General Discussion Triathlon Talk » Out for 1+ year Rss Feed  
Moderators: k9car363, alicefoeller Reply
 
 
of 2
 
 
2008-08-15 9:58 AM

User image

Expert
1158
10001002525
A Husker stuck in VA
Subject: Out for 1+ year
Some background, I had ACL reconstruction about 5 years ago and due to military committments I was unable to do PT after 2 weeks. BTW, this was the 4th and final (I thought) knee surgery. That has now caught up to me. I have been running in pain for about 5 years now. Finally got an MRI done on the left knee last Wednesday and the Doc called yesterday with the results.
I ended up having my wife (an RN) talk to her so she could break it down to Laymens terms for
me (I blow crap up for a living, not very medically inclined).
Results:
I must go to Ortho immediately to set up surgery, not sure how I am walking let alone did a HIM!!
I have tears in my ACL, MCL, PCL, and Meniscus (sp?).
I also have Joint (or bone, can't remember) degenerative disease on the back of my knee cap and in my knee.

IOW, I am going to continue exercising with the Chief Selects until I can get in for surgery, then will be out for 6-12 months.

Looking forward to the 2011 Tri season!!


2008-08-15 10:01 AM
in reply to: #1605845

Veteran
159
1002525
NC
Subject: RE: Out for 1+ year
Psh. Cut that sh*t off. I was only out for 5 months. :-)


Edited by dlb3830 2008-08-15 10:02 AM
2008-08-15 10:08 AM
in reply to: #1605855

User image

Expert
660
5001002525
Central New York
Subject: RE: Out for 1+ year
dlb3830 - 2008-08-15 11:01 AM

Psh. Cut that sh*t off. I was only out for 5 months. :-)


Awesome.
2008-08-15 10:11 AM
in reply to: #1605845

Veteran
159
1002525
NC
Subject: RE: Out for 1+ year
Seriously though, sorry to hear that.  On the bright side, maybe you can work on your swimming?
2008-08-15 10:11 AM
in reply to: #1605845

User image

Expert
808
500100100100
Columbia, MD
Subject: RE: Out for 1+ year

Running in pain for 5 years?  You might want to have your head examined too. 

2008-08-15 11:22 AM
in reply to: #1605845

Expert
810
500100100100
Southeast
Subject: RE: Out for 1+ year

I feel your pain. Or anyway, I felt it, once. I had a similar set of problems, and a few surgeries (ACL replacement, meniscus repair, and other stuff). Yes, it takes a while to come back, but you should be able to start very easy biking (stationary recumbant at first) fairly quickly. On the other hand, get ready for your leg, especially quads, to atrophy unbelievably. And it takes a long time and a lot of work for people beyond their 20s to get that muscle back. Over a year after my last surgery, I still can't run as fast as I could before the first surgery, even though I was running on a torn ACL back then. (In fact, I did my marathon PR of 2:50 on that torn ACL.) My ortho says it'll be another year before it feels somewhat normal, though he claims I'll never completely forget which knee got all that 'attention'.

Do the PT! Even if you have to do it on your own. It takes very little gear (maybe just a few stretch bands and a few ankle weights and you are good to go). If you can't go in, get them to print out exercises for you to do. I've seen people fake their way through PT, and they are worse off for it. There is lots of evidence, by the way, that PT is especially important/effective early on. Tell your ortho and your PT that you want to be as aggressive as possible with it. They tend to back off early on because so many people say that they can't do it, that it hurts too much, etc. This is understandable, but tell them that you wish/expect to run again as soon as possible, and that you are willing to work for that goal.

Oh, and if you can, get one of these:

 

Ice Therapy

 

They're expensive new, but you can get used ones relatively cheaply.  (I got on on ebay for $50.  Technically it shouldn't be sold used since it is a 'medical device', but you'll find them there, and there's no problem with used ones.)  I still use mine after all but the easiest workouts, and it is awesome.

Good luck!



Edited by mdickson68 2008-08-15 11:24 AM


2008-08-15 11:24 AM
in reply to: #1605845

User image

Master
3127
2000100010025
Sunny Southern Cal
Subject: RE: Out for 1+ year
Good luck with the surgery and recovery.
2008-08-15 12:18 PM
in reply to: #1605905

User image

Master
2060
20002525
Northern California
Subject: RE: Out for 1+ year
MelissaE - 2008-08-15 8:11 AM

Running in pain for 5 years?  You might want to have your head examined too. 

Yeah, but it makes the whole story sound much more "HTFU" this way.

2008-08-15 1:37 PM
in reply to: #1605845

User image

Master
2491
2000100100100100252525
Subject: RE: Out for 1+ year
Good luck with your surgery and PT. Come back strong.
2008-08-15 1:40 PM
in reply to: #1606368

User image

Expert
1158
10001002525
A Husker stuck in VA
Subject: RE: Out for 1+ year
coachese - 2008-08-15 1:18 PM

MelissaE - 2008-08-15 8:11 AM

Running in pain for 5 years?  You might want to have your head examined too. 

Yeah, but it makes the whole story sound much more "HTFU" this way.



That or just shows plain stupidity
2008-08-15 1:42 PM
in reply to: #1606128

User image

Expert
1158
10001002525
A Husker stuck in VA
Subject: RE: Out for 1+ year
mdickson68 - 2008-08-15 12:22 PM

I feel your pain. Or anyway, I felt it, once. I had a similar set of problems, and a few surgeries (ACL replacement, meniscus repair, and other stuff). Yes, it takes a while to come back, but you should be able to start very easy biking (stationary recumbant at first) fairly quickly. On the other hand, get ready for your leg, especially quads, to atrophy unbelievably. And it takes a long time and a lot of work for people beyond their 20s to get that muscle back. Over a year after my last surgery, I still can't run as fast as I could before the first surgery, even though I was running on a torn ACL back then. (In fact, I did my marathon PR of 2:50 on that torn ACL.) My ortho says it'll be another year before it feels somewhat normal, though he claims I'll never completely forget which knee got all that 'attention'.

Do the PT! Even if you have to do it on your own. It takes very little gear (maybe just a few stretch bands and a few ankle weights and you are good to go). If you can't go in, get them to print out exercises for you to do. I've seen people fake their way through PT, and they are worse off for it. There is lots of evidence, by the way, that PT is especially important/effective early on. Tell your ortho and your PT that you want to be as aggressive as possible with it. They tend to back off early on because so many people say that they can't do it, that it hurts too much, etc. This is understandable, but tell them that you wish/expect to run again as soon as possible, and that you are willing to work for that goal.

Oh, and if you can, get one of these:

 

Ice Therapy

 

They're expensive new, but you can get used ones relatively cheaply.  (I got on on ebay for $50.  Technically it shouldn't be sold used since it is a 'medical device', but you'll find them there, and there's no problem with used ones.)  I still use mine after all but the easiest workouts, and it is awesome.

Good luck!




What is the name of the cooler? I saw them when I was in PT before but never caught the name.


2008-08-15 3:16 PM
in reply to: #1606700

User image

Pro
6582
50001000500252525
Melbourne FL
Gold member
Subject: RE: Out for 1+ year
NavyTRIChief - 2008-08-15 2:42 PM
mdickson68 - 2008-08-15 12:22 PM

I

Oh, and if you can, get one of these:

 

Ice Therapy

 

They're expensive new, but you can get used ones relatively cheaply.  (I got on on ebay for $50.  Technically it shouldn't be sold used since it is a 'medical device', but you'll find them there, and there's no problem with used ones.)  I still use mine after all but the easiest workouts, and it is awesome.

Good luck!

What is the name of the cooler? I saw them when I was in PT before but never caught the name.

"Soft Ice" Pix URL is http://www.polarsoftice.com/activenewcooler.jpg

Here's the website http://www.polarsoftice.com/softiceactive.html

I'd like that for my back, neck, calf's, etc!

2008-08-15 4:01 PM
in reply to: #1605845

User image

Expert
1158
10001002525
A Husker stuck in VA
Subject: RE: Out for 1+ year
I see, thanks. This one is actually more high tech than the one I saw. The one they were using in the PT office I was in had two tubes and a cooler. It used gravity (set the cooler up on a table) to send the cold water (melted ice in the cooler) to the wrap.
2008-08-15 4:19 PM
in reply to: #1605845

User image

Master
1914
1000500100100100100
Finally north of the Mason-Dixon Line
Subject: RE: Out for 1+ year

Hope all goes well with surgery and PT!

FWIW, my husband (former Army) had surgeries on feet while in.  be sure to have everything documented and follow up with VA benefits once you start the out-processing process.  thankfully, anything having to do with his knees and feet are covered completely with VA benefits.  it also helps being classified with a 30% disability - lowers our tax broackets, 1/2 price metro bus usuage for work commute and a nice VA cash benefit each month.

cathleen

2008-08-15 5:58 PM
in reply to: #1607105

User image

Expert
1288
1000100100252525
Hatboro, PA
Subject: RE: Out for 1+ year
houston-tri-mama - 2008-08-15 4:19 PM

Hope all goes well with surgery and PT!

FWIW, my husband (former Army) had surgeries on feet while in.  be sure to have everything documented and follow up with VA benefits once you start the out-processing process.  thankfully, anything having to do with his knees and feet are covered completely with VA benefits.  it also helps being classified with a 30% disability - lowers our tax broackets, 1/2 price metro bus usuage for work commute and a nice VA cash benefit each month.

cathleen



x2 on documenting everything. I am former Army and had ankle surgery while in the service (and now service-connected disability). Actually, I suggest making a spare copy of your medical records. My originals got lost by the Army during discharge (later it was found). Thankfully, I had my spare copy for follow-up on my ankle. I did have problems getting a copy of the surgical report from the National Naval Medical Center, since that was never placed in my medical chart, so make sure you try to get a copy of that right away.

Good luck on the surgery and recovery!
2008-08-15 6:12 PM
in reply to: #1605845

User image

Extreme Veteran
576
500252525
Wayne, NJ
Subject: RE: Out for 1+ year
Good luck with everthing, I know your pain, been there and have the tee shirt. All in all I 2 run with pain its has been keeping me from doing a OLY. Anyway get yourself fixed and we see you soon......................


2008-08-15 9:50 PM
in reply to: #1605845

User image

Coach
9167
5000200020001002525
Stairway to Seven
Subject: RE: Out for 1+ year
not being able to run for a year is far from being "out"

you should definately be able to swim and most likely bike long before they'll clear you for runnign again. There is also water runnign which is a fantastic way to keep your run specific fitness.

Assuming that runnign is your "best" sport, a year to focus on swim /bike will make you far better next year than you would be otherwise.

Dont forget aquabike competitions as well...

Lot's of options
2008-08-15 10:42 PM
in reply to: #1605845

User image

Champion
19812
50005000500020002000500100100100
MA
Subject: RE: Out for 1+ year
Aquabikes are more and more common in NE...the Hartford Marathon folks put on some now even at Oly levels.I hope surgery and recovery goes well.Many here on BT have recovered much faster than predicted. I think many turn their tri training into PT work and superior base all make recovery faster than normal.
2008-08-16 1:28 AM
in reply to: #1605845

User image

Member
60
2525
Redmond, Oregon
Subject: RE: Out for 1+ year

This doesn't pertain to your knee surgery but the "Soft Ice" machine in the pic.  My ex-boyfriend had surgery on his shoulder this spring and the PT he was seeing made sure he had one of those machines to use.  His machine was fancier but he didn't have to pay for it, it was a worker's comp deal so it was covered I think for two weeks anything over that he would have had to pay for.  They say things heal so much faster with it.

2008-08-16 11:13 AM
in reply to: #1606128

User image

Extreme Veteran
536
50025
Millersville, MD
Subject: RE: Out for 1+ year
mdickson68 - 2008-08-15 12:22 PM

On the other hand, get ready for your leg, especially quads, to atrophy unbelievably. And it takes a long time and a lot of work for people beyond their 20s to get that muscle back. Over a year after my last surgery, I still can't run as fast as I could before the first surgery, even though I was running on a torn ACL back then. (In fact, I did my marathon PR of 2:50 on that torn ACL.) My ortho says it'll be another year before it feels somewhat normal, though he claims I'll never completely forget which knee got all that 'attention'.



True, true, true.

My left leg is still smaller than the right after left ACL repair, and I am told it is just going to be that way. Not a big deal, the knee is strong, but it is mentally challenging at times, to look at and I am always more cautious wit the left knee/leg thatn the right. For instance, I always unclip the right on the bike first.

I got a device called a "cryo-cuff" from the ortho after surgery that looks like what others have mentioned but has a larger cold pad in a rectangular shape that could be wrapped and velcro-ed around the repaired knee. Kept it on for a while, then shifted the water from the cuff to the cooler to get cold water again, and it's like a constantly replenishing ice pack. Pretty ingenious, and simple.

I was biking on a stationary bike within a few weeks, and they told me to go at that as much as I could take. Soon you start adding more complex and strenious movements, and it's pretty challenging. The rehab goes quickly, and if you throw yourself into it and add a little swimming along the way, you'll be fine to pick up where you are now. Think of it a long focused periods for swimming and biking, and other stuff like the eliptical.

And good luck.

Edited by fgray 2008-08-16 11:13 AM

2008-08-16 1:09 PM
in reply to: #1605845

Expert
695
500100252525
Subject: RE: Out for 1+ year

Well being I've just had my sugery I can chime in also(this is my second ACL/PCL replacement third knee surgery after the first on got infected) SO after the first one i got 4 weeks out, I think every doc will do something diffent because the rehab for PCL is diffent then the ACL

http://www.aclsolutions.com/rehab.php

http://sportsmedicine.about.com/gi/dynamic/offsite.htm?zi=1/XJ&sdn=sportsmedicine&cdn=health&tm=11&gps=416_328_1276_654&f=10&su=p284.9.336.ip_p736.8.336.ip_&tt=2&bt=0&bts=0&zu=http%3A//www.drlintner.com/PCLrehab.htm

 

ACL in two weeks

By the end of this period of time your wound will have healed and you should be able to move your knee from full extension to ninety degrees of flexion.

PCL in two weeks

The patient will be in a post-op IROM brace that is locked at 0 degrees.  The brace is to be worn at all times.  The brace will be moved slowly to 30° depending on how stiff the patient may be getting.   

Now I wore a brace with ice packs on it and kept it strait for the most part but upon going to PT i had 98 degrees of motion after my first one  three weeks after the surgery (week four is where i got cought up in the infection)

Anyways biking is 4-6 weeks out(recombant) and then when your wounds heal up swimming is ok.. My doc will not leat me drive till week 6 soi'm in a world of suck..

 

Leg with brace under it

this was 3 days after the surgery

 



Edited by Bajapat 2008-08-16 1:12 PM


2008-08-16 1:13 PM
in reply to: #1605845

Expert
695
500100252525
Subject: RE: Out for 1+ year

http://www.buyaircast.com/cryo-cuff-knee.htm

 

this is the cryo cuff i got..

it was $130

2008-08-16 3:57 PM
in reply to: #1606128

Elite
2608
2000500100
Denver, Colorado
Subject: RE: Out for 1+ year
mdickson68 - 2008-08-15 11:22 AM

I feel your pain. Or anyway, I felt it, once. I had a similar set of problems, and a few surgeries (ACL replacement, meniscus repair, and other stuff). Yes, it takes a while to come back, but you should be able to start very easy biking (stationary recumbant at first) fairly quickly. On the other hand, get ready for your leg, especially quads, to atrophy unbelievably. And it takes a long time and a lot of work for people beyond their 20s to get that muscle back. Over a year after my last surgery, I still can't run as fast as I could before the first surgery, even though I was running on a torn ACL back then. (In fact, I did my marathon PR of 2:50 on that torn ACL.) My ortho says it'll be another year before it feels somewhat normal, though he claims I'll never completely forget which knee got all that 'attention'.

Do the PT! Even if you have to do it on your own. It takes very little gear (maybe just a few stretch bands and a few ankle weights and you are good to go). If you can't go in, get them to print out exercises for you to do. I've seen people fake their way through PT, and they are worse off for it. There is lots of evidence, by the way, that PT is especially important/effective early on. Tell your ortho and your PT that you want to be as aggressive as possible with it. They tend to back off early on because so many people say that they can't do it, that it hurts too much, etc. This is understandable, but tell them that you wish/expect to run again as soon as possible, and that you are willing to work for that goal.

Oh, and if you can, get one of these:

 

Ice Therapy

 

They're expensive new, but you can get used ones relatively cheaply.  (I got on on ebay for $50.  Technically it shouldn't be sold used since it is a 'medical device', but you'll find them there, and there's no problem with used ones.)  I still use mine after all but the easiest workouts, and it is awesome.

Good luck!



My mother still has one of these from when she had her ACL reconstruction. (She was 66 years old at the time and couldn't bear the thought of giving up skiing.) You fill it with water and ice and it has a pump that circulates the cold water around the cuff. The cuff fits around the knee better than an ice pack and the cooler portion sits on the floor. No mess from melting ice. You can fall asleep while wearing this thing. Stick some beers in the cooler portion, too, if you want.

PM me if you're interested and I'll see if she wants to sell it.
2008-08-17 10:46 PM
in reply to: #1605845

Expert
695
500100252525
Subject: RE: Out for 1+ year

any news yet?

 

2008-08-18 6:25 AM
in reply to: #1605845

User image

Expert
1158
10001002525
A Husker stuck in VA
Subject: RE: Out for 1+ year
Appointment tomorrow at 10:30. WIll update after. Thanks for keeping tabs.
New Thread
General Discussion Triathlon Talk » Out for 1+ year Rss Feed  
 
 
of 2