Doctor insights on:
How Importance Of Acl Rehab After Surgery
See below: Yes.! this is helpful to reduce edema swelling, improve range of motion, some strength and educate on future anticipated rehabilitation after reconstruction. It is always important for the patient to do prescribed home exercises in between their outpatient supervised therapy sessions to achieve the best surgical outcome. Good luck thank you. ...Read more
Necessary: After a severe injury to the knee like an ACL injury & subsequent surgery, the knee is weakened, swollen, painful, and in need of major healing. Without thearpy, one may not gain all of the potential that is left in that injured knee. It may be painful to go through the rehab, but it is necessary. With the right therapy, supervision & medications, you should do well. Work hard. It's worth it! ...Read more
Acl: generally speaking. 12 wks for straight line jogging, 6 mos for pivoting activity. 12 mos for full recovery. Maybe a bit longer if allograft used.
Meniscus: most meniscal surgeries are a meniscectomy rather than a repair. Meniscectomy recovery is about 1-2 months depending upon other factors.
Meniscal healing after a repair is not a guarantee. It takes 6-12 months for full healing. ...Read more
Hi Dr, I had ACL surgery in April 2015. I have done all the rehab. However my knee continues to have effusion. What do I do?
I tore my ACL and am delaying surgery. After a month of rehab, is it safe to go to a concert festival, without my ACL repaired?
Yes: Just be careful, if your acl is torn, your knee is unstable. Any twisting motions can cause the knee to buckle or give out. Wear a brace if you have one. ...Read more
Docs Please tell, does partial thickness Acl tear with preserved ligaments attachment, heal completely with rest, rehab & medication without surgery?
How long are you on crutches for after ACL revision surgery using a patella tendon graft? And what is rehab like after revision surgery?
See below: Although it varies, most patients progress to weight bearing as tolerated in a brace over an approximate 2 week period and rehab with the goal of returning to full activity over approximately 12 weeks. Each case is different, I would discuss your specific case with your surgeon. ...Read more
I had my acl/meniscus repair on the 18/12/2012 I started my rehab like on the third week after surgery I stil can't have full extension of the knee?
Still early: Keep working hard in pt and with ur hep. ...Read more
Can I avoid ACL surgery? I live normal lifestyle. I can not walk on my right leg as had ACL Tear on 11th April. I am ready to go for rehab if surgery
It depends on age &-: - activities you engage in or what work you do. If a brace helps you can try that. ...Read more
Had ACL surgery last year. After rehab returned to soccer.2 months back, tore my meniscus had more surgery. Keep getting bakers cysts. How do I get back?
Keep going....: You've had a tough past 2 years. I'm assuming your acl reconstruction is still intact. If that's true then keep grinding away you will get back. The meniscus tear is a setback but if you've had it taken care of hopefully your baker's cyst will slowly go away. Occassionally the cyst can be aspirated if the fluid is not too thick and this will hasten its disappearance. See your ors. Gl! ...Read more
Had ACL surgery 3 weeks ago, as I was doing my rehab exercises, guess I hurt myself. I have shooting pain when knee fully extended, from glute to my foot. It's not been healed in a week. Should I worry?
Yes & no: My recommendation is to stop your rehab exercises for the time being, ice the affected knee, avoid weight baring, start using your crutches again and contact your Orthopefic surgeon ASAP for further instructions. Hopefully no real damage has been done except staying in a Rehab longer. Good luck. ...Read more
I do not think so:
People vary quite bed about how they respond to the treatment, for several reasons.
Thank god for that, you responding to the treatment very well, you must have good surgeon. ...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
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