KNEEtalk

The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: Miss Beams on October 29, 2010, 10:22:54 AM

Title: ACL/MCL and patella grade 4 arthrtitis advice
Post by: Miss Beams on October 29, 2010, 10:22:54 AM
4 months ago i had a riding accident whic resulted in knee injury, i had an X-ray, nothing broken, had the vagus stress test and it was deemed that I had an MCL injury, my leg was braced 60/30 for 4weeks, reviewed and reviewed at 4 weeks when the brace was opened and told to wear during the day for the next 4 weeks. next appt told to leave the brace off, still knee swelling stiffness and locking, OS decided on MRI and to start PT.  Had MRI 4 weeks ago which revealed MCL grade 2, ACL gross abnormality possible rupture, no meniscus tearing, alll other ligaments okay and Grade 4 arthrtitis in the patella!!! Saw the OS at OPA appt next day, was told no surgery necessary, loads of rehab, to wear a knee brace and basically the knee is knackered with a possibility of TKR but as i am 52 deemed too young.  I have good days and bad days with knee locking if i walk on uneven ground, pain on climbing up the stairs, stiffness and aching at the back of the knee with what feels like ligaments twanging with dull ache when i stretch my leg.  my guestion is this normal, am i overdoing it is it the ACL interferring with the PCL, i just want to get back on to the horse and try to resume my riding as best as i can, help and advice please :)
Title: Re: ACL/MCL and patella grade 4 arthrtitis advice
Post by: Audice on October 29, 2010, 12:00:57 PM
Miss Beams wrote: my guestion is this normal, am i overdoing it is it the ACL interferring with the PCL, i just want to get back on to the horse and try to resume my riding as best as i can, help and advice please

Welcome to the forum. I know there are a number of people who are here because of riding accidents (myself included) who can offer advice from their own perspective. I stress - from their own perspective as the extent of each injury is different.

I regard myself as one of the fortunate cases because for the first two weeks post injury I had no medical intervention other than an internist visit & an MRI unread by any OS. At the two week mark I met with my OS but by that time I was walking well & barely limping. The difference between you & me was that I was offered no assistance from crutches, cane, brace until I saw my OS. I came away from that visit with a neoprene hinged brace & a script for a custom Townsend brace. Because of my age (67 at the time) I was not offered ACLr & was simply told that the MCL would heal with time & if the torn meniscus became a nuisance, the doc would scope & clean.

A month after the injury I was back to riding my horse which leaves me to wonder if using ones knee after such an injury might in fact have enabled me to recover more quickly. I had no aids so went about setting up a rehab program of my own which involved walking, first on the flat then up & down hills. It seemed to have worked for me.

I dealt with a lot of swelling & 5+ years later my knee will still swell some by the end of the day. I suspect each of our inuries is different but I'm pleased that my approach allowed me the freedom it did regardless of the extent of the inuries. Wishing you well.










 

Title: Re: ACL/MCL and patella grade 4 arthrtitis advice
Post by: Miss Beams on October 29, 2010, 12:32:22 PM
thanks for your comments, i think being positive and having a passion, does help