Doctor insights on:
6 Months After Acl Surgery
Unusual: Pain at this stage postop would be considered unusual and a sign of a problem. Many potential causes, including scar tissue, weakness, stiffness, persistent meniscal pathology, cartilage damage, non-healing graft, or, in the case of allograft, graft rejection. Make sure your surgeon and/or therapist knows the details of your pain. If answers not adequate, then seek second opinion. ...Read more
Because an acl (anterior cruciate ligament) cannot heal itself on its own, an acl is "reconstructed" by placing a graft tendon substitute (from your own or donor cadaver tendon) placed into tunnels made in the original acl position, and fixed in place with screws, buttons, or other fixation device. The body then replaces the cells and structure of the graft over 6-8 months, ...Read more
6 months after an ACL surgery and meniscus repair and knee is still unstable? What could be the reason? Thanks
Knee instability: Depending on how long you were immobilized after surgery, you may have weakness in the affected limb/knee and should be going to or have gone for Physical Therapy. If it is still unstable, have a repeat MRI to make sure the surgery was performed properly and that the ligament has healed properly. ...Read more
Depends: Every patient is different, and your ability to jog needs to be evaluated based upon your pre-surgery level, your quad function before and after surgery, and your rehab after surgery. Typically, the quad muscles are working well enough by 4 months to allow jogging, but again, this is individual. I typically don't allow running until 4 months after surgery, so you may be right where you should be. ...Read more
I had ACL reconstruction surgery last august. After 6 months of healing I'm still suffering from pain in it. What are my options?
Get a 2nd opinion: That should not be the case. At the 6 month post op period, pain should be minimum if any at all. Activity level should be fairly normal. There may be other issues at hand such as some arthritis, complication from an absorbable screw, persistent meniscus tear, sterile effusion and indolent infection. If you are getting nowhere with your surgeon, go see another md for a 2nd opinion. ...Read more
Stable knee: An acl reconstruction that heals well should provide you with a stable knee. Other variables such as the status of your knee joint cartilage and especially the status of your medial and lateral menisci also weigh heavily in determining your final degree of functional painfree recovery. Immediately postoperatively, you will have mild to moderate pain and swelling relieved by oral pain meds. ...Read more
Different graft type: The ACL is typically reconstructed (replaced) rather than repaired. We typically reconstruct the ligament with a graft. The graft choice is often individualized to the patient. The three most common graft choices are a portion of the patellar tendon (bone patellar tendon bone), a piece of the hamstring tendon, or a graft from a cadaver (allograft). They all work well in the appropriate patient ...Read more
Rehab & bracing: Not all ACL injuries require surgical intervention, but most do. Most activities of daily living can be performed without a functioning acl. Cutting, pivoting and changing direction are difficult or outright impossible for most patients without an acl. One can alter their activities avoiding those that cause knee instability, try bracing and definitely try rehabilitation in effort to avoid surgery. ...Read more
Yes: In general, it is okay to shower. Each surgeon has his/her own preferences, so I would go by your surgeon's instructions. I generally let my patients shower the day after surgery. The small portal incisions usually heal enough after the first day so that the risks of infection or wound breakdown are quite rare. ...Read more
Initially, most of your activity is done in physical therapy. Swimming and exercise cycle are two activities you can do early, followed by the Stairmaster and treadmill. Don't do strenuous activity outside of physical therapy for ~12 weeks. (No mowing lawns, etc., no snow blowing or shoveling.)
It will take ~6 months of PT for you to return to strenuous physical activity such as skiing, soccer. ...Read more
Knee will improve:
There is a fair amount of pain for a few days and then it gets better. Your surgeon will discuss the type of graft he would like to use for you. The rehab takes up to 4 - 6 months to return to sport. Many patients are waiking without a limp in a few weeks.
Many patients recover fully and can go back to sports. Often the outcome is determined by meniscal tears and arthritis which may be present. ...Read more
Hard Work: 80% of the outcome is dependent on good post-op therapy. Early active range of motion, weight-bearing as tolerated usually at first. Strengthening with closed chain exercises can start within the second month. By 4 months, it is possible to return to competitive sports if the therapy effort has restored 80% of thigh strength. Surgery takes 2 hrs., and is outpatient usually. ...Read more
Absolutely: Just as they are with any surgery risks are inevitable. These may include but not be limited to bleeding, pain, scars, loss of motion, injury to surrounding structures, failure to provide the intended benefits which is to reconstruct your anterior cruciate ligament. There are also risks of anesthesia including heart attack stroke pneumonia and death. ...Read more
Yes, for a few days: In general, the pain after an acl reconstruction is pretty bad on post op days #2 and 3. It starts to improve thereafter and most patients no longer take prescription pain meds by post op day #5-7; only over the counter meds at the point. It can be quite variable though; everyone's experience can be different. In general most people are doing extremely well at the 3 week period. ...Read more
- Talk to a doctor online
- 2 months after acl surgery still unstable
- Pins and needles 6 months after wrist surgery
- Jumping after acl surgery
- Fall after acl surgery
- Skateboarding after acl surgery
- How to avoid getting a hernia 6 months after abdominal surgery?
- Can i go to six flags and ride the roller coasters 5 weeks after a complete acl reconstruction surgery?
- Patellar tendonitis after acl surgery
- Pain 6 months after hernia surgery