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Author Topic: ACI done, time for Rehab  (Read 9344 times)

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Offline kralldaddy

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Re: ACI done, time for Rehab
« Reply #15 on: December 20, 2010, 10:03:24 PM »
Well it has been almost 9 months since my ACI procedure, so I thought was time for an update.  The Quad muscle is still quite a bit weaker than my other leg, PT measured that at about 50% difference, I agree.  Steps and squats still seem more difficult on that side.  I can use the eliptical trainer daily with no issues or pain, and just got clearance to do a run walk program on the treadmill up to two days a week.  I don't have "Pain" when i run, but definatly doesn't feel like my "good" knee.  There's no pain or swelling afterwards, it just feels strange. 

Anyone have this experience when you returned to running/activity?  I don't know if its due to the muscle weakness or the fact that there is still nerve damage/numbness on the outside of the knee.  Either way, I'm happy things are starting to progress, I was getting a little depressed I'd never run again.
3/10 ACI
11/09 Menicus Repair/ACI Biopsy

Offline Rennschnecke

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Re: ACI done, time for Rehab
« Reply #16 on: December 21, 2010, 04:22:15 PM »
You're bound to feel weak if this is your first return to anything like running.  Your body will adapt over time till it evens out.  9 months is till quite early days in recovery and I know some people took nearly 2 years to return to running.

At this point you still need to take care on how you go forward.  If you train carefully you'll notice a big difference at the end of the next 3 months.

Best wishes
1/05 Ski accident: 5/05 ACLr LK; 10/06 Scope debridement, trochlear cartilage lesion (Gr4); 12/08 Scope chondroplasty, hematoma; 5 & 6/09 MACI patella & trochlea 'kissing lesions', ROM 0 to 80; 9/09 Scope LOA, IPCS & patella infera; 9/10 Scope AIR & LR.

Offline kralldaddy

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Re: ACI done, time for Rehab
« Reply #17 on: January 25, 2011, 09:51:13 PM »
10 month update.

I've since backed off the run walk routine and things have gotten better.  Had my 10 month check with my OS and he's still happy with progress.  The pain I experienced with the run walk he guesses was due to the muscle weekness I still have on the surgry side compared to the non surgery side.  I keep reminding myself they said 12-18 months recovery.  Just concentrating on building strength for the next few months before I try a shorter walk run program again.  I just fear damaging the graft, but need to push to build some muscle back.



Hope all are well.

Kralldaddy
3/10 ACI
11/09 Menicus Repair/ACI Biopsy

Offline Room 101

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Re: ACI done, time for Rehab
« Reply #18 on: January 31, 2011, 10:52:18 PM »
Hi Kralldaddy.  It seems as if all is going well for you.  Congrats on making it this far.  I am 2 years and 2 months post right now.  I had        3cmx2cm patella lesion ACI repair along with AMZ 10 months prior to that.  I was blown away that you were starting run/walk at 9 months!!  That is so outstanding.  I know you backed off of it, but it's still great that you felt that good.  I was definitely not that quick (and not allowed to be).  At 11 months we hiked 3/4 mile to the Hawaii volcano and back.  It wasn't up or down hill, but more across very uneven terrain (lava with big cracks and crevices).  I remember at my 1 year follow-up I told my doc about it.  He was surprised I did it with no pain and said he would have told me not to do such a thing had I mentioned it beforehand, hahaha...

To be honest, even now I feel like I have some strength differences, but I almost feel like it is really a muscle balance issue where the leg with the AMZ is straight now and the other is still bowlegged.  I definitely notice differences in balance, etc.  I don't run for any distance and I just started cross country skiing this winter.  That's how I do my cardio.  I don't want to screw this whole thing up.  Too much time has been put into it, and I am so grateful for what I can do today that I couldn't do a year ago.


Good luck to you, and I hope your success continues.

Room 101
February 1 2008 - left knee AMZ/LR/Debridement/ACI biopsy
December 2 2008 - left knee ACI - Patela
May 25 2011 - Left knee mfx - trochlea  (ACI growth looked "pristine"), Right knee ACI biopsy
September 5, 2012 - Right knee AMZ/ACI - patella

Offline gryff

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Re: ACI done, time for Rehab
« Reply #19 on: February 27, 2011, 09:39:06 PM »
Hi Kralldaddy,
I am in your shoes a year ago. I am having ACI soon by Dr. Flanigan as well. Did you have patella ACI or tibia/femoral ACI? Did you take a lot of time of work? How did you feel about a week out? Did they have to do any osteotomy with the ACI.
Thanks for any advice in advance.

Offline kralldaddy

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Re: ACI done, time for Rehab
« Reply #20 on: March 08, 2011, 06:19:22 PM »
I had tibia/femoral ACI.  I took about a month and a half off work.  About a quarter of that was total off and the rest was working from home on the couch.  One week out the knee feel pretty terrible.  Really swollen and pretty painful.  Ice and CPM was my life for 8 weeks.  Towards the end I was back at work and sleeping in the CPM to get my 8 hours a day in.  I was  a total of 8 weeks NWB after the ACI and 4 weeks after the previous Meniscus repair.  So the strenght in my leg is shot.  No osteotomy for me, and I 'm glad, that can add a lot of complations and changes to the rehab.

The hardest part is the total protection of the repair for the 8-10 weeks.  I hated that brace and crutches, but I followed the Drs orders and so far this seems to be a success.  I ran 2.5 miles yesterday and muscles were sore, but the knee felt pretty good. 
3/10 ACI
11/09 Menicus Repair/ACI Biopsy

Offline Rennschnecke

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Re: ACI done, time for Rehab
« Reply #21 on: March 08, 2011, 06:29:18 PM »
MAGIC
[/shadow]
Hope it continues this way! :D
1/05 Ski accident: 5/05 ACLr LK; 10/06 Scope debridement, trochlear cartilage lesion (Gr4); 12/08 Scope chondroplasty, hematoma; 5 & 6/09 MACI patella & trochlea 'kissing lesions', ROM 0 to 80; 9/09 Scope LOA, IPCS & patella infera; 9/10 Scope AIR & LR.

Offline Melissa S

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Re: ACI done, time for Rehab
« Reply #22 on: March 09, 2011, 03:08:30 AM »
That is good to hear.  So, you are about a year out from surgery right?
Injury with knee hitting concrete 7/07, partially torn ACL, and cartilage damage
Scope and debridement 2/08
2nd scope 1/10 with carticel biopsy
Carticel implant surgery on 11/8/10

Offline kralldaddy

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Re: ACI done, time for Rehab
« Reply #23 on: March 09, 2011, 01:37:46 PM »
Yes, exactly 2wks shy of 1 year today.  Yesterday I actually shot a basketball for the first time in almost 2 years since the injury.  Jumping to shoot definalty felt weird but got better as i warmed up and no pain then or this AM.  This was encouraging because the ultimate goal was to return to sports like basketball and running. 
3/10 ACI
11/09 Menicus Repair/ACI Biopsy

Offline gryff

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Re: ACI done, time for Rehab
« Reply #24 on: March 12, 2011, 02:35:19 AM »
Thanks for your update. I really appreciate it. My surgery is soon and I am very scared. I wish I could say I could be mentally prepared for this but I am not sure that is possible. I just keep putting it out of my head. I was hoping to get back to work by 1-2 weeks (I work at a desk all day) but maybe that is unrealistic.... I know I can work from home, I just get cabin fever after a day or 2!

Offline kralldaddy

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Re: ACI done, time for Rehab
« Reply #25 on: March 14, 2011, 01:02:11 PM »
The biggest reason I took so long was to get the CPM and Ice time in.  I agree working from home is awful boring.  Maybe you could do have days.  My other biggest issue was this was my right knee so I couldn't drive at first.  In fact with my leg locked straight in the brace, I couldn't even sit in the front seat of a car, I had to sit sideways in the back seat.

Its just important to have lots of help and support from someone.  You don't realize how much you can't do when your totally NWB and on crutches.
3/10 ACI
11/09 Menicus Repair/ACI Biopsy

Offline Flyinglion

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Re: ACI done, time for Rehab
« Reply #26 on: August 04, 2011, 06:19:58 PM »
Kralldaddy,

Came across your experiences while completating possible ACI surgery with Dr. Flaningan. Had right knee scope in June and still having some issues with stiffness due to fluid buildup.  Thinking about ACI for "kissing defects" patella and troclea along with patella realignment.
I was wondering if now you are able to do impact sports (soccer, running tennis) and also wondering where you did your PT in the
Columbus area?

Thanks!
February 2011 - Injured right knee playing indoor soccer
April 2011 - MRI showed patella & trochlea grade 4 kissing defects
June 2011 - Right Knee Scope/ACI Biopsy
November 2011 - Synvisc Injections
May 31, 2012 - Denovo NT Patella & Trochela, Lateral Release/TTO/MPFL Reconstruction

Offline kralldaddy

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Re: ACI done, time for Rehab
« Reply #27 on: October 14, 2011, 08:46:32 PM »
Sorry for the late reply, I've been off the board for a while.  I haven't total returned to all activities.  I do some running a couple miles a week right now) and lots and lots of  elliptical work still.  No basketball :'( yet.  Flanigan advised this would be the worst thing i could do with regards to protentially damaging the graft.  The knee for day to day activites  (walking, squating , stairs, yard work, playing with kids) feels good.  Heavier activity causes some minor discomfort.  Not nearly as bad as before the surgery, but there's still some ocasional pain and discomfort but noththing some rest and occasional OTC med can't help.  Still hoping to get back to hoops some day, but we just had a baby and I can't take that chance of gettng hurt right now.

As for PT, I did mine at the OSU rehab in teh same building as flanigan.  That why I felt he and my PT could work together closely on the plan.

Best of Luck.
3/10 ACI
11/09 Menicus Repair/ACI Biopsy

Offline kralldaddy

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Re: ACI done, time for Rehab
« Reply #28 on: November 18, 2011, 07:48:57 PM »
Had my 20 month check up on Wednesday and the Dr. has cleared me for all activies as tolerable.  Yahoo, rehab is done!  The surgery leg is still alittle smaller than the non surgey side the strength seems to be the same.

I played one hour of recreational baskeball yesterday and besides feeling terribly out of shape, the knee held up fine.  In fact the not surgey knee had some pain but none on the ACI side.  I took a long time, but I think I can say the procedure worked!
3/10 ACI
11/09 Menicus Repair/ACI Biopsy

Offline Jwin138

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Re: ACI done, time for Rehab
« Reply #29 on: November 18, 2011, 08:12:32 PM »
Kralldaddy -

thanks for keeping us updated! I am glad to hear you are doing well! I have a chondral lesion under my patella and am getting a cartilage regeneration surgery in January. (denovo, not ACI)

hope you keep improving!
Jess















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