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Author Topic: Ruptured Patellar Tendon Surgery  (Read 1248624 times)

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Offline AroohArooh!!

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Re: Ruptured Patellar Tendon Surgery
« Reply #6240 on: February 23, 2017, 03:20:25 AM »
Hi everyone I'm new here...well I've been reading this for 5 months now....anyways I'm in California very athletic, previous out of state firefighter, linebacker in hs and small college.
Tore my right patella tendon 8/21/16.....due to insurance issues and a Dr that randomly retired on me, an er that didn't tell me anything and 3 weeks between each step to see a Dr(3 total), get an MRI, and see a specialist; I finay got surgery 1/31/17.
I was walking around and trying to workout this whole time (5 months)  but couldn't bend the leg much. I was weight bearing the day after surgery and now am 22 days post op. The surgery hurt less then the injury and the time after it pre op so that's not an issue.

I know I'm gonna be fine when this is all said and done thanks to all you ppl who blogged here but I am also trying something nobody here spoke about. A peptide named "BPC 157".....this is the first time I have ever done anything like this. I have a detailed log but basically I inject 300mcg 3x a day(started 2 days prior to surgery) directly near the knee...I'm doing both knees and can tell u it does feel to be working. I didn't have stitches for my wound but it was completely closed up at 2 weeks. I did a lot of research during those months of being debillated and stumbled upon this in bodybuilding forums and what not. I'm also doing acupuncture (began 2nd week) and it does make a difference also as far as feeling circulation.... Also I use " dit da jow" to increase circulation on my own and I do feel warmth at my toes that ankle pumps don't do.  Ps peptides are legal for research at least in the states.
Anyways I'm still in the leg immobilizer for 4 weeks and begin pt 3/3/17.....I don't know if I'll get a hinged brace due to insurance but we'll see what happens.

I just wanted to inform everyone of other trains of thought(TCM) and hope everyone is doing fine.  Positive vibes !!

Sorry for the horrid typing I'm using a small tablet lol
« Last Edit: February 23, 2017, 03:29:59 AM by AroohArooh!!, Reason: Trying to fix these typos »

Offline John42

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Re: Ruptured Patellar Tendon Surgery
« Reply #6241 on: February 23, 2017, 09:40:30 AM »
HI AroohArooh

How you manged to walk around for five months with a RPT injury is a mystery -   You are in for a long road to recovery - read some of the previous posts - ASK questions - many buddies out here on this thread to help you -

How did you sustain your RPT injury ?  Where do you live in California?

Keep posting

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline AroohArooh!!

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Re: Ruptured Patellar Tendon Surgery
« Reply #6242 on: February 23, 2017, 07:10:31 PM »
Well after i got the MRI it was discovered that my knee cap had moved superior towards my thigh 5cm which was awkward as hell but after 3 months i was able to bend my knee completely normal but i just couldn't bend it while supporting myself. I have strong thighs which is probably why i was able to take the burden off the joint itself while it didn't support.

I'm from Long Beach, CA. I'm 28 years old and i got injured in a non contact jump playing basketball. I have a decent vertical leap and i landed on one foot and it completely gave out and bent inwards with my right knee collapsing towards my left and all my weight coming on the downwards axis.

Offline Sinkrate

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Re: Ruptured Patellar Tendon Surgery
« Reply #6243 on: February 24, 2017, 12:46:04 AM »
Was it a complete rupture then? With kneecap movement I guess so.
The pain must have been excruciating over that time, I know mine was on movement of the leg......
Glad it's sorted mate. Best of luck.

The hospital fitted my brace upside down 2 days ago, good job I spotted it, it just didn't seem right Swapped it around now.
The side of the inner pad digs into the inner knee like hell though ! Apart from that it's fairly comfortable

Offline Sinkrate

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Re: Ruptured Patellar Tendon Surgery
« Reply #6244 on: February 24, 2017, 11:50:37 AM »
Well just in case anyone has the same problem reading this.

I've put some self adhesive bandage tape directly on my leg under the brace pads. The rough texture of the tape has given it something to grip as opposed to just smooth skin. Seems to have stopped it slipping.

I've been able to loosen the straps very slightly as a result making it a bit more comfortable.

When I say comfortable you know what I mean  :)

Offline AroohArooh!!

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Re: Ruptured Patellar Tendon Surgery
« Reply #6245 on: February 24, 2017, 05:18:23 PM »
yes it was a complete rupture.....I know what you mean with the brace digging in...i used that same self adhesive tape and just wrapped it around where the strap right above the knee (3rd from top) is because it was digging in and was messing with the scar up there. lol i was a bit late to notice it though cuz now that strap made a slight hole where a part of the scar is and it healed like an ear piercing...roughly the same size too. no biggie though i just cut it with a razor to make it bleed and pushed it back together yesterday with the tape to hold it. LOL i have experience with that because i had stretched out ears (0 gauge) and did the same thing to close that up except i used fabric thread to sew it together.

is your brace the hinged one now? I'm hoping to have something on when i get out of this complete leg immobilizer because i imagine it being quite nerve wrecking not sure of each step without some sort of support.

Offline Sinkrate

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Re: Ruptured Patellar Tendon Surgery
« Reply #6246 on: February 24, 2017, 05:45:57 PM »
hi mate, yeah its the hinged one. Its a must to have one even with the brace on after a week I'm still moving very slowly with crutches not wanting to disturb things.
30 degrees for 3-4 weeks then up to 60 and 90 to follow.
You do feel like you can push on past 30 easily but like is said above patience is key, something I struggle with tbh just want to get back right.

Offline AroohArooh!!

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Re: Ruptured Patellar Tendon Surgery
« Reply #6247 on: February 25, 2017, 04:27:17 PM »
Thanks for the info....how far are you along post-op?? I know what you mean with the patience thing, I think it's gonna be very hard to find the balance between aggressive PT and not over doing it. I've been in this full straight leg immobilizer for almost 4 weeks now so i'm getting excited to get out of it and be able to start working on my quad strength and mobility.

Offline Sinkrate

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Re: Ruptured Patellar Tendon Surgery
« Reply #6248 on: February 25, 2017, 04:58:09 PM »
Hi,

I'm far from an expert perhaps one of the others can chip in and help? My thoughts for what they are worth ......

From my own point of view they'll have you move onto a hinged brace for around 3-4weeks set at 30 degrees.
I hate to dash your hopes I was the same thinking I'd be able to get on with things. Not the case. 30 degree is next to nothing, I think the give in the straight leg brace must have been around 5-10 degrees. You can only just sit down and get your foot flat but that becomes uncomfortable soon after so you resort to resting the leg straight again.
The knee wants to move past 30 degrees but the brace stops it, that's the idea, but if your like me you hit the stops and this agrivates the knee.
Hopefully it's different for you but I've had a hard time with the 30 degree brace so far, going to order a different brand tomorrow to see if it's the actual brace or not. The only thing it's useful for is walking. When it's moving it works alright any other movements and it's pretty uncomfortable.
I'm not sure how you would begin to work on your quads wearing this thing apart from walking out for a while, or bent leg lifts. Make sure you don't go near straight leg lifts even if you can manage them.
I'm working on the assumption that 60 degrees will be better and that's 4 weeks away for me.
I'm keeping my leg in the brace at 30 degrees as instructed though. There is no way I'm risking going through this again!
3 weeks post op. Went into a fixed brace for 2 weeks after op, now 30 degrees.
I take it they have had you in a fixed for 4 weeks due to the operation and delay in surgery.
Good luck with it all mate.

Offline AroohArooh!!

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Re: Ruptured Patellar Tendon Surgery
« Reply #6249 on: February 26, 2017, 02:48:55 AM »
awwwwww man you took the wind right out of my sails big time!!! lol jk but i can only imagine it being aggravating because it's starting to let you think you can move and boom....you hit the stops. Thanks for the input though and i will definitely let you all know how it's looking once i take the next step in this recovery. I'm not sure if the straight brace is due to my delay in surgery as much as it seems to be this particular dr's protocol. If i can remember correctly he stated he prefers a straight brace for ATLEAST 4 weeks and then PT. But i know this can all change depending on how he feels so i'm hoping that i'm making huge progress. I've been walking quite a bit with this thing on but I, like yourself, am not wanting to go through anything like this EVER again!!!!

so from your post i'm gathering you're somewhere between 4 and 6 weeks in your recovery??

Offline Stuart Rulka

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Re: Ruptured Patellar Tendon Surgery
« Reply #6250 on: February 26, 2017, 04:02:38 AM »
AroohArooh!, you got an easier name we can use? Lol. I keep saying this, but it bears repeating. Use this period to research PTs in your area, until you find one with expertise in this injury. Remember that conventional wisdom espouses a very conservative approach, one that will ensure healing but which may compromise your long term recovery. The longer the period of inactivity, the greater the degree of muscle atrophy!
Find an experienced PT and put your trust in his expertise. As I keep emphasizing  the Surgeons job is done, the sooner you can start your rehab the faster the progress will be. I was blessed with a very fortunate set of circumstances; no pain, despite a complete RQT,so no meds, although the Surgeon pressed a prescription for 40 Oxycodone on me before he would discharge me! This enabled me to return to work 3 days after Surgery, an excellent Surgeon, and a very experienced PT, who had 2 similar cases in parallel with mine. The others were not as fast in their progress as I; the degree to which an individual is driven will always be a factor.


Good luck,maintain your drive to recover, and be positive!
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013

Offline Sinkrate

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Re: Ruptured Patellar Tendon Surgery
« Reply #6251 on: February 26, 2017, 12:00:43 PM »
@AroohArooh!
You'll def notice a difference and walking is where the 30 degree does really help as at least it allows you to get some normal (ish) steps in with crutches. Just don't expect miracles like I did as John42 has mentioned a few times I guess patience is key to getting a good mend but as Stuart mention this is played off against muscle loss and length of rehab afterwards.
I'm 3 weeks and a few days post op. First two weeks were nasty pain subsided towards the end of week 2 and came off the meds as soon as I could, and I was taking a lot!
It's the beginning of the 4th week now and after altering the brace a lot with padding etc it's now just about wearable  :o without causing pain. Taking no meds and can do short walks concentrating on flexing and moving the knee in the brace. No pain in the knee just a stiff feeling now and again.
The surgeon has said no physio until week 5-6 / 60 degree movement currently, but I'm going to speak to him about this next week.
All the best mate


Offline AroohArooh!!

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Re: Ruptured Patellar Tendon Surgery
« Reply #6252 on: March 01, 2017, 03:14:25 AM »
LOL sorry for the name Stuart.....I appreciate the feedback and my insurance isn't the best so I'm stuck with the hand I am dealt....I have not met with the PT yet but from day 1 I'm going to tell her my goals and objectives. She understands my profession and knows the demands of it but I will re-emphasize it and as always i will be ready to do my own work. My question to you is now that I am 4 weeks post op(Sinkrate I believe we are roughly the same amount of time post-op, although i had my injury longer) when should i start trying to bend it and what tighten my quad muscles?
 Sometimes at night i can feel my muscles fire off while i'm asleep and i wake up at the end of the contraction. I know this sounds crazy but i'm not just dreaming it lol. PS today was my first day back in the gym(only upper body though) but it was nice to feel some weight in my hands which subsequently put weight down my legs to the floor.

BTW i see my dr on the 6th but i begin PT on the 3rd of March. lol a little backwards in my opinion but like i said, I got this!

Offline AroohArooh!!

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Re: Ruptured Patellar Tendon Surgery
« Reply #6253 on: March 01, 2017, 03:52:46 AM »
Stuart one more question....when you say others were slower in progress than yourself, can you give me something tangible that I can aim for to be know what speedy is to someone who had good circumstances.

The horror stories are something i try to avoid so you are an easily accessible good gauge of what i should aim for. Understood ofcourse there is a difference between quad and patellar tendon rupture to a degree.

Offline Stuart Rulka

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Re: Ruptured Patellar Tendon Surgery
« Reply #6254 on: March 01, 2017, 05:00:55 AM »
AA. I have tried to temper my comments on this thread because it is evident the PT, with it's lesser blood supply, is more fragile than my QT, and slower to heal. You can follow anybody's history by clicking on their name, but in a nutshell I had my accident on the Friday evening of a long weekend, delivered by hovercraft to an ambulance, from whence to hospital. Surgery at 8.30 Saturday morning, kept overnight Saturday because Surgeon felt I would need IV painkillers. I didn't. Went home Sunday, with 40 Oxycodone, which Prescription I tore up. And was back at work at 7am Tuesday. My PT, whoI have known for 30 years was on holiday so I had my first appointment 2weeks later.
 On my first visit he told me to take my brace off and get on the bike. I must confess I was scared spitless, but had faith and went forward and backward as far as was comfortable; almost a quarter revolution. Four visits and one week later I did a full revolution and never looked back. Arthritic wrists caused me to dump my crutches after five days , so I was full weight bearing, and why not, no stress on the tendons.
I did all my exercising under PT supervision, none at home, which seems to be at odds with most people. I did work hard, however, at whatever task I was given, and six weeks to the day after surgery was back to hiking Vancouver's Grouse Grind which is one of the ten most dangerous hikes in the world. The critical thing is that it involves NO downhill an airial tram being on site. I was under some pressure as I wanted to get some hikes in before the snow arrived. I hiked all winter, through the snow, being quite conservative, and wearing my brace, locked to 120 max, till the the snow was gone in May.
  Not for everyone, but it worked for me. It is important to note that at age 65, I was well aware that every month of inactivity would have a drastic effect on my fitness, fitness I would never recover. I would estimate that as it was, the injury aged me at least 5 years, but our mantra has to be "Count your blessings!" Furthermore, having been diagnosed with depression several years ago, it was my choice to use exercise as an alternative to pharmaceuticals ; even more incentive to get back on my feet.

Not suggesting by any means that anyone tries to duplicate my path, but it is possible, and the reason I get upset hearing of all the Surgeons who I feel may be overly conservative, ensuring the success of their efforts, to the possible detriment of their patient.
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013