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Author Topic: Hyperextending  (Read 5494 times)

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Offline sarah81

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Hyperextending
« on: January 23, 2006, 06:17:31 PM »
Hiya everyone,

What does it mean if my leg/knee is hyperextending?
My physiotherapist thinks this may be happening and has put tape on the back of my knee to stop it srtaightening properly (which is fine by me as it HURTS when it is straight).

Anyway, I never had any real problems with my knee until I injured it (fell on it-impact). Would hyperextending be happening because of the injury? Or is it just something I probably have anyway that makes it worse?

Would appreciate any info!

Thank you

Sarah :D

Offline Audice

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Re: Hyperextending
« Reply #1 on: January 23, 2006, 08:12:00 PM »
What does it mean if my leg/knee is hyperextending?
Quote

Hi Sarah ~ My understanding of hyperextending is extension beyond the normal limit. Back in 1990 I was hit in the front of the knee by one of my greyhounds flying across a field. My knee was extended backwards beyond where it should be able to go. Today, straightening that leg completely is out of the question. Hope that helps...Ellie
April, 2005 - ACL rupture, medial meniscus tear within posterior horn to articular surface, abnormal signal within lateral meniscus, partial tear MCL, bone contusions tibia/fibula, Baker's cyst.
No repairs.

Offline sarah81

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Re: Hyperextending
« Reply #2 on: January 23, 2006, 08:39:32 PM »
Hi Ellie,

Thanks for your reply.
Do you mean your leg went beyong straight and bent the other way?

Is straightening your leg out of the question because it hurts too much?
Did you have surgery?

So may questions! Sorry!

Sarah :D

Offline kctacoma96

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Re: Hyperextending
« Reply #3 on: January 23, 2006, 11:49:46 PM »
Hi there!  does your knee dislocate as well? or just hyperextend?  Mine used to hyperextend then dislocate... to solve it I had a TTT done and the left knee is doing wonderful and i just had the TTT on the right leg last month and not doing so well with recovery and on top of that i think i just tore my ACL... i have an MRI scheduled first thing in the AM.
dislocated rt. knee during soccer game in '99 had knee scoped, PT, next soccer game dislocated left knee in '00, PT, dislocated rt. knee while skating in '01 scoped again, Lateral Release in '03, LR in '04, TTT in '05 on Lf knee and TTT in '06 on Rt knee.

Offline Audice

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Re: Hyperextending
« Reply #4 on: January 24, 2006, 12:32:58 AM »
Do you mean your leg went beyong straight and bent the other way?

Is straightening your leg out of the question because it hurts too much?
Did you have surgery?

Sarah ~ When I stand, my right knee doesn't straighten all the way. It's been this way since that mishap in '90. I only had xrays at the time & the doctor I saw didn't even suggest I see an OS. He felt ice & an OTC brace plus time would make it all right. I just got used to being careful not to allow that leg to straighten.

Then last Spring when I came off my horse & landed with that same knee underneath me I did the major damage: ACL rupture, medial meniscus tear, abnormal signal in the lateral meniscus, MCL tear, Baker's cyst etc.

When I suggest to the OS after the MRI that some of the damage could have been done at the time I hyperextended the knee he naysayed the idea & felt I did all the damage with the current injury. Who was I to argue; the damage was done.

I've had no surgery & am working hard to avoid it. I'm too old for ACL reconstruction & unless the menisci become problematic I can live with them as they are...Ellie 
April, 2005 - ACL rupture, medial meniscus tear within posterior horn to articular surface, abnormal signal within lateral meniscus, partial tear MCL, bone contusions tibia/fibula, Baker's cyst.
No repairs.

Offline Alla

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Re: Hyperextending
« Reply #5 on: January 24, 2006, 08:50:17 AM »
If you have hyperextension issues then you might have lost your ACL.  I hyperextended my knee playing sport and tore my ACL.  Apparently an injury that hyperextends the knee nearly always tears the ACL.  After that, it wanted to hyperextend all the time, and was buckling a lot.  It might be something to look out for.  I had an ACL reconstruction to fix the problem and 9 months later it is getting back to normal, although there is a little work to go.

Alla
Torn ACL December 04
ACL Reco May 05
Cleared to return to sport May 06

Offline sarah81

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Re: Hyperextending
« Reply #6 on: January 24, 2006, 11:47:51 AM »
Hi everyone, thanks for your replies :)

Ellie
Sorry to hear about the problems with your knee. I would like to avoid surgery if possible too, as it sounds like it can leave you with more problems than you had to start with, although deep down I am pretty sure I will need surgery - as although physio is helping stop my knee maltrack, I don't think it is addressing the issue of damaged cartilage. And I have thought all this time that it is the damaged cartilage that makes it so painful to straighten my leg... I hope I haven't done anything to the ACL.

kctacoma96
No, luckily my knee doesn't dislocate. I didn't even know until yesterday that it is hyperextending! What is TTT?

Alla
When I injured my knee, I fell and landed on it while it was bent - so I don't think I hyperextended it at the time ??? It's almost a year now since the injury and my muscles have weakened a lot as I haven't done any real exercise - this is what is causing my kneecap to maltrack - could this also be what is causing it to hyperextend?

Wishing we all had problem free knees, ::)
Sarah


Offline Audice

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Re: Hyperextending
« Reply #7 on: January 24, 2006, 02:12:36 PM »
Sarah ~ Is there no way you can get your leg muscles in better shape & be relatively pain free at the same time? Walking? Biking?...Ellie
April, 2005 - ACL rupture, medial meniscus tear within posterior horn to articular surface, abnormal signal within lateral meniscus, partial tear MCL, bone contusions tibia/fibula, Baker's cyst.
No repairs.

Offline sarah81

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Re: Hyperextending
« Reply #8 on: January 24, 2006, 02:23:41 PM »
Hi Ellie,

Unfortunately walking is very painful - well, it's ok for 5 minutes or so, and then gets increasingly painful. My physio has actually said I should try and avoid it as she thinks it is aggravating things.
Cycling is ok - I don't have a proper bike, but have a gym membership starting next week so I can use the exercise bikes there.

My physiotherapist has also given me a load of exercises to do to build back muscle strength - she adjusts them each week, and now at this last session she has taken out everything that involved straightening my leg and taped it so that it can't straighten fully. Which suits me as it makes it easier for me to do the other exercises. I was just worried when she said my leg is hyperextending...

Sarah x

Offline Audice

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Re: Hyperextending
« Reply #9 on: January 24, 2006, 08:17:38 PM »
Sarah ~ Has your physiotherapist suggested you see an OS? I don't recall any mention of seeing a specialist. I don't know how your system works, but if you have ongoing pain no matter what you do than perhaps an MRI is in order. The last thing you need is to continue aggravating the problem. Even if the injury is something that's just going to take time to heal it's so much easier to deal with it, I think, when you know just what it is. Give me a name for something & I can handle it but I don't do well with something I don't understand...Ellie
April, 2005 - ACL rupture, medial meniscus tear within posterior horn to articular surface, abnormal signal within lateral meniscus, partial tear MCL, bone contusions tibia/fibula, Baker's cyst.
No repairs.

Offline misshilde

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Re: Hyperextending
« Reply #10 on: January 25, 2006, 02:08:01 AM »
Hi Sarah, hyperextention is normal in some people...my left knee goes to minus 4-5, my right which I just have surgery on only goes to minus 2...0 is neutral..as in straight....both of your legs should be pretty equal...hyperextending on purpose pushes  the patella down on the groove, which can cause more damage and the cause maltracking etc...I had patella debidement so my OS is a bit concerned about pushing for hyperextention, but since I was orginally minus 3-4 he agrees I should try to match knees..it hurts like the dickens, but when I am done...my knee feels normal again..before it felt like I was walking with bent knees..so my advice to you is...go with you gut...differnt PT's do differnet things....

hilde
born with bad knee
83 patella ligament pierced by iceicle
84 50%  hamstring rip
86 lateral meniscus tear
more dance 
99 menisectomy(finally)
more dance
patellar & quad tendontis
05 LR, bonespur removal, general clean out, stage 4 OA
oct 06 illiophoas release( hip ok) but knee still bad...

Offline sarah81

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Re: Hyperextending
« Reply #11 on: January 25, 2006, 09:48:35 AM »
Ellie :D
Yes, I have seen an OS, and he thought originally that I had torn my meniscus. I had an MRI which showed no tear, but that I had damaged the cartilage. As I hadn't had any physiotherapy, he wanted me to try that for 3 months, and if it doesn't solve the problem then I have to go back and have keyhole surgery. It is my physiotherapist that has picked up on the maltracking and hyperextension. I am pretty sure the maltracking is simply as a result of my muscles weakening over the last year, since the accident, and I think the exercises the PT is giving me is starting to help with that. The hyperextension thing confused me, as I fell and landed on my knee while it was bent - not straight - but perhaps it is like Hilde said, and my knees hyperextend a bit anyway. And my gut feeling Hilde, is don't straighten that leg! I had to keep it straight and still for 20 minutes when I had my MRI and it didn't do me any good - couldn't stand on it afterwards! It's this problem in particular which I expect will need the surgery to fix it.

Will just have to wait and see I suppose!

Sarah  :D

Offline Audice

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Re: Hyperextending
« Reply #12 on: January 25, 2006, 11:00:30 AM »
I had to keep it straight and still for 20 minutes when I had my MRI and it didn't do me any good - couldn't stand on it afterwards!

Interesting, Sarah. When I had my mine I told the gal who was doing it that I couldn't straighten my knee so she put a pillow under it & I was perfectly comfortable except for the racket of the machine...Ellie
April, 2005 - ACL rupture, medial meniscus tear within posterior horn to articular surface, abnormal signal within lateral meniscus, partial tear MCL, bone contusions tibia/fibula, Baker's cyst.
No repairs.

Offline sarah81

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Re: Hyperextending
« Reply #13 on: January 25, 2006, 11:07:16 AM »
Hi Ellie

I wish I had been able to do that! He let me bend it a tiny tiny bit but it was not enough to be comfortable. When he first said I had to lie there with my leg straight for 20-25 minutes I laughed as I really thought he was joking! And he basically said the more still I lay, the quicker it would be over. If I moved it would take longer for him to get good enough pictures.
Anyway, I lay there still for 20 minutes and I was so proud of myself. I can't believe I managed to do it! I couldn't even cry as that made me move so I was just squeezing my fists together for some sort of release.  :-X

Hope I don't ever have to do it again!!

BTW - I got ear defenders which was good as the machine is so noisy isn't it?! Not what I expected at all...

Sarah

Offline Audice

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Re: Hyperextending
« Reply #14 on: January 25, 2006, 12:38:20 PM »
BTW - I got ear defenders which was good as the machine is so noisy isn't it?! Not what I expected at all...

I had ear plugs, Sarah, but I now know of people who are given earphones so they listen to music while the clanging & clunking is going on. If there's a next time I'll be sure to be sure those plugs are solidly in my ears as I found the noise almost overwhelming. I came away from the MRI wondering how people could design such complex machinery & not be able to combat the noise...Ellie 
April, 2005 - ACL rupture, medial meniscus tear within posterior horn to articular surface, abnormal signal within lateral meniscus, partial tear MCL, bone contusions tibia/fibula, Baker's cyst.
No repairs.















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