intensive p.t

Cruciate repair, allograft, autograft, synthetic ligaments. Ligament braces.
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tez27
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intensive p.t

Post by tez27 »

As I've already explained I have a ruptured a.c.l plus a torn m.c.l, my o.s was waiting to see how I get on with p.t before we make a decision about having the reconstruction when I saw him 2 weeks after the diagnostic scope he stated that I would need intensive p.t to stregnthen the muscles as this would give me the best chance of not needing the recon. I have seen the p.t 4 times since the appointment with my o.s the first time he did all the tests and agreed that the a.c.l and the m.c.l was ruptured, that was the last time he actually looked or touched my knee since then when I go in to see him he gives me another couple of excersises to do at home and sends me on my merry way. At my appointment today he informed me that as I am doing the excersises at home there is no point coming back to see him until after I see my o.s in March. I still have the pain that took me to the dr in the first place so the original problem is still there. I expected intensive p.t to be just that intensive. My question is are my expectations to high or is this a experience other people have had
Tez









L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision
vinnic

Re: intensive p.t

Post by vinnic »

Sounds like you need to find another PT. If you have that option, look around and don't settle until you're satisfied. I had to switch and so have others on the boards here, and it made all the difference in my prehab and rehab. You need to look for someone who'll do hands-on if necessary, demonstrate how to do things correctly, and who watches you and corrects you if needed. Another thing to look out for is someone who really knows how to help you tell the difference between working through good pain and when to stop from a bad pain. You'll want to hang on to this therapist too for post-op rehab. My advice is to get someone very familiar with acl rehab. Best of luck.
Dad3
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Re: intensive p.t

Post by Dad3 »

Agree with Vinnic - find another PT.

IF you can find one that specialises in Sports Medicine, they'll be used to this type of injury.

Good luck
RT Knee collapsed 08/2009
MRI 10/2009 - torn ACL
Arthroscopy and MFX - 10/2009
ACL and OATS 11/2009
RT knee lateral release, mosaicplasty and medial reefing - 22nd September 2010.
Still not 100% OK :(
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Re: intensive p.t

Post by tez27 »

Thanks for reply I think you are both right I will look around for another p.t will prob have to go private but I guess it would be worth it.
I wondered if maybe I was expecting too much from the n.h.s
I will keep working on all the excersises I have already but as vinnic said how do I know if I am doing them the right way I would hate to do more damage but I also want to push myself as much as I can.
It's all very confusing
Thanks again for taking the time to reply take care Tez
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision
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Jessyca
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Re: intensive p.t

Post by Jessyca »

Definitely look for a new PT.

Just for comparison, my PT appointments are 2-3 hours long.
February 9, 2006 Fell skiing, knee twisted.
July 12, 2006 Arthroscopic surgery
October 23, 2006 Possible reinjury
January 10, 2007 Arthroscopic surgery
August 13, 2009 Bracing my knee until surgery in January
January 29, 2010 Arthroscopic surgery - LR/debridement
vinnic

Re: intensive p.t

Post by vinnic »

While you wait and look around, you could always let your current therapist know that you want to finish the visits you're entitled to and what you expect to get out of the visits (demonstrations of exercises, corrections on form, hands-on massage and/or assisted range of motion exercises, etc.). You can be polite but very clear, and if he/she still doesn't meet your needs or expectations, have talk with the person in charge about switching to another therapist within the same facility until you can find someone you work well with - sure doesn't hurt in the meantime while searching for a good private therapist. Search the boards and info hub for some helpful exercises as well and post questions if you are unsure about something (as always, be sure to check with your OS though)! Best of luck in your search and hope you're on your feet soon.
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tez27
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Re: intensive p.t

Post by tez27 »

Thanks everyone for the feedback
I have booked an appointment with a private physio for next thur he comes highly recomended so here's hopeing he can help.
Jessyca you said your p.t appointments are 2-3 hours long I am lucky if mine spent 15-20 min with me unfortunatly that is what we are dealing with on the n.h.s.
I am looking forward to seeing this new guy and getting some input from him I hope he will be able to give me some advice on whether I need the aclr or not
Take care everyone Tez
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision
ouch09
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Re: intensive p.t

Post by ouch09 »

Hi tez27,

As we all know, the service you get on the NHS can vary from one town to another.

I was very lucky in that there was a physio department at my local NHS hospital that specialised in ACL rehab, and I had intensive physio for 6 months.

What "intensive physio" meant was that for the first 2.5 months, I was having 1 hour sessions in the physio gym twice a week (for the remainder of the 6 months I was down to just 1 hour a week, and in addition, told to go to a public gym once a week), with the physio showing me how to do an exercise or set of exercises and then leaving me to it. However, the physio would monitor me every so often during the session to make sure I was doing the exercises correctly.

This is what you should expect to receive from the NHS, but as I've realised from this forum, not every town has such a physio department that specialises in ACL rehab.

One of the nice options available on the NHS is that you can choose to get treated anywhere in the country for your condition. However, I understand that its not always practical to travel once or twice a week to another town/city to get ACL rehab. If this is a practical option for you, I would pursue this.

cheers,

Deepak
ACL rupture playing football May 2009
ACL hamstring autograft reconstruction 24-6-10
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Re: intensive p.t

Post by tez27 »

Hi Deepak
Thanks for the information You are right I think it is a postcode lottery when it comes to treatment on the n.h.s. It sounds like you have a good setup where you live. I would find it pretty difficult having to travel too far for physio as I work full time and have a mother with dementia and 2 teeagers to take care of, so I will see how I get on with the private one I am seeing on Thursday
Take care Tez
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision
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tez27
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Re: intensive p.t

Post by tez27 »

Well I had my appointment with the new physio today and the difference was like night and day he spent about an hour and a half with me [n.h,s phisio you were lucky if you got 15 min's] After doing an exam of how my knee worked and what did'nt work he said that the muscles were practically doing nothing especially the hamstring and the v.m.o so he took me through a load of excersises to streghthen them.
He also did some accupunture I dont know if that helped at all but for that we shall have to see, what I did feel was totally wiped out later on in the day while I was at work, dont know if it had anything to do with the accupunture or just doing all the different excersises.
He thinks that I should hold off in making any decisions about surgery untill we see if the physio helps with the pain and feeling more confident that my knee wont give out on me.
I feel as if I am on the right track at last well I hope i'm on the right track lol
Take care everone Tez
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision
ouch09
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Re: intensive p.t

Post by ouch09 »

Glad to hear you found what sounds like a great physio !

Good luck & keep us posted on your progress.

Just to reassure you, I also felt wiped out after each of my physio appointments - they are tough physically, but what motivated me to keep going was that my knee pain always decreased after each physio session, and you can't put a value on that ... ;)

Oh, and don't forget to ice your knee after the physio session if you still have swelling on the knee - that will also help reduce the pain.
Last edited by ouch09 on Thu Mar 04, 2010 11:39 pm, edited 1 time in total.
ACL rupture playing football May 2009
ACL hamstring autograft reconstruction 24-6-10
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tez27
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Re: intensive p.t

Post by tez27 »

Thanks ouch
glad you said you were also wiped out after physio I guess that means I had actually done something to hopefully help the knee I'm not used to feeling that as my last physio didnt do much with me at all so it is a good thing [keep telling myself this]
I just have to keep motivated and this site helps greatly with that everyone is so encouraging and its great to here how people can recover from some terrible injurys
So thanks everyone you are all my insperation
Take care Tez
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision
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tony1233
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Re: intensive p.t

Post by tony1233 »

Glad to hear you switched to a new PT. I have a torn ACL (Either sever partial or complete, the MRI was too blurry to tell) A ruptured MCL and the PT suspects menisucs injury as well but, again the MRI was too blurry. The PT that I am seeing was there for my initial two visits with the OS and I see him 3 mornings a week for about an hour at a time. Bike with no resistance, walking on the treadmill, he then stretches my knee and I do my exercises with varying ankle weights. Finally he applies muscle "stem" I belive ? It basaically provides a small electrical stimulus to the quads to "get them firing again" since my "quads have gone to s**t over the last month". On top of this I have to do exercises at home daily, which include ankle and hip exercises to keep my whole leg strong. This is what the doctor defined as "inense" PT for me.

Anyway, best of luck with you PT and I hope you don't need the recon!
09/30/07 Diagnosed with partial ACL tear (left knee)
02/03/10 American Football injury, Diagnosed with ACL & MCL complete tear (right knee)
(R)lateral meniscotomy 08/11/10
(L) Lateral meniscotomy 10/28/11
(L) MCL & Medial Meniscus tear 07/12
(L) injury 01/23/12
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tez27
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Re: intensive p.t

Post by tez27 »

Hi Tony thanks for the reply I assume from the description of your p.t you are in the U.S as I think you all are much more switched on when it comes to physio in the U.S. Our N.H.S is brillient sometimes but they are understaffed and overworked, everyone will get treated but the level of treatment depends on the resources avaible for each individual area.
What are your plans are you going to stick with p.t only or are you going to have surgery at some time?
Take care Tez
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision
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tony1233
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Re: intensive p.t

Post by tony1233 »

tez27 wrote: Hi Tony thanks for the reply I assume from the description of your p.t you are in the U.S as I think you all are much more switched on when it comes to physio in the U.S. Our N.H.S is brillient sometimes but they are understaffed and overworked, everyone will get treated but the level of treatment depends on the resources avaible for each individual area.
What are your plans are you going to stick with p.t only or are you going to have surgery at some time?
Take care Tez
I'm acually in Canada, we're in a community of about 20,000 so those of us that need the help with stuff like that are usually well taken care of. It's unfourtanate that you guys don't always get the right amount of help per se. For now, I am doing the PT however, my therapist told me this morning if I want to be able to play hockey and soccer at the same levels again I'm "99.99%" going to need the ACL reconstruction. I am okay with this beause, I found since the swelling went down in my knee I have really noticed that I have a legitamate injury, lots of pain and when I'm walking I know it's unstable compared to my left leg (which was already injured). So for now my plan is to work hard and get geared up for the recon so I can have it ASAP and get on with getting everything back in working order. I just hope I'm not on crutches for my grade 12 graduation in june :P

Tony
09/30/07 Diagnosed with partial ACL tear (left knee)
02/03/10 American Football injury, Diagnosed with ACL & MCL complete tear (right knee)
(R)lateral meniscotomy 08/11/10
(L) Lateral meniscotomy 10/28/11
(L) MCL & Medial Meniscus tear 07/12
(L) injury 01/23/12
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