Doctor insights on:
Chronic Knee Pain After Acl Reconstruction
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
Surgical site: This may be at the surgical site. See your surgeon to clarify this pain. ...Read more
Several reasons: When you tear your acl you not only injury the ligament but can also damage the joint capsule & joint surface. I would discuss this with your doctor to find out what was found out at surgery. In the interim I would suggest mild anti-inflammatories, ice it at night. Continue to stretch and do low impact exercises. ...Read more
Outside left knee pain, pain is near kneecap, unable to bear weight or bend, acl reconstruction in 02?
Outer knee pain: Any injury? May be meniscus degeneration, tendinitis, stress fracture (if active), or tibial plateau fracture. Try NSAIDs, ice 15 minutes on 45 minutes off 3-4 x/day, elevate, kinesiotape over sore spot, crutches for a few days and of course follow up with ortho as need xray to check for subtle fracture and may need 3 phase bone scan if still concerned about stress fracture with negative xray ...Read more
Right ACL reconstruction in 2013. right knee pain and instability recent for few month, pivot shift test grade 2. suggest surgery again?
See surgeon: See operating surgeon. If no resolution, see rheumatologist. ...Read more
Not typically: Usually, the pain from surgery is one after the first few weeks. Pain after this period is more commonly associated with hamstring and pes tendinitis. This comes from quad weakness and poor quad control after surgery which takes time, effort, and patience to correct. Some patients can do this on their own with surgeon direction, others need formal physical therapy. ...Read more
Swelling or scarring: Acutely after acl reconstruction the knee can be swollen and this could hinder knee extension. Physical therapy is started quickly after surgery to regain extension. It is vitally important to regain knee extension asap or scar tissue can form in the front of the knee. Once this scar tissue forms extension maybe very difficult to obtain and surgery my be required. ...Read more
Weeks: It's normal for swelling to persist for 4 to 6 weeks. Sometimes longer. ...Read more
Therapy: Make sure you listen to your surgeon and participate in therapy as directed. Once you have been released from therapy, continue an appropriate home exercise program to make sure you maintain excellent core, quadriceps, hamstring and hip strength ...Read more
Quad and hamstrings: Typically, the quadriceps and hamstrings which are the secondary stabilizers of the knee are strengthened following acl reconstruction. Depending on the time from surgery and what type of graft and protocol your surgeon follows, an exercise program focused on these muscle groups as well as riding a stationary bike form the cornerstone of treatment. ...Read more
Common if patellar-: -tendon was used. Autograft. Otherwise look 4 another cause. Ask Ur surgeon. ...Read more
I'm having swelling after my first full knee bend 6 weeks after ACL reconstruction. Is this normal?
Yes: Gradual buildup of activity to tolerance is what you need to do. Pain and worsening needs to be looked at ...Read more
Pain on patella (front of knee) 4.5 months post ACL reconstruction. Is this normal or should I be concerned?
Bending my knee 90 Degrees sitting on a chair after 3 weeks of ACL reconstruction, is it someting encourage or discourage?
Right on track: I think you are probably right on track ...Read more
Talk to your surgeon: Brace use after acl reconstruction is still controversial. Both immediate post-op bracing as well as eventual functional "sports" braces have questionable effectiveness. Most studies show no improvement in knee stability, re-injury rate, or healing time or rates with use of a brace. I still use braces most of the time, however, because subjectively patients feel better with the extra support. ...Read more
Yes: Depending on the the time frame after, did you do adequate therapy, any other complications are factors in determining recovery. ...Read more
See specialist: If you have pain, tenderness, redness or swelling you should follow up with your Orthopod for a clinical evaluation! ...Read more
I am 7 months out of ACL reconstruction. My limp is worse, feel like my knee is giving out poping and unstable. More pain then ever. Any answers?
Call you surgeon: I would see your surgeon for a follow up. You should be improving by this time. ...Read more
I have had an ACL reconstruction done in nov 2011. Is it ok for me to do yoga? Is it necessary to avoid bending knee beyond 90 degrees?
Shoul have full ROM: You should have full motion and relatively few restrictions at this point. Best to talk to your surgeon about what specific restrictions you should follow-often depends on associated pathology (meniscus, articular cartilage, other ligaments), graft type (auto vs allograft), and progression through prior phases of rehab. Also ask about using a derotational brace for activity. Good luck! ...Read more
I had ACL reconstruction 2 years ago and all week have increasing pain and my knee gives out. I haven't done sports lately what is wrong?
Time for a follow-up: Schedule a follow-up with your surgeon. It could be something as simple as persistent leg weakness, and a return to therapy could solve it. On the other hand, the integrity of the ACL graft should be checked by your surgeon. Many times other structures are injured at the same time as the ACL originally, such as meniscal tears or chondral defects, and so these may need to be re-evaluated. ...Read more
I had ACL reconstruction 5 years ago now have burning inside my knee. It feels like I put icy hot on it but I havent. Should I concerned?
Most likely you still have quad weakness after your reconstruction.
You will still limp with your knee hyperextended when you walk longer periods. You'll have difficulty going down stairs, and you'll have burning down the leg to the calf in the evenings.
First, force yourself to stop limping. Second, work diligently on your quads (remember your exercises?)
you'll start improving within days! ...Read more
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