10 Jul 2003 11:24:26
elb
ACL recon tomorrow

Hi all.

I'm a long time (years) lurker and occasional poster to RSS.

Tomorrow I have an ACL reconstruction (left knee, allograft) for a
chronic ACL injury originally sustained 10+ years ago. I'm actually
looking forward to getting it over with, hoping my knee will be better
in the end. Over the years the weakness in the knee (I ride regular)
has seemed to hold me back in my riding.

I ride a Donek Wide 165 and Clickers - though I'm going to ditch the
clickers in favor of the best fitting boots I can find and either a
pair of Drakes or the new Catek Freeride bindings. I'm not really
into jumping or tricks, I just enjoy carving (or approximating it as
best I can).

My OS says he likes to keep his ACL patients out of any sport
activities for 9 months post-op. That pretty much takes out this
coming season. I'm wondering though if I may be able to get out there
at 6 months so long as I take it easy.

Anybody with post ACL recon snowboarding experiences they'd like to
share?


11 Jul 2003 09:59:17
Drug Buddy
Re: ACL recon tomorrow

elb wrote:
> Hi all.
>
> I'm a long time (years) lurker and occasional poster to RSS.
>
> Tomorrow I have an ACL reconstruction (left knee, allograft) for a
> chronic ACL injury originally sustained 10+ years ago. I'm actually
> looking forward to getting it over with, hoping my knee will be better
> in the end. Over the years the weakness in the knee (I ride regular)
> has seemed to hold me back in my riding.
>
> I ride a Donek Wide 165 and Clickers - though I'm going to ditch the
> clickers in favor of the best fitting boots I can find and either a
> pair of Drakes or the new Catek Freeride bindings. I'm not really
> into jumping or tricks, I just enjoy carving (or approximating it as
> best I can).
>
> My OS says he likes to keep his ACL patients out of any sport
> activities for 9 months post-op. That pretty much takes out this
> coming season. I'm wondering though if I may be able to get out there
> at 6 months so long as I take it easy.
>
> Anybody with post ACL recon snowboarding experiences they'd like to
> share?

elb

1st off - good luck with the op, you'll appreciate taking the time out to
get it done. I snapped my left ACL playing 5 a-sides and had the
reconstruction op Aug 99. I skiied previously and switched to boarding from
season 00-01 in an effort to avoid the lateral edge catch damage skiing can
do. I've had no ill effects and, after being a bit careful for the 1st
season - wearing a knee brace - my knee is as solid as it was previously. I
started out freeriding and spend most of my time in the park these days.
I've only had a few scares and they were down to me bricking it after a
twisting bale where the board stops and your body doesn't!

My specialist, who works for Celtic football club, put me through a 3 month
intensive physio regime and recommended that I'd get back to full active
sports ~6months which is what happened. I was off crutches after a month and
walking normally after 10 weeks. I carried on the self-physio (and still
do).

Take the advice of your post-op physio and if you do try for Feb 03 try out
an articulated knee brace - it'll give you a confidence boost. (there are a
load of ACL advice sites, just google it).

good luck, DB




11 Jul 2003 18:20:53
John Q. Sindell
Re: ACL recon tomorrow

Drug Buddy <[email protected] > wrote:
> My specialist, who works for Celtic football club, put me through a 3 month
> intensive physio regime and recommended that I'd get back to full active
> sports ~6months which is what happened. I was off crutches after a month and
> walking normally after 10 weeks. I carried on the self-physio (and still
> do).

In my experience, you should NOT be using crutches for a month.
Anything over a week should really just be carrying the crutches around
just in case. I hope the origional poste was doing pre-op PT as that
helped me out a bunch. I was jogging every day after 8 weeks, but it
still took over a year before I truely felt 100%.

> Take the advice of your post-op physio and if you do try for Feb 03 try out
> an articulated knee brace - it'll give you a confidence boost. (there are a
> load of ACL advice sites, just google it).

To origional poster, if you go with a brace for early-on comfort, ditch
it as soon as you can. There's no better brace than strong muscles
around the knee, and wearing a brace won't help develop those muscles.

--
John Q. Sindell Jr.
[email protected]
http://jqs.pikapp.net


11 Jul 2003 20:32:56
Drug Buddy
Re: ACL recon tomorrow

John Q. Sindell wrote:
> Drug Buddy <[email protected]> wrote:
>> My specialist, who works for Celtic football club, put me through a
>> 3 month intensive physio regime and recommended that I'd get back to
>> full active sports ~6months which is what happened. I was off
>> crutches after a month and walking normally after 10 weeks. I
>> carried on the self-physio (and still do).
>
> In my experience, you should NOT be using crutches for a month.
> Anything over a week should really just be carrying the crutches
> around just in case. I hope the origional poste was doing pre-op PT
> as that helped me out a bunch. I was jogging every day after 8
> weeks, but it still took over a year before I truely felt 100%.
>
>> Take the advice of your post-op physio and if you do try for Feb 03
>> try out an articulated knee brace - it'll give you a confidence
>> boost. (there are a load of ACL advice sites, just google it).
>
> To origional poster, if you go with a brace for early-on comfort,
> ditch it as soon as you can. There's no better brace than strong
> muscles around the knee, and wearing a brace won't help develop those
> muscles.

Dave, I now understand why RSS's audience has become a bit more 'selective',
in a Spinal Tap stylee, these days. Oh feck, FFS. It's nice that it's still
here though!

elb, hope you're doing well, keep on keeping on - 7 months to go!

DB




11 Jul 2003 22:43:54
Scott
Re: ACL recon tomorrow

> Dave, I now understand why RSS's audience has become a bit more 'selective',
> in a Spinal Tap stylee, these days. Oh feck, FFS. It's nice that it's still
> here though!

LoL...off season does bring 'em out !

> elb, hope you're doing well, keep on keeping on - 7 months to go!

Likewise...sheeyit...he'll be through the op by now and boaking on the
post-operative anaesthesia as we speak :0)
S



12 Jul 2003 17:19:14
Drug Buddy
Re: ACL recon tomorrow

Scott wrote:
>> elb, hope you're doing well, keep on keeping on - 7 months to go!
>
> Likewise...sheeyit...he'll be through the op by now and boaking on the
> post-operative anaesthesia as we speak :0)
> S

Aye, when I came to I was off my face on whatever they'd given me - it was
great! 2 hrs later I was crying like a kid who'd lost his telly tubby. All a
means to an end and all that. As William Wallace said "this too will pass" -
or something like that. It's shite then it's good then it's shite again!

DB
(great to see y'all back scotty - how was BC?)




12 Jul 2003 18:38:37
John Q. Sindell
Re: ACL recon tomorrow

Drug Buddy <[email protected] > wrote:
> Dave, I now understand why RSS's audience has become a bit more 'selective',
> in a Spinal Tap stylee, these days. Oh feck, FFS. It's nice that it's still
> here though!

WTF is this supposed to mean?

--
John Q. Sindell Jr.
[email protected]
http://jqs.pikapp.net


13 Jul 2003 09:52:28
elb
Re: ACL recon tomorrow

Thanks to everyone for the encouragement.

I'm 2 days post-op now, and the pain is definitely better today.

I haven't had my first follow up with the surgeon yet, but he told my
wife immediately after the surgery that everything went very well. He
also told her that I have almost none of the meniscus on the outside of
my knee remaining, and osteoarthritis is setting in. But hopefully
stabilizing my knee with the reconstruction will help.

In case anyone is interested, turns out my surgeon was the head
physician at the Lillehammer Olympics.

I can already tell rehab is going to be a bitch. But happy thoughts of
getting back on my board should keep me going.

- elb


14 Jul 2003 21:38:20
Scott
Re: ACL recon tomorrow


> DB
> (great to see y'all back scotty - how was BC?)
OMG :0)
Just brill ! wet toward the end but by then I was wandering around with
a big sh1t-eatin' grin most of the time...getting stopped in the square
by heads wanting to know where I was getting my gear ?!? LoL...Can't
beat Whistler on a good day.



20 Jul 2003 14:48:36
Drug Buddy
Re: ACL recon tomorrow

Mike M. Miskulin wrote:
>
> One last bit of advice - make sure you get into a PT program that
> specializes in sports rehab.
>
> mike

Aye, from the people I spoke to, at the time and since, the advice has been
the same - grap yourself a sports phsio whether it's winter sports,
basketball, football(soccer) etc. I guess we were all pretty lucky having
that advice from the start off. Things are a bit different over here -
national healthcare - if I hadn't been lucky enough to have Leach as my
surgeon, I was quite willing to splash some cash and hire my own sports
rehab. heh heh heh, on that note, I wasn't even given one of those cooler
things to to wrap round my knee after working it. I kept the same bag of
frozen peas wrapped in a dish cloth for 3 months!

DB




20 Jul 2003 16:22:49
elb
Re: ACL recon tomorrow

In article <[email protected] >, [email protected]
says...
> Mike M. Miskulin wrote:
> >
> > One last bit of advice - make sure you get into a PT program that
> > specializes in sports rehab.
> >
> > mike
>
> Aye, from the people I spoke to, at the time and since, the advice has been
> the same - grap yourself a sports phsio whether it's winter sports,
> basketball, football(soccer) etc. I guess we were all pretty lucky having
> that advice from the start off. Things are a bit different over here -
> national healthcare - if I hadn't been lucky enough to have Leach as my
> surgeon, I was quite willing to splash some cash and hire my own sports
> rehab. heh heh heh, on that note, I wasn't even given one of those cooler
> things to to wrap round my knee after working it. I kept the same bag of
> frozen peas wrapped in a dish cloth for 3 months!
>
> DB

My PT starts tomorrow. I wasn't really given a choice about they style
of therapist. I am, however, going to make it clear that I am
relatively active and wish to remain that way if not become even more
so. I used to be in damn good shape, but have let myself go the past
couple years and want to get back. I suppose that if I don't like the
therapist I can ask to be switched to another.

I wasn't given a cryo-cuff either, just a couple packs of freeze-gel
things. I'm on my 9th day post-surgery, and still quite a bit swollen,
even though I've kept my knee chilled and elevated almost constantly. I
was told on my first post-op visit a couple days ago that I'm doing
everything right and not to worry about it.

I'm still supposed to be completely non-weight bearing on the affected
leg, but I think that will probably change when I see the PT tomorrow.
Most of the pain is definitely gone - I haven't taken a percocet in
about 5 days, just lots of naproxen (Aleve).

- elb


25 Jul 2003 20:33:43
Drug Buddy
Re: ACL recon tomorrow

elb wrote:

> My PT starts tomorrow. I wasn't really given a choice about they
> style of therapist. I am, however, going to make it clear that I am
> relatively active and wish to remain that way if not become even more
> so. I used to be in damn good shape, but have let myself go the past
> couple years and want to get back. I suppose that if I don't like the
> therapist I can ask to be switched to another.
>
> I wasn't given a cryo-cuff either, just a couple packs of freeze-gel
> things. I'm on my 9th day post-surgery, and still quite a bit
> swollen, even though I've kept my knee chilled and elevated almost
> constantly. I was told on my first post-op visit a couple days ago
> that I'm doing everything right and not to worry about it.
>
> I'm still supposed to be completely non-weight bearing on the affected
> leg, but I think that will probably change when I see the PT tomorrow.
> Most of the pain is definitely gone - I haven't taken a percocet in
> about 5 days, just lots of naproxen (Aleve).
>
> - elb

elb

Keep going with it, it's all a means to an end and all that. It might be
shite now but it'll get better (and it'll be shite later!). Avoid any
lateral knee 'popping' movements, stick to what yer physio tells you to do,
keep cooling your knee after you exercise it (by whatever method) and you'll
get there. It might seem like a way off, but it's worth it.

DB




28 Jul 2003 18:27:26
Mike M. Miskulin
Re: ACL recon tomorrow

While pondering the Universe, [email protected] (elb) wrote
<[email protected] >:

>
>I wasn't given a cryo-cuff either, just a couple packs of freeze-gel
>things. I'm on my 9th day post-surgery, and still quite a bit swollen,
>even though I've kept my knee chilled and elevated almost constantly. I

two words: Frozen peas

get a couple bags, they work really well.


28 Jul 2003 18:39:52
Mike T
Re: ACL recon tomorrow

> >I wasn't given a cryo-cuff either, just a couple packs of freeze-gel
> >things. I'm on my 9th day post-surgery, and still quite a bit swollen,
> >even though I've kept my knee chilled and elevated almost constantly. I
>
> two words: Frozen peas
>
> get a couple bags, they work really well.

If you want to reduce swelling, you might try arnica (gel or tablets). It
can be found in the homeopathy section at a natural foods store, or in some
drug stores.

Mike T




29 Jul 2003 09:57:47
elb
Re: ACL recon tomorrow

In article <[email protected] >,
[email protected] says...
> > >I wasn't given a cryo-cuff either, just a couple packs of freeze-gel
> > >things. I'm on my 9th day post-surgery, and still quite a bit swollen,
> > >even though I've kept my knee chilled and elevated almost constantly. I
> >
> > two words: Frozen peas
> >
> > get a couple bags, they work really well.
>
> If you want to reduce swelling, you might try arnica (gel or tablets). It
> can be found in the homeopathy section at a natural foods store, or in some
> drug stores.
>
> Mike T

What we've ended up doing is just keeping bags of store-bought ice;
that's worked very well. Most of the swelling is gone, except after
exercises. I think I'm one of the PT's only patients who actually do
the at-home exercises.

I've just started the 2nd week of rehab. My extension is past 0
degrees, and my flexion is 100 degrees. My quads are starting to come
back a bit, but my calves are pathetic. I'm finally allowed to walk,
though still with the crutches and brace.

They kept me from putting any weight on it whatsoever for so long that I
developed a little mental block about it. So the first time the PT
wanted me to stand without crutches or brace and shift all of my weight
onto the recon'd knee I freaked a little bit. Now I've gained a lot
more confidence in it.

I've been told I'll be on crutches 2-3 more weeks. I don't know how
long I'll be in this damn brace (aka, Spanish Inquisition Leg Hair
Removal Torture Device).

So far so good...

- elb


27 Aug 2003 18:59:27
Drug Buddy
Re: ACL recon tomorrow

elb wrote:
> What we've ended up doing is just keeping bags of store-bought ice;
> that's worked very well. Most of the swelling is gone, except after
> exercises. I think I'm one of the PT's only patients who actually do
> the at-home exercises.
>
> I've just started the 2nd week of rehab. My extension is past 0
> degrees, and my flexion is 100 degrees. My quads are starting to come
> back a bit, but my calves are pathetic. I'm finally allowed to walk,
> though still with the crutches and brace.
>
> They kept me from putting any weight on it whatsoever for so long
> that I developed a little mental block about it. So the first time
> the PT wanted me to stand without crutches or brace and shift all of
> my weight onto the recon'd knee I freaked a little bit. Now I've
> gained a lot more confidence in it.
>
> I've been told I'll be on crutches 2-3 more weeks. I don't know how
> long I'll be in this damn brace (aka, Spanish Inquisition Leg Hair
> Removal Torture Device).
>
> So far so good...
>
> - elb

I know exactly what you mean about being freaked at putting weight on your
knee. It might only be a few weeks since the op but muscles have goldfish
memories and start winding up your brain - big time. Your brain tells the
muscles to do something, muscles reply and say 'I can't remeber how to do
that', brain replies by telling them to just get on with it. This cycles
until the brain doubts itself and sends freakout messages. It passes, what's
left of my brain has been there!

Like I said before, when I went for my 1st physio I was shown the complete
recovery regime - I shat myself. You'll get there dude, it takes time and a
lot of dedication - run with the frozen peas, they'll make a great stir fry
in 3 months time!

keep on keeping on, DB




27 Aug 2003 23:01:51
Mike M. Miskulin
Re: ACL recon tomorrow

this thread must be a curse! I went to see my surgeon Tuesday
about one of the screws and some severe pain I had last week.
Woke up in the middle of night in pain.. wasn't quite sure what was
what, stretched my legs hard to wake up and thats when I discovered
what was hurting!

The good news is the acl graft is still in excellent shape; the bad
news is I've irritated the hamstring tendon insertion which apparently
goes over where the screw is. Doc recommened ice and the classic
'avoid anything that hurts it otherwise do what you want'. Said if
its still bothersome in a couple of months he will take the screw out.
He was kinda surprised me coming in after all this time (5 yrs in
Sept), guess I just pissed it off good.