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Author Topic: When do you expect to walk normally without any limp after acl op  (Read 542 times)

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Offline Ayan

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Hi,
I had my acl operation on my left knee on 20th march(hamstring graft).
I am off crutches from April 6 th. I don't wear a brace.
I have dull extension and around 90-100 degrees flexion.

But I am still limping.  Knee feels weak. I have to take short steps. Yes, the limping has decreased a bit.

My physio keeps on telling me I should walk normally and the gait should be proper.But I am unable to do so till now.. :(

Any body has any rough idea about when I should be able to walk normally with normal gait?

Thanks!


Offline Vickster

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Re: When do you expect to walk normally without any limp after acl op
« Reply #1 on: April 17, 2017, 10:22:09 AM »
Surely it's your physio's job to help you to walk with a normal gait, what are they doing for this? It's not very constructive of the professional to tell you should be doing something, they should be assisting with this surely, although rehab is also very much down to the patient when given the correct tools. Have you asked them about hydrotherapy for example? Perhaps get a second opinion from another physio with knee specialism, expertise in rehabbing ACLs

That said, 5 weeks is soon, for ACL rehab, think marathon not sprint, months not weeks and follow the rehab protocol to the letter. Muscle atrophy and weakness is pretty inevitable after knee surgery, especially if using crutches for an extended period as you were
« Last Edit: April 17, 2017, 10:50:41 AM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Ayan

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Re: When do you expect to walk normally without any limp after acl op
« Reply #2 on: April 17, 2017, 01:13:03 PM »
Thanks for the advice.

Physio has given some exercises..like heel slides , prone knee bents, quadriceps clinching, exercises for the adductor and abductor muscles.
I think I have weak quadriceps. So may be sometimes the knee feels weak like its gonna give away while walking.Is the feeling normal?

Specifically for the gait factor he hasn't given anything.He had told me to replicate the motion of walking with my left leg(pull it back & bring it forward) while standing .That's about it.

I had thought that may be I was supposed to walk normally without the limp 4-5 weeks from the operation.. So was getting a bit anxious as I was not able to.

I have a scheduled X-Ray and appointment on 25th April.Let's c what he says then.

Thanks again.

Offline Vickster

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Re: When do you expect to walk normally without any limp after acl op
« Reply #3 on: April 17, 2017, 02:35:34 PM »
You need to ask the physio for advice and assistance. If you have full extension, he should be helping you walk normally in the gym or pool
What country are you in? Can you seek out an expert physio privately perhaps
Everyone is different and recovers differently at a different pace. Were you strong before the op thoygh prehab? If not, you may have already had muscle weakness so it'll take longer to recover. Your age, body type, general conditioning will also affect how quickly and well you recover. If weak, yes, you may well feel the leg not working as it should. You'll also have altered proprioception after the surgery. Physio needs to work with you in that at the appropriate time in the rehab protocol too.
All of your questions should be asked of the physio next time you see him, to give answers and manage expectations

Not sure what an X-ray will show after ACL reconstruction, but good luck
« Last Edit: April 17, 2017, 02:37:56 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline bizzybank

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Re: When do you expect to walk normally without any limp after acl op
« Reply #4 on: April 17, 2017, 03:27:27 PM »
Thanks for the advice.

Physio has given some exercises..like heel slides , prone knee bents, quadriceps clinching, exercises for the adductor and abductor muscles.
I think I have weak quadriceps. So may be sometimes the knee feels weak like its gonna give away while walking.Is the feeling normal?

Specifically for the gait factor he hasn't given anything.He had told me to replicate the motion of walking with my left leg(pull it back & bring it forward) while standing .That's about it.

I had thought that may be I was supposed to walk normally without the limp 4-5 weeks from the operation.. So was getting a bit anxious as I was not able to.

I have a scheduled X-Ray and appointment on 25th April.Let's c what he says then.

Thanks again.

Way too early. From what I recall you need at least 115 ROM to walk normally. Your goal should be to get your ROM back and strengthen your quads. Have you been on the excercise bike yet. You don't need to put resistance on it, just do half moons back and forth 10 minutes a day till you get your range back. Also get an EMS and put it on your quad, it'll get your quad muscles back in no time.