acl lcl reconstruction rehab protocol
Wishing you a quick recovery! I had accident 10 April 2020. I’m having trouble with my prescription. I’m confused because all of my research tells me that I should be keeping it straight leg which I had to work on it on my own after the pain went away. I badly twisted my knee all that time ago (before MRIs were common) and only really received physio to recover back then… however every few years would “twist my knee” again and be limping for a couple weeks then ok again. At 3-weeks post op, your knee should only keep improving. I had surgery on my right knee acl, mcl, and meniscus in February this year due to a car accident and it’s been a few months and I still can’t get past a little more than 90 or it goes down to the 80’s. I’m also walking with crutches every 2 hours in the house to keep the blood flooding, and trying to put weight on the knee. Charlie, I am 8 days out of ACL graph and MCL scope. I’m not currently in a lot of pain, but I do feel some low grade constant pain. Pressure wrap instructions vary by patient. We are unable to recommend surgery or PT without seeing the imaging of your knee. With the nerve block I’ve been able to do the exercises prescribed (leg raises, straight the knee And squeeze the quads and foot movements) , first time doing those hurt but every hour that I’ve been doing them they been hurting less and less. They have a great sense of humor, answered all my questions anytime I had them and the recovery went well. Also I’m spending all day in bed with my legs out in front of me but when I get out of bed I get a really painful throbbing in my knee so should I maybe not be keeping my leg out all day? If you have tried to rest and ice your knee for a few days per your surgeon’s recommendation and you are still having swelling and pain with walking, then it might be best to go ahead and schedule a visit with your orthopedist for a reassessment of your knee. Dec 10th, 2020 had my right acl repaired. Hey, just had my Acl and meniscus repaired today. I jut tested my acl mcl and lcl and meniscus torned grade 3 and it been almost a month doctor recommended a plaster for 3 weeks and it’s almost three weeks now and the swelling hasn’t gone at all not even a lil bit what should I do listen to the doctor and wait to swelling to go down or anything else anyone ? Do I sound like I might need replacement / reconstruction, or possibly another form of treatment? If you are still unsure, consider getting a third opinion. Hello, back in May 2020 I injured myself on a motocross(dirt bike) track. Amanda, After that mri scan report impressed that high grade mcl tear injury and complete acl tear. Factors such as age, activity level, physical demands, if there are associated meniscal injuries, etc., should play a role in the treatment plan. Is it ok to use only brace, no crutches ? I feel d/t significant swelling. Thank you for your question. Do you recall how much flex ion and extension you had in your knee before surgery? I’m scared that I won’t regain it. Monika, Each doctor has a different protocol they like the Therapist to follow. The bone from the donor site in the patella typically fills with bone and scar tissue. Hello. I would recommend reaching out to your orthopedic surgeon again for an evaluation. Am I taking to many? My other issue is cramping. Always double check with your surgeon’s office though. 6 weeks ago I had my PCL plus PLC surgery. Hi there! Any thoughts or opinions? If you can’t achieve full extension, especially if it’s interfering with your daily activities, I would recommend following up with your surgeon to discuss options. The expectation after surgery, regardless of the graft used, should be to regain full range of motion and strength. Specialist said i tore my ACL. Get the MRI. If you have any questions or other concerns, I recommend you see an orthopaedic surgeon. Left knee. The doctor was super great and told me it was likely an mcl sprain after my x-ray came back clear. Linda, I am still not normal. After 3 week of mcl surgery we wiil do it acl surgery. Hi dr Some people can avoid surgery after an ACL tear with modified physical activity and rehabilitation therapy. You may have just tweaked the knee and it will require additional healing time. It can be tempting to get back to work quickly, but it is important that you not return to full duty until released by your doctor. Always question and tell the dr what you want done. And this ear i tore my other acl miniscus and mcl in my other knee. I am able to walk around in the house without my brace. Although these symptoms can be due to many contributing factors, here are a few common causes: I am sorry to hear about your injury. Surgeon went straight to using a titanium plate and 4 screws. A lucency is an area of bone on x-ray that is less dense than the rest of the bone. I am just starting PT to regain strength after letting the injuries cool down, but worry that my loose ACL / MCL (everything is intact according to recent MRI, but physical exam shows that both are more flexible than expected) will hold me back and limit my recovery. Happy healing! Happy Healing! However what i’m concerned about is my extension. I’m supposed to be getting surgery in the next month or so. Thanks. ACL recovery is a process. Pain can vary patient to patient. MRI shows partial ACL tear, partial MCL tear and both medial and lateral meniscus tears of my LEFT knee. My best advice for anyone recovering is to take your PT seriously. went on a hinged brace for 4 weeks. We have made some changes to protect your health and safety. Now cpm range is 55 degrees, But after the cpm use within 30-40 mins again my knee become too stiff on that time I can bend only 20 degrees, For normally how many days knee will bend for 90 degrees. Doctor confirmed that i had an ACL tear and needs surgery as my knee is not unstable. I am waiting on an orthopedist appointment. This time 6inch slit, titanium plate and 4 screws. Fractures to small to see on an X-ray apparently. I just had ACL and meniscus repair/surgery yesterday… my surgeon said he cut a piece of my hamstring off for the ACL repair…. The pain gets even worse if I point my foot up at all while bending my knee. Wishing you a quick recovery. My knee is unstable right now .Would my injury actually get cured ? I’m just so concerned I may have retorn my ACL. They can guide your recovery and help strengthen your knee to prevent/reduce your leg “giving way”. However, current research indicates it can take nearly two years to return to your full potential. Flexibility typically isn’t dependent upon graft choice. Your doctor wants your surgery to be successful as much as you do, so I would follow his post-op protocol. I am scared to have surgery again. They say my progress is good from where I’m at. Or you can search for exercises on YouTube or contact a Physical Therapist. I would recommend voicing your concerns with your doctor and continuing with rehabilitation. Linda, Xray finding is suspected lutency of arterior and proximity area. Hello, i have mri after injury on 4th march 2021. If you’re staring down the barrel of an ACL reconstruction – or just went through ACL surgery – you probably have a few questions…, (Learn what to expect during your ACL reconstruction.). I tore mine doing jiu jitsu. After the surgery , i followed all the doctors instuctions and the physiotherapists too and now after a month of surgery , i can bend my knees 110degrees and can walk without crutches or knee brace. I’m confused between ACL and MCL I just know i got a reconstruction for my ligaments of my left knee. Additionally, my knee and foot are still quite swollen. I have an 112 degree pull back in the knee now with pain. It may take anywhere from four to nine months, or more, before you can return to your sport. Aged 26. Mj, I stood up and although my knee didn’t hurt and I was able to walk on level ground it felt very loose and about an hour later i noticed that it was very swollen. Aryan, daily daily some kind of improvement is there Hope this helps! I was then referred to orthopedics a few days later and they scheduled me for a video visit. My question is, should I be getting surgery to repair it like the surgeon said or go without like the sports doc suggested? doesn’t feel like it usually does, we recommend you get in to see an orthopedic specialist. SLAP Repair, Bankart Repair, or Biceps Tenodesis. Hermine, Together, the ACL and MCL (along with the PCL and the LCL) are vital to knee stability and functionality. I’m stressing out thinking the quad tendon graft failed…:(, I tore mine during taekwondo. So true, same happened to me. How has your 13 year old recovered? Be patient. July 2020 I tweaked something in my left knee (likely patella subluxation) that slowed me down & has since caused both knees to explode with pain to the point of inability to walk over a mile or do stairs w/o pain. It was an inside out ACL reconstruction with 7 stranded Hamstring autograft. I would recommend seeing a Podiatrist or Foot and Ankle Orthopedic Specialist to provide a diagnosis and treatment plan. Yesterday, a friend of mine told its not good to run with a ACL tear. I am having my acl revision, during my first surgery hamstring graft was used but now BPTB is being used please can you tell me the bones taken from front of knee cap heals or not, Hi Aryan. mobility and strengthening exercises, but it (thankfully) doesn’t usually Pushing the limits and staying within the rehabilitation lines differs from person to person and from day-to-day. Back then I also partially ruptured my mcl. I ruptured & fully tore my acl, & have 2 tears in the meniscus. Ann, To date the strict rehab approach is working great but the thought of surgery is always lingering in my mind. Knee stiffness can have many causes. I had undergone an ACL and a MCL surgery . (just a btw, I’m a 19 year-old male athlete, if that info means anything). Partial disruption of medial patellar retinaculum. I did not realise that it is a knee injury so i continued my routine life. At the initial assessment your physiotherapist can diagnose your injury, explain which tissues you … The knee feels fairly stable and I work on it every single day. Have you started Physical Therapy? Hope this helps. 5 week ago In two wheeler accident I got injury in my right knee. Mild swelling is typically part of the healing process, as it is a sign of inflammation. after my visits ran out I started going to out therapy it was hard but until recently I did the dry needling procedure and it has helped a lot but the pain never goes away so I might stop doing that. I’m 16 day’s out from surgery.. did I do something wrong and injured the graft? MCL rehab and recovery can be a long road filled with As for moving and elevating the leg, we would recommend sticking with your surgeons instructions. He says i can do surgery or therapy & try to heal that way. tying the two torn ends together) of the ACL is the current standard of care. Absolutely, ask lots of questions. I’m only cleared to do slight flexion exercises, I have done nothing that pushes my knee to the point of pain. Without seeing any x-rays or other imaging of your right knee it would be difficult for us to determine impacts of the injury long-term. Please help. I had surgery here and they removed my ACL ligament completely but did not replace it. Where did you have your surgery? And, is it alright to leave Ice Machine on ALL the time? Also, not being able to walk normally, is creating very bad lower back pains. This protocol varies, however, so I would ask your surgeon for specific instructions to follow that is tailored to you and your surgery. I’m following surgeons directions but seem like I’m running out every few days since my prescription are barely getting filled. As one of these twists happened a few weeks ago and effects did not just wear off this time, I went to specialist and had MRI etc. I should have used my own tendon graft. I’m 4 days out, what are the odds of me retearing my ACL? I hope this helps! Since then my doctors have discovered that my mcl is “too long/loose” and that I’ve got a minor anterior subluxation of tibia. Mitchelle, We hope you heal quickly and feel better soon! I would recommend that you follow up with your orthopedic surgeon to discuss treatment options for you. There can be many reasons the pharmacy is only filling part of your prescription; one reason could be that this is the amount your insurance allows/covers. Ayushi, Now I can’t walk, because it hurts to stand on full weight, my knee is swollen. I wish I can sleep on my side. 2018-04-10T12:34:53-05:00 It didn’t hurt it just felt warm . I contacted doctor and went for MRI scan. There are many factors that one should consider when discussing the treatment of an ACL tear. You could also try calling your doctor for clarification on the prescription. Now I take 2 in the morning one in the afternoon and 2 before bed. Some surgeons will recommend full weight bearing (with the brace locked in full extension) within a few hours of going home. It is normal to have some discomfort after ACL surgery, and more so when you exercise. The doctors guessed MCL sprain at first, and I believed them. I just had second reconstruction and also the ALL was augmented. Ravi, Are you still attending Physical Therapy? Is that good for my knee? This can be done with quad and hamstring strengthening in addition to avoiding those activities that cause the knee to give out. If you are concerned you should reach out to your surgeon. Typically, it can take 6 months to about a year to recover more fully from ACL reconstruction. They will be able to suggest exercises for your specific injury and mobility. Again, this is all subject to your medical history and your doctors specific orders. Two weeks later graft was blown and meniscus return. ACL reconstruction is typically a 9-month recovery, but afterwards you should be able to return to normal activity. 웹 해킹 - 웹 페이지 관련 구성 파일 이름목록 .php cgi-bin admin images search includes .html cache wp-admin plugins modules wp-includes login themes templates index js xmlrpc wp-content media tmp lan.. Had MRI and states both ACL & MCL are total separation on right as well as total MCL on left. Adobe PDF Library 15.0 I had a arthroscopic multi ligament reconstruction approxx 15 days ago I am so anxious about the surgery and the recovery. First my Surgen prescribed me 40pills but the pharmacy only filled 28. First 14 days they said total bed rest with basic exercises Mashahy, Follow the guidelines and exercises laid out by your physical therapist. Best of luck. Again, walked out of the surgery center. It feels like it did just days after the surgery so how do I know if that normal or if something is wrong? You can try switching to your side with a pillow between your legs, if that helps relieve the pain. I also have lots of mild bone bruising and some soft tissue bruising. I feel my knee is not as flexible and i can’t straighten it all the way. Kamal, Two weeks ago, my surgeon advised on a manipulation surgery to clear out some of the scar tissues which will help me with my leg extensions. My doctor have recommended me to walk using one crutches but, while walking I feel instability. Alejandra, the letter, the best guess is no less than six months. He may want to check for reinjury and your healing progress. Talk to your Physical Therapist about exercises you can do at home or how much you should be moving around throughout the day. It’s uncomfortable. My only worry is that its been so long from my knee injury happened. Hi! Follow their instructions. Often a patient is unable to notice any defect or pain from the surgery in this area. They typically have a protocol in place for optimal recovery. What are your thoughts? We got and MRI a couple days later and I found out I completely tore my ACL, partially tore my PCL and LCL, and sprained my MCL. I’ve read a bunch of articles and research papers and my advice is to focus on rehab, as well as the mental side of the equation. Since you mentioned you had a meniscus repair in addition to an ACL reconstruction, your surgeon will have a specific protocol he or she wants you to follow that gradually increases your knee flexion, so as to protect the meniscus as it heals. Your Physical Therapist can also guide you through safely returning to sports. Thanks so much! Thank you. Wishing you a quick recovery. It’s difficult to give any advice without seeing your MRI (or other imaging), but most patients opt for surgery if they aren’t able to continue with activities they want to do, and typically, patients can return to activity after surgery. Saroj, It’s not easy, and it’s not quick, but it’s worth it! to be honest it was very dreadful sometimes to put the work in but in the end it is so worth it. Typically, the MCL can heal with time. If you are limping, continue to have knee swelling, knee stiffness or locking, then I would recommend a follow up with your orthopedist. Hello As on 10 Sep 20, am able to walk properly, cycle, run(started 1 wk before – 1.5 km max). Hello,It’s being 6weeks after my acl reconstruction and meniscus repair. If your swelling still hasn’t gone down and you do not see any improvement I would suggest going to your doctor again. Thanks all for your great comments – very helpful to read through. Have you tried Physical Therapy? Thanks. adobe:docid:indd:de85eed1-2f28-11dd-952d-995da8604663 The anterior cruciate ligament runs diagonally across the knee. I ended up getting a second opinion after a doctor told me nothing was wrong. Required fields are marked *. Instability is common after surgery – your knee brace can help immensely here. I had ACL reconstruction surgery in Feb 2020 with using a donor graft. I find that active hamstring contractions/strengthening is vital in restoring flexion. Still i feel pain, swelling, clicking, pinching, locking in my left knee. How normal is if for your hamstring and calf to twitch and spazz out? I have a complete tear of my ACL and MCL and a partial tear of my lateral meniscus. As always, follow your doctors specific protocol for post-surgery rehabilitation for optimal recovery. Knees are important! And i feel tiny pain Its been 1 week in now after surgery and I can honestly say that post op was the most extreme pain I’ve ever experienced. In general, we start our patients on Physical Therapy(PT) after their first post-op appointment. That’s great! We are unable to tell you if you can/can’t avoid surgery without an evaluation of your knee. They legit Doctors of Physical Therapy with 4 years undergraduate and 3 years post graduate. Use of this image without authorization from Primal Pictures, Ltd. is prohibited. Do I call for another refill? I figure a revision surgery is more complex. Typically the mechanism for an ACL tear is a non-contact pivoting/twisting injury or from a forceful contact or direct blow to the knee. Hi Linda , i was just like you i injured my knee during football and thought it was a minor injury. MRI SHOULD TELL YOU WHAT HAPPENED. If you think it is getting better than it might be reasonable to give it some more time, but don’t hesitate to reach out to your surgeon if you have concerns. Last week I was on a 13 mile hike and half way I felt a pop, crack lots of pain in my right knee. until your orthopedic surgeon says it’s okay to begin putting light pressure on My knee was twisted a good 45 degrees and the pain caused me to black out, woke screaming. Should I call for a refill again? Nashath Learn about LCL tears and how they are treated. I had my acl surgery on 22 nov 2019. We always recommend following your surgeon’s instructions for optimal recovery. Thank you, I’m having same issue acl surgery 2 weeks ago can’t fully extend and can’t bend past 90 degrees. Hi Luke, I was in remote area and had to hike out for the remaining 6 miles. The first question has a simple but imprecise answer: it Six weeks go by, my knee feels strong and pretty stable, so I went to my first full 100% practice and one wrong step and my knee gave out. Are you currently going to Physical Therapy? Remember, it’s an uphill battle… but it’s one you can win. Alex, Many patients experience mild swelling for many weeks after surgery. your knee. All rights reserved. Is there any complication?? You could try returning to a Physical Therapist to get you moving again. Was in splint for 2 weeks then put back on cast. (: My dr told Me I was fine a week later I went back he order an MRI and then call saying you really mess up your knee ACL and I ask him then why didn’t you listen to me the first time he said he not an orthopedics ♀️ Just had ACL surgery. Any advice would be great! Now in my knee pain and sweeling are very low and now my keen are stable and after excersice knee has move. I have the exact same thing going on. I would follow your doctor’s suggestion though, or get a second opinion, if you are concerned. Step 3: Do exactly what they say to do, when they say to do it. Rotator Cuff Repair Protocol. Preventing the knee from giving out is the best recommendation for someone without an ACL. Joshua, 2months after my ACL, PCL and meniscus reconstruction of right knee, my leg is still so stiff, achived only 90°. I really don’t want another surgery. I’m concerned that I was not taken care of properly ( i’ve been walking with a limp for 6 weeks) and that getting a brace now would be redundant. Report is acl tear near tibial attachment site.and grade 2 mild to moderate maniscus tear. I am looking for advice on how NOT to get here again! We are unable to give a suggestion for treatment without a proper evaluation. Will see surgeon in 5 days. OCT 5TH 2020 had my left knee redone. I’m tempted to go without surgery and focus on a strict rehab since surgery takes me out of sports for 9-12 months but I worried that it might not be the best approach. Unconsciously favouring one or the other is a common problem. If you are seeing a Physical Therapist they will help you work towards full extension, with time. Wishing you a quick recovery.
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