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Author Topic: new to this place got alot of ques.  (Read 1077 times)

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Offline omar

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new to this place got alot of ques.
« on: November 17, 2004, 10:57:51 PM »
hey i have a bit of a complicated case but very basic questions... bear with me. ima medical student studyin in karchi pakistan im originally from new jersey. abt 2 summers ago i had a complete tear of my patellar ligament while vacationing in canada. i had emergency surgery then and there where the sowed my ligament back up and put me in a brace. problem i was i had to get back to karachi cuz my classes were startin. so abt 6 weeks after sugery i hopped a plane, brace and all, and went to karachi. i saw an orthopeadic surgeon here for my follow ups. he instructed me to do some home exercises (leg lifts, hamstring curls) but i didnt recieve any formal physio therapy. all was ok until 2 months later when i thought i could return to sports i was playin basketball when my knee suddenly gave way. i knew something bad had happened but i rested and walked it off over the next couple weeks. i didnt get it checked out until 2 months later when my doc told me a had torn my acl :'( pretty much my worst nightmare). also i had tears in my menisci bc i had ignored the injury for 2 months. my doc gave me the options of surgical or conservative managment. i chose to manage my knee conservatively. i did for several reasons.... i trust my surgeon he is extremely talent (he was formerly the sports doctor for the new york knicks) but i would need alot of physio therapy after surgery and i dont trust that here in karachi. there arent proper facilities for these things. also im a medical student with almost no time to take off for surgery. so i figured id wait till i graduate (2 years) and have surgery in the states. until then i plan to manage my knee conservativly and stay away from sports. so here are my questions finally... do you think i made the right choice? i am doin home exercises can someone give me specific exercises i shud be doin or where i can find this info?
thanks for ur help ppl.

Offline blackbeltgirl

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Re: new to this place got alot of ques.
« Reply #1 on: November 19, 2004, 09:51:56 PM »
Just an fyi - depending on the type of tear in the menisci, the tears could cause more damage to nearby cartilage.  You don't want to put this off for 2 years to find out you've guaranteed yourself a case of arthritis, just as you're starting your medical career.
ACI was supposed to be 2/21/06.  On 6/29/06 Insurance co said have another scope, and if it still looks good, they'll ok the ACI.
Microfracture Dec 7, 2004
   3cm x 6cm lesion, LFC; 3cm x 1cm lesion, trochlear groove; lateral tibial plateau lesion
2nd degree black belt, tae kwon do (had to stop)

Offline XxSkittlezxX

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Re: new to this place got alot of ques.
« Reply #2 on: November 24, 2004, 05:22:13 AM »
ACL Tears do suck, as does the surgery!!  (I'm one week post-op from my ACL Reconstruction surgery)  The one thing that turned me into getting surgery, cause it's been almost a year since I actually tore it... was it kept on buckling.  Of course, I put up with the buckling and the "giving out" for almost a year and thank god nothing else happened, no torn miniscus or anything.  However, that's very possible to happen and I'd say that if you're going to put off surgery, to be careful and probably not play any sports.  Also, you need lots of PT and you need to keep up with it, don't "get strong" and then stop... that's what I did.  
1/15/04 = ACL Rupture (fully torn)
11/17/04 = ACL Recon. Surgery

Offline omar

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Re: new to this place got alot of ques.
« Reply #3 on: November 27, 2004, 08:18:35 AM »
thanks alot i do try and stay away from sports and my only problem is ocassionally my knee feels unstable. also true that i stop PT once my knee starts to feel a little better. i wont do that anymore. would anbody know a good physio therapy regime or where i could find one?

thanks again

Offline Shiinshi

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Re: new to this place got alot of ques.
« Reply #4 on: November 27, 2004, 09:00:48 AM »
Omar, I am not a doctor, but found these acl friendly exercises that might help.
Like blackbeltgirl said, it also depends on the damage you have, and that even walking can make it worse.

I would recommend an MRI (if you have not done so yet)to diagnose the extent of the damage, and can tell you that waiting may make it worse, like it did for me.  

I completely tore my acl, lateral meniscus and hobbled around for 2 months before I had it operated.  Now it will take at least 9 months to a year before I can safely return to the mat w/o a brace of course.  What I learned from this was that trying to stay close to something I love even while injured, only made the injury worse for me.  I hope that this does not happen to you, but just food for thought.

FOR ACL:

http://www.caminomedical.org/health/healthinfo/index.cfm?section=healthinfo&page=article&sgml_id=ug2553

http://www.informationtherapy.org/kbase/as/ug2544/how.htm

http://yourmedicalsource.com/library/acltears/ACL_treatment.html


FOR MENISCUS

http://sportsmedicine.about.com/cs/knee_injuries/a/knee3.htm

http://www.sportsinjuryclinic.net/cybertherapist/front/knee/medial_meniscus/strengthening.php

http://www.jointhealing.com/pages/knee/meniscus_tx.html

http://www.questdiagnostics.com/kbase/topic/mini/te7345/overview.htm

Happy healing all, take care and good luck.
« Last Edit: November 27, 2004, 09:01:44 AM by Shiinshi »
10/04 - RK, ACL allograft recon/ partial lateral meniscectomy.
            
01/05- RK, PFS and venous deficiencies
- Still could be more, but still don't want to ask!















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