2010, 12:41:17 PM
Hi all,

Updating my own situation, ruptured right quad tendons early August 2009,2 months in plaster , 1 month or so with velcro full leg brace followed by not as much physio as I expected, have been ' discharged' by my physio unless I feel I need to see her in the next 6 weeks or so. Have got almost full bend back in my knee, cannot yet however get into full squatting position, the sort a wicketkeeper might take up, but am continuing to build up muscles that had greatly wasted over the time I was in plaster. Still very wary of going up or down stairs, especially the first couple of steps but all improving as time goes on. Am still waiting for enough confidence to begin to run but think it might not be too far away.

Anyone who has suffered this injury knows how hard the recovery process is but to those new on here , keep your spirits up and be positive, don't let yourself drift into feeling that things won't ever improve.
Title: Re: Ruptured Quadriceps Tendon
Post by: ruddski1 on January 21, 2010, 03:31:20 PM
well, I got my stiaples out last week 2 weeks post op and was told 4 more weeks in immobilizer. They also gave me a Bledsoe brace so that once I can start bending my knee they can set how far they want me to bend it, but i'm wearing my old brace for now because they set the brace at zero and it's much more combursome. Charnsophie, I noticed that you are starting rehab soon I  have 2 more weeks to go, yet we were injured and operated on at about the same time (injured Dec 21st operated on Dec 30th) yet Stylabull spent 2 months in a plaster cast which is even longer without movement than me. Does anyone know if there are different levels of injury with a full rupture or are doctors just treating same injury more carefully?
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on January 21, 2010, 03:35:33 PM
Hi

In the U.K. the average time in a plastercast is 6/8 weeks -


JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: stylabull on January 21, 2010, 03:42:24 PM
To my mind I was in my leg brace longer than I should have been , when I took it off to do exercises etc it seemed to have swollen up a lot from when I had previously done so, for example the the evening before I would have exercised b4 bed then put brace back on to sleep in, then next morning removed brace at work and would have to massage the knee before I could work it again. As I did the injury on holiday, the op was done some 150 miles from home and then 2 weeks later I saw consultant at my local hospital who said it would be minimum 3 months before I was walking anthing like normally again, he wasn't far off the mark in that respect but things did improve more quickly once the brace was ditched.
Title: Re: Ruptured Quadriceps Tendon
Post by: CoachB on January 22, 2010, 03:56:13 AM
Ruddski,

The variance in lenght of time prior to beginning of rehab may be due to the fact that reoccurance is an issue and the doctors, rightfully so, take the more conservative approach.  Also, our injury is not common so that may be another reason there is variance as to approach. 4 more weeks in an immobilizer does seem long.  Once you get to rehab you will begin to make immediate progress in terms of ROM. I am now 11 weeks post op and doing real well.  As I mentioned before I think I have an excellent PT.  I am going up and down steps and walking normally. My PT always talks with me about repairing the tissue, that it will take time, not to try to do too much.  For exercises I do step ups and step downs on a box, leg lifts, bicycling, and the PT has be on my stomach and stretching the quad by bending my leg up as far as he can.  And yesterday a new exercise was added.  We coaches used to call them wall sits.  But this exercise is with a basketballlball.  Place the ball in your lower lumbar area and do slight squats against the wall.  My PT has never put me in extreme pain.  Is message from the beginning was if it hurts for only a short pd of time, that is ok.  But if it is prolonged than we are doing too much.  Today I joined my local fitness center and started doing some strenght training for my upper body, and some quad exercises.  My PT also talks about eccentric movement is equally important.  I am trying to walk at least 30 minutes per day.  Again, I have no pain.  The quad is still tight when I bend the knee.  My swelling is not as bad as it was.  Good luck to you and the rest of the people who post on this site.  Your spirits and leg will improve once you begin rehab.
Title: Re: Ruptured Quadriceps Tendon
Post by: charnsophie on January 23, 2010, 04:37:08 AM
It is very interesting to me to learn of the differences in treatment approaches for this injury. I have even heard of patients starting PT within a week of surgery!
I am happy with beginning PT a few days longer than 4 weeks post op. I have noted significant atrophy in my thigh muscles being only 4 weeks since injury.
I know the first 4 weeks of PT will be mostly stimulating thigh muscles and passive flexion.
Seems like the real work starts about 8 weeks post op...
Title: Re: Ruptured Quadriceps Tendon
Post by: wesk on February 06, 2010, 02:08:06 AM
I was in a stiff leg brace right after surgery and participated in no pt until after 6 weeks.  My doc then kept me in the stiff brace for many months until I was well into pt, which made me very jealous of those in movable braces.  As someone stated above the real worry is reinjury and they see so few a year that there are many different interpretations on how aggressive to be with rehab early on.
Title: Re: Ruptured Quadriceps Tendon
Post by: z06 on February 07, 2010, 02:54:46 PM
Remember me? It's been 26 months since accident that ruptured BOTH knee quad tendons. Went through the surgerys, braces, 18 months of theraphy. Man, what an ordeal. Still not back to 80%. Dr. put me on perminent disability for ladders, stairs & squats. Work terminated my job after 22 years of employment without even a kiss. They could not provide me a suitable job for my injuries. Still have pain in knees, but no medication needed. So, it's back to school for 2 years. Haven't seen the inside of one of these buildings for 37 years. Man, I hate math.  Good luck all. I feel your pain.
Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on February 10, 2010, 01:05:04 AM
My last posts were back in early Dec.  I am now 22 weeks post op.  I did not stay with the formal PT.  I took the brace off after 6 weeks and started walking, climbing stairs etc.  I found when I was about 12 weeks, I was pushing for ROM, and concluded it was not worth it.  In the morning I would either pull the leg right in as tight as I could or I would squat on it with support using my arms.  I found that the leg was sore for the rest of the day.  I had about 130 degrees, and found that I was able to do anything I needed to do to get around (including work), so I quit pushing the ROM in the morning.  Leg felt much better.  Gradually ROM continued to improve.  It is not 100% yet, but I can basically squat down with both legs bent.  The left does not quite bend as far as the right, but it is close.  In the last week, I have started to get a little more agressive with exercise.  I spend 20-30 minutes on the treadmill in the morning (2 miles) and then do some leg curls on a weight bench.  I have been really lucky as while the injury slowed me down, after 4 weeks or so I was back at work fulltime and it has not really limited me.  I was on vacation in Jamaica last week and went scuba diving 11 times.  Needed to be careful with the extra weight on my back, but I was OK.  I am not trying to get back onto skis or other demanding sport, so I am probably far more tolerant of limitations compared to other posters.  Based on my progress so far, I am expecting to be 100% by summer.

My best advice for the newly injured remains the same.  I concluded if your leg was in a good stiff brace, you could not re-injure the tendon.  So I got rid of the crutches less than 2 weeks after the injury, and I walked on the leg lots.  I was very careful, but I climbed stairs, drove- basically did everything I could do.  I was weight bearing on day 2 after surgery.  The brace was gone for good at week 6.

Good luck to everyone.

IanB
Title: Re: Ruptured Quadriceps Tendon
Post by: Patrick49 on February 14, 2010, 11:54:34 PM
I'm now 11 weeks post accident. Thursday it will be 11 weeks since surgery. The doc finally took the brace off about ten days ago and I started enhanced  rehab with active ROM and the exercise bike and straight leg raises. Around week 6 he started me on passive ROM. I'm still using one  crutch with partial weight bearing. The doc forbids using weights during PT which seems to me very conservative. In terms of ROM I can do 106 degrees on my own and 115 with the therapist assisting.

When did other folks start using weights to enhance their rehab?  I'm ready to get this quadriceps working.
Title: Re: Ruptured Quadriceps Tendon
Post by: SeatownShuffle on February 23, 2010, 04:36:17 AM
Long time no post.
Its been 6 months since my surgery and things have been going ok.
I have regained 100% of the flexion of my complete quad tendon rupture but have been having trouble regaining all of my quad strength and the related control of my knee joint.  The knee still gives away occasionally on uneven surfaces.  After talking the issue over with my therapist I went in for a check up with my ortho who ordered up an MRI (the first one for me).
The rest of the knee mechanism looks good aside from some patelar tendon tendinitis and the repair appears professional and strong but unfortunately it looks like 25% of the repair tore again. :(  Around 12 wks after surgery I stood up from a seated and flexed position and took to much of a load on my injured leg.  Blame it on an early morning and stupidity.  There was a moderate sharp pain which I iced for an hour and the pain dissipated.  Apparently I tore a weak part of the repair.  :'(
I'm not sure what I'm going to do.  It appears the options are to undergo surgery to try to repair the partial rupture or to try to rehab the 75% attachment and see if it is enough to rebuild my muscle mass.  Major bummer with no clear answer.
Any ideas you all may have would be appreciated.
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on February 23, 2010, 04:44:11 PM
I am not a doctor; my opinion is based solely on how I feel.

Since the chance for re-rupture (I am told) is fairly high I would opt for the surgery to reinforce the injury. I knoe that surgery is a big deal having been under the knife now 5 times for knee related injuries; however, I would not want to take any chances with this particular injury.

My 2 cents...

Sue
Title: Re: Ruptured Quadriceps Tendon
Post by: SeatownShuffle on February 24, 2010, 03:01:04 AM
Thanks for the opinion Sue.  I'm just looking for opinions and promise not to hit any of you for mal-practice :)
I really am just looking for opinions and ideas from a group of people who have been there. 
This is a great thread and a good way for people to share ideas and understand a bit more about the vast array of experiences out there.
Despite all of the great work doctors do we all need to remember that they are refered to as "practicing" not "mastering" medicine.  It is up to each of us to bring whatever knowlege we have to the table to promote our improved health.
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on February 24, 2010, 04:14:40 AM
Well said!!!!  ;)

Sue
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on February 25, 2010, 11:17:44 PM
Seatown, sorry to hear about your partial re-tear.  That is a major bummer.  Here's what I would want to know:

1.  Where is the partial re-tear? medial, lateral, center or otherwise. 
2.  Is this something that can be done with a fairly high degree of predictability? (90+%)
3.  How is this going to affect the exisiting repair. (like, do they have to basically rework the whole tendon or can they "spot repair", where it has re-ruptured- somewhat related to # 1)
4.  Has the surgeon done many of these and with what degree of success?
5.  What is the success rate with aggressive rehab in compensating for the 75% tendon attachment?
6.  With the time delay since the partial re-rupture, is the whole area fibrosed to the point that surgery would only make things worse, not better?  (see #3 & 4)

It sounds like if your knee gives way it is something I would look into seriously, but I would want to weigh the options before proceeding.  Hope that is a help. 
Title: Re: Ruptured Quadriceps Tendon
Post by: SeatownShuffle on February 26, 2010, 01:38:53 AM
Great feedback Fredrico.  I may print your question list off for my visit.  Thank you so much for your thoughts.
Title: Re: Ruptured Quadriceps Tendon
Post by: chris nz on March 03, 2010, 08:57:11 PM
Injured my knee late January ,slipping while getting out of a shower, now 5 weeks post repair, I have had really very little pain only if I overdo things ,controlled with paracetamol. As a farmer this is really a very frustrating injury, but I have been walking on it in the rom brace for a fortnight, now brace is set on 30% and will increase to 60 degrees next week.I have been doing passive exercise i.e leg lying on a pillow and moving it within the range of movment allowed  building up to 10 minutes 6 times daily, and this has preserved my quad condition with only a bit of muscle wasting, also isometric exercise while sitting has helped flexing my leg muscles etc. My knee still is wobbly if I change direction to quickly  or walk on rough ground in the fields, but I suppose time will help with this. I have been removing the brace completely at night while in bed and found that this helps considerably with the swelling knee is almost normal in the morning with swelling increasing during the day as I use my leg. Iam determined not to let this beat me as I have to be fit by calving time in July although the doctor has warned about lifting and carrying weights.  I am sure that careful gentle exercise helps keep blood supply to the injury going and quickens healing ,but keep the brace on while moving. I will keep you posted,as to progress as I have found this site usefull especially reading about positive outcomes
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on March 03, 2010, 10:05:13 PM
Hi Chris

Welcome to the RQT club - you should read as many of the previous back posts to learn a lot about your injury.

I am sending you three documents covering the rehab process - the documents cover a ruptured patella tendon, but the rehab is very similar.

Please be free to ask any questions - lots of buddies out here to help you.

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Hudswell on March 15, 2010, 11:45:52 AM
Just approaching 10 Weeks, have started some easy sessions in the Gym, Cycle and Cross Trainer. Out of the brace and walking with a slight limp...still some pain in the knee area and swelling. Knee keeps locking every so often, is this normal?? but that is feeling a bit better now.  Not started PT yet (moved location and need to register) hope to soon but slightly concious that I should be doing more/less...Building up the strengh in the leg although going downstairs is still painful and awkward. I would appriciate any further advice on where I should be going!!
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on March 15, 2010, 12:36:28 PM
Best advice.....read through the entire thread for tips and advice....

Sue
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on March 15, 2010, 02:55:58 PM
Hi Hudswell

If you would let me have your e-mail address, I will then send you three documents with good rehab procedures.....


Best wishes

JohnK/ Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: z06 on April 23, 2010, 02:49:09 AM
Remember me? It's been 26 months since accident that ruptured BOTH knee quad tendons. Went through the surgerys, braces, 18 months of theraphy. Man, what an ordeal. Still not back to 80%. Dr. put me on perminent disability for ladders, stairs & squats. Work terminated my job after 22 years of employment without even a kiss. They could not provide me a suitable job for my injuries. Still have pain in knees, but no medication needed. So, it's back to school for 2 years. Haven't seen the inside of one of these buildings for 37 years. Man, I hate math.  Good luck all. I feel your pain.
   I need help here. After 28 months after my surgery, I still have knee pain & swelling. When will this ever end??
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on April 23, 2010, 07:32:33 AM
Hi

I still have swelling after seven years - you must visit a Vascular Consultant as the swelling is caused by problems with circulation.  He/she will arrange a doppler scan.

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: millimob on May 03, 2010, 04:01:17 PM
Hi Everyone
Last Saturday 24th April 2010 I ruptured my Quadriceps tendon, I am 70 and very active DIY etc,It was a simple stupid accident my foot slipped off a step as I was going down, and my weight was put suddendly on my Right leg, which buckled and I heard a "POP" I realised that my knee was injured but had no pain, I could not straighten my right leg without pushing it straight with my left leg, then I could bend it OK again.
My wife called an ambulance, and the paramedics diagnosed a possible tendon rupture and a trip to A&E dept at Selly Oak Birmingham.
After much ado and waiting,xrays and diagnosis I was full leg plastercasted and admitted to ward S4 for the orthopedic team to decide what to do.
I was consulted and an operation to repair the tendon which had ripped from my kneecap was planned for Sunday am. This was not possible due to the truma schedule. S4 is the military ward and some of the injuries I saw to our soldiers for outweighed mine.
So I was operated on Monday am some 30 hrs after the accident, the kneecap has been drilled in several places and the tendon sewn back to it, I have 29 clips in the wound.
I was discharged from hospital onTuesday,and I am managing on elbow crutches trying not to put any weight on the right leg (this is difficult however)
I dont know what to expect from here other than, I have the clips removed on 14th May and will have my leg immobilised in a brace for total of 6 weeks, then I am told I will have a variable knee brace to gradually get a restored angle of movement.
I just wondered what the process is from there with physiotherepy and exercise etc.
From what I have read on this site it would appear to be along job.
Thanks for reading my tale of woe
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on May 03, 2010, 06:04:33 PM
Hi

I have read with interest your post, and feel for you.

You will have realised that you have sustained a very serious injury which is going to take over part of your life for quite a few months ahead.

It is essential that you read as many previous posts, as it will give you many answers and will build up a host of questions for your next hospital visit.

In most cases, you will find, that you will know more about your injury than the physio persons.

First tip - sleep with a cushion/pillow between your knees.

I am sending you three documents, which cover the similar injury - a ruptured patella tendon, and hope that you find a lot of useful information.

You are 4 years younger than me, so we do share similar problems.

Take care
JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on May 09, 2010, 01:17:13 AM
This is the absolute optimist's post.

I am now almost exactly 8 months post op/injury.  I am a 56 year old male, and have to be mobile for work, but do not have many challenging activities which has been a major positive for me.  If I can walk and climb stairs I am OK.

I have 100% ROM with no pain, and I am basically back to complete normal mobility- not that I am a jock or anything.

My injury was 100% dettachment of the tendon.  I pushed everything to the limits from the start (see previous posts).  I was putting weight on the repair within days of surgery.  I firmly believed if I was in a brace, there was no way I could re-injure so I walked on the leg immediately.

I found physio to be not helpful, and did not go to a second visit.  I abondoned my crutches after 10 days, and the brace was gone after 6 weeks.  For a while in the 20 week range, I pushed for range of motion, but found it was causing pain and discomfort through the day, so I stopped.  Just with normal mobility, I have seen a continual increase in ROM till now where it is 100% with no pain.

My advice to anyone would be do anything and everything you can do with moderate pain.  If you are in a brace, you cannot re-injue yourself.  I have recoverd better than I expected, and look back and would not do anything different.

I wish everyone the positive outcome I have had.  Good luck to all.
Title: Re: Ruptured Quadriceps Tendon
Post by: walaxref on May 10, 2010, 07:34:59 PM
Hi all.  Completely ruptured my quad tendon last monday (5-3-2010).  Had surgical repair on Friday.  This is day 3 of recovery. 

I am in knee immobilzer brace.  Doc wants me to be full weigh baring by end of this week.  My sister- hospital admin back east- said this sounds fairly agressive.  I have all I can do to be upright let alone even partial weight baring.  In 3 weeks the brace will be adjusted to allow some motion and increase until about August when I can start rehab and strengthening..

I have read some of the posts (not all I just found the website) and there are many different experiences. I am 42 and until last week was active (I am a lacrosse referee and coach).

If nothing else I am just looking for some commeraderie with whom I could share stories of rehab and hopefully find some inspiration.

Stan   
 
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on May 10, 2010, 07:40:03 PM
Hi Stan

Welcome to this excellent thread - read and read as many previous posts, as it will give you chance to build up questions for your next visit to the hospital.

Weight bearing after a week - nonsense, and we are not Doctors, but we have lived through ruptured tendon.

Where do you live?

How did you sustain your injury?

Take care and dont be afraid to post questions.

I am going to e-mail you three documents, which will give you some indication of rehab exercises which will be required over the next months.
JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: walaxref on May 10, 2010, 10:25:32 PM
Weight bearing with/ brace within week is what he said.  I thought this was a little agressive..  Wanted me to be one crutching it by today or tomorrow (maybe tomorrow but it ain't happening today). 

I am in Everett WA.  Injured demonstrating how to pick up loose balls for my youth lacrosse team. Wet grass field slip painful audible pop and I was on the ground not able to get up.. 

I noticed yesterday that I have spasms so bad that my leg shakes and my foot looks like a windshield wiper.   Normal?? 
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on May 10, 2010, 10:33:28 PM
Hi Stan

The only comment I can make at this stage - listen to your knee, but in no way can you go down to one crutch within days, unless you are one in a thousand.  The tendon has to heal, which normally takes up to 6/10 weeks.

For goodness sake, you dont want it to reerupture.....

Take care, once again, listen to your knee.

Best wishes

John
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on May 11, 2010, 02:34:50 AM
Spasms....very normal....I had them for several weeks....

Sue
Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on May 11, 2010, 05:39:13 PM
walaxref,

I am one of the exceptions.  See my earlier posts.  The night of my injury, I was helped to bed and managed to sleep for a few hours.  When I woke up in the morning, I had no idea what was wrong, but it was clear something was.  I found that if I kept the leg straight, (knee locked), I could bear weight and walk (hobble).  I actually managed to walk and drive myself to the hospital.  2 days later when I went through surgery, the surgeon was surprised because I had a total detachment- he could not explain how I managed to walk.

The only brace I used was a Zimmerman (I think).  I actually added some additional stiffening to it.  Within a few days, I found the crutches to be more risk than help.  When I was outside, I always took the crutches, but indoors, very early on I was walking without crutches.  Crutches were gone after 2 weeks  I never went to the adjustable style brace.  I found that range of motion just gradually improved.  The brace was gone after 6 weeks and I had about 110 degrees ROM.  I cannot stress how careful I was once the brace was off.  Its now 8 months and I have 100%.  Once I was mobile with the brace.  Everybody is right, it is slow healing, and its going to hurt.  Some of my worst times were trying to sleep.

My best advice is, keep it in a stiff brace, and walk as much as the discomfort permits.  I found that even though the knee was immobilzed, most of the muscles in the leg kept pretty good by walking.  When the brace did come off, the rest of the leg was in pretty good shape.

Good luck!!
Title: Re: Ruptured Quadriceps Tendon
Post by: walaxref on May 12, 2010, 01:52:49 AM
Wow!! Ian  man among boys... 

I broke my leg (Theissman type injury- same cause and all) in 1986 and this pain is definitely very different.   Not as intense but more constant.
I am walking with some weight bearing today but crutches according to doc should be gone by this weekend..  I am not so sure about that. 

I took brace off today to redress the wound and it looks like someone cut a cantaloup in half and placed over my knee area.  It was huge..
I iced.  Bruising is pretty severe.. 

I know this is a process and I am very early in it.  Just want to make sure I am somewhat normal
Title: Re: Ruptured Quadriceps Tendon
Post by: mistertonite on May 13, 2010, 01:38:17 AM
Hello to all.  I am new to this board and very happy I found it.  I will be having surgery tomorrow to repair my left quad/patella tendon tear.  The injury occurred on May 2nd, 2010 playing baseball.  Another player collided with me and hit my knee full force.  The pain was intense.  I was able to walk and went straight to the emergency room.  The diagnosis was first a fractured patella.  After an MRI, they also found the tear.  Not sure if it was a complete tear, but I cannot do a straight leg lift when lying down.  I will be reading all the previous threads to learn as much as I can about my injury and recovery process.  Thanks to all for the great input you provide on this site.

John42, can you send me document covering the rehab.  My email is on my profile.  Thanks a bunch  :)
Title: Re: Ruptured Quadriceps Tendon
Post by: LondonNiall on May 13, 2010, 10:41:09 AM
Hi John,

You may recall from the other (RPT) board that I ruptured my patella tendon last year below the knee and am well on the way to recovery.

Have a friend of the family who's just ruptured their tendon above the knee, so I guess this is the place to learn more on that injury? I originally directed them to this site and told them my experiences but when I was told it was above the knee figured it may be quite a different recovery process.

Would like to be able to give them some advice, we know how tough it is to be reassured you're on the right track when you have a relatively rare injury. If anything an above-the-knee rupture seems more rare. Do you know if the recovery process is largely the same i.e. broadly 6 weeks virtually immobile, 3 months very cautious, 6 months light activity, 9 months total? Do you have any specific info on this type of injury, aside form the 3 RPT docs you forwarded? He's been put in a cast not a brace.

Will direct them to this thread but not sure whether they are PC literate.

Thanks.   
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on May 13, 2010, 10:58:27 AM
Hi Nial

Do please direct your friend to this wonderful site for extensive knowledge regarding the Ruptured Quadricep Tendon ....  Your friendd should post details of his injury on this thread as well.

He should read as many of the previous posts as possible, and if required, please ask him to contact me, and I will send him my collection of three rehab documents.

Trust this thread has give you lots of confidence - keep posting.

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on May 13, 2010, 11:04:40 AM
Hi Mistertonite

Welcome to the Ruptured Quadricep Tendon thread - essential that you read as many of the previous posts - don`t hesitate to ask questions -   

Where do you live?

I am sending you the three documents covering the rehab process

Suggest you read the following Kneeguru thread
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=8389.new;topicseen#new


Best wishes
JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: walaxref on May 18, 2010, 03:09:27 AM
10 days post surgery for severed quad tendon repair and walking with one crutch. Hope to be crutchless by Friday- day 15  ;D. 

Doing isometrics but notice little movement within the muscles themselves.  Can feel it near the knee and hip but nothing in between.

Doc says to keep it straight and not to bend the knee.  Tremendously annoying. Brace is majorly uncomfortable. Incision burns especially after icing. 

Stan
Title: Re: Ruptured Quadriceps Tendon
Post by: stylabull on May 26, 2010, 04:51:06 PM
Am now  almost 10 months since complete quad rupture, been having pain when trying to run so went for x-rays yesterday, looks like I have some floating matter in the knee, maybe flakes of bone. MRI scan to follow then maybe another op, hopefully it will clear up the problem. Anyone else experienced bone flakes in knee ? Actual repair work looks really good though so that has eased my mind a little
Title: Re: Ruptured Quadriceps Tendon
Post by: CoachB on May 29, 2010, 05:00:20 AM
This is Coach B. I have not posted for some time.  I am a 63 yr. old male who tore quad tendon playing basketball. I am now 7 months post op. I have as good a range of motion as possible given the length of my reconstructed tendon.  6 months post opt I got the ok from ortho to play in the Tx. senior regional 3 on 3 basketball games.  We finished tied for 1st and thus qualify for state championship in Houston in Oct.  Everyone thinks I am crazy for playing.  I still have swelling, in fact saw ortho today.  Thought he might drain it or hit me with a steriod, but he is taking conservative approach suggesting antiinflamatory and ice.  Some of my swelling is scare tissue and other assoicated with the iquad tendon injury in which there may be some minor damage to the knee joint area. I lift weights, walk daily, swim, and began officiating basketball again.  I do bicycle type exercise movements in the pool for range of motion. I do not have pain, just swelling, which does limit the development to full strength of the quad muscle. Not sure there is anything we can do about the swelling.  Standard protocol ice and elevation and if needed antiinflamatory meds.  To those of you out there just coming off surgery, hang in, work hard, & do the exercises prescribed by your PT &/or ortho.  Good luck to all.  If an old man like me can still get on the basketball court, you can do make it also!
Title: Re: Ruptured Quadriceps Tendon
Post by: ruddski1 on May 30, 2010, 02:27:12 PM
Hey coach B good to see your doing well, 6 months and playing basketball, wow! I am now 5 months post-op and doing pretty well, I have had full ROM for over a month but getting the muscle back is the the hard part. I am walking normal but still a little slow paced and I am very careful around stairs and ramps, also went on my friends boat and it turns out walking on floating docks is a bit tricky also. Walaxref, sorry to hear about your injury but just take it slow and don't try to do too much at first. I feel I was lucky in that I had a very good Dr and PT and the message that my DR drilled into me was that the first 1-1/2 to 2 months was to let the muscle heal and to really try not to stress the injury. After that it was about getting ROM, then building muscle. I was cautioned that doing too much too early could partially tear my repair, and that could make my knee weaker for life or possible re-surgery if bad enough. I am glad to say that I walk most times not thinking about my knee anymore and if you have read any of my earlier posts I am an avid skiier and I am looking forward to next season.
Title: Re: Ruptured Quadriceps Tendon
Post by: CoachB on June 08, 2010, 05:11:46 AM
Coach B here.  Swelling is an issue with most of us.  Yesterday I purchased a McDavid Elastic Knee brace. It feels great by providing light compression without any heat retention.  You can google McDavid Knee Braces and purchase online for $10.  Bought mine at Sports Authority. I have a double wrap petellar knee brace for when i play competitive basketball, but I wanted something for simple everyday use that would give my knee a little more support.  This brace could be worn under dress slacks.  Also purchased ankle weights so I could continuously work on leg lifts at home and not just at the fitness center.  Hoping to break up some scare tissue.
Title: Re: Ruptured Quadriceps Tendon
Post by: amen4847 on June 10, 2010, 09:11:56 PM
hi guys, im new on here, i Had a partial quad tendon and muscle tear (Vastus intermidius and lateralis). Only had to get the tendon repaired though. This happen in march 15, 2010. I didnt get surgery till april the 8, 2010. its been 2 months and i only have about 60 degrees of flexion, does this sound right. the docs didnt send me to get rehab from a PT. they just told me to do leg raises while laying down and to start slowly doing a flexion  excercise on that leg while laying down. im just doing my own form of rehab because i dont know what to do. should i have more ROM by now?
Title: Re: Ruptured Quadriceps Tendon
Post by: millimob on June 11, 2010, 03:02:18 PM
Hi Everyone
Last Saturday 24th April 2010 I ruptured my Quadriceps tendon, I am 70 and very active DIY etc,It was a simple stupid accident my foot slipped off a step as I was going down, and my weight was put suddendly on my Right leg, which buckled and I heard a "POP" I realised that my knee was injured but had no pain, I could not straighten my right leg without pushing it straight with my left leg, then I could bend it OK again.
My wife called an ambulance, and the paramedics diagnosed a possible tendon rupture and a trip to A&E dept at Selly Oak Birmingham.
After much ado and waiting,xrays and diagnosis I was full leg plastercasted and admitted to ward S4 for the orthopedic team to decide what to do.
I was consulted and an operation to repair the tendon which had ripped from my kneecap was planned for Sunday am. This was not possible due to the truma schedule. S4 is the military ward and some of the injuries I saw to our soldiers for outweighed mine.
So I was operated on Monday am some 30 hrs after the accident, the kneecap has been drilled in several places and the tendon sewn back to it, I have 29 clips in the wound.
I was discharged from hospital onTuesday,and I am managing on elbow crutches trying not to put any weight on the right leg (this is difficult however)
I dont know what to expect from here other than, I have the clips removed on 14th May and will have my leg immobilised in a brace for total of 6 weeks, then I am told I will have a variable knee brace to gradually get a restored angle of movement.
I just wondered what the process is from there with physiotherepy and exercise etc.
From what I have read on this site it would appear to be along job.
Thanks for reading my tale of woe
Today 11th June 2010 6 weeks and 4 days post op I had brace replaced with a hinged brace adjusted to 40 deg and given some exercises by the physiotherapist 1. lying on bed or flat surface press knee down using muscles and hold for 5 secs repeat 10 times 3 times daily or until uncomforable I found this easily repeated. 2 clench buttocks as if cracking a walnut he quoted, again repeating as other exercise, also moving leg in stiff mode outwards to side of body.
I have found the flex brace initially more comfortable and walking with some flex of leg is more natural.
I then went out for a walk along my road about 500 yards gradual slope upwards which was fine then back again, but found downhill walking a bit more difficult for some reason, but felt pleased with progress will continue excercises as advised and see physio again in 2 weeks for 60 deg setting, I will try not to overdo things as advised.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on June 11, 2010, 04:24:07 PM
Welcome to Amen and Millimob - both newcomers to the Ruptured Quadriceps tendon thread.

I have sent both of you a set of documements by e-mail which cover the rehab procedure for a ruptured Patella tendon - the rehab process is very similar.

Read as many of the previous thread as possible - ask questions - and a good tip is to sleep with a pillow/cushion between your knees.

A tip to Millimob, there is no reason why you should not apply for a car disability badge, it`s useful in the future, but dont attempt to drive until such time as you can depress the brake pedal, otherwise you may invalidate your car insurance policy.

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: mistertonite on June 16, 2010, 03:11:16 AM
Hello to everyone,

Just wanted to give an update and more information on my injury.  I tore my left quad tendon and broke my patella playing baseball on 5/02/2010 (another player ran right into my knee and tore the tendon completely off).  Had surgery to repair the tendon on 5/13/2010.  I was on a straight leg immobilizer for  4 weeks and was told not to bend my knee.  My OS wanted to make sure my patella was healed before any type of ROM.  During the 4 weeks, I was able to put weight on the leg using crutches to move around.  Went to my OS on 6/10/2010 and the patella is healed according to xrays.  I am now off the crutches and able to walk with just a cane.  OS told me I can begin ROM and set my leg brace to 70 degrees ROM.  I thought that was too much too soon as I am only 4 weeks post op and can only bend my knee to 20 degrees.  I also don't want to be too aggressive on my recently healed patella.  I have the classic pain on the patella tendon and still very stiff.  Should I even attempt to get more ROM?  I still have not been to a PT but I am doing some light exercise (slight leg raises, calf raises and quad tension).  This is a great forum and thanks to all for your posts.
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on June 18, 2010, 12:36:39 AM
I would err on the side of caution.  I gradually increased my brace about 5 degrees every three days.  If I felt to much burning in the patella tendon, I would back off and wait a day or two more.  Slow but steady wins the race with this. So, if you can bend your knee 20 degrees now, I would set the brace at 25 and see how it goes for a few days. If all is well, bump it up from there.  You'll be up to 70 degrees in about 1 month, (45 degrees / 5= 9 periods X 3 days per period = 27 days) which will be about 2 months post-surgery. That's pretty good. 
Title: Re: Ruptured Quadriceps Tendon
Post by: mistertonite on June 23, 2010, 03:59:13 AM
I would err on the side of caution.  I gradually increased my brace about 5 degrees every three days.  If I felt to much burning in the patella tendon, I would back off and wait a day or two more.  Slow but steady wins the race with this. So, if you can bend your knee 20 degrees now, I would set the brace at 25 and see how it goes for a few days. If all is well, bump it up from there.  You'll be up to 70 degrees in about 1 month, (45 degrees / 5= 9 periods X 3 days per period = 27 days) which will be about 2 months post-surgery. That's pretty good. 

Sounds like great advice Federico.  I will err on side of caution and the pain stops me from becoming too aggressive anyways.  I'd figure it would take at least a month or so to get close to 70 degrees.  I'll keep posting my progress as it comes.  Thanks a bunch.
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on June 27, 2010, 02:06:28 PM
hi everyone - this is a great website and im still trying to find my way around it - how helpful it is that other people have experienced this horrible injury and can support each other in the process.
I had a nasty twist/fall on may 20th 2010 experienced the most excruiating burning pain in my knee- was taken to A&E and put in a cricket pad splint for a week (and crutches) the following week following an ultra sound i was booked in on 29 may for an operation to repair a total tear of my quadrecep tendon  on my right knee
came out of hospital after 5 days. 14 days later had staples removed and put into a different splint for a further 4 weeks. On tuesday i have physio for first time and over the course of next 6 weeks they will be adjusting the splint to 30\60 then 90 degrees - has anyone had similar experience of the recovery?  i have lots of questions - i know everyones recovery is unique but would really like to hear - and any tips would be most welcome
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on June 27, 2010, 02:33:39 PM
Hi

Welcome to the RQT thread - you will have realised that you have sustained a serious injury, and it will take quite a time to recover.

Please let me have your e-mail address, and I will let you have three documents, which will give you an indication of the rehab procedure.  The documents refer to a Ruptured Patella Tendon, but the rehab is similar.

Important that you read some of the previous posts on this thread and prepare a list of questions for your next meeting with the PT/OS.

Be free to ask as many questions as you like, we are here to help and give you guidence.

Take care
JohnK/ Manchester UK
[email protected]

p.s.  where do you live?????
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on June 27, 2010, 03:50:51 PM
Thanks John email address winging its way to you

I realise its going to be a long rehab - i'm 56 so no spring chicken - and obviously its early days (4 weeks post op) anyones experience and tips for recovery will be gratefully received

I am in Reading Berkshire.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on June 27, 2010, 05:00:28 PM
Hi Sue in Reading ( because we have several Sue`s on KneeGuru )

You have meanwhile received three e-mails from me - read with care, compile questions for your pt and don`t forget to ask questions.

Should mention, that you should apply for a car disability badge, and in case you do drive, don`t attempt to drive until you can debress the brake pedal, otherwise, you will invalidate your car insurance policy.

Please do keep in touch

JohnK/ Manchester UK 
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on June 29, 2010, 11:19:41 PM
49 days since accident
31 days since operation
Day 1 of physio  : splint now locked at 30 degrees: feels weird as if my leg want to give way - little pain but i took painkillers 2 hours before appointment - good thinking but really should have topped them up 4 hours later when i started getting twinges.

bit tearful again this evening - purely out of frustration as my other half is doing everything -bless him ~ but not always with a smile i wish i could do more..............


John : i rang our local council re disabled badge and they seemed to think that because this is a ''temporary'' disability then not entitled.....

however - i shop in sainsburys and wrote to their head office asking if they give out temp. disabled parking permits for their disabled bays in their car park and yes they have agreed and have given me a disabled pass for 6 months (extended if needed) they said its a good idea for their customer care policy
so thank you sainsburys.

Title: Re: Ruptured Quadriceps Tendon
Post by: stylabull on July 01, 2010, 09:30:21 AM
Updating my situation, MRI scan showed that I didn't have bone flakes in the knee but a large tear in the meniscal cartilage, got to have arthroscopy in a few weeks to hopefully clear it up. Must have happened when I ruptured the quads but didn't show up as I didn't have an MRI at the time, don't get any pain from it when walking but feels uncomfortable when I try to run, have had to write off this cricket season!!
Title: Re: Ruptured Quadriceps Tendon
Post by: Jeff59 on July 02, 2010, 02:33:24 PM
About nine weeks ago, I became a member of the dubious ruptured quad club. Here's my story to date:

April 24 -- I wish I had a glamorous story about how I tore my tendon, but it was a Saturday night and we had just run the dishwasher, which for some reason leaked all over the floor. I slipped on the wet tile with my left leg and jammed my right leg, attempting to recover. At least I think that's what happened. I went from standing to being on the floor really, really quickly. I grew up on ice and snow, but I've never fell so fast or hard before. At any rate, I suddenly found my 50-year-old body on the floor with a knee that no longer worked.

At the emergency room, the doc thought it might be a displaced patella, put my leg in an immobilizer brace and sent me home wih the instruction to see an orthopedic surgeon if it wasn't feeling better by the middle of the week.

April 28 -- Obviously, it wasn't better by the middle of the week. I saw a surgeon who sent me for an MRI to confirm what he suspected from the gap above my kneecap -- that I had torn my right quad tendon. The MRI did show just that, I had a 100% tear.

May 4 -- I had surgery, drilling the holes in the kneecap, much pain for a day, pretty much what everyone else has experienced.

May 7 -- Saw the surgeon for the first follow up. He put me in an adjustable brace and set it at 30 degrees.

4 Week Follow up -- He had me adjust the brace to 45 degrees and told me to add 15 degrees every ten days. When I asked about physical therapy, he said it was way too soon, the tendon needed to heal.

Late in the fifth week, I stopped using the brace around the house because I felt stable and had decent range of motion. I haven't really used the brace since.

Tuesday, I saw my surgeon for the 8-week follow up. He had me do a leg lift, had me walk a few steps back and forth across the exam room and told me that unless I had problems, I didn't need to come back. He turned to leave the room and I stopped him to ask about physical therapy. He said that I had full range of motion and that all therapy would do would be to strengthen the muscle and I could do that on my own.

At the time, I wasn't really thinking beyond, "Wow! I'm cured!" But of course I'm not really all better and now I'm wondering how I'm going to do this on my own. I do have decent range of motion, over 90 degrees, but I have no way to measure exactly what it is. It's certainly not "full range of motion." I can walk fairly well, and I've been working on my exercise bike, which I've been able to turn complete revolutions for about a week, but my leg is still very weak. I can't climb stairs. I still have those scary moments where the knee feels unstable and I'm afraid it's going to buckle. I know it's going to be a long time before I'm back to normal.

So, now I'm wondering if I'm going to be okay rehabbing on my own. I don't really know where to begin beyond the exercise bike. I feel like I've been cut loose way too soon.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on July 02, 2010, 03:24:07 PM
Hi Jeff

Welcome to the RQT club - regardless of what advice you have received so far, you will require a lot more physio and PATIENCE.....

I have sent you three documents, from which you can learn a great deal of the rehab procedure...

It`s going to take quite some months to get near 100% mobility.

Please continue to ask questions

Take care

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on July 02, 2010, 03:45:55 PM
Hi Jeff,

Everyone is different, however I have healed very well with no PT.

I am now 10 months post injury, and I am basically back to normal.  The leg is still a little weaker than the right leg, however I have no limp, and I am not limited in anything I do.  I am more careful than I used to be.  I stooped with the brace after 6 or 7 weeks.  I went to one PT sesiion and concluded it was a waste of time.

Over the months, I gradually gained with regard to range of motion, and the leg got stronger.  I am now pain free.

I found that the improvement was just a gradual change over the months.  I was back at work partime within a couple of weeks and was back fulltime after 5 or 6 weeks.  I found walking to be good exercise, and did as much of it as I could.

I know when I read the posts how fortunate I was.  I also had a total rupture, but my surgery was less than 48 hours after the injury.  I spent 1 night in the hospital post op, and was on my own.  I was injured while travelling, so I never saw the surgeon again.  I saw a local surgeon about 11 weeks post op.  He said everything looked good, just keep doing what you are doing.

I am not sure when the tendon is back to its original strength as far as attachment goes.  I am always careful when I am doing anything where a risk of fall is present.  I probably will be careful forever, as the last thing I want to do is go through another injury like this.

Ian
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on July 02, 2010, 05:20:58 PM
Jeff59  I think I would insist on some physio. I know that it was helpful from the point of view of progress...getting measurements and advice on strengthening.

I just had knee replacement on my other knee and a lot of the exercises that I am doing I could do at home, yes. However, I still think i am benefitting from their expertise.

I don't think I've ever heard of an OS who would not recommend at least a few sessions of physio   ???  ...in fact, I find that odd!

Good luck!     Sue
Title: Re: Ruptured Quadriceps Tendon
Post by: Ron-on-Exmoor on July 02, 2010, 06:20:34 PM
Hi John,

I'm new to this forum - would it be possible to send me the three docs you mention about the rehab procedure?

Many thanks,

Ron


Hi Jeff

Welcome to the RQT club - regardless of what advice you have received so far, you will require a lot more physio and PATIENCE.....

I have sent you three documents, from which you can learn a great deal of the rehab procedure...

It`s going to take quite some months to get near 100% mobility.

Please continue to ask questions

Take care

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on July 02, 2010, 08:19:58 PM
Hi Ron ,  of course I will send you the  3  documents, but I need your e-mail address.

How did you sustain  your injury?

Keep posting on this thread - patience and read as many previous posts as possible.

Take care

JohnK/ Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: Ron-on-Exmoor on July 03, 2010, 09:56:26 AM
Thanks, John - I've sent you a separate email - but this is my story.

I live on the edge of Exmoor National Park. On June 4th I was taking the dog for a walk out on the moor. I was coming down a very steep, stony path and a stone rolled under my foot and I was over. I tried to get up (twice) but immediately fell over again. I was on a path I know well, but is very rarely used by anybody, and in an area without any mobile phone reception -  so it was down the hill on my bum (it seemed like forever, but was probably only about 15 minutes), to where I knew somebody would come along eventually -  which they did after about an hour. They went for help and I was half-carried/hobbled for about 10 minutes to a wider track, still a mile off any proper road, but where a 4WD could at least pick me up and take me to the waiting ambulance. Also, because I was in an inaccessible place, the helicopter air ambulance was sent - however, it could only land in the field beside the road next to the other ambulance, so I didn't get a ride in a helicopter!

I was taken to Minehead hospital which only has a minor injuries unit; I only began to realise it was something serious after the doctor looked at the x-rays, and before coming back to talk to me, phoned the orthopaedic department at Musgrove Park Hospital in Taunton, 45 minutes away by road. So it was another ambulance ride, eventually arriving there at about 7:30 pm. At 10:00 they were still deciding whether to operate that night, but as the surgeon was dealing with a serious spinal injury, it was left till Saturday morning. I spent three nights in hospital, and now have a knee brace, currently set at 70 degrees, and getting round OK indoors, but using crutches when I go out.

As I said to my own GP, I was out walking as part of his suggested regime of losing weight and getting fitter!


Hi Ron ,  of course I will send you the  3  documents, but I need your e-mail address.

How did you sustain  your injury?

Keep posting on this thread - patience and read as many previous posts as possible.

Take care

JohnK/ Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: ruddski1 on July 03, 2010, 01:12:04 PM
Jeff and John, welcome to the club. Just want to relate to you that my Dr(very respected in NY) went into great detail with me about the first 1 1/2 to 2 months is very critical to not re-tearing any of the repair. I wore a straight brace first 1 1/2 months and a hinge brace at 30 degrees next 2 weeks. He said that if any of the repair is torn it will reduce how well you can recover in the long run. Just want you to be aware of what I was told and if you read my earlier posts we have had discussions about how differently this injury is treated in different regions.
Title: Re: Ruptured Quadriceps Tendon
Post by: ds2812 on July 05, 2010, 07:08:51 PM
Hi all, fantastic site.
I ruptured my left Quad after slipping down some stairs on the 19th of june. I was operated on on the 20th and back home the next day. I was put in a full leg cast with a hinge, set at 0 to 30 degrees, i returned to the hospital today where they wanted to put me in another cast with the same flexion, 0 to 30 degrees for another 4 weeks. i asked if i could be put in a brace and they agreed, as the cast is just a nightmare, especially as the weather has been so hot.
I am 43 years old and was a former professional rugby player, i ruptured my achillles tendon on the same leg 5 years ago so i know all the pitfalls on the road to recovery.
Having read nearly all the posts on here i am totally amazed at the different ways that this injury is treated and I have learnt more from this site than from the doctors!
After many years and many serious injuries as a serious sportsman I can safely say this is by far and away the most debilitating injury I have ever suffered.
I can safely bear weight on the leg and walk very tentatively in the brace. I wont rush things as that is always the kiss of death, but equally i think everyone knows there own body and should listen to what it tells them.
I would appreciate any advice on rehab and time scales from any of you guys.
Many thanks, Dave
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on July 05, 2010, 07:39:51 PM
Hi Dave

Welcome to the RQT club - KneeGuru is the best webste worldwide, and you have taken the correct steps to read previous posts on this thread.

I have three documents which would enable to read all about the rehab process - just let me have your e-mail address.

Where do you live?

Take care

JohnK/ Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: Fibro-quad on July 06, 2010, 08:40:03 AM
Hi all.

Just found this thread and am working my way through the years of posts.  From what I have read so far, I must be the poster child for what can go wrong when you suffer this *&^%%$ injury. :o

A brief synopsis:

* Christmas eve 2009, hiking in Zion National Park along a narrow icy trail, right after I said "Let's go back", one foot slipped and one foot didn't.  Nothing dramatic.  My butt barely touched the red rock and my clothes didn't even get dirty, but, on the way down, I heard a sickening POP.  I thought I had finally broken my first bone.  When I tried to stand up with my left leg bent it induced just-short-of-puke pain.  After a short while I realized I could stand to bear weight on my leg if I kept it straight, so no broken bone.  But if I bent the knee even a few degrees, there was incredible pain and no control of the joint.  With the help of my son and a Ranger, I managed to hobble/peg-leg my way back to the car and proceeded to the ER at our local hospital.

* Xrays showed no broken bones and I suspect the on call OS didn't want to come into the hospital in his Santa suit so he diagnosed a sprained knee.  I was sent home in a knee immobilizer and told to make an appointment after the holidays.

* Five days later (earliest appointment available) I went to the office of the OS who was on call that night.  I only got to see his Physician's Assistant.  He moved my leg and confirmed that the ligaments all seemed to be OK.  He said the knee was too swollen to determine much more.  I asked for an MRI but he said it would just show so much noise that it would probably be misleading.  I was told to wait 2 weeks and come back for a follow up.  As I was about to leave, he asked me to lift my leg off the table.  I told him that was going to be pretty hard, but after three deep breaths I gave it my all and got my heel about half an inch off the table.  He felt directly above my patella and said that he could feel the tendon, so all was OK. This was a critical misdiagnosis.  I don't know what he felt, but it wasn't my tendon.

* Dissatisfied with this line of treatment, I made and appointment with another OS, a sports med guy.  Of course, I went to the back of the line at his office and it was another week and a half before I got to see him.  He ordered an MRI that afternoon and, of course, it showed my quadriceps tendon dangling up there above my patella.  He scheduled surgery a couple of days later, Feb 17 2010. 

*Post op, he told me good news/bad news... Good news was he was able to do a primary repair, just fishing out the end of the tendon and drilling the patella etc.  Bad news was that he encountered more fibrosis and scar tissue than he ever expected.  Apparently, my body had decided that if nobody was going to repair this torn tendon, then it would just grow a fake knee by anchoring muscles and tendon to whatever it could find including the femur. 

* My OS being a sports medicine guy, I was started on PT rather quickly.  I went through hell week like everyone else posting on here and after week 2, we started PT.  All was going OK, except for ROM which sort of stuck at 30*.  After several weeks of little or no progress, we decided it was necessary to perform a MUA.

* Manipulation Under Anesthesia is a procedure to break loose scar tissue by forcefully bending the leg beyond the point where pain would prevent you from going if conscious.  It is a 20 minute procedure.  May 5 2010 we performed the MUA with the additional wrinkle that the OS also performed an arthroscopic lysis of the scar tissue before doing the MUA.  This was intended to release as much of the scar tissue as possible.  After the lysis was completed, they bent my leg and watched on the arthroscope as MY TENDON TORE AGAIN!!   

* Now they had to fillet my leg again and this time perform a much more extensive tendon repair, a VY quadricepsplasty.  They also installed a tissue graft jacket, a sort of tissue scaffold that strengthens and reinforces the tendon.  All very nice, but I am now back beyond square one. 

* I am now just about 8 weeks post op #2 and about ready to begin PT again in earnest.  We are all hoping that the tendon and graft jacket have healed and are ready to begin the slow, careful stretching that will allow me to eventually get my life back. 

I am willing to do whatever it takes, but for the first time in my life, I'm feeling physically and mentally drained.  My left leg looks like a twig stuck through a grapefruit.  It's hard at this point to NOT harbor some thoughts that it might never come back.  That's why I'm grateful for this forum.  I envy you guys who are touching your butts already and even running for crying out loud.  I don't want to be satisfied with 90* just so I can sit at a restaurant table.  I want more than that and I guess this is one of the big lessons from this injury:  Patience Grasshopper...

Nothing like a good whinge to lift some of the load.  Thanks you guys for listening.

Colin 
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on July 06, 2010, 09:15:58 AM
Hi Colin

Welcome to the RQT club - you have found the best information website for your serious and rare injury.   It is essential that you read up as many of the previous posts on this thread - ask questions - lots of buddies out here to help you.

PATIENCE is quired - it`s going to take you a while to recover, with lots of PT.

I have sent you three documents, which will give you an idea of the rehab procedure - hard work, but the rewards are worth it.

Where do you live?

Best wishes

JohnK/ Manchester UK

Title: Re: Ruptured Quadriceps Tendon
Post by: ds2812 on July 06, 2010, 10:55:36 AM
Hi all.
I have noticed reading all the posts that doctors in the uk seem to go for a more conservative approach to RQT and appear to imobilize for a far longer period of time before attempting PT, yet every post i have read from the US the docs seem to vary in there treatments, from ultra conservative to very aggressive early movement and therapy and there seems to be no standard treatment.
However the one thread that runs through all the posts is danger or post-op re-tear. Can anybody tell me why the treatment of this injury is so varied and why so many people report mis diagnosis? I knew instantly what the injury was and had no bones telling the A&E registrar he was wrong when he tried to send me home to wait for the swelling to go down and i insisted i see an OS.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on July 06, 2010, 11:35:28 AM
Hi Dave

I would agree that the OS/PT take a much more agressive approach to rehab for ruptured tendons.

They never seem to mention the word PATIENCE and that`s what it is albout - there has to be a given period for the tend to heal ( 8/12 weeks, before PT and then it is a case of stretch and more stretching that tendon. 

Compare the tendon to a piece of elastic, which has shrunk.

Keep asking questions, and I am sending you the three documents to study.

Take care

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Ron-on-Exmoor on July 06, 2010, 06:00:38 PM
Just to add my three-pennorth (I know the Americans won't know what that means!) to the debate re rehab times, the timetable I've been given since my accident on June 4th is:

-  Total immobilisation for 12 days
-  Brace set at 300 for 14 days - which took me to last Wednesday
-  Brace then set at 700 for the next 14 days (where I am now), and told to do do knee bending and stretching exercises four times daily
-  Brace then to be set at 900 for another 14 days, with the promise of more exercises for that period
-  Brace then to be removed, and start strengthening exercises

When I asked just after the accident about what was likely to happen, I was told that I might be able to drive after about 8 weeks (it's my left knee, and a manual gearbox), would be able to walk almost normally after about 3 months, and it would continue to improve slowly for about a year, though the consultant did say that it would never be quite the same knee again - I could always be liable to pain and/or stiffness and/or numbness.

Currently, I get around fine at home without crutches, and have even managed to tie shoelaces. However, I always use crutches outside the house, even in the garden - my fear is falling over.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on July 06, 2010, 06:34:07 PM
Hi Ron

Dont venture to drive until you have full control of the pedals, otherwise you could invalidate your insurance.   Consider to apply for a disable badge - very useful in the first year, if interested - contact me and I will give you further help in that direction.

You will need to place your car seat right back, to make yourself more comfortable.

Take care

JohnK/Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: ds2812 on July 06, 2010, 11:15:07 PM
Hi.
I have just read Rons Re hab program and it differs massively to what i have been told. My first 2 weeks in a cast with a 30 degree knee joint, went to the hospital and my consultants registrar told me i would be put in a new cast set at 30 degrees again for another 4 weeks!!
I refused the cast as it would mean my foot and ankle and calf would have no movement whatsoever for 6 weeks, so I insisted on a brace which he agreed to.
From the majority of posts I have read the amount of flexion at 6 weeks varies from 40 degrees to 90 in some cases, and i notice that Ron has moved to 70 degrees 26 days post op.
I have been given no rehab program or exercises. All i have been told is that the leg will stay at 30 degrees for 6 weeks.
I understand patience as i have had a total rupture of the left achilles a total rupture of the right hamstring and a shoulder stabilisation operation due to recurrent dislocations in the last 10 years! so i am no stranger to the pain and boredom of rehab. But what is really frustrating is the lack of information I have been given and the amount of differing approaches to this injury.
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on July 07, 2010, 02:17:06 AM
Fibroquad

I feel your pain. My misdiagnoses (yes, read plural) took 10 months to overcome...accident in December 06, reconstruction finally, Oct of 07......

Sorry to hear that you had a restart...just a warning shot to anyone who thinks that a repaired tendon can be pushed....PATIENCE, everyone!!

Sue
Title: Re: Ruptured Quadriceps Tendon
Post by: Ron-on-Exmoor on July 07, 2010, 10:10:34 AM
Hi John,

A neighbour mentioned that I might be eligible for a blue badge - do you know what the procedure is?

When they told me that I might be able to drive after about 8 weeks I felt as though that I would surely have made sufficient progress by then - but as of today, it's just over 3 weeks till then, and that does seem very optimistic; I'd be interested if other people could tell me how long it was before they were confident enough or able to drive.

 :) My only real fear is falling - I've watched a lot of the world cup (my wife couldn't really complain!), and I've winced each time a player has fallen over.  However, on a positive note, I ventured out alone for the first time this morning for 10 minutes, around the block on my crutches with a dog.

Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on July 07, 2010, 10:18:40 AM
Hi Ron


I will send you the details how to apply for a blue badge.

Driving again - say 3 months or more - depends on the strenght of your leg depressing the brake pedals - place your seat right back as and when you get driving.

Watch out for wet surfaces etc .

Keep in touch

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on July 09, 2010, 06:41:57 PM
quick update on progress of my quadricep tendon repair

accident - may 20 (splint/crutches)
operation  may 29 (splint/crutches
1st physio - june 29th - splint adjusted to 30 degree bend - no problems
    ~~~~~~~~

last night i managed a straight leg lift (only 1 but wow i managed it)
today saw my specialist and all attempts of showing him failed - he says the muscles have wasted away so need to do more exercise to build it up again. i asked him lots of questions-one of which was
why has no one at any time told me to put ice on my knee and he said its because i dont need it.....all i need to do is elevate it to reduce the swelling (its about 3-4 times bigger than my other knee)
so its back to physio on monday for 60degree adjustment and back to specialist in 4 weeks and another two months off work (at least)

 
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on July 09, 2010, 09:26:41 PM
Not only is the ice soothing but it also takes down swelling. I would be icing every 20 minutes a few times a day. In fact when I awoke in the middle of the night in pain often the soothing ice was often all I needed to get back to sleep....

Sue
Title: Re: Ruptured Quadriceps Tendon
Post by: patypatrol on July 18, 2010, 12:20:45 AM
Help! My husband just found out yesterday that he may have a ruptured quadriceps tendon in his right leg. He is scheduled for a MRI next week to find out for sure. The really bad news is that we do not have health insurance, can any one tell me what can happen if he waits to have surgery and maybe how long he can wait. Any input would be greatly appreciated.
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on July 18, 2010, 12:28:04 AM
This is an injury which CANNOT in my opinion wait. I ruptured my patellar tendon which technically is the same thing... I was not diagnosed for 10 months and I paid in scar tissue....not nice   :o   ...I ended up having to have a lot more done in repair...my 2 cents....
Title: Re: Ruptured Quadriceps Tendon
Post by: frederico on July 18, 2010, 02:41:33 AM
If diagnosis is ruptured quad tendon....Do not postphone surgery!  Early surgery = better repair/rehab and function.
Title: Re: Ruptured Quadriceps Tendon
Post by: Ron-on-Exmoor on July 19, 2010, 12:03:03 PM
I agree with what has been said before - get it done ASAP.

I'm not sure you need a scan to diagnose it - mine was diagnosed by x-ray, you can clearly see that the kneecap has moved forward by about an inch, and the doctor showed me that he could put his finger in a 'gap' where the kneecap should be!

I'm surprised that it's possible to wait for surgery - when I had my accident I was unable to stand up, let alone do anything else!

I suffered my injury at 10:30 am, and the hospital were keen to operate before the end of that day, as the longer it's left the more difficult the rehab.
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on July 19, 2010, 01:13:52 PM
I'm surprised that it's possible to wait for surgery - when I had my accident I was unable to stand up, let alone do anything else!

Ron....I walked for 10 months with my patellar/quad tendon mostly detached at both ends and ruptured to shreds in the middle...it's possible! The doctor who finally diagnosed it couldn't believe it either!!

Sue   :)
Title: Re: Ruptured Quadriceps Tendon
Post by: stylabull on July 20, 2010, 10:46:09 AM
I am surprised about waiting for surgery too, I could only 'walk' once my leg was put in a splint and that was just to hobble to the ambulance, had no control of lifting my heel
Title: Re: Ruptured Quadriceps Tendon
Post by: patypatrol on July 20, 2010, 05:35:40 PM
The only reason we will wait will be due to the no insurance issue. We are both selfemployed and times are really bad for use right now. So he thinks if he can still walk and work thats what he needs to do. He will schdule the MRI this week to make sure that is what it is. But trust me I think the big bulge at the top of his leg tells the story.
Title: Re: Ruptured Quadriceps Tendon
Post by: Jaymac on July 20, 2010, 06:00:16 PM
The only reason we will wait will be due to the no insurance issue. We are both selfemployed and times are really bad for use right now. So he thinks if he can still walk and work thats what he needs to do. He will schdule the MRI this week to make sure that is what it is. But trust me I think the big bulge at the top of his leg tells the story.

There is a simple test to confirm tendon rupture, far cheaper than MRI.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1964733/

Jack.
Title: Re: Ruptured Quadriceps Tendon
Post by: Jaymac on July 20, 2010, 06:27:41 PM
Hello All.

I'm new to this forum, just found it.

My story, I live near Bolton, North West England, I'm 65 YO, and was out walking in the
hills when my left foot slid away on some loose gravel. I braced my right leg to
prevent myself from falling, crack, down I went. The pain was incredible, I remember
saying, "OH bother, that smarts", or words to that effect.

I tried to stand, but the pain was too much, so it was a mobile (Cell) phone
call to the Ambulance service.

When I explained my location, and suggested they may have to send the
Mountain Rescue team, the operator decided to send the Air ambulance
helicopter, which arrived within 10 minutes.

I was flown to the Royal Bolton Hospital, where, after several hours, was diagnosed
with QTR.

I had the surgery 5 days later, and was in the hospital for 5 days, as I live
alone and they wanted to be sure that I could look after myself.

I was sent home with a rigid Nylon and aluminium splint, the district Nurse
called 2 days later to change my dressing and again after 2 weeks to
remove the staples.

I managed to hobble about on two crutches, and after 7 weeks, the
splint was removed, and I was sent for Physiotherapy.

It was 14 weeks before I had enough ROM to drive again, and
probably 20 weeks before I acheived near full ROM.

After just over 12 months, I'm nearly back to normal, but the
thought of slipping again is always in the back of my mind, and
I remember the injury every day, and with every slight twing
in the knee.

A long post, but a long story.

Jack.
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on July 20, 2010, 10:55:11 PM
hi Jack
I am 56 years old and had a similar fall on may 20th this year and had same injury as you,god- didnt it hurt --- i am interested with the timescales you gave as it gives me a bit of hope -  i am 7 weeks post operation and cant yet see that light at the end of the tunnel. my splint is currently set at 60 degrees but im nowhere near achieving this i feel im stuck at 30 degrees.The excercises  seem impossible although i  have just about managed the straight leg lift with the splint on- cant do it without and cant do heel slides - next week i have to have it adjusted to 90degrees for 2 weeks then they are removing it - i am so scared that its going to tear again which is why i think the excercises are not working because perhaps im not trying hard enough.

my dr has currently signed me off till september 27th - as although i mainly have a desk job- i manage staff at outstations so have to drive to visit/support them. i need to be fully fit before returning and as yet i cant see it happening.
Title: Re: Ruptured Quadriceps Tendon
Post by: Jaymac on July 21, 2010, 01:22:27 AM
Hello Readinggal.

I understand your concerns, I felt the same way. I wasn't given any information
by the hospital as what the final outcome would be, in fact, I wasn't
visited by any Doctor after my operation, even though I was in for
5 days, so I couldn't ask any questions. The nursing staff were great though.

The next time I saw a Doctor, was when I went to the oupatient clinic after
seven weeks, and he was only interested in how the wound had healed. He said
I didn't need the splint anymore, and when I asked if I needed any support
for the knee, he said no, I should just get the knee moving again, and signed
me off.

I had 6 Physio sessions at two week intervals, after which they said I didn't
need anymore, just keep doing the exercises.

The exercise I found most effective to increase ROM, was to lie on my back,
loop a scarf roud my ankle, and gently pull back and hold for 30 seconds.This
was repeated many times a day.

I was also told to hook my good foot around the front of my bad one
and pull back, while sitting at my desk. These seemed to work well.

There is light at the end of the tunnel, just be patient, and don't try to
rush it, tendons heal slowly. Be gentle with yourself.

Jack.
 

Title: Re: Ruptured Quadriceps Tendon
Post by: mistertonite on July 21, 2010, 03:55:52 PM
Hello All,

I'm at 10 weeks post surgery from my left tendon quad rupture.  I began PT 2 weeks ago and have 75 degrees ROM.  I am able to walk without crutches or cane.  Everything seems to be going well with all the exercises I do.  Thing is, for the past 4 weeks, I am having trouble sleeping.  I tried the pillow between my legs, sleeping on my back and I just can't find a comfortable position.  I still have some swelling around  the knee and also notice more pain at night.  I toss and turn and always feel tired the next day. It's frustrating as my quality of sleep is suffering.  Anyone else goes through this?
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on July 21, 2010, 04:17:41 PM
Yes, the poor night sleep for me was solved with meds. I didn't need anything during the day but the night pain was the worst!  :(
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on July 21, 2010, 06:35:03 PM
Hi Partpatrol

Welcome to the RQT club - if you let me have your e-mail address, I wil send you three documents which will enable you to get an idea of the rehab procedure.

How did you sustain your injuty?     where do you live.

Take care

JohnK/Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Ron-on-Exmoor on July 21, 2010, 08:45:39 PM
I'm seven weeks into rehab, my brace is currently set to 900 (coming off next week), and with the current exercise regime I really feel that I'm making progress.

However, like a number of people I've had trouble getting comfortable and sleeping at night.

Therefore, I've started using a TENS machine (http://www.patient.co.uk/health/TENS-Machines.htm) for about an hour before going to bed. My wife has used one for years for her neck and shoulders; I've always been sceptical, but it gives me enough relief to be able to get to sleep, but I'm still waking up at about 3:30, wanting to chuck my brace across the room! The literature says that they work for some people but not for everybody - I may just be one of the lucky ones.
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on July 25, 2010, 12:51:28 PM
Today I am 8 weeks post op for a quadricep tendon mechanism repair following a fall - I had been worrying that I didnt seem to be progressing -  however - This morning I actually managed 5 straight leg lifts without the brace - WOW ---didnt want to over do it so wont try again till next session later today but I am so pleased that I want to jump for joy (on second thoughts perhaps I will give that a miss  ;D).
I have been able to do a few with the brace on - but I now feel like I am getting somewhere. I have my brace set for 60 degrees bend but cannot do anything like that - maybe about 25-30. I have tried very hard to do heel slides but just cant do it despite using towels/scarfs etc to aid this-  no pain just feels like my knee wants to pop out as its so tight.
On Wednesday I will be back in physio to go to a 90 degree bend for a further 2 weeks before they remove it.

My question is- has anyone else been prescribed the gradual ROM (30/60/90) and not got there in prescribed timescales

If I still cant manage the 90 degrees will they keep me in it until I can get a better ROM?
Or maybe it will just appear one day like my SLL today





 
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on July 25, 2010, 01:05:58 PM
Hi

60 ROM at 8 weeks is very good, and your next milestone is 90 ROM, which should be attained at about week 12/14 - again the word PATIENCE springs to mind - don`t rush it, listen to your knee.

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on July 28, 2010, 06:31:24 PM
been to physio today my brace is now set at 90 but she couldnt force my bend any more than 40 and said it is very stiff so try harder so i told her i'm listening to my knee and its telling me to stop (lol) she was very concerned about the stiffness so has referred me back to the specialist as she said i may need a MUA but meanwhile will get me an appointment in the hydro pool

i have read on this site some horrible stories about MUA so has anyone had a good experience of this  and reassure me??
and what actually is a hydro pool??
she said whatever happens the brace comes off 2 weeks today...

Title: Re: Ruptured Quadriceps Tendon
Post by: Jaymac on July 29, 2010, 12:37:59 AM
been to physio today my brace is now set at 90 but she couldnt force my bend any more than 40 and said it is very stiff so try harder so i told her i'm listening to my knee and its telling me to stop (lol) she was very concerned about the stiffness so has referred me back to the specialist as she said i may need a MUA but meanwhile will get me an appointment in the hydro pool

i have read on this site some horrible stories about MUA so has anyone had a good experience of this  and reassure me??
and what actually is a hydro pool??
she said whatever happens the brace comes off 2 weeks today...



I wouldn't worry too much yet, It was about 12 weeks before I got to 90 degrees, and the Physio thought I was doing very well. I was never given an adjustable brace, after 7 weeks, I was told to
manage with a brace.

My ROM is equal to my good leg now.

Keep doing the passive bending exercises.

Jack.
Title: Re: Ruptured Quadriceps Tendon
Post by: stylabull on July 29, 2010, 12:51:49 PM
I was 10 weeks in a full cast, then another month or more with velcro brace doing gentle exercises so wouldn't woory about the time scale, just be sure to do the right exercises. Will be 12 months next week since my QTR and generally back to normal now though had to have cartilage tear repaired by keyhole surgery bout 3 weeks ago. Keep ur chin up!!
Title: Re: Ruptured Quadriceps Tendon
Post by: jitter45 on August 08, 2010, 06:57:38 PM
Hi Guys,
I ruptured my left quadriceps tendon last Sunday 1 August 2010, and it was operated on the following day and I was allowed home on the Tuesday wearing a full leg brace, haven't had the full run done on what to expect yet as my outpaitents appointment won't be for another week yet, but if anyone out there can through any light on what I can expect for the next few weeks/months I would be very grateful. ???
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on August 08, 2010, 07:17:50 PM
Hi 

By now you will have realised that you have sustained a very serious inuury with a long rehab in front of you.

How did you sustain your injury?    where do you live?

I am sending you three documents to read all about the rehab procedure - read up previous posts on this thread..........

Take care

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: charlie2011 on August 12, 2010, 10:04:36 PM
Year later after surgery Im having pain in my knee...the muscle has not completly gained its strength back...I jus had an MRI an they said that have Chondromalacia of the medial femoral condyle and small joint effusion....Now what? Do I just wear a brace and get cortizone shots for the rest of my life? I have no clue what to do...I can't run for long period of time and short quick run hurts...I am at a loss...any one with any suggestion? :-\
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on August 13, 2010, 11:05:24 PM
11 weeks post operation - brace now off as managed the 90degree bend at last. no more trips to consultant  as I  have been discharged- just the physio now to build up the quads strength. Also down to one crutch - knee still very large which im told is not swelling but internal injury scarring which 'might' improve over time - i hope so because its three times as big as the good knee....
next goal for me is to drive again but cant bend leg enough to get in drivers seat yet- no hurry as once im driving i have to go back to work...
Title: Re: Ruptured Quadriceps Tendon
Post by: garyrmellor on August 30, 2010, 04:07:53 PM
I ruptured (complete) my quads tendon and came out of plaster post-op roughly 6 months back now.  The consultant didn't give me a brace afterwards but booked me straight in for physio twice a week for a couple of months.  This seemed to do the trick, particularly in regaining range of movement as this now seems pretty much equal to the uninjured leg.  However, getting the strength and stability back in the injured leg seems to be a much tougher proposition.

Just wondered if this is the same experience other people have having?  I don't know because since the consultant discharged me 3 weeks after coming out of plaster there's been no follow-up or assessment to see if everything's on schedule.
Title: Re: Ruptured Quadriceps Tendon
Post by: garyrmellor on August 30, 2010, 10:27:32 PM
Hi everyone, it's me again.  Since I found this thread earlier today I've been avidly reading up on as many other peoples' experiences as I can.  One thing that strikes me is that I haven't found anyone yet who mentions that their repair was done by using suture anchors rather than drilling the patella and stiching the tendon directly to that.

My repair operation was done in January of this year and the was done by placing two suture anchors into the top of my patella, to which the tendon was re-attached.  Has anyone else had this particular procedure carried out on them and, if so, how's your rehab gone on?

Gary
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on August 31, 2010, 07:47:03 AM
Hi Gary

In fact I am given to understand that most tendon repairs are done by drilling four holes in the Patella (kneecap) and securing the tendon to it with sutres.

You are now 7/8 months gone, and the tendon should be nearly healed and secure - if you are in doubt, then have it  checked out. 

Wires are used, if the patient is of a heavier build for more security.

Take care, certainly for the first twelve months - you don`t want to rerupture the tendon.

JohnK/ Manchester UK

Title: Re: Ruptured Quadriceps Tendon
Post by: subail on August 31, 2010, 01:39:09 PM
Wires are also used to protect a surgery on an already fragile knee....
Title: Re: Ruptured Quadriceps Tendon
Post by: baloffski on August 31, 2010, 05:18:32 PM
Greetings from another Ruptured Quad Tendon Sufferer based in Liverpool.

I fell about three feet on 7 Aug this year and landed awkwardly. I don't remember what happened as the fall was so quick but I know it hurt and my left leg was just useless and extremely painful.

I was diagnosed that night and had the repair done on the 9th. When I woke up the surgeon told me that I had suffered a complete QT rupture and to use his words 'the only thing attaching the top and bottom halves of my leg were a few arteries and a bit of flesh!

I am ex military and former rugby player, so I am known to have a very high pain threshold compared to most, but I could have seriously wept that first night. As a general rule I do not take painkillers but in the wee small hours of that first night I gladly accepted everything that the medics would give me.

And now this is where my story seems to differ from the ones I have read so far here:

For the next 24 hours my leg was totally immobilised until my next visit by the surgeon where he explained that as he had managed to get 90 degrees ROM out of my repaired knee on the table, that I was to be fitted with a brace which wouldn’t allow any more than 90 and was to get it moving as much as I could stand.

He explained that he was a firm believer in the quicker people are moving after the operation the quicker their rehab was, BUT I was to listen to what my knee was telling me and if it felt like too much to stop.

The Physio who was also there at the time suggested a CPM machine and one duly appeared. Essentially, they strap your leg into a machine which then gently bends your leg to a preset limit at a set rate – you have no input. Unfortunately the swelling had made my skin so tight that it was in danger of damaging the operation wound so they reduced the ROM to 70 degrees. As soon as I learned not to try and fight the machine and accepted that the pain was manageable, I found it quite relaxing and I did three two hour sessions!

Day three and the Physio came back to get me up onto crutches and assessed my ROM, which unfortunately was still no more than about 70 at the most rather than the 90 everyone was hoping for. The surgeon also came, assessed me and said that home was the best place for me. I wholeheartedly agreed!

Three weeks in nowI have still not managed a full 90 degrees yet because my knee just seems to set into a mechanical ‘lock’ at 80 ish degrees. I have seen both the Physio and the surgeon both of whom are pleased with my progress so far, but have warned that while I have made excellent progress so far, things will get a lot tougher and it is a long drawn out process. I was initially disheartened that I had not managed 90 but now having read some of your stories of total immobilisation at 4 weeks, I think I may be getting a little bit harsh on myself. The biggest frustration is not being able to work or even drive to work. I have been doing some work from home though but it isn’t the same.

I see every day as a challenge to overcome, however it would appear my biggest hurdles at the moment are psychological. I am fairly steady on my feet, as with the brace and crutches I am fully weight bearing on my duff leg but I get quite panicky if anyone comes near or anything slightly out of the ordinary happens which could cause me to stumble etc. My knee has locked up quite tightly once or twice; and it also unlocks/gives way once or twice a day when I am stood up and that panics me a lot, to the extent I have to sit down and calm down as soon as practicable. Time is the greatest healer though I guess, and judging by your stories here I have to learn some patience!

It has been great sharing your stories and I hope you don’t mind me sharing mine.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on August 31, 2010, 05:39:05 PM
Hi Baloffski

I have sent you three documents which will give you an idea of the rehab procedure - read with care - don`t push it - listen to your knee .

Be free to ask any questions - we are here to help you.

Take care

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: garyrmellor on August 31, 2010, 08:18:45 PM
Thanks for your support and your observations folks.  I think it's progressing well - I'm cycling again and I am back out hiking although the leg does obviously get tired after a long day.  A good way to describe where I'm up to would be to take the example of going up and down stairs:

On the upward trip I'm walking up without needing to hang onto the bannister rail but, when it comes to pushing off with the injured leg I have to do it quite slow and deliberately.  On the way down, again I don't need the bannister but it's a sort of "step down with the good leg forward followed by more of a 'clump' down on the injured leg" style motion although the knee is quite happy taking the weight.

Apart from that I'm getting to the gym as often as possible (2 / 3 times per week) and in the last two weeks or so I've had enough confidence to change the treadmill speed over from a walk to a slow jog for two or three periods of a minute at a time.  Elegant it ain't but the leg seems quite happy with it.

I think my worries come from is just the lack of consistency in the information I've been able to find on the web about QTR.  It sometimes seems that for every surgeon who's posted an article about the injury on the web there's a different opinion about how to treat it.

Gary
Title: Re: Ruptured Quadriceps Tendon
Post by: Fibro-quad on September 02, 2010, 06:07:55 AM
Less Than Zero

Unfortunately, my progress is less than zero.  Three months after my second repair due to my quad tendon ripping again under MUA, I am stuck at 40 deg flexion.  My OS has given up.  This is only the second QTR he has ever seen and never with the complication of arthrofibrosis.  My joint cartilage and ligaments are all fine, but there is so much crazy scar tissue gumming up the works that nothing moves.  After 3 months of PT 3 times a week, swimming in the aqua therapy pool and working hard at home, nothing seems to be progressing.  My last visit to the OS consisted of each of us revealing to the other that we wanted someone else to get involved.   So, I am off to the Steadman-Hawkins clinic in Vail, CO after Labor Day to see Dr. Millett.  I found several success stories on the arthrofibrosis thread.  Millett was associated with a majority of the successes, so I am hoping he will be able to salvage enough from my condition to allow me to hike and ride a bike again.  I'm bummed that this will probably mean more blade work and starting over AGAIN.  Hopefully this time we won't have to hack the tendon and can go directly to getting all the hardware stretching and recovering some muscle mass to my thigh.  My left leg STILL looks like a twig stuck through a grapefruit.  Had a follow-up MRI.  It shows everything in the right place and no damage to miniscus or articular cartilage, ligaments or other tendons.  Ironically, I have a very good knee joint.  MRI also confirmed the withering of my quadriceps muscles that is so obvious from the outside.  Without ROM, there is no way to stretch these muscles.  They have been out of work since Christmas! 

I've read some great success stories involving Millett and Steadman-Hawkins Clinic on this forum.  Hope I get to add to the list.

Colin

Title: Re: Ruptured Quadriceps Tendon
Post by: garyrmellor on September 02, 2010, 07:49:41 PM
WOW Colin - I don't honestly know what I can say about that one that could be of the slightest use to you.  Just don't give in to it - I'm rooting for you and I'm sure everyone else whose read your post is too.

Gary
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on September 12, 2010, 03:41:37 PM
 :D :D :D :D :D :D :D :D :D ;D
update
feel sooooo good i can now drive again - freedom---bit difficult getting in and out the car - but no problems with the pedals - 4 months since my fall - the hydrotherapy certainly helped - knee still very big compared to good knee but they say that scar tissue is the cause for this. looking forward to going back to work -approx 2 weeks time only real issue being that leg occassionally gives way so i still use 1 crutch
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on September 16, 2010, 05:59:13 PM
following on from my previos post I have just been signed off work for a further month - this was a shock that the dr did this because of progress made but he said I need to finish the hydrotherapy course first as my knee still looks big and still quite stiff also my ankle joints have gone all lumpy on my bad leg and slightly painful good leg - he says both problems caused by walking differently than I used to.

looks like I wont be back to work till November now as he reckons 6 months is a reasonable absence for recovery
Title: Re: Ruptured Quadriceps Tendon
Post by: Impatient on September 16, 2010, 09:37:09 PM
What is the difference between a ruptured quadricep tendon and a ruptured patellar tendon? Is the rehab for these injuries similar? 
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on September 16, 2010, 10:03:00 PM
The rehab procedure is similar for a Ruptured Quadricep tendon or a Ruptured patella tendon - but the qudricep tendon tends to heal somewhat quicker.   Either or, patience is required and it`s going to take quite a few months to get somewhat fit.

I have three documents, which cover the rehab of the Patella tendon, if you would like to read them,please do let me know.

Take care

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: subail on September 17, 2010, 12:45:39 PM
They are actually the same thing. When the quad part is involved more than the patellar part they refer to it differently. It's actually the same tendon...
Title: Re: Ruptured Quadriceps Tendon
Post by: Impatient on September 18, 2010, 02:49:44 AM
John42,

That would be great of you if you could email me those articles.  Thanks again!!!

[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on September 18, 2010, 07:33:47 AM
Hi

Documents sent to you - , however just to clarify, the Quadricep tendon is above the kneecap (Patella) and the Patella tendon is the tendon which is below the kneecap (Patella).

Read up on the RPT thread.

Take care

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: steveuk on September 28, 2010, 04:20:29 PM
Hi. You are lucky that you are recovering so quickly but don't expect too much too soon.

I completely snapped my Quad tendon following a fall on holiday in France on 4th July. At the French hospital I was x-rayed which only confirmed that the bone wasn't fractured, told that I had probably just badly sprained my knee and sent away with a back slab fitted and instructions to see my GP on my return to the UK. I was repatriated on 7th, referred to a Consultant on 12th and finally operated on almost 2 weeks after my accident on 16th when a repair on a completely broken Quad tendon was carried out in an extended operation due to the fusing together of the broken tendon and dislodged patella. I spent 3 days in hospital then 6 weeks in a full cast and 2 weeks in a hinged cast set at 50 degrees. I am now under the PT and can just about get 75 degrees of movement but am still in a lot of pain and still need to use a crutch as the knee does have a tendency to give way occasionally. I am told that it could be another 12 weeks of painful PT until I can expect near normal movement which will be 6 months after my accident.

Good luck with your recovery, it is a slow and painful process.

 
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on September 28, 2010, 05:28:03 PM
Hi Steve

Welcome to the RQT thread.   As you are aware, you have sustained a very serious injury, and it`s going to take some time to recover.

I have sent you two documents which will give you an idea of the rehab procedure.

Read as many of the previous posts on this thread - keep posting your progress, and keep asking questions.  Lots of buddies out here to help you.

Take care#


JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on September 28, 2010, 08:45:11 PM
Hydrotherapy is working really well  have now had 5 x 1 hour sessions (1 or 2 more to go) and would highly recommend it to anyone who feels stiffness in the knee still - I have achieved so much from having this twice a week its just over 4 months now since my accident and those of you who have encouraged me in the past will know I couldnt see the light at the end of the tunnel - Im pleased to say its well and trully there now.

Also I had gained some weight whilst lying/sitting around and since hydro has enabled me to be on my feet more i am now losing it again so I am feeling well happy  :) :)
Title: Re: Ruptured Quadriceps Tendon
Post by: greenja on October 03, 2010, 05:03:07 PM
Hi folks:

I had a bi-lateral Quadriceps Tendon tears on Wed Aug 25th @ 730 pm.  I thought I'd badly pulled some muscles and dragged myself to bed (with the help of an angry wife).

I have high blood pressure and was taking Lipitor (stain cholesterol drug).  My BP meds were doubled in early August by my cardiologist and the day of the injury my primary care doctor was unable to give me a scheduled physical due to an office error.

On the injury event, I stood up and felt woozy and collapsed back onto my heels there by straining and rupturing my Quadriceps Tendons.

For the next 8 days I was diagnosed with rhabdomyolysis in error.  One of the old doctors in the facility then sent me for a MRI on 2 September; on 3 September I was operated on, placed into 0 degree braces and told to weight bear.

On 15 September I was discharged to home and after my workplace saw me last week 29 September, they started dragging their heels in getting me back (thank goodness). It's a desk job but getting around town is time consuming and expensive.

I'm scheduled for 3 times a week PT and aqua therapy.  (I was a 75-90 min/day YMCA workout geek prior to the event (quad heart bypass 6 years ago).)

I did my first heel slides and leg lift yesterday.  Although in 0 degree braces, they slip so there is some activity with the quad though it appears to be about 1/3 size of before the event.

Now I'm at 4 1/2 weeks post surgery and wanting to be as aggressive as allowed. 

Some questions:
1) what are guesstimates times before I can use crutches?

2) what are guesstimates times before I can use a cane?

3) what are guesstimates times before I can walk?

4) what are guesstimates times before I can drive?

Thank you so much.

John in Austin Texas

I am
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on October 03, 2010, 09:57:45 PM
hi greenja
based on what youve said about being told to weight bear - were you not given crutches? i had crutches from day 1 - before and after the operation. i realise everyone is different but with me (and if you read back posts from me & others)) a common problem is that the knee can sometimes give way where the muscle has wasted.
(I am a 56 yr old woman) Personally, I still use one crutch because of this problem - i was told they will only let me have a walking stick /cane when the muscle is stronger and there is little or no further risk to this happening.
Again i can only speak for myself - i had a wheelchair for a couple of months to use inbetween use of crutches and its only been the last couple of weeks that i have been confident that i could drive with no problems. ((accident on may 20 and operation may 27th)
the main part of my work is deskwork and i am still signed off work (until 1 nov. )

good luck with your recovery and dont forget whilst you are sat at home theres many posts to read on here also some games to while away the hours
Title: Re: Ruptured Quadriceps Tendon
Post by: greenja on October 04, 2010, 02:40:25 PM
Hi Readinggal,

I've been in leg braces and a walker since the operation.

I'm sure when the surgeon modifies/removes the leg braces I won't be able to stand by myself.  However I want to use the time at PT and aqua to the best possible advantage.

Regarding work, I started this job 10 months ago and I have limited sick/annual leave (now long gone) and recourse.

Getting around is expensive and painful but necessary.  With PT scheduled from 9-11 am 3 days a week I'm trying to build a plan to do the pt, work from home 6-8 hours a day and go to work 4 hours a day 2-times a week.

I truly abhor the dependency I created and am looking for aggressive even if painful ways to recover quickly.

I've got a 5 year old son who I want to play with too.

 ;)
Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on October 06, 2010, 12:39:07 AM
Greenja,

Go back and read my earlier posts.  I was extremely lucky.  Although I had a complete rupture, I was operated on within a couple of days.  I was in a velcroe brace with aluminum stiffing bars.  I actually added some extras to stiffen it further.  I was on crutches from day 1, and I was weight bearing immediately.  I concluded if the leg was in a brace so the knee could not bend, there was no way I could re-injure.  The crutches were gone by the end of the second week.  I was very careful walking.  I was back at work around the office in the third week (part time).  I was driving by the end of week two.

By the end of week 6, the brace was gone.  Most discomfort was trying to sleep.  In the bath tub or on the couch, I would passively start to bend the leg just until I felt the tendon tighten slightly.  By about week 12 or so I was pushing and pulling the leg a bit.  6 months out, I was pretty mobile.  I am now just over a year.  The leg is not quite back to full strength, but it is not obvious I ever injured myself.

If you look at my earlier postes, they start in Sept 09.  My injury was the Sunday before Labor Day last year.  I vacationed in Jamaica in January and scuba dove twice a day for the week.  I realize that I am very lucky.  As I said earlier, I believed if the leg was braced straight, the tendon could not be re-injured.  I walked and climbed stairs (straight leg) as much as I could.  I was amazed how much it helped the muscles in the leg inspite of the brace.  When I took the brace off, I was remarkably mobile.  At about week 6 I was just over 90 degrees ROM.  I can squat right down now- my butt on my heels.

Good Luck!!

Ian Murray
Title: Re: Ruptured Quadriceps Tendon
Post by: greenja on October 07, 2010, 04:55:55 PM
Hi Ian,

I'll read your earlier posts but with both quads torn, I'm guessing I've got a bit more time to pass.  I'm trying to take the exercise the Physical Therapist give me 3 times a week and do them several times a day.  Boy is that time consuming taking the braces on and off and on.

The darn walker is what I'd really like to loose.  I would like to handle the crutches but I'm 1.8 meters and 109 kilos and I'm guessing since I fell and crushed ny tendon's the surgeon is going to be slow with me.

Going back to work is going to be hard.

Thanks for the insight

Regards
John
Title: Re: Ruptured Quadriceps Tendon
Post by: steveuk on October 07, 2010, 05:36:29 PM
Hi John
I had my op to repair a broken quad tendon on 16th July after 12 days on crutches following a fall in France on 4th July. I was fitted with a fixed cast for 6 weeks after the op and then a hinged cast set at 50 degrees for a further 2 weeks. Since this was removed on 9th September I have used crutches and only now feel confident enough to use a stick for short walks around the house and garden. I still use one or two crutches if I go out. I am due to see my consultant on 21st October and my PT has advised me not to drive until after then (I do have a manual car and damaged my right leg so had it been my left leg and an automatic car I would have been driving some time ago). I am now getting about 90 degrees of movement in my knee but like many other's my knee does give way occasionally. I am told to expect another 12 weeks of PT before I'm back to anywhere near 'normal' again. Take it easy and listen to your PT. There are cases when pushed too far the tendon pops and you have to go through the whole procedure again.
Steve
Worcester - Central UK
 
Hi folks:

I had a bi-lateral Quadriceps Tendon tears on Wed Aug 25th @ 730 pm.  I thought I'd badly pulled some muscles and dragged myself to bed (with the help of an angry wife).

I have high blood pressure and was taking Lipitor (stain cholesterol drug).  My BP meds were doubled in early August by my cardiologist and the day of the injury my primary care doctor was unable to give me a scheduled physical due to an office error.

On the injury event, I stood up and felt woozy and collapsed back onto my heels there by straining and rupturing my Quadriceps Tendons.

For the next 8 days I was diagnosed with rhabdomyolysis in error.  One of the old doctors in the facility then sent me for a MRI on 2 September; on 3 September I was operated on, placed into 0 degree braces and told to weight bear.

On 15 September I was discharged to home and after my workplace saw me last week 29 September, they started dragging their heels in getting me back (thank goodness). It's a desk job but getting around town is time consuming and expensive.

I'm scheduled for 3 times a week PT and aqua therapy.  (I was a 75-90 min/day YMCA workout geek prior to the event (quad heart bypass 6 years ago).)

I did my first heel slides and leg lift yesterday.  Although in 0 degree braces, they slip so there is some activity with the quad though it appears to be about 1/3 size of before the event.

Now I'm at 4 1/2 weeks post surgery and wanting to be as aggressive as allowed. 

Some questions:
1) what are guesstimates times before I can use crutches?

2) what are guesstimates times before I can use a cane?

3) what are guesstimates times before I can walk?

4) what are guesstimates times before I can drive?

Thank you so much.

John in Austin Texas

I am
Title: Re: Ruptured Quadriceps Tendon
Post by: greenja on October 10, 2010, 06:32:13 PM
Thought I would share an amazing story:

http://www.orthosupersite.com/view.aspx?rid=65584

Surgical repair of both quadriceps tendons was performed 3 days after the injury. Bilateral locking brace in 10° of flexion was used to immobilize both knees and protect the repair for 6 weeks. The patient remained nonweight bearing for 2 weeks, then gradual weight bearing was commenced, with full weight bearing at 6 weeks. Intensive isometric quadriceps exercises were started on the second postoperative day. Immobilization of both knees was maintained for 6 weeks, after which full active range of motion (ROM) was initiated. At 16 weeks after the injury he had bilateral ROM from 0° to 120° flexion, with no extension lag. He was horse riding, playing golf, swimming, and walking distances up to 2 miles at that time.


I'm not expecting to duplicate this but I am doing my isometrics 3-5 times a day.  I'm *only* doing what my PT allows.
Title: Re: Ruptured Quadriceps Tendon
Post by: steveuk on October 19, 2010, 03:49:28 PM
Hi John. Hope all is well with you. I'm now 14 weeks post op and have just attained a ROM of 93 degrees 6 weeks after losing my hinged cast. The crutches have gone into storage and I am walking fair distances with a stick mainly for support on downhill slopes. My knee is still swelling when I do excersise and gets stiff very quickly but isn't stopping me getting out and about. I still cannot climb or descend stairs 'normally' and have to proceed one step at a time. I am just about to drive again. My PT is letting me loose on the excersise bike and the treadmill but is still hesitant to push me too far. They do seem to be very nervous about this type of injury. The information sheets that you sent to me were useful, I'm not too far behind the guide for recovery. Thanks for your advise. Regards, Steve - Worcestershire
Title: Re: Ruptured Quadriceps Tendon
Post by: greenja on October 22, 2010, 12:46:33 AM
Hi Steve and all

I'm at week 7 post-op tomorrow and met with my surgeon 2 days ago.  We discussed the article regarding 16 weeks to reasonable recovery even with both tendons torn.

I have about 95 degrees ROM but certainly not full weight bearing.  PT has me trying to get on the cycle but ended up on the horizontal stair stepper.

Still I walked (in a walker) with out braces for the first time in 2 months.

Yes PT's are nervous but seem to be pushing me especially in the water.

I use the braces and a cane around the house and yard.  At work because I don't know/trust the surfaces it's both walker and braces for a bit longer.

Surgeon left the driving decision to my PT's abut said another month (about November 20th)

Will say more later: have a 5 year old to get off to bed......

Cheers
John in Austin
Title: Re: Ruptured Quadriceps Tendon
Post by: meehanstl on October 25, 2010, 03:56:05 PM
Hey guys, new here, decided to join after seeing all the helpful information.

I am 23 years old, currently in law school, with a torn quad tendon.

I tore my quad tendon on September 4th in a JiuJitsu tournament.  What actually happened was on a takedown I dislocated my kneecap, and after two weeks I got an MRI, which was inconclusive.  So on October 5th I had a scope and they found my quad tendon was completely torn.  During the time from the injury until the surgery (2 weeks), I had hinged brace locked at 0.  I am due for four weeks with this brace locked at 0 and no pressure on my leg, and a week from friday I have a doctors appointment, and hopefully I will start PT and putting weight on my leg with crutches.

I played college football for the past 4 years, and I had problems with the knee before due to some traumatic blunt forces lol.

I just want to know what to expect from rehab and recovery, and I want to know if this is something that I can get back to 100% with.  Thanks for al the help, look forward to hearing more

Also on a side note, my mother tore her quad tendon last year...possible genetics?
Title: Re: Ruptured Quadriceps Tendon
Post by: greenja on October 25, 2010, 04:18:15 PM
Hi Meehansti,
I can only tell you my experience (of course  ;)) but it's a long row to hoe (for me).

I had mine repaired Sept 3 after 8 days of mis-diagnosis (if interested you read my preceding posts).  7 weeks and 4 days post op have me in 0 degree leg braces OR using a walker.  I'm just now feeling like the repairs are mending and strength returning somewhat.

Still I have zero/zilch/nada confidence in my legs unless under PT supervision or in the PT pool (aqua therapy).  I go 3 times a week and exercise some limited upper body the other days: that keeps me sane and may help.

In one of my prior posts there's an article about a fellow who resumed horseback riding, walking 2miles/day and golf after 16 weeks rehab.  My surgeon expects I can do the same (at this point). (PS both this guy and I had *both* quads go at the same time).  For me that date is Christmas Eve.

My current strategy is to not relapse (don't push too hard) but do every exercise allowed several times a day. 

I worked out daily hard for 75-90 min and was caught completely off guard by this event.

Having had heart surgery 6+ years ago, this is harder to deal with for me.

Cheers
John
Title: Re: Ruptured Quadriceps Tendon
Post by: meehanstl on October 26, 2010, 06:29:52 PM
Well, I was hurt on the 4th of September, and didnt have surgery until the 5th of October, can this cause any problems for me in recovery?

I am to be in the immobilizing brace for 4 weeks (ending a week from today!) with no pressure.  My question is how hard is it to mess that up?  I was crutching into school from the rain and my crutch slid slowly outside and I may have put minimal pressure on the leg and I was scared I may have messed something up (but no pain afterwards or during, just FEAR lol)

Most importantly, what should I know about the rehab, or what should I do to improve this rehab?  I did see some people discussing therapists not really having a lot of knowledge on how to rehab patients with quad tendon tears.  I am hping to get back to jiujitsu some time in the next year, which will need me to have full range of motion in that knee.

Also does anyone know what the likelihood it will reoccur (assuming I don't get a similar traumatic force to it.)
Title: Re: Ruptured Quadriceps Tendon
Post by: steveuk on October 27, 2010, 06:46:26 PM
It was 12 days after my accident when I was finally operated on and this caused minor problems at the time as things had started to fuse together and blood clots had formed. It took longer to clean up prior to carrying out the repair but has not caused me any problems post op.
I had my surgery on July 16 and as you can see in my previous post am making good progress. Take it easy and don't try to rush. I have pushed a little too far at times with my PT and suffered afterwards for a couple of days while things settled down again. Regards, Steve
Title: Re: Ruptured Quadriceps Tendon
Post by: greenja on November 07, 2010, 02:56:09 PM
Hi folks

A quick update: 9 weeks 2 days from surgery on both tendons and I'm now walking in soft braces and driving short distances.  ROM is about 100 degrees and I use a cane.

I  feel very unstable when people come up quickly from behind.  I do the PT approved exercise and got into a real pool yesterday for the first time since the "event".

I did 30 min of light weights and sit ups over the last 2 months.

I find that staying  active, isometrics, situps etc. really helped to this point (as did the prayers from family, friends and strangers).

Please let me know if I can provide you more info.

Cheers
John in Austin

 
Title: Re: Ruptured Quadriceps Tendon
Post by: greenja on November 08, 2010, 05:14:26 PM
Well, I was hurt on the 4th of September, and didnt have surgery until the 5th of October, can this cause any problems for me in recovery?

I am to be in the immobilizing brace for 4 weeks (ending a week from today!) with no pressure.  My question is how hard is it to mess that up?  I was crutching into school from the rain and my crutch slid slowly outside and I may have put minimal pressure on the leg and I was scared I may have messed something up (but no pain afterwards or during, just FEAR lol)

Most importantly, what should I know about the rehab, or what should I do to improve this rehab?  I did see some people discussing therapists not really having a lot of knowledge on how to rehab patients with quad tendon tears.  I am hping to get back to jiujitsu some time in the next year, which will need me to have full range of motion in that knee.

Also does anyone know what the likelihood it will reoccur (assuming I don't get a similar traumatic force to it.)

Hey Meehanstl,

I've had that sense of fear and trepidation any number of times.  This past weekend as I ambled to my car with soft braces and a cane some youths came up behind me and I almost fell.

Any number of times I've had fear as my PT asked me to try something I was not ready to do in my mind.

I hear this is normal. 

Now I feel my healing is accelerating so I am trying to hold back, however I try to do something active every day from sit-ups, to isometrics to arm curls with 10kilo weights.

It helps body and mind.

Now that I can get in/out of some pools (I use the YMCA) I do a lot of walking backward to engage the quad.

Good luck and take care.

John in Austin

Title: Re: Ruptured Quadriceps Tendon
Post by: kena on December 23, 2010, 02:39:24 AM
This is a great site.  I've been reading through a lot of posts since my injury.  I was injured on Nov 5th at soccer.  Surgery Nov 17th.  I've been in a leg brace at full extension since the surgery.  Was allowed weight bearing as tolerated so I ditched the crutches after 2 weeks.  I was given leg raises in the brace from the first day and quad sets after a week.  I had my first PT last week where they applied heat, patella manipulation and PROM.  I was at 32 deg.  Had my 2nd PT today and am at 59 deg. I'm told that they'll give me some ROM in the brace at 6 weeks.  I've got a desk job, so I only missed 1 week of work, but up until this week haven't been able to drive so I had been at everyone's mercy.  It is good to drive my own car and regain a little freedom.  All things considered I think things are going well, just hoping for a little ROM in the brace.  Thanks to everyone who posts on this site.

Ken
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on December 24, 2010, 05:05:57 PM
Hi Ken

Welcome to the RQT thread

If you let me have your e-mail address, I will let you have some reading material covering all aspect of the rehab process - you are in for quite a long haul to fitness.  As far as driving is concerned, make sure that you can depress the brake pedal with no problem, otherwise you could invalidate your insurance policy - place your seat right back, it is more comforatable to drive.

Best wishes

JohnK/ Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: ufcike on January 04, 2011, 03:16:52 AM
    Hello all my fellow quad rupture recipients. Just to let you know I was a special case. In March of 2008 I ripped both by Quad tendons clean off my knee's. Bi Lateral Quad Tendon ruptures. Wheelchair, walker, raised toilet seat and the list goes on and on of being humbled.

   Just here to encourage you all that it gets 100 percent better. I live in Florida and yesterday I ran 3 miles and 4 hills at the end of my run. Today I did squats in the gym. I am 42 years old an rollerblade and bike daily.

    The only changes I have made in life is not to participate in any ballistic sports. I know longer play sand volleyball, no MMA, no touch football, or softball. Just straight ahead activities like biking, walking, jogging, blading.

     Life is good, life goes on but I will never, ever forget the Hell I went through and to this day it has changed me forever.

    Smile because I assure you, your pain in temporary and you will be 100 percent again. Your healing needs to happen above your neck. Its all in your head. Be strong mentally and never give up on the rehab.

     Quit feeling sorry for yourself. Every time you have a set back, just smile, laugh and crack a joke about it because its all you can do.

   

     

   
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on January 04, 2011, 09:28:55 AM
Well done Ufcike - this is an inspiration to all RQT injuries - keep us the physio - PATIENCE is rewarded - and you did well to decide to abandon ball sports - the main cause of RQT/RPT injuries.

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: meehanstl on January 07, 2011, 08:32:22 PM
3 months post op...ROM stuck at less than 50, but no pain in quad tendon area...Getting a scope to clear scar tissue and an MUA on Tuesday with a catheter followed by CPM machine and overnight stay in hospital.  Anyone had this done?
Title: Re: Ruptured Quadriceps Tendon
Post by: annep on January 18, 2011, 01:02:50 AM
Hi,

I have just come across this site and I think its just hit me how long it may take for me to recover :'(.

I fell on 16th December and had an operation a week later, I am still in full leg plaster and feel  so useless.  I am a single parent , work full time and was always active. I am finding it hard to be alone all day, I have not even attempted to go up stairs yet as dont feel safe on crutches, I am using a zimmer frame ! .  I have now spent 5 weeks hopping and wondering if I will remember how to walk properly.

I am back to see the consultant on Wednesday and hoping to get the metal brace.......... not because I want one but I do feel its a step  forward.

What does every one do to occupy themselves ?  I find i get tired zimmering around the downstairs and my good leg hurts if I stay on it too long.   I do a lot of driving at work and know I wont be able to go back untill I am able to drive safe although I am doing some things from home.   I do get so frustrated about not being able to carry anything, like a dinner plate or drink. 

Any ideas of how to make me less bored would be gratefully appriciated .

Anne
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on January 18, 2011, 09:38:06 AM
Hi Anne

Welcome to the RQT club - the first thing to avoid being bored is to read previous posts on this thread - you have sustained a serious injury, which is quite a long haul to recovery - PATIENCE is required.

I am sending you some documents which cover the rehab procedure - read with care.   Do ask questions - lots of buddies on this thread to help you.

Where do you live?   

Keep posting

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: annep on January 18, 2011, 05:19:19 PM
Hi John,

Thanks for all the information, read quote a few of the posts here and it does seem like a long repair for most.
Perhaps I am just not that patient and want to be back up to my old self.  I just dont seem to be very safe on crutches so use the zimmer frame around the house.

I have the highlight tomorrow of going back to hospital which also means I get out the house as well which is great.

Is it normal to get some spasms like electric shock going through the knee ?

I am in Kent

Regards

Anne
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on January 18, 2011, 06:53:28 PM
Hi Anne

Indeed, you will get all sorts of funny spasms etc, but listen to your knee and don`t work it too hard for the first 6 weeks or so.

Ask the PT to measure your good knee for guidence...

Keep posting   

Best wishes
John
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on January 19, 2011, 10:17:25 PM
hi anne
im from Berkshire
I was off work for nearly 6 months  - I couldn't face day time T.V day after day - and hated being so immobile but try this - ask your occupational health dept. to loan you a self propell wheelchair (large back wheels)  with a leg rest - i asked and one was delivered the next day i had friends and family take me for walks and when i felt able i went out (short distances) on my own. i also had an item called a leg lifter loaned from OH - some people call it a dog lead- this helps to lift your leg comfortably you put the loop around your foot and lift the leg without the pain of trying to do it yourself.
i also brought myself a RADAR key from the internet and so am able to use the 'locked' disabled toilets.
and my local supermarket is sainsburys so i wrote to the head office and asked if i could possibly park 'legally' in the disabled bays whilst i had trouble getting in and out of the car as a passenger then as a driver- they obliged and gave me a special permit for the car - i found this to be a godsend- i did apply to our local council for a blue badge but was turned down because the injury is seen as temporary not permanent ummmm maybe but reading on here of how long some people have been ''disabled'' i think its wrong to be turned down.

when i went back to work after the injury i was made redundant (after 26 years) and will be leaving in March so will now have an added problem of applying for work while still recovering from this horrible injury...... i had my accident in May 2010 and still have to use a crutch due to muscle wastage my knee gives way every now and again. so will be at home again---luckily i am able to drive again so at least will get out and about --- good luck with your recovery
sue

Title: Re: Ruptured Quadriceps Tendon
Post by: annep on January 21, 2011, 02:16:50 PM
Hi Sue,

Thanks for your ideas, I will certainly look at doing some of those things. Its just nice to hear from other people in the same situation.  Perhaps I was being nieve when I had my accident thinking it would be a 3-4 week recovery, from posts on here it does appear to be really a major repair time.

Sorry to hear about your work, I need to be able to drive for my work but am doing some work from home which at least keeps my mind going.  I only get 4 months paid leave so am really hoping to get back full time before that.

A friend of mine who had been involved in a motor bike accident went to an interview in a wheel chair and unable to walk at all.  2 months later however he gor the job with them so please dont give up. I hope somehting will turn up for you.

I now have a metal brace fitted but still find myself sometimes hopping with the zimmer frame.  Did you used to get a numbness under the Knee and down to the shin?

Thanks for your post

Anne
Title: Re: Ruptured Quadriceps Tendon
Post by: readinggal on January 21, 2011, 08:47:16 PM
Hi Anne
yes my knee is still numb - not the shin thats ok - the physio told me its where all the nerves have been damaged and could take over 2 years before the nerve endings are stimulated to restore some but not all as may never regain full feeling. At first i couldn't bear any clothes touching the knee area and wore shorts for a few months but they advised me to stimulate the nerve endings by gently rubbing the knee with different materials ie. nylon/cotton/wool etc regularly- i did this and within a week it felt a lot better and I went back to proper clothes.
As for driving i managed that comfortably/safely from 4 months but getting in and out of the car is the worse - especially if someone parks too close -as i said shopping was ok as i  used the disable bay - its everywhere else!!
incidently - if your hospital has a hydro pool ask your physio for a few sessions once your brace is off - did me the world of good to get the knee bending.
you are right about being nieve - until you experience such accidents you dont realise how it effects everyday life. from getting up- using the bathroom /washing hair/bathing -everything was (and some still is) a chore   - it was certainly a turning point in my life.
sue
Title: Re: Ruptured Quadriceps Tendon
Post by: meehanstl on January 27, 2011, 06:46:04 PM
Update!! I had an MUA two weeks ago with an epidural, and was sent home in two days with a CMP i had to be in 6 hours a day on 125 degrees...i went out 2 nights after the surgery, and my leg swole up and my ROM dropped significantly....took another week to get back to 110 degrees and since then I am currently trying to get to 120 degrees in therapy, got 118 last night...still sitting in CPM as much as I can at 125degrees (in reality it is maybe only 110 in the cmp, which is very soft and has a lot of space, so the degree isnt that accurate, but 125 is the max)...Im feeling good, stationary bike loosens it up very well after a bit of pain...after the MUA they said my tendon is completely healed (they did some heavy cranking on it with no retair), and now I am just working on getting full ROM back before strengthening!
Title: Re: Ruptured Quadriceps Tendon
Post by: NIGELP on February 11, 2011, 05:36:46 PM
Glad to have found this really helpful forum with its many heartening  - and occasionally worrying - stories.  Here is mine.

I am a 57 year old male, 5ft 10in, 170lbs. I have a 70% rupture of the quad tendon sustained in a slip on mud in April 2010 and the rectus femoris muscle is effectively useless.  Unfortunately this was initially diagnosed by the walk-in clinic at our local hospital as a bad muscle tear (without even examining it!) so I just took painkillers, rested and iced it and wore a tubigrip bandage. After two weeks I was able to raise and extend my leg to some extent.  It was only after about four weeks when the bruising and swelling had started to subside that the sports physio I had decided to see found the telltale depression above my knee and suspected a tendon rupture.  This led to an ultrasound scan which confirmed the diagnosis and a referral to the local orthopaedic clinic.  The consultant sent me for an MRI scan which showed that the muscle was 4cm retracted.  It was explained to me that a repair would involve a VY-plasty of the muscle to lengthen it and enable the tendon to be sutured to the patella. I was told that this might lead to ‘some stiffness’ which I decided I could probably live with.

I was all set to have the op when the first consultant referred me to a soft tissue specialist colleague who basically pointed out that there was a risk that if I had the op I might be worse off than without it, with permanently restricted range of motion, knee pain and risk of failure of the repair.

I am a keen cyclist, mountaineer and occasional skier so I decided not to have the op and see how things would go. I now have a full ROM and no extension lag. I go to the gym twice a week (rower, elliptical, gentle leg extensions and squats).  I can cycle, without any significant discomfort, for 100km and can even get out of the saddle for brief spurts.  However the leg is still quite weak any kind of walking, especially on uneven or steep ground and even with the help of trekking poles feels uncomfortable, clumsy and sometimes worryingly unstable. I also get twinges of knee pain and the occasional muscle spasm.  Skiing and serious mountain walking or climbing seem out of the question at present and I worry that things will only deteriorate as I get older.

I have only found one person on this forum (Fibroquad in 2010) who has had a delayed diagnosis followed by the VY-plasty operation and he seems to have had horrendous complications (arthrofibrosis sounds really scary and I’m worried I might be heading that way if I leave things too long). So my questions are: has anyone else had a late diagnosis of a partial rupture like this?  Did you have the op and if so with what result?  If you didn’t have the op how are you managing and what are you able to do?  Do you wear any kind of support or orthotic?

I’m seeing the consultant again next month.  Any advice in the meantime would be very gratefully received.

Thanks for reading this.

Nigel, Milton Keynes UK
Title: Re: Ruptured Quadriceps Tendon - brace or cast
Post by: bolo1 on February 12, 2011, 07:10:43 PM
Hi - dislocated my knee 8 days ago and the dr said it was torn medial reticulum. I was given a cricket-pad style brace to wear.
However on going back to the consultant this week, he wanted to do an arthroscopy as I failed the single leg raise test. Woke up yesterday  from the operation with a fixed torn quad (rectus femoris) tendon. What a nice surprise! (Well good that it was fixe)

I am self employed and have to be at customer sites 1-2/xweek - if I can't do this my job is in jeopardy.
I can go by train so not driving isn't a problem.

Has anyone in the UK gone straight to a brace affter the op? I'm in a temporary cast at the moment but going for a proper one on Monday. I'm with the NHS but I don't mind opting for the brace if it permissible and less obtrusive whatever the cost.  What option is bes for longer term recovery?
Will the cast be ankle to hip? Not going to look impressive me working with senior customers wearing jacket and tie and short with the cast - arghhh!


Title: Re: Ruptured Quadriceps Tendon
Post by: Net-i on February 14, 2011, 05:39:28 PM
NigelP,
I had a complete Quad rupture which was not found for 5 weeks, and the post-op blurb said that it was 5cm gap. It was first diagnosed as a sprained knee as nothing broken, and told ok to go on holiday so 4 weeks later I re-appeared and was sent to hospital.  It was only when surgeon discovered that I could not lift my leg (it's amazing how we adapt to a disablity - no-one noticed that I flicked the bad leg onto the exam tables using the good one and (according to my PT) I had been using my bones to walk and not the muscles - a REALLY hard habit to get out of) and sent me for an ultra-sound, that everyone got excited!. So surgery was just under 6 weeks from the accident, but I didn't have any extension made to the tendon.

Pre-op, I'd been warned that I may only get 60 - 80% movement back in my leg, which hit me like a ton of bricks, and that the scar would be longer as they had to drag back the retracted muscles.  I'm pleased to say that there is less than 5% difference in between my good and bad leg in mobility, which is basically neglible if I bend both together but I put that down to my impressive PT who took a holistic approach to my recovery. They also mentioned stiffness, and sometimes the muscles 'burn' but with exercise, this lessens.

I can't say that I have not had problems. Two weeks after starting physio, I got dystophy but (my PT again) accommodated this and taught me how to manage it, so has slowed me down considerably as I just want to get 'back to normal'. I've just had significant scar tissue resected and the shagpile carpet behind my knee trimmed and am just recovering from that.

It is a long recovery time, but I have one objective every day - to do one thing that I didn't/couldn't the previous day. That helps me to be positive and see that I'm always progressing forward.
Good luck with whatever you decide!
Title: Re: Ruptured Quadriceps Tendon
Post by: martylad on February 15, 2011, 03:19:20 PM
bolo1

I'm afraid I can't offer any advice on brace vs. cast vs. splint but I can give you a tip on avoiding meeting clients while wearing shorts.  T.K. Maxx.  They seem to specialise in half-decent clothing that didn't sell originally because it wouldn't fit anyone who's even a vaguely normal shape.  For less than a tenner each I picked up a couple of pairs of trousers with a waist that fitted me and legs so wide that even MC Hammer would have baulked at buying them.  They fit straight over the top of my splint - job's a good'n!!

Best of luck with the recovery.

Marty
Title: Re: Ruptured Quadriceps Tendon
Post by: martylad on February 15, 2011, 03:54:50 PM
Now that I’ve offered some (ahem!) useful advice, I wonder if I could ask for some assistance too.

As background, I ruptured the quad tendon in my right leg on 19th January and had an op to repair it on 25th January.  I’ve been wearing a cricket-pad splint for three weeks since then, and am due to switch to a brace 3 weeks from now.

My question relates to Range of Movement (ROM) exercises.  I’m not scheduled to have any physio until after I’ve had the brace fitted at 6 weeks post-op, but I’ve noticed others mentioning that they’d been given ROM exercises to do straight away.  Could anyone give me an idea of what is involved in the ROM exercises?  I’d be really keen to introduce some controlled movement but I obviously don’t want to do anything that’s going to be counter-productive.

I tried to find out this info from my surgeon, along with getting an idea of when I was likely to be able to resume driving.  I received a reply from his secretary – “I have passed your queries on to Mr [Surgeon], but he tells me that he discussed all of this with you at your last clinic appointment [he didn’t] and he has nothing new to add.”  How helpful :|  If anyone is feeling more generous than he, it'd be great to hear from you.

Thanks to all who’ve posted to the site by the way, it’s a really useful resource.  Apologies too if my question has already been answered somewhere else on the site – there’s a lot of info to get through!

Thanks

Marty
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on February 15, 2011, 05:16:39 PM
Hi Martylad

Let me have your e-mail address, and I will send you a set of documents, which will give you andea of the rehab process.

The documents refer to a Ruptured Patella Tendon, but the rehab is very similar.

Keep posting on KneeGuru - lots of buddies on this thread to hel;p you.

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: deerman on February 17, 2011, 12:12:48 PM
  Hi All

Received my ticket to the "club" 1-8-2011 with a slip on the steps and a complete rupture of my left quad tendon. Surgery on 1-9-11, and have had knee immobilized since. Back to doc next week and I am thinking I may start some physical therapy after that. My Dr like manyof yours not real helpfull when it comes to telling me what to expect, so I'm going more off of your posts on this site.

Can any of you give a ball park estimate on what to expect the first few weeks out of the immobilizer? How painful is the first few weeks of rehab? My knee cap pretty sore yet, and swells quite a bit by end of day.  Any advise would be helpful.

Received Johns e-mail very helpful, thanks a bunch!
Title: Re: Ruptured Quadriceps Tendon
Post by: martylad on February 17, 2011, 01:43:54 PM
Hi John

Thanks for the info, much appreciated.  I haven't quite got to the bottom of it yet - some of it's quite technical - so I might be back on to ask more questions soon.

Thanks again.

Marty
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on February 17, 2011, 02:26:37 PM
Hi Deerman and Martylad


That`s what KnneGuru is all about - keep posting =-we are all here to help you - keep asking questions

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: REM53 on February 17, 2011, 08:32:13 PM
Hi all,
New to your club. 53 year old guy. Feel 70 at the moment. I have read dozens of your stories and find that we are basically in the same boat  Sorry ANYONE has had to go through this.I have a question I hope that one of you may be able to answer.

I am 8 weeks post op from a full quad tear repair. Things seem to be going well. I am in my 2nd week of PT and my ROM is at 100. Had a CPM machine 1st 6 weeks. ROM on it from 30-60 was a piece of cake. Somewhere between 60-90 degrees I developed an intense pulling pain off to the inside of my kneecap away from any repairs while bending the knee. It seems to be the only thing keeping me from increasing my ROM. I have ask the OS, the PA, and the PT and the only answer from any of them was I don't know. Most days it seems to loosen up until it gets to that point that your knee just won't do anymore, but when the knee tightens up again, the pain is there. Bending only. Never when straightening or walking on it. I am able to walk on it full weight bearing with crutches with no pain.
Have any of you ever experienced anything like this? I don't see many people say just how painful regaining their ROM was, and where it hurts. I expect pain and pulling around the repair, and regardless of the intensity will deal with it, but from experience I would love to hear from some of you to tell how it was for you and if you ever had a pain such as this.
Thanks - Rick
Title: Re: Ruptured Quadriceps Tendon
Post by: Net-i on February 18, 2011, 11:13:11 AM
Martylad/Deerman,
when you start the PT will depend on the repair and healing, so I guess you'll have to take the experts advice on that.  I didn't start physio until after I'd come out of the cast after 9 weeks. Until then (as I'd asked if I could move my foot) I did aeroplane exercises - you know the ones that you do on the plane to exercise and prevent DVT? This meant that I also did not lose much muscle - which surprised a few people when the cast came off, and made me feel like I was doing something.

The ROM exercises are to break the scar tissue, which the PTs want as quickly as possible to prevent problems further down the line, and to start to build the muscles. Yes, there's pain  :'(, but  (as my PT put it) go to the point of feeling pain and push a smidgen more! The trick is little and often - 5/10 mins per hour, and when the dark depressing thoughts appear, remember how far you could move it a week or two ago. Seeing your progress does spur you on.  I also set myself a goal to do something every day that I could not do previously (mainly re independence) so it was great when I could finally put my own socks on/cut my own toenails etc. :D

I'm not sure about the splints and braces that I'm reading about as my accident happened outside UK, but when I came out of the cast I was given two alternatives - a walking cast (which I assume is much like the brace, or nothing (just using crutches).  I got a walking cast made (it's like a full cast but with velcro straps, but at the first visit to PT, she told me that although I could walk unaided with the cast, it doesn't encourage natural movement and can lead to bad habits and possibly complications.  That was the last time I wore it, and it now sits on my giant Heineken 'penny' bottle.

My progress was hampered by dystrophy, so was a bit slower, but you get out of it what you put in.  I think my grim determination carried me through most.  You shouldn't drive until you can safely do an emergency stop, or your insurance will be invalid.

Had my first real PT session in UK following an arthroscopy to fix the other damage in my knee (and can finally restart the steps/squats etc.) Leg is sore today, but it's a 'good' sore, i.e. it's not the knee, it's the muscles complaining that they've had to do some 'real' work!

Best of luck in your recovery. It's a long road, but stick with the regime (and site) and you'll get through it....
Title: Re: Ruptured Quadriceps Tendon
Post by: TCKRDR on February 22, 2011, 04:35:16 PM
I'm a new victim of a quadriceps tendon tear, having slipped on ice February 14, 2011.  My left knee was injured and there was a longitudinal tear up into the muscle as well (not sure which quadriceps head).  I had surgical repair on February 18.  Post operatively, I am in an immobilizer set at 0 degrees of flexion and I'm able to bear weight while wearing the immobilizer.
The pain is subsiding, but there is still swelling in my thigh, knee, lower leg and foot.
From what I have read on this forum, and elsewhere, this injury has a long recovery process.  It seems that reinjury and not achieving a full return to preinjury strength and mobility are not uncommon.
I was very active prior to my injury, and I was a competitve road cyclist.  It seems unlikely I'll be able to race again.  I'm hoping to at least be able to return to casual cycling and do non-competitive events such as centuries.

BTW, I'm from the US (Illinois), but I am sure everyone has picked up on that already.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on February 22, 2011, 05:34:35 PM
Hi and welcome to the RQT thread on KneeGuru - lots of buddies on this thread to help you.

I have sent to you a collection of documents which I have accumulated over the years, which will give you an idea of the rehab process.

Do not hesitate to ask questions - lots of buddies out there to help you.

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on February 23, 2011, 01:05:09 AM
Hi TCKRDR,

I am the exception.  I suffered a complete tendon tear in early Sept 2009.  I had surgery 2 days later.  I did not return to PT after the first vist (6 weeks after surgery).  It is now 18+ months.  I am pretty much back to normal.  I am doing 1.5 miles on a treadmill each morning.

In my recovery, I was walking in a Zimmerman brace after a few days (I added some additional stiffeners).  Crutches were completely gone after 10 days.  The brace was gone after 6 weeks.  I was very careful!!!!.

Bottom line was that I recovered far better than I had initially hoped.  After 16-20 weeks, I was really pushing the ROM, but came to the conclusion it was not helping.  My leg was stiff and sore all day.  I stopped pushing and felt much better.  It has gardually come back.  I can now fully squat, and have no pain or discomfort.

By 8 months out, the injury was not really impacting me.

I am no jock, so I was not pushing the recovery, but I recovered far faster than I was expecting, and it was basically with self directed exercise.  Remarkably, the tendon tear was 100%.  Because I could slightly lift the leg pre-surgery, the surgeon was expecting to find partial attachment.  He said he was really surpised to find 100% dettachment when he got in.  I was very careful at the start to avoid anything that could re-injure the repair.

I believe I was unrealistically lucky, but as long as things do not hurt, do everything you can do.  Everybodies experience is different.  When I was in the brace, I walked and climbed stairs as much as I could.  I was basically back at work partime after a couple of weeks and fulltime after 3-4 weeks.  If it feels OK, do it.

Check my earlier posts.

Good luck,  Ian
Title: Re: Ruptured Quadriceps Tendon
Post by: stylabull on February 23, 2011, 01:17:22 PM
Hi all,

Am pleased to be able to say that I took part in my first cricket net session last week since rupturing my right quads back in August 09, found that everything hurt afterwards apart from my knee!! Took things very gently to begin with and managed about an hours worth of bowling followed by 15-15 minutes with the bat. To anyone who is suffering 'newly' or still on the recovery path, have faith and more importantly patience, it will get better but needs to be given time, follow all the advice you get and keep smiling  :)

Chris
Title: Re: Ruptured Quadriceps Tendon
Post by: Unlucky on March 20, 2011, 08:29:29 AM
Greetings All from Western Australia,

I, like a surprising number of others, fell down a couple of stairs at home, landing directly in my kneecap, thus causing a complete rupture of the Quadriceps tendons. Was a tad unlucky, as I was due to fly out to Europe 4 hours later for a work related trip to visit factories etc however instead of the International Airport I was at Royal Perth Hospital. Operation 2 days later and now "recuperating" at home with my new best friends, the lounge and the TV remotes (we used to be just good mates, but now BFF's...)

I have my first post-op reveiw with the surgeon next Tuesday, and I am eager to find out about the recuperative process and the length of time I should expect this to take. I have found limited or no pain in my leg, swelling has reduced in the lower leg although still quite swollen around the knee. I am wearing a ankle to thigh fixed brace pretty much 24/7, with a couple of small windows where I release the velcro straps to let the leg breathe.
My main gripe is that I can't get comfortable at night so am having very average sleeps. I have also tried to wean myself off painkilling medication, as essentially there has been no pain.

Would love some feedback as to mobility. I can get around on crutches and without crutches as well, however am very mindful of not pushing the boundaries, as I have a planned holiday in Thailand in early June which is my goal.

Any guidance and suggestions would be most welcome, and good luck to all who are recovering.

Cheers.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on March 20, 2011, 08:40:43 AM
Hi and welcome to the RQT thread - 

First tip is to sleep with a pillow between your knees - takes the pain away from the injured knees.

If you let me have your e-mail address, I will send you a collection of documents which will give you an idea of rhe rehab process.

Nothing to stop you going on holiday, but request a long legged seat, most important is to order a wheel chair at both ends, and dont forget your crutches.  You will get royal treatment and save lots of frustration.

Best wishes

JohnK/ Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: meehanstl on March 22, 2011, 04:41:14 PM
10 weeks out of my MUA, I am feeling pretty good.  I have been lifting weights for a month, doing a lot of squats with a med ball, single leg leg press (with bad leg), walking lunges, and physio ball leg curls.  Actively I can get to about 120 something, when my therapist or friends push it after riding the bike I get even with my other leg.  I think hamstring strength has a lot to do with my active limitations. 

I just want to tell you all to have faith and as much as it sucks, make sure u r really pushing yourself in therapy, I went through a lot of pain after my MUA to get to where I am now, lots of time on the bike and trying to lower the seat every few minutes to increase range.  I believe I cans tart to run tomorrow or sometime this week, and it feels pretty good.

Leg and knee still look pretty messed up but functionally I am walking well, going down the stairs in the mornings takes a few steps to feel normal, but other than that I think I am progressing well. 

I encourage you all to stay positive and be mentally strong.  I have been out of my passion (jiu jitsu) since september 4th, but don't think of the time, take every day for what it is, and you will look back and see how far you have come.  Don't constantly think about it, just take everything one day at a time, and make sure you continue to push yourself!
Title: Re: Ruptured Quadriceps Tendon
Post by: kw210 on April 03, 2011, 10:51:33 PM
Hello everyone;Brand new to the site.Here's my story.5 weeks ago I was dragging out the snowblower and slipped on some ice,slamed my left knee into the crossbar and dislocated my knee.Went to ER and they set it and sent me home saying to get a zimmer splint and call my fam.dr.Very vague on any advice other than that.It was on a sunday so in our little town everything was closed.I did complain that the knee felt very weak and there was a lot of swelling.xrays were taken and the dr. said it was hard to tell if any other damage was done.Later that same day I was coming up the basement stairs and my leg gave way and I fell down 5 or 6 steps a landed on the ceramic floor breaking 6 ribs,ruptured a lung and broke a collar bone,went back to ER and they kept me for 4 days repairing the lung and starting the repair of the ribs ignoring the leg the whole time.Started pt 2 weeks later for the knee and didn't seem to be making much progress.Went to pt for a week and was feeling a little stronger but not alot.Walking without assistance for a week and needed to drive somewhere(I have been driving for a week) went to get in my truck and the leg gave out again.Went to a specialist 3 days later and was immediately admitted and surgery the next morning.(ruptured quad)Just got home from the hospital today and everyone I talk to thinks I was missdiagnosed and I should sue.Anyone have an opinion?
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on April 04, 2011, 06:44:16 AM
Hi and welcome to the RQT thread - you have sustained a very serious injury, and there is a long rehab.

I have sent you a collection of documents which cover the rehab process - prepare for lots of TV and lots to read.

Keep posting on this thread - lots of buddies out here to answer your questions.

Where do you live?

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: kw210 on April 04, 2011, 04:45:18 PM
Hello new friends;Been reading posts on this site for about an hour and am so glad I found it.I'm in my second day since surgery and I must say I must be one of the lucky ones compared to some that I have read.I'm in southern Ontario Canada and I'm a trucker by trade so my left leg must be strong or the obvios will happen.My DR.wrapped my leg from ankle to waiste in a stiff cast and I'm allowed 50% weight bear with crutches.In 2 weeks I go back to see him for the stiches and decide if a hard cast is called for.Don't know any details of operation(drilled holes,scews etc.)but will be sure to ask when I am there.I am self/employed so getting back on the road is paramount.Currently taking percaset 5% tabs 2 at a time for pain.They help alot.When they wear off I feel a burning pain at surgury site.I guess that's normal.That's all for now.Speedy Healing to all.JOHN
Title: Re: Ruptured Quadriceps Tendon
Post by: natural0714 on May 17, 2011, 11:22:05 PM
Hello my name is Carla and I ruptured my quad tendons in both knees on January 31, 2011.  I am so happy that I found this group.  I am 41 years old. When the slip on ice happened lunch time near my employment I was sent to the hospital and they did an x-ray, said no broken bones and sent me home.  I asked why are you sending me home and I can't walk, my legs kept giving but they did send me mosey along anyway with a set of crutches.  on 2/3/2011 I wen back to the emergency and they did the same, I asked for an MRI but they said I had no broken bones and sent me home.  My mother took me to her doctor because I was at home using my great grandmother walker, rest her soul.  I went to see him on 2/11 and explained to him, he saw the swelling in both knees and at that time they were blue black and I'm african american brown skinned.  He sent me to see an orthopedic doctor on valentines day, I went and had an MRI the same day.  The results came back to him withing 1/2 hour and that's when he told me I ruptured my quad tendons in both legs and needed surgery as soon as possible.  I just cried.   Never had surgery before.  I had surgery and had about 18-20 staples in each knee.  They also had my legs in bledsoe braces which made it impossible for me to bend both legs.  I had family members caring for me at home because I couldn't bend any legs.  I had to eventually learn how to stand with the braces and get around.  VERY SCARY!!!  never used braces.  There was an physical therapist that came to my home after the staples were removed from my legs.  He taught me how to bend my knees and walk around and I had several exercises (not too hard) I had to do.  Okay now I am at the point where I can stand, walk, bend knees but cannot bend my knees while standing.  I am going now to a physical therapy facility, been there for about 3 weeks and they got me walking up a step which is hard and bending knees a lil.  I need to really bend my knees more while standing but can't, so I'm doing numerous exercises to try to strengthen my quads.  Yesterday I was crying because I just get back to the way I was.  I know its hard work but everyday I try hard and when in therapy because I do wanna return back to work but without using cane.  LISTEN JUST STAY MOTIVATED BECAUSE I AM REALLY TRYING.  REMEMBER I HAD BOTH LEGS OPERATED AT THE SAME TIME.  My email is [email protected] .  If you have any type of exercises that may help please do e-mail me.  GOD BLESS ALL OF YOU!!



Title: Re: Ruptured Quadriceps Tendon
Post by: natural0714 on May 18, 2011, 02:01:01 AM
I been reading your posts and have been inspired.  Ruptured quad tendons in both legs.  I can go up the stair but can't go down.  I can do squats a lil, if you wanna call them a squat.  Just gonna keep trying.  Its good to hear of your recovery.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on May 18, 2011, 09:38:40 AM
Hi Carla

You have sustained a pretty rare serious injury - not many persons in the world who have sustained a double rupture.

Not surprised that the doctors did not diagnose you correctly first time, but at the same, just by standing up, he should have detected that you have snapped your tendons.

It is important that you read up previous posts on this thread, to get an idea of what physio is in store for you - a very long rehab, and lots of hard work on your part.

I am sending you a collection of documents which I have accumulated over the last eight years.  Read with care.   The documents cover a Ruptured Patella Tendon, but the rehab is very similar.

Where do you live????

Keep posting - remember PATIENCE

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Hop a Long on May 18, 2011, 02:57:37 PM
Hi I'm Ed,
Had a slip and fall Wednesday May 5, 2011. I knew something was wrong before I hit the floor. Felt that pop and what felt like my left knee dislocate just as my knee gave out, had witnesses.  I had to straightened my leg out manually on the floor after the cramping stopped, and i must say was very painful.  I was helped up but could not put weight on the leg my leg.  Police officer offered to transport me to the Hospital but could not bend it to get it in the passager door. Went to hospital by ambulance, as usual they treated it like a knee sprain, screened my xray for obvious fx (none), gave me a knee immoblizer, crutches, and sent on my way with pain meds.  Was refered to Ortho. Surgeon could not go on Saturday or Sunday.  Went to Surgeon on Monday morning he requested MRI for conformation of which I and he already knew.  The buising was covering my knee by this time, and I could not extend my lower leg.  I will add at this time that my left knee was the good one, my right one was already a basket case with no cartilage and torm meniscus and painful to walk on as it was.  The Surgeon repaired my Left Rutured Quadricep Tendon on Thursday May 12, 2011.  Thanks to modern pain medicine I made it past the following three days which i will say was more painful then when I broke my right ankle and right collar bone in a motorcycle accident.  The original knee immobilizer was replaced with a more functional one after surgery. I go between the walker and crutches depending what I am doing.  I've started to back off the pain meds as much as I can, since my other knee hurts also.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on May 18, 2011, 04:16:50 PM
Hi Ed

Welcome to the RQT club - remarkable, three newbies in one day.

Suggest that you read as many of the previous posts on this thread as possible - keep posting with questions - lots of buddies to give you advice.

Let me have your e-mail address, and I will send you some documents which will give you
an idea of the rehab procedure - a long haul to look forward to.

Where do you live?

Best wishes

JohnK/ Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: Hop a Long on May 18, 2011, 10:21:37 PM
This is Hop a Long,
I am 56, 57 next month, live in Wash, DC
Email :   [email protected]

You got it I kind of knew when I hit the floor what was happening

not really looking forward to the rehab I understand that it is painful, one small problem the knee Iinjured was the good knee, now the old bad knee is now the "good knee"
Title: Re: Ruptured Quadriceps Tendon
Post by: natural0714 on May 18, 2011, 10:47:55 PM
I been reading your posts and have been inspired.  Ruptured quad tendons in both legs.  I can go up the stair but can't go down.  I can do squats a lil, if you wanna call them a squat.  Just gonna keep trying.  Its good to hear of your recovery.


I'm from Paterson, New Jersey.   Thank you again for the inspiration and input.
Title: Re: Ruptured Quadriceps Tendon
Post by: YogaSkier on May 21, 2011, 03:15:33 AM
Another RQT club member here...  ::)

I am 3 wks post-op from having the tendon repaired, a capsulectomy, synovectomy, patella release and major debridement. My RQT wasn't diagnosed for 4 months  due to symptoms from a persistent septic joint somewhat overlapping between the two conditions. We are **hoping** that the infection is gone, but, won't know for sure until the antibiotic beads are fully dissolved. After, 10 months of dealing with infection and repeatedly restarting the rehab process after each surgery I'm pretty fed up, but determined to get back to normal or as near to that as I can get while gritting my teeth!  :D

I'm wondering when the pain improved for veteran RQT members? Also, when was FWB comfortable?
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on May 21, 2011, 06:41:56 AM
Welcome to the RQT club.

I have sent you a collection of documents covering the rehab procedure -The documents cover a Ruptured Patella Tendon, but the rehab is very similar  -  read through, and read through the past posts on this thread.

How did you sustain your injury?    Where do you live?

Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: YogaSkier on May 23, 2011, 03:05:21 AM
Thanks John! Actually, I'm the young lady from Colorado that contacted you via email!

We **think** the injury occurred on POD #3 when I still had a continuous femoral block. I suffered a fall, that was extrememly painful even with the block. In addition, I had been on a long-term IV antibiotic, Levaquin, that is associated with tendon ruptures. Unfortunately, due to the multiple surgeries and ongoing persistent septic joint, the RQT wasn't diagnosed until 4 months later. :o

I'm currently doing PT 3/wk, pool exercises 3/wk, upper body wts 2/wk (I really should be doing this more...) and the normal HEP prescribed by PT 5/day.

My ROM was restricted to 0-45 for the first two weeks and I'm allowed to add 10 degrees/wk (more at the PT's discretion). At 4 wks now, I'm at 70 degrees, but, cannot push past that without significant pain. So, we are hanging out at 70 and we'll see what the next couple of weeks brings!

After dealing with the joint infection for the last 10 months and canceling many vacations, I'm so excited to be flying out to see friends for Memorial Day weekend. I'm a bit nervous about the logistics of flying alone, using crutches...etc.

Happy Sunday all...I would lve to hear how the rest of you are doing!  :)
Title: Re: Ruptured Quadriceps Tendon
Post by: Hop a Long on June 14, 2011, 03:26:33 AM
Hi All, this is Ed:
update,  4 weeks post-op the knee immobilizer an I have become one, where I go, it goes. LOL. question for the geeks out there.  I've been cheating, I sleep with out the brace at night and put a pillow between my legs, which helps alot. I can stand and walk a few steps stiff legged without the brace. I noticed that I have some range of motion, well to a point. I stop bending the knee when it begains to hurt.  I hope i'm not blowing this surgery by doing this! I use one crutch now most often.  OK, I can put some weight on it, but once in a while I feel that instablility in the knee, or at least it feels unstable,have not fallen yet. I do wear the brace to walk, and the crutch on long walks to the next room. I got the staples out last week and the incision is healing fine.  Its is summer here and the brace feels like a sauna suit. I do notice that when I have a bend in my knee for a while it begains to ache, and when I wake in the AM, I really need to take the Pain Meds before I get up and move around. This all for now I will check back soon.
Title: Re: Ruptured Quadriceps Tendon
Post by: YogaSkier on June 14, 2011, 05:34:37 AM
Hop a Long-- I would check with your PT or OS regarding sleeping without the brace. I believe it was around the 3-4 week range that I stopped wearing it while sleeping with my OS' approval.

My knee reacts the same way when it is bent for any prolonged time and I'm 7 weeks post-op. The aching increases quickly into some no nonsense pain. I'm up to 97 degrees...woohoo!  :P My OS has asked me to put all PT and home exercises on hold because my knee has been red, hot and swollen for the last few days. We're hoping it's due to inflammation due to increased activity and not infection. I'm pretty worried at this point and wonder if I will ever be able to do the outdoor activities that I love so much. It's frustrating not be able to do anything right now to be moving in the right direction and even more frustrating to not know what the outcome will be.  :(
Title: Re: Ruptured Quadriceps Tendon
Post by: Hop a Long on June 14, 2011, 08:41:02 PM
Thanks YogaSkier
I don't think I have any infection set up yet, i've been taking my time and not pushing it too much.  As long as I stay in the brace I'm fine, and as long as I don't walk on it too much, the knee does pretty good.  I guess I'm lucky haven't had any infections, and the suture line is healing well, 4 weeks post-op and staples removed 11 days ago. I will check with the OS about the sleeping without the brace, but it feels soo good to get that thing off for a while, LOL, as long as the house is not on fire in the middle of the night. I will check back later.
Title: Re: Ruptured Quadriceps Tendon
Post by: kw210 on June 24, 2011, 04:12:20 PM
Hello everyone;Update on my progress,It's now June 24 and I am in my 12th week of recovery.Now in a hinged brace set at 90,and will be setting it at 105 in the next few days,walking without the brace in the house and on the back deck.I am able to do my chores around the property(cut grass etc.)much to my wifes releaf and generaly in good spirits as far as my progress.Still have my limits,(the knee lets me know it's had enough)and I just rest for an hour or so.My dr.gave me the choice as to how far I can push my leg so I work away until the pain gets to much,generaly about 4 hrs then rest,then a few more hrs and call it a day.As far as pain relief,I take 5 gluglosimine pills in the morning and 2 tylinal arthrytis in the afternoon.Doing stretching excercises every morning.Not able to go up or down stairs normaly yet but it will come,hoping for return to work end of july or early aug.that keeps me motivated to keep pushing alittle harder each day.Not much else to report.To all those who are in the beginning of this journey I can tell you that I was there too,I am 57 in 2 days and never missed a days work due to injury or illness in almost 40yrs,only seen my dr when had to for my licence and to be told not to do anything for 4-8 months is overwhelming to say the least.Not to mention the financial burden that I dumped on my wife along with looking after my needs,I'm not ashamed to say it was the worst blow to my pride that I ever had to deal with.In the end I think thats what motivated me the most to recover as fast as possible.EVERY BIG JOB IS A COMBINATION OF SMALLER JOBS!NEVER GIVE UP!!!PICK A GOAL THAT'S DOABLE THEN PICK ONE THAT'S JUST BEYOND IT,THAT'S YOUR GOAL!!!That's my update for now.Hoping someone got something possitive from my story.Happy Healing.John
Title: Re: Ruptured Quadriceps Tendon
Post by: Ian B on June 27, 2011, 08:38:36 PM
Hop A Long

I slept without the brace and went without the brace from fairly early on.  My injury was in Sept 2009.  You can see my earlier posts.

I was putting weight on the leg from the first few days.  In the bath (with no brace) I would bend the leg until I could feel it pull.

I was very careful, but around home I would walk without the brace.

Crutches were gone after 10 days.  Brace was gone after 6 weeks.  You just need to be very careful.

It is better to go back and look at my earlier posts, as my memory is not that good.  I was very lucky, but I figured from the start, as long as the knee did not bend, it would be tough to re-injure.  I am basically 100% now and have been for most of the last year.

Ian
Title: Re: Ruptured Quadriceps Tendon
Post by: Ben_Hogg on July 05, 2011, 12:22:13 PM
Hi All

ruptured my patella tendon in right knee in December, surgery and recovery went well, but still had pain.  Then had arthroscopy on same knee to tidy up, and MRI on left.  Been told today that I have a "sick patella tendon" in left knee and require "extensive physiotherapy".  Has anyone else been diagnosed with a sick patella tendon or explain what I should expect from extensive physiotherapy (surgeon said on a 0-10 scale it would be a 7, but have no idea on how many sessions and how long this would go on for).

Private medical insurance covered the ops, but not the physio, have been seeing a pilates physio for recovery from previous op.

many thanks
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on July 05, 2011, 01:26:52 PM
Hi Ben Hogg


You have posted on the wrong thread -

If you have sustained a Ruptured Patella Tendon, go to ....

http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=8389.new;topicseen#new

Very important to read all previous posts on that thread - ask questions - very important.

I have sent you in a separate e-mail a collection of documents which cover the rehab procedure - read with care.

How did you sustain your injury?

Where do you live?

Take care

JohnK/Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Hop a Long on July 09, 2011, 04:21:24 PM
Hi all, this is ED (Hop a Long) with an update on Ruptured left Quad Tendon
On 7-12-11 I will be two months Post-Op.  Still go from crutch to cane depending on how my other "bad" leg feels (old previously injured right leg), the injured left knee seems to progress fairly well. It aches at time in the bent position, like when in seated positon. Some days it is not so bad , other days it just aches.  Still take pain meds, and in second week of Physical Therapy.  Seems like I can walk without the cane /crutch, but still have the feeling that it will give out, when it wabbles if I don't concentrate on keeping it straight, like a flash back to the day I injured it. Being that both legs are bad now, I worry that if I were to fall I would not be able to get up, almost fell a couple of times. guess I'll have to deal with that fear when I get to it.  Left thigh is still tight, some days I progress then other days I go backward, I assume that is part of the wealing process. Injured 5-4-11, surgical repair 5-12-11,
started PT 6-30-11.
Title: Re: Ruptured Quadriceps Tendon
Post by: patrickmccowie on September 14, 2011, 04:52:17 PM
Hello all fellow quad rippers!!

What a superb forum for getting information and advice about this nasty injury.

heres my story so far.

I tripped over a cafe chair (my fault entirely) and had a complete rupture of my right Quad tendon. I was whisked away by ambulance to Wansbeck General Hospital in Northumberland UK where they A&E consultant immediately diagnosed the quad rupture. The booked me in there and then and I had surgery to repair the tendon within 24 hours of my accident. I hear this can be good news as early intervention and repair can sometimes lead to a more positive outcome. Straigt out of surgery the pain was excruciating, pain killers, morphine, codiene, tramadol i had them all but they still only took the edge off the pain. I had a fixed velcro brace for 2 weeks with my leg lifted and no weight bearing. Went back to see my surgeon after 2 weeks and he was so pleased with my progress that he put me straight into the brace with the vairable knee movement set at 30 degrees. I am now 3 weeks post op today. I have binned the crutches, now using a stick but only when I go out. I dont have any pain to speak of just a stiffness when ive been up and about too long.

I have full strength in my foot and lower leg. The Physiotherapist doesnt advise me to drive but ive had a go already and it feels just normal. I need to drive my car for work, just started new job 10 weeks ago so I need to be back in the car asap. Does anyone have any advice or information about driving with this variable leg brace. I can move my leg and feet without a problem, I seem to have full strength for the brake pedal so no problem there.

I hope to be out of this brace within the next 5 to 7 weeks. I have been continually flexing my quads, once it was not painful to do, and seem to have maintained reasonable strength in my thigh that way. I will not do anything to compromise the healing of this critical tendon, but surely a positive approach with common sense can be acceptable.

Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on September 14, 2011, 05:25:11 PM
Hi Patrick

Welcome to this exclusive club for RQT injuries.

Do not drive until your OS gives you clearance, otherwise, you may have problems with your car insurance Company.

As and when you commence driving, place the seat as far back as possible - this will be more comfortable.

Suggest that you may apply for a car disability badge for short term use - make life a lot easier.

I am going to send you a collection of documents which covers the rehab process - the documents cover A Ruptured Patella Tendon, but the rehab is similar.

PATIENCE is the keyword - important to ask questions - many buddies in this thread to help you

JohnK/Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: martdog9 on September 17, 2011, 04:03:29 AM
Hi all

I ruptured my right quad in a fall while camping interstate just over 3 weeks ago. Had surgery the next day and then flew back home (somewhat painfully!) a week later. The Orthopaedic Surgeon (OS) had me putting full weight on the leg (in a brace) from the day after the operation and now I can get around the house reasonably well without crutches and only use them when outside.

My new OS adjusted my brace to allow 30 degrees movement and referred me to a Physio but with scant advice on rehab. The physio says he's never treated this type of injury before and has no "protocol' to follow. I'm looking for reassurance that the initial exercise he has advised (contracting the quad) is appropriate at this stage. My initial searches on the net seem to suggest that no stress on the repair is indicated for 6 weeks or so. Any thoughts or advice would be warmly welcomed.

Cheers
Steve
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on September 17, 2011, 07:55:26 AM
Hi Steve

Having read your post on this thread, it is not unusual for a PT not having dealt with this type of serious injury.

I have e-mailed you a set of documents, which will give you guidence of the rehab process.

Be free to ask questions, keep posting, and ask questions.

Lots of buddies on this thread to help you.

Take care

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: z06 on September 18, 2011, 01:54:25 AM
It's been 3 years, 9 months & 13 days since I ruptured both quad tendons. Does the pain ever go away? I'm 57 now & things are getting worse. Can this cause arthritis because my knees are staring to seize up.
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on December 09, 2011, 10:14:32 PM
Hi all,
it`s been 4 years since my complete left quad tendon rupture and I am amazed and dismayed at how this thread has grown. Dismayed only in the number of new posters we have. I am sorry for your injury but I thought I would post just to let you know that there is light at the end of the tunnel. I ruptured my quad parachuting in the Army I was jumping again after 7 months and running at the gym after about 3.I have continued my Military jumping and skydiving careers and still run 3,4 times a week. I am 57 this year. With hard work it is possible to put this injury behind you and pick up your life where you left it following your injury.
Good luck to you all.

Regards
Bill
Title: Re: Ruptured Quadriceps Tendon
Post by: ufcike on December 23, 2011, 05:01:05 PM
  Hey everyone. Its been three years since I ripped both my quad tendons clean off my knees at the same time. Yep I am that really rare bi lateral club.  Just like Bill I am running 4 days a week, rollerblading and biking.  100 percent recovered and the legs are the best they have ever been.

  My theory is I don't do anymore ballistic sports or side to side motions. No volleyball, softball, raquetball ect ect.  What I do is bike, run, swim, kayak, weightlift, rollerblade and walk.

   That is plenty of stuff to keep me busy. I am 43 years old. When that accident first happened to me, I thought I would never walk again normal.

   It gets better.  Remember the whole recover and you go on in life is 90 percent between you ears! 

   Merry Christmas everyone and God Bless all those wonderful  OS's out there that gave us our quality of life back!
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on December 23, 2011, 06:54:41 PM
WELL - DONE - there wasa a light at the end of the tunnel




JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: DJThrash on January 03, 2012, 10:09:42 PM
OK - I'll join the discussion - esp since it somewhat differs from many experineces on here (per medical advice from my Ortho and PT).
I had left ruptured quad tendon, with menicus tear, and avulsion fracture (hairline) on the tibia.  Surgery was one week later and now it's 8 weeks after surgery. 
Focus is on letting internal repair heal, then gradual stretching and strengthening of muscles, and also stretching and strengthing those other muscles which weaken while healing (this includes hamstrings, butt muscles, IT band stretching, etc).
Week one - no bending of the knee, pain meds, ice on/off
Week two - 30 deg bending - walking with walker very slowly  - pain meds reduced - in home PT with home assessment of fall dangers  - 
week three 30 deg bending - in home PT showed me how to get in and out of bed and easy chair with crutch supporting the leg  -  showed me how to walk with crutch (using crutch on OPPOSITE side of the injured leg)
Week four - can bend to 45 degrees -  brace changed to limit to 40 degrees - PT 2x week outpatient - use brace at all times.
SHowed by myself about week 5 or 6
Week 5 - 7 PT twice a week - worked up to 100 degree bend with brace set at 90  - use brace at all times except in bed
( I don't get not using the brace - even in home if your knee is still compromised since a fall could land you back in the operating room).
Title: Re: Ruptured Quadriceps Tendon Again
Post by: annep on January 15, 2012, 10:29:06 PM
Hi ,

I posted a year ago after suffering a Ruptured Quads tendon. After 5 months I was back at work, able to get around ok although the knee ached a lot and was sometimes stiff.  I had got used to the problems and just adaped my life around it.
Unfortunatly 6 weeks ago I slipped on a loose sign in a car park and I knew instantly I had ruptured the same knee again.
I was operated on the next day , aparatly with an lace being sewn up through the tendon to make it strongre than the original sutures.
Have a real nastly scar with lumps and am just starting to ben the knee now.
Has anyone ellse suffered a " double " rupture? and what on earth would happen if i fell again?
Title: Re: Ruptured Quadriceps Tendon
Post by: Barbarossa on March 01, 2012, 10:00:21 AM
Hi all, I ruptured my quadriceps tendon, slipping on ice at the start of Feb. Went to A&E, they kept me in and operated the next day. I was allowed home the day after the operation with my leg in a cast. The cars comes off next Tuesday (4 weeks after the op.), see what happens from there.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on March 01, 2012, 11:50:45 AM
Hi Paul

Welcome to the RQT thread -   I have sent you a set of documents, which will give you an idea of the rehab process - read with care, and read some of the previous posts.

A long rehab is required with plenty of physio.

Take care and keep posting

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Barbarossa on March 06, 2012, 09:47:16 AM
4 Weeks Post-op.

Cast came off this morning, and stitches out. There is a 4" scar that seems to be pretty well healed. I can extend the leg full and bend it to about 75degs.

Not a lot of advice from the doctor; take in easy for a month and I should be pretty much back to normal after 2 months :o. From what I have read, this sounds very optimistic! When I asked about the knee brace, he said that it wasn't really necessary but I could wear it if I felt more confident with it! A bit cavalier I thought.

First appointment with the physio is in a week's time. 'Till then, I'll start to follow the rehab programmes that John sent. The difference between these an my treatment is that they assume a splinted leg after the operation wheat I have been in plaster.

Paul
Title: Re: Ruptured Quadriceps Tendon
Post by: Barbarossa on March 16, 2012, 01:45:21 PM
5 1/2 Weeks

Went to see the doctor in charge of the rehab clinic yesterday. Talked about the philosophy of the hostpital for tendon injuries. Their point of view is that whether you follow an agressive programme or whether you take a more conservative approach has little effect on the recovery time. Their approach is to only work on mobilisation for at least three months and to start working on strength after 3-4 months.

She repeated what the OS said: that the brace wasn't really nescesary and I should wear it only if it gave me confidence.

I flew for the first time last weekend. I was a bit worried about being comfortable but you only need about 30* of flexion to sit in a Ryanair seat - I'm about 5'11".

Title: Re: Ruptured Quadriceps Tendon
Post by: Barbarossa on March 28, 2012, 02:45:36 PM
7 Weeks

Started Phisio last week, scheduled for 2 x 1.5hr sessions per week for the next 8 weeks. Quite light at the moment, gait training, balance training, stretching, pedaling with no resistance etc.

Stopped using the brace and crutch last week. I am walking normally now and can manage a couple of kms with no problem. Climbing stairs is OK, but descending is a bit hesitant - seems to be more due to ankle flexibility than the knee.
Title: Re: Ruptured Quadriceps Tendon
Post by: kimberly22ann on April 16, 2012, 07:38:53 PM
Hello,

I was hoping someone could help me on this page.  I ruptured my quad Muscle around right in the middle of my thigh.  I have a huge lump and an indent due to this injury.  My problem is I did this 1 year ago.  I did not recieve surgery since the doctor said to try PT first.  I did this and it did help it but it is just nagging and aching after exercise.  It hurts and feels like it is going to tear when I kick or sprint.  I am active and this is really starting to affect what I can and cant do.  I went back to see my options and since it has been a year they said surgery is out.  Is this right?  They said It will always nag and I just have to keep up it's strength and flexibility to make sure it doesn't effect my knee.  Does anyone have any opinions on this?  I feel like after a year of the same nagging pain there must be something that can be done.  The lump is growing and I just feel desperate for someone to fix me.  How can a doctor say it is unfixable?  Also my other problem is the doctor I went to asked to see the old MRI.  He never took a new one he is just going off the old report.  Shouldnt he do new tests to determine what can be done now?

please any input would help,  I am very frustrated as I am unable to play soccer because I cannot run for a long period of time due to this.

Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on April 17, 2012, 02:04:58 PM
Hi

Don`t take no for an answer - it`s your knee - I think that you should seek out a third Orthopaedic Consultant, and work out from a NEW MRI scan.

Other than that, you will not have any long term use of your knee.

Keep trying

Take care

 
Title: Re: Ruptured Quadriceps Tendon
Post by: Barbarossa on April 27, 2012, 01:55:33 PM
Update - 12 Weeks

Not posted for a few weeks, so here's an update. Physio has been continuing. Over the past 5 weeks, I have achieved full ROM in the knee. Started driving again at 10 weeks. Day to day, I am able to carry on essentialy as I was pre-accident: walking 6+ km without problems, stairs OK, no serious aches unless I stay still for too long, but then 5 mins walking sorts things out.

Started cycling outside this week. I've managed 3 rides of 16km, 26 km and 16km. Appart from being dog slow, there weren't any problems with my knee. Going to put a lower bottom gear on my road bike though.

Saw the consulant today. She was really pleased with the progress, infact she has signed me off when the current physio sessions finish (2 more weeks). Advice is to be careful for at least another 3 months and not start running for another month.

All in all, really positive.

Title: Re: Ruptured Quadriceps Tendon
Post by: devildog2006 on May 08, 2012, 04:18:05 AM
I ruptured my patella tendon completely and surrounding tissues with it folding back on itself, it was in surgery 2 days later and am now 5 weeks post op. I am prior military, but far from being in good shape currently at 30 and weighting 285lbs at 5'11. I have been out of the immobilizer for 2 weeks, wearing just a neoprene brace for caution. A few days ago I was able to start driving again, I have been doing 15 minutes on elliptical at gym and walking about a mile a day with no pain and little to no swelling. ROM is at 80-90 and I have no buckling in the knee even with light squatting. Is it unusual to be where I am right now? Reading other people's posts make me wonder, if the knee wasn't responding so well I wouldn't try this stuff...so am I being foolish?
Title: Re: Ruptured Quadriceps Tendon
Post by: ppotz on June 01, 2012, 04:52:16 AM
Sunday past, bottom of a short flight of stairs. My lower leg was moving forwards; my upper body lost a bit of balance backwards. There was a "pop" and I crumpled to the ground screaming in pain. Fortunately, the doc at the ER suspected a ruptured quad tendon and referred me to the OS the next morning. There was some bouncing between his clinic and the hospital for ultrasound ... but eventually agreed on surgery that (Monday) evening. Unfortunately, this being a small town (Cornwall, ON) there was only a single OR available and it was backed up with emergency colon surgery - so I had to come back the next morning.

Still and all, less than 48 hours from injury to surgery is not too bad. And as I write this 60 hours post-op I'm down to Tylenol for pain and Celebrex as an anti-inflammatory. I want to thank everyone who's been posting - your experiences and advice are invaluable and fill me with hope.

I'm 58 and try to ride 2500 to 3000 km per year ... and I'd just passed 1000 for this year. I've told my OS that my goal is to be back on the bike before the end of the year.

Paul
Title: Re: Ruptured Quadriceps Tendon
Post by: justhooked01 on June 04, 2012, 05:29:31 AM
Another newbie to the forum: A 51 year old 'hockey goalie' hoping to get back on the ice

Jan 7, 2012
Clean rupture of 'all' quad tendons from right knee.  I was down on the ice with both feet under my buttocks and a very large referee fell on my right thigh.  At first I thought that he had kicked me somehow since the pain was not really significant.  It did not turn black and blue at all and after 2 days of not being able to straighten my leg I went in for diagnosis; surgery followed 1 week later.

Weeks 1 and 2 - Spent the entire time in a an immobilizing brace, removing it only to ice the surgical area.

Week 3 - Received a ROM brace set at 30 deg. with instructions to lock it out when walking and release it when sitting for more comfort.

Week 4 - 11 - Physical therapy 2x per week with 145 degrees of flex by week 6.  Both the doc and PT were happy, but regaining strength has been a lot slower.  The PT actually struggled for things to challenge me weeks 10 and 11 because I had finished the 16 week protocol at 10 weeks.  The PT put me on a plyometrics program which I do 2-3 times per week.

- I'm now coming up to 5 months post surgery and am skating again, albeit rather clumsily.  Nonetheless, I'm able to easily skate for an hour at a good pace.
- After a 1/2 mile walking warm-up I can do something that looks like running. I do 200 yards running and then 100 yards walking for a mile.
- I've taken to mowing the yard by hand and do a 'hilly' acre in about 2 1/2 hours, but it feels better than riding on a lawn tractor.

My biggest concern is what I perceive to be a lack of strength and endurance in the knee.  Quite honestly, the lack of symmetry between the two legs is starting to bother me.  Any thoughts on the following would be greatly appreciated.
- The muscle atrophy is still very visible and I'm wondering what I can do to safely build up more muscle mass.
- Is running at 5 months expected or am I pushing it?
- Should I be focusing more on weight training instead of endurance?
- The doctor said I can begin playing hockey again, does this seem reasonable?

Thank you to all who have posted on this website, it's helped me gain some perspective on what the next year might be like.

Don
Title: Re: Ruptured Quadriceps Tendon
Post by: Barbarossa on June 10, 2012, 07:32:03 AM
4 Months Update

4 months since the injury and surgey. Day to day I don't notice it.

I've been cycling for 6 weeks now, I have been quite cautious and started out by fitting a mountain bike cassette to my road bike, but now I've taken that off and am doing over 100km per week. Stil avoiding ride over 2hrs and no sprint intervals yet. Really pleased when I think back to mid March when I couldn't turn the pedals a complete revolution.

Started running 2 weeks ago. 3 x 5 minute runs in the first week, increased to 7.5 minutes this week. The knee is behaving itself.

Paul

Title: Re: Ruptured Quadriceps Tendon
Post by: ppotz on June 11, 2012, 11:07:50 PM
One day shy of 2 weeks post-op and i had my first follow-up with the OD. He told me that where the ultrasound had first shown only a partial rupture, he instead found the quad tendon had fully ruptured. That would explain the extra amount of time I wound up spending in surgery. He unwrapped the dressing and the staples were removed (only one or two pinched a bit). After examing his handiwork he had me do a straight-leg lift - and I managed about 3 or 4 inches off the table. I'll be getting a Bledsoe brace by the end of the week but the doc wants to keep my leg locked straight until I go back to see him in 4 weeks :(


On the bright side, my tolerance for weight-bearing has been very good and with the OD's approval I can move to a cane at my convenience (maybe as early as the endof the week perhaps. Pain hasn't been an issue for me ... I never filled the prescription for Percocet that the ER doc wrote - and only took maybe 4 or 5 (and several were only half-pills) of the Atavan the OD gave to treat post-op muscle cramping. I did manage to go through most of a bottle of Tylenol in the first week, but haven't had to take anything for almost a week now.


I'm *really* looking forward to the lighter brace ... the Zimmer that I've been wearing is starting to get uncomfortable in this 30C+ heat.


I really appreciate the time everyone takes to put a few words on these pages ... the road to recovery will be long, and I get a lot out of reading how the rest of you are progressing - especially Paul (Barbarossa). I really miss getting out on my bike ... and at least I can have the vicarious experience from his postings.


Paul
Title: Re: Ruptured Quadriceps Tendon
Post by: jomise on June 13, 2012, 04:45:09 AM
hi my husband fell in garage as he was going to drive me to my surgery for a rigid big  toe and tore his left leg quad tendon. just had surgery on june 8 , this was done as and outpatient  and he was sent home  and had to crawl into the house and bed. h can't put any weight on it and has to use a wheel chair and has to keep it completley straight. goes to the os next monday. it is hell, his wife
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on June 13, 2012, 09:27:12 AM
Welcome to the RQT club -   I have e-mailed you a set of documents which will give you an indication of the rehab which is store for you - a long rehab - PATIENCE is required.

How did your husband sustain his injury?   Where do you live.

Keep posting

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: jomise on June 15, 2012, 04:07:08 AM
thanks. we are in canada.   first week over, and he is just able to take afew steps with the walker. at least the pain has  reallly subsided so he is feeling better about that. i don't think he will be able to weightbear for another week.  he will gets stitches out on monday. this type of surgery should really only be done in the hospital  and the person should be kept for a few days. he is 62 and i just had surgery on my foot so the 2 of us were not in great shape. his surgery was done in a clinic that is part of our health care but does alot of sports injuries surgeries. i am not happy with his care there. anyway one day at a time but i think i am living Groundhog Day. Ha Ha.
Title: Re: Ruptured Quadriceps Tendon
Post by: jomise on June 19, 2012, 05:18:28 AM
hi all. had first os visit today said the leg looked good but it will be 4 more weeks before he can start therapy. he can try a little weight bearing but sitll has to keep the leg straight. he can now rest it on the floor while seated. this  seems like one of the worst areas to  have an injury. he is using a walker  but not crutches yet, his wife.
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on July 08, 2012, 10:44:13 PM
Hello all,

It is with a heavy heart that I join this forum.  I am 6 weeks post op from a right quadriceps tendon rupture.  I injured it while trail running up in Northern Wisconsin.  It took EMS 1 1/2 hours to get to me and yet another hour to the hospital in Iron River.  For those that are a member of the RQT club I don't need to explain how painful this injury is.  I am 44 and was in excellent physical condition at the time of the injury.  I endend up driving 6 hours back home to the Chicago area the next day after being released from the ER.  That was not pleasant to say the least.  I followed up with an ortho doc the next day and was operated on 5 days after the injury.  The doc says the surgery went well.  The sutures came out at 2 weeks but I still needed steri strips  to help keep the incision closed for another 3-4 weeks.  I started PT at 4 weeks and had a ROM of 45 deg.  I am currently stuck at 60 ROM with a lot of pain at the patella.  I have been stuck at 60 for a week and the DR wanted me to be at 90 and 110 in 2 weeks.  I have tried everything to stretch it past 60 but the pain and presure are way to intense even with 2 norcos and a valium onboard.  I am getting very discouraged and going berzerk just sitting on the couch with my leg elevated trying to control the swelling.  I have watched enough TV to rot a 12 year olds brains...uuuugghhh.
With that being said, I am able to walk around without my brace with a limp and no crutches, although I try not to do this fearing if I stumble and re injure the tendon so I keep the TROM on locked at 0 per the PT's orders.  My pain is low as long as I don't bend the knee.  The pain starts at around 45 deg and gets to be too much at 60 degrees.  I have PT 3 times a week but it seems we are stuck at 60  for now.
Lastly,  I was happy to find this forum and I actually read all 40 some pages before joining and posting this.  It feels great to be able to read the stories of others who have and are still struggling with a RQT.  Talk to you soon,

Jim
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on July 09, 2012, 07:25:03 AM
Hi Jim

Welcome to the RQT club - You have taken the right approach, reading many of the previous posts to get an idea of how serious injury that you have sustained.

If you let me have your e-mail address, I will let you have a set of documents which will give you an idea of the rehab procedure - a long haul and PATIENCE is required.

Take care

JohnK/ Manchester UK
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: ppotz on July 09, 2012, 10:50:53 PM
Today was my 6-week post-op visit to the Orthopedic surgeon. My right has been locked straight in the brace continuously for the past 4 weeks - except at night for the past week when I've been taking it off for sleeping (heat wave/no air conditioning) ... and of course when I take a shower ...  and sometimes when I hobble very short distances around our place. OK "nearly" continuously.

He poked and prodded the quad tendon area and asked me about any pain ("only when you poke me there doc"); but I've been very fortunate and haven't had any pain. Even the doctor's pressing on the tendon was not much more than the feeling of somewhat uncomfortable pressure.

My legs were up on the examination table and he asked me to bend my knee ... I did as far as I was comfortable and he asked me to hold it until he measured with his protractor. I’m not sure what his reading was ... but he seemed satisfied and promptly set my brace for 50 degrees range of motion. Then he told me to add 10 degrees every week until I come back to see him in 6 more weeks - at which time he wants to see me at 110 degrees ROM.
 
No physiotherapy yet. But, he did say that I could start driving again.
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on July 11, 2012, 01:09:10 AM
Good news.  The DR ordered a CPM machine which was delivered today.  I started using it right away.  My starting point was a mere 47deg but I was able to increase it to 52deg during the first use.  The orders are to use it 3 times a day for 2 hours each use increasing 5 degrees each session.  I hope this does the trick and gets me past 60 and to 90 by the end of next week.  Have any of you had any experience with one of these machines?    It is a Kinex CPM with a Max ROM of 120 degrees.  Any input would be appreciated. ;)  Again I am at 7 weeks post op with very poor ROM and some significant swelling.  I am using a polar care ice machine now and was told by the CPM agent to use it as much as I can to reduce my swelling.  My PT told me to stop the icing because it was making my knee stiff.  It is hard to get clear advice from the folks caring for me at the moment. :-\  I think using some heat before using the CPM followed by icing would be prudent but I am not an expert by any means.  I am praying that the CPM does the trick.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on July 11, 2012, 07:52:06 AM
Hi Revielle

If you let me have your e-mail address, I will send you a set of documents, which will help you to understand your injury and the rehab procedure.

JohnK/Manchester Uk
[email protected]
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on July 12, 2012, 07:18:10 PM
Hi Revielle

If you let me have your e-mail address, I will send you a set of documents, which will help you to understand your injury and the rehab procedure.

JohnK/Manchester Uk
[email protected]


Yes I received the info VIA email.  Thank you.

With the CPM I have made some ROM progress.  I am currently at 73 degrees and gaining 3-5 degrees every session.  I use it 3 times per day so I hope to be at 90 degrees in a week.  My next ortho DR appointment is 7-18.  Slow and steady... ;)

Edit:  The CPM was fooling me because it wasn't properly fitted to my 38" inseam leg.  My foot wasn't locked down properly either so my real ROM is still stuck at 65deg.  The OS ordered a Medrol dose pack to reduce swelling in hopes of moving things along.  The CPM rep is stopping by Monday with some proper fitting parts to also help out.  This is frustrating. >:(
Title: Re: Ruptured Quadriceps Tendon
Post by: jomise on July 16, 2012, 04:23:21 PM
hi  just an update. it is now  going on 6weeks and tomorrow is doctor's appointment . hope my husband will be able to start physio. he has come along way since the accident, and can now walk without assistence. the knee can bend a little and he can do leg lifts. i never thought we would reach this stage, it is a long road to recovery.He drove to work for the first time today alone.  His wife
Title: Re: Ruptured Quadriceps Tendon
Post by: lenboy on July 16, 2012, 07:34:16 PM
Having read so many posts about ruptured quadriceps, i must consider myself very lucky.  3 years ago i fell in the garden about four feet onto a brick
patio hitting both my kneecaps at the same time.  The pain was intense and i really thought i had smashed both kneecaps.  I laid there four about half an
and i began to get some feeling back and was able to move my legs very slightly.  Nobody was at home and I managed to move myself around with my hands over to a chair but unfortunately could not raise myself onto the chair.  I laid there for about 4 hours in the boiling hot sun until family returned
and they lifted into the lounge onto a settee.  I  could not stand and for about a week was dragging myself round the house and upstairs to bed. which I
managed to get in with the help of my wife.  The bruising was terrible but i was in no pain.  After spending a week in bed I attempted to get put of bed
and fell.  We called ther doctor who pulled my legs about and there was no pain whatsoever and he said he could find nothing wrong except for thre
awful bruising. After another week  trying to walk I fell over twice so we phoned the doctor  who arranged to get me into the fracture clinic. As luck would have it the ambulance arrived at 6 pm instead of between 12 and 2 pm.  Yes i ended up in A&E at about 6.3o pm where I was examined by a doctor who could find nothing wrong. I insisted on an xray which was done and the doctor said there was nothing wrong.  By this time it was about 10.30pm and the doctor said you will be going home after she had popped upstairs to have a word with a colleague. He came down rubbed his hands down both my legs and said you have ruptured both your quadriceps and invited me to feel there was an inch between my knee cap and leg.  He marked up both legs and said operation in the morning.  I had an epidural and the operation took about two hours.  I stayed in hospital until the original splints were removed and new splints were put on and went home.  I was advised to lift alternatively each leg about6 inches and count to five and
I did this several times a day and by the time the splints were due off  (4/6 weeks) I was able to count to 50.  After having the final splints removed
I was on crutches for quite a while.  I kept walking on the crutches as often as possible.  A physio was allotted to me but informed me that what she would try and get me to do I could already do so she was not needed.  After a couple of weeks on the crutches I decided to have a go at driving my car
an mgtf sprint.  Went to start her to find the battery completely flat which Ii put on charge. Eventually i got in the car which felt very strange and I 
I felt nervous.  I drove around for awhile and I knew I had won.  The pain I have experienced was getting up from a sitting position< I also felt numbness in my kneecaps and obviously some aching in the legs.  Three years later I can go up and down stairs with no problem and go for fairly  long walks.  I think
this was all down to persevering  and of course no post op problems.  I have never worn any knee contraptions.  I would also point out that when my
accident happened I was 78 years old and I am now 82 years old.  I hope that this thread will help anyone who may be getting a little  despondent.
lenboy
[email protected]
 
   
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on July 19, 2012, 12:18:47 AM
Well, I had an 8 week post op appointment with the OS this morning and he is giving me till the 30th to get to around 120 degrees using the CPM and if I am unable then he wants to do MUA...lucky me.  I just hit 85 this afternoon and I think I may have some adhesion and scar tissue that needs to break loose.  I will do my best with what I have and if not then it's back to the OR. :o
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on July 30, 2012, 08:59:24 PM
Well I met with the OS this morning and I will need a MUA this Thursday. :(  He says that he will try to break up the scar tissue externaly using manipulation but may need to go in using a scope. I also have a PT appt for the afternnon following the MUA to continue the scar tissue breakup.  Thank God for the femoral nerve block. ::) I hope this goes well because I am walking pretty well now and almost able to walk up stairs.  My ROM is at 70 but with strong force I can get close to 90 degrees.  I pray the MUA goes well and will help push my recovery along faster after the swelling from the MUA subsides.  I ditched the crutches and knee brace 2 weeks ago and have been working on walking normally.  With some luck, the MUA will be helpful and I can get on a bike to start some cardio and muscle work within a week.  I will update on Friday after the smoke clears.  Thanks for listening.

Jim
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on August 03, 2012, 11:06:58 PM
Well I had the MUA yesterday and he was able to get me to 145deg without going in arthoscopicaly.  I went right over to rehab an hour later and they were able to get 135deg before the pain was too much to bear.  I was able to get on a stationary bike for 15 minutes too which was awesome.  When I went to get into my wifes car I steppped funny and my leg buckled and I ended up heel to butt causing extreme pain,  A couple ortho docs carried me back inside and examined me and it seems I didn't do any serious damage other than some muscle tearing.  I had a femoral block in at the time so my leg was like a wet noodle and just folded on me.  I was real worried that I had torn the tendon off again but it seems it held.  Swelling is out of control for now but I had another PT appointment this morning and the block was worn off and they were able to get me to 115 and I was able to get on the bike with a good amount of discomfort.  Right this very minute I am very sore but I need to keep things moving so I don't loose what we gained.  That is it for now, more updates to follow. Wish me luck...
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on August 07, 2012, 05:22:31 PM
The post MUA/fall pain is going away and the swelling is better.  Been on the bike twice a day and also the same for the CPM making it to 120 every time.  My pain is mainly at the patella now.  PT 3 times a week with max ROM pushes waaay beyond my comfort zone but hey that is their job right?  I am starting to think that there IS a small light at the end of the tunnel... ;)
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on August 08, 2012, 10:02:20 PM
Well I had my post MUA exam today with the OS and he took some x-rays to see how things looked and my patella is now fractured in half from the MUA.  I guess that explains the extra ROM I gained all at once.  I am headed back to the OR tomorrow AM to start over.  The OS isn't even sure what or how he can do to repair the carnage since he has never seen this happen.  My patella is beat up pretty badly and he may need to use donor tissue and bone at this point.  This is very devastating since I am at 11 weeks post op from my rupture.  I just can't believe this is happening.  Any prayers would be appreciated since I will need a ton of strenght to make it through this AGAIN... :(
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on August 08, 2012, 10:18:49 PM
I for one will say a prayer for you - how often do I write PATIENCE is the keyword in the rehab procedure.

Go with the flow, and wish you a speedy recovery.

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on August 09, 2012, 01:44:51 PM
I for one will say a prayer for you - how often do I write PATIENCE is the keyword in the rehab procedure.

Go with the flow, and wish you a speedy recovery.

JohnK/ Manchester UK


Thank you for the prayers.  Patience is one thing but when you make it 12 weeks only to find out you have to start over from the beginning is another...  I pray for the strength to bare this one.
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on August 12, 2012, 06:15:51 PM
The surgery was completed (8-9) last Thursday as planned per my previous post.  This was the 3rd trip to the OR in 11 weeks I have endured.  I don't know how to feel anymore.  My patience has been pushed beyond anything reasonable.  Now I wait to see if this repair will hold.  The OS removed the fracture piece of patella and reattached the tendon to what was left of the patella.  He used a heavier gauge kevlar suture and used additional suture anchor points this go round.  My post op pain was just about the same as the first tendon repair 11 weeks ago.  The period after the nerve block wearing off and the pain getting managable seems to last around 18 hours and is beyond description...even with the perscribed pain meds onboard....my wife just locked me in the bedroom with the windows closed as not to alarm the nieghbors.  I am past that now and the pain is getting better.  I am just icing and elevating and praying for a miracle now.   
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on August 16, 2012, 08:26:55 PM
Had a 6 day post op exam yesterday and all is well so far.  Since I have a CPM at home the OS asked me to start using it up to 20deg to try and avoid scar tissue build up.  He told me that he removed an extreme amount of scar tissue from my knee that formed after my original repair.  That explains my lack of ROM.  Has anyone here used a CPM or passive therapy as soon as one week post op from a RQT?  I hope this gets me moving freely faster than the last goround.  So far the knee is moving freely with little pain.  Thanks again for all the support.

Jim
Title: Re: Ruptured Quadriceps Tendon
Post by: ppotz on August 16, 2012, 11:04:52 PM
Today is 81 days post-trauma and 79 days post-surgery.

At my 6-week post-op visit the OS set my brace at 50 degrees and told me to add 10 degrees every week - no PT - and to come back in 6 weeks with 110 degrees ROM.

With my 50 degrees of "freedom" I had enough maneuverability to be able to get behind the wheel and resumed driving.

I'm several weeks past my last use of a cane and can manage 4 flights of stairs at least once every couple of days. I'm fortunate in that I live quite close to where I work and have been able to walk to and from without difficulty.

But ... today ... I set up my bike on the trainer and managed for the first time since May to spin the pedals in full circles for 10 minutes.

I know that many weeks of PT lie ahead ... but those 10 minutes today have given me a very healthy dose of optimism.

Paul
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on August 22, 2012, 03:03:18 AM
Hello again.  I am at 12 days post op from my repeat RQT repair.  This time around I am noticing some well how do I say this, amazing results already.  So today I was finishing a 90 minute session in the CPM when just for giggles I tried to do a straight leg raise, and to my surprise my leg lifted with ease and no pain either.  When I had my original repair I couldn't do a straight leg lift until around 7 weeks.  I get the staples out in 7 days and I plan to have a long talk with the OS to get a game plan that fits.  So far he has me using the CPM up to 35 degrees which feels great and no pain, just some pinching from the staples as to be expected.  The OS is hoping that using the CPM will reduce the scar tissue build up that derailed me last time around.  I can't help but wonder how this is happening and I pray good things continue.

Jim

ppotz(Paul)  Glad to hear your recovery is going well and I hope you have a speedy recovery.  Getting back to work is great and it is killing me that I was merely a couple days away from getting back when the old patella gave loose.  4 months off work is causing all sorts of problems but I will make it back when I can.
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on September 01, 2012, 08:40:48 PM
Staples came out last Tuesday and the OS instructed me to increase the CPM 5 degrees every 2 days with a goal of 90 degrees by 6 weeks.  I am currently (3 weeks post op) at 52 degrees today with no pain and very little swelling.  Hopefully things continue to progress smoothly. 
Title: Re: Ruptured Quadriceps Tendon
Post by: JaxBill on September 03, 2012, 09:12:14 PM
First off, I'd like to thank everyone for providing a wealth of information out there.  A truly great site that has provided me insight and hope.

About myself - I'm a 46 yo computer programmer in Jacksonville, FL who worked out fairly often but still could use to drop 30 pounds.  End of July, I was zip-lining on a family outing in Daytona.  Long story short, I went into a tree platform too quickly and went knee first into a thinly padded tree.  Yes, think of the beginning of "George of the Jungle".  I was in incredible pain and the swelling was instantaneous.  I went to ER and they took x-rays and assured me nothing was broken.  Next Day (a Tuesday), called the orthopedic doctor and the first appt they had was Friday.  Doctor took one look at the cavity at the top of my knee and my inability to raise my leg and instantly made the diagnosis.  MRI showed no other damage but showed my lack of cartilage left in that knee.

Operation was the following Wed (8/8).  First 48 hours was terribly painful. I weaned myself off of painkillers rather quickly (8 or 9 days).  Staples were removed after 2 weeks.  I've been in an adjustable knee brace set at zero since the operation.  Tomorrow is 4 week (roughly) checkup.  Supposedly they will start gradually opening brace.  Hoping they start scheduling PT also.  Still using crutches but have been putting more weight on bad leg.  I have been sleeping/living in a recliner with pillow under leg.  Showers have involved a chair.  Doctor has given me exercises involving swinging leg in brace to side to strengthen atrophied quad.  Last week I have been allowed to do leg raises in brace.

Overall, things have gone well so far.  I'm lucky that I feel like I ended up with a very good surgeon.  (He is also the team ortho for the Jacksonville Jaguars). Also fortunate that my work allows me to dial in from home with remote desktop. I basically took 3 sick days for the operation. Also thankful that I have friends that picked me up and took me to our fantasy football (NFL) draft to break the monotony of daily TV/computer/reading.

Bad news is that it is my right leg so driving is still a loooong ways out.

Accident 7/30
Operation 8/8
Staples Out 8/22

Thanks
Bill

 flyerbill*AT*yahoo*DOT*com
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on September 03, 2012, 10:34:30 PM
Hi Bill

Welcome to the RQ tendon thread on KneeGuru -  I have sent you a set of documents which I have compiled over the years - read with care.

Suggest you read previous posts on this thread - ASK questions - lots of buddies out there to help you.

Take care

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: zski on September 04, 2012, 05:28:13 PM
Hello all,
New poster - I'm a 42 year old active guy - skiing, biking, hiking, swimming. I nearly completely ruptured my left quadriceps tendon on 25 July, 2012. I landed oddly whilst jumping on a trampoline. I had surgery on 31 July, and I'm now 5 weeks postop. My ortho's regimen has me in a straight brace whilst weightbearing for another 3 weeks (8 weeks total), and I've been doing PT for 2 weeks now. ROM is about 40 degrees.

My goal is to most definitely get back to 100% of all activities I was doing before the injury, although I might avoid the trampoline...
Thanks for a very informative site.
Cheers.
Title: Re: Ruptured Quadriceps Tendon
Post by: JaxBill on September 05, 2012, 01:03:03 AM
Four week checkup went very well.  Doctor said I was ahead of schedule. I can do straight leg lifts. He was able to bend my knee to what he judged to 60 degrees without pain(which surprised me since I have really tried to keep my leg straight).  Going for first PT on Friday.  Next two weeks, PT is supposed to be 0-60 ROM and after that 0-90 ROM for 2 weeks.  He wants to see me in 3 weeks. I'm allowed to put full weight on it but use crutches when out of house.

Bad news is that he didn't open the brace at all because of the weight bearing.  And I still have to wear the brace while sleeping.

Good news is that in 3 weeks he hopes to open it to 90 degrees and possibly allow driving.

Overall, very positive and I'm thankful to see things progressing.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on September 05, 2012, 07:37:11 AM
Hi Bill

A further tip is to sleep with a pillow/cushion between your knees - takes the pain away from the injured knee.


JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: JaxBill on September 13, 2012, 05:21:11 PM
Now at 5 weeks and PT is going well.  I'm supposed to be ROM 0-60 until Week 6.  Last PT session they used electronic stimulation and after warmup and stretching, my ROM was at 63 degrees. Next week I start 0-90 ROM and I'm a little worried about that.
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on September 14, 2012, 07:08:58 PM
Now at 5 weeks and PT is going well.  I'm supposed to be ROM 0-60 until Week 6.  Last PT session they used electronic stimulation and after warmup and stretching, my ROM was at 63 degrees. Next week I start 0-90 ROM and I'm a little worried about that.


63 deg is about on parr so keep up the good work. :)  After my first RQT repair my ROM was very poor due to scar tissue but I had a followup repair and I am at 5 weeks now and have 80 deg ROM today.  My OS wants me to get to 90 deg by next week which is 6 weeks.  If you have a CPM use it as much as you can and ICE, ICE, ICE and elevate after working your ROM.  I learned the hard way.  I pray you recover well my friend. ;)
Title: Re: Ruptured Quadriceps Tendon
Post by: JaxBill on September 17, 2012, 08:56:28 PM
FYI, NFL defensive lineman Adam Carriker done for the season with torn quad tendon

http://www.washingtonpost.com/blogs/football-insider/wp/2012/09/17/brian-orakpo-adam-carriker-done-for-season/

Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on September 17, 2012, 10:12:04 PM
A RPT is a typical sports injury, with a six months rehab


JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: JaxBill on September 19, 2012, 10:56:40 PM
Exactly 6 weeks today so at physical therapy today I tried to go 0-90 ROM instead of 0-60.  After electronic stim and stretching, I was measured at 81 degrees.   Both the therapist and I were pleased with that.  Two more PT sessions before I go back to the doctor and hopefully he opens the brace up to 90 degrees.
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on October 06, 2012, 04:07:32 PM
Hello again and another update>

After 3 weeks of PT, it is with a heavy heart that I report my ROM is stuck at 85deg.  The girls at therapy have tried everything but we have stalled.  I called the doctor yesterday to fill them in and they prescribed a Medrol dose pack in hopes of the stiffness and pain to be reduced.  I started them this morning.  My followup doctors appointment was scheduled for October 17th but they extended it to the 31st in hopes of reaching our goal of 120 deg to avoid another MUA.  I was doing so great this time and my spirits were high until this plateau.  Currently at 8 weeks post op.  Wish me luck.  I plan to fight all the way though... >:( 
Title: Re: Ruptured Quadriceps Tendon
Post by: ianb2405 on October 11, 2012, 04:33:40 PM
I have been reading this forum for a while now.

RQT left leg August 2012.
Had my second PT this afternoon.
ROM increased from 42 to 52 in 2 weeks.
Not a large improvement but it is getting better.
PT was talking about "closed" and "open" exercise?
Walking better now but still with 1 crutch.
PT advised to use ice if the knee gets very sore and swollen
He also agreed that I could go in a swimming pool to do some walking in the water.

Good luck to all forum users

Ian


Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on October 11, 2012, 08:14:52 PM
Welcome to the super exclusive RQT club Ian. ;)  The benefits include walking with a limp and painful knee flexion for waaay longer than you think. ::) 
How many weeks out from surgery are you?  My second repair was August 9th.  The first repair failed due to excessive scar tissue and during the MUA my Patella fractured.  Fun stuff for sure.  My range of motion is still progressing slowly and I may need another MUA...Lucky me.

Good luck with your rehab, I am told there is life after a RQT. ???
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on October 15, 2012, 10:56:27 PM
Went to the Doc today and got an injection in the knee in hopes of some swelling and pain relief.  He also ordered me a flexinator to help regain the ROM since the girls at PT can't seem to make a break thru.  I am just shy of 90 degrees so hopefully this will help get the rest to avoid another MUA. >:(  Wish me luck ;)
Title: Re: Ruptured Quadriceps Tendon
Post by: ianb2405 on October 20, 2012, 08:45:07 PM
Welcome to the super exclusive RQT club Ian. ;)  The benefits include walking with a limp and painful knee flexion for waaay longer than you think. ::) 
How many weeks out from surgery are you?  My second repair was August 9th.  The first repair failed due to excessive scar tissue and during the MUA my Patella fractured.  Fun stuff for sure.  My range of motion is still progressing slowly and I may need another MUA...Lucky me.

Good luck with your rehab, I am told there is life after a RQT. ???

Thanks for that Reveille.

Lets hope there is life after RQt "But not as we know it Jim!" LOL

Surgery was 11 weeks ago

Hope the ROM keeps getting larger even if slowly.

Good Luck!

Ian
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on October 25, 2012, 10:33:22 PM
Made it to 110 degrees today...finally.  It seems the knee injection was just enough to reduce the sharp pains and allow us to make some slow progress.  11 weeks today for me too.  It feels good to get on a bike now even though it hurts pretty bad.  Oxymoron I know... ;D
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on November 01, 2012, 02:35:58 PM
So check this out.  My doctor approved a device called a flexionator.  Here is a picture of how it works.  It's pretty brutal but should help me reach my goal. It is hydraulic and will break bones if your not careful. :o Notice any atrophy in my right leg?  ???
(http://farm9.staticflickr.com/8196/8139264342_65a25eebeb_c.jpg)
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on November 09, 2012, 11:01:08 PM
Made it to 120 degrees of flex in the knee today at PT ;D  Seems all the pain and work is beginning to payoff. :)
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on November 24, 2012, 11:43:16 PM
132 and rising...  :) Headed back to work on Thursday ;D  Getting stronger every day now...Six months later ::)
Title: Re: Ruptured Quadriceps Tendon
Post by: ianb2405 on November 25, 2012, 05:42:38 PM
Reveille,

Well done with the ROM. My PT last week got mine to 70, slow but it is progress.
Hope work goes ok.
Take it easy!

Ian
Title: Re: Ruptured Quadriceps Tendon
Post by: Dellas on December 24, 2012, 10:27:10 AM
Thank you for this site and for all the posts ... I have read them all and each post has helped me complete my task at hand, that being to heal and get back to 100%.

I am 58 year old male that is very physically active, and who tries to take care of himself and am lucky to have no health issues.  Several weeks before my complete left quad tendon rupture, I now know that I partially tore the tendon at work but walked it off.

On September 14th 2012 I snapped the tendon, heared the pop and felt the pain, and proceeded to fall down a flight of steps at my home, ouch ... double ouch and thank God I did not break my neck in the fall down those steps.

Surgery was on September 21st and the surgeon, a Chagrin Falls, OH. OS, completed the repair from which I woke up in recovery with a hard cast that stayed on my leg for four weeks and alot of pain ... alot. The pain was reduced using pain drugs but I only took those for 3 days and have used Advil and Aleve since ....

I was allowed weight bearing from the first daym as I could tolerate and used crutches as needed.
Once the hard cast was removed, I was fitted with an immobilizer that was kept at 0 degrees.
I was asked to do leg lifts from four positions with the immobilizer on for the next four weeks after the hard cast was removed.  I had alot of swelling but not alot of pain.
I was weaning myself off the immobilizer after 8 weeks but the knee was tender and swollen, especially after the PT, see the link below for what I was asked to do.
As far as ROM, I started at 35 degrees ROM when the hard cast was removed and after 13 weeks I am 135 degrees ROM.
I did a TON  of heel slides once allowed and believe they are what helped the most with ROM.
By the way, once the surgery was completed, I read tendon healing was helped by using vitamin C and that I should increase my vitamin C which I did  to 5 grams spread out all day ... I am still taking that vitamin C all day, every day.
After 8 weeks I was allowed to use a stationary bicycle but could not go around and just rocked forward and backward, slowly and wiithout pushing too hard at either end of the spin ... this also helped me tremendously as I pushed through and by the 9 week was spinning 360 degrees with no resistance, but I was spinning.  Bicycling is my love ... I ride about 3000 miles each year outdoors and have NOT been on my bike outdoors since the rupture ...
I ice after each work out that feels good, but I have swelling and some pain the next day that varies each week.  I can live with both as I feel I am not doing damage ... but do lighten the workout the next day if swollen or really sore.
After 13 weeks I see the light at the end of the tunnel and was released to ride my bicycle outdoors, weather permitting and to start strength training which I will start Wednesday morning, 26th at 8:00 with my PT.
By the way, the OS put a stainless or titanium wire permanently in my knee during the repair which he said saves weeks in the healing process ... that was inserted through my patella and is woven through the quad muscle ... looks pretty interesting in the xrays.
My PT is a young man, who has two assistants, they are all very good and take a very conservative approach to the work after the surgery ... he has been in the business for about 12 years and sees very few quad tendon ruptures.
I am committed to increasing the repaired leg strength now .... the OS said that this will take 6 to 18 months ... and even then, I may only get to 90 or 95% percent ...
My PT follows the format of therapy as noted in the link below almost identically, which is by coincidence, not planning.  I found this link by looking around the Internet ...

http://www2.massgeneral.org/sports/protocols/Quadriceps%20and%20Patellar%20tendon%20repair%20rehabilitation.pdf[/u][/u][/b]

I am writing all this in the hope that my experience may help anyone who reads this .... as the experiences of those who wrote before me has helped alot ......

If anyone wants any further information about my experience, please email me at [email protected], good luck to everyone, wishing all good fortunes and good health for 2013.

Warm regards,


- Ted
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on December 24, 2012, 11:56:43 AM
Hi Ted

Welcome to the RQT thread on KneeGuru - you will do well by reading previous posts on this thread - lots of buddies out there to answer your questions.   
 I have sent you a set of documents which I have compiled over the years - Read with care, and I hope will give you a further insight to your injury, together with the rehab process - a long rehab in front of you.

Keep posting

Best seasonal greetings

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Dellas on December 25, 2012, 01:40:36 PM

John,

Thanks for the good information, read it all, very pertinent.

Thirteen weeks after my repair, I am convinced that to assure each person's chances for a 100% recovery, that knowing the facts is critical, and probably most critical is to know as much as possible before your surgery.

The OS that did my repair had worked on my right knee 13 years earlier due to another matter and I had good results, so I knew this OS, liked him and trusted his ability to complete the task at hand ......

From what I have read post surgery, there are diagnosis issues, repair technique issues, therapy issues etc and what is best for each one of us varies for a myriad of reasons .... so knowing facts and information is a must.

I never doubted who I wanted to repair my knee, so that was not a discussion for myself ... what was a discussion was the therapy and what I know now is that ROM of motion is the first focus and strength to get back to normal second .... but what I believe is a common denominator for all of us ... is that the healing process takes time ... and to try and go faster than what is needed to heal ... to gain ROM and strength more quickly than  what that needed time factor is ... is a receipe for a huge failure of catastrophic proportions ... and was what I did not want to have happen.

That would be what I would pass along if anyone asked me what my thoughts are ....

Wishing you Merry Christmas ....


 - Ted
Title: Re: Ruptured Quadriceps Tendon
Post by: Joerd101 on January 07, 2013, 11:55:39 PM
Update on progress
Now just over 9 weeks post op
Have achieved 120 degrees ROM which is great! I have found that walking as much as possible helps

Also if you have scar tissue build up, try a remedial sports massage, it helps with blood flow and movement and is really nice

They also recommend a foam roller which can help with tight ITB's and massaging the adhesions in your leg

If you have a bit of cash, invest in a stationary bike. I recently got one and have been doing 5 to 7km a day. Once you get past 90 degrees you should be good to go and it helps with strength and movement up to 120 degrees

Hope everyone is recovering well..
Title: Re: Ruptured Quadriceps Tendon
Post by: reveille on March 04, 2013, 07:15:50 PM
Checking in after 7 months from the second repair. 
Well first I will talk about the good>
  My range of motion is decent  at  about 135 degrees, still can't go heel to butt.  I can walk normally now and I have returned to playing tennis twice a week for now.  My game is muted since I still can't move too quick but I am on the court. :) I also ride bike as much as I can which is relatively painless. 

Now for the bad>
Well not really bad but not great anyway.  My leg is friggin stiff...I mean I need to ride a stationary bike for 20 minutes before any planned exercise or the leg is worthless.  I have a lump above my patella laterally that is painful and hard.  I also have a good amount of swelling in the knee.  My DR doesn't seemed concerned with it though?  The weird thing is my knee is always HOT.  I mean HOT when compared to my good knee.  I ice it but the heat comes back immediately.  Has anyone had this problem before?  Possible infection?  The pain is still there but barely tolerable but I am glad to be walking again ;)  Atrophy is still noticeable but I guess it is about 70% rebuilt.  The biggest bummer is I still can't run at all.  I was running 3-4 times a week prior to the rupture so I have packed on 25lbs since my cardio has been decreased.  I hope it continues to get better so I can return to a have a half way normal life again.  End rant... ::)
Title: Re: Ruptured Quadriceps Tendon
Post by: themerewaymeat on March 08, 2013, 06:03:04 PM
Evening all,

I have today been told that I have ruptured my quadricep tendon on my left leg. This is 3 weeks minus a day since I did it tho! Not ideal I guess? A+e initially thought I had broken my femur so sent me for xray and no break showed up so was packed off home with crutches and told to come back ten days later for physio.. Being the impatient prat that I am I gave up using crutches after 3 days and walked/hobbled my daughter to school for the next weeks. I returned to physio 10 days later and was told it was still too swollen to work on but go home and do some basic recovery work and come back a week later - @ this point she thought it was a basic tear/strain of the quad. Each night leg was painful and swollen, returned on weds for more physio only to be told he thought I had ruptured it - great! So I rang doctor and he saw me who concurred with physio yday and sent me for urgent appointment at hospital today: specialist felt it and said yes I have definitely ruptured it + immediately put me in a leg brace.. Off for a scan Monday to determine full extent of rupture and back to see consultant next day to decide what needs to be done... At the moment I kinda wish I did break my femur as rupture recovery sounds slow! Incase you are wondering i  think I did it by jumping up to head a ball or when I landed... From my knee to my groom immediately doubled in size from the swelling...

Will update further on Tuesday but looks like a long road ahead but will certainly recover fully as have to play footy! Fingers crossed I haven't done anymore damage over the last two weeks!!!!

Darren
34yrs
Title: Re: Ruptured Quadriceps Tendon
Post by: bill.cochrane on March 15, 2013, 04:13:38 PM
Hi all of you,
I found this forum 6 years ago after a complete rupture of my left quad tendon following a Military parachuting accident.I was very worried as this injury seemed to be so rare and I was not sure if I could recover from it fully enough to take up my life where I left off.Well I am here to let you know that I did and you can too.I still skydive both in the Military and sports arenas and even at 58 still run.This forum helped me to gain the confidence to go for it when some people only seemed to want to wallow in their pain and misery.I thank all of you on this forum who gave me encouragement and the will to get better.I just thought of this site this evening and decided to see if it was still active in a way I am sad to see it is and in another glad as it will provide some of you guys with the information and encouragement that will help you get your lives back on track.Thank you all again.
Bill.
Title: Re: Ruptured Quadriceps Tendon
Post by: davemacca on March 19, 2013, 08:13:27 AM
Found this site y'day and having read quite a lot of the posts, fell into a minor heap - confirmation really as to the severity of this inury! Am a nearly 55yr old Aussie, pretty active (wavesailer, telemark skier, occasional mt biker, walker - down lots in the past 30yrs, etc). Stepped off my wavesailer as I pulled into the beach (down it a 1000 times) and bang, down like a bucket of c..p on 17 Jan - near complete tear of right quad tendon off the patella.

Op on 5 Feb (lost a week as local hospital theartes lost aircon due to Jan heatwave). Dr reckons op went well and I'm hoping like hell I get a good report card when I see him tomorrow, will be my second visit and 6wks post op. Have worn the zimmer brace since the accident (2months now) and Dr was very keen I take it very easy with brace on all the time to allow tendon repair. Last week had the brace off in the sun and moved ever so slightly without it, allowing the knee to bend and freaked at the pain - just hoping i have not undone any of the repairs - 2 screws in top of patella and fine gauge carbon fibre sutures.

Am concerned with the fact my knee has been straight in the brace for nearly 9wks since the accident. See the Physio later this week to start the rehab process. Keen to arm myself with info re options for the rehab process.

Great to have a resource like this to become informed, as Dr's here (like most places I guess) are flat out attending the other maimed and injured, to give a lot of time to fully informing patients such as myself.

Thanks for reading, Dave
 
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on March 20, 2013, 02:13:53 PM
Hi Dave

Welcome to the RQT KneeGuru webpage.   

You are in for a tough rehab with lots of physio to come

I attach a set of documents which I have compiled over the years.  They do refer to a Ruptured Patella Tendon, but the rehab is very similar.

PATIENCE is the keyword - read some of the previous posts on this thread - ASK questions.

Where do you live

Take care   JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: davemacca on March 20, 2013, 09:05:30 PM
Thanks a lot John,
I got a good report card from the DR y'day - very happy with the healing - he reckons I've been eating plenty of spinach?? The best news of the day, whilst a bit freaky, is that I can take my brace off (worn for nearly 9wks), 2 weeks earlier than expected. Will only use it to give confidence moving around.
Start my Physio tomorrow which will be interesting, to say the least.
I live on the South Coast of NSW about 2hrs south of Sydney - beautiful area for all those outdoor activities that I love.
Will keep you posted with my progress.
Again thanks, Dave.
Title: Re: Ruptured Quadriceps Tendon
Post by: davemacca on March 20, 2013, 09:06:50 PM
Thanks a lot John,
I got a good report card from the DR y'day - very happy with the healing - he reckons I've been eating plenty of spinach?? The best news of the day, whilst a bit freaky, is that I can take my brace off (worn for nearly 9wks), 2 weeks earlier than expected. Will only use it to give confidence moving around.
Start my Physio tomorrow which will be interesting, to say the least.
I live on the South Coast of NSW about 2hrs south of Sydney - beautiful area for all those outdoor activities that I love.
Will keep you posted with my progress.
Again thanks, Dave.
Title: Re: Ruptured Quadriceps Tendon
Post by: davemacca on April 11, 2013, 01:45:31 PM
3 weeks tomorrow since start of rehab and 9 weeks since surgery. Brain is slowly remembering that I can bend my leg, although only to about 45 degrees. And yes, the knee does get hot and stays hot after a bit of a workout. Had physio the other day (always fun?) and then did my first bit of decent walking, only ~1km. It was very sore the next day and still is 2 days later. Back to the physio tomorrow for my twice weekly visit and dreading the work he will do to break up the scar tissue.

I seem stuck at around 45 ROM and look fwd to being able to consistently bend my leg greater than this. But the heat thing is weird. Also look fwd to getting on my bike which is mounted onto a trainer ready to go. It certainly is not a short journey to full recovery.

Dave Macca
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on April 11, 2013, 02:15:30 PM
Hi Dave 

Remember   --- PATIENCE - don`t push it


Take care

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: shane2801 on May 05, 2013, 07:34:04 AM
Hi everyone,
i did a partial tear to my right quad tendon on the 30th Oct 2012 (50% torn) . I didn't visit the surgeon as a physio said he would fix it. I stupidly believed him. I was able to walk with a slight limp but felt uneay on inclines or declines. I was able to walk up & down stairs with a little pain. All this was achievable after 3 months. I thought it would be a time thing but on the 10th April I did visit the surgeon for piece of mind. What he told me wasn't great. After viewing my first MRI I had doe ( 2 days after injury) he said he would have opted for surgery. He sent me for another MRI and after looking at that he said surgery to reattach I would need. He was worried that becuase I left the injury for 5 months the tendon may be useless as it had retracted 10 cm.
I went in for surgery and it had actually torn around 75%. He was pleased with the surgery and the tendon was good. He is confident I will make close to a 100% recovery.

My surgeon didnt put me in any sort of brace as he said I didn't need one. I am now 3 weeks post op and I have no pain. I have no brace and was only on crutches for the first week. I have around 75-80 degree ROM at present. I can walk around with full weight bearing but only walk slowly.

After reading the past 48 pages I thought I would be in a brace for weeks etc. Am I lucky? Admittedly the first posts were from 2006 so there may be more advancements in surgery I dont know. I start physio in 2 weeks.

I was only in pain for the first week after surgery. Has anyone else had a similar experience to me?? I am in Sydney Australia.

Thanks

Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on May 13, 2013, 02:41:04 AM
Hello all.  I just found this forum today and am very happy I did.  I ruptured my left quad tendon 100% on April 18th at work.  That night I had my surgery and was fitted with my leg brace - no bending or weight bearing.  My first follow-up with the Doctor was two days ago.  Had my staples & stiches removed and everything looked good according to the Doc.  He has me beginning my PT in five days (not looking forward to it).  Reading through these posts gives me some hope and also worries me some.  I know patience is very important but it's never been a strength of mine.  At least the pain hasn't been bad since the surgery.  I haven't taken any paid meds in over a week now.  I'm sure that will be changing once the PT starts later this week. 

Thanks to everyone though who has posted in this thread.

Kevin
Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on May 13, 2013, 03:00:07 AM
By the way, any suggestions on how to sleep comfortably with a leg brace locking one of your legs straight?  I've always slept on my side but that's not very comfortable now.
Title: Re: Ruptured Quadriceps Tendon
Post by: Kaputt_Knee on May 13, 2013, 06:12:15 AM
Put a pillow between your legs to stop the brace rubbing against the good leg. If you can, I found it easier to slip further down my bed and sleep on my stomach with my feet hanging over the bottom edge of the mattress. I still sleep like that, even though I've been out of my brace for a good 4 years!  ;)
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on May 13, 2013, 03:52:37 PM
Hi Kevin

Welcome to the RQT club - yes, you have sustained a very serious injury, with a long rehab sessons in front of you.

I am attaching a set of documents which explains your injury and the rehab process -  the documents cover a Ruptured Patella Tendon, but the rehab is very similar.   

The key word is PATIENCE - DON`T PUSH it - read previous posts and my documents with care.

Keep posting - and a pillow between the knees is the best method of getting a decent nights sleep, and I am doing this even after nine years.

JohnK/ Manchester UK

p.s.  where do you live?
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on May 13, 2013, 03:52:59 PM
Hi Kevin

Welcome to the RQT club - yes, you have sustained a very serious injury, with a long rehab sessons in front of you.

I am attaching a set of documents which explains your injury and the rehab process -  the documents cover a Ruptured Patella Tendon, but the rehab is very similar.   

The key word is PATIENCE - DON`T PUSH it - read previous posts and my documents with care.

Keep posting - and a pillow between the knees is the best method of getting a decent nights sleep, and I am doing this even after nine years.

JohnK/ Manchester UK

p.s.  where do you live?
Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on May 13, 2013, 04:42:36 PM
Thanks Kaputt and John.  I tried the pillow between the knees last night and it did help.  Didn't sleep all the way through the night but did sleep much sounder.  Patience is something I've never been good at but don't have much of a choice with this.  Hopefully I'll be cleared to go back to work after my next visit to the Doctor.  He actually cleared me with my workman's comp rep last week without telling me.  Had to explain to him that I can't get into my car w/out bending the leg.  He came around and re-wrote the orders for no work until after my next visit. 

I live near Chicago US.  My 12 year old daughter is very sad about my injury because the amusement park nearby just opened.  Every year we spend at least every other weekend there and now this year I can't be her "roller coaster buddy".  But at least I can sit in the wheel chair and hold everyone's items while they ride. 
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on May 13, 2013, 05:12:36 PM
Hi Kevin

Noted your difficulty getting into a car.

Would advise you, that in the U.K., you must the O.K. from your O.S. to drive, otherwise, you could invalidate your car insurance.  Suggest you check A S A P


JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on May 13, 2013, 05:36:26 PM
That's the thing.  He gave the ok to my employer last week without discussing it with me.  I saw him Friday and explained that I can't get into the drivers seat without bending my leg and he has me as no weight bearing or bending yet.  I don't know what he was thinking.  But now I'm home for at least another 2 weeks.  Time for another book.  Or movie.  Or just banging my head against the wall out of boredom.   :o
Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on May 18, 2013, 02:19:36 AM
Had my first physical therapy session today.  Went pretty well (keeping the patience thought in mind).  Was able to bend it to 40 degrees and pain was minimal.  Will be going three times a week for a while.  I now understand what everyone means when they say it's a long road.  Just gotta keep my head up and keep my sense of humor.
Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on May 29, 2013, 10:03:26 PM
Tomorrow marks 6 weeks since my injury & surgery.  Had my toughest (and most painful) PT session today.  My therapist was able to get me to 70 degrees.  Then she had me bend it on my own as much as I could and I was able to get to 62.  I thought going into my session today I wouldn't be able to get much past my 54 last week.  But very happy with the slow progress.  Hopefully 90 is right around the corner.
Title: Re: Ruptured Quadriceps Tendon
Post by: David Down Under on June 04, 2013, 11:05:30 AM
Hey John42,

Have pretty much read the entire thread. Would love to grab a copy of the 3 documents you have been sending out.

I am a 2 time RQT survivor. First 9 years ago, left knee 39yo. Second 5.5 weeks ago  >:( , right knee 48yo

Per the sig, I am from Sydney. Pls don't hold that against me :)

Made a 100% recovery first time around and shooting for my second !

Both injuries resulted from a freak fall. Número 1 was a slip and fall whilst semi jogging on wet tiles. Número 2, tumble down some stairs

Majorly bummed out about going around this again
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on June 04, 2013, 11:57:28 AM
Hi Bearkev

Second time round - feel for you.

Am attaching a set of documents I have compiled over the years - they refer to a Ruptured Patella Tendon, but the rehab is very similar - remember the keyword " PATIENCE"

Don`t hold you against the fact, that you live down under !!! Keep posting your progress
Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: amberisma on June 11, 2013, 05:59:59 AM
Hi All.

Just found this website while I was doing some research because I partially tore my right quadriceps tendon.  I am due to have surgery here in the next week or two.  My tendon rupture is extremely chronic, making my story quite complicated.  The OS said it would be a tough surgery, but I agreed to go ahead with it anyway....as I am only 25 years old and extremely physically active.

Read through all the posts and it is giving me some hope that I might be able to recover fairly well.  Before I started reading these posts, I'm not sure I've ever been so nervous in my life.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on June 11, 2013, 09:27:56 AM
Hi and welcome to the RQT website

A long rehab in front of you - read the attached documents with care - ASK questions -
DON`T push it -

The documents relate to a Ruptured Patella Tendon, but the rehab process is very similar -

How did you sustain your injury?   Where do you live

Keep posting - Best wishes

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on June 14, 2013, 02:05:03 AM
Today marks 8 weeks since surgery.  Progress has slowed - perhaps even reversed.  I saw the Doctor yesterday.  The knee looks good and is healing well but he was not happy with my ROM and the amount of swelling I still have.  To help, he put me on methylprednisone which I will start tomorrow.  Hopefully that will bring down the swelling and improve my ROM.  At my previous therapy session we got to 88 degrees but with a lot of pain.  Today...only 81 degrees with even more pain.  I'm trying to not be discouraged but it's had not to be.  If my Doctor doesn't see more progress over the next week he spoke of trying injections into my knee.  We'll see how things go.  Just gotta try and stay positive.
Title: Re: Ruptured Quadriceps Tendon
Post by: David Down Under on June 16, 2013, 06:55:42 AM
Hey Bearkev, I wouldn't be too hard on yourself. This is my second RQT, and you are ahead of me in ROM both times. Just gone 7 weeks and my ROM would be between 65 and 70.

ROM will come back, just need to keep workin it. Some guys on another site just aim for a few degrees every week.

On my first RQT, as soon as I could walk without a limp, I ceased all focus on my ROM and strength / PT. wrong I know, nonetheless I have full ROM on that knee now and it made a full recovery
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on June 16, 2013, 10:22:51 PM
My turn. A ruptured quad tendon. It's 7 weeks since surgery. I've had physio twice, and I see the surgeon every few weeks. I have read all 49 pages of this thread. Thankful for this forum and all of the support. I will rely on the PT and surgeon for their advice and recommendations, but I would still appreciate feedback/suggestions from you guys. I have had a rigid splint since the operation (velcro with metal stays). Received the adjustable brace 5 weeks after surgery. The flexion was set to 30 degrees, then PT allowed me to move it to 60 degrees. It was meant to be worn all the time, with the hinge locked.

My issues: The brace, no matter what, will slide down my leg within minutes. Can't be worn in public. It looks like this will happen with most of the braces available. I have huge quads, even with atrophy. Can only do the straps up so tight. My medical practitioners have told me, in that case, to use the splint for most everything, and use the brace only during exercise/physio. That is the compromise. Nothing wrong with having the leg rigid in the splint, being conservative does have it's value. The splint is nicely padded, to protect a fall. It's not clear from all the posts in this thread: Are people allowed to/advised to unlock the hinge at some point, and allowed to walk with the flexion setting at 30 degrees or 60 degrees? If so, not sure what I will do? Maybe I can just keep doing the ROM exercises, and by the time I reach 90 degrees, can walk without a brace? Or maybe at that point I will still walk with the splint, to be on the safe side? I'll wait to see what my physio therapist and surgeon advise, but wasn't sure if and when people were unlocking the hinge on their brace, and walking with the hinge open, but limited to 30 degrees etc? It's too bad I can't wear the brace.

Everything else is progressing well, considering I didn't have surgery for 3 months after the tear (my fault). I feel no real pain, my ROM is about 55 degrees. One other question. I like to do heel slides sitting in my low to the ground love-seat, with the computer in my lap. Does anyone see the need to limit heel slides to being in bed, lying down? I'm very comfortable doing the slides seated, my rear end quite forward on the lower seat cushion, and my back semi-reclined on the rear cushion. It's nice to be in this position surfing on the computer and doing heel slides from time to time, as the day progresses.

My niece is a physiotherapist, so I will consult with her. There is a lot of great advice on this thread. I thank everyone in advance for their help.

(ps: even my splint "walks" downward and bottoms out on the top of my foot, so I have to pull it up from time to time, because it is not overlapping the top of my leg enough, and allows my knee to bend a fair bit. But the brace is shorter overall, and comes right past my knee! I tried taping my brace to my shin with duct tape, but that isn't practical obviously. I could fabricate a "cuff" made from rigid camping foam, to go between the top of my foot and bottom of the brace, to limit it's slide down...but I'll wait until I find out that I have to wear a brace "unlocked". Very frustrating!)

D.S.
Title: Re: Ruptured Quadriceps Tendon
Post by: David Down Under on June 17, 2013, 08:11:13 AM
Hey DS, we share the same initials, injury and time post op. Strange, huh ? I too am constantly adjusting the brace. I would think u would be better off using the hinged brace as it will get you walking properly quicker. When using a fixed brace, the quad is not firing.

So I take it you had a partial tear ?

This is my second RQT in 9 years... Lucky me

My second PT is tomorrow.

Surgery was April 27th
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on June 17, 2013, 02:43:45 PM
Hi David. I played with the brace this morning, extending the bottom portion to bottom out on my ankle bone/foot. May be painful and rub in the long run. I can never quite get the pivot to align with the pivot joint of my knee, it's off by an inch or more, I guess because I can't get the brace to sit in the right place. Found a similar brace from the same maker, in the US, that has a provision to eliminate sliding down...stirrups extend down and fit your foot inside your shoe. So I may suck it up and pay $350 and duty and taxes to bring it over the border...my knee must come first.

That said, do surgeons and/or PTs recommend unlocking the brace at some point down the road? Is that standard procedure for rehab? David, surely you aren't using the brace unlocked, this early? They indicated to me that using my fixed splint is fine, and want my leg locked in a fixed position, for a long time to come. I asked them if there would be a time they might want me to walk with the brace unlocked? They said we would all worry about that when the time comes. So, I am assuming the time will come.

I had a full tear, basically. The surgeon said there were "strands" remaining on either side of my knee connecting my tendon to the knee.

I wish you, and everyone else here, the best recovery possible!

I donated to this website yesterday. This forum has offered me so many new ideas and options for improving my rehab. I am very thankful!
Title: Re: Ruptured Quadriceps Tendon
Post by: David Down Under on June 17, 2013, 09:38:28 PM
Hey DS, the thing you will notice is that there appears to be no standard protocol re PT and what the OS's allow.

They may be taking extra precaution with you as there was quite a bit of time between injury and repair. My first RQT 9 years ago was reattached in 4 hours ! Pure luck that a surgeon was available shortly after I arrived in the ER. This one was repaired in 20 hours.

But yes, I was FWB with brace locked from week 2. At week 5.5 I was allowed to walk with brace unlocked at 30. After first PT session at week 6, it was unlocked to 45 for walking.

Re Brace, I too thought about buying a better one as for me to change the settings on this one I need a screw driver.

Just on the brace, the hinge MUST align with your knee cap when unlocked.

Cheers

David
Title: Re: Ruptured Quadriceps Tendon
Post by: Flangecrank on June 17, 2013, 11:15:09 PM
Hi - New here and posted on the main forum - They pointed me in this direction in the hope i can find someone with the (rare) injury that i sustained for advice.

I'm a Male - 39 - Was V active - Whilst Jogging just before Christmas 2012 suffered a fall and diagnosed with Fractured Patella and Ruptured Quadricep tendon Two weeks later - Placed in a rigid brace with leg outstretched.

A month and a Half after injury I had an op - Screw in Patella and Quad tendon re-attached and stitched \ drilled into place. Continued with Rigid leg brace.

Placed in a hinged brace a month after surgery

4 months after surgery I have managed (With the help of physio) to obtain 97 deg maximum ROM - The last 5 sessions it just didn't increase and stayed at around 95 - 97 degrees. My knee feels like it physically CANT get past this.

The 'Bending' physio stopped last week and I have started exercises - Squats, Leg raises, Static bike, Cross trainer etc. Physio team however have contacted Orthopaedic team to potentially refer me back.

My concern is that my leg do-sent want to bend any further - Physio say 'i am on track' however progress seems to have stopped - Knee is still really swollen compared to my good knee and the harder i push to increase ROM, the more pain \ swelling i get.

Is there anyone with the same type of injury - As i understand it, fracturing the patella AND a complete rupture of the Quad tendon is quite rare!

I must say, its a horrific injury and can really get you down at times. I have sympathy for anyone in a similar position.
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on June 18, 2013, 05:20:21 AM
FC, feel really bad for you! Sorry you aren't getting any more ROM. I'm really concerned about your swelling, and your ROM. I hope you get this resolved soon. Good luck!
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on June 18, 2013, 05:51:13 AM
@David Down Under, thanks for the details! I assume FWB means full weight bearing.
Title: Re: Ruptured Quadriceps Tendon
Post by: David Down Under on June 18, 2013, 06:46:37 AM
Yes mate... Full weight bearing.

The consensus seems to be the sooner the surgery the better. So they may take things a little slower with you.

But as mentioned in previous post, there are so many different recovery regimes out there. I have read of many guys starting PT twice a week from week 2. These guys are at 90 degrees at week 5 & 6. And have also heard of guys staying in a brace locked at zero to week 14.

I came across a great PDF on a recommended RQT recovery plan. Will dig it up and post it as an attachment
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on June 18, 2013, 02:49:50 PM
Thanks!

Is there any consensus as to whether one should get ultrasound fairly early on (or at all?) to minimize scar tissue in the affected area?
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on June 18, 2013, 10:36:31 PM
I saw my physiotherapist today. I asked her about ultrasound for scar tissue. She felt the skin all along my knee, and pointed out that the skin was moving freely relative to the tendon/muscle tissue beneath, and therefore, did not require ultrasound. She gave me a detailed explanation about the healing site and how scar tissue was a good thing in that particular area. I was very satisfied with her explanation. She's well recognized in her field, and is a lecturer/instructor at the university. She allowed me to unlock my brace (but keeping the ROM limited to only 30 degrees of movement on the brace adjustment) and it felt good to walk with more movement in my knee. She measured my ROM at 60 degrees. I'm at 55 days post-op now, so almost 8 weeks. I'm supercharging my nutrition now with all the supplements I used to take when weightlifting. I'm looking at my elliptical and spin bike right now...they will come in handy when rehab gets more advanced. That said, I am being very careful when I walk, and I am being mindful of patience. It will be a long road back.
Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on June 20, 2013, 01:39:57 AM
Has anyone had Synvisc injections?  I am 9 weeks post op and received my first of 3 injections today.  Curious about what to expect.  The good news is that I finally reached my first goal yesterday at therapy - 90 degrees. 

Also, a note to those starting out.  Once you're weigh-bearing...tread carefully on the stairs.  The other day I was walking out into the garage.  There are two steps going down.  I completely spaced out and went down with the good leg first.  When my good leg landed, my bad one was bent beyond my normal.  The pain was terrible.  Luckily I was fine after a couple minutes and only had minor swelling. 
Title: Re: Ruptured Quadriceps Tendon
Post by: David Down Under on June 20, 2013, 03:37:28 AM
Hi Guys, you might find the following of interest

http://www.uwhealth.org/files/uwhealth/docs/pdf6/sm_pat_tendon_quad.pdf

Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on June 20, 2013, 04:03:49 PM
Thanks for the link!
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on June 23, 2013, 10:39:13 PM
Saw the Surgeon on Friday. He's allowed me to open my brace to 90 degrees for doing my exercises for ROM. He was very encouraged by my progress. My ROM is 65 now. He indicated to me and my physiotherapist that I should be trying for a rate of increase in ROM of 10 degrees a week. I think he wanted me to remove the brace as of July 4. I may be up to 90 degrees by then. But I told him I want to stay conservative, and keep the brace on, past July 4, limited to 90 degrees, in case I fall. (I walk with it limited to 70 degrees right now). He said he didn't think the brace would save my knee if I fell at that point, but I disagree. If I can only get ROM of 90 degrees by July 4, I am not going out without a brace! I will have it limited to 90 degrees. A fall could take my knee past 90 degrees and undo the surgery. (The brace can be totally unlocked, but adjustable limits only go to 90 degrees, so when ROM is past 90 degrees, I will still limit it to 90 degrees when out walking). I am willing to take other risks though. I got on my elliptical today. It has an adjustable length of stride. I was careful to check how far it bends my knee, and it didn't take me past about 60-65 degrees. I kept the resistance very low, stayed on for 30 minutes, felt no pain anywhere. I feel great now, and feel that I got a nice light workout. Heart rate was at 115 to 120 bpm, so I was in a nice fat burning zone. No one told me I could do this yet, but they'll allow me to walk anywhere outside, up and down hills, stairs, etc, so what's the difference? I think as long as resistance is kept very low in the beginning, it's a win/win situation for strengthening all the leg muscles (hip too) and increasing my overall health. I'm eating very carefully, and supplementing with vitamins and minerals. I'm at 8 weeks post-op and feel great. I'll need much more ROM to use my spin bike. I'll see what the PT recommends for weights later on, but I think I will avoid any weight training for a long time. I'd rather build up gradually with the elliptical and then add the bike when possible. I'm listening to my body and feel no pain. But bottom line, I am planning to wear my brace for a long time, especially when out and about in the city. I can't get over how much better I feel, hours after using the elliptical! My beta endorphins are "high" and it feels so good knowing that I am slowly on my way back to some kind of normal, whatever that may be. I am under no illusion that I may never get my original ROM back, and perhaps there will be other limitations. One thing is clear. Working out hard all my life (weights and long distance cycling) has allowed me to be in an excellent position to heal. I do not feel 55 years old. I am lucky in that regard.
Title: Re: Ruptured Quadriceps Tendon
Post by: David Down Under on June 24, 2013, 12:06:47 PM
Hey Mate,

Sounds like you are making great progress. I will definitely give the cross trainer a go this weekend. Did you wear the brace when on the machine ?

I think I am nudging 75 ROM and have 4th PT tomorrow morning. He has me doing squats to 60 ROM, and some other very basic strengthening exercises. I managed to walk 1.2kms on Sunday. Still have a limp. Did a day in the office today. The brace doesn't seem to work well over long pants. Constantly slipping down. I come home feeling exhausted, like its a Friday. Man this injury sux ass.

Keep on truckin !
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on June 25, 2013, 02:07:36 AM
David, I hit about 72 ROM today. Surgeon wants 10 degrees a week right now.

Second day on the elliptical. 45 minutes, with less resistance than yesterday, and a slower RPM (35-40). Decided not to use the brace, because the strap that really holds the brace up is the one immediately above the kneecap. So the tendon/quad is being compressed by this strap, and I feel when exercising, that area should be allowed to expand. My elliptical has rails on either side, so I hold onto those, not the moving arms. Again, I can't afford to fall. Without the brace, I noticed the tendon/quad more. Even though I move freely to 65-70 degrees ROM, I could feel a slight pull on each movement of the elliptical that I think was masked by the strap of the brace the day before. Not pain though. But the elliptical doesn't make my knee go past 65 ROM. So it should be okay. I think it is a balanced risk. I am using very little resistance. The entire thigh (quad) feels like it has had a workout, but is not sore. I can't think of a more dynamic way to counter the atrophy and involve all of my leg's muscles/tendons/ligaments without impact. Of course, I can't wait to get on my spin bike. That will tie everything together. I've weight trained for years, using leg sleds etc, but I like the natural muscle building that spinning provides. I never got serious calves until I became a long distance cyclist.

David, it's interesting your trainer has you doing squats to 60 degrees ROM. Just your body weight, I assume.

I thought of a brace over pants, and I'm surprised it is slipping. I am going to parks with my wife and little dog, walking all over and deliberately seeking slight grades to ascend and descend.

I hope everyone is making progress!
Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on June 29, 2013, 05:51:22 AM
Well, I am 10 weeks post op and have had my second (of three) Synvisc injections.  Today at therapy I reached 98 degrees.  Very happy to be close to triple digits.  The injections seem to be helping quite a bit.  The pain is much less now than it was prior to starting the injections.  I just wish they didn't use such a big needle.  I have cut down wearing my brace a lot also.  I don't wear it around the house anymore and usually take it off once I get to work.  Knee is feeling stronger every day too.  For those starting out with the physical therapy, don't get discouraged and stay patient.  You will probably reach a point where your ROM is stagnant for a bit.  That won't last forever.  Keep a positive attitude and don't give up.
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on June 29, 2013, 03:40:49 PM
Congratulations Bearkev! The injections are to help with your pain, but what kind of pain? Is it pain felt all the time, or pain while trying to increase ROM? Your ROM is excellent. Keep up the good work!
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on July 01, 2013, 05:06:07 PM
Well, a week ago I was at 72 degrees ROM, and today I'm at almost 85 degrees of ROM. So progress. I made a mistake the other day. I started stretching on the spin bike (classic Monark). Obviously can't do a full revolution. I just move the pedal as far as 80-85 degrees ROM allows me, getting a gentle stretch. I like it better than heel slides (no friction) because of the bearings. For one second, I went into automatic pilot and started to turn a revolution, forgetting why I was on the bike. Just tuned out for a second. Instantly I hit my limit due to tightness. It all happened so fast. I think I stopped the pedal just in the nick of time and kept from making a revolution. I was clipped in, so couldn't just pull my foot off. Still I think I just stopped the pedal in time. It was all a blur. It was a shock. I felt some pain for 5 minutes when I walked, but at the bottom of my kneecap, rather than at the top where the tendon is newly reattached. Made me fear that I might have done a partial tear? Can anyone tell me, when you get a partial tear, do you know it instantly? Do you feel pain right away? I'm hopeful I did no damage, because for the rest of the day I felt fine, and feel fine today. I see the PT tomorrow. Will get an accurate ROM. Surgeon wants me to permanently remove my brace in 4 days (10 weeks post op). Not sure I want to. Think I want to still wear it in public for a while. Afraid of falling and bending my knee past it's limit (hope to be 90 ROM in 4 days). Hope everyone is well.

edit: (interesting - I just looked at videos of QTR surgery, I thought the patella was drilled just at the top for reattaching the tendon, but it appears the holes go through the top and exit at the bottom - hope the pain I felt near the bottom of the kneecap had nothing to do with the stitching there, or the kneecap itself, or the patellar tendon attachment. Some of my suture thread was absorbable and some was non-absorbable)
Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on July 04, 2013, 01:53:19 AM
Congrats on the progress D.S.  13 degree increase in a week is very good.  In regards to feeling pain at the bottom of the kneecap - I've felt that too.  Usually when my therapist is bending me pretty hard.  Once I straighten my leg out I feel the pain at the bottom of the knee cap.  I know where you're coming from though.  I constantly worry about reinjuring it.  Also, about the shots I was getting, they are usually meant to treat arthritis so it helps with the constant pain.  But I think the main reason he wanted me to get them was to lubricate the joint to help with bending.

The good news today at therapy...TRIPLE DIGITS!  101 degrees.  Must have broken through some serious scar tissue though because I heard the loudest pop yet.  Next goal is a full rotation on the bike.  I can get one if I lift my hip up a bit but want one normally.
Title: Re: Ruptured Quadriceps Tendon
Post by: amberisma on July 04, 2013, 08:27:06 PM
Hi folks, sorry for taking so long to check back and reply.  I had my surgery on June 14th, so I am 20 days post-op.  My tendon was 75% torn and my OS said he had never seen anything like my leg before.  Because of the history of my injury he said he is going to treat me as he would treat a patient that completely ruptured their tendon.

As far as my rehab goes...I received a CPM machine 11 days post op and have been using that every day since then.  The first day I used it I could only get it up to 24 degrees.  The next day though, I was able to get to 48 degrees, and since then I was able to increase by 8 degrees a day.  Now I am sitting at the current limit imposed on me by my OS of 90 degrees (most days, except when extra swollen).  I also started PT a week ago and have had two appointments thus far.  The first day I was only able to flex my knee to 40 degrees with gravity, but that increased to 64 degrees at the second appointment (17 days post op).  During that appointment, I also performed my first lying down straight leg raise without my brace.  The only exercises I am doing so far are straight leg raises in four directions:  lying on back, lying on stomach, and lying on each side.  100 of them each way 4 times a day.


As far as how I got injured.  I had a knee scope in December 2008 where another OS performed a lateral release.  13 days post op I fell...and after that it was never the same.  I went from being able to do all my PT exercises to not even being able to extend my leg.  I had to start using my crutches again because I was not able to walk.  I went back to the OS and told him that I fell and that I was not able to do my PT exercises or extend my leg or anything, but he didn't think I did any sort of additional damage to my knee.  I kept following up with him, especially when my muscle never grew back, but he never sent me for an MRI even though I told him something wasn't right. 

It took me four months after I fell to be able to do a leg extension over a fulcrum (a foam roller).  I was in PT for multiple years and was able to get some function back in my leg, but I still fell so many times that I lost count.  My leg always gave out on me.  It got a little bit better recently and I didn't fall as much, but I still had to be careful when walking on wet floors, in gravel parking lots, etc.  Since my OS kept telling me there was nothing wrong, I got myself to start thinking that I just wasn't trying hard enough and doing enough for rehab.  I started back into my usual exercises.  I worked my way back up to running.  It took forever, but I did it.  I ran two half marathons and one full marathon...with a torn QT.  Of course my pace was 2-3 minutes per mile slower than pre-injury.  But even in the two months before my QT repair, running got harder and I had have more rest days in between runs.

It wasn't until I was seeing seeing a sports med doc about another injury (in March 2013) that someone actually acknowledged that something was wrong with my knee.  He saw it and asked why "my muscle was dead" and why there was a huge indent above the lateral portion of my knee.  I told him my history and he sent for an MRI.  After that, I was sent to a new OS and the rest is history.

My OS told me that he couldn't promise perfect results because it had been 4.5 years between injury and surgery, but I still wanted to go through with it.  He thought that he might have to use a cadaver tendon because it was a strong possibility that my tendon was too retracted and fibrotic after so many years without use.  I was lucky though, and my tendon was apparently still usable. 
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on July 06, 2013, 05:10:13 PM
Congrats on the progress D.S.  13 degree increase in a week is very good.  In regards to feeling pain at the bottom of the kneecap - I've felt that too.  Usually when my therapist is bending me pretty hard.  Once I straighten my leg out I feel the pain at the bottom of the knee cap.  I know where you're coming from though.  I constantly worry about reinjuring it.  Also, about the shots I was getting, they are usually meant to treat arthritis so it helps with the constant pain.  But I think the main reason he wanted me to get them was to lubricate the joint to help with bending.

The good news today at therapy...TRIPLE DIGITS!  101 degrees.  Must have broken through some serious scar tissue though because I heard the loudest pop yet.  Next goal is a full rotation on the bike.  I can get one if I lift my hip up a bit but want one normally.

Hi Bearkev (and everyone). I've been...well, frequenting another site (epicski) but I am back and sorry I was gone for a while. I was not told I could do this, but I tried my elliptical after 8 weeks (June 24). Felt fine, the ROM required was well within my capabilities (65 ROM or so). My PT was gone that week, but the following week I saw her and told her and she didn't have any objection, other than to avoid striding backwards on the machine (avoid hyperextending the knee). But I'm questioning whether I should continue and worry if it is too aggressive at this point. Other QTR patients have said not to use the elliptical until 4 months and full ROM. Has anyone else done elliptical, and how soon? I examined the movement last night on the elliptical with no resistance and in slow motion, and I felt a twinge (or pain or strain) in my knee near the union of the tendon and patella in an area a few millimetres wide. Never noticed it before. Not sure if it is an injury or just a twinge created by the motion of the elliptical. For the 2 weeks I did elliptical, I felt fine during and after each workout. I didn't notice any strain or pain in the repaired area. So what I felt last night could be from the elliptical, or stretching for ROM. Who knows? I monitored it first thing this morning when I got up and put weight on my knee, not sure if I felt it or something somewhere else in my knee (I have remnants from the past, the odd ache or pain that I have lived with forever). Worst fear is a partial tear, so I'm going to try to see my OS next week. So I'm putting the elliptical on hold. Also, I'm avoiding any leg exercise that has an eccentric phase (or negative). And apparently walking downhill isn't good for the knee at this point.

Today is approximately 10 weeks. I'm concentrating on ROM now, and I'm up to 95 degrees.

Bearkev, I'm so happy to hear how much progress you've made in your ROM. Congratulations!

I wish everyone well!
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on July 06, 2013, 05:17:43 PM
amberisma, what a struggle you have been through! How were you able to run? I really admire you. You are doing so well now! Congratulations!
Title: Re: Ruptured Quadriceps Tendon
Post by: amberisma on July 09, 2013, 06:10:41 AM
amberisma, what a struggle you have been through! How were you able to run? I really admire you. You are doing so well now! Congratulations!

Thank you!  I really appreciate it.  Honestly, I have no idea how I was able to run.  My OS has no clue either.  Every time I see him he always says something along the lines of "I have no idea how you were able to be out running about everywhere."  The body is an amazing thing...that's the only thing I can tell myself.  It did take me FOREVER to get back into it though, and my actual "running" pace started out at 4.5 mph, so that's like a 13:20 minute mile.  Before my original injury in 2008 I was running 7:10 minute miles.

A quick update.  I went back to my PT today and told him that I was easily able to do 100 straight leg raises, so he upped me to doing 100 straight leg raises x 4 ways with a 2 lb. ankle weight.  It was a little more work to do those but I still finished them with a lot of energy left.  That had me pretty pumped.

Then he took me back to a different continuous motion-type machine.  It moved my leg constantly, except I was still straight up and my hip did not flex at all while my leg did.  It was almost the exact same positioning as a seated leg curl on a gym machine.  Anyway, my leg dropped to 55 degrees with gravity before it stopped due to tightness in the tendon.  After my leg was strapped into the machine though, I got it up to 75 degrees.  11 degrees in 7 days!  Probably could have gone a bit further too, but we decided to wait.  I go back tomorrow afternoon so he is hoping to get me around 80.  I have another week and a half with this in-home cpm machine so I'm trying to make the best of it.

I am so thankful that I found others going through the same thing that I am.  It really helps reading everyone stories.  I wish everyone the best!  We got this!!
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on July 10, 2013, 08:03:32 PM
I'm 100 degrees ROM. PT says I have just a degree or so of "lag".

So I'm aiming for 115 degrees of ROM to be able to do a revolution on my spin bike. I will have to be very careful at that point and go slow and start with no resistance and slowly build up.

When I am at full ROM I will use the elliptical again, I think...

Check out this commentary on ellipticals and tell me what you think:

http://veloreviews.com/blog/2012/06/20/elliptical-machine-friend-or-foe/

I hope everyone is doing okay!
Title: Re: Ruptured Quadriceps Tendon
Post by: amberisma on July 12, 2013, 05:16:11 AM
I'm 100 degrees ROM. PT says I have just a degree or so of "lag".

That is awesome.. congrats!  I am still trying to work on my lag.  It is a very frustrating thing to deal with.

Well, I hit a big milestone today.  27 days post-op and I got to 90 degrees flexion with one of those continuous motion machines.  I didn't start PT until 11 days post-op, so I am really trying to not get myself too excited about the quick progress.  I have a feeling that won't last.

Letting my leg hang over the edge of an exam table with gravity, my knee freely flexed to about 65 degrees.  I am extremely thankful for the CPM machine that my doctor gave me to use at whatever hour of day I please at home.

I hope that being younger, extremely active, and flexible will all play on my side when it comes to trying to heal up this baby.

I hope all is well!
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on July 12, 2013, 03:43:47 PM
amberisma, you are doing so well!
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on July 14, 2013, 08:42:34 PM
A couple of days ago, my wife and I took the dog and headed off to a forest. The mosquitos kept us moving at a fairly quick pace (just to avoid them). The trail was gentle, and I must say it was the perfect exercise for my knee. Can't say enough about walking. Except for the mosquitos, it was a very relaxing time, getting away from the noise of the city. A little pain at the start (not in the repaired area) and that melted away. I would say we were out for about 90 minutes. It was weird, frogs everywhere, bouncing off our bodies. We will incorporate more walking in our lifestyle, but out of the city, on trails, where there is less impact. Much softer.
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on July 16, 2013, 10:58:24 PM
Hooray! for me! I hit 115 degrees of ROM. My PT asked me to slow it down, because last Tuesday, I was only at 100 degrees. I'm making steady progress.

Hope everyone is doing okay!
Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on July 18, 2013, 03:09:16 AM
Great progress D.S.!  Congrats!

Update on my progress...saw my doctor on Friday & once again he wasn't happy with my ROM.  I was on my feet a lot that day and the knee was pretty swollen.  I was only bending to about 95 degrees in front of him. He didn't accept it when I told him I was at 104 the day before.  So now he's talking about a possible MUA and possibly even arthroscopically cleaning up the scar tissue.  I see him next a week from Friday.  Flash forward to my first therapy session this week...my therapist thinks my doctor is crazy (and I concur).  Challenge on.  When we measured...109.  5 degree gain.  Went again today and measured in at 114.  Another 5 degree gain.  I have four more therapy sessions before I see my doctor again.  If I can gain 1 to 2 degrees the rest of the way I think I'll change his mind. 
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on July 18, 2013, 10:01:55 PM
Wow. Bearkev, you would be a bit more than 12 weeks post-op now?

Let me go out on a limb. I am not a surgeon or a physiotherapist. And I don't mean to scare you. I may be wrong, but your ROM seems pretty average, near the "norm", according to the anecdotes here and on the epicski forum. I've heard about too many MUA's gone wrong, like separation of the repair, cracked patellas, etc. That just seems so wrong to do an MUA. You seem to be doing fine in regards to ROM. Arthroscopically cleaning up the scar tissue might be good, but I know nothing about it. Your ROM hasn't stalled. If it were me, I would be pretty leery about having the MUA. I am not a doctor. To me, slow and steady wins the race. If you can get 7 to 10 degrees of ROM a week, you'll be fine. IMO. If you were stuck for weeks at say, 120 degrees, maybe then an MUA? Again, IMO. Everyone's mileage may vary.

Today I spun on the stationary bike at home. Seat about an inch higher than normal. Brought up my pace from 25 rpm the other day to 40 rpm today. A hint of tightness in the tendon/muscle at this seat height. With a bit more ROM, seat will be lowered to it's regular height. Next to no resistance right now. I have to resist adding more resistance (pun?), or too much resistance. I have cycled and weight lifted all my life. My body is capable of doing more. I don't believe the tendon/patella injury repair area could stand the strain, nor should it. Paranoid about micro tears. I believe my PT wants me to go really slow. She feels the scar tissue in the tendon/patella repair area is very stretchy and elastic, and wants it to be more like a leather belt in consistency before adding much of a load. I think she said it might be 6 months! Still working the basics. Bodyweight squats, but without very much bend in the knee. Leg raises. Spinning. Walking a lot. Balancing on the bad leg. I'm trying not to worry about atrophy. Strength is good. Knee feels fairly stable. Some swelling. Keeping the brace on in public, against my surgeon's wishes. The brace will come off when my ROM is near normal. Remember, it could take a good year for the injured area to heal. I do not intend to go through this again, or have to have a revision.

My PT won't let me do lunges yet, or bodyweight leg presses, or any weights. I'm not worried about getting my leg and knee back to normal. Just TLC right now, eating well, sleeping well, and supplements.

Bearkev, keep up the good work!
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on July 20, 2013, 06:15:39 PM
Can't say enough about rehab on the stationary bike. Today I dropped my seat height back down to it's usual lower level. My ROM has progressed enough to allow this. Was also able to wear my comfy cycling shoes w/orthotics, and "clip" into the pedals. Did two sessions, 30 minutes each. Low resistance. So therapeutic! Any general aches and pains I had felt in the knee are gone! I have to work hard to keep myself from adding resistance. So tempting, but I must be patient. I have never wanted to work out so badly in my life.

Went to a major mall yesterday. Wore my brace. For sure, it gives me insurance until I have full ROM and more strength in my knee (just reached 12 weeks post-op). I do not want to stumble or make a sudden move and impact my knee. To all those whose orthopaedic surgeons tell them to ditch the brace at some point, I say, don't! I'm ignoring my surgeon on this matter, and can't tell you how much peace of mind it gives me. I'm giving this knee all the TLC it deserves.

I hope everyone is making progress.
Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on July 21, 2013, 01:55:57 AM
I agree with you D.S.  About the stationary bike AND wearing the brace.  If I'm going to be on my feet a lot or do a lot of walking, I still wear my brace.  Better safe than sorry.  And the stationary bike does a great job at loosening up my knee.  I need to make more time to do it.  Wish I had one at home but do have access to one at our community clubhouse.

Had another physical therapy session the other day and gained another 4 degrees.  I am up to 118 now.  Gained 14 degrees in the past week.  I guess my Doctor talking about a MUA motivated me to do a lot more stretching at home.  Although they did have me start a new exercise at therapy this week that may have something to do with it.  They have me lay on my stomach with a hot pack under my quad and a belt strapped around my ankle.  Once I feel my quad warm up I bend my knee as far as I can and then pull on the belt to stretch it as far as I can tolerate for one minute.  Then relax the quad and repeat the process a total of 5 times.  Can't argue with the results I've seen this week.  I am 13 weeks post op now and at 188 degrees.  I am also walking upstairs again on both legs.  I feel like I'm a little behind schedule but patience is key with this injury.  I expect to get past 120 degrees this coming week - a big milestone.

Keep up the great work D.S., amberisma and everyone else battling through this.
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on July 21, 2013, 02:11:52 PM
Excellent Bearkev. You are doing well. My PT and I are now discussing my rehab protocol after my physio ends. I only have a few sessions of physio left. It's covered by the government, but it's for a limited time. It appears that my protocol will be quite conservative. Parts of it will be similar to the Massachusetts General Hospital Protocol:

http://www.massgeneral.org/ortho/services/sports/rehab/Quadriceps%20and%20Patellar%20tendon%20repair%20rehabilitation.pdf

Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on July 24, 2013, 12:49:17 AM
In 2 days, it will be 13 weeks post-op for me. Measured 120 degrees of ROM today at physio. So I only progressed by 5 degrees in 7 days, but hey, she told me to slow it down last week anyway so it's all good.

More exercises have been added. I like the step-up/step-down progressions, on a 3" step. Both forwards, and sideways versions (subtle difference on the effect on the hips). I have never wanted to work out so badly in my life, but I must show restraint.

Best regards to all!
Title: Re: Ruptured Quadriceps Tendon
Post by: amberisma on July 26, 2013, 11:34:09 PM
D.S.  I also completely agree with the stationary bike.  I've only been permitted to use it for 8 days, but I absolutely love it!

Anyway, some quick updates.  Today is 6 weeks since my surgery, and I took my first steps without my brace (shhh don't tell my doctor).  Last Thursday was the first day that I didn't use a CPM machine to loosen my knee up.  My PT took me to a airdyne bike and I did that for 10 minutes.  I have been able to increase my ROM greatly over the past 8 days.

7/18 - 99 degrees
7/22 - 112 degrees
7/23 - 117 degrees
7/25 - 122 degrees

I am extremely happy about that and really hope that I am able to get full flexion back.  My OS said that there is a good chance that I may not, but I would like to prove him wrong!

I am also up to singe-leg leg press of 50% of my body weight and I feel like I can do more.

One thing I've also been dealing with... pain along my joint line when I sit with my knee bent for too long.  My pre-op MRI said there was internal derangement and dysplastic fissures of my medial meniscus so I'm hoping that doesn't give me issues.  When my knee swells, most of the swelling is also on the bottom left of my knee where the sutures were tied on the outside of my kneecap.

Anyone else have a similar pain or swelling pattern?
Title: Re: Ruptured Quadriceps Tendon
Post by: carkeltom on July 28, 2013, 04:34:25 AM
Ruptured both patellar/tendons below the knee cap at the same time.  happend on 7/19/13, surgery on 7/21/13 and now in rehab since 7/23.  immobilizers on both legs, using CPM on both legs but only one at a time, 0-30 degrees only.  Have been weight bearing but wondering about projected progress and possible exeercises which would help strengthen the quads.

Tom
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on July 30, 2013, 07:24:42 PM
Tom, all I can say is ouch and wish you a healthy recovery.

Today was a great day. Measured 130 degrees of ROM at physio. This is approximately at 14 weeks. So getting close to the ROM of the good leg.

I wish everyone the best!
Title: Re: Ruptured Quadriceps Tendon
Post by: fishy on July 31, 2013, 04:53:45 PM
I am a newbie.  66 year old male, 5' 10", 195 pounds (20 pounds over my normal running weight at time of event), have run 60+ half/full marathons, strength training at the gym three times a week. I fell down two stair steps on to concrete floor while carrying a 30 pound box landing squarely on both knees.  Immediately went to ER and Dr. thought I had only bruised knees and suggested rest for a day and a light workout. I followed suggestion and hit the wading pool for water aerobics and walked for about an hour, showered, and was walking towards my car when BOTH legs gave out!!  May 27th (Memorial day in the US) I had surgery to repair my left leg repairing a fully separated RQT and torn quad tendon in the right leg.  Awoke to IROM braces on both legs.  8 weeks post surgery and Doctor said I was doing great with ROM of 120 both legs....he suggested I could wean myself off of braces.  Week 9 now and I have completely "weaned" myself off the braces.  I occasionally use a cane, but prefer walking without any support.  I have read all 52 pages of postings....amazing read.  I am older than every other poster, other than that I am experiencing pretty much the same pains and complaints as everyone else.  I walk a mile or so a day, hit the gym and Jacuzzi to loosen my quads (and it just plain feels good), stationary bike for 30 minutes with zero resistance, work on ROM, and I hope to reincorporate upper body strength training soon. I plan on dancing at a wedding on August 24th (I promised my doctor that I will not "bust a move" that would "bust my knees"....).  Getting ready to hit the gym now...keep the faith my new family of "walking wounded"....and keep posting!
Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on August 01, 2013, 12:25:10 AM
Just got back from therapy and finally reached 130 degrees.  I've gained 26 degrees in the last 2-1/2 weeks.  I am also riding the stationary bike for 30 or more minutes with no pain.  I am also walking upstairs normally again.  I finally feel like there's an end to the tunnel.  Unfortunately, workman's comp is cutting me off from physical therapy soon.  I have 3 sessions next week & that's it.  I would like to have at least another week but don't think I can win that battle.  I am confident though that I'll be able to handle strengthening myself.  To those who are earlier in the process, keep your chin up, be patient and stay positive.  Before you know it you'll be past the pain.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on August 05, 2013, 05:27:40 PM
Hi Folks

Suggest that you have a look at the new thread, which covers a RPT/RQT injury ...

Go to the BULLETIN board, and click onto Ruptured Patella Tendon/Ruptured Quadricep Tendon, if you follow it through, click onto the button on the right hand of the screen.

This is a brand new site, which contains lots of upto date informationon your injury and rehab information.

Ask questions if you so wish, and will try to respond to them.

Take care

JohnK/ Manchester UK 
Title: Re: Ruptured Quadriceps Tendon
Post by: fishy on August 05, 2013, 05:51:27 PM
Week 10....took both leg braces off and begin walking one week ago.  The braces gave support and security in the event of a fall or muscle failure, but sacrificing circulation didn't seem to be worth the trade off.  My doctor gave me the option of weaning off the braces slowly or removing completely (with no risky behavior, i.e., stick to pavement and avoid graveled slopes)... I can report less leg pains at night and I slept on my stomach without pain.  My legs feel stronger and I can walk with a more "normal" gait.  My course of rehab isn't for everyone, but it is working for me.  I will hit the Jacuzzi tonight (to warm up my leg muscles) then 30 minutes on the bike, then back to the Jacuzzi, then steam room.  I will sleep great tonite.... Keep your spirits up my fellow RQT, keep posting and I will do the same....
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on August 07, 2013, 01:19:39 PM
15 weeks post-op

I measured 135 degrees of ROM at my physio session. Good leg measures 145. One more physio session left.
 
I saw my surgeon last week, and he says I am doing well and don't need to come see him anymore.
 
I hopped on my road bike and went around the neighbourhood yesterday. For safety, I wore running shoes, instead of cycling shoes in conjunction with the clipless pedals. I kept it in an easy gear, and the neighbourhood is flat. I did not stand up on the pedals. It felt great. I will do this more often, to augment my training on the stationary bike.
 
I think I will hold off on returning to the gym until mid October, which will be about 6 months post-op.
 
I cycle on my stationary bike for about 45 minutes a session, almost every day. I keep the resistance fairly low, and vary the RPM between 70 to 85. I increase the resistance a little bit each time. At 6 months post-op I will train more aggressively on the stationary bike than I am now. I've always found the bike to be the ultimate leg trainer for me. It will help a lot to increase the size of my quads and calves.
 
I concentrate on the core stuff right now. Straight leg raises. Quad setting. Terminal knee extensions (like quad setting, but standing, using a Thera-Band for resistance). Hip exercises (adduction, abduction, flexion, using Thera-Bands). Step-ups (forwards and sideways). I do some work on stairs in my house. Lunges. Body weight squats. And I walk in parks, on grass (uneven surfaces) and I ascend and descend gentle to moderate grades.
 
Of course I stretch for ROM everyday, and I will probably make stretching my Quad a regular thing even when I reach full ROM.
 
I am working hard on nutrition, eating from every food group I can, going out of my way to get variety, and supplementing with vitamins, etc.
 
Finally, I rest a lot through the day, and sleep more than I ever have. I need to lose weight, but that will be looked after in a couple of months when I increase the intensity of my stationary bike workouts.
 
I wish everyone the best!
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on August 07, 2013, 04:04:36 PM
Hi D S

This is the new thread created by KneeGuru

https://www.facebook.com/QuadricepsPatellarTendonRupture

Click on the links - to the various documents which together with KneeGuru, have been compiled over the years.

Some good reading about your injury and rehab advice.

Would appreciate your comments

Take care
JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Bearkev on August 10, 2013, 12:22:57 AM
I am now 16 weeks post op and had my last physical therapy session today.  I measured at 134 degrees.  I still have a long way to go as far as strengthening and wish I could get at least another two weeks of therapy.  But workman's comp feels I've had enough.  But at least I'm another step closer to normal.  I plan on working out 3 to 4 days a week incorporating most of the exercises I've been doing at therapy.  Hopefully I can get to 100% by the time the ice & snow returns.

I hope everyone else is doing great.
Title: Re: Ruptured Quadriceps Tendon
Post by: D.S. on August 10, 2013, 05:01:26 PM
@John42 - thanks so much for the link. I learned a lot.

@Bearkev - Keep up the good work. I hope you have complete success. A lot of work ahead for sure. Good luck!
Title: Re: Ruptured Quadriceps Tendon
Post by: vince99frc on August 20, 2013, 06:42:33 PM
Hello everyone I am new.  I ruptured my quad tendon playing basketball.  I have read most of the post.  I am 7 weeks post surgery as of today.  I have been walking around with a brace since day one.  I have been reading some doing straight leg raises sooner than other.  I am a big guy.  6 foot 7 and weigh 280lbs.  I am sure my leg is heavy.  I attempt to do a straight leg raise and I cant keep it in full extension while raising.  I have a slight bend.  It also hurts when I attempt to do a straight leg or extend my knee when I am sitting.  Please tell me this is normal at this point and when should I be able to extend my knee.  When were you able to extend your knee fully during a straight leg raise or just extending the knee.

Thanks in advance..
Title: Re: Ruptured Quadriceps Tendon
Post by: carkeltom on August 24, 2013, 07:42:26 AM
Vince99, I ruptured my both patellar tendons and I am 6 weeks post op and still can not do a leg lift, nor does my OS want me doing them.  When standing with the crutches, I do standing leg lifts where I swing my legs, one at a time forward.  I started doing them per my PT without flexing my quad after the third weeks and now do them flexing my quad as much as I can.  I have a PT protocol from my OS that is titled Quadriceps tendon repair that he wrote over the words Patella, so think he is being lazy, but my injury is rare, per him.  I checked on 7 week workout and it says that you should be doing straight leg raises, flexing while increasing ROM from 95-100 and then to 105 and then 115 by week 10 post op.  Hope that helps.

Are you still in a brace, or are you out?

Tom
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on August 24, 2013, 12:27:33 PM
Hi Vince

Welcome to the RQT?RPT thread on KneeGuru - you will have realised that you have sustained a very rare and serious injury, with a long rehab.

Months ahead of you for rehab.

Suggest that you click on the undermentioned thread, which shows a collection of documents which I have compiled together with KneeGuru over the years.

PATIENCE will be rewarded.  Where do you live?

Take care
JohnK/ Manchester UK


://www.facebook.com/QuadricepsPatellarTendonRupture
Title: Re: Ruptured Quadriceps Tendon
Post by: amberisma on August 29, 2013, 07:26:36 AM
Hi everyone!

So I haven't posted in a while...I've been extremely busy recently with moving and starting school.  I am almost 11 weeks post-op and have had pretty close to normal ROM for a couple weeks.  My left leg measures at 160 and my right leg is up to about 154.  I was doing really well in therapy up through the beginning of August and I pretty much have my quad lag GONE!  I was unable to schedule therapy for the past two weeks though, due to having to find a new therapist and trying to adjust to my crazy schedule.

So now that my ROM is basically back I am just trying to strengthen.  My biggest enemy is the heel taps, and I'm doing those pretty decently at 3 inches.  My leg is MAJORLY atrophied due to my injury happening almost 5 years ago, so trying to build muscle it going to be extremely frustrating.

I am worried about trying to do as much therapy as I want to do with my new schedule of sitting in classes all day and studying.  Before this, all I did was sit around all day so therapy was no problem.

What have been the most beneficial exercises in building quad muscle for everyone?

Hope all is well!
Title: Re: Ruptured Quadriceps Tendon
Post by: carkeltom on August 30, 2013, 12:32:33 AM
Amberisma, what are heel taps?

I am still at quad sets and muscle stim at 6 weeks post op.  squats and lunges I know from previous weightlifting are good for building that strength, but with a double patellar tendon rupture, I have no idea when I could do those exercises safely.

Tom
Title: Re: Ruptured Quadriceps Tendon
Post by: amberisma on August 30, 2013, 06:16:27 PM
Amberisma, what are heel taps?

I am still at quad sets and muscle stim at 6 weeks post op.  squats and lunges I know from previous weightlifting are good for building that strength, but with a double patellar tendon rupture, I have no idea when I could do those exercises safely.

Tom

Carkeltom, a lot of times they are often known as "step-up step-down progressions", but my PT just decides he prefers to call them heel taps.
Basically what it is, starting on a 3 inch platform, have the injured leg on the platform and act like you're going down a step...i.e. bend the leg on the platform and lower the other leg...except don't actually rest the foot on the ground only let the heel touch the ground and then raise your body back up.  This can be done from either the front or the side.  As you get better, increase in reps and sets and then increase the platform height.

There is a video and a bit better description here (#3 step downs):
http://www.knee-pain-explained.com/knee-strengthening.html

I'm still stuck sideways on the 3 inch step.
Title: Re: Ruptured Quadriceps Tendon
Post by: carkeltom on August 31, 2013, 08:27:14 PM
Thanks Amberisma.  I have found so many good links and exercises on youtube.  I am just dying to be able to do them.  When and if I get to this exercise, I will call them heel taps in your honor.

Title: Re: Ruptured Quadriceps Tendon
Post by: Brian B on September 01, 2013, 08:53:42 PM
Thank you for this site! This is part of my email to John and I thought it would be helpful to post it. I feel terribly alone right now and it seems like a million miles away. I do have some questions if you could help me.
1. Every time I go from sitting to standing I get a sudden surge of pain and tightening down my entire left leg. Is this normal? I want to assume its the blood settling down into the leg from bring elevated.
2. My foot and shin/calf area turn purple/red when I stand or have my not elevated. Is this normal, is my brace maybe too tight, or is there a problem there? I will attach a current photo.
3. The doctor does not have me doing any movement or weight bearing at all with the left leg and his plan is to have it completely immobilized for 6 weeks. The things I've read and even your documents say to get rid of crutches and start the process. Is the doctor putting me in a dangerous spot?
4. I'm really scared to do anything with the leg so I don't even try to lift or move it. Is it ok to try lifting it (activating it, straight-legged) to get from sitting elevated to standing.
5. Is it ok to flex it to start feeling it working?
6. What are the odds of successful recovery? Meaning to get back to close to normal abilities and lead a normal active lifestyle.
7. When I have it elevated the pain in the back portion between my heal and calf are very tender. Keeps me in pain and up throughout the night. Do you think it could be the bruising? Could it be from the brace being too tight? Or could it be another problem?

I am an active 36 year old that took a tumble down some stairs (missed a step) with a vacuum in my hand. The landing impact and vacuum hitting my left knee completely tore the quad tendon. I'm 10 days out and am struggling to adjust to this. I have tried my hardest to take it one day at a time and look at this in a positive light but it's overwhelming. I need help, positivity, and some answers. Thank you for responding. I truly look forward to your insight on my questions.
Title: Re: Ruptured Quadriceps Tendon
Post by: SellaVee on September 01, 2013, 11:57:43 PM
Welcome to kneegeeks, Brian, you're not alone, and the early days are very dark and you wonder how on earth you're going to cope.  I fell and ruptured my patellar tendon almost twelve weeks ago and it does get better but be prepared to "cry me a river", over your injury.  Mentally it's very hard - for all of us.

In the UK, it's not unusual to be immobilised for 6 weeks  for RPT, I don't know about RQT, but what concerns me is your circulation.  Calf pain in particular worries me as this can be a sign of thrombosis.  It's perfectly possible that your brace is causing the pain but why take a chance?  My advice would be to see a doctor as soon as you can.
Title: Re: Ruptured Quadriceps Tendon
Post by: carkeltom on September 02, 2013, 02:50:19 AM
Brian B.   It is hard to imagine this type of injury.  I am 6 weeks post op of a double patellar tendon rupture.  Being at home, like SellaVee said, you are not alone.  I am with her on the calf pain as that could be a circulation or thrombosis problem.  Do not be afraid to take the pain medications your doctor has prescribed.  I did not begin to sleep well or through the night until several weeks post.  Rest Ice Compression and Elevation are key early on.  If you have access to undo the ace bandages or wraps and not mess with the incision, loosen it up when you ice.  I use frozen bags of peas to this day, several times per day.  There is definitely the possibility of having post surgical bruising or pain on other parts of the injured leg.  Make sure that your brace is not too tight and cutting off the circulation.  Use a pillow between your legs at night. 

Do not be discouraged when reading the threads and posts.  Almost all people recover from these injuries, just to greater or lessening degrees.  I wondered at first how 6 weeks of immobilization would help, but it is the norm and I know that there is a reason for it and it is healing.  Find a book, find a video game, movies, Facebook (where I am almost always logged on) or feel free to chat here.  I would be climbing the walls of my house if I could, but I know my limitations and I can barely do the steps to get into my home.

Read what John sends and find some other material online.  There are lots of protocols for RQT and when you get to that point, ask the PT and ortho surgeon questions at your next appointment. 

And are you in the US or UK or somewhere else?

Tom
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on September 02, 2013, 08:56:43 AM

Hi Brian

Welcome to the RQT/RPT thread - although we have exchanged e-mails over the last few days, you have now found the right home to get answers to your questions - lots of buddies out here to help you.

Click on the undermentioned web page, and you will find a a complete set of documents which I have compiled over the years together with KneeGuru -    This will give you lots of information on your serious injury and rehab injury.

PATIENCE - it`s a long haul in front of you - ask questions ---

Take care
JohnK/ Manchester UK



https://www.facebook.com/QuadricepsPatellarTendonRupt
Title: Re: Ruptured Quadriceps Tendon
Post by: fishy on September 03, 2013, 06:31:21 PM
Hello everyone I am new.  I ruptured my quad tendon playing basketball.  I have read most of the post.  I am 7 weeks post surgery as of today.  I have been walking around with a brace since day one.  I have been reading some doing straight leg raises sooner than other.  I am a big guy.  6 foot 7 and weigh 280lbs.  I am sure my leg is heavy.  I attempt to do a straight leg raise and I cant keep it in full extension while raising.  I have a slight bend.  It also hurts when I attempt to do a straight leg or extend my knee when I am sitting.  Please tell me this is normal at this point and when should I be able to extend my knee.  When were you able to extend your knee fully during a straight leg raise or just extending the knee.

Thanks in advance..

Yup, you are a big guy.  Big or not ( I am 5'10" and 195 lbs).  They call it a straight leg raise but it really is a misnomer.  It really should be Straight as possible....remember your muscle is damaged and it takes a full 12 weeks for the reconnect to fully heal.  I had a love/hate relationship with my braces (I was a double RPT)... I still have a very slight bend at week 14...the attachment is completely healed but the muscle is still atrophied.  Patience is our mantra, so keep exercising and be patient, you will recover.
Title: Re: Ruptured Quadriceps Tendon
Post by: fishy on September 05, 2013, 04:07:39 PM
Thank you for this site! This is part of my email to John and I thought it would be helpful to post it. I feel terribly alone right now and it seems like a million miles away. I do have some questions if you could help me.
1. Every time I go from sitting to standing I get a sudden surge of pain and tightening down my entire left leg. Is this normal? I want to assume its the blood settling down into the leg from bring elevated.
2. My foot and shin/calf area turn purple/red when I stand or have my not elevated. Is this normal, is my brace maybe too tight, or is there a problem there? I will attach a current photo.
3. The doctor does not have me doing any movement or weight bearing at all with the left leg and his plan is to have it completely immobilized for 6 weeks. The things I've read and even your documents say to get rid of crutches and start the process. Is the doctor putting me in a dangerous spot?
4. I'm really scared to do anything with the leg so I don't even try to lift or move it. Is it ok to try lifting it (activating it, straight-legged) to get from sitting elevated to standing.
5. Is it ok to flex it to start feeling it working?
6. What are the odds of successful recovery? Meaning to get back to close to normal abilities and lead a normal active lifestyle.
7. When I have it elevated the pain in the back portion between my heal and calf are very tender. Keeps me in pain and up throughout the night. Do you think it could be the bruising? Could it be from the brace being too tight? Or could it be another problem?

I am an active 36 year old that took a tumble down some stairs (missed a step) with a vacuum in my hand. The landing impact and vacuum hitting my left knee completely tore the quad tendon. I'm 10 days out and am struggling to adjust to this. I have tried my hardest to take it one day at a time and look at this in a positive light but it's overwhelming. I need help, positivity, and some answers. Thank you for responding. I truly look forward to your insight on my questions.

Brian B, WELCOME TO THE CLUB.  If you are like me you didn't know (or care) that this site existed prior to your injury, but now that you have found this site you cannot imagine recovery without it.
Our motto is "Patience, PT, repeat..." (OK, I just thought that up....feel free to use it).  Information is power, so you came to the right spot....I am 14 weeks and a double RPT (twice the fun!).  For some reason pain is a constant in my healing...I used to take gobs of Norco, now Advil (a few time a day), As the ligament heals (a twelve week process) your quad will atrophy.  I considered myself a lawn dart with braces (love/hate relationship with braces by the way).  I walked with a walker first, then cane with claw foot, then cane, then wobbly... a total of 9 weeks to wean myself off braces.  My suggestion would be to cruise this site and find others that are about where you are (in weeks).... you will be amazed by the similarities between you and prior posters.  Elevate, ICE, pain control with prescribed drugs, PATIENCE,
repeat.  You have had a serious accident but the prognosis is good for a full recovery. 
Title: Re: Ruptured Quadriceps Tendon
Post by: fishy on September 05, 2013, 09:19:01 PM
Hi everyone!

So I haven't posted in a while...I've been extremely busy recently with moving and starting school.  I am almost 11 weeks post-op and have had pretty close to normal ROM for a couple weeks.  My left leg measures at 160 and my right leg is up to about 154.  I was doing really well in therapy up through the beginning of August and I pretty much have my quad lag GONE!  I was unable to schedule therapy for the past two weeks though, due to having to find a new therapist and trying to adjust to my crazy schedule.

So now that my ROM is basically back I am just trying to strengthen.  My biggest enemy is the heel taps, and I'm doing those pretty decently at 3 inches.  My leg is MAJORLY atrophied due to my injury happening almost 5 years ago, so trying to build muscle it going to be extremely frustrating.

I am worried about trying to do as much therapy as I want to do with my new schedule of sitting in classes all day and studying.  Before this, all I did was sit around all day so therapy was no problem.

What have been the most beneficial exercises in building quad muscle for everyone?

Hope all is well!

Just on my way to the gym.... I have used any weight machine that emphasizes the quad because each machine attacks the muscle from a different angle and that means the whole muscle gets exercised.  Keep up the good work!!!
Title: Re: Ruptured Quadriceps Tendon
Post by: vince99frc on September 29, 2013, 06:03:24 AM
Thanks for responding..  I have been out of the brace since the 8th week.  I am 12 weeks now and I have slight extensor lag.  I still have pain and tightness when trying to fully extend. 

Vince99, I ruptured my both patellar tendons and I am 6 weeks post op and still can not do a leg lift, nor does my OS want me doing them.  When standing with the crutches, I do standing leg lifts where I swing my legs, one at a time forward.  I started doing them per my PT without flexing my quad after the third weeks and now do them flexing my quad as much as I can.  I have a PT protocol from my OS that is titled Quadriceps tendon repair that he wrote over the words Patella, so think he is being lazy, but my injury is rare, per him.  I checked on 7 week workout and it says that you should be doing straight leg raises, flexing while increasing ROM from 95-100 and then to 105 and then 115 by week 10 post op.  Hope that helps.

Are you still in a brace, or are you out?

Tom
Title: Re: Ruptured Quadriceps Tendon
Post by: vince99frc on September 29, 2013, 06:05:37 AM
Hello there...  I am located in Tampa, Florida, USA..  I am going to look at your undermentioned thread now..

Thanks,

Vince

Hi Vince

Welcome to the RQT?RPT thread on KneeGuru - you will have realised that you have sustained a very rare and serious injury, with a long rehab.

Months ahead of you for rehab.

Suggest that you click on the undermentioned thread, which shows a collection of documents which I have compiled together with KneeGuru over the years.

PATIENCE will be rewarded.  Where do you live?

Take care
JohnK/ Manchester UK


://www.facebook.com/QuadricepsPatellarTendonRupture
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on October 14, 2013, 12:45:24 AM
65 year old male(active) ten weeks post surgery for complete rupture. No pain at time of injury or since. Dispensed with crutches 5days post-op because of arthritic wrists. Started on bike 3weeks post- op and set aside brace 4weeks post-op. started hiking Vancouver's Grouse Grind 6 weeks PO. How long should I expect swelling to remain and how long should Physical Therapy continue, currently 3 times per week, hiking4 times weekly?
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on October 14, 2013, 07:51:40 AM


Hi Stuart Rulka

Welcome to the RPT thread on KneeGuru

You have sustained a very serious injury, with a long rehab in front of you. The tenon has not yet healed 100% and suggest that you go easy on outdoor activities. The swelling can continue for quite some time - but listen to your knee.

Suggest that you ask your OS/PT have you seen this type of injury before, as you should not be on a bike 3 weeks after surgery, as there is the danger of rerupture.

How did you sustain your injury?   

Suggest that you look at the undermentioned webpage - it contains a set of documents which I have put together with KneeGuru.

Keep posting - ASK questions.

Take care

JohnK/ Manchester UK


://www.facebook.com/QuadricepsPatellarTendonRupture
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on October 14, 2013, 11:45:13 AM
Forgot to ask you ---

Did you rupture your patella tendon or your quadricep tendon???

Best

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on October 15, 2013, 03:59:28 AM
John42. Injury sustained in fall descending an embankment, rescued by Canadian Coast Guard hovercraft and underwent surgery for complete rupture of quad tendon 15 hours later. Returned to work 3 days post-op and started Physio 2 weeks later. Have known this practitioner for 25 years; he was in London with the Canadian Olympic team, was Chief Therapist at the Vancouver Olympics and works primarily with athletes. Thank you for your response
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on October 15, 2013, 06:36:08 PM
Posted my history primarily because most postings re this injury seem to focus on the downside. I think it is important for others with recent surgeries to know that properly supervised, recovery need not be as traumatic as I  was led to expect. I was diagnosed with Depression 5 years ago and chose strenuous exercise as an alternative to drugs. My first reaction on hearing the diagnosis and recovery period,(No hard exercise for 12 months) was that it amounted to almost a death sentence! Exaggerated I admit but at my age I would never have been able to regain my level of cardio-vascular endurance or recoup the muscle loss. As it is My right quad is still 2cm smaller than my left. Had I waited a year I would have become an "Old Man".
Title: Re: Ruptured Quadriceps Tendon
Post by: Frank550 on October 16, 2013, 04:27:21 PM
Oh how I wish your surgeon and team had looked after me! I am flabbergasted at the speed you appear to be recovering!

All I can say is please be careful and don't tempt fate and have a re-rupture.

(Must book a move to Canada!)
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on October 16, 2013, 06:36:03 PM
Frank550. I should mention that I was fortunate to be taken to an almost rural District Hospital in Duncan B.C. Where I received wonderful treatment even though it was our August holiday weekend . My PT is treating a patient who suffered the same injury on the same weekend in Metro Vancouver and he waited 4 days for Surgery! My PT is the top knee man in Canada (Marc Rizzardo) who sat me on a bike on my first visit, 2 weeks, and told me to see how far I could move ,forward and back. By the 4th visit I made a full revolution and never looked back! The Grouse Grind I hike (try Google ) is a perfect challenge, 30pct grade but with a tram down, downhill travel being expressly prohibited! Still tentative going down stairs so this is perfect. Even with a6 week layoff my cardio went to hell and I lost 2cm off my right quad. Can't overstate my good fortune!
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on October 16, 2013, 06:46:47 PM
Hi Stuart

May I suggest that you get a floor cycle - Amazon - about £30 or $45 - you just sit in your chair and pedal away - it is a godsend

JohnK/ Manchester UK
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on October 16, 2013, 08:12:26 PM
Thanks John. Do have access to stationary bikes in our complex but prefer to get outdoors after working 10hour days. Hike all winter in the dark using headlamps and crampons when necessary!
Title: Re: Ruptured Quadriceps Tendon
Post by: SellaVee on October 17, 2013, 01:17:57 AM
Hi Stuart

I'm delighted to hear of your progress and I'm sure it will be an inspiration to other readers.  The thing that really surprised me was that you felt no pain at the time of the accident or since.  I was in absolute agony when I fell, and I remember being in pain when I came round from surgery.  I'm guessing you're not on pain medication.

John, Frank and I are all in the UK where the rehab protocol tends to be much more conservative than in Canada and the physiotherapy not so good.  I also suspect you had a much higher level of fitness.  I'd just recovered from foot surgery when I fell so my fitness was poor.  I aim to be fitter when I'm recovered than I was before I fell, as I learned from seeing some of my fellow patients in hospital that it's very much use it or lose it when I comes to mobility.

I also agree that you'll benefit from being outdoors.  When I first came out of hospital I hired a wheelchair and my husband would push me up the road to our local pub garden.  Just sitting outside in the sun cheered me up.

Do you use knee sleeves/braces and hiking poles when your on the trail?  I'm relieved that you're still tentative going downstairs, otherwise I'd have had to ask you to change you're username to Superman Rulka.

I Googled the Grouse Grind and learned that it was one of the 10 most dangerous hikes on earth and that last month a man had a heart attack while climbing.  "Let's be careful out there" .......  on the Hill.

To answer your original questions, I think swelling could continue for up to a year, depending on how hard you're working it, and I'd ask your physiotherapist how long he or she expects you to continue.
Title: Re: Ruptured Quadriceps Tendon
Post by: Frank550 on October 17, 2013, 02:41:15 PM
Superman seems quite appropriate!! (In a nice way)

I think the UK lags behind many parts of the world in its medical aftercare, I'm sure the surgeons do good work but the post op care is flooded with patients and not enough practitioners.

As for going downstairs etc....stairs are a pain going up or down, its inclines I cant deal with, I'm ok going up but going down is a problem where I feel I'm going to topple forward, add a 50kg dog to that equation who sometimes wants to move faster than I am capable......

Fitness...I think you've hit it on the head, I used to be Mr superfit when I was a cop, but arthritis and I have to admit a bit of laziness, put paid to my sporting activities, I have also promised myself to rectify that situation as soon as I can (we should start a post op quad tendon fitness group!!)

onwards and upwards
Title: Re: Ruptured Quadriceps Tendon
Post by: mojocpa on October 17, 2013, 03:54:25 PM
I did the double RQT going down my stairs at home. I caught a heel with brand new shoes and ruptured the left quad and the right one went trying to get up. This happened the evening of October 1, 2013. I had surgery the next morning and PT had me in a walker with locking braces that  afteroon. I was released from the hospital on October 6th. I have an appointment with the OS this afternoon. I have kept a positive attitude and follow the medical specialists orders.
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on October 17, 2013, 05:22:46 PM
SV. After my fall I landed on my back with my leg doubled underneath me. One look at the position of my kneecap told me I was in trouble. I was really surprised to feel no pain but was frankly terrified that any movement might precipitate agony. Had to stay calm to coach my wife to launch our rubber dinghy from the shore of the isolated islet we were on ,explain how to lower and start the outboard and send her back to our sailboat to radio for help. Lesson is that disaster strikes at the most inopportune  times, and if venturing afield be sure all parties have an awareness of what to do in an emergency! Had I been writhing in incoherent agony things could have become ugly!
  I suspect the lack of pain could have been because my injury may have been less of a rupture of the tendon than a tearing of the periosteum to which the tendon attaches. My only basis for this theory is the lack of pain and the fact my surgeon said my powerful quads were partly responsible. Fitness can be a double edged sword! No post surgical pain either although my OS pressed a prescription for 40 Oxycodone on me at discharge. Tore it up, and was back at work 3 days later, which I could not have done on drugs. Being self employed is a great motivator, and motivation, or desire, plus fitness is key to recovery.
 The Grind is not as dangerous as the media suggest, I suspect the deaths (understated actually) are commonly due to middle aged men trying to keep up with younger ladies! I am no hero and now use my brace and one hiking pole, taking much shorter steps than is my wont. Tonight will be my 18th time up the hill since my injury August2nd but I have been climbing 3-4 times a week, year round since 1996 .
Title: Re: Ruptured Quadriceps Tendon
Post by: SellaVee on October 17, 2013, 05:53:05 PM
Welcome mojocpa.  I also suffered a new shoe related fall when the soles of my new shoes stayed stuck to the carpet when I turned to my right.  I wrenched my knee and ruptured my patellar tendon.  Unlike you I had a long wait for surgery as the orthopaedic department were not convinced that's what I'd done.  Your positive attitude will see you through.

If I'd been in your situation, Stuart, I might have made it into the dinghy but I'd never have made it back onto our boat.  I'd have needed air sea rescue!  Keep up the good work with the hiking.  My physiotherapist has said walking will do me good.  I'm thinking of getting a Bioskin knee sleeve for support when we go on longer walks. 

I think it's really helpful to have reports of people who are doing well in their recovery and pushing the boundaries a little as well as hearing of people who are taking a slower route to recovery.  It's certainly helped me to know that there's more than one way to get over this.
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on October 17, 2013, 05:58:17 PM
Hi Mojocpa

Welcome to the RPT/RQT webpage of KneeGuru

We have already exchanged e-mails, but a double Ruptured tendon is so rare, in fact I have only known about 4 or five within the last years.

There are currently a couple of double RPT/RQT posting at the moment, going through the same trauma as yourself.

Suggest that you also read the undermentioned link, which contains a number of documents which I have put together with KneeGuru - read with care.

PATIENCE   Ask questions

JohnK/ Manchester UK
 https://www.facebook.com/QuadricepsPatellarTendonRupture
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on October 17, 2013, 06:38:46 PM
SV. I join you in welcoming mojocpa. Something that needs to be borne in mind is that quad tendon ruptures tend to occur in males over 60, usually after falls which suggests a sedentary lifestyle, or less than optimal balance and fitness. Recovery protocols are of necessity geared to this group,and may not be particularly relevant to an individual. I find it interesting that here in North America, The Land of the Free and the Home of the Lawsuit, we have practitioners who are willing to push the boundaries.
  As mentioned previously I did have to call on our air-sea rescue to extricate me by hovercraft!
Title: Re: Ruptured Quadriceps Tendon
Post by: mojocpa on October 17, 2013, 08:26:29 PM
I am 57, slightly overweight, none of the other medical conditions that are linked to RQT. I was club footed as a baby and consequently developed arthritis in both ankles with one more severe than the other making running impossible and stairs difficult. I worked on a livestock farm for most of my life until I changed occupations to one more financially stable 10 years ago.
Title: Re: Ruptured Quadriceps Tendon
Post by: Frank550 on October 18, 2013, 12:47:44 PM
Thought I would pop on my story as to how I ended up here, and it was really simple.....

I was in my garden, in old (smooth bottomed) trainers and it had rained earlier. There is a slope in the grass heading back into the house and I was walking down this slope when my right leg shot forward on the slippery grass, my left leg didn't move. As I was falling its quite obvious my left knee over extended rapidly and I heard a loud snap like a dry stick being snapped. The pain was excruciating for about 10 minutes, then eased off to nil in the next 20 minutes when the ambulance arrived and carted me off to the hospital.

Xray confirmed a piece of bone had been ripped off with the tendon, and I was operated on 5 days later. Open cast for about 2 weeks and full cast for 2 more before being braced at 120 degrees.

That was April through to May. I next saw a doc in June, he recommended PT to start. Heard nothing for weeks, so arranged my own PT, finally got letter through from NHS beginning August to say I was getting near top of the waiting list to be seen, by which time I was already several weeks into PT!

After 4 weeks PT I had 55 degrees ROM only and no matter what we do now 55 is about the max I have. I await an appt with my OS on 6th November to discuss where we go from here.

Thats me in a wee nutshell!

I was 51 at time of injury.
Title: Re: Ruptured Quadriceps Tendon
Post by: SellaVee on October 18, 2013, 02:25:45 PM
Stuart, I didn't realise that the profile for quad tendon rupture was so different from the patellar tendon rupture.  Apparently the patellar tendon rupture typically happens to men in their 30s and 40s playing sport who fit the "weekend warrior" category, hence the problems I had getting diagnosed.
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on October 18, 2013, 04:26:36 PM
SV. The quad injury does extend to men in their 50s and younger as our current group demonstrates,  especially  if there is steroid abuse. Obviously though as you have found there are no hard and fast rules. The Fates must have their say!
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on October 23, 2013, 11:08:24 PM
Anybody experienced any issues with other parts of the knee joint due to overcompensation during recovery?
Title: Re: Ruptured Quadriceps Tendon
Post by: SellaVee on October 24, 2013, 11:34:54 PM
The issue I had was with my opposite hip.  It became extremely painful until my physiotherapist corrected my gait.
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on October 26, 2013, 05:50:35 PM
A physician friend of mine is wondering if anybody on this Forum was taking Ciprofloxacin or other quinolone antibiotics prior to tendon rupture. Anybody?
Title: Re: Ruptured Quadriceps Tendon
Post by: Frank550 on October 26, 2013, 09:58:28 PM
Nope sorry
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on October 27, 2013, 09:52:44 PM
It was 12 weeks today I was released from hospital. Celebrated by doing a double run up the Grouse Grind!   
Title: Re: Ruptured Quadriceps Tendon
Post by: mojocpa on November 06, 2013, 03:32:12 PM
I had my 5 week checkup last night. The doctor was pleased with my progress. I start PT this week. Over 90 ROM in both knees. Walking without the use of the walker in familiar settings. I have noticed  downward inclines are tough.  No pain in either knee. I have been off pain meds for 3 weeks. I feel that things are going very well all things considered.
Title: Re: Ruptured Quadriceps Tendon
Post by: SE27Eagle on November 10, 2013, 08:18:14 PM
Greetings, comrades.  I find myself in a bit of a Groundhog Day moment since I had this injury on the left side six and a half years ago, and then a couple of weeks ago managed to rupture the right.  I well remember this site as a source of great comfort, and in an odd way it's good to be back.  In another way it isn't - after that first injury I thought "That's it - you really need to sort your life out" and started doing more sport.  That was a slow but steady process, but five weeks ago I managed to cycle up Mont Ventoux, easily outpacing every other 110kg cyclist on the mountain that day (I draw this conclusion from not seeing anyone else that big, thus suggesting they'd all been left for dust in Bedoin or didn't in fact exist).  Anyway, here we are again after a completely freak accident on the stairs at home. 

So while of course I am here for tea and sympathy, I am definitely also here to tell anyone else arriving in the ruptured quadriceps tendon thread in the coming weeks and months that you really do get better.  Fully better.  And that you've timed your injury brilliantly, because you're more likely to be in a brace locked to 0 degrees nowadays than the full length cast I was in for seven weeks last time.

One question for people with more recent experience - is the fantasy that the tiny movement of which you are capable within the brace/cast is somehow disturbing the repair a common one?  I don't remember it from last time, but then I think I was more complacent generally back then.  And of course found it implausible there was much movement because there was this huge plaster cast on...
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on November 10, 2013, 11:14:53 PM
Hi SE27Eagle

Welcome back to KeeGuru

No need to inform you that you are in for a long haul to recovery, although having lived through it once, there is a light at the end of the tunnel.

You do well to read previous posts on this thread, and suggest that you click on the undermentioned link, as there is a set of documents which I have collected together with KneeGuru.

Do keep us informed of your progress and don`t forget to ask questions.

Where do you live?

Take care
JohnK/ Manchester UK


://www.facebook.com/QuadricepsPatellarTendonRupture
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on November 11, 2013, 01:28:31 AM
Welcome back SE27Eagle. If you haven't caught up with previous posts my PT had me on a bike to test my ROM at 21/2 weeks. Even if I am outside the norm I wouldn't sweat a little movement inside your brace. Listen to your body but don't be afraid to try things.
   Good luck!
Title: Re: Ruptured Quadriceps Tendon
Post by: SE27Eagle on November 11, 2013, 07:26:52 PM
Thanks John and Stuart

So - London, England in answer to your question, John, and intrigued to see you were being encouraged to flex the knee so much after two and a half weeks, Stuart.  I was given a non-negotiable look in the eye by my surgeon and told "you're keeping this straight for four weeks!".  But apparently the plan is to set the brace to 45 degrees at four weeks, which is significantly more exciting than 10-15 degrees after seven weeks last time.  Just had date for follow-up appointment in clinic to check wound and healing for a week today, so all on schedule. 

Things I now recognise/remember which I had forgotten for six and a half years:

- negligent attitude towards crutches for short journeys on the same level of the house
- odd tingling sensation from the knee (fondly imagined to be distinct moments of healing)
- nightly dreams about walking, cycling and running, sometimes with brace/cast and sometimes without
- the usefulness of the humble bathroom flannel
- full nights of sleep (you really do get bored enough to go to bed on time)
- reduced calorific consumption (can't get to the fridge so easily)



Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on November 11, 2013, 10:46:52 PM
SE27. There seems to be different attitudes in the UK and Canada. Here our PTs are viewed as
Healthcare Professionals in their own right. The Surgeon looks after the repair and then the Physiotherapist supervises the recovery. My OS told me to refrain from hiking for a year,which to me was completely unrealistic! I was more than willing to trust my PT, who,as I have stated elsewhere,was Chief Therapist for our Vancouver Olympics (Marc Rizzardo - the joys of Google). He had me cycling at 3 weeks and hiking at 6. He habitually works with Athletes, whose livelihoods are on the line, and given North America's propensity for litigation he can't afford to screw up!
Title: Re: Ruptured Quadriceps Tendon
Post by: fishy on November 12, 2013, 02:04:36 AM
Greetings, comrades.  I find myself in a bit of a Groundhog Day moment since I had this injury on the left side six and a half years ago, and then a couple of weeks ago managed to rupture the right.  I well remember this site as a source of great comfort, and in an odd way it's good to be back.  In another way it isn't - after that first injury I thought "That's it - you really need to sort your life out" and started doing more sport.  That was a slow but steady process, but five weeks ago I managed to cycle up Mont Ventoux, easily outpacing every other 110kg cyclist on the mountain that day (I draw this conclusion from not seeing anyone else that big, thus suggesting they'd all been left for dust in Bedoin or didn't in fact exist).  Anyway, here we are again after a completely freak accident on the stairs at home. 

So while of course I am here for tea and sympathy, I am definitely also here to tell anyone else arriving in the ruptured quadriceps tendon thread in the coming weeks and months that you really do get better.  Fully better.  And that you've timed your injury brilliantly, because you're more likely to be in a brace locked to 0 degrees nowadays than the full length cast I was in for seven weeks last time.

One question for people with more recent experience - is the fantasy that the tiny movement of which you are capable within the brace/cast is somehow disturbing the repair a common one?  I don't remember it from last time, but then I think I was more complacent generally back then.  And of course found it implausible there was much movement because there was this huge plaster cast on...


Fishy here:Welcome back to the club....sorry your good leg is now your "bad"....but at least you know what to expect.  I saved all the time of wondering if I would rupture my "other" leg by getting it right the first time...ie, I am a double, left was a full RPT/right torn ligament.  Both legs were in braces for 9 weeks, wobbly walking let alone trying to run.  I felt like someone loaned me their used legs....I was a dedicated runner for twenty five years (amateur, not professional).  I am at week 23 now and I can stand without using assistance, running is not out of the question but my legs tell me "no" for now, pain levels are very low, and I know it will be another 6 months or there abouts until I have most of my recovery...my PT doc says to expect 80% recovery of quad (I lost 4 inches/10 cm in diameter both legs wearing the braces).  At 66 yo I will accept the prognosis but bet my ass that I will beat the 80%.
  Not to worry about rupturing your repaired tendon, just don't try major movements without approval of OS.  PATIENCE is our montra.....so patiently exercise but ask many questions, and if you don't like the answers look to other sources. 
  Welcome back to the club, and keep reading these posts and post a few of your own.  We need your support as much as you need our!
Title: Re: Ruptured Quadriceps Tendon
Post by: SE27Eagle on November 12, 2013, 08:55:34 AM
You're going to beat the 80%, Fishy.  That kind of estimate sounds more like an observation of the behaviour of most people the surgeon's seen and not the long term dose-response to exercise (I went on to do a lot of cycling after the first one and both legs were bigger and more powerful just a few weeks ago).

On the PT point, very interested to read your observations, Stuart - I'd certainly say the PT is the key recovery professional, but on my massive sample of two, it appears to me that that surgeon gets a highly levered point of influence in that first instruction about immobilization.  Of course he or she is the only person who has actually seen the damage and the repair up close, so presumably there is some individual variance based on healing time estimates.  But if I were a betting man, I'd say most of this is custom and practice - in the same way that my first surgeon (eminent but near retirement, and thus of a previous generation) was adamant about six weeks in full cast, and was also rather sniffy when I asked about anti-coagulants and said half an aspirin a day would be fine (needless to say, this time I limped out of the hospital with a bag of needles pre-loaded with Clexane).

Then further on the PT point, I am also very lucky - we live close to the National Sports Centre here in South London so our first resort for PT is in fact the sports injury clinic which has set up there.  They are outstanding and they do seem to understand biomechanics and tissue performance very, very well.  Still, I have fond memories of my first PT, a traditional practitioner, who said shrewdly (and in my case presciently) "People go on about skiing but in my experience, the most dangerous things are baths and stairs."
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on November 12, 2013, 05:01:39 PM
SE27. Think you hit the nail on the head when you said "custom and practice"! This feels to me like the old American Heart Association protocols on pre-medicating patients for a wide variety of issues. Nobody wanted to stick their neck out and be the first to say "No!". This led to widespread overuse of antibiotics, which has now thankfully changed. Going to try to contact my OS and press him for some answers on this.
Title: Re: Ruptured Quadriceps Tendon
Post by: SellaVee on November 12, 2013, 05:20:33 PM
SE27Eagle, I agree with the points you and Stuart have made about surgeons and physiotherapists.  When he gave permission for me to lose the brace and crutches my surgeon told me my leg was stiff because I'd been in the brace too long!  That was his decision.  I took his word as law.  With the information I had then I was very cautious but I'm now drawn to a more 'assertive' approach.  Are you going to the National Sports Centre as a private or an NHS patient?

My consultant discharged me weeks ago.  He wasn't really interested in my rehabilitation.  Going to physiotherapy and doing exercises at home, these are the things that are helping me to progress.  I'm very much being guided by the physiotherapist.

fishy, I'm sure you're going to do better than the norm.  I think some people, certainly in the UK, do very little outside the physiotherapy sessions.  Some folk can't be bothered to exercise and so don't make as good a recovery as they might have done.

Is it just me, or does anyone else think that the mood on the forum is turning towards a more pro active approach to rehabilitation?
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on November 12, 2013, 11:14:10 PM
Sella. My position on this is pretty obvious, but until I can get more particulars on my own surgery I hesitate to recommend my approach to others. My surgery was done on an Emergency basis out of town and my OS's receptionist will not give out his e-mail address. I have given her mine and asked her to have him contact me but he may have other priorities. I do intend to pursue the topic of Protocols with my own PT.
Title: Re: Ruptured Quadriceps Tendon
Post by: mojocpa on November 13, 2013, 03:42:20 PM
I hit the 6 week mark yesterday with another PT session. ROM 120 in left and 116 in right. PT increased my exercises and reps. Feeling good about the progress and that my quads are coming back. I really hate to be a burden on my wife but if this would have happened 15 years ago the standard operating procedure would have been dual casts for 6-7 weeks. That would have been pure hell. I feel keeping a positive attitude and doing everything the doctor and PT tell you to do has benefited my recovery.
Title: Re: Ruptured Quadriceps Tendon
Post by: santosomar on November 13, 2013, 06:30:30 PM
I am very glad that I found this forum and specifically this thread. I am a 40 year old male that fell on a slippery wet hotel floor last week after delivering a presentation at a conference in Cancun. Go figure, the least expected place I would have guessed to have an accident. :-( After, I came back home (Raleigh, NC), I went to the doctor and they have confirmed that I have ruptured my quadriceps tendon and will have surgery this Friday.

To be honest, I am a bit scared. I have never gone through any surgery and this one does not seem to be an easy one. I do not have any health problems, but I am a bit overweight.

I really enjoyed reading the previous posts and experiences. Hopefully, everything goes well on Friday. I will keep you folks posted. Thanks in advance for any guidance before and after surgery.

Thanks again!
Title: Re: Ruptured Quadriceps Tendon
Post by: John42 on November 13, 2013, 06:47:18 PM
Hi and welcome to Santosomar

You have found the best website for persons who have RQT/RPT injuries.   You have done well to read previous posts on this thread and will prepare you for your operation on Friday.

Rehab is a long process, so you will have to get used to the idea.

May I suggest that you click onto the undermentioned thread, as this contains quite a number of useful documents which I have put together with KneeGuru.  They will describe your injury and the rehab procedure.  We hope to hear how you get on after Fridays operation.

Take care

JohnK/ Manchester UK
https://www.facebook.com/QuadricepsPatellarTendonRupture
Title: Re: Ruptured Quadriceps Tendon
Post by: cfernandez on November 13, 2013, 06:47:55 PM
This has been a very usefull site.  I ruptured my quad back in August, and had surgery in Sept 4th.  Yesterday I was able to reach 75% passive.  And it feels great!

I do have a question, does your foot supposed to get so swollen?  Mines gets huge though the day.  I am still using scrutches but was given the green light yesterday to put 100% weight on it.

Title: Re: Ruptured Quadriceps Tendon
Post by: santosomar on November 13, 2013, 07:19:51 PM
Thank you John42!!
I just liked and joined the conversation in Facebook, as you suggested. Thanks for putting this together!

Tons of great information!!!
Title: Re: Ruptured Quadriceps Tendon
Post by: santosomar on November 13, 2013, 10:26:13 PM
Quick question. What is the most common anesthesia applied during surgery and what type were you administered?
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on November 13, 2013, 10:32:11 PM
Hi santosomar. I was offered the choice of a spinal block or General anaesthetic and chose the latter!
Cfernandez. I don't like the sound of  your foot being constantly swollen.have it checked by your Physician!
Title: Re: Ruptured Quadriceps Tendon
Post by: santosomar on November 14, 2013, 12:21:17 AM
Thank you Stuart Rulka!

I am trying to do a bit more research and will document everything at: http://quadtendonrupture.wordpress.com (http://quadtendonrupture.wordpress.com)

I started that blog so others that are experiencing the same can learn from it. If anyone is interested on contributing I will be more than glad to collaborate. This thread already has tons of good information!

Thank you for sharing!!!

Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on November 14, 2013, 02:16:12 AM
Omar. After I made the decision to opt for a General one of the nurses confided to me that I made a good choice as a side effect of the Spinal can be urinary incontinence. Even if this is temporary you will have enough on your plate post surgery without the embarrassment of perhaps peeing yourself. Incidentally if it helps put your mind at rest I had absolutely no post-op pain, to the surprise of my OS.

Good luck!
Title: Re: Ruptured Quadriceps Tendon
Post by: Frank550 on November 14, 2013, 08:12:49 AM
With regards to anaesthetic here in the UK, under the NHS, and I stand to be corrected, you don't get a choice, I certainly wasn't. I was put under with a general.

You don't get choice for much here to be honest, e.g. I am soon to have scar tissue removed, released or whatever it is they do to get rid....I have only read of this being done arthroscopically, but I am having my knee fully opened up again!

Good luck today with your surgery Omar, keep us up to date with your progress.

Stuart, yet again you had some good fortune with no post op pain, once my pain meds had worn off I had the most awful 12 hours until things settled down. I was dosed with Oramorph (low dose oral morphine liquid) now and then, another downside of the NHS, if youre on a ward thats busy, youre promised the pain meds, then you get to wait hours for them, I recall my good lady wife going nuts with the staff for leaving me so long.

Anyhoo, onwards and upwards, good luck to all with their rehabs

Frank
Title: Re: Ruptured Quadriceps Tendon
Post by: SE27Eagle on November 14, 2013, 08:24:29 AM
Omar - welcome and good luck today - it will be fine.  In fact the recovery room opoids will be a distinct highlight, and if you've not had surgery before, I predict you will have the following experiences in the next 24 hours:

- unquestioning agreement with the protocol of using a black marker pen to draw a crude arrow on your calf to indicate which limb to operate on (believe it or not, "never" events did happen when they didn't do this)
- amazement that this ridiculous gown is meant to fit you, followed by grudging acceptance that nobody's going to see you like that after you're back on the trolley and they've put the blankets on
- the relief they're so pleased to see you in pre-op, followed by the thought that actually, that's quite a core skill for people preparing patients for surgery (my favourite line from an anaesthetist: "Don't worry, you're safe here" - up to that point it hadn't occurred to me I wasn't)
- massive gratitude for the combination of male anatomical design and conventional use of the bluntly named "single use male urine bottle" (direct by name, but discreet by nature) because actually, you will prefer to stay exactly where you are when you first come round
- a dim awareness that life after 1848 and the invention of anaesthesia is to be preferred to life before (even taking into account all that high living and great culture and throwing off the colonial yoke)

SellaVee - I am going on work health insurance for this episode so have kind of assumed I am going to ask for the Sports Injury Clinic people.  As a family we've been there quite a lot, sometimes covered and sometimes not.  They are about £35-40 a session retail, which adds up to a bit for a course of treatment but they are incredibly good.  Are you in South London?

Frank550 - really sorry to hear about follow-up.  For Omar's benefit, I'd add that I too had a brief period where it hurt this time - I had a general and they put a 24 hour block in the knee.  Bang on 24 hours later, it started to throb a bit. I was operated on in the evening, so 24 hours later was night time - I swallowed 2 paracetamol (Tynenol) and 2 ibuprofen (standard NSAID - don't know how it's marketed in the US) and went to sleep - next morning it was really hurting and I had two Tramadol first thing, and another couple over the next 24 hours.  Complete indifference to anything for that period, but I also realised it was time to move on from Tramadol before I fell completely in love with it.  As to getting things done in NHS hospitals, we've had a lot of time in them this year.  One of the nurses who looked after me last week was doing an agency shift during her NHS maternity leave.  She said "It's great here but I do get a bit bored.  In my NHS hospital I have 12 patients to look after and here it's 2."  That's all you need to know about why these guys constantly forget things they'd cheerfully do for you if they could only remember.  Human memory doesn't cope with many more than 7-8 items in short term.  So you have to keep calm and carry on asking.  A lot.
Title: Re: Ruptured Quadriceps Tendon
Post by: Frank550 on November 14, 2013, 09:18:43 AM
SE27, that made me smile reading through the first 24 hours. It brought back those memories, especially the huge fashion statement I was having to wear which could have covered a horse let alone me!

As for those lovely pee bottles, my first night I think I filled 6 or 7 through the night, not sure I was very popular, perhaps thats why my oramorph was delayed!!!

Blackmarker pen, they did twice one below and one above the knee, just in case....when my cast came off the ink was still there !!!

Insurance....this episode has spurred us on to take it out, we procrastinated over it and wished we hadn't now. Its costing me the trifling sum of £56 a month, which is cheap for peace of mind. (Daughter, son in law and 3 grandkids all covered for £88 a month also) sound like an advert now!

Time for a brew (Thats tea to our friends across the pond)
Title: Re: Ruptured Quadriceps Tendon
Post by: santosomar on November 14, 2013, 09:52:54 PM
Thank you for the replies folks and for making me feel better!!!
I am "ready" for the surgery tomorrow and will provide an update when I am able to go online after the surgery.

Thanks again for your support!!!

Regards,
Omar
Title: Re: Ruptured Quadriceps Tendon
Post by: SE27Eagle on November 14, 2013, 11:19:27 PM
Omar - of course and sorry to rush you into theatre.  Good luck tomorrow, not today.  You ruptured your quads tendon, not the space time continuum.   But we're still waiting to hear how you get on with the drugs, the pee bottles, the gown, the marker pen, etc.  Oh yes.

Frank - that sounds a pretty good deal to me.  I am really in two minds about the insurance thing.  My previous orthopaedic episode was a really messed up wrist (cluster£$&R on the bike on the Mall - no other traffic or cycle superhighways involved - really hope CCTV footage has been lost from one of the UK's most monitored spaces). 

With the presence of mind given even to those in shock, I rang my wife who works round the corner to take my bike and got a taxi to take me to St Thomas's (note for international readers: the National Health Service hospital nearest the Houses of Parliament - predictably, stuffed with outstanding care and elite clinicians).  First attempt at open reduction didn't quite work, so they called in the Wrist Man.  He was the single most impressive professional I have ever met in any discipline.  He was also accompanied by a minimum of three acolytes at all times, each of whom was pretty much writing down every word he said.  He went through the X-rays with me and made me understand my wrist joint was crazy paving and that he couldn't promise too much.  Two operations later, I now have an all but perfectly functioning right wrist. 

So for me it's very hard to make a clinical case for private over public if you are in a position to select your hospital carefully, but where there's an overnight stay involved, it really does help to know they will remember your meds on time and might even get you an extra cup of coffee now and then.  But with trauma I'd always be trying to get under the care of someone at the peak of their powers in a teaching hospital who does a couple of private lists a week.
Title: Re: Ruptured Quadriceps Tendon
Post by: Frank550 on November 15, 2013, 12:44:04 PM
SE you jammy *********, I have though scoured youtube and yet to find your "incident". You certainly fell (scuse pun) on your feet being so close to the seat of government when you had your accident. I find myself in an understaffed and underwhelming area of central scotland's NHS system. Probably punishment postings come here!

I recall the A&E dept on my arrival in an ambulance to be told waiting times were about 4 hours, (I was climbing the wall in pain - my rupture took a piece of bone with it) no meds for 4 hrs, the joy....

Whilst waiting an ambulance brought in a lovely chap, mid 20's maybe, off his face, drink drugs who knows, was then told waiting was 7 hours and like Lazarus rose from his bed, shouted "f**^ yoos - I aint waitin" and walked out!

Wheeled into the treatment section and heard a nurse announce to the waiting throng, probably 40/50 souls in the dept waiting, they were also told waiting was 7 hours, miracle cures abounded as half walked out. This defines the NHS today for me, many folks using the a&e dept instead of their GP's.

Omar should be done soon, lets hope he has a successful op!

Goodluck to everyone with rehab

Frank

ps just found out I am lightly pencilled in for my surgery on 3rd December, if they can find a CPM Machine
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on November 15, 2013, 02:06:42 PM
Good luck Omar!
Title: Re: Ruptured Quadriceps Tendon
Post by: SE27Eagle on November 15, 2013, 05:44:21 PM
Oh Frank, you had a really rough time - very sorry to read through that one.  And the point about the bit of bone coming away with the tendon really registered.  In contrast this injury on both occasions has involved white light levels of pain instantaneously (interestingly, Mrs SE remarked that from the next room, the precise sound of the shriek was the same as the one I made 6 and half years ago), followed by no pain at all apart from the day or so after surgery, and that very moderate and completely manageable.  Obviously there was some very coarse language as well, but I've used that occasionally in the intervening period so that's less of a diagnostic clue.

Your A&E timewasters and miracle cures just reinforce my belief that our whole concept of emergency medicine is broken.  The combination of excessive demand and a simplistic targets culture mean that clinicians are addressing a problem called "How do I get rid of these people?", not "What is the best treatment for these people?".  One of my extended family is recovering successfully from lymphoma.  It was belatedly diagnosed on the second visit to A&E with acute secondary symptoms - and then only after the nurse standing behind the registrar shook her head and mouthed "No!" when he was saying "Look, I think we've done all we can here now - are you OK to go home and the GP practice can take it from there?".  Next day, new shift: fresh eyes and ears and a CT scan - admitted within an hour and didn't leave for six weeks (because the secondary symptoms and overall weakness had got such a head start, and because chemo had to start asap).

Meanwhile, you can be sure A&E was processing the usual suspects in the holding pattern outside, and tying up too many of their resources in minors who really could have been treated at their GP, leaving the majors people understaffed and desperate to keep the flow going.  The cost of not having picked this up at the first A&E encounter?  Chemo per se doesn't require admission.  6 weeks on a conservative basis is about £15,000 in the NHS in terms of amortised cost per bed night.  It's not a very effective way of saving money.
Title: Re: Ruptured Quadriceps Tendon
Post by: fishy on November 15, 2013, 06:14:34 PM
Hi Santosomar.  Welcome to our very exclusive club.  Fishy here...23 weeks post surgery, double RPT.  My surgery was in a VA hospital in Anchorage, Alaska.  Monday, May 27th was memorial day and the day I had surgery.  MY OS was an amazing doc....as down to earth as they come.  When I was asked my preference in the OR the last word I remember saying was "general"....and he knew I wasn't referring to any rank in the Army.  I am, in my own words, an "old fart", and at 66 I've run a gazillion marathons, so I am reasonably fit for my age...but wasn't prepared for waking up with braces on both legs.  I called myself "the human lawn dart"... cuz you could have picked me up and thrown me and I would have stuck in the lawn like a dart.  The first 9 weeks were "not fun" wearing braces. This whole experience is a journey that has taught me many lessons, first and foremost is "patience".  Your journey will have many bumps along the way (as we all have at one time or another).  Be patient, ask for help, be proactive with your recovery...you will learn a great deal about yourself along the way.  And to all my brothers and sisters taking this journey I keep you in my prayers....
Title: Re: Ruptured Quadriceps Tendon
Post by: santosomar on November 15, 2013, 10:50:47 PM
Hi Folks,

Just wanted to say thanks again for your support and wanted to give you an update. Today was my surgery and I am very glad that (so far) everything went well. To be honest, I was a bit scared, since this was my first surgery. Now I am off to a long recovery.

I was given the option of different types of anesthesia (spinal block, epidural, and general anesthesia). The anesthesiologist suggested general anesthesia (even though I already had my mind set on that option, since I wanted to be completely unaware of what was going on. He also suggested a femoral nerve block for post-surgery pain control. I really took his advice and had him administer it. This nerve block is very effective, as I didn’t have any pain after the surgery.

The only pain I had right after the surgery was a soar throat and a bit of discomfort in the back of my leg. The soar throat was because when you get general anesthesia, they place an endotracheal tube or laryngeal mask to protect your airway and lungs during surgery and help you breath. The doctors removed it before I woke up.

The surgery lasted for about 1 and 1/2 hours and I was at the recovery room for another hour or so. It was an outpatient procedure and I was sent back home the same day.

The hospital provided me with a "Breg Polar Cube Cold Therapy" (well, I am pretty sure that my insurance will be charged for it).

It is great! You don’t have to worry about putting ice at specific times. As the nerd I am, I personally do a bit of home automation using INSTEON technology for my lights, garage door, and other things around the house. I put the Polar Cube to an appliance INSTEON switch and created a script to turn it on every 30 minutes.

The following are the medications I was prescribed:


Overall (so far) I am happy with the procedure. Hopefully, tonight I will be able to sleep ok and don’t wake up with any pain; and the recovery will take less than expected.
Title: Re: Ruptured Quadriceps Tendon
Post by: santosomar on November 15, 2013, 11:08:25 PM
Hi Fishy,

Great to virtually meet you. Thanks for the kind words and sharing your story. I am 40 years old, but sounds like you are in wayyyyy better shape than me. I was not an athlete per-se, but was in the US Marines for a few years and have tried to go to the gym to maintain in shape. Unfortunately, I blame myself for not keeping up with healthy eating and with exercise for the last year and a half. Something that I am definitely taking serious now.

Thanks again for your thoughts and support!!!

All, Have a nice weekend!!!

Omar
Title: Re: Ruptured Quadriceps Tendon
Post by: SE27Eagle on November 15, 2013, 11:41:09 PM
Well done, Omar - on the way now!  And however much we're all old enough to know better, it's never that much fun waiting to have surgery or even just contemplate going under with a general anaesthetic, so much better to be this side of your date with destiny.   

10 days after surgery and tonight I walked around to the pub on crutches with our friends who are up from Cornwall (250 miles away, so it seemed only fair to make an effort for half a mile or so).  Knee a little tender so elevating now to pay for my outing, but good to be free under my own steam rather than being driven everywhere.  And a frisson of excitement going down the steps from one bar to the other after a couple of drinks, but not quite the black run exhilaration of co-ordinating stepping on and off three sets of fast moving department store escalators on crutches just before the operation.  Looking back that might have been a bit reckless.   

Responsible pain management and diligent rehab to all of you.
Title: Re: Ruptured Quadriceps Tendon
Post by: fishy on November 16, 2013, 12:37:15 AM
Omar, whew....you made it...we all were holding our collective breath.  Of all the drugs you are taking/going to take believe me the stool softener is THE most important....I swear that I was giving birth with my first BM after surgery.....  Hope I made ya laugh.  The journey begins, enjoy the ride, you just might discover something new and exciting!!
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on November 16, 2013, 06:15:27 PM
Omar. Hope you had a good night and are now prepared to face the long process of rehab. Please keep on with your updates.
Fishy. Snow has arrived on our local mountains, so I had to wear spikes whilst hiking this morning. I use a rubber overshoes with carbide spikes that slips on over my trail runners or boots. These might work for you. Sold usually to jiggers and seniors!
Title: Re: Ruptured Quadriceps Tendon
Post by: santosomar on November 16, 2013, 09:38:46 PM
I was not able to sleep at all last night. It was like someone turned off the switch for the femoral nerve block I was given for post-surgery pain. It was the most pain I have ever experienced in my life.  Even taking 2 percocet tablets every 4 hours.

The doctor instructed me and my wife not to take the bandages and brace until my next appointment on Nov 25th. I feel that these bandages are brushing against the wound and also feel like a big cement block is on top of my knee. I am contemplating taking them off... Well, going to try to rest now. Just wanted to give a quick update to my friends and family, since they are following this blog.
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on November 17, 2013, 01:54:20 AM
Omar. Sorry to hear of your pain.i admit I can't relate to that but I do relate to the friction of the dressing against the wound. The cement block analogy is probably the result of inflammation so you may have to get used to it. I wouldn't mess with the dressing however. My regular MD's office claimed not to be able to change the dressing properly! Needless to say I have not been back!
 Remember   RICE

       Rest
       Ice
       Compression
       Elevation

Another tip I haven't seen mentioned is to make up a sling you can loop over your foot to get in and out of bed,or a chair, and keep a bucket by the bed to pee into. Much easier than trying to make it to the bathroom

Fishy. That should have read joggers ( darn autocorrect ) and should those overshoes appeal but not be available let me know and I will find you some. After all BC is right next door!
Title: Re: Ruptured Quadriceps Tendon
Post by: Frank550 on November 17, 2013, 08:56:28 AM
Hi Omar,

welcome back from your procedure.

Like has been said, leave the dressings alone, the last thing you need is an infection getting in to the wound.

I can absolutely relate to your pain, during my first night I climbed the walls with the pain, I was still in the hospital, and although I did have to wait hours to get my Oramorph, I did get it. The pain subsided quite soon, so rest assured that will ease off eventually.

Keeping a pillow under your knee might also help.

Use your family/friends in these early stages, do not feel too proud to ask for help.

The next stage is your rehab, now there are so many differing points of view to this, from my experience you need to start gradual movements soonish, rather than leave it weeks and weeks like I did, I have nurtured lots of scar tissue now because of it, plus I think I may have pushed weight bearing too soon causing swelling and heat in the joint which encourages scar tissue formation. As Stuart stated -  RICE, ice is your friend, as is elevation, swelling reduces if you can get the swollen area higher than your heart, in the early stages this is a must - and also remember swelling after such a surgery can sometimes last 6 to 9 months, some folks its much less, and some even more, its just your body's reaction to being messed with!!

In any case Omar, all the very best to you and yours and Im sure we all wish you a speedy recovery.

Stuart, Im sure like anyone, snow and ice fill me with dread, in fact I will probably stay in as and when the snow comes here!
Title: Re: Ruptured Quadriceps Tendon
Post by: SE27Eagle on November 17, 2013, 11:21:47 AM
Hey Omar - really very sorry to read of the post-op pain being so bad.  Not sure about Percocet - Wikipedia doesn't explain it brilliantly - but you might want (a) to let your surgeon know about the pain if it is still continuing and (b) make sure s/he knows the analgesia you left with isn't enough.  I left hospital with nothing because nobody remembered to do anything about it, and I "borrowed" the Tramadol from my wife, who didn't like it when she had surgery on her foot earlier this year but hadn't thrown it away.  There's much less precision about painkillers than other parts of the process and you need to scream (no pun intended) if it isn't working.  But fingers and toes crossed you're more comfortable now.

Can't agree enough with the others about leaving that dressing alone - again, call for International Rescue if it continues to feel that bad but don't let infection in.  Also the elevation point is critical - what comprises the "swelling" is basically viscous and fluid, so the reason for having "the wound above your heart" is so that the venous system drags it back away from the site.  I found with my wrist that the physio was spending quite a lot of time gently working it back into the lower arm in a way I could replicate quite effectively with a Dyson airblade hand dryer - it's liquid enough for that to work in real time.  But unfortunately you can't do that with your knee right now (and in any case, you shouldn't be touching it), so ice and elevation are what's left.  Having said that, on no occasion has anyone suggested ice to me immediately post-operatively, but instead only when physio started.

Stuart - the sling!  Quite forgot that - used a variety of things to do that  last time (belts, ties, legs of pairs of jeans I'd not really put away very well).  This time the leg is much lighter.  Also I note that I can cheerfully swing it unaided to the right (bed/sofa mounted from the left, as it were) but not the other way round.  Reading through my notes I see I had quite a big tear to the medialis vastus (one of the four horsemen of the quadriceps) and I wonder whether that's why.  Don't know if others have similar experiences/memories?

As for the snow - well, I keep getting snowmail alerts for the French Alps where we're heading in a few weeks.  Feel a bit ambivalent, really - love the place but will have to confine my efforts to being an in-house cook this year.


Title: Re: Ruptured Quadriceps Tendon
Post by: fishy on November 17, 2013, 06:26:07 PM
Omar. Hope you had a good night and are now prepared to face the long process of rehab. Please keep on with your updates.
Fishy. Snow has arrived on our local mountains, so I had to wear spikes whilst hiking this morning. I use a rubber overshoes with carbide spikes that slips on over my trail runners or boots. These might work for you. Sold usually to jiggers and seniors!
[/quote
Fishy here....I have a pair of those I keep in my truck. Running I would install screws on my running shoes.  Hiking with pole's (a recent purchase)..... my legs are getting stronger but I need to work on both inside and outside of quads with weight training.... ps, where do I find a "jigger"?  Lol
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on November 17, 2013, 10:27:14 PM
Got an e-mail back from my OS and he appears to agree with the prevailing mood on this forum.
"I think physio can push the envelope as long as the patient does not suffer. There are many approaches to quads ruptures and I think with the newer sutures and  techniques protocols for recovery should be upgraded."
Our collective experience would seem to suggest that the sooner mobility is returned the easier the recovery! Individual differences will always need to be taken into account.
Title: Re: Ruptured Quadriceps Tendon
Post by: santosomar on November 17, 2013, 11:20:41 PM
Stuart, Frank, SE27Eagle, Fishy, et all.

Thank you folks!!! I am really really glad that I found this forum before my surgery. You guys really cheer me up!! I feel MUCH better today and the pain is calming down a bit. Huge difference from yesterday.

I really like the RICE concept and trying to be disciplined and abide by it everyday.  I also like the idea of the sling. I tried a couple of things already. My poor wife's back hurts from helping me lift and lower my leg every time that I need to go to the restroom or move around. I am 6'3" and 260 lbs. So one of my legs weight almost as much as she does ;-)

SE27Eagle, WOW! the French Alps!! I have been in France a couple of times, but never made it to the Alps. I bet they are beautiful!! Hope you enjoy your trip, despite the circumstances!

Thanks again folks!

Regards,
Omar
Title: Re: Ruptured Quadriceps Tendon
Post by: SellaVee on November 18, 2013, 12:01:34 AM
Omar, you can buy something called a "leg lifter" which is a reinforced webbing strap with a loop at the end for your foot.  I found it very useful.  Tramadol and Paracetamol taken together were my painkillers of choice.  I'd also say leave the dressing alone and hold off on the ice until later.

SE27Eagle, I used to live in SW London but I'm now in NW England.  Don't have insurance anymore so going to a private physio at my own expense.  I think it's money we'll spent as she's making such a difference.

Stuart, I'm probably one of the least active on the board but even I have been doing more than my NHS physio suggested, so I'm interested in your surgeon's comments.

Frank, hope your op goes well.

I've gone back to work, very much part time, so I'm spending less time on here.
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on November 18, 2013, 12:27:17 AM
Omar. My wife made me a sling from the shoulder strap of an old sport-bag. The shoulder pad fits under your heel and the clips make it adjustable. Experiment and improvise!
Have a good week everyone.
Title: Re: Ruptured Quadriceps Tendon
Post by: mojocpa on November 18, 2013, 04:25:24 PM
Omar, another suggestion for when you get to go home is to invest in a recliner chair that has good solid arms to help you when you go to get up. When I was in the hospital I spent a lot of time in the recliner there. With my double I find I need all the help I can get. 
Title: Re: Ruptured Quadriceps Tendon
Post by: SE27Eagle on November 18, 2013, 06:28:03 PM
So - back from the orthopaedic surgeon and two week wound inspection and check-in.  Dressings off and there is my knee again with its remarkably well healed cut line.  Strict instructions to keep in the locked brace but off to the physiotherapist in two weeks' time, albeit after another two weeks of the anticoagulant because I am somewhat insanely still on to fly to the US for work purposes in the same two weeks' time (there's a bit of overbooking in the offing here).  One reason I am still thinking seriously about this is that airports are one of the few places where they really do have routines and machinery to make life easy for the person on crutches.  I'm even hopeful of getting a few free chocolates and some drawing books with the unaccompanied minors if I get to board early.

More clinically speaking, plan is for gentle passive mobilisation (to about 40 degrees) on the table in a fortnight, but no pressure through the joint for another month (so locked on zero when ambulatory all of that time).  Back to surgeon in three weeks' time to have a look at it moving.

Omar, how's it going?  One other left field thought for you and later readers of this epic thread is that 6 and a bit years ago, and partly because we needed a spare single bed for the box room anyway, we acquired this let's-play-hospitals bed from IKEA for my recovery.  It elevates at top and bottom with a little remote control but it cost just under £300 rather than £3,000 for a real one.  Needless to say (and this is where an accountancy training comes in handy), I've been genuinely excited by the amortisation over not just one quads tendon recuperation but two bunion operations for Mrs SE and now - the icing on the cake - a SECOND quads tendon recuperation.  The cost of this bed is just coming down and down.

 
Title: Re: Ruptured Quadriceps Tendon
Post by: Stuart Rulka on November 18, 2013, 08:35:06 PM
SE. Not to get your hopes up but on one occasion whilst travelling as an unaccompanied minor my House-Master failed to show to pick me up, so the Stewardess (as they were then called) took me Home with her! Always was a jammy %#^+*!
 I accept that your recovery is in good hands but I feel compelled to say that your OS seems to be thinking tactically about the success of his procedure rather than strategically of your overall recovery, given that my Physio had me on a bike at three weeks. If you are going to be in the States for two weeks you have little choice but don't be afraid to ask questions. Even my OS admits Protocols need to be revised!
Title: Re: Ruptured Quadriceps Tendon
Post by: santosomar on November 18, 2013, 10:55:10 PM
Hi folks,

Thanks again for all the suggestions!

Stuart/SellaVee: Bought the "leg lifter" on Amazon yesterday and should be here tomorrow morning. Thanks again!

mojocpa : absolutely!! as a matter of fact, I am not able to sleep at my bed... very uncomfortable for some reason. However, I have an L-shape Lay-Z-boy sofa with 4 recliners built in. That's where I spend all day and also where I sleep at night. This was well-worth the investment. Who would've known that I will be using it like this now. :-(

SE27Eagle : that bed really sounds good and especially for the price!! I will keep my eyes open and see if I can find something similar here in the US.

I feel much better today and continuing to be positive. Thanks again everyone!!!

Have a nice week!!!
Title: Re: Ruptured Quadriceps Tendon
Post by: fishy on November 18, 2013, 11:10:26 PM
Hey, SF27Eagle,