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Author Topic: damage to quad tendon  (Read 9171 times)

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Offline Frank550

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Re: damage to quad tendon
« Reply #15 on: October 01, 2013, 07:58:27 PM »
Thought I would pop an update on.

Was at physio today, reckons that the scar tissue is causing my non bending issues, may have to have a minor procedure to cut it out, we will see as am back at hospital on the 16th.

Anyone know of this issue?

Thanks

Frank
Ruptured (complete) quadriceps tendon 14 April 2013
Surgical repair 19 April 2013
Scar tissue surgically released 17 December 2013

Offline SellaVee

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Re: damage to quad tendon
« Reply #16 on: October 03, 2013, 01:01:39 AM »
There's been some discussion of this on the ruptured patellar tendon thread, Frank.  I've certainly been aware of it.  I mentioned it to my NHS physio and she said that keeping my knee moving would help prevent it building up.  Since you've had trouble bending your knee that might have caused it to build up - and so you can't bend your knee.  It's a Catch 22 situation.

If you do a search for scar tissue you'll find details of people's experiences that will, I think, be helpful.
Ruptured patellar tendon (avulsion fracture) 11 June 2013
Surgical repair with wire 5 July 2013
Wire removed 28 January 2015

Offline Frank550

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Re: damage to quad tendon
« Reply #17 on: October 10, 2013, 02:50:36 PM »
Thanks Sella,

What a minefield....it appears from what I am reading that I do indeed have a scar tissue issue its backed up by the fact that no matter what PT I am doing my ROM is not improving, and 55 degrees after 6 months is definitely not where I should be. I now hope that whoever I see next Wednesday knows what they are talking about

Times like this I wish I had paid up private health, then I could research and pick an OS.

Fingers crossed time for next week!!
Ruptured (complete) quadriceps tendon 14 April 2013
Surgical repair 19 April 2013
Scar tissue surgically released 17 December 2013

Offline Frank550

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Re: damage to quad tendon
« Reply #18 on: October 16, 2013, 04:22:45 PM »
Well I wonder if that was all a waste of time!

Registrar (not even worthy of a consultant now), thinks the tendon isn't stretchy enough and that I need intensive physio (on the NHS)...I feel like I'm screwed.

Appointment on 6th November and I can insist to actually see the surgeon who did my op (and that will be the first time I will have seen her since the op).

Lets what happens first, physio or appointment under the NHS!!!
Ruptured (complete) quadriceps tendon 14 April 2013
Surgical repair 19 April 2013
Scar tissue surgically released 17 December 2013

Offline SellaVee

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Re: damage to quad tendon
« Reply #19 on: October 17, 2013, 12:25:28 AM »
Frank, I wouldn't count on the NHS physiotherapist solving your problem.  I'm now seeing a private physiotherapist because I get 10 minutes a fortnight on the NHS and it's very basic - nothing like what you're getting privately.  If physiotherapy to stretch the tendon was going to solve your problems I think you'd be further on by now.  What does your private physiotherapist think?

Where are you in the UK?  I think that even on the NHS you can ask for a second opinion.  Do some research into arthrofibrosis and discuss this with your existing physio.  I did hesitate to suggest this before, as it's a worrying condition, but I know you're already worrying and I think the suggestion of the tendon not being stretchy enough is unlikely.  There is someone on these boards who had physiotherapy for arthrofibrosis that worked - once the physio knew what she was dealing with - so all is not lost.
Ruptured patellar tendon (avulsion fracture) 11 June 2013
Surgical repair with wire 5 July 2013
Wire removed 28 January 2015

Offline Frank550

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Re: damage to quad tendon
« Reply #20 on: October 17, 2013, 02:33:58 PM »
Hi Sella,

You're really mirroring my thoughts I think, the registrar chappie said I should be getting 3-4 sessions a week (I laughed). My physio's thoughts were scar tissue causing the non-bendiness (is that word?). I will do the research on arthrofibrosis and speak with John my physio, see what he thinks, it may well come down to he knows what he is talking about, he spends time with injured people where the Drs spend 5 minutes with you only.

I'm demanding to see my surgeon on the 6th Nov, and will take it all up with her, if I get no satisfaction I will be heading for a second opinion.

I'm in Lanarkshire, Scotland.

Its not depressing but I am getting pee'd off with my inactivity, even the short walks with my pooch cause serious stiffness and reduces the bend o about 10%,  where I need to ice immediately I get home.

I know its a serious injury and I know that rehab can take time, but this is just getting silly!

Catch you all soon....back to the interesting telly! (not)
Ruptured (complete) quadriceps tendon 14 April 2013
Surgical repair 19 April 2013
Scar tissue surgically released 17 December 2013

Offline SellaVee

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Re: damage to quad tendon
« Reply #21 on: October 17, 2013, 06:10:09 PM »
Frank, do you have one of those floor pedallers?  I got mine from ebay.  You can use it to work your arms, so at least part of you is moving, and if you can't go all the way round with your feet you can go back and forwards.

I've now progressed to my exercise bike and I went on it before I went to NHS physiotherapy today.  Trouble was I then couldn't do a straight leg raise as my leg was so stiff, so I know what you mean.  If I really work my leg it stiffens up and just stops working, though I am able to sit normally so a lot of the bend has come back.  It's the strength I need to work on now.  My stamina is rubbish.

I was born and brought up in Lanarkshire but I now live in exile in England!
Ruptured patellar tendon (avulsion fracture) 11 June 2013
Surgical repair with wire 5 July 2013
Wire removed 28 January 2015

Offline Frank550

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Re: damage to quad tendon
« Reply #22 on: October 18, 2013, 12:38:15 PM »
Hi Sella,

I hadn't thought about a floor pedaller, not 100% sure what one is, will have to look it up. I am desperate to start exercising properly, my waist line isnt where it should be with all this inactivity.

No matter what I do my leg raises are strong, so that tells me my quad is good and the repair is working as it should. In a resistance test done by the doc the other day he also confirmed the quad is nice and strong (at least something is positive)

I'm having a good day today I was quite down for some reason yesterday (the rain didn't help!) I am normally a positive person, and I know things will get better in due course just need a wee drop of patience.

I have done the opposite to you, Im from Yorkshire and moved up here a couple of years ago, living in the Clyde Valley, its lovely (and cold).
Ruptured (complete) quadriceps tendon 14 April 2013
Surgical repair 19 April 2013
Scar tissue surgically released 17 December 2013

Offline SellaVee

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Re: damage to quad tendon
« Reply #23 on: October 18, 2013, 02:13:07 PM »
Frank, a floor pedaller is like a mini bike, you sit on your chair with the machine in front of you and work the pedals with your feet, or you can put it on a table and use your hands.  If you go on amazon and search for "pedal exerciser" you'll see what I mean.  I've also been doing some upper body work.

At private physiotherapy today I was put on a machine to reduce the swelling in my knee.  This is what's been causing me problems with function.  What a difference.  My knee looked much more like a normal knee.  It felt funny when I came off it but I was walking much better.  I also practised coming down stairs normally - that still needs work!

Glad to hear your feeling better.

Ruptured patellar tendon (avulsion fracture) 11 June 2013
Surgical repair with wire 5 July 2013
Wire removed 28 January 2015

Offline Frank550

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Re: damage to quad tendon
« Reply #24 on: October 18, 2013, 04:40:58 PM »
Hi Sella,

tell me a bit more about this machine you were on.
Ruptured (complete) quadriceps tendon 14 April 2013
Surgical repair 19 April 2013
Scar tissue surgically released 17 December 2013

Offline SellaVee

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Re: damage to quad tendon
« Reply #25 on: October 18, 2013, 06:10:45 PM »
Frank, I'd never seen anything like it in my online research so I asked what it was called and the name I remember is Inferential.  I've Googled and come up with Inferential Therapy.  I had a pad either side of my kneecap and dials were turned until I felt as much tingling as I could stand.

I've been asked to try and not let it get swollen, but that's easier said than done.  I deliberately didn't go on my exercise bike before I went to physio today but the therapist noticed it was quite swollen and that the swelling was holding me back in terms of what I could do.  I'm going to step up my knee massages to try and keep it down.  I know that post surgical swelling can go on for a very long time and when it's around the knee it seems to really affect how I function.
Ruptured patellar tendon (avulsion fracture) 11 June 2013
Surgical repair with wire 5 July 2013
Wire removed 28 January 2015

Offline Frank550

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Re: damage to quad tendon
« Reply #26 on: October 18, 2013, 06:33:57 PM »
Sella, at first I thought it was like TENS, but I see its a bit similar but the pulses per second are vastly different (150 against 8000). The interferential machine looks like it gives a longer pain relief than TENS, see the article I found here:

]http://www.medfaxxinc.com/index.php?/Articles/the-infrex-plus-offers-the-choice-of-tens-or-an-interferential-treatment-when-needed-wherever-needed-without-going-to-a-pain-clinic-or-doctor-office.html]

I found an ice pack for just over 3 quid that can also be a heat pad, the icing helps my swelling a lot when Ive been a little active.
« Last Edit: October 18, 2013, 06:37:38 PM by Frank550 »
Ruptured (complete) quadriceps tendon 14 April 2013
Surgical repair 19 April 2013
Scar tissue surgically released 17 December 2013

Offline Frank550

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Re: damage to quad tendon
« Reply #27 on: October 26, 2013, 10:00:55 PM »
wow, appointment arrived yesterday for 31st Oct for first physio session under nhs, with a msk specialist (sic) my very first question will be....how many ruptured quad tendons have you seen/treated?
Ruptured (complete) quadriceps tendon 14 April 2013
Surgical repair 19 April 2013
Scar tissue surgically released 17 December 2013

Offline Stuart Rulka

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Re: damage to quad tendon
« Reply #28 on: October 27, 2013, 09:58:30 PM »
Frank, my Physio is treating three right now, all with very different outcomes; seem to be dependent largely on speed of diagnosi, surgery, and start of Physio !
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013

Offline Frank550

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Re: damage to quad tendon
« Reply #29 on: November 07, 2013, 12:01:43 AM »
Update

Today I saw my surgeon, and she has decided that my first physio was correct and the lack of ROM is due to scar tissue, so she will reopen the knee and perform a release (oh joy)

I will then have use of a cpm machine (if they can find one - the hospital had theirs removed for some reason)

Pencilled in for surgery next week....watch this space!
Ruptured (complete) quadriceps tendon 14 April 2013
Surgical repair 19 April 2013
Scar tissue surgically released 17 December 2013















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