Doctor insights on:
Patellar Tendonitis After Acl Surgery
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
See details: You can treat it by consulting with the surgeon who did the ACL repair and following his/her advice. ...Read more
This is common: It is very common for someone to have this after surgery. It occurs more often with autogenous PT grafts. Ice often, stretch you hamstrings, do cross-friction massage in area that is most tender, take some NSAID's as needed, do stim at PT, try Ketoprofen skin patches and just wait. If is has been longer than 18months, then consider trying a PRP injection. 14% of patients can have it long term. ...Read moreSee 1 more doctor answer
Should I have surgery right away for patellar tendonitis with slight tear or just rest for a few months?
Many graft choices: The latest multicenter level I clinical trials confirm that both allograft (donated cadaveric frozen tissue) and autograft (your own tisse; e.g., patellar BTB or hamstring, etc.) do very well for providing excellent outcomes for the unstable ACL deficient knee. Allografts have no harvest site morbidity. Discuss both options with your surgeon. ...Read more
Had an ACL surgery 6weeks back. There is still considerable supra patellar swelling. Extension lag is 30 deg. When I can get full extension?
ACL surgery: Following ACL surgery and bone patellar tendon bone (BPTB) autograft it is not unusual to have post operative swelling from the graft site. I am concerned that you have a 30 degree extension lag and I would consult with your surgeon to ensure that there has been no injury to the patella, patella tendon and that your brace (if you are using one) is not locked in a flexion setting. ...Read more
Is it normal to feel resistance at the patella when bending after 3 weeks of an ACL reconstruction surgery?
No: Tightness over the patella with bending most often represents fluid within the joint (effusion). Typically the knee no longer swells after 3 weeks, so this may be from associated damage to the knee such as cartilage defects or meniscus tears. The range of causes is too wide, so it would be best to ask your surgeon! ...Read moreSee 1 more doctor answer
6 weeks after ACL surgery, knee flexion is 90-100, extension lag is 30. Supra patellar swelling present. When can I get full flexion and extension?
Hi, I had a ACL surgery Patellar tendon (Autograft) on Mar26 which is closely 4months by now. Now I am noticing some swelling on the right knee.
8 months ago I had ACL surgery, I did the patellar tendon way, I went to play soccer today and I felt something weird on the left side of my knee, help?
Patella pain ACL: It is not uncommon to have pain in the front of your knee after knee surgery especially. The muscles around might of become less flexible and the soft tissue hold the patella in place might of become tighter. I would take mild anti-inflammatories, start a good hamstring and quadriceps stretching program. Ice your knee. As well as contact your surgeon to see what else he wants you to do. ...Read more
Acl surgery 9 week ago. 4 weeks ago a bump on my patella formed internally. Surgeon said it was vicryl absorbable suture/scar tissue. Will this heal
G-daughter had 2 knee surgeries n < a yr 2 fix dislocated knee cap still limited n using knee w/o pain now has patellar tendonitis what % 4 future use?
Refer to answer: Usually patella tendonitis is due muscle power disproportion. Unfortunately what most physical therapist concentrate on quad exercise. Buy a pair of ankle weights of 20 lbs. Put it on her ankle. Lie on stomach and do back ward leg exercises 100 set per day. Twice a day each time for 15 minutes put ice pack on patella tendon. Cold lazer three secession helps it tremendously. ...Read more
I had ACL reconstruction both knees- 2005 Left and 2009 right. Both are torn again 100%. Doctor suggests new surgeries by taking tendons from patella.
Tore my ACL 6years ago &now have a non displaced tibial plateau fracture & patella tendonitis - will I need surgery or what is best for recovery?
Quad stretching: Simple quadriceps stretching (statically bringing ankle via flexed knee toward buttocks while standing) with help alleviate the pain and inflammation from patellar tendinitis. Physical therpay may help with this. Nsaids may also be of benefit. Limiting the activity that caused the tendinitis is also important to obtain efficient healing. ...Read more
Multiple modalities: Typically a patient must rest and ice and take anti-inflammatories. Physical therapy with eccentric strengthening of the tendon is essential to return to pain free activity. I prescribe electric stimulation and ultrasound therapy to my patients who have severe recalcitrant tendonitis. ...Read more
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