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Author Topic: Problem Solved!!!!!!  (Read 3959 times)

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Offline DontCountMeOut

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Problem Solved!!!!!!
« on: October 14, 2014, 05:43:44 PM »
Greetings to everyone,

I've been reading your post for months now and I can't seem to find anything related to my issues. Or I'm blind. I tore my ACL on May 24, 2014 and had surgery on June 12 , 2014. I also found out that I had 2 meniscus tears. Being an NCAA athlete  and coach for my my entire adult life, I opted for the patellar allograft. As several of my athletes had great recoveries from that type of surgery.

I'm 40 years old and have never had any knee injury besides  your typical jumpers knee. I am a volleyball player if that makes any difference. My ortho told me that he had never seen a patient with such high bone density  in his career. And was curious as to what my training regimen was. But ill get back to that later if anyone is curious.

A month after my surgery I had trouble bending  past 90 degrees. But my extension was at 0. The pain was to much, even after taking my pain pills. The ortho did an MUA and was able to get full range of motion easily.

Here is were it gets tricky. After the MUA I was able to reach 126 the next day. But my knee was so swollen I lost my extension. I'm at 4 months and my knee  is still swollen my rom is at best between 125 and 130. I'm short about 5 degrees to full extension.  My knee feels strong, but I have an excruciating pain behind my knee, lower hamstring and upper calf muscle.

Several occasions my PT pointed out a very bad bruise around that area. The PT has said that he has never had a patient with these issues. That I show issues of an elderly  patient with a total knee replacement TKR.

I had a flow up visit with my ortho last  Friday and expressed  my pain issues. The ortho said to not to worry about stretching anymore and only work on functional exercises like, running, cycling and swimming.

My problem is that the pain is very bad behind my knee and top of the calf. I can't sit for to long or stand. I have trouble walking upright and walking at all. Has anyone had these issues. I find it very frustrating that not my ortho or PT have any answers besides,  " you are a different case. It will get better". And the swelling is still there.

I welcome any feedback.
« Last Edit: December 24, 2015, 06:35:45 PM by DontCountMeOut »
5/26/14 -  ACL and Meniscus tear
6/12/14 -  Patellar Allograft
8/12/14 -  Manipulation Under Anesthesia (MUA)
12/1/15 - Arthroscopy

Problem solved. Meniscus tear, bad adhesion's, scar tissue and frozen patella...

Offline The KNEEguru

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Re: Looking for answers or words of encouragement.
« Reply #1 on: October 14, 2014, 07:00:57 PM »
Hi
I moved your post because you had put it onto a Board where I did not think you would get many responses. I am sure that other readers will jump in with their experiences/advice, but here is something you should read to get an overview of range of motion rehab problems -
http://www.kneeguru.co.uk/KNEEnotes/courses/arthrofibrosis-12-part-course-frank-noyes-md

and here is a recent video that may also help -
http://www.kneeguru.co.uk/KNEEnotes/videos/what-arthrofibrosis

Sheila

--
KNEEguru

Offline Jellybean

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Re: Looking for answers or words of encouragement.
« Reply #2 on: October 14, 2014, 08:10:03 PM »
I didn't have any surgeries similar to yours but I did have the pain and confused physical therapists and doctors after my first surgery.  I can also relate to the frustration of just being told it will get better by people who don't even seem to know what is wrong. 

The only thing I can suggest is to really push the issue if you don't think things are going well or you're not happy with how seriously they are taking your case. I waited too long and feel I set myself way back. When I finally insisted something was wrong the doctor seemed shocked by the amount of swelling I had and loss of muscle as a result and suddenly started taking my case more seriously. It was very frustrating because I had been saying all along that it was very swollen and it just seemed to be ignored.

I also feel they really need you to be descriptive about the level of pain. They seem to minimize it if you aren't very detailed. I remember it was excruciatingly painful to take a single step in a running motion and my doctor referred to in in his notes as "patient experiences some discomfort when running".

I hope things get figured out for you and you start seeing progress soon.   
11/12 MRI dx damage to articular cartilage with patellar mal-tracking
3/13 right knee lateral release, meniscetomy, chondroplasty of patella
09/13 Knee condition deteriorated. 3rd round Intense physical therapy
08/14 Fulkerson Osteotomy

Offline DontCountMeOut

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Re: Looking for answers or words of encouragement.
« Reply #3 on: October 15, 2014, 02:59:52 PM »
Here's a recap of my follow up with my ortho:

O: hey bud how are you?
M: I'm in pain. The back of my knee hurts. I feel cracking, popping, as if something gets stuck then slips. It hurts.

Then he pulls up the x-rays  on the computer.

O: that's a beautiful graft. I mean, look at it,  it's awesome!  I thought you should have been flying by now. You are 4 months post-op. Let me see you sprint.

M: you're kidding right?
O: sprint!

So I run down the hallway.

O: why do you limp when you run?
M: my knee hurts. It's swollen.
O: I'm going to give you some anti-inflammatory and pain meds. See you in 2 months. Your graft is beautiful.
5/26/14 -  ACL and Meniscus tear
6/12/14 -  Patellar Allograft
8/12/14 -  Manipulation Under Anesthesia (MUA)
12/1/15 - Arthroscopy

Problem solved. Meniscus tear, bad adhesion's, scar tissue and frozen patella...

Offline Scubagrl4

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Re: Looking for answers or words of encouragement.
« Reply #4 on: October 15, 2014, 07:41:46 PM »
Don't count me out,
Your post concerns me and is similar to my situation. I tore my acl/mcl playing volleyball (I also played in college), and had surgery June 6 with an allograft. I too had severe hamstring and calf pain/spasms along with ROM problems. I was also told "I've never seen this problem before"' and that following a manip that I needed to stop worrying so much about motion and get going on the strengthening despite a persistent red, hot, swollen knee. I was told to just keep pushing and things should improve.
Luckily, I finally trusted my instincts and got another opinion. Turns out I had severe scarring through the entire joint leading to cartilage breakdown (caught pretty early) a malaligned graft, a lateral meniscus tear, and posteriorly protruding hardware (suspected cause of calf and hamstring issues).
I am not saying all of this to scare you, but you really need to get a second opinion (I recommend with an arthrofibrosis expert). You don't necessarily have the same issues I do, but delaying proper treatment could result in you giving up the game you love. Our surgery dates were pretty close together and I already had grade 2 cartilage breakdown in that amount of time. It sounds like you at least need an MRI to see what is going on. And, even if there really is nothing wrong, you will have the peace of mind of the opinion of another doc.
I know it is tempting to ignore all of this because the thought of another surgery is very scary, but I assure you that knowing is better than not knowing. I did require another surgery which is a huge bummer, but I know without a doubt that this was the only option for me to get better.
My heart goes out to you because I know exactly what you are going through. I am so sorry. Feel free to message me with any questions or if you just want to vent. I also have a thread going in the arthrofibrosis section.
Scubagrl4
4/14/14 L ACL rupture, grade 2+ MCL tear
6/6/14 ACLr allograft
9/4/14 MUA
10/6/14 LOA/AIR, synovectomy, lateral/medial retinacular release, partial lateral menisectomy, chondroplasty, deep tissue
biopsies.
11/20/14 insufflation, MUA
10/19/15: LOA/air, PLM, chondro, synovectomy, med/lat releases

Offline DontCountMeOut

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Re: Looking for answers or words of encouragement.
« Reply #5 on: October 16, 2014, 04:13:10 AM »
Scubagrl4,

I took your advice and met with the department chair of the physical and occupational therapy department at my university. I started to explain what happened and what is happening. Before I finished he stopped me and said,  "you need an MRI asap, you have possible damaged to the surrounding muscular (I lost him after that. I had no clue to the words he was using)".  He noticed was lost.

So in other words he said, " while your graft is strong, you might have damaged your hamstring and calf muscles when you had the MUA." 

I'm going to look for a specialist in my city. Thank you so much. Please feel free to message me, as I have no clue how to.

5/26/14 -  ACL and Meniscus tear
6/12/14 -  Patellar Allograft
8/12/14 -  Manipulation Under Anesthesia (MUA)
12/1/15 - Arthroscopy

Problem solved. Meniscus tear, bad adhesion's, scar tissue and frozen patella...

Offline Scubagrl4

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Re: Looking for answers or words of encouragement.
« Reply #6 on: October 16, 2014, 06:30:08 PM »
I am so glad to hear that you were able to follow through so quickly. It will be interesting  to hear the MRI results. Keep us posted. I am hoping that it is something small that can be easily be fixed. Good luck!

Scuba girl
4/14/14 L ACL rupture, grade 2+ MCL tear
6/6/14 ACLr allograft
9/4/14 MUA
10/6/14 LOA/AIR, synovectomy, lateral/medial retinacular release, partial lateral menisectomy, chondroplasty, deep tissue
biopsies.
11/20/14 insufflation, MUA
10/19/15: LOA/air, PLM, chondro, synovectomy, med/lat releases

Offline Scubagrl4

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Re: Looking for answers or words of encouragement.
« Reply #7 on: October 22, 2014, 05:28:02 AM »
Hi,
Just checking in. Have you had your MRI yet?
4/14/14 L ACL rupture, grade 2+ MCL tear
6/6/14 ACLr allograft
9/4/14 MUA
10/6/14 LOA/AIR, synovectomy, lateral/medial retinacular release, partial lateral menisectomy, chondroplasty, deep tissue
biopsies.
11/20/14 insufflation, MUA
10/19/15: LOA/air, PLM, chondro, synovectomy, med/lat releases

Offline DontCountMeOut

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Re: Looking for answers or words of encouragement.
« Reply #8 on: November 03, 2014, 03:20:54 PM »
Hello,

I didn't  get the MRI yet. My PT found that it wasn't my hamstring, it was my upper calf muscle that was hurting. They have been massaging they area and my range of motion has increased to
138 and I'm  only short 3 degrees from full extension.

 I'm proving little by little. The massage has helped a lot. Ill keep you posted.
5/26/14 -  ACL and Meniscus tear
6/12/14 -  Patellar Allograft
8/12/14 -  Manipulation Under Anesthesia (MUA)
12/1/15 - Arthroscopy

Problem solved. Meniscus tear, bad adhesion's, scar tissue and frozen patella...

Offline Scubagrl4

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Re: Looking for answers or words of encouragement.
« Reply #9 on: November 03, 2014, 10:39:20 PM »
That is so awesome! 138 is pretty dang good. I'm glad that your physical therapist has been able to find a good solution for you. Keep up the hard work :)
4/14/14 L ACL rupture, grade 2+ MCL tear
6/6/14 ACLr allograft
9/4/14 MUA
10/6/14 LOA/AIR, synovectomy, lateral/medial retinacular release, partial lateral menisectomy, chondroplasty, deep tissue
biopsies.
11/20/14 insufflation, MUA
10/19/15: LOA/air, PLM, chondro, synovectomy, med/lat releases

Offline DontCountMeOut

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Re: Looking for answers or words of encouragement.
« Reply #10 on: November 05, 2014, 10:49:39 PM »
Therapy is going great! The hard part is trying to get use to the extra flexion  I have. It feels weird after so many months of walking with a slightly bent knee. I feel as if I don't have total control of my leg. But I figure that will get better with time. Now I just need to get rid of the swelling. Still pretty swollen.
5/26/14 -  ACL and Meniscus tear
6/12/14 -  Patellar Allograft
8/12/14 -  Manipulation Under Anesthesia (MUA)
12/1/15 - Arthroscopy

Problem solved. Meniscus tear, bad adhesion's, scar tissue and frozen patella...

Offline DontCountMeOut

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Re: Looking for answers or words of encouragement.
« Reply #11 on: November 22, 2014, 12:05:09 AM »
Just a quick follow up. My knee started hurting more.  The range of motion started decreasing as well as my flexion. I have an appointment with another ortho next month. Hopefully he will be able to figure out what's wrong. I'm 5 1/2 months post-op, ROM is down to 125, flexion is -15.
5/26/14 -  ACL and Meniscus tear
6/12/14 -  Patellar Allograft
8/12/14 -  Manipulation Under Anesthesia (MUA)
12/1/15 - Arthroscopy

Problem solved. Meniscus tear, bad adhesion's, scar tissue and frozen patella...

Offline Scubagrl4

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Re: Looking for answers or words of encouragement.
« Reply #12 on: November 22, 2014, 04:03:41 AM »
Oh no, I really thought you were out of the woods. Does this new OS have experience in arthrofibrosis? It might be time to see one of them. If for no other reason than to rule it out. Good luck. When is your appointment?
4/14/14 L ACL rupture, grade 2+ MCL tear
6/6/14 ACLr allograft
9/4/14 MUA
10/6/14 LOA/AIR, synovectomy, lateral/medial retinacular release, partial lateral menisectomy, chondroplasty, deep tissue
biopsies.
11/20/14 insufflation, MUA
10/19/15: LOA/air, PLM, chondro, synovectomy, med/lat releases

Offline DontCountMeOut

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Re: Looking for answers or words of encouragement.
« Reply #13 on: November 24, 2014, 07:37:43 PM »
My appointment is set for December 1st. He comes highly recommended. Former football player. It gives me some hope knowing he was a former athlete. He might be empathetic to my situation.
5/26/14 -  ACL and Meniscus tear
6/12/14 -  Patellar Allograft
8/12/14 -  Manipulation Under Anesthesia (MUA)
12/1/15 - Arthroscopy

Problem solved. Meniscus tear, bad adhesion's, scar tissue and frozen patella...

Offline DontCountMeOut

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Re: Looking for answers or words of encouragement.
« Reply #14 on: November 26, 2014, 10:56:19 PM »
Had to post this. I got super excited! I'm at rehab at the moment and my PT  was trying different things to get my knee to bend without the pain. Let me back up, before he tried his suggestions, he measured my ROM and it was 130 with pain. Fast forward, he then found that my knee didn't hurt when he applied pressure to the back of it as he bent it. So he wrapped pre-wrap around my knee several times and rolled it into a thin looking rubber band. Like a make shift CHO-PAT  strap. Then rechecked my ROM, 142!!!!!!!..... Awesome.
5/26/14 -  ACL and Meniscus tear
6/12/14 -  Patellar Allograft
8/12/14 -  Manipulation Under Anesthesia (MUA)
12/1/15 - Arthroscopy

Problem solved. Meniscus tear, bad adhesion's, scar tissue and frozen patella...















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