Re: Coming Back after ACL Surgery ?
Found this website the other day - it's great to hear everybody else's stories, and see the progress they're making. I thought I'd add my story to the collection.
I'm 30 years old, and I tore the ACL and the lateral meniscus in my Right knee playing basketball in late June 2006. The ACL wasn't completely torn, but it was torn enough that my knee was loose and the ACL needed surgery. As an almost humorous side note, the emergency room dr. that I saw the day of the injury told me that I just had a bruise! I was on crutches for 9 days, and started hobbling around after that. I did 7 PT visits to get over the injury, but put off surgery for a couple months because I didn't want to ruin summer vacation plans. PT was pretty easy, because I was in good shape at the time of the injury.
I've heard of ACL patients who have no pain a couple weeks after the injury, but my knee never stopped hurting - probably because of the meniscus tear. By the time I had surgery (3 months after the injury), I was completely out of shape, because I'd been trying to stay off my bad knee to minimize the pain. In retrospect, putting off the surgery was probably a mistake.
I had surgery 4 weeks ago - they repaired the meniscus, and reconstructed the ACL using a graft from my patellar tendon. Post-surgery was a little worse than I thought it would be. The first couple days I was just in a bit of a daze (maybe the anesthesia aftereffects?). The pain was pretty controllable with the oxycontin and percocet I was on, but those narcotics left me feeling pretty dopey, and had some other unpleasant side effects. I ended up being out of work for 3 weeks - I'd originally thought it would be 1 or 2 weeks since I have a desk job, but it ended up being 3 weeks before I felt good enough to go back to work. I did CPM 6 hours a day for those 3 weeks, but wasn't allowed to go past 90 degrees because of the meniscus repair.
Progress at PT has been slow. The post-injury PT was easy, but the post-surgery PT has been tough. I think one of the biggest reasons for the difference is that I was in good shape when I got injured, but I was completely out of shape by the time I had surgery. I couldn't even do straight leg lifts without help from the PT! I just did my first straight leg lifts with no help yesterday, 4 weeks after surgery. The PT says that part of that is that I had a more difficult surgery than some ACL patients, because I didn't use a cadaver graft. I did lots of quad sets, and did the "Russian stim" with quad sets to try to build the quad back up to the point that I could do the straight leg lefts.
I'll admit I've been a little worried about the meniscus repair. I'm glad it looked repairable, because it would be nice to have the whole meniscus... but if the repair doesn't work, I'm not looking forward to another surgery. It sounds like different OS's have different protocols for recovery from meniscus repair. My protocol is:
-Full weight bearing right away as tolerated
-leg brace locked in straight extension for 1.5 weeks when walking
-After 1.5 weeks, leg brace not locked when walking
-Not allowed to bend knee more than 90 degrees for first 4 weeks
-From 4-6 weeks, I can do active flexion greater than 90, but not passive (which means the PT can't try to force it to bend more than 90, I can only bend more than 90 if I can do it with my own muscles).
-No running for 3 to 4 months
2-3 weeks after surgery, I was still sometimes having the pain that I'd come to associate with the torn meniscus. Within the last week or so, I'm not having that kind of pain very often - so I'm hoping that's a good sign that the meniscus is healing. Does anyone else have anecdotes about their meniscus repair? When did you get to pain free? When do you figure out whether it's healed, or whether the repair failed and it's torn again?
Thanks for reading, and thanks for sharing all your stories!