Pain - 2. She was only lying on her back and rolling a yoga ball slightly. I have heard maybe 6 months later I can but I need someone to be honest with me because my job is physical and I have spent 12 years doing this and my work will not let me return light duty! I lowered elevation slightly ( knee wasn’t swollen) and wrapped the lower leg in tensor. You are still far from being fully recovered. It is mandatory to procure user consent prior to running these cookies on your website. My name is Bre and I am 15. I actually jus had my 6wk check up yesterday and had some pain but it was more under the knee cap and the surgeon said as rehabing it may have been pulled off track but like i said now my pain feels like meniscus or patella tendon. Due to this, your hips will feel weak and out’ve sync with the proper mechanics of your hips motion. However, there are several layers of fabric between the ice pack and my skin. This in turn depends on the complexity of your ACL tear and how much time you have between surgery and your holiday. 22 years experience Physical Medicine and Rehabilitation. Try not to push yourself too hard in the early stage as your acl needs time to be fully secured into your knee bones. The risks of returning to the playing field too early after ACL surgery includes suffering a re-tear of your new ACL. This website uses cookies to improve your experience. How soon you can return to sports or exercise depends on how well you follow your rehab program and how well your knee heals. You can swim with your arms, without paddling your feet, at about two to three months after surgery. Of course, the level of activity your knee can cope with whilst on your travels depends how well it has healed. Kind of like there is internal friction. If this is your first recovery from ACL surgery, it’s natural to be very cautious about re-injuring your knee. Hello. It is staring to bother me a little bit. Surgery can help. These cookies will be stored in your browser only with your consent. I live alone, have … There are many, many other things you can do to strengthen your muscles without straining that new ligament to the max. Carefully consider how you’re going to get about and what you’re going to do, and balance active pursuits with plenty of rest and relaxation to give your knee a chance to recover. The absolute last thing you should be doing 4 months after ACL surgery is playing basketball!!!!! Rupture of the ACL graft may occur if forces are placed on your knee that the graft cannot tolerate. It won’t be an issue with ROM stretching, but be sure to ask your PT about letting your ACL end points grow into your bones. I was weight bearing on the first day, the second day I wasn’t using crutches or supportive gear (just moving very slowly, making sure I was paying attention to my foot placement and my knee’s placement in space, just taking my time). I had a quadriceps autograft for acl only, there was no pcl, mcl, or menisci damage. Hard to explain the sensation. Surgery lowers your chances of arthritis and further damage to the cartilage in … Thank you. If the patient has had an ACL reconstruction procedure, they can begin walking the next day of the surgery. I had acl surgery this past Monday (three days ago) I’m walking without crutches, as per doctor, but I haven’t attempted stairs yet. What To Eat After ACL Surgery For a Faster Recovery, Torn MCL Symptoms, Diagnosis and Treatment, Dominick Cruz just completed the greatest ACL comeback in UFC history. Control swelling and pain and achieve full knee extension. I don’t know if I’d be worried, but if the pain persist, I’d see the orthopedist again and have him check it out. A simple ACL tear can become a full rupture and lead to additional soft tissue injuries of meniscus and cartilage. As if tearing your ACL wasn’t bad enough, you’ve just found out that your surgery is scheduled for shortly before your trip. A typical fallacy is that since the athlete didn’t tear their other knee, they believe their knee is already strong and does not necessarily need to be rehabilitated. Weeks 3 to 5. Phase three on the ACL surgery recovery timeline is when the knee is most vulnerable. Is there still a chance that I ruin the surgery? Sounds like you may have just pushed too hard. Once you understand that undertaking a period of rehab for 3 – 6 months prior to surgery is … Day 1 - 14 After Surgery. Sleep is huge. https://www.interesting-articles.co.uk/going-on-holiday-after-acl-surgery I have been going great full extension and nearly full flexion and doing all excercises including bike. Hey, sorry for the late reply. When recovering from knee surgery it’s natural to shift your body weight over to your uninjured knee to protect your surgical repaired knee while it heals. Thankfully, there’s no harm in going on holiday after ACL surgery provided you put in the necessary preparation, get plenty of rest and take extra care whilst on your trip. 9-12 months is the optimal period. Certainly, I will encourage them or help them to do some research on the matter. Certainly I almost always leave the pack on for more than 20 minutes, as I don’t find the cold to be uncomfortable. If you are concerned about the lack of strength in … You will be able start more challenging strengthening and balance/proprioception exercises. Looking forward to driving, mountain biking and general sure-footedness in the future – SO glad I opted to have this surgery. As far as the giving out, that is completely normal as your legs aren’t back to full strength yet. In the first weeks, it’s a struggle to do normal everyday things by yourself, so it’s great if you have someone there to care for you during this time. cutting and pivoting, without the help of a knee brace. Except the fact that I’m still having a lot of numbness in my chin area. Do you have any ideas? Read more on. Depending on the type of ACL surgery you have, you may go home the same day or spend a few days in the hospital. Powered by - Designed with the Hueman theme. That is certainly a NO-NO. Your knee should be idle, not your brain. For those individuals who wish to wait (delay surgery), activity modification is important. Foot flexing before standing up also helped. Brace can be off at night and in the shower. Last but not least, don’t let concerns about knee pain spoil your holiday. You will do physical rehabilitation for several months to a year. However, overcompensating your uninjured knee can lead to serious consequences. Currently at 38cm circumference, with uninjured knee at 34cm. Only 15 per cent of the group with osteoarthritic changes had similar changes in the other knee. Recovery has been going fairly well. I didn’t know that ice packs damage nerve endings. It takes at the very least 6-9 months until you’re cleared for activity. I experience a small amount of tightness when straightening my leg in the final few degrees before it is fully extended. Way too soon to play on month 4. Pain and weakness after ACL/MCL surgery is expected. If the dressings get wet, change them You may bathe 2 weeks after surgery, if the wound is healed and dry I bought a very inexpensive ems/tens unit that helps stimulate the quad. Hey! The first thing I seem to notice with people doing after ACL surgery is getting over-ambitious towards their knee recovery. Recovering After ACL Surgery. Your email address will not be published. I’m at day 12, and on day 9, I was doing great and pt and I tried to do stationery bike, but was painful so we stopped. https://www.facebook.com/sportskneetherapy/videos/913124115458151/. My recommendation would be to take your pain meds 30 minutes before performing your physical therapy exercises in the first weeks after surgery to help cope with the discomfort and pain. However, today I tried anti-inflammatory to combat swelling. After I lost significant weight I was often able to “catch myself.” Of course I did the surgery thinking the ACL being repaired would stop that tweaking burst of pain and knee giving way. They should be advised to avoid pivoting or twisting type actions of the knee (especially with the foot … With all the necessary preparation done, you shouldn’t have much to worry about when travelling after ACL reconstruction. Icing your knee for longer than 20 minutes can damage your nerve endings surround the knee. It is definitely normal to be in a lot of pain and to have bruising as such. The only things you can really work on is your range of motion, level of inflammation and … Learn how your comment data is processed. Save my name, email, and website in this browser for the next time I comment. A 23-year-old male asked: On December 21st I had ACl and meniscus surgery along with a donor tendon added to my mcl to tighten it. These suckers play an important role. We'll assume you're ok with this, but you can opt-out if you wish. Absolutely not. It’s important to check with your physical therapist and insurance company to see how many sessions you have, otherwise you’ll be left like myself with no coverage 5 months in and going from $10 a session, to $200 a session. I have a torn acl, I’m having acl surgery on the 18 of November and my work is giving me 6 weeks off but after that everything is up in the air. Progress seems steady. Pain and swelling are at their peak in the first week after ACL surgery.1 It is especially important to apply cold therapy during this period to help reduce swelling and naturally control pain. Most Physical therapists have tried and true protocols to get you back to where you want to be after surgery. Another ACL tear: You may have torn the acl again or if you just completed surgery, you will need to work on balance further. 2 weeks ago i played basketball with some friends and honestly i didnt feel much discomfort until now. To sum up, I will never tell someone not to have an ACL reconstruction. It can be difficult, but it is their job to help you obtain as much mobility as possible. I am kind of surprised that they had you in a brace. I am also 40, so I don’t push my luck much. The only things you can really work on is your range of motion, level of inflammation and stimulating your vmo muscle – the tear drop quad muscle. Definitely not! Should get an MRI to check everything is okay though? Send thanks to the doctor. If somebody has a complete anterior cruciate ligament tear they should get surgery to repair it but then after surgery Prolotherapy should be considered because prolotherapy will stimulate the healing and strengthening of the attachments of the transplanted ACL. ” Read more on, This leads to scar tissue building up while you sleep which can lessen your ROM and prevent you from full knee extension due to the scar tissue build up. I had a patellar graft like 20 years ago, and they did that, this time they went with the hamstring graft and there wasn’t a brace involved – I even asked for one, but they said I didn’t need one? While these might not come cheap, they provide effective support for the affected knee, preventing further damage and enabling you to enjoy your holiday to the fullest. On the other hand, I will ensure that they know that it is a possibility. I’m not sure how hard you were going, but most professionals don’t return to the court in less than 8 months! All-in-all the results 20+ years after ACL reconstructive surgery have been pretty good for this group of patients. It’s essential to ice your knee at least 3-5 times daily, especially after physical therapy. In short, the answer is no. Practice with a … There isn’t really an easy way to get your knee to bend without going through pain. However, this usually applies to long, intercontinental flights that involve a lot of sitting and standing around, so if you’re on a short haul flight, you should have nothing to worry about. If it’s good enough for athletes, this girl’s 61 year old body can certainly use the help! Two weeks after surgery, the doctor told me to sleep without immobilizer (brace). Your physical therapist will guide you through this … Prolotherapy … The pain is insane and it stays painful until im able to sit back down and elevate it. I had an ACL recon w hamstring autograft and lateral meniscus trim. I’ve got a friend who may need knee surgery, so I’ll show him this. Posted by Carl White in ACL injuries, Knee injuries. Proudly powered by WordPress
Your rehab will continue until your knee is stable and strong. Ask Dr. Geier – Early rehabilitation after ACL surgery . Try looking into PFPS (patellofemoral pain syndrome) to see if it matches up. There is great variation in the time span needed for each individual. The giving out and tweaking pain is normal post surgery as your body is trying to learn itself again from ground zero. Give your hip exercises 100% of your focus because improper hip mechanics can cause you to re-tear your ACL. I had ACL surgery on March 10. It takes most people at least 6 months to return to activity after surgery. I’m worried that this is going to happen although I am trying my best to make sure that it does not. Finally showering after ACL surgery was great. This category only includes cookies that ensures basic functionalities and security features of the website. Highly recommended! Hmm, i’m not too sure exactly, but it seems like it could be patellar pain. ACL reconstruction surgery has a 90% success rate in terms of knee stability and patient satisfaction. Once you wake up from anesthesia, you’ll likely practice walking on crutches and get fitted with a knee brace or splint. So it wasn’t the case that they would have ended up with arthritis anyway. I’d have got the best professional physio I could afford immediately after surgery. Month 6 is a good time to start easing into it. Although they should walk around for a few minutes a day, overexertion should be avoided. Surgery to repair at ACL isn’t necessary in all cases, and you should make sure to talk to your doctor about whether more conservative management options would work for you. Hello, it’s been a couple years haha, but just responding in case a visitor is viewing this comment and may have the same question. Guess I just want to know if it’s normal? If you’re an athletic person though, and most who tear their ACL are, you’re probably already going into surgery well. Discover The Solution To Your Biggest ACL Injury Challenge Even If You Have No Medical Knowledge and You’ve Looked Everywhere and Haven’t Been Able To Find an Answer! Typical. You probably already have strong musculature, good range of motion, good proprioception, etc. Essentially, sitting upright and using a towel to pull your knee closer to your butt. You also have the option to opt-out of these cookies. The first thing I seem to notice with people doing after ACL surgery is getting over-ambitious towards their knee recovery. After several hours of observation, patients can return home that day. The risks of overcompensating with your uninjured knee often goes unheard of due to elaborate focus on rehabilitation of the injured knee after ACL surgery. Returning To Work Returning to work will depend on the physical nature of the activity: If your job involves sitting down, some surgeons may allow return to work as soon as a week after surgery. We also use third-party cookies that help us analyze and understand how you use this website. Two and a half weeks ago, I had an ACL surgery on my left knee. PT thought everything was normal, maybe just pushed it too much because I was feeling Good. This pain showed up two days ago and hasn’t gone away. Each successive day after surgery… But opting out of some of these cookies may have an effect on your browsing experience. I have not pivoted on the knee and followed the instructions given me by the surgeon to a T. I have range of motion (extension and flexion) and the stiffness now is minimal. Did your physical therapist clear you to play sports? Totally normal to feel a bit of numbness around the chin, nothing to freak out about but do see a doctor. In this phase can also ususally start the following activities: It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. Any thoughts? Hey, my name is Eric. I also had the “bruise” on the inner part of my shin, and I do experience that “gravity pain” but it’s not too bad. This site uses Akismet to reduce spam. Basketball demands a whole lot of lateral movement, starting and stopping, planting your feet and changing directions; all things that put a tremendous amount of stress on your ACL. Now I have raised the foot of my bed, to help with this problem. 1 My ROM with the CPM device is 120 degrees, but my ROM with just my muscles is maybe 90 degrees. Of course, every individual and every injury is different, so if you have any further doubts about going on holiday after ACL surgery, don’t hesitate to consult your doctor, physiotherapist or orthotist. “Addiction to narcotics generally takes months of use. I performed the surgery awake with a spinal block. Recovery has been good. But I have heard numerous answers, do you think I can return to pushing the patient beds and iv beds in a hospital that soon or will I risk hurting my knee worse. Thoughts on the giving way? Dr. Andre Panagos answered. ACL surgery can be done on an outpatient basis, meaning that patients are treated in an ambulatory surgery center. Just patiently walking as tolerated and doing my passive exercises. The best advice I could give on this topic is to stop worrying about getting hurt and start focusing on getting better. It’s necessary to utilize your coverage more during the the first weeks after ACL surgery. Follow the guidelines and exercises laid out by your physical therapist. Here are some factors to be aware of: What not to do after ACL surgery? It is also recommended for people who have a normal level of activity after the injury because there are chances of reinjury if the ACL tear is neglected. Basketball is not one of them! While wearing the leg brace, I was able to go out after ACL surgery to my friend's BBQ and stand on my own for around 2.5 hours. I work as a cna in the icu unit which requires me to bend, push and pull you name I have to do it! can i avoid acl surgery? They’re used to prevent blood clots – asvenous thromboembolism (VTE) – in your leg due to the insufficient amount of blood flow your legs get due to surgery. They actually ordered a CPM device for my house, for the first week, and it continually bent my knee between 0 and 110 degrees for a week (about 20 hours a day). Simply put, follow the instructions that doctor recommends when using painkillers such as Vicodin and NSAIDS (Non-steroidal anti-inflammatory drugs). After you have ACL repair surgery, it takes time for the graft that the surgeon used to reconstruct your ACL to heal. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. Basketball demands a whole lot of lateral movement, starting and stopping, planting your feet and changing directions; all things that put a tremendous amount of stress on your ACL. In conclusion, do you need surgery after ACL rupture? Cleanse around the area or use a plastic bag sealed with duct tape to keep the dressings dry. Before the patient is sent home, they are made to practice walking with crutches, and the surgeon may ask them to wear a … Like most surgeries, the body views an ACL surgery as a trauma or injury to the body, and as a result, has to go through a phased healing process as your body incorporates the new tissue from your grafts. So I have been sleeping on my sides without brace as I only get sleep lying on sides. Otherwise, you should be able to get around without too many problems. No meds now night or day but I wasn’t paranoid about that when I needed their help – I’d have a half or quarter Percocet at night every few hours to make sure I got quality rest. i live normal lifestyle. As I bend my knee in the sleep at times unknowingly, I experience swelling and sprain in my knee when I wake up. I have emailed my surgeon to see his thoughts but I want to act on this asap and would love feedback as I have struggled for 11 years with this “tweaking” (burst of pain) and then giving out feeling. However, it’s important that you do your part and to not take advantage of the person that is helping you. It’s normal to ask yourself, “Why me?” but if you’re your becoming a burden to others on a consistent basis, it’s time to change your thought process. A day after that it was gone. I have a question. Or is there a way you can re-tear your ACL by doing nose to toes excersizes? Returning to Work and Activities. !function(c,h,i,m,p){m=c.createElement(h),p=c.getElementsByTagName(h)[0],m.async=1,m.src=i,p.parentNode.insertBefore(m,p)}(document,"script","https://chimpstatic.com/mcjs-connected/js/users/f7220f593176610818de44aed/cf67c21aa33a75b6fc800e12e.js"); Necessary cookies are absolutely essential for the website to function properly. Today I was laying on my stomach and my injured leg kinda twisted out a little. Just be sure to follow up ACL surgery with the recommended programme of physiotherapy to straighten your leg out before you go. Required fields are marked *. Basketball is not one of them! Used the cold machine in the first week. If you’re planning a physically active holiday, such as one that involves hiking, skiing or water sports, it may be worth investing in an ACL knee brace for sports. Blood rush is a thing – I went through it in week 2 and it was excruciating in the front of my shin. I had acl with cadaver, mcl stitched, and lateral and medial meniscus cleaned up (wasn’t torn). An ACL rupture is a significant injury and after ACL surgery you will need to commit yourself to a rehabilitation program to maximize the surgical outcome. Is this just part of the recovery or should i be worried about a blood clot or something? It seems to be normal, however, i’m not confident in my response to your inquiry. There is this notion the better you go into surgery, the better you tend to come out, and it’s a true one. When the ACL is injured, this causes excess rotation and motion in the tibia and makes the knee unstable as shown in this brief video. Watch this video on. I cannot give ‘advice’ just giving my ‘opinions’ on the matter. Constipation after surgery is not uncommon, especially when you’re less active and taking medications, so put more apples, berries, peas, and bran on your menu. Normally, only local anesthesia and sedation are required. At about 3 weeks ago when she was doing her ROM excersizes that her PT gave her she heard a pop in her knee. If the pain is in the calf (back of leg) I’d visit emerg for an ultrasound to rule out clots. Shower seat was helpful. Bizarre. I had my ACL surgery 17 days ago and I’m currently on physical therapy. addiction will not occur during the first weeks after surgery. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. A few times in the last 2 weeks I noticed that that “tweaking” feeling was back. But even after surgery, your knee may not be as strong as it was before the injury. Was on pain killers for first 2.5 days post surgery, but have stopped since. Painful first 2-3 weeks with decreasing pain ever since. Should j be worried? Chronic knee instability may be avoided with early repair and restoration of the anterior cruciate ligament. As soon as i stand up, blood rushes into my leg and it litterally turns dark purple. Continue to ice and compress your knee and keep an eye on it. Im 7 days post surgery and not doing that great. My kneecap area had hurt ever since and the top of my leg where one of guides went hurts as well (IT band). Generally speaking walking with a … Any ideas on exercises or what could be the cause? Last modified January 3, 2015. Towards your 4th to 6th month of physical therapy, you can space them out to visiting 1-2 times a week – depending on the number of insured sessions – because there will not be as drastic of healing and recovery your knee would during the first weeks, which means you can perform these exercises on your own at your local gym or at home if you have the necessary equipment. Could the pop have been her scar tissue? He’s a super active guy, so not exerting himself will be hard, but he can do it. I did also have a DonJoy cold machine – I highly suggest this for people, especially if you are more independent and you don’t want ice bags leaking all over your bed. The ACL can become torn or damaged, and these injuries are quite common in athletes, such as soccer and football players, and other active people who place intense forces on their knees. Just remember to factor in plenty of rests, avoid walking down steep hills where possible, and take extra care on rough terrain. Longer flights may not be a problem either provided you keep moving and regularly stretch your legs, so it’s worth asking your doctor for guidance based on your particular injury. By ACL reconstuction, the remnants of the original torn ACL are removed and replaced by a strong graft from the hamstring tendons or from the patellar tendon. Thanks!
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