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Author Topic: Non Weight Bearing  (Read 14541 times)

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Offline nico3049

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Non Weight Bearing
« on: March 20, 2010, 11:15:37 AM »
Hi there, next month I am due to have stage 2 ACT (autologous chondrocyte transplantation).
I am advised by my surgeon that I will be non weight bearing for minimum 6 - 8 weeks.
Has anyone else had to be NWB. If so how did you manage everyday actions such as getting in and out of the bath, getting upstairs etc, and will I be fitted with some kind of leg brace to assist in not putting my foot down?
Please, can someone out there please advise because it is really concerning me, as I haven't a clue as to how I am going to be able to manage to keep my foot off the floor and carry on a semi normal life???

Offline mollyc

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Re: Non Weight Bearing
« Reply #1 on: March 20, 2010, 03:04:01 PM »
HI  there: I was NWB for four weeks...and, I live in a second floor walk-up and had to hop backwards up the stair! (I was in a straight-leg brace and couldn't go upstairs going forward.) Being NWB that long is do-able, but hard. I think the main thing to do is organize your life a bit in advance to make things easier for you.  First, regarding the bath, buy a stool to sit and a hand-shower.  Makes a world of difference. I'd sit on my stool (bench really), prop my leg up on the side of the tub, use the hand shower, and I was good to go.

Preparing meals and eating is hard.  You need a bag or something to carry food and drink around. I also got crutch bags, which are little pockets that go on your crutches to hold things. Really helpful! Buy a thermos to carry hot tea or coffee around (you can put this in your bag or crutch bag). I also got a small fridge to put into the bedroom, which made it easier for me to get snacks and drink during the day when no one was around.

Finally, get someone to help you...especially with meals, shopping, laundry.  I was amazed at how helpful my friends and family were.  And, of course, my partner was a real champ...cooked, cleaned, and drove me around the entire time.  Good luck!
Ski accident 2/14/09
Ruptured ACL, MCL sprain, bone bruise
ACLr allograft 5/27/09
Knee now 100% fine...skiing and playing tennis regularly

Offline PrincessTiefling

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Re: Non Weight Bearing
« Reply #2 on: March 20, 2010, 11:48:30 PM »
Hi there! :)

I was only NWB  for a few days but I did find some things to ease the trouble..

Bathing I would sit on the potty and swing my legs into the tub using safty rails and use a tub seat and removable shower head.

I have found a rolling walker to helpful mostly because now that I am wbat I can put things on it and move it around (laundry food and in some cases my three year old lol ;) )

I would go up and down stairs, on my bottom (haha!)

also since our budget has been blown by this injury we could not afford crutch bags, so I use a backpack with pockets to carry drinks and things (also doubles as my diaper bad and purse)

and as for shopping and what not .. I still cant do it alone But I do make use of the fun little power carts at the store!

Hope some of this is helpful!

Offline jt801

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Re: Non Weight Bearing
« Reply #3 on: March 21, 2010, 06:18:11 PM »
Hi i was NWB for 7.5 weeks after microfracture surgery. Like molly said having someone around to help you is probably the #1 thing you can do to make things easier. Obviously you cant have someone there to wait on you 24/7 so its a good idea to have them put things you might need within easy reach for later on. My experience was that being on crutches was a big inconvenience but a manageable situation once i got used to them. I think you will find that you can use a combination of shuffling around on your bottom, hopping, and your crutches to get around the house. You will also be surprised how much you can do on 1 leg. It is possible to carry stuff while crutching because you have 4 fingers more or less free. I used my pockets a lot to carry stuff around. Anyway, you will adapt to being on crutches quickly-just experiment but by all means be as careful as possible! Good luck!
12/99 left knee lateral release and plica removal
1/09 right knee chondroplasty and microfracture LFC

Offline nico3049

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Re: Non Weight Bearing
« Reply #4 on: March 22, 2010, 10:21:20 AM »
Hi there again,
thanks for your replies and advise, it is much appreciated.
I have prectised going backwards upstairs on my posterior...It's really hard to do, but no doubt I will get it done as the bathroom is upstairs (hope I aon't have to get there in a rush!!lol)

Should I try and build on my upper body strength prior to surgery?

When you were nwb, did you have a splint or brace on your leg to assist? My concern is that I may accidentally put my bad foot down. I need a chance for the transplanted catilage to take so I really don't want to ruin the surgery by making that sort or error.

Thanks again

Nick

Offline anniehine

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Re: Non Weight Bearing
« Reply #5 on: March 22, 2010, 10:38:29 AM »
Hi Nico,

I've had almost 6 weeks of NWB so far and it was difficult (and v frustrating) at the beginning but you get used to it!  I'm sure you're doc and PT team will let you know about putting your foot down as you go up the stairs.  I'm still shuffling up and down 2 flights of stairs on my bum and am getting very muscley arms and neck lol! 

Hopping about is a bit of a nightmare sometimes but as the other posters have said it really pays to prepare in advance.  Try and get a trolley on wheels (of sorts), it takes me ageees to slowly push a tray of food from the kitchen to the lounge with alternate crutches!  Also get some spare seating in-Ive got plastic garden chairs in the bathroom lounge and bedroom for when i need a quick rest or something to lean on!

Bathing is a bit cumbersome but i put the garden chair right beside the bath, sit on the side and swing my good leg in and then rest my bad one on the chair until I can manually lift it in.  Good times!!!

Get in food thats easy to eat and carry-bananas and breakfast bars are good as if you need to take your meds with food they come in really useful.  Oh and Ive just got in lots of bottled water and kept it in my bedroom as little things like carrying glasses are really difficult, well, impossible!

Hope this helps, Good Luck with your op!  Annie.
Left knee started dislocating at 7 years old
Hypermobile
Arthroscopic scope April 2009
Trochleoplasty at 28 years old (10.2.10)
Did 1st SLR 1.4.10 WHOOP!!
Walked through house without crutches (12.4.10) very pleased with myself!!

Offline jt801

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Re: Non Weight Bearing
« Reply #6 on: March 23, 2010, 01:29:17 AM »
Nico-i had no kind of brace or anything. Once the bandages were removed from the surgery, i continued wrapping it with the ace bandages every day just to stiffen up the leg a little and mainly just to serve as a reminder that it was bad. I also never wore a shoe on that foot just as an added reminder not to use it. That being said, i stumbled and weighted it (trying to do too much) a couple of different times but it didnt compromise my surgery in any way as far as i can tell. My OS said that he had never seen a few brief impacts ruin a microfracture. With ACI you will be in a very similar situation as i was-you can probably expect to slip or stumble at some point but it should be fine. In all honesty the biggest problem i had was that after six weeks i had become so dependent on the crutches that i was afraid to try to walk without them. It took me another week and a half of walking with at least some support from the crutches to build up enough confidence to ditch them. As for shuffling around the house, have you ever heard of a book called "touching the void"? In it the main character shuffles backwards on his bum six miles down a glacier and mountain alone after suffering a shattered knee. Its a true story and makes for great reading and an interesting perspective about knee injuries.
12/99 left knee lateral release and plica removal
1/09 right knee chondroplasty and microfracture LFC

Offline nico3049

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Re: Non Weight Bearing
« Reply #7 on: March 26, 2010, 11:17:05 AM »
Hi there again.
Thanks for all the replies I've received that contained a lot of good sensible tips.

I have had the sutures removed from the surgery from stage 1 and have spoken to the surgeon. He has informed me that the leg will be fitted with a brace for the first three days, after which it will be bandaged up in order that I can exercise it by bending it regularly. I think I like the idea of leaving a shoe off as a reminder.

Am now anticpating 16th April, when stage 2 will be completed and I can start putting some of the advise into practise.

Anyone suggest how long it will be before I can go swimming. I usually go twice a week and do a mile each time. I bought this regime in, due to the fact that I couldn't do my regular stuff at the gym.

Anyway, thanks again

Nick

Offline Casino

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Re: Non Weight Bearing
« Reply #8 on: March 27, 2010, 06:29:38 PM »
Hi Nick

Ive been NWB from October to December. I live in a Town House with 3 flights of stairs which I always went up and down on my backside. Its slow but it was safe.
I found wearing an apron while cooking helped a great deal with carrying things. Overall I was lucky because I live with my girlfriend. And she helped me get in /out the bath by lifting my injured leg.( Fractured Pelvis and dislocated knee)

After a while I was able to do more and was given full WB.

Last Tuesday I had an Arthroscopy and Lat release. And now Im less mobile that when I came out in October.

Pete J















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