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Author Topic: Patella dislocation 2 weeks into recovery  (Read 14896 times)

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Offline akneethingispossible

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Patella dislocation 2 weeks into recovery
« on: February 21, 2014, 10:41:57 PM »
Hi everyone

I dislocated my patella playing basketball. My patella did slide back into place in about 5 minutes when my friends help put me in the car to go to the ER. I took xrays that day and the Xrays were negative. I was referred to a knee specialist who I saw about 5-6 days later.
There was fluid build up so he drained blood out of my knee. He told me to stay in a knee immobilizer for 2 weeks and then come back again for another appointment. He checked out my ACL and it is fine. The blood removed was very dark and said that is a classic sign for some other tear. He said I will not require surgery.
So It's been 2 weeks out and I really can't bend my leg much at all? Is this normal? I can however keep my leg straight and do straight leg raises. But it hurts to bend it after a certain point.
Also nothing about physical therapy was mentioned. All he said was I would be in an immobilzer for 2 weeks and then a more mobile brace that pushes my patella for 10 weeks. Why did he not recommend PT? Should I ask about it? My next visit is on the 25th. Any feedback would be helpful. Just want to get up and running again

Offline allyd

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Re: Patella dislocation 2 weeks into recovery
« Reply #1 on: February 22, 2014, 01:51:11 AM »
Doctors often take varying approaches to their treatment course. Part dependent on what works for them and part based on you r individual injury.  That said sometimes you need to let thing heal before starting with pt and regaining strength and range of motion in your leg. Should you ask about pt on your return appointment?  Absolutely. If you are willing to ask the question here, ask it of your doctor. He may bring pt up, But if not definitely ask. At the very least you will get an explanation as to why he/she isnt  treating with pt.

Not unusual to lose range of motion due to swelling and then immobilization.
04/09 RK - Dislocated Patella & Grade III MCL Tear
06/10 RK - Re-Dislocation Patella
09/11 RK - MPFLr + Lateral Lengthening

Offline akneethingispossible

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Re: Patella dislocation 2 weeks into recovery
« Reply #2 on: February 22, 2014, 02:08:17 AM »
Doctors often take varying approaches to their treatment course. Part dependent on what works for them and part based on you r individual injury.  That said sometimes you need to let thing heal before starting with pt and regaining strength and range of motion in your leg. Should you ask about pt on your return appointment?  Absolutely. If you are willing to ask the question here, ask it of your doctor. He may bring pt up, But if not definitely ask. At the very least you will get an explanation as to why he/she isnt  treating with pt.

Not unusual to lose range of motion due to swelling and then immobilization.

I definitely will ask about PT at my next visit. Another thing I have that scared me is the Dr. said if this happens again I will need surgery. Will this happen again or are these freak injuries? I'm 24 and have been active all my life. Played basektball, football and even did kickboxing for 2 years that required a lot of quick movements. He did exam my good knee and said my kneecaps are apparently looser than average.

When I'm fully recovered will I be able to workout again like nothing ever happened? Like doing squats and leg extension and lunges? I feel so deflated right now. Can't bend the leg further than maybe 20 degrees if that.

Offline allyd

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Re: Patella dislocation 2 weeks into recovery
« Reply #3 on: February 22, 2014, 04:06:54 AM »
It can be a freak accident.... or like someone like me, it becomes recurrent due to anatomy and repeat offenses. BUT, you wont know that until well, it does or doesn't happen again. Take your rehab seriously and dont try to return to various activities before u are ready. Pt, rehab and conservative treatment are definitely the first course of treatment for first time dislocations. Research show that the Majority of people respond well to dthis, however, if it happens again, the percent chance of it happening again is much higher and thats when surgical solutions begin to be proposed.

No reason you shouldn't make a full recovery.  Knee injuries are deflating and take a lot of patience to recover from. Hang in there.
04/09 RK - Dislocated Patella & Grade III MCL Tear
06/10 RK - Re-Dislocation Patella
09/11 RK - MPFLr + Lateral Lengthening

Offline akneethingispossible

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Re: Patella dislocation 2 weeks into recovery
« Reply #4 on: February 22, 2014, 06:09:33 AM »
It can be a freak accident.... or like someone like me, it becomes recurrent due to anatomy and repeat offenses. BUT, you wont know that until well, it does or doesn't happen again. Take your rehab seriously and dont try to return to various activities before u are ready. Pt, rehab and conservative treatment are definitely the first course of treatment for first time dislocations. Research show that the Majority of people respond well to dthis, however, if it happens again, the percent chance of it happening again is much higher and thats when surgical solutions begin to be proposed.

No reason you shouldn't make a full recovery.  Knee injuries are deflating and take a lot of patience to recover from. Hang in there.

Thank you for the feedback. Really appreciate it. Just needed to hear positive things. First time in my life i've been sidelined from sports and working out. I have another visit on the 25th with the knee specialist and will give an update. Hopefully i'll have a little more ROM and be refereed to PT by then. Definitely going to take it slow and get into Cycling to strengthen my quads. Don't see myself stepping on to a basketball court again until September or so. Want to be fully healthy. Thank you once again

Offline akneethingispossible

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Re: Patella dislocation 2 weeks into recovery
« Reply #5 on: February 25, 2014, 05:29:14 AM »
Seeing the knee specialist again tomorrow. I am getting a little more ROM day by day but not close to being 100%. Hopefully I can start PT soon and start the rehab process. Will keep updated for those with similar injuries. Patella was dislocated on Feb 5th so It's been close to 3 weeks.

Offline akneethingispossible

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Re: Patella dislocation 2 weeks into recovery
« Reply #6 on: February 26, 2014, 02:56:15 AM »
UPDATE:
I am now in a more mobile brace. It is a brace that pushes on my Patella. I do have a torn MPFL. I will be in this brace for 3 weeks and then my Dr said I will start "light PT" in the next 3 weeks and then slowly intensify it.
Has anyone else experienced a torn MPFL from a patella dislocation? How was the recovery like? Is there a high recurrence rate?

Offline allyd

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Re: Patella dislocation 2 weeks into recovery
« Reply #7 on: February 26, 2014, 02:57:19 PM »
To ease your worries a little. It's pretty much impossible not to tear the MPFL with a patella dislocation. So, the MPFL tear doesn’t make your odds of recurrence any better or worse. Know there are a lot of anatomical factors that can go into the probability of it happening again. If you have none of these, then there is no reason you won’t heal up and be on with your life. Even if you have some, there is still a good chance you’ll heal up, strengthen your legs and be on with your life as it doesn’t sound like you’ve had prior problems.

It sounds like your doctor is going down the right path with the conservative treatment. It’s your first dislocation, and that’s the best route at this point. While things like ‘tear’ are hard to hear, when you sprain an ankle for a simpler example, you actually fray and tear ligaments as well. We live in a very bullet proof, surgery can fix everything world… but It’s best to avoid surgery if at all possible.
04/09 RK - Dislocated Patella & Grade III MCL Tear
06/10 RK - Re-Dislocation Patella
09/11 RK - MPFLr + Lateral Lengthening

Offline akneethingispossible

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Re: Patella dislocation 2 weeks into recovery
« Reply #8 on: February 27, 2014, 08:53:40 PM »
To ease your worries a little. It's pretty much impossible not to tear the MPFL with a patella dislocation. So, the MPFL tear doesn’t make your odds of recurrence any better or worse. Know there are a lot of anatomical factors that can go into the probability of it happening again. If you have none of these, then there is no reason you won’t heal up and be on with your life. Even if you have some, there is still a good chance you’ll heal up, strengthen your legs and be on with your life as it doesn’t sound like you’ve had prior problems.

It sounds like your doctor is going down the right path with the conservative treatment. It’s your first dislocation, and that’s the best route at this point. While things like ‘tear’ are hard to hear, when you sprain an ankle for a simpler example, you actually fray and tear ligaments as well. We live in a very bullet proof, surgery can fix everything world… but It’s best to avoid surgery if at all possible.
Thanks for the response! I'm going to take the next 3 weeks slow.I want the ligament to heal before I try any PT. What confuses me is that how come some people start PT a week or 2 after the injury? My Doctor told me that he wants the MPFL to be mostly healed before I do ANY PT and that the MPFL doesn't heal properly if you start activity too soon. He said in 3 weeks I will start very light PT. Which will mean I will do PT about 6 weeks from when the injury occurred and probably not advanced activity until 8-10 weeks out from injury.

Another thing I have been looking at is taking Glucosamine for my joints. Doctor said I have a higher chance of arthritis in that knee, so I think taking glucosamine would be good for the joint in the longterm?

Another thing I have looked at is to take some Deer antler spray. Been doing research and it's supposed to be really good on recovery. I wouldn't take this during recovery. I would take it after to help strengthen my quads so the knees won't have as much pressure.

Offline akneethingispossible

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Re: Patella dislocation 2 weeks into recovery
« Reply #9 on: March 08, 2014, 06:35:48 PM »
UPDATE
Tomorrow will be a month since I dislocated my patella. Swelling has gone down considerably but there is still some swelling. I have much more range of motion but not enough to move it around too much. It still feels a little fragile. I am wearing a brace on it that my dr gave me and have another check up March 18th where he said I will start some "light PT" before intensifying it. Will keep you guys posted but it's not to finally see some progress. I can go up stairs now normally but going down stairs is still a problem. Can't do that normally yet.

Offline MDAL

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Re: Patella dislocation 2 weeks into recovery
« Reply #10 on: March 08, 2014, 11:02:02 PM »
Take it slowly and give it time to heal... Range of motion should be much shorter now, because while on the brace everything gets shorter (muscles, tendons etc), then you will have stretch it back slowly, this will happen in time not by brute force or you will just make things worse.

Wait a long time before you return to sports, it can take months until everything starts getting back to normal, but some damage could be permanent. So don't abuse it...

Offline akneethingispossible

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Re: Patella dislocation 2 weeks into recovery
« Reply #11 on: March 09, 2014, 01:29:33 AM »
Take it slowly and give it time to heal... Range of motion should be much shorter now, because while on the brace everything gets shorter (muscles, tendons etc), then you will have stretch it back slowly, this will happen in time not by brute force or you will just make things worse.

Wait a long time before you return to sports, it can take months until everything starts getting back to normal, but some damage could be permanent. So don't abuse it...

Thank you for the advice. My plan is to start PT around March 18th and take it very slow. I plan to start biking and doing exercises that'll strengthen my quads by mid May. I don't plan on playing sports until at least September. I want to strengthen my knees before any activity that requires cutting and quick movement.

Offline akneethingispossible

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Re: Patella dislocation 2 weeks into recovery
« Reply #12 on: March 12, 2014, 01:45:52 AM »
Is it okay to go for walks? Nothing too serious just 10-15 minutes or is that bad for the knee? I'm getting tired of sitting around. I do where a patella stabilizer brace that my Dr. gave me. I don't have another check up until March 18th where we will start getting into some PT.

Offline akneethingispossible

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Re: Patella dislocation 2 weeks into recovery
« Reply #13 on: March 18, 2014, 09:14:27 PM »
Been 41 days since dislocated my patella and tore my MPFL. Going in for another doctors checkup. Been 3 weeks since I have been in the more mobile brace. Swelling is down but I still have noticeable swelling. Will update how the visit goes and the status of PT in a little bit

Offline akneethingispossible

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Re: Patella dislocation 2 weeks into recovery
« Reply #14 on: March 19, 2014, 02:02:00 AM »
UPDATE:
The Knee specialist says he's really surprised how fast my knee is recovering. He is however, having me do physical therapy on my own since I have a gym membership. He told me what I can and what I can't do. He said I need to strengthen up my legs and I have another app with him in 6 weeks. Is that normal not to go to PT? He said it's a waste of money and I can do it on my own