Any of you ever suffer a Knee Injury??

In 8th grade my knee bent inward when I slipped playing ball. Had to wear a foam tight sleeve around my knee for a few months. I have chips floating in my caps...
 
Per my report:

1. Torn anterior cruciate ligament.
2. Torn lateral meniscus with posterior horn fragment displaced posterior to the inner posterior horn of the lateral meniscus.
3. Bone contusions in the lateral joint with depressed osteochondral fracture in the lateral femoral condule.
4. Large joint effusion.

Basically, I ruined my knee :smh: I was so distraught. I left work for the day.

That's insane. Hang in there bro, it'll be a long stretch but things will get better with time. Don't try to overdo anything at this point, focus on getting better. Do you have your surgery date yet?
 
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How's the rehab going OP?
I'm doing good bro. Nearing 3 months, not where I would want to be ideally but making incremental improvement.
Good to hear man. I see you stuntin in those last shots looking like Batman 
laugh.gif
 
So it has been 3 months exactly since I tore my ACL (self diagnosed). Since I had no insurance I of course couldn't get surgery. I feel pretty much fine now.

Normal activities like walking, stairs, bending down, etc haven't really given me much (if any) pain. I've been increasing the intensity and going from walking to jogging. Usually, jogging about 2 minutes, then walking 3 minutes. Anyone else not go the surgery route? I am a little bit afraid to try and play basketball.

My biggest concern is how I'll do in any high intensity, sudden movement activities. I think I'll stay off those until December and just continue the walking, step ups, and jogging for now.
 
So it has been 3 months exactly since I tore my ACL (self diagnosed). Since I had no insurance I of course couldn't get surgery. I feel pretty much fine now.

Normal activities like walking, stairs, bending down, etc haven't really given me much (if any) pain. I've been increasing the intensity and going from walking to jogging. Usually, jogging about 2 minutes, then walking 3 minutes. Anyone else not go the surgery route? I am a little bit afraid to try and play basketball.

My biggest concern is how I'll do in any high intensity, sudden movement activities. I think I'll stay off those until December and just continue the walking, step ups, and jogging for now.

You're gonna have to be real careful with the sports. Any movement that involves cutting and pivoting has the possibility of causing your fibula to shift due to instability. I recommend seeing a Physical Therapist that can help in structuring a program that's specific for your case.

Most often than not, it will be a matter of time before you drop again playing sports. This time it will be due to totally tearing up your meniscus (if you haven't already) or worse. Take care of yourself.
 
So it has been 3 months exactly since I tore my ACL (self diagnosed). Since I had no insurance I of course couldn't get surgery. I feel pretty much fine now.

Normal activities like walking, stairs, bending down, etc haven't really given me much (if any) pain. I've been increasing the intensity and going from walking to jogging. Usually, jogging about 2 minutes, then walking 3 minutes. Anyone else not go the surgery route? I am a little bit afraid to try and play basketball.

My biggest concern is how I'll do in any high intensity, sudden movement activities.
I think I'll stay off those until December and just continue the walking, step ups, and jogging for now.


Have to start slow. I treated numerous patients (even myself) who tore their ACL and had them playing sports without reconstruction.
 
Have to start slow. I treated numerous patients (even myself) who tore their ACL and had them playing sports without reconstruction.

Oh, awesome that you actually do rehab stuff. Ive started doing the asian squat (laundry squat). I have such tight hips lower back etc etc. Have you ever implemented that into rehab? Even just a week into of trying to do it 30 mins a day (usually ends up being 2 mins x 5 times tho at this point) my whole body feels so so so much better.
 
Oh, awesome that you actually do rehab stuff. Ive started doing the asian squat (laundry squat). I have such tight hips lower back etc etc. Have you ever implemented that into rehab? Even just a week into of trying to do it 30 mins a day (usually ends up being 2 mins x 5 times tho at this point) my whole body feels so so so much better.


With knee injuries whether any knee ligament, arthritis, or patello-femoral (tendinitis) I will usually find in male patients that they have tight hamstrings, quads, and or piriformis (or a combination of all three). Hamstrings connects to the pelvis and is vital with athletic movements because it stabilizes the knee when cutting and athletic movements. The piriformis connects the sacrum and the femur (thigh bone) and when it becomes tight can effect the low back, hip, and/or knee. Some of the pictures here are some examples of my "go to" stretches.



All of which are stretches of the piriformis, but are different variations. I will also include quads and hamstring stretches.



Sounds like this is the move. Any particular excercises you suggest? Thanks for the info.

These are my "go to" core exercises. For my ACL patients, depending on their weight bearing status, if they can put at least 50% of the weight on the involved knee I will have them do the basic plank starting at 30sec., then progress to 1min. then eventually to 2min.. Athletes should be able to hold a plank for at least 2min.

It's important to engage the core and buttocks at the same time. Your low back should be straight, there should not be a curve (I should be able to put a broom stick across the low back), belly button should be back towards your spine with squeezing of the glutes.


These are my favorite. One modification though, with my knee patients I have them bend both knees (like stacked on top of each other). Reasoning being there is usually some meniscus involvement and dont want to irritate that.




You can do these in timed repetition or numbered reps ie 3x10 or 3x15. Same idea as the plank, belly button toward your spine and contract the core. Fantastic for hip and core strength.
 
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7thave btn 31stn33rd st 7thave btn 31stn33rd st great post! Thank you for sharing that. My PT has me doing all of what you are suggesting there, spot on! Those exercises are killer but my core and hips are still pretty weak, which has been the reason for my poor gait. So much to focus on when rehabbing such an injury.


That's all normal. I treat a lot of professional runners and they tend to have very weak hips, and then you have to teach them proper mechanics with the new firing patterns. It can get frustrating for them because some tend to have "Type A" personalities.

Not all therapists think like this, but I tend to believe a lot of injuries (not from a trauma) of the ankle, knee, hip, shoulder, even the neck are as a results of poor core control and firing patterns. Your core mitigates forces distally (to the extremities), and if the core is weak, it puts more strain on the ligaments, tendons, and muscles to stabilize the joint.


acemaster193 acemaster193
How many weeks from surgery are you?
 
Yeah I got a real bad cut on the side of my knee. Cut through my lcl in the process. That was fun.
 
Gotcha. I've slowly realized that there's a whole science to injury prevention.

7thave btn 31stn33rd st 7thave btn 31stn33rd st I'm 12 weeks out as of today.


Absolutely. I wrote a Case Report on a female volley ball player that tore her ACL and meniscus. Females are typically more vulnerable to ACL injuries for various reasons, but she presented with some biomechanical issues when I would observe her perform a squat (which tells you a lot believe it or not). But yeah, it is a science and skill.

12 weeks? Have you started agility stuff or running yet?
 
My PT told me that I was also susceptible to Knee injuries because of the fact that I'm flat footed. Idk if that's really the case or if you have any knowledge on that.

No agility or running exercises yet. Still trying to strengthen my core so that I can perfect my gait. I feel like I'm walking fine, but he still thinks it needs some work. Also doing exercises to improve proprioception which has been getting much better.
 
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My PT told me that I was also susceptible to Knee injuries because of the fact that I'm flat footed. Idk if that's really the case or if you have any knowledge on that.

No agility or running exercises yet. Still trying to strengthen my core so that I can perfect my hair. I feel like I'm walking fine, but he still thinks it needs some work. Also doing exercises to improve proprioception which has been getting much better.


He's correct about the flat feet. That alone changes the mechanics of even regular walking much less playing sports.


Your PT knows you better than I, and I tend to be aggressive with younger people and athletes when it comes to ACLs. When I rehab ACLs post-op, i love using resitive forward/backward and side-stepping walking with a thera-band. Strengthens the core, glutes, hips, and good eccentric training for the hamstrings. Improves gait mechanics after a few bouts pretty well.

Your in NYC? Where are you going for PT?
 
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