Lateral Knee Pain – 9 Months Post ACL Reconstruction

I play football and one day in late August 2007 at practice my left foot got stuck in the field turf as I was turning and preparing to jump. This completely tore my ACL and partially tore my MCL and lateral meniscus.

I had surgery to reconstruct my ACL and fix my meniscus in early October 2007. The surgeon used one of my hamstring tendons and after the surgery he said everything went really well. After the surgery I did everything I was asked and worked very hard to rehab my knee and since then my MCL has healed completely and my knee has progressed nicely.

When I saw my surgeon back in April (roughly six month checkup) he was very pleased with how the ACL and knee in general was healing and progressing and said he didn't need to see me again until the one year post surgery mark. He did prescribe an ACL brace though which I have now and wear when I run routes (I play receiver) or have the possibility of getting hit.

As I said before everything with my knee had been progressing very well and because of my progress I started practicing at roughly seven months post surgery. I then hit a major setback at roughly eight months. My symptoms were:

- A large amount of swelling (comparably to immediately after surgery)
- A lot of stiffness
- My knee feeling unstable
- Lack of strength in my hamstring
- A large amount of pain and clicking on the lateral side of my knee



I then went and saw my physiotherapist who suggested rest which relieved me of virtually all of my symptoms except for the last one: the pain and clicking on the lateral side of my knee. My PT then treated me for IT Band problems as well as tight hamstrings using acupuncture, ultrasound, etc. I continued seeing my PT five days a week for roughly two and a half weeks. This helped to cure the pain and slowly reduced the clicking but unfortunately my PT went on vacation last Wednesday and the pain on the lateral side on my knee has returned.

The strange thing though is I don’t have the clicking anymore. Just a lot of pain which is making it hard to train for Football. One thing I have noticed is that a tendon (I believe it is a tendon) just below my kneecap to the lateral side is swollen and I believe that this may be the cause of the clicking or popping.

So as of now I am a little confused with what to do with my knee. I can’t take time off because we start training camp in roughly a month but the pain is enough to slow me down considerably right now. So I was wondering if you may possibly know what is causing this pain on the lateral side of my knee and what I can do to get rid of it for good?

Thanks!


Ps – I apologize for writing so much. I hope that it helps in some way.

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Oct 03, 2014
Clicking and popping NEW
by: Anonymous

I am 6 weeks post op and also experience clicking and popping on the lateral side and pain behind the lateral aide when I flex my foot in and stretch it. I am also limited in flexion. I'm interested in hearing more about the clicking from someone a little further along in the process.

Jul 07, 2014
2 months after acl replacement still can't bend knee NEW
by: Michele

I had acl replacement surgery due 2 an injury from a car accident. My acl was completely destroyed. I've been going 2 physical therapy n living on my Ice machine, but having swelling, pain n still cannot fully bend my knee. I'm still in the locked brace n still on one crutch n a week ago twisted n heard n felt a pop. My knee blew up n the pain. Went back 2 dr n I gotta go back next week cuz now he thinks I may have injured another tendon. What I don't get is y can I not bend knee by now and now the swelling never goes down n I just started 2 get stabbing pains in my kneecAp. I was having the burning ripping pain on inside of knee n pain down my shin from the screw but this new stabbing pain is unbearable n it happens at random times n if I'm trying 2 walk or stand my bad knee buckles. I just don't kno what 2 do anymore. I refuse 2 take pain meds n I'm so frustrated n nervous that I'll need another surgery. Everything I've read is so opposite of what I've been experiencing n now the insurance benefits r exhausted since it's an Mva n now idk if another dr will even touch it. Ugh 😢

Jul 07, 2014
2 months after acl replacement still can't bend knee NEW
by: Michele

I had acl replacement surgery due 2 an injury from a car accident. My acl was completely destroyed. I've been going 2 physical therapy n living on my Ice machine, but having swelling, pain n still cannot fully bend my knee. I'm still in the locked brace n still on one crutch n a week ago twisted n heard n felt a pop. My knee blew up n the pain. Went back 2 dr n I gotta go back next week cuz now he thinks I may have injured another tendon. What I don't get is y can I not bend knee by now and now the swelling never goes down n I just started 2 get stabbing pains in my kneecAp. I was having the burning ripping pain on inside of knee n pain down my shin from the screw but this new stabbing pain is unbearable n it happens at random times n if I'm trying 2 walk or stand my bad knee buckles. I just don't kno what 2 do anymore. I refuse 2 take pain meds n I'm so frustrated n nervous that I'll need another surgery. Everything I've read is so opposite of what I've been experiencing n now the insurance benefits r exhausted since it's an Mva n now idk if another dr will even touch it. Ugh 😢

May 30, 2014
ACL Issues NEW
by: Anonymous

I have torn my ACL twice and I'm only 16. I am currently 7 weeks out of my second ACL reconstructive surgery. I'll be the first to admit, recovery is incredibly tough but it is worth it. The hardest part is being patient. I say this because my knee is feeling so great that I went out to my practice tonight to watch and visit my soccer team. I wore my brace and my cleats and after a few minutes of passing the ball with my non surgery leg, my surgery leg made this slight pop it wasn't the ACL pop each of us knows, but it was just a little squishy like pop. I'm sure it was just a tendon being strange, but I'm still paranoid ya know. Just don't rush into your sport. But also don't be pitiful. The only thing you can and should worry about is the long run of your sports career, not your current issues. All I can say is rehab as much as possible and don't give in to being sorry for yourself, I'm not.

May 30, 2014
ACL Issues NEW
by: Anonymous

I have torn my ACL twice and I'm only 16. I am currently 7 weeks out of my second ACL reconstructive surgery. I'll be the first to admit, recovery is incredibly tough but it is worth it. The hardest part is being patient. I say this because my knee is feeling so great that I went out to my practice tonight to watch and visit my soccer team. I wore my brace and my cleats and after a few minutes of passing the ball with my non surgery leg, my surgery leg made this slight pop it wasn't the ACL pop each of us knows, but it was just a little squishy like pop. I'm sure it was just a tendon being strange, but I'm still paranoid ya know. Just don't rush into your sport. But also don't be pitiful. The only thing you can and should worry about is the long run of your sports career, not your current issues. All I can say is rehab as much as possible and don't give in to being sorry for yourself, I'm not.

May 30, 2014
ACL Issues NEW
by: Anonymous

I have torn my ACL twice and I'm only 16. I am currently 7 weeks out of my second ACL reconstructive surgery. I'll be the first to admit, recovery is incredibly tough but it is worth it. The hardest part is being patient. I say this because my knee is feeling so great that I went out to my practice tonight to watch and visit my soccer team. I wore my brace and my cleats and after a few minutes of passing the ball with my non surgery leg, my surgery leg made this slight pop it wasn't the ACL pop each of us knows, but it was just a little squishy like pop. I'm sure it was just a tendon being strange, but I'm still paranoid ya know. Just don't rush into your sport. But also don't be pitiful. The only thing you can and should worry about is the long run of your sports career, not your current issues. All I can say is rehab as much as possible and don't give in to being sorry for yourself, I'm not.

May 20, 2014
ACL- Soccer NEW
by: Anonymous

Hi I tore my ACL and my lateral Meniscus also.I tore my ACL last summer on august 20th. I was only a freshman going into high school. I didn't even get a chance to prove myself. I am 9 months out from my surgery and I still am having pain in my meniscus also. I don't know what to do either, but cry about it. I want to be able to get back to soccer. It's in a month and I don't know if I'll be able to do it because of my knee. I sometimes wish this would of never happened to me, but what can you do? I went to my zumba class last night and I couldn't dance the way I wanted to due to the pain in my meniscus. It's so frustrating. You have thoughts that you might never be normal again, that nothing will ever get better. Well, I wish you and me both luck with our sports. We have to stay strong and believe we can defeat the pain. Mind over matter my friend. Lets get rocking.

May 20, 2014
ACL- Soccer NEW
by: Anonymous

Hi I tore my ACL and my lateral Meniscus also.I tore my ACL last summer on august 20th. I was only a freshman going into high school. I didn't even get a chance to prove myself. I am 9 months out from my surgery and I still am having pain in my meniscus also. I don't know what to do either, but cry about it. I want to be able to get back to soccer. It's in a month and I don't know if I'll be able to do it because of my knee. I sometimes wish this would of never happened to me, but what can you do? I went to my zumba class last night and I couldn't dance the way I wanted to due to the pain in my meniscus. It's so frustrating. You have thoughts that you might never be normal again, that nothing will ever get better. Well, I wish you and me both luck with our sports. We have to stay strong and believe we can defeat the pain. Mind over matter my friend. Lets get rocking.

Oct 24, 2013
Lateral knee pain after acl surgery NEW
by: Anonymous

im 17 years old. I play football on the last day of two a days I tore my acl. i was lucky that i only tore that. i had surgery, it has been 2 months since my surgery im still walking with a limp and when i do walk sometimes the outside of my knee feels like its gonna brake my PT did the acl test and he said it was fine.. what could it be?

Oct 24, 2013
Lateral knee pain after acl surgery NEW
by: Anonymous

im 17 years old. I play football on the last day of two a days I tore my acl. i was lucky that i only tore that. i had surgery, it has been 2 months since my surgery im still walking with a limp and when i do walk sometimes the outside of my knee feels like its gonna brake my PT did the acl test and he said it was fine.. what could it be?

Mar 11, 2013
Injury to knee with ACL Reconstruction NEW
by: Anonymous

I had ACL reconstruction surgery using my hamstring December 16, 2011 after tearing my ACL playing soccer. I went through all physio and after 8 months I was able to start playing again. My knee had been feeling great until about a week ago when I collided with a goalie and hearing a crack/pop sound and feeling a sharp pain in my knee. It has been about a week and I am still experiencing pain in the outer part of my right knee along with a feeling of my knee constantly feeling swollen. Anyone have some advice?

Mar 11, 2013
Injury to knee with ACL Reconstruction NEW
by: Anonymous

I had ACL reconstruction surgery using my hamstring December 16, 2011 after tearing my ACL playing soccer. I went through all physio and after 8 months I was able to start playing again. My knee had been feeling great until about a week ago when I collided with a goalie and hearing a crack/pop sound and feeling a sharp pain in my knee. It has been about a week and I am still experiencing pain in the outer part of my right knee along with a feeling of my knee constantly feeling swollen. Anyone have some advice?

Mar 11, 2013
Injury to knee with ACL Reconstruction NEW
by: Anonymous

I had ACL reconstruction surgery using my hamstring December 16, 2011 after tearing my ACL playing soccer. I went through all physio and after 8 months I was able to start playing again. My knee had been feeling great until about a week ago when I collided with a goalie and hearing a crack/pop sound and feeling a sharp pain in my knee. It has been about a week and I am still experiencing pain in the outer part of my right knee along with a feeling of my knee constantly feeling swollen. Anyone have some advice?

Feb 24, 2013
Lateral Knee Popping NEW
by: Chris

Hey I had surgery in June 2012 about 7 months ago to repair a torn acl and meniscus, I also tore my MCL which they said would heal on its on, from a bad fall in volleyball. Only after my surgery, I have noticed pain and popping on the outside(lateral) part of my knee. I talked to my college athletic trainer and she said it may be my IT band. I am going to talk to my physical therapist and doctor soon about it. My knee feels pretty good except for that outside popping and pain. I will update you guys when I know what is wrong. If anyone else has a similar popping problem please let me know. I feel once that guys away my knee would feel great.

Feb 10, 2013
severe lateral knee pain after acl replacement NEW
by: Anonymous

I had my acl replaced 5 weeks ago and approx 2 weeks post op I noticed a very tender swollen spot on the lateral side of my knee.I saw the surgeon and he did xray and showed me where the bone plug on my femur is sticking out a little bit more then it should be. He wanted me to wait and see what it felt like once I got my brace off cause he thought the brace might be irriating it. At the time it was mostly tender but now 5 weeks post op I'm getting a severe sharp pain on the lateral portion of my knee with certain movements. My therapist and myself think that my IT band is getting caught on bone plug...if this is the case surgeon is going to have to go back in and shave the bone plug down!!! I'm having a real hard time sleeping cause it seems to be worse when I'm laying flat and I move (I guess IT band is stretched to the max at this point) Has this happened to anyone else??

Feb 04, 2013
ACL pain 2 weks post op NEW
by: Anonymous

i am a 44 year old male.i had a acl reconstruction using a hamstring graft,and a medial meniscus tear on 1-21-13.i have been doing self rehab for 7 days and started PT last friday 1-2-13.the pain is really really intense when standing still,if i keep moving it isnt terrible buy if i stop to even fill a glass with water at the sink it fires right up.the pain starts at the incision and goes DOWN my leg.
i have really beaten my body up,two broken legs,one broken arm,broken collar bone,a car accident in 1997 that smashed the whole right side of my face that took 11 plates and 42 screws to repair,broke all my ribs on the right side and broke my right foot and ankle up so bad that i have had to get a subtellar fusion,not to mention working construction for 26 years.
this acl pain is the WORSE of all of it.on 1-29-13 my doctor sent me for a venus doppler to check for blood clots,test was negative,now he seems to think there is a nerve that is not playing nice.so he has put me on lyrica along with the vicodin that i have had since the surgery.

Jan 27, 2013
Leg pain from a fall in the street NEW
by: Anonymous

Eight months ago I fell on the street. flat on my face. one injury to my right leg was a hemotoma of the knee. rehab was suggested. I went about six times. everything he had me do on the machines I was doing on my own at the gym. I am having pain in the entire leg no pain in the knee but everywhere in the leg It is hard to.bend it and getting worse . tried acupuncture a few times it. Hurts more.Rehab never plugged me into any machines.Simply did what I do in the gymGreat pain bending my leg and getting worse.

Jan 27, 2013
Leg pain from a fall in the street NEW
by: Anonymous

Eight months ago I fell on the street. flat on my face. one injury to my right leg was a hemotoma of the knee. rehab was suggested. I went about six times. everything he had me do on the machines I was doing on my own at the gym. I am having pain in the entire leg no pain in the knee but everywhere in the leg It is hard to.bend it and getting worse . tried acupuncture a few times it. Hurts more.Rehab never plugged me into any machines.Simply did what I do in the gymGreat pain bending my leg and getting worse.

Jan 27, 2013
Leg pain from a fall in the street NEW
by: Anonymous

Eight months ago I fell on the street. flat on my face. one injury to my right leg was a hemotoma of the knee. rehab was suggested. I went about six times. everything he had me do on the machines I was doing on my own at the gym. I am having pain in the entire leg no pain in the knee but everywhere in the leg It is hard to.bend it and getting worse . tried acupuncture a few times it. Hurts more.Rehab never plugged me into any machines.Simply did what I do in the gymGreat pain bending my leg and getting worse.

Jan 27, 2013
Leg pain from a fall in the street NEW
by: Anonymous

Eight months ago I fell on the street. flat on my face. one injury to my right leg was a hemotoma of the knee. rehab was suggested. I went about six times. everything he had me do on the machines I was doing on my own at the gym. I am having pain in the entire leg no pain in the knee but everywhere in the leg It is hard to.bend it and getting worse . tried acupuncture a few times it. Hurts more.Rehab never plugged me into any machines.Simply did what I do in the gymGreat pain bending my leg and getting worse.

Jan 27, 2013
Leg pain from a fall in the street NEW
by: Anonymous

Eight months ago I fell on the street. flat on my face. one injury to my right leg was a hemotoma of the knee. rehab was suggested. I went about six times. everything he had me do on the machines I was doing on my own at the gym. I am having pain in the entire leg no pain in the knee but everywhere in the leg It is hard to.bend it and getting worse . tried acupuncture a few times it. Hurts more.Rehab never plugged me into any machines.Simply did what I do in the gymGreat pain bending my leg and getting worse.

Jun 26, 2012
ACL surgery NEW
by: lanette

Hello;

I am mostly here to see if anyone one can relate to how i am feeling. i had ACL surgery at the end of septembet 2011. I was not able to do any rehab due to insurance issues. I used a personal trianer instead, with my doctors permission. I feel strong, a little woobly still. I do 45 min of cardio at least 5 days a week using a techno gym, roller blading effect, instead of the up and down with an elipictal. Plus weight traing. i had a cadaver implant. my knee is swollen everyday, stiff, feels cold and wet. My dr said that it would go away after i became stronger and increased my quad strength. i can do knee bends i can straighten my leg, i am jsut constantly feeling my knee. when i look at it is swollen on each side of my knee cap and above my knee cap. i can not stand to touch it, gives me the creeps. Anyone has any input comments or anything i would just love to talk to someone instead of a doctor saying im behind and all i need is muscle strenght. thanks for reading!! oh it also hurt to go down stairs not up, i also fell in my pool over flow hole, the cover broke that was about a two months ago and definately hurt me and made the swelling much worse. i can even feel the swelling in my foot. thanks again!

May 30, 2012
It might be ur lateral hammy NEW
by: Anonymous

I have the same pain on the same spot except my right knee. I stretch my hammy but instead of having ur leg in front. Plave it diagonally across ur body and lean forward. Relieves it a little.

May 30, 2012
acl and minscus disk NEW
by: Anonymous

I have done the same with the acl and minicus disk i am 15 years old and had my operation october 2011, i was just walking and then my knee crunched and now it is swollen and slightly painful, it also clicks when i straighten it fully.
i am glad to know that hopefully there is nothing wrong with my knee as at 15 i do not want another operation.
so thanks a lot, and i hope that it doesnt get anyworse for anyone

May 24, 2012
my acl surgery a month ago NEW
by: net

I had acl and mensicus tear surgery a month ago. Dr said @ 2 wks i was doing very well. He said I should be able to run in a couple of weeks. I did a relay today a month and a week after surgery and my knee held up well I'm a little bruised on the upper part of my knee (I think its where the screws are) but other then that, and the stiffness I think all in all Im doing well. Although I wasn't very happy coming out thinking I would be able to walk and i couldn't for 2 weeks. I have had over 10 surgeries through out my 32 years and i would have to say by far this was the worst!

Oct 05, 2011
gettin back into it...
by: johnny c

ill keep this short and sweet. i had my operation in december 2010. i tore my acl and had reconstruction keyhole surgery. ive read some storys on here and yes i feel a bit of discomfert on the outside on the knee. im going back to play football this week. i dont know if im ready till i try but i do leg weights at the gym so if can do that then surely i can play football (at 50 percent)... its been a long time and would rather have broken my leg but oh well.... would like to point out that sometimes ur qauds are so strong you dont need surgery. i.e pro rugby players. if they tear it they dont need surgery as they have enough muscle to hold ur leg in place. so u could work urself back onto the right track. its a pain!!! you will be able to feel stonger and more confident in yourself. untill then dont play any sports. u only get 1 op.

Oct 05, 2011
..
by: steve

sorry for repeating the message.
I jog at 6 miles per hour ( sorry for the typing mistake)

Oct 05, 2011
acl
by: steve

I had my ACL reconstruction done 7 months ago using hamstring graft, I have been experiencing a lot of pain and stiffness and infrequently had sudden sharp knee pain when I walked after prolonged immobility. However, I felt fine in gym doing squatting, open chain exercise and able to jog for 45 minutes at 6km/hour. I just visited my orthopedic surgeon 2 weeks ago and told him my symptoms and he said my knee was stable and it should be the problem of the scar tissue and adhesion at the patellofemoral joints causing the symptoms. I had a friend who also got the ACL reconstruction by the same surgeon 2 years ago and he's progressing much faster than me without much pain and stiffness. So I think the progress is always very individualised.
And I found my quadricep and hamstring muscle bulk building reaches a plateau phase. no matter how frequent I go the gym , I still have 15% less strength and bulk compared with my other leg. Any good suggestion to overcome this? I constantly do quadricep extension of 8-10 reps for 5 sets a day and single leg squat. Should I do higher reps or lower reps?
Thanks a lot.

Oct 05, 2011
post-op 7 months
by: Steve

I had my ACL reconstruction done 7 months ago using hamstring graft, I have been experiencing a lot of pain and stiffness and infrequently had sudden sharp knee pain when I walked after prolonged immobility. However, I felt fine in gym doing squatting, open chain exercise and able to jog for 45 minutes at 6km/hour. I just visited my orthopedic surgeon 2 weeks ago and told him my symptoms and he said my knee was stable and it should be the problem of the scar tissue and adhesion at the patellofemoral joints causing the symptoms. I had a friend who also got the ACL reconstruction by the same surgeon 2 years ago and he's progressing much faster than me without much pain and stiffness. So I think the progress is always very individualised.
And I found my quadricep and hamstring muscle bulk building reaches a plateau phase. no matter how frequent I go the gym , I still have 15% less strength and bulk compared with my other leg. Any good suggestion to overcome this? I constantly do quadricep extension of 8-10 reps for 5 sets a day and single leg squat. Should I do higher reps or lower reps?
Thanks a lot.

Oct 05, 2011
post-op 7 months
by: Steve

I had my ACL reconstruction done 7 months ago using hamstring graft, I have been experiencing a lot of pain and stiffness and infrequently had sudden sharp knee pain when I walked after prolonged immobility. However, I felt fine in gym doing squatting, open chain exercise and able to jog for 45 minutes at 6km/hour. I just visited my orthopedic surgeon 2 weeks ago and told him my symptoms and he said my knee was stable and it should be the problem of the scar tissue and adhesion at the patellofemoral joints causing the symptoms. I had a friend who also got the ACL reconstruction by the same surgeon 2 years ago and he's progressing much faster than me without much pain and stiffness. So I think the progress is always very individualised.
And I found my quadricep and hamstring muscle bulk building reaches a plateau phase. no matter how frequent I go the gym , I still have 15% less strength and bulk compared with my other leg. Any good suggestion to overcome this? I constantly do quadricep extension of 8-10 reps for 5 sets a day and single leg squat. Should I do higher reps or lower reps?
Thanks a lot.

Oct 05, 2011
post-op 7 months
by: Steve

I had my ACL reconstruction done 7 months ago using hamstring graft, I have been experiencing a lot of pain and stiffness and infrequently had sudden sharp knee pain when I walked after prolonged immobility. However, I felt fine in gym doing squatting, open chain exercise and able to jog for 45 minutes at 6km/hour. I just visited my orthopedic surgeon 2 weeks ago and told him my symptoms and he said my knee was stable and it should be the problem of the scar tissue and adhesion at the patellofemoral joints causing the symptoms. I had a friend who also got the ACL reconstruction by the same surgeon 2 years ago and he's progressing much faster than me without much pain and stiffness. So I think the progress is always very individualised.
And I found my quadricep and hamstring muscle bulk building reaches a plateau phase. no matter how frequent I go the gym , I still have 15% less strength and bulk compared with my other leg. Any good suggestion to overcome this? I constantly do quadricep extension of 8-10 reps for 5 sets a day and single leg squat. Should I do higher reps or lower reps?
Thanks a lot.

Oct 04, 2011
13 Months Post Opp
by: Anonymous

So I train in a martial art called Capoeira. I was cleared to return to the sport this past April. The other day September 30, 2011. I did a move and it feels like I tweaked my knee. It's not constant pain, its just discomfort. I can still do full deep knee squats. The discomfort is on the left side of my right knee, right near the joints. Any ideas anyone? Is this anything to worry about? Like I said it is not constant and I can still do the sport, it just feels weird and I feel the twinge every so often.

Sep 18, 2011
Should i get this done? acl rconstruc?
by: oh my...

i have a blown acl...Dc said i need surgery.
However my knee is stable , strong, hike 10 miles/bike 10 miles with very little discomfort..barely any swelling?..skiied a month after injury out at g.TArgee whyoming..
I really have no problem with the knee except being aware that it can slide out. The only time its done this is on a wet tile..
.Why should i go through all this pain and possible extra problems when i can live with it? I won't be doing bumps or 30' cliffs but i am almost 39 and a reminder to slow down doesnt seem unreasonable? I am terrified of surgery/infection/extra operations/pt..WHY do i need to do this?...it sounds worse than living with it right now? I was gonna get it done but it has not even been a year.. why not try pt/brace for a while? any comments? anyone regret it? Any exercises? donjoy ski brace? I really do not have the willpower after reading these stories. SOunds a lot worse than living with it for now..

May 07, 2011
13 years and counting
by: Anonymous

I tore my left ACL completely on November 3rd 1997 in a fluke accident while playing football.

I got a donjoy ACL brace and played my final HS basketball season and then had surgury (I figured I had enough time to rehab before I went off to college to play ball) I had the surgery done with a patellar graft.

The rehab went fine, however I always had a large localized area of numbness on the front left side of my knee which was extremely uncomfortable when it came in contact with any source of pressure, such as kneeling down. Additionally there was just a general sense of pain and general uncomfortableness with the knee.

It's almost 14 years later and there has been no change. I still have the same issues. I guess I sort of resigned myself to "this is just how it is". Somehow I don't think this is how it is supposed to be.

Apr 27, 2011
11 mos post surgery
by: Anonymous

Another follow up to my post....after 8 weeks of rigorous PT I am finally able to sit back on my heels..with pain and tightness but i work it every day. however the sharp pinching pain in the front of my knee and lack of extension has not improved. My ortho sent me for an MRI and it does show scar tissue build up at the front of my knee cap..impinging movement. Just as I suspected. He says scoping is the only option..unless I want to live with it. At 41 years young, I do not want to live with constant pain and limitation in my knee.
I'm hoping the scope and rigorous PT following it will do the trick.
anyone else have this done for this reason?

Apr 08, 2011
I'm not alone
by: Ginger

Thanxs ever so much for describing your symptoms. i had my op nearly 4 months ago now and am still struggling with every symptom u described and have been excessively worried. All ive been told is to work my way through it, but the resting really helps. hospital/physio contradiction. I think I was expecting too much by what the surgeon told (ellis in maidstone), a few months he said, bhah! At least I know now more times needed. Thanx Guys

Apr 07, 2011
3 Years Post Op and not there yet...
by: Anonymous

In 2/08 my ACL just popped as it flew apart while I was skiing at age 60. The resulting fall also produced a partial tear of the MCL and fx of the top of the tibia. 6 weeks post injury and PT, I had an allograft repair of the ACL. Afterwards, scar tissue built up so bad that I had a ACL reconstruction revision in 2 more months. This 2nd procedure helped with my knee function but I started having lower back pain along with the knee pain which seems related. I am much better, after rigorous PT and a pain specialist but still not 100%. All of the time, it feels like there is a steel trap in my knee and pain in the areas above and below the knee. It is a burning aching pain, which also is frequently accompanied by a pain in the lower back and down the IT band area. In reading this strand, I am becoming more convinced that scar tissue is involved and I am looking for a super specialist orthopod who is not an idiot and will actually hear and evaluate my symptoms. My affected leg has never been as strong, calf is smaller and I cannot kneel on that side. I still take Celebrex, Lyrica, Lorezapam, and Tramadol if the pain becomes too distracting to be tolerated. This is depressing as I do not want to live with pain that is always there at some level for ever. Has anyone ever heard of such a combo? What did you do to get improvement in the quality of your life? I am normally a very energetic, active "up" person, but as another birthday rools around, the expectations of the future are getting me down.

Mar 30, 2011
5-mo post op and still hurts why??
by: Anonymous

I had my acl sugery in dec 2011. Finished with PT and now go to the gym doing the treadmill, bicycle and weights. If I try to hop or run it feels like someone kicked me in the front of my shin! Also, i have this pain which is sometimes sharp in the lateral part of my knee. They told me it was patellar tendonitis and gave me ultrasounds for about 3 weeks. it was better but never went away. the dr released me on a prn status. the pain is fully back. i am buying a hand held ultrasound machine for home to see if that helps but in the meantime should i keep complaining to my OS?? I was a bit surprised that I had not torn my meniscus and wonder if they missed something or a tear during the surgery

anyone have any advice?

thanks
JMC

Mar 29, 2011
1 year post op ACL-MCL (still painful and still required to wear knee brace til october)
by:

Will i ever be pain free? and will i ever be able to play soccer without my knee brace? will i ever be able to be at the same competitive level i was before my injury?
im just looking for some hope now.
what do i need to do.

Mar 06, 2011
11 mos post surgery
by: Anonymous

I just wanted to follow up on my posting where I was 9 mos post surgery with continued pain and and limited ROM. I did take advice and started running on the treadmill without my brace, that helped. I then went back to my ortho since my leg wasn't completely straight, nor could I squat all the way. He actually cleared me from using a brace at all. But I had a lot of pain up the side of my leg (IT band) and down my calf. He set me up for rigorous stretching with the physical therapist...she was very concerned with my lack of improvement. Most specifically my lack of extension, I was about 2-3 degrees from straight..NO hyperextension. I should have had this straight 2 weeks post surgery. She indicated if we did not get my leg to full ROM/flexion and extension I'd end up with arthritis in my knee. I have been working with her 2x a week and also sought massage therapy where I learned all my leg muscles are tight and atrophied from lack of use. I had been running, doing sport endurance classes, but my good leg was compensating for my bad. My hamstrings were cramping, my calf muscles were extremely tight, my IT band was extremely tight. All of this was impeding my ability to bend my leg. I've been at this for 5 weeks now, with some improvement but it is slow. I have searing pain (like a knife) at the front of my knee cap/shin area - scar tissue is preventing my anterior glide. I may need to have it scoped. I am frustrated, angered that my initial round of PT was not more aggressive and I'm behind the 8 ball. My massage therapist puts my heel on a rolled towel and leans on my knee with almost all of his weight to push it straight. It brings tears to my eyes, but he says its the only way to get this leg straight and break up scar tissue. This injury has gone far longer and more difficult than I ever expected. I am in pain constantly, however I continue to run and exercise because I need it mentally. The pain disappears while my endorphins are high, but once I stop I limp.

Mar 06, 2011
11 mos post surgery
by: Anonymous

I just wanted to follow up on my posting where I was 9 mos post surgery with continued pain and and limited ROM. I did take advice and started running on the treadmill without my brace, that helped. I then went back to my ortho since my leg wasn't completely straight, nor could I squat all the way. I had a lot of pain up the side of my leg (IT band) and down my calf. He set me up for rigorous stretching with the physical therapist...she was very concerned with my lack of improvement. She indicated if we did not get my leg to full ROM/flexion and extension I'd end up with arthritis. I have been working with her 2x a week and also sought massage therapy where I learned all my leg muscles are tight and atrophied from lack of use. My hamstrings were cramping, my calf muscles were extremely tight, my IT band was extremely tight. All of this was impeding my ability to bend my leg. I've been at this for 5 weeks now, with some improvement but it is slow. I have searing pain (like a knife) at the front of my knee cap/shin area - scar tissue is preventing my anterior glide. I may need to have it scoped. I am frustrated, angered that my initial round of PT was not more aggressive and I'm behind the 8 ball. My massage therapist puts my heel on a rolled towel and leans on my knee with almost all of his weight to push it straight. It brings tears to my eyes, but he says its the only way to get this leg straight and break up scar tissue. This injury has gone far longer and more difficult than I ever expected.

Mar 06, 2011
11 mos post surgery
by: Anonymous

I just wanted to follow up on my posting where I was 9 mos post surgery with continued pain and and limited ROM. I did take advice and started running on the treadmill without my brace, that helped. I then went back to my ortho since my leg wasn't completely straight, nor could I squat all the way. I had a lot of pain up the side of my leg (IT band) and down my calf. He set me up for rigorous stretching with the physical therapist...she was very concerned with my lack of improvement. She indicated if we did not get my leg to full ROM/flexion and extension I'd end up with arthritis. I have been working with her 2x a week and also sought massage therapy where I learned all my leg muscles are tight and atrophied from lack of use. My hamstrings were cramping, my calf muscles were extremely tight, my IT band was extremely tight. All of this was impeding my ability to bend my leg. I've been at this for 5 weeks now, with some improvement but it is slow. I have searing pain (like a knife) at the front of my knee cap/shin area - scar tissue is preventing my anterior glide. I may need to have it scoped. I am frustrated, angered that my initial round of PT was not more aggressive and I'm behind the 8 ball. My massage therapist puts my heel on a rolled towel and leans on my knee with almost all of his weight to push it straight. It brings tears to my eyes, but he says its the only way to get this leg straight and break up scar tissue. This injury has gone far longer and more difficult than I ever expected.

Feb 28, 2011
4 going on 5 month post opp ACL surgery
by: Tony Magalhaes

ok so im really sceptical and not trusting my knee it feels solid but it still wont hyper extend a little like my good knee is this a bad sign after 4 and half months? i have barely started running often and trying to do a little agility trianing here and there what is the best thing to do i cannot touch my heel to my butt comfortably yet either is this a bad sign i dont have much pain or swelling just problems kneeling all the way down and my knee not being able to hyper extend that little bit can someone tell me what this mean and what i should do, thanks.

Feb 25, 2011
! year post ACL and Meniscus repair
by: Anonymous

I had repair of ACL and Meniscus almost 2 years ago. At one year post I was still having significant swelling of my leg and excrutiating pain at the site of the screw insertion. Any pressure on the knee would cause severe swelling and bruising. My Ortho surgeon removed the screw and the results were amazing. The pain was gone almost instantly (although I was shocked to discover that this "minor" surgery resulted in a full open incision again with the same initial pain). But it was certainly worth it. I still have lateral knee pain and can only hope that someday I will have "full recovery".

Feb 25, 2011
9 Months post op
by: Zen

Jeff: Spoke to my specialist yesterday. checked my knee and he said everything is fine. The knee is stable and he cleared me to do whatever i want. I asked him about a slight pain down the outerside of my knee, he said it is normal due to the trimming of the meniscus. Hope your recovery is going well!

London: Did you twist the knee? I think its better if you have a check up. If it was twisted then I think it may affect the graft.

Feb 18, 2011
tripped 9 weeks post op
by: london

i had a full acl reconstruction on my knee 9 weeks ago and my recovery had been good, off crutches after a few days and never had to wear a brace. A few days ago i tripped and a lot of pressure went on my knee, now it is very swollen and achey, although i can still put full weight on it. Im really worried that i have ruptured the new ligament, as i am not sure how fixed the graph site is at this point. I am really frustrated at this set back. has anyone had a similar experience and would be able to offer advice?

thanks

Feb 18, 2011
tripped 9 weeks post op
by: london

i had a full acl reconstruction on my knee 9 weeks ago and my recovery had been good, off crutches after a few days and never had to wear a brace. A few days ago i tripped and a lot of pressure went on my knee, now it is very swollen and achey, although i can still put full weight on it. Im really worried that i have ruptured the new ligament, as i am not sure how fixed the graph site is at this point. I am really frustrated at this set back. has anyone had a similar experience and would be able to offer advice?

thanks

Feb 18, 2011
tripped 9 weeks post op
by: london

i had a full acl reconstruction on my knee 9 weeks ago and my recovery had been good, off crutches after a few days and never had to wear a brace. A few days ago i tripped and a lot of pressure went on my knee, now it is very swollen and achey, although i can still put full weight on it. Im really worried that i have ruptured the new ligament, as i am not sure how fixed the graph site is at this point. I am really frustrated at this set back. has anyone had a similar experience and would be able to offer advice?

thanks

Feb 07, 2011
20 years post op.
by: Anonymous

I tore my acl 25 years ago and after 3 Dr's couldn't help me I got in to see the Buffalo Sabres Dr. He told me about a new surgery where they replace the acl with the petella tendon. I do have screws and not buttons. It went great for the last 20 years. Now for for the 1st time I am having pain. The pain is bad going up/down stairs and running. I have a physical job and I am only 40 y/o. Looking at what I can do for the pain.

Feb 05, 2011
Ah!
by: Anonymous

So i tore my ACL completely in May of 2010. May have done something to the meniscus too but not sure, anyway i had surgery in late June. I stopped going to PT in early December and things were going great, i had the flexability and strength to do yoga and machines at the gym. I had always had a bit of swelling but nothing too dramatic, like when you compared it to the other knee there was barely a difference, and my quad never really fully reached 100%, but now all of a sudden like 7-8 months later the swelling has really gottten worse. Out of the blue for no reason. Also when i walk up stairs there is a slight clicking. Its not like really painful but just the feeling of the swelling affects my walking and motivation. Please help? anyone!

Feb 05, 2011
Ah!
by: Anonymous

So i tore my ACL completely in May of 2010. May have done something to the meniscus too but not sure, anyway i had surgery in late June. I stopped going to PT in early December and things were going great, i had the flexability and strength to do yoga and machines at the gym. I had always had a bit of swelling but nothing too dramatic, like when you compared it to the other knee there was barely a difference, and my quad never really fully reached 100%, but now all of a sudden like 7-8 months later the swelling has really gottten worse. Out of the blue for no reason. Also when i walk up stairs there is a slight clicking. Its not like really painful but just the feeling of the swelling affects my walking and motivation. Please help? anyone!

Feb 02, 2011
Zen response
by: Jeff

Hi Zen,

I had my operation in June of 2010 and Yes, I experience the same exact thing you are talking about. I also have minor pain/tendorness but not enough to stop me from doing anything. Just like you, my concern is to keep doing what I do or to slow it down a little bit. The PT thinks that I should just fight through it and that is normal. Its supposed to take about 1 1/2 years to be pain free I guess. I guess the important thing is just be mindful of it and not go all out. Higher ups, lower weight, that sort of thing. I'm not about to go do a 300 lb squat, but I have been doing 10, 15, 20 reps of 135 type stuff. I hope that helps. Its definitely nice to know someone else experiences the same type of feel with the ACL hamstring reconsturction.

Jeff

Feb 02, 2011
8.5 months post op! Anyone experience this?
by: Zen

Hi, I am 8.5 months post op ACL reconstruction on my left knee (hamstring graft). I am cycling normally with no problems. I am running at about 9kph to 9.5 kph on the treadmill for about 10 mins 3 times a week.

I am still doing the strengthening exercises for my thigh and hamstring muscles. (light weights for thigh muscles).

Heres my problems:

a) I dont know whether I can or am supposed to run longer or faster. Sometimes (once in a while), i feel the abit of pain inside my left knee or sometimes it feels abit 'tender'. I still feel pain at the insertion points if pressed. Normal?

b) I have normal ROM now, i can squat. But I have alot of clicking noise when i bend my knee.

c)Sometimes when i walk, i feel the inside of my left knee towards the front area, abit tender. For example like when you walk fast and you stop suddenly, the forward motion.

d) My muscles on my left operated leg is still smaller than my right leg.

Feb 01, 2011
things that have helped post op for scar tissue
by: Aimee hedman

So I am just at 6 months now pot op a acl cadaver and sewn meniscus from a bucket handle tear. I am running full tilt again,and working on my strength back in the gym. Some times after a work out I will have more popping or clicking than usual but If I go to yoga and/or foam roll every day it makes all the difference. Your leg muscles are like rops that intertwine and pull from you hips to your tows and when anything from that area is tight it will effect the entire leg and even go as far up you back into your neck and head. Also besides foam rolling seriously being a god send.. I have found an amazing acupuncturist that could actually pull out the pain and swelling just from his energy work alone, very powerful and very very helpful. Number 1 on my list though for breaking up scar tissue is a rolfer. It is called rolfing and it is like 5 sessions of PT in one.. I have a guy here that I go to maybe once a month and he has been the missing link to breaking up the scar tissue from where the screws were to re-atach the ligament, alleviating me of any further irritation in the knee joint or clicking and popping.
He helps break up the scar tissue and open up my IT band, quads hamstring and all the inserts of muscles around my knee joint..it is very deep tissue work but it has been the best thing ever!
Also I have been very strict about not missing PT 3 times a week.
One legged squats have been helping bring the muscle back... still have allot of muscle to regain, I lost a little over an inch in muscle mass in my leg... but just getting active again will help build it back up... ps, you can go to the rolfer pretty soon after surgery but if you do, don't let them go to deep the first few times...

Jan 31, 2011
ACL in London
by: Shoe Chic

Hi, I had my ACL done end October on my left knee. The graft was taken from my hamstring. The op went very well, but the healing is much slower than I expected. I've been off crutches since end December & walking is OK. Initially I saw my Physiotherapist 3 times a week, but now it's every 2 weeks. The most important thing he told me was to try & bend the knee as much as possible, even if it hurts as this is good as it breaks the scar tissue - & do all the exercises you are given. Some days were bad & I felt I wasn't getting any better, but then there would be a break through & the bend would be a little better. The big enemy is scar tissue & by bending & pushing the bend you need to break the tissue. I can now bend the knee almost fully when kneeling down, but this is slow & painful. My PT recommended that I do 15mins on the static bike (no higher than level 6) & 10 mins on the X trainer (level 10) at least 4 times a week, plus stretching the ham string & bending the knee daily & strengthening my glutes. I am concerned that I still have too much scar tissue as I really don't want another op! I tried acupuncture today & will do a course of 5 sessions to see if alternative medicine can help with the scar tissue. Has anyone tried this & had success? I am still doing all the exercises daily, even though these are a bit boring. My tips for anyone about to have this op or in the early stages of recovery, is do all the exercises your PT tells you to do, even if they really hurt. This is a tough & long recovery, but it will be worth it in the end.
Good Luck!!

Jan 28, 2011
Feel so in the dark about recovery
by: Anonymous

I'm 2 month post surgery for an acl reconstruction (from my hamstring) and medial meniscus tear, I feel so lost and unsure. I am doing my exercises but still have to wear my brace at all times, I can only get my leg to bend about 97 degrees, it seems stuck at this point. There is still lots of swelling, and my pain seems to be getting worse where my scares are. I see my surgeon in about 2 weeks, but in the mean time, I'm just looking for some reassurance. If I try forcing my leg to bend past this stuck point, will I re-injure my acl or meniscus? Or just rip up the thickening scare tissue, and be in pain from that? Last I heard I was way far behind, and have to get my knee to bend to 120 degrees by feb. 8th. If not my surgeon said we will be talking about another surgery to clean up scare tissue and start all over. I don't see a therapist, I just have a packet the dr gave me to do 2 times a day. I'm tired of the pain, scared about not knowing what's going on, and don't have the money for another surgery, so is forcing my leg to bend something to think about? Or a bad idea? Anyone with some advise or reassuring words or similar story would be appreciated. Thank you.

Jan 27, 2011
pain at the back of knee
by: Anonymous

Hi, i had a acl reconstruction 1 1/2 year back. i was recovering well with the exception that i wont do much work which involves knee stress... recently i started playing cricket... yesterday suddenly i happened to fell down since i twisted the leg more than normal... but i was standing in the place... when i about to hit a ball i fell down... since then i am having a pain at the back of my knee.. the pain increases when i expand the folded leg after some time and while i am stepping down the stairs... but when i keep walking the pain gets reduces ... i am afraid that whether this would be an another tear in the ligament and needs a operation.... can anyone give me a suggestion to go further...

Jan 26, 2011
To Anonymous
by: Jeff

I am not an expert in any way, but my Fr and Physical Therapist told me to stay off a brace as it will slow the healing process. I am not pain free by any means but my full range of motion has returned. Its been 6 months since my surgery and I have begun doing air squats and minor jumping plyometric type movements (even though its uncomfertable)...maybe try doing some excercises without the brace???

Jan 26, 2011
FRUSTRATED
by: Anonymous

I also continue to have pain and stiffness in my knee after having ACL surgery 9 months ago. I can not squat all the way down, searing pain up the side of my hamstring and down my calf.
I also can't fully extend after sitting for any length of time.
I was very active before the injury, running 3-4x per week, playing indoor soccer. I'm 41 years old, female, and physically fit.
I had hoped to be back 'in my game' by now.
I see people that have completely recovered within months and feel like I will never get there. Is it normal to have continued limitations and pain?
should I return to physical therapy?
I can run 3-4 miles inside and out - I can bend more afterwards since it's all warmed up. I do all my exercise with my donjoy brace, which I feel hinders my mobility and throws off my gait.
I'm at a loss. I'm never pain free, don't have full ROM and not sure how to get there.

Jan 25, 2011
Pain/discomfert will not go away
by: Jeff

Hi everyone, I was wondering if anyone could provide any insight on my situation. I had ACL Reconstruction in July of 09 due to a baseball injury. I was also big into Crossfit at the time. I was aggressive as I could be with my rehab in order to get an early release. I've been agressively hitting the gym since October but the pain/discomfert in my knee will not go away. This happens when I run (I'm able to do about 20 minute intervals), do air squats, and on cold days. I'm wondering if this is due to me pushing it too hard? Scar tissue build up? (is there anyway to check outside of an MRI) or if it is because its only about 6 months after the surgery? Any feedback I could recieve would be greatly appreciated. Thanks again.

Jan 25, 2011
Lateral Knee Pain Popping-Tibiofibular Ligament Tear?
by: Tim

My story: Last winter I was snowboarding in a mogul field. In steep terraine, I landed with my knees fully flexed. When I got up I had some Left lateral knee pain but continued to snowboard the rest of the season. There was little to no swelling but it was painful to ride a chairlift which didn't support my board. (All the board weight is on my left leg when I rode up the lift.) I continued to have mild discomfort for a couple of weeks, then it really didn't bother me until spring. When I ran, I was unable to cut, sprint, or change direction. When I climbed and stepped up high with my left leg it would give a loud audible PoP. Downhill hiking or running, especially on uneven surfaces was out of the question.

Symptoms: Lateral knee pain-aching, instability, numbness in the posterior leg down to the bottom of my left foot, and a nasty popping noise when the knee was flexed and foot turned inwards then weighted.

Diagnosis was missed by the Orthopedic PA. I was able to reproduce the popping noise for the Orthopedic MD. He knew immediatly what the problem was. He indicated that he had only seen this injury 4 times in 20 years! Diagnosis was chronic anterio-lateral subluxation of the Fibula. I had torn the ligaments which attach the Fibula to the Proximal end of the tibia. This (proximal tibiofibular ligament tear) is a rare injury which is frequently overlooked. I believe it is may be more common with high impact twisting sports such as skiing, snowboarding, and contact sports. The knee is tremendously complex. It is not uncommon to tear more than one structure.

I had reconstruction with a hamstring graft 3 months ago and I am pain free with noticable stability restored. No popping, yea! I will be returning to rock climbing, running, and snowboarding very soon.

I share this with those of you out there that may have similar symptoms. It is very easy for a trained professional to manualy pull on the head of the fibula during examination to determine if a tear at this joint has occured. I was able to cause popping by bending my right knee to 90 degrees and placing my left leg toe down behind me. I would then let my left leg flop right and left to create the popping noise. If you can do this, tell the MD! Good luck.

Dec 16, 2010
Tweaked my knee - 3.5 mos post op
by: Donovan

Hey all

I tweaked my knee the other day stepping out of my car. I slipped on ice, flat on my back, with my recovering leg still in the car.

Now, I am swollen on my surgically repaired knee.

Everything had been going GREAT to this point. I had a 3 month check up 2 weeks ago, and the surgeon said my ACL was solid and could return to sport in 2 more months with a brace.

BUT, i am now a bit worried. Althought there is no real pain, I have a faint click in my knee every few steps, and its swollen pretty good. (Comparable to the swelling at 1 month post-op)

I called his office and the receptionist tried to shrug it off, saying it would hurt more if i did any damage, and to ice it. I just still don't feel comfortable. Does anybody have a similar experience or advice?

Nov 25, 2010
5 month post op
by: Anonymous


post op 5 months and going well.
have the odd bit of pain in various places around the knee which gets me paranoid(naturally). mild clicking. heres what i do in terms of pt..

stationary bike : 2 x 10mins .. 5 mins of which is high resistance

rowing machine: 5 x 500m

hamstring curls : was a bit dubious about this as this is technically open chain, and there are 2 types of machines - best go for the one where you are lying face down. anyway gradually increasing weight on this (probably about 50-60% of what i was doing pre-op). 3 x 10

squats : using smith machine -weights are about 50-60% of what i was doing pre op. 3 x 10

wobble board: 1-2 times a day for about 5 mins im on this.. progressing to one leg squats .. my balance is pretty decent now.. was doing this before the op as well, reckon that helped alot.

havent dont much jogging to be honest.. have found when i do, there is moderate pain front of the knee. maybe this is due to the knee being unused to the impact.. no rush in any event.

doctor reckoned 9 months before i could get back playing rugby .. i think thats a little optimistic..reckon it will be more like 12 months. think even when healed i wont trust the knee for a long while, still postive thinking and all that right?

good luck guys !





Nov 20, 2010
for Michael
by: Anonymous


Hey Michael,
thanks so much for your comments. I see that you are taking a lot of advil. Just be careful.
If you take Advil for a long period of time, your doctor may want to check you on a regular basis to make sure this medication is not causing harmful effects. Just a heads up! Take care!

Oct 31, 2010
KNEE FEELING TO GOOD
by: GUYVER

hi all i am at 5 months post op and my knee has no real problems, no pain stiffness or locking up !

i was just wondering is this narmal i mean every one seams to have little things going on i just wondering if surgery has not work have i push my self to hard ??

i have work so hard biking, swimming, running and lots of gym just wondering if there is to much you can do ???

allso it could be just in my head why i think its not worked and has anyone lost all feeling in there operated leg i have a large area that has no feeling ???

finaly when can i start kicking A ball just lightly just wanna play again and use my BANKI !!!

Oct 31, 2010
KNEE FEELING TO GOOD
by: GUYVER

hi all i am at 5 months post op and my knee has no real problems, no pain stiffness or locking up !

i was just wondering is this narmal i mean every one seams to have little things going on i just wondering if surgery has not work have i push my self to hard ??

i have work so hard biking, swimming, running and lots of gym just wondering if there is to much you can do ???

allso it could be just in my head why i think its not worked and has anyone lost all feeling in there operated leg i have a large area that has no feeling ???

finaly when can i start kicking A ball just lightly just wanna play again and use my BANKI !!!

Oct 31, 2010
KNEE FEELING TO GOOD
by: GUYVER

hi all i am at 5 months post op and my knee has no real problems, no pain stiffness or locking up !

i was just wondering is this narmal i mean every one seams to have little things going on i just wondering if surgery has not work have i push my self to hard ??

i have work so hard biking, swimming, running and lots of gym just wondering if there is to much you can do ???

allso it could be just in my head why i think its not worked and has anyone lost all feeling in there operated leg i have a large area that has no feeling ???

finaly when can i start kicking A ball just lightly just wanna play again and use my BANKI !!!

Oct 31, 2010
my knee feels to good ????
by: GUYVER

hi all i am at 5 months post op and my knee has no real problems, no pain stiffness or locking up !

i was just wondering is this narmal i mean every one seams to have little things going on i just wondering if surgery has not work have i push my self to hard ??

i have work so hard biking, swimming, running and lots of gym just wondering if there is to much you can do ???

allso it could be just in my head why i think its not worked and has anyone lost all feeling in there operated leg i have a large area that has no feeling ???

finaly when can i start kicking A ball just lightly just wanna play again and use my BANKI !!!

Oct 31, 2010
my knee feels to good ????
by: GUYVER

hi all i am at 5 months post op and my knee has no real problems, no pain stiffness or locking up !

i was just wondering is this narmal i mean every one seams to have little things going on i just wondering if surgery has not work have i push my self to hard ??

i have work so hard biking, swimming, running and lots of gym just wondering if there is to much you can do ???

allso it could be just in my head why i think its not worked and has anyone lost all feeling in there operated leg i have a large area that has no feeling ???

finaly when can i start kicking A ball just lightly just wanna play again and use my BANKI !!!

Oct 27, 2010
Knee swelling/pain
by: IowaRunner

I think all of are just guessing when we reply, but like most things, "misery loves company". Absent an MRI, nothing can really be ruled out, but think about your pre-op symptom and compare to the pain now. Likely different. I am now 13 mos. out from a new ACL. I started running light (2-3 miles) at first. Several aches, but I felt most were from the knee itself still needing to heal internally. I got to 8 months and ran a 20k, but two weeks later, the joint just began hurting. It felt like a meniscus tear--I did the best thing I could do--I quit running/exercising on it for 3-4 weeks. Since then, I have steadily worked things back up. I ran a half Marathon 2 weeks ago and hope to be lining up at Vegas for the marathon in December.
My issue was clearly pushing myself too much when the internal parts were not ready. The scar tissue near the incisions below the kneecap have been my hurdle. Limited swelling. Ice after workouts, be smart during workouts. I now understand why they tell you up front that it will be a 12-18 months before you truly feel like you are "back". I am confident you could ease your issues with RICE. After working out or running or being on your feet all day, simply lay on the floor near a wall and rest your leg straight up the wall. It will help keep the fluids from settling down in your legs. It might look odd, but it can help.

Good luck! Frustrations with progress are not fun. Keep a good perspective and create your own new milestones!!

Oct 25, 2010
Knee Swelling After 7 months
by: Ling

Looks like most of the post op problems are swelling and pains eitheir on the lateral or medial. I am also having the same problem. My ACL tore during a football game on Apr2009 when my foot got stuck in a hole. I had my knee reconstructed ( ACL & Meniscus ) in Apr2010. It has been 7 months. I did exactly what the doctor and PT prescribed on physio, supplements and gym. Green light was given only 4 weeks ago for jogging & light games after my knee strengthening and joint mobility was good. No issue as my movements were almost 80% back to normal as before and I was pretty happy with my progress until 2 days ago. Currently my knee swells and having pain on the lateral ligament portion ( which wasnt during my ACL reconst ). I had a slight twist motion during jog and this pain has become even worse. Quickly performed the RICE method and on rest now.Plan to have a MRI soon for more verification. Is this pain normal for now? I dont have the giving away sensation of the knee but the swell and pain exist even when I touch the inner ligament. Need your kind response on this. Thanks.

Oct 12, 2010
Knee Swelling After 10 Months
by: ARUN M

I had my acl surgery on 3/DEC/2009 with hamstring graft. My post surgery period was uneventful and now i experienced knee swelling without any major reason. I am affraid becuause of this.Can any one help me Please.

Oct 09, 2010
Will it ever get better..please help
by: 4th time lucky

I injured my knee 3 years ago, after playing a special local game of footy with my son. After been tackled by some lovely 8yr olds, I then needed a complete knee reco.I tell you after going through 4 births the pain of damaging your knee is heaps worse than labour. 12 Months after having the reco, the pins moved so I had them taken out. This then resulted in an infection, which put me in hospital for a while. Then earler this year my scar just re-opedened, The surgon seems to think the infection had still be going on in my knee. I had the scar left opened for about 6weeks with constant re-dressing. Then after another opperation and clean it seemed to have gor better. Now 4 months later Im getting alot of pain again. my knee is swollen, and sharp pain down both sides of my knee. plus pressure apin at the back of my knee when I sit. Im hoping it isnt serious, but it really doesnt feel good. I have four children and cant be limping around. dont know if I should try a new doctor, as this has cost me alot of money....Please help....

Oct 09, 2010
My Rehab
by: London

Hi all,
Thought I would post on here as it may give some of you a bit of hope...
I ruptured my acl playing football (soccer) in February this year and had a reconstruction in March using a graft from my hamstring. I'm 29 and like a lot of you I'm was very active before my injury...I love playing football, running, golf and snowboarding.
My rehab went really well up until the 4 month stage when my PT gave me the green light to start some light jogging, initially that was okay but a couple of weeks later I started to get a sharp pain just beneath my knee, towards the inside of the leg. Every time I tried to jog/run I would get this pain and my knee would swell up for a week, it felt like I had no cartilage on that part of the knee and it was bone on bone. After trying lots of things with the PT and many dark thoughts about never being able to run again, I decided to go and see the specialist again.
He sent me for an MRI straight away and after looking at the scans he spotted a couple of fragments floating around in the joint and some cartilage damage.
I had an arthroscopy a few weeks ago to remove the fragments (one was a piece of bone the size of a wisdom tooth!) and the sharp pain and bone on bone sensation has gone. I'm now hoping that I can now make a full recovery. Just goes to show that in some cases scoping can be worthwhile.
I wish you all the best of luck with your recovery.

Sep 27, 2010
Physical Therapy
by: J

YOU ARE IN CHARGE

You have to understand that the P/T have a general outline they go by

I had to tell the PT several times throughout my time there NO THATS NOT IN MY BEST INTEREST

NOT because they were bad /didnt know what they were doing but because they dont REALLY KNOW WHAT YOUR BODY WILL REACT TO AND HOW IT WILL REACT

I am telling you

TAKE CHARGE

If they tell you to do something that doesnt make sense or will put pressure on the affected leg, dont pretend to to do it TELL THEM!! THAT ONE IS NOT FOR YOU

be as knowledgeable as you can about the knee, the surgery etc but know for sure that you are in control of what pt tells you to do

ITS YOUR BODY

Sep 27, 2010
Jenny Re: ankle pain
by: J

I sometimes get a burning/painful feeling in the front of my ankle
I readjust how I place my foot and that seems to help but I honestly cannot tell if its as simple as how I place my foot or not
post op 8 months/acl

hopefully thats your worse problem :)

take care

Sep 27, 2010
Coming back too fast IMO
by: J

I tore my acl in 2003 DID NOT HAVE SURGERY UNTIL 2010
50+ years old very active

1) most of the stories I am reading indicate MOST PEOPLE ARE TRYING TO MUCH TOO SOON

As frustrating as it is to wait, Just because the leg is feeling good DOES NOT MEAN THE MATURATION OF THE FIX HAS OCCURRED

I too am now 8 months post surgery and have been very diligent and still get front knee pain and that is from JUST SITTING WRONG ( knee further out then foot) for an extended period of time

$#%^ that!!
But it is what it is

Also, being older means no matter what great shape I am in , the bone density is just not there

So even if younger than me, still you have to think that the maturation of the fix is going to be a year

I have to believe I will as good as new in a few months, cause its better than the alternative

So as a fellow go getter I sympathize with you

take care,
J

Sep 22, 2010
popping in the back of the knee
by: Anonymous

Had acl replaced w/ cadaver tissue, and miniscus repaired 6 months ago. everything was going great until 6 weeks ago, on the stationary bike, something popped in my knee, the back outside part, like a tendon or something hung up. now when i have my knee bent and try to straiten it out it catches and pops. it almost feels like something is moveing in and out of the joint. went in for another mri, and the Dr doesn't see anything. the pain in the joint is getting worse, it was shot full of lidocaine and cortisone, felt great leaveing the office, but now have pain in the joint again. Its not sharp, its not dull, i would describe it as raw. prior to the incedent on the bike I was pretty much pain free, and thought that I would be good to go by this time. its the catching and popping in the back of my knee that has me concerned, ANYONE HAVE ANY IDEAS?

Sep 15, 2010
4 Months Post-Op, Pain and Tightness underneath kneecap
by: Tara in Columbus, OH

I've read through most of the posts and didn't see much in terms of pain management from a prescription standpoint. I had donor ACL reconstruction May 2010, had P.T. aggressively for 2 months then was released. I've had ongoing pain just below my knee where it feels like a tight band is wrapped around my leg. I was on Vicodin post-op then surgeon moved me to Tramadol. With the ongoing pain and the shooting spark-like twinges I feel often, he prescribed Lyrica in addition to Celebrex. I'm now almost 4 mos post-op, still in the same amount of pain though ROM is nearly 100%. What helps the pain? I still ice often, I was off the meds for a week but the pain level was too high to manage w/o it so I'm hesitently starting back up on Lyrica, Celebrex and Tramadol. Any advice? What other meds seem to work? And does anyone else have the shooting pain that feels like nerve issues?

Aug 19, 2010
knee pain 10 months post op
by: Geoff

I had acl reconstruction in november 09 so im 10 months post op. I have been progressing well according to my physio but the last few weeks i have started to get pain on the inside of my knee near the major incision. There is also a but of pain when i lift my leg from a straight position to a 90 degree bend. I am just wondering if this pain is normal or should i be concerned ?

Aug 03, 2010
Lower leg pain
by: Jenny

11 mos after total ACl reconstruction (cadaver) my knee feels ok but I have constant pain in my bone below the knee and I feel like I have constant shin splints..the muscle is not 100% back which is very frustrating also...I also have significant ankle pain...anyone else experience any of this?? I hesitate to go back to the Doc as it will cost me $85 just to ask the question and God help me if I need an MRI-I still haven't paid off the surgery!

Jul 28, 2010
7 Months Post Op
by: Anonymous

I had ACL reconstruction surgery back in mid Dec 2009 (7 months ago tendon from same knee). After some hard work with PT, working through scar tissue and countless stepdowns, swimming with aqua jogger, and the stairmaster, I was able to do the majority of the prescribed agility drills for a college football safety during spring ball (3/4 speed). Luckily, I never experienced a large setback and now at month 7, I'm squatting 185 for 4 sets of 15, lunges, deadlifts, full speed running, buttkick, high knees, kareoke, ect...If I could suggest anything to anyone who had this surgery...get in the water as soon as possible after surgery. I starting swimming 1 mile a day 3 times a week 17 days after surgery (swimming, kickboard, aqua jogger, and treading). There is no impact, you can work your motion comfortbably, build strength with kicking and treading water, and maintain a portion of your cardiovascular fitness. Haven't seen alot of this rehab on this forum..just saying I start camp next week and I can't imagine being any better minus some quad and hamstring strength loss = time. Thanks for reading..and good luck

Jul 24, 2010
Post-Op 9 months
by: Boston

What is a bucket handle?

I have had an awful time since injuring myself in March of 2009. I developed quad inhibition after surgery and it has been difficult getting the muscle back to full strength.

My physical therapists tell me that I have a lot of scar tissue and my patellar tendon shifts all around when I try to bend through it with my full weight, mostly when I walk up and down a set of stairs.

Pain and swelling have never gone away and the slightest movements can make my days and nights miserable. I rest, ice, elevate, take tylenol products and ibuprofen and massage the knee cap but still, the pain can be downright unbearable. Anyone have any other suggestions for pain relief?

This is a workman's compensation case so getting approval for ANYTHING is tedious. Luckily, saw a workman's compensation selected doctor this week and he actually is requesting another MRI to determine why I am doing so poorly. Thank GOD!

Anyone else have a similar experience?


Jul 24, 2010
Post-Op 9 months
by: Boston

What is a bucket handle?

I have had an awful time since injuring myself in March of 2009. I developed quad inhibition after surgery and it has been difficult getting the muscle back to full strength.

My physical therapists tell me that I have a lot of scar tissue and my patellar tendon shifts all around when I try to bend through it with my full weight, mostly when I walk up and down a set of stairs.

Pain and swelling have never gone away and the slightest movements can make my days and nights miserable. I rest, ice, elevate, take tylenol products and ibuprofen and massage the knee cap but still, the pain can be downright unbearable. Anyone have any other suggestions for pain relief?

This is a workman's compensation case so getting approval for ANYTHING is tedious. Luckily, saw a workman's compensation selected doctor this week and he actually is requesting another MRI to determine why I am doing so poorly. Thank GOD!

Anyone else have a similar experience?


Jul 24, 2010
Miniscus/acl/=bucket handle
by: Your New Buddy

I just had Acl Reconstrution with a new type of screw put into my knee, a miniscus repair, and a Buckethandle all in my left knee. I PLay soccer, Swim, and track and am i going to be able to use my knee like before i tore all of these? I'm also having extreme pain and cant sleep only at night. i would like suggestions on how to get some sleep by maybe reducing the pain?? Also, I'm a musician and i dance/act/sing/march(band) and am very active with my school community is there even a possibility that ill be able to do those of the physical things again? please eamil me at eighthlove@yahoo.com
thank you so much if you help me out or even try.

Jul 24, 2010
Miniscus/acl/=bucket handle
by: Your New Buddy

I just had Acl Reconstrution with a new type of screw put into my knee, a miniscus repair, and a Buckethandle all in my left knee. I PLay soccer, Swim, and track and am i going to be able to use my knee like before i tore all of these? I'm also having extreme pain and cant sleep only at night. i would like suggestions on how to get some sleep by maybe reducing the pain?? Also, I'm a musician and i dance/act/sing/march(band) and am very active with my school community is there even a possibility that ill be able to do those of the physical things again? please eamil me at eighthlove@yahoo.com

thank you so much if you help me out or even try.

Jul 24, 2010
Miniscus/acl/=bucket handle
by: Your New Buddy

I just had Acl Reconstrution with a new type of screw put into my knee, a miniscus repair, and a Buckethandle all in my left knee. I PLay soccer, Swim, and track and am i going to be able to use my knee like before i tore all of these? I'm also having extreme pain and cant sleep only at night. i would like suggestions on how to get some sleep by maybe reducing the pain?? Also, I'm a musician and i dance/act/sing/march(band) and am very active with my school community is there even a possibility that ill be able to do those of the physical things again? please eamil me at eighthlove@yahoo.com

thank you so much if you help me out or even try.

Jul 24, 2010
Miniscus/acl/=bucket handle
by: Your New Buddy

I just had Acl Reconstrution with a new type of screw put into my knee, a miniscus repair, and a Buckethandle all in my left knee. I PLay soccer, Swim, and track and am i going to be able to use my knee like before i tore all of these? I'm also having extreme pain and cant sleep only at night. i would like suggestions on how to get some sleep by maybe reducing the pain?? Also, I'm a musician and i dance/act/sing/march(band) and am very active with my school community is there even a possibility that ill be able to do those of the physical things again? please eamil me at eighthlove@yahoo.com

thank you so much if you help me out or even try.

Jul 18, 2010
8months post opp on acl recon.
by: Anonymous

8months past surgery and i still struggle to straighten my knee fully, it has actually brcome a limp now. when i try to straighten my knee its like a breaking pain inside. i suffer with stifness as well. i cant run or jog as yet. someone please tell me that its normal or if there is anything i can do.

May 29, 2010
Buckled by Golf
by: BOSTON


"I had my acl reconstructed and meniscus repaired on my right knee 9 months ago." - I had my surgery 8 months ago and still have instability when walking too fast, my quad is weak and it sometimes "gives out" and I am thrown off balance. I haven't returned to normal activities since my recovery has been slow.

"There wasn't much swelling and the pain is only on the inside of the knee and doesn't really hurt when I walk."- I also tore my mcl, the ligament on the inside of my right knee, and that was extremely painful! I also had a meniscus tear and broken bones so I couldn't walk at all immediately following the fall.

"I will try and see my doctor or physio this week but if anyone has had a similar incident or experience it would be great to hear any advice on how you dealt with it." - I wonder what the MRI will reveal and am hoping you didn't do damage to the ACL again. If it's the MCL, that heals on its' own and takes between 3 and 4 months depending on the severity of the tear. Mine was described as a high grade, full thickness tear.

"Thanks" - Good Luck! Let us know what you find out.

May 29, 2010
To IOWARUNNER
by: BOSTON

Just getting to your follow-up post now.

Medical insurance is a crazy thing. I am still amazed at how well you did in recovery though! It's a good thing that your medical insurance allowed you to continue in PT for an additional 6 weeks, no doubt it was because of that you were able to run so quickly.

So far, so good on my insurance covering the additional visits that workman's compensation would not. I still see them once a week and they basically monitor me. They instruct me on exercises I can incorporate into my home therapy program. Some days, I still feel the swelling begin while I'm riding the bike and it continues while on the elliptical. But I still plow through it and deal with it later.

I'd like to be able to run again but the PT's do not recommend it since I would be in much more pain doing that exercise.

My surgeon still reminds me not involve myself in any high impact exercises (can't anyways) or any exercise that involves a "cutting motion" (don't feel the urge to do that either, since it was a cutting motion that got me here in the first place).

I just turned 40 when this knee injury happened. I truly can say, turning 40+ has not been good to me so far. haha

May 29, 2010
Buckled by golf after 9 months post op
by: Anonymous

I had my acl reconstructed and meniscous repaired on my right knee 9 months ago. Yesterday on the golf course as I followed through on a drive, I went to pivet on my back leg and the knee gave way and popped out. I immediately dropped to the ground and then flexed my leg the could feel the knee pop back in. I'm devasted that I have torn the acl again or it hadn't grafted properly. There wasn't much swelling and the pain is only on the inside of the knee and doesn't really hurt when I walk. I just hope that I haven't damaged it! I will try and see my doctor or physio this week but if anyone has had a similar incident or experience it would be great to hear any advice on how you dealt with it.

Thanks

May 09, 2010
Boston
by: IARunner

Since you had the bone chips, etc you likely had more trauma in the knee than most. If people tell you that you are "not trying" hard enough, then have them tell you how you are making the knee swell up.

I would guess that your pain and irritation are from the swelling and the swelling is from the paid/irritation--get the picture--one feeds off the other in a vicious circle. The doc or PT should have some idea as to causes of swelling. Do you have pure pains in certain areas of the knee? Medial, lateral, IT band, meniscus area, patellar tendon? Seems hard to believe a mis aligned kneecap would do that to you.

It was horribly windy here today but we braved a 10 miler in 35 degree temps---we are supposed to be about 20 degrees warmer. No need to complain--I am just happy I have gotten back to where I am so far.

My PT was paid for 90% by insur, but the PT got notice after 9 weeks that my insurance was turnind down anything after 6 weeks for me because my progress report indicated to them that I was in "maintain" mode and not progress. That was a bunch of _________. Basically, I was being punished for progressing faster than most though I truly was still progressing. My end progress was simply at a higher level than some of the sendimentary lifestyle clients they were used to. Grrrr-- after some hassle, I got it extend thru about 12 weeks, then that was it.

I tore the ACL in basketball in 1991. I took a couple weeks off, then went back at it with a neoprene brace. After the knee kept buckling when cutting, I tore more meniscus and had surgery #2. I got a real ACL brace for V-ball and B-ball. I still only ran with the OTC neoprne brace since it was lateral motion. I run 3 days/wk and have trained for marathons doing that--for me quality workouts beats quantity. In 2008 before everything went haywire, I ran my last marathon in 3:27-- age 41 then.

If the swelling is significant, maybe another opinion would be good. I am sure you have done endless searches on the internet to find matching symptoms. Maybe some missed bone fragments are still in there??

Good luck--I know support is nice, but healing is better. Sorry about the teaching thing--tough deal to get hit with.


May 07, 2010
to IOWARUNNER
by: Boston

Thanks for the feedback! Unbelievable that you had your surgery so many years after your injury! You seem to be doing very well if you can run the way you do.

When I went to Dartmouth, NH for the original diagnosis, the OS actually told me I didn't need to have my ACL replaced but that the OS in Boston will most likely suggest you have it done. She was correct.

Considering I like to ski, the surgery was recommended.

The physical therapists I see do a "fine job" loosening up my scar tissue! Not a fun experience, I feel the pain for days, my knee is swollen and sore to the touch, almost like I have a ton of bruising in and around that area.

The PT's are concerned with the amount of swelling that I have 7 months post-op. At my six month check-up with the surgeon, I worked out at the gym before the visit and my knee was pretty swollen then too. He actually made a comment about it when normally he says everything is fine. I felt it important for him to see what I see practically everyday after a workout.

Most of the comments from the surgeon during our visits have been focused on my rotation and range of motion. He does say I am still lagging behind where he would like me to be thanks to the quad inhibition. But the fact that he admitted the swelling was a "concern" makes me think he may take another look if I'm not stronger by July 9th, my 9 month follow-up.

I ride my bike, jump on the elliptical and do the exercises the PT's recommend. I also see the PT's once a week to monitor my progress. Workman's compensation had stopped paying for the visits but I find it important to continue seeing them and paying for it myself. I don't go back to see my surgeon in July and have them say, "You haven't been doing your home therapy" or something to that fact. Having this be a workman's compensation case makes things a bit tricky. People are quick to say you don't want to get better and are not trying, which is far from the truth. I am interviewing like crazy in the school departments since this is the time of year they look to hire for the fall.

Good luck with the Las Vegas Marathon IOWARUNNER!


May 06, 2010
To Boston
by: IowaRunner

We are almost identical in timelines 9-30-09. I am thinking that your original PT need more training...??? It sounds like you might have had a lot going on in there if you also had bone chips.
Maybe mine was a bit more unusual since I tore it 18 years before surgery. My body had "digested" the ACL that tore so there was only a small sign of a stub in there. I had a donor tendon--good choice for me. Eliminated potential delays in recovery from hamstring or patellar procedures.
I had a good rehab process-- quad, calf an hamstring exercises to regain strength balance. Started running at 3 months--some delays in progress. Biggest one was in early April--had some scar tissue pains, etc. I finally got things loose--literaly, one night and have been moving strong since. Have done 10+, 6+, 5, 6+ mile runs in the past week without any pain.
My suggestion would be to wear a neoprene brace with the patella hole. It keeps it tracking and helps keep the knee stable until the other knee muscles can regain strength. I ran the first 2 months without it and find it VERY helpful. I will wear it most runs this year and wean myself off it gradually. I am still looking at doing the Las Vegas marathon in Dec if things remain steady.
Good luck--scar tissue is one thing that is hard to control. Rub the heck on the area and stretch the leg/knee. It can help release bound up areas.

May 05, 2010
7 months post-op (Part II)
by: Boston

Surgery was 9/28/09 and at the six week mark I had quad inhibition again but this time it was a HUGE SETBACK! I have since changed physical therapy offices and have been doing a lot better but the therapists are still mind-boggled about my slow recovery.

I still cannot run (the experts recommend I don't even try actually), and stairs are difficult. My back is totally taking a beating from all of this as I am compensating for the lack of muscle strength in my right leg.

I have had 70+ PT visits since March of 2009 and workman;s compensation has refused to pay for any more visits. Luckily, my health insurance is picking up the rest, though, if it is determined that I am not eligible for the coverage, I'm sure I'll be paying out the nose for them.

I have always been active and only in the last few months have I been using the elliptical machine (which I used to loathe as I preferred to run). I can get a decent cardio workout in now but still have to be careful about what I do.

Pain is still an issue for me though it is getting better. The PT's say it patellar tendon tracking and have been strengthening my quad forever, have fitted me in orthodics for my shoes (because I have flat feet) and loosened up a lot of my scar tissue OUCH!

My surgeon said it wasn't tracking but residual pain due to my cartilage injury. And the fact that he had to shave down my jagged bone during surgery is what I am feeling. Though, he fitted me in a new Patellar Tracking Knee Brace which I love! Hmmm???

I am a teacher (now an unemployed teacher, as the school district in which I was hurt did not renew my contract a few months after my injury). So, I do not have any idea what to expect once I am deemed able to return to work in which I will be standing for long periods of time.

I know doing a cardio workout wipes me out, and two hour PT sessions (still!!) send me to the couch for the rest of the day! And to think I used to wake up at 5am to work out before going into work! I know this was a long post but it just feels nice to let it all out once in a while!!

Thanks for reading and good luck to all who are going through this nightmarish injury!








May 05, 2010
7 months post-op (Part I)
by: Boston

I have written on this site a few times before, once under anonymous and another under this name, Boston (MASSACHUSETTS GENERAL IS WHERE I HAD MY SURGERY).

I just wanted to share my nightmare of "Knee Injury" as I have had an interesting experience the past 14 months.
Having all this occur on workman's compensation caused some initial delays with my diagnosis and the start of physical therapy.

After being told I would have to wait six weeks to see an Orthopedic Specialist at Mass General, I took it upon myself to find an Orthopedic Specialist a week after my injury. That search led me to Dartmouth Hospital in Dartmouth, NH. I was diagnosed perfectly by a Dr. Carlson. Being wheeled out of that hospital with my heart in my stomach after hearing I tore my ACL, MCL, and MENISCUS in my right knee was frightening!

Finally, workman's compensation kicked in and I met with my surgeon who requested an MRI. He noticed that I flinched every time he touched my right leg. I had the original "ligament tear test" in Dartmouth, and my memory was quite fresh as to how that felt afterwards! The MRI picked up on bone fractures and bone bruising that complicated matters slightly.

PT finally started 7 weeks after my injury which I feel has slowed down my progress immensely. Had I only been allowed to use the PT prescription that the Orhto at Dartmouth had given me, I probably would have been doing a lot better.

Apparently, the physical therapy office I chose to go to (because it was 2 miles down the road and I couldn't drive) was not the best of choices. I developed quad inhibition during the month of May 2009 (pre-surgery physical therapy), but apparently that muscle became stronger as I was checked before surgery and deemed ready to be operated on.


May 05, 2010
Pinching Medial Pain on Hyperextension (5 months).
by: Ben F.

I had surgery just over 4 1/2 months ago. Starting this week, I have been having some pinching/sharp pain under my knee cap on the medial side not far from my scar (patellar method). It usual occurs when I try to full extend my leg quickly, or when I straighten my leg and flex my quad really hard (hyperextension?). Anyone able to give me some feedback on this? My PT believes it might be the "fatty pad" near my scar that is getting pinched into the knee joint, and is inflamed.

May 05, 2010
Pinching Medial Pain on Hyperextension (5 months).
by: Ben F.

I had surgery just over 4 1/2 months ago. Starting this week, I have been having some pinching/sharp pain under my knee cap on the medial side not far from my scar (patellar method). It usual occurs when I try to full extend my leg quickly, or when I straighten my leg and flex my quad really hard (hyperextension?). Anyone able to give me some feedback on this? My PT believes it might be the "fatty pad" near my scar that is getting pinched into the knee joint, and is inflamed.

May 05, 2010
6 weeks post ACL surgery PAIN
by: wadood

hi everyone,
After reading so many comments now i am getting afraid....
Actually i had ACL tear and lateral meniscus tear i went through an operation on 24th of march 2009, As the doctor had suggested me i have been doing the exercises regularly and now i can bend my knee without any problem
but from past 2 days as per the doctors recommendation i am applying partial pressure on the right leg( operated one) and now i am facing pain near medial collateral ligament and meniscus and the pain very huge however that pain appeared after 1 week of surgery but it was very less... and the swelling has also not come down significantly...
and when do exercise straightening the leg sitting in chair and then bending there is a very minute clicking sound...
I want to know whether the pain is normal when applying load on the leg and how much time will it take for the swelling to come down and is clicking ok...
or do i have some serious problems...
please help me... if possible write a mail to wadood85@gmail.com it would help me
thanks very much

May 03, 2010
4.5 years post op.
by: Jordan

I am very active as most of you are. I do crossfit and jiu jitsu constantly. I've had the problem when doing jiu jitsu, that the lower outer portion of my knee will sometimes click and get swollen and stays that way for a few days and then i'm back to normal, just as strong and quick as it was. Sometimes, it won't click and it's the same feeling for a few days.

As I'm afraid to get taken out of action, I haven't gone to see anyone about it, and am now concerned because I'm starting to get very competitive with both CF and jiu jitsu. I don't want any time to be taken away.

This happened last night, I iced and it is still fairly painful. I cannot fully extend my leg and walk on it, so I'm looking pretty strange right now!

I did schedule an appointment, but not until tomorrow. What is your experience with this, and is it absolutely necessary to be concerned? Again, this has happened before, and has gone away on it's own and I don't have any pain or feel any slower.

After my surgery, I serisouly am faster and stronger then I ever was prior to surgery. Thanks for your time.

Apr 17, 2010
13 months later
by: scott

I'm at 13 months now and have have had the last set of results from my MRI. They show that my knee could use a clean up but until it really starts to bother me, there is no point. Back track to October last year after getting an ok to be back playing touch football, still being over cautious at 8 months, no hard cuts, no twisting and the following day I have grade 3 swelling again, and the frustration that went with it all. My PT and surgeon both said they thought it was cartlidge. I gave up on doing anything, another no hockey season, and after 5 months of feeling sorry for myself I went back into the gym and started strength training. My knee still doesn't feel "right" but I will be back playing football in a month, and as my surgeon said "see how it goes" It is all as frustrating as you want it to be, stay positive and if there are set backs, do your best to deal with it all.

Apr 17, 2010
To IA and others
by: IARunner

IA-- I am now 6 months out--had a great rehab as well. Started of running easy and am able to do 5.5 mile route regularly without incident. I did a long route of 9.5 at 5 1/2 months, and could tell that might created some irritation. I think it was more the knee movement just not having 100% muscle protection yet. It mae me realize that it is a good idea of wear a neoprene brace on occasion. The little added stability is nice. The pain you feel at the top of the tibia sounds like mine. You roll into your knee to feel a twang. It takes several months before it quits. I think it has to do with the hole drilled in the tibia, the screw and the healing back up of that hole.

Others-- I agree, don't be frustrated at 5 weeks about anything. If you were athletic in your own way before surgery, just know it will come back. I still deal with scar tissue issues as well. For most, getting released to run, etc after 3 months is going to be normal.

Best of luck!!

Apr 15, 2010
Two forward, one back.
by: sub3

Frustration pretty much sums up my rehab to date (7 months), and it is comforting to read I'm not alone.

Ongoing occasional and unpredictable effusion with no identifiable cause. Medial aspect pain that grows while walking and which halted my walk/run progression (I was told by old PT it was OK to run far too early).

It's easy to think that just b/c the constant swelling has gone, movement is back, and the knee feels pretty stable, that it's just a hop/skip/and a jump back into training. I've learned the hard way that is so wrong.
New PT and I tested my leg strength and we were both astounded by how bad it was. Three months of strength work later and I'm more than strong enough to be running but medial pain that came on during the initial attempts to run persists and is still undiagnosed.
Pre-op, I was warned the rehab is hard work. I thought that was a little speech given to those considered slackers expecting the surgery to do all the work for them. Not someone like me who used to knock out 100 mile weeks and is hell bent on getting back to it. Well, I have to say he was right. It's hard, but it's not the physical work that's the hardest for me. It's the mental/emotional side that has rendered me a blubbering mess on many occasions during this rehab and the fear of this medial pain stopping me running is palpable at times.

Reading this web page helps me realise I still have more time before I need to accept the running part of me and my life is dead and there is still hope. So thanks for that. I hope the orth' can find out what's going on or it's simply a time thing and in a few months more it will be something I can laugh about, but it's still very raw.

It's funny how the time frames and expectations change. I started out with the mentality that I'd try to be their fastest rehab'er, and I counted the days. Then I hoped how much better I'd be at the end of the week, then whether I could drop the patella pain in the next fortnight, then perhaps in a month or so the occasional bouts of effusion would mysteriously vanish, and now I am thinking in two to three months segments.

To all those starting out or just a few weeks into rehab, those first few weeks are terrible and it does get much better, but please don't make the same mistake I did. Please take more time than you think you need doing the rehab exercises and if you feel something is not right, start asking questions and never stop until you get answers that make sense. We are all so vulnerable and powerless and have little choice but to trust the professionals around us, but please don't stop listening to that little voice inside you, your intuition. If it tells you something doesn't seem right or doesn't stack up, let your PT/Ortho' know. I had a gut feeling I wasn't really ready for running but the PT said I was. I should have listened to myself more.

I hope we you all, in time, recover the function our injuries have stolen from us, or learn to cope well with the loss.

Apr 15, 2010
5 months, tibia pain
by: lA

I have to second all the comments about how great it is to hear how other people are getting through this. It is quite the process and it is always great to feel not alone.

I tore my ACL and meniscus playing soccer in Sept. minisucus done in october, ACL patellar tendon graft Dec 1. My recovery has been amazing...was running 8 weeks post ACL reconstruction and now at almost 5 months out I am up to around 6 miles. It feels great, strong. The only issues I have been having is point tenderness in my upper shin, right below the knee cap. It hurts when I push on it (like kneeling) or when a lot of force goes through it (such as power shooting a soccer ball). It is totally fine during everything else. I really think it is my last big hurdle...anyone else having this kind of pain? Any suggestions?

Apr 08, 2010
to Rida and Juice
by: Skier

Rida, as someone who is at over a year out of surgery i laugh when i read 5wks becuase you are SO early, and i hae had docs say that the knee is swollen to some effect until even a year or more! the ACL is major stuff and i am sorry to say i am not fully normal still at 14 mos. But i do know some others that feel that they are fully healed at this point. i had heat/warmth at 3-4wks and was worried about infection but i guess with infection you get fever also, so i believe this is very normal, but still something to check with Dr on to make sure not missing something. which leads to me to JUICE as the pain i am still experiencing here at 14mos post acl is in ths ame place you say, mine i refer to as the top of the tibia, and noone can quite figure it out, either, but that perhaps it is scar tissue that is attached to top of tibia and pulls on it a bit. I do believe the scar tissue is a culprit of many things. You could have patellar tendonitis but that is pretty easy to diagnose. my pain is going down steps, or trying to run, i just feel this bone area often, actually. i have been suspecting it could have something to do with weaker surrounding muscles, yes, creating in me a sort of "runners knee" as my pain travels around the knee, and is medial and lateral the kneecap, also.
Do you have pain there? it sounds like a good idea to go back to some basic squat type stuff to make sure quad and VMO is strengthened. basketball must be tough on knees, it isnt surprising that hurts you, and that stinks, doenst it, if thats your sport... im more a skier /aerobic person and not running kills me, as does just coming to expect pain in that knee after doing what we like to do. i dont know what to say but to get another opinion as i think htat is always very worthwhile in any case, to have a fresh set of eyes on it.You can go see my previous comments as i have some beefs of my own registered regarding this undre the knee/tibia area...

Apr 07, 2010
swelling and warmth
by: Rida

I had my ACL reconstruction nearly 5 weeks ago, according to PT everything seems to be going well, however I am concerned about the swelling which has subsided in the weeks but not completely disappeared. Recently I have also noticed the knee is warm, not hot but warm. Could there be an infection this much later? Is this normal? There is no pain really just the swelling, stiffness and warmth.

Apr 02, 2010
Knee Pain
by: Juice

Glad to know I'm not near alone in this. In 2003 I had reconstructive ACL surgery from a football injury (ACL, MCL, and meniscus repair). It was done using a hamstring graft. The following year I had a follow up surgery to repair the cracked meniscus again. In 2007 I had a third surgery to clean up cartilege. Now in 2010 I still have constant knee pain when I run. The pain is like a pressure at the front bottom of the knee (where the knee meets the shin.) I'm 23 and have been a very active athlete my whole life, I feel like I have the knee of a 60 year old. Whenever I play basketball I have severe knee pain for about a week afterwards. I have come to terms with experiencing knee pain when playing sports for the rest of my life. My question is what are good ways to exercise the knee to reduce this pain. I have been doing several exercises that we all do during rehad. Is there anything else?

Mar 29, 2010
9 months post op and getting a joint pain in knee
by: Calvin

Hello people. Great site. I was wondering if any one could shed some light on a problem that I am having. My PT is struggling to ascertain the exact problem.
I had an ACL reconstruction (hamstring) and meniscus repair in the early part of July last year. I am still having physio sessions through my work. When I put pressure on my operated leg I get a kind of joint pain in my knee. The more pressure I put through my knee the more it hurts. It’s like I have no shock absorbers and all the pressure is within my knee. It doesn’t hurt when walking but when squatting or running. I was discharged by my surgeon at the end of January. He said my knee is as solid as a rock and when I asked him about the joint pain he said it was just because of muscle loss however im struggling to jog because of the pain so how am I to build up my muscles?

Mar 23, 2010
4-5 months post acl Reconstruction problems
by: Anonymous

Hey all

This site is really great... was thinking i was the only one going through things like this! Its great to know that I'm not alone!!

So hear is my story....

Snapped my acl two year ago and had my surgery 4 months ago... its been going all good but suddenly about a month ago i started getting sharp pains under my knee cap area!! They get really bad after rehab session and last for about two days and then calm down to a less intense pain! The pain also occurs when going down and up stairs...seems to be bad when bearing weight on it. spoke to my doc and he said it could be caused by my muscles around my knee cap being to weak and so not holding my knee cap in place probably. This is causing the knee cap to rub against the bone/cartilage and irritating it!! Wanting to know if this is correct and if it is, does anyone know how long before it goes away?? I'm 21 and missing out on life because i can't do anything sport wise!! If anyone got info send it my way please...

Seth




Mar 18, 2010
ACL recontruction with partial knee replacement
by: Chele

you know I am 5 months post op. I still have alot of pain in my knee. I can bend it and straighten it with no problems, but still can not walk without a limp due to the pain. I have been told to just give it time. I am 50 years old, have been active but not a runner or exercise on a regular basis. I found this link and was very happy to hear I am not the only one out there with pain. I had my knee drained about 2 weeks ago, was hoping that would help. but it just has not helpped as much as I have wanted. I have constant clicking in my knee, sometimes other people can hear me coming. kinda funny in the morning when it is all quiet in the house. seems it is really loud then. I went to physical therapy at 9 days after surgery, the first visit I just cried. my leg was so swollen and bruised. I still have some swelling in the knee even after it being drain. My Dr says it is just going to take time. Any comments about anyone else having this type of surgery done?
thanks for listening.

Mar 09, 2010
re.Homme 10 mo post acl mcl
by: Anonymous

I tore acl,mcl,partially torn pcl playin football. I didnt start going to rehab untill like 6 mothns after my surgery "did some cycling styretching from time to time" .. But i have the same syptom as Homme and i think it may have to correlate with us not going to pt at the very start of our surgery. "i heard the secret to qick recovery is to start pt as soon as posible" i get a sharp pain behind my knee whenever i crouch down really low and it really hurts.. ive been doing pt aggresivly for about 4 months now and it just seems like something is wrong.. if any ppl have any idea what it could be or any advice let me know plz thnx.

Mar 03, 2010
to Frustrated in VA
by: Anonymous

I did start running at 3 months. I prgressed well in PT from day one. Me--an almost 43 yr old- 6'6" 200lb, overachieving (or try to be) guy. The runs initially left me with some tenderness, but not real pain. mostly in the outer/rear area of the knee where the hammy ties in below the knee. Some residual scar tissue irritation that might pop up mid run, then fade. If a real pain occurs, stop. Only do what the body tells you to. I had NEVER run on a treadmill before this year. With me not having an ACL since I tore it in 1991, my L leg has always flared out a bit, but I compensate using the crown of a road. The treadmill is less forgiving. I started off with 3 miles and can now easily knock of 7 miles and I am 5 months out. I just got back from a winter reprieve in Orlando, FL and ran outdoors. I had no knee aches at all--I ran a bit faster (for me anyhow) with some 7:20-7:40 miles for my 4 to 6.5 mile runs. Felt great! I feel like I am progressing, but will continue to just work my mileage up gradually. I have always been a 3 days/week runner--even during marathon training. I ran a 3:27 in '08 so be over 40, I feel that the the added days off are good for me--I will neer be an elite runner, so why train like one!!

Good luck --try not to get too frustrated. Set reasonable goals, then move on to the next one.

Feb 27, 2010
ot Hapa SD
by: Anonymous

any change in your fat pad impingement, i know a bit about that area and same thing. let me k now if you are out there though.
thanks

Feb 27, 2010
to skiinstructor
by: skier

Ok you poor thing... it totally is brutal where you are right now. But you have to listen to dr and you have to do stuff and not sit around in bed on diluadid all day.Things are going to get better right about now. the first week is UNBEARABLE , where you are. the 2nd week sucks but gradually gets better adn then things start to pick up. I am at a year and i could cry reading your thing cause i know how bad it was, and i cried every day while my family skied without me....That diluadid it is time to wean. it is wonderful feeling but dangerous and ppl get addicted to it after very short while...Talk to Dr or nurse about how much you really need, maybe just at night to get thru it.
you ahve meniscus which i didnt, just acl, (haha, "just") but for me, i had all that awful pain you have, esp in shin area i had that searing pain which for wks and i had to lie down al the time or it just went nuts. the key was for me to get up and move around on it. EXACTLY at a week, i went to Dr and told him i was fine as long as i was lying in bed, and he scolded me and said i needed to get up and start moving and it was completely true. Now with you and Meniscus tear that may be different, cause you may not have weight bearing yet..? but check w/ your dr, perhaps you need to start to get the blood flowing, its super important to get mobile and move the leg. Things will et better, and start to snowball each week. But it truly is a year until things start feeling normal. So know that now. Thats not to say i havent been doing things since about 4 mos, more and more every mth since and now i ski a few times/week to pt i am starting to forget about it, but make it your mission to work that leg back to strength, you have to be diligent. Ask me any questions, the thing that sucks like you or VA said, ( icant remember) is NOT KNOWING what is NORMAL,.. its true, that makes it really hard. but its diff for everyone, nad truth is everyone heals diff. you are pretty young so you may be quicker than me in 40s. I hope. good luck,taper off drugs, find something to do so not to get depressed. I started going to a sidewalk that was clear of snow, and getting around on my crutches and it was really good to just get out in air/sun. try something like that. And dont feel sorry for yourself.. keep a good attitude. (I can say that now but i didnt do it and it made it harder) this too shall pass, really it does, it just takes time and go with flow.

Feb 27, 2010
to Frustrated VA
by: Anonymous

Hello. sucks, doesnt it?
First, you are VERY early in healing process... everyone heals differently and i have heard of a few that at 4 mos can start light running (Never heard of 3mos as yousaid, esp with all that other stuff you have besides ACL. AND at our older age (yeah that sucks to hear too, doesnt it?) it takes longer than we think to heal. I am same exact age and extremely athletic at most sports and there when i tried to run around 4-5 mos it was ridiculous and if anything, set me back. So read back in threads from Skier and Iowa, about running too soon. Just take a chill from it. it is not good for knee, it is more important to HEAL and wait a year. After trying to run at around 4mos and then later (all seasonal dependent)at around 7mos it was just hurting , nothng major but it wasnt solid and i decided it just isnt worth it, and to wait thru winter and try again this coming spring,When i will be at about 1yr and a few mos... THe quad is just not strong enough, neither are the other muscles around the knee, to support it, and it will track funny and just be off for awhile. I am just at over a year, and finally feeling like that strength is coming back, and that is indeed how long it takes. I didnt do as much specific squat stuff as you need to do, i was so worried about keeping my CV and weight off so i swam, tried to run, rollerbladed,etc, but really i needed to continue those quad specific exercises. Here at year, i can still feel that my ACL leg is weaker and i realize i need to go back to some squat stuff. AND, i hate to bike so i didnt do it, and its important, whether at gym, (which i hate but you have to do it) or on Elipitical(Hated that too but now i see its merits) those are important muscle building deals with out the impact of running. I cringed when people told me to give up runnign it will be better for you in long run anyway, and thot i will never do that, but i only want ot go on my shorter runs like you, 3-5 miles a few times week,for peace of mind, and i hope after this time off i can START SLOWLY and be able to do it. But wait and do the gym stuff for now, really! swim, too......dont mean to preach, but take it slow, better off in long run, as it really is a LONG run....(no pun intended there..)

Feb 25, 2010
Does this sound familiar?
by: Frustrated in VA

I have to echo many of your comments. I have felt very frustrated with my ACL rehab until I found this site. It is difficult not knowing how much pain is normal and how much isn't.

Here is my story. I'm 44 and very active. I ran about 15 to 20 miles per week and played on two soccer teams and the occasional pick-up game. In September 2009, I planted my right leg to make a cut during a game and I could feel the knee give way and the bones grating against each other as the knee went out of the socket for a moment. It was the most horrible feeling I have ever had and something I will never forget.

I should have gone to the hospital but didn't - mistake. Getting into the doctors office, finding a ortho doc, getting insurance to approve the MRI were all a nightmare.

After two weeks I finally got the MRI. I shredded the ACL, tore cartilage on the left side of the knee, tore the right meniscus and partially tore the PCL. My friends call me an over achiever.......

I had surgery on Nov. 4 to fix everything put the PCL - the doc said it wasn't torn enough to justify the risk of replacing it.

Surgery seemed to go fine. I worked hard a being patient and following my PTs rehad schedule. But the reality of life is that I consistently felt stabs of pain as I went about basic things like getting out of the car. What frustrated me - and continues to - is that I don't know whether this pain is a normal part of the process or a sign that something is wrong.

I am almost at 4 months and started light running at 3 months. I am up to 15 minutes of running but the soreness and pain is getting worse. I have pretty consistent popping and clicking and if you put your hand on my knee as I bend it you can feel things moving sometimes. When the knee gets tired, I get a ice pick sharp pain in the left side.

Finally, last week at PT doing lateral movement exercises it felt like the knee was going to give when I planted - it reminded me of when I first injured it.

The surgeon and PT say that the knee is solid. I have my doubts. It just doesn't feel right.

So, is this a normal part of a long rehab process? If it is I'm fine putting up with the pain. Any of this sound familiar?

Thanks for sharing your stories. It has been a real help reading about what you are all experiencing.

Feb 22, 2010
Acl surgery lateral minacutis surgery
by: skiinstructor out 4 season

Hi everyone! I am a 30 Year old active female. I had been a ski instructor for over 18 seasons. On Jan 9, 2010 my body finally gave in to all the yearz of abuse. Ive been skiing since 4 years old without any accidents. I decided to hit a jump just did a spread eagle, when i landed my skis caught an edge thew me off balance i watched my left tip sling shot around my body and snapped back i to place, i put my left elbow down and weight shifted onto my right ski as i traversed across the mtn. When i tried to ski off i collasped. I knew something really bad just happened. I came off the mtn in a taboggen (my worst fear) i went to hospital to be told i sprained my elbow and twisted my knee. I was sent home with lortab. I woke up in serious pain shaking. I went to different hospital at 3 am. I knew something wasnt right, the pain level was at a 10. My finger were blue cuz they wrapped the splint to tight on my arm. They told me to c an ortho doc and gave me a scrip for diluaid. What a relief. Anyway i saw a ortho doc and got an mri, i completley snapped my ACL in half, i tore my minniscutis dislocated and sprained my elbow. After over a month a just recieved surgery last week. Doc used my hamstring tendon stitched up my minocusis and the pain is the worst. I had surgery which lasted 3 hrs on my knee last wed, i was sent home with 30mg of morphine to take at night and given a refill on dillaud. I cant do anything on my own, i can barely get out of bed. All im doing is crying and waking up every 2 hrs. My leg in throbbing below my knee to the left. Maybe a screw? The back on my calf hurts which i dont understand. From my knee down to my ankle is numb. Almost like i had a linocane patch on? Is anyones pains still around for this long or this freakin bad! Gosh, the pain, this hurt worse than birth! Owie

Feb 19, 2010
2 1/2 years post ACL reconstruction
by: Homme

Hey guys, great thread. August of 07 I had ACL reconstruction on my right knee. Went through a couple months of rehab, then took it easy (no real strenuous exercise) for a little over a year. Then, about a year and a half ago, I began playing racketball and jogging regularly. Everything was fine and my knee felt great up until a couple days ago, when I crouched down and started to feel a sharp pain behind my knee. There was no popping or displacement or anything, it just kind of hurt. Since then it hurts now and then, and I sometimes can't bend my knee all the way back, just like it was for a couple months after the surgery. It feels a little tight and almost feels like it just needs to "pop" in some way and then it will feel better. Any ideas what could be the issue?

Feb 08, 2010
this is exactly what happened to me
by: Anonymous

thank you for sharing :)

Jan 28, 2010
To Maldives & Houston, etc
by: IA Runner

Maldives-- the reply you got may be right on--too much to start with. Take it easy. If you want to run--maybe run/walk in 1 minute intervals for your time, then each time reduce the walk time and increase the run time until you can sustain a level pace your entire run. Depending on your pain, you may want to use something to roll out your IT band--if sore when rolling, then keep doing it. If not sore, then that may not be an issue. Ease into it.


Houston-- where is your pain at? Inside joint area, outside, patellar tendon, kneecap, etc?

I am almost 4 months out of ACL recon--with donor patellar lig. Rehab was fine--I am back running some--am cutting my runs at 5 miles for now to make sure I do not overdue it. I had some lateral knee pain well below the knee- more where the hamstring attaches to the area back/below the knee. I make sure I warm up now before I run--lift some weights and do 5-10 minutes on an eliptical or bike before the run. I have also had some residual scar tissue aches/pains while running. I can usually just rub them out if I slow down a bit, then work it back up.
So far so good. I still have my eyes on a fall marathon, but will only go down that road if things progress steadily with absolutely no setbacks. No need to set myself for a letdown.

Good luck everyone.

Jan 25, 2010
Great feedback
by: On the mend kiwi

There's some great comments and useful tips on here.

I'm 5 months on from my acl op to my right knee. My acl was repaired with a hamstring graft and I also had a partial menisocotmy. I've been running for the past three weeks around 3km every second day but in last few days I've been getting a stabbing pain just on the inside of the knee. The pain is not always there but hits me when walking up stairs and tensing my leg/quads. I can only assume that this has something to do with the meniscus repair as opposed to the acl reconstruction?

Based on previous comments I think I'd be wise to stop running for a while and stick to the bike and cross trainer.

thanks

Jan 24, 2010
8 Mnth Post-Op PAIN
by: Houston

I had my ACL replaced with a cadavor (sp?) 8 months ago. I finished my PT and my doc said I was doing extremely well with my rehabilitation. Just in the last week, I have been having lots of pain. Hurts very badly after being on my feet for long periods of time and when going up the stairs. I'm not an athelete and probably haven't been exercising as much as I need to. I am a restaurant manager though. I spend lots of time on my feet and ironically, I think that helped with my recovery time. This pain is new and very BAD though. Anybody have any similar problems? Do I just need to get back doing my therapy?

Jan 21, 2010
Two ACL tears within 8 month. (one on each leg) Pain behind lower part of knee cap, need help?
by: Hapa SD

I have had two ACL reconstructions one in each knee (both full tears - hamstrings as replacements) in the past 8 months. Is it commmon when you repair one ACL the other is over compensating and just waiting for the right moment to blow out? I am extremely active, so I've been pretty aggressive with my PT on both knees. I am on month 2 with my right knee, which is doing good for the time being. However for my left knee (on month 8)it has been pretty painful for the last 3 - 4 months. Anytime I walk or try to jump on it, it feels tenderly bothered (always in a specific spot - lower part of anterior side of the knee cap) when I've been sitting in a car for a while (20+ mins) its starts to really bother me. I've done some research and talked to three PT's each giving fairly common opinions. It seems maybe I have a Fat-Pad impingement however I'm not to sure. If this is the case what can I do to strengthen, provide better support, work on, etc.. Thank you for your time.

Jan 19, 2010
to maldives
by: Anonymous

no expert but, i would think for someone who is somewhat sedentary, to start as a first time jogger at 30 minutes a day would be overdoing it. I am super active at many different sports, but every season in summer when i get back to running, it still has to be a very gradual start. It is not so hard to develop tendonitis, or ITBand issues, or anything! Runnign is tough on knees (especially if on hard surface which i will not run on anymore) So perhaps you just gave yourself a runners knee or tendonitis enough that the flare up is inhibit your range,as any pain could, if it is acute.
I doesnt sound like you damaged naything acutely, hopefully you just pushed too hard too soon and put your knee thru motions it never had before...maybe serious advil and ice for now until you see an good ortho with this exact story and they shoudl be able to give you better idea. hope its ok, keep posted..

Jan 18, 2010
ACL reconstructed, meniscus repaired in February 2007 - Now afeter 3 years, severe pain!!!
by: Mr Maldives

Hi Guys. Wish you all a very happy new year!

I had ACL surgery with meniscus repair back in February 2007. A patella graft was used for ACL reconstruction.

I had the routine PT after the surgery and everything was just fine. I am not an athletic, sporty or active guy although prior to surgery i used to play volley ball and soccer occasionally. Post surgery, I played volleyball a couple of times but never played soccer. To be honest, I always had the psychological fear that i might hurt the knee again. So I was less active after the surgery than I would prefer to be.

Having said that, with the intention of getting physically fit, I started a routine jogging program about 3rd of Jan. I jogged about 30 minutes and then walked for another 20-30 minutes a day. After about 10 days in to the jogging, suddenly a mild pain started developing in my knee. I immediately discontinued jogging program. But the pain kept on growing day by day. Now pain is so sever that I am not getting full range of motion also. I now walk with a limb because the pain is so sever. Climbing up an down on stairs is like nearly a nightmare!

Never had any shocks to my knee or anything like that. Now its so stiff and has constant pain throughout. I really fear going back to surgery again with this knee.

Any suggestions? Can anyone help me please?


Jan 18, 2010
2 months and 2 weeks post up and expierencing knee pain. good or bad?
by: Anonymous

On November 5, 2009 I had full ACL reconstructive surgery. I had completley torn it during a soccer practice when I planted my feet and went to turn to the right. Up until a week ago I had had absolutely no pain, but now it's back. I can no longer. fully extend my knee and it's not stable when going upstairs. The sides of my knee are where it hurts the most and if I step wrong it gives out or hyperextends and then it just hurts even more. I went to my doctor a couple days ago and he said that everything seemed fine but he wanted to see me back in a month to see if everything still hurt and that they might have to do another MRI and if the scar tissue hasn't gone down then I might have to go through Another surgery to have it removed. Should I be worried that the pain came back or is it normal?

Jan 16, 2010
about acl ligament reconstruction
by: dave scunthorpe

Hi
in july 2009 i was playing football i was running as usaul and all of a sudden i heard a popping noise in my knee which caused great pain and then it swelled up. i went straight to the hospital and the doctor said just to rest it you have possibly strained a ligament so i rested my leg for around 4 to 5 weeks after the rest my knee felt fine so i went back to my sporting activity i was litrually on the feild for 5 mintues and the same thing occured. i went back to the doctor and they sent me for an mri scan the results of the scan came back and i had torn my anterior cruciate ligament and ripped a cartilage in my right knee i under went surgeroy on the 14th of january 2010. any body who is worrying about the surgery its nothing to worry about it is totally worth it. i had an epidural in my back and then went under sudation i woke up after the operation i felt fine i didnt not feel groggy or anything ! like you do when you have anastetic. i am still recovering from it as i only had the operation a few days ago. so i will keep use informed on how it goes and how it feels. dave

Jan 16, 2010
about acl ligament reconstruction
by: dave scunthorpe

Hi
in july 2009 i was playing football i was running as usaul and all of a sudden i heard a popping noise in my knee which caused great pain and then it swelled up. i went straight to the hospital and the doctor said just to rest it you have possibly strained a ligament so i rested my leg for around 4 to 5 weeks after the rest my knee felt fine so i went back to my sporting activity i was litrually on the feild for 5 mintues and the same thing occured. i went back to the doctor and they sent me for an mri scan the results of the scan came back and i had torn my anterior cruciate ligament and ripped a cartilage in my right knee i under went surgeroy on the 14th of january 2010. any body who is worrying about the surgery its nothing to worry about it is totally worth it. i had an epidural in my back and then went under sudation i woke up after the operation i felt fine i didnt not feel groggy or anything ! like you do when you have anastetic. i am still recovering from it as i only had the operation a few days ago. so i will keep use informed on how it goes and how it feels. dave

Jan 14, 2010
one year today
by: Anonymous

When I say microfracture, that's a medical procedure that's done to supposedly help with arthritis. The doc actually makes tiny fractures on the arthritic surfaces, usu. in the knee, in the hope that it will "scab over". I don't really know that it helped in my case...my main issue before surgery was instability, and I had a heck of a lot of pain for quite some time after surgery! I ran 5 miles today in honor of my surgery's one year anniversary...so grateful to be where I am now and not where I was then!
To IARunner, I think a 20k in June is reasonable, but be prepared to modify your goals if things go more slowly than you think. I did a sprint triathlon and a couple 5k's 9-11 months after my surgery...not sure about 12 miles, though! Best of luck!

Jan 09, 2010
life as a runner...
by: IARunner

I wish I was a year out from surgery--now just over 3 months. A great recovery really. I was told to go ahead and run some, but on a level surface. Around here in the winter, that means a treadmill. I am 42 and have never used one. My first go at it was fine--did 10 minute progressive run. Next run, I was taking it easy, then POW, my calf popped. So now I am working that issue out. Frustrating. After months of doing stretches and exercises, my calf chose to pop on me. My question in my own mind is whether the use of th treadmill contributed to it or not. No sign-just POW.
I would guess I might be hurt due to the new use of the calf as a springboard as opposed to something I was just walking on. So I am going to once again work it up to a light jog for run/walks. I may just go out next week on a clean road so I can regulate my stride/pace without the t-mill belt doing so. We are to climb out of negative temps finally and may hit 15!!!

My tibia has some residual pain--real light-- when I press the area. I did not intend to remove the screws.

So is a 20k by June feasible or am I shooting for the moon? Normally a 10 mile run is a solid base, but now I am at ground zero--hopefully a quick return once I can starting moving again!!

Jan 08, 2010
from skier to others
by: Anonymous

hello fellow desperate athletes!!
ha, we should all be working out together-- or drinking beer better yet!
To IARunner, to get the hyperextension, yes, sort of knee pressing, but the best and simplest thing i do is: sit on floor( in front of tv at nite)with with a rope or leash. Legs out straight in front, loop leash around foot of bad leg, pull back on leash towards your upper body, and sort of push down not on knee but just ABOVE knee, push down and downwards gently , to persuade it to hyperextend. just slow stretch, about 10 or so reps that you hold for a minute or 2 each.
ANd to the swimbikerun person, what do you mean, you got a fracture from your surgery? i am concerned as here at almost a year, the most pain i experience is in my tibia, where they had to trough out my bone to accomodate the length of the graft. That is where the screw was , and it had been taken out 4 mos ago and still hurts at this point, sometimes even the top of tibia aches. Could bone trauma last this long?
thanks

Jan 08, 2010
one year after acl
by: swimbikerun

Interesting to read all the comments of active folks after acl! I googled lateral knee pain after acl and came across this website. My surgery was almost exactly a year ago...similar to some that I read in that I tore my acl as a teen and am 44 now. Very active runner and triathlete. I also had microfracture in my surgery and for a long time thought I'd never run again! Thankfully that's not the case. I was able to start the treadmill after 4-5 mos and running outside at 6-7 mos (lots of swimming and biking prior to that). I'm now back to running 3 times/week 4-7 miles, but lately I've been noticing a lot of stiffness/discomfort laterally, eps. after I run or after I sit for a long time. Interestingly, the medial pain that I had for months has pretty much disappeared! I don't have much pain with running, and I'm not willing to give it up!

Dec 04, 2009
Boston & Skier
by: IARunner

Boston-- we must be near the same surgery date--9/30 for me. Hope rehab is progressing for you! Keep up the hard work---it'll pay off!

Skier-- actually I was not limping around with the lack of hyperextension. I would say I could always get to 0, but not really past that much. I had always had a pretty good hyperextension before that and still do with the good leg. So I never had limping issues walking and I sort of figured out that it helps me to run the crown of a road. Maybe I am just strange--but it seems to help with my pronation.

Rehab was: Eliptical-16 minutes on a cross country course (whoopeee), some lunges, cross over lunges, a lateral leg press that I actually used less resistance and did sets of jumping on--two legs, then one. Foot lift with resistance bands on each foot to 18", various side slides/single leg squats, touch downs on 8" step, high step running to/from, high kick to backside, etc. Just a bunch of things that kept me going. The first time I broke a sweat at rehab.

Since I am only getting to do 1/wk PT, I am still stretching and doing several resistance exercise here--sorry no rowing machine!!

Not sure what to do to try and improve the hyperextension. I can get to 0, but to do something to go beyond that is tough. I have tried to simply press and hold the knee down in hopes of some stretching effect--is that a waste of time?

So Boston-- for runners, people aspire to qualify and run Boston. If you live there--do people aspire to go somewhere else to run?? Vegas was fun to run. Good atmosphere.
Take care guys!

Dec 04, 2009
to Boston and IA
by: Skier

Interesting, IA about your gait. i was like that for the longest time, i swore i was not going to go thru life as a gimp! I work on my hyper extension, almost every day. It has indeed progressed, even t ho months ago i wouldve thot it wasnt going to give any more. So i hope in time it will be close to the other. It was vital for me to get hyperextension, that was what was causing the limp, the straight leg not extending fully. I do think this is somethign worth striving for. Ha, about the rower--the Rower has always been one of my favorite workouts, and yes it has to be the old fangled one, not the new electronic ones, they dont do the job. i keep fearing next time i go to my gym, its going to be taken away! It is really good for the flexion.
Glad you are getting some muscle burn. not much i can do anymore that i get t hat.. was it squat stuff? Boston good you are getting the leg strength back. I felt like mine was back, (finally at 7-9 mos) but then when i use it for skiing I can tell its not there yet, so gotta keep pumping it, i guess. My dr says to relax cause its not going to be like "normal" (not sure it ever will, actually) until about a year, even more. amazing, that here at 9mos, it still improves, weekly, monthly, can see differences. even today i was please as i woke up and i didnt think of it until about an hour or so. sad tho it is still an issue, albeit a smaller one.


Dec 04, 2009
To Anonymous
by: Boston

Sorry it took so long to get back to you.
I had someone's patellar tendon used in my ACL reconstruction.

I finally have gained strength back in my quad muscle!!! What a long road this has been. I still have a long way to go but at least I feel like I am recovering.


Dec 04, 2009
there is hope!
by: IARunner

Wow--you sound like a medical journal! Hopefully most or all of the issues are things that will pass with time.

You got your screws out? I was told they would leave them in. I suppose if they removed them, then you bones would have holes left that would take 5-6 weeks to fill back in and heal, so I guess some resulting pain might be reasonable. Hope the pain fades.

Flexion---since I tore my ACL in 1991, I have never had full flexion in that leg. I always suspected that my knee/legs muscles developed to compensate for the missing part and the small hyer-extension of the leg was something I would never have again. It has improved some for me, but I still do not have the same negative flexion as the good leg. I pretty much learned to compensate for the limited motion by modifying my stride to a lower/flatter motion. I am starting to figure out that maybe I have been (and will always be) a bit of a freak of nature...

A rowing machine--you must go to a gym that still has a few relics there!! Good luck. My PT this week made me feel a lot better about my running future. No pain at all, but a lot of sore muscles 2 days later--which I love!!

Dec 02, 2009
to IA runner
by: SKier

same, 43 yrs, donor graft (thank god!) i cant imagine if they had taken my own PT.
I am also rec runner but could never get to long distance stage , too many aches and pains. so used to be about 40-1hr day for peace of mind, trails only.
So the pain. Nothing was ever severe, just achey stuff, that wasnt right. the screw into the tibia has been a continual irritation for me, they say cause im thin so its just "there". but that has bothered me along with some pain in PT region . i have had an ever so slight extension deficit, pinches/impinges so that hurt during running, even tho youdont totally hyperextend all the time, sometimes i would just land funny. so the pain was under kneecapPT region,and in the region of the screw, and also in that big muscle near shinbone on outside of leg is numb and strange. PLUS i did get some aching on the lateral area of knee.it was actually pretty noticeabledown near ITB insertion. Plus the top of tibia ached i alwyas wondered if this was due to screw irritation. Plus some hamstring insertion aching. so all this little stuff. Ha doesnt this sound pathetic.? but i tried to run thru it until i went to 2x wk, then zero where i was better off. There is a chance i started off too much as i was so excited to run again.but i was gradual then went 3x week. this you will have to watch!
I also remember, that darn treadmill in the gym, was better than running outside, there must be some cushioning. SO, im not saying its impossible, i have some minor problems that are not yet resolved at 9 mos but i have to say things are looking likie they are getting better. i have some scar tissue that is causing this impingemnt, they think, tho 2nd MRI inconclusive. Only way to tell further is to go in and scope it and see what the pinching is from but i will NOT do that, no way no more surgery, i will prob come out worse than my little pinch. Some even say 9mos is still early enuf and it will take more time.
I did just get the screw out, 2 mos ago, hoping it was goiong ot be a big cureall, but gotta tell you there too, it was like another surgery, and i still hvae swelling to the tibia at that point, and it feels pretty much like when i had the screw in!! they say that takes months too, to get back to normal, so it still feels strange there. not really pain, more of that nervey numb feeling i mentioned. In any case i am happy to get rid of the hardware. the eliptical is a joke, i laugh at the people in the gym who it is like the gospel for. AND it actually hurt my knee, it sort of juts your knee forward awkwardly.somemachines tho are better than others. I would advise trying that darn treadmill, i know Im an outdoor freak, but i notice gym can be pretty specific to working out some areas and sweating in a short time and some strength buildinjg.
ALSO i did an old fashioned type rower machine, very good for extension Flexion of knee.hope this helps some.

Dec 01, 2009
Cold turkey runner...
by: IARunner

Hey Skier-- when you started running, what kind of pain did you have? Was it in the area of the incisions--i.e. scar tissue related? Or was it possibly a medial or lateral joint area issue?

I have to agree--I am 42 and have never run on a treadmill or done a stair stepper or eliptical until PT last night. The eliptical was an odd feeling. I am tall and my legs came way up on the thing so it was awkward to reach down to hold onto the stationary handles. The other thing--I have never punished myself as a runner. Have only run 3 days/wk typically--an occasional 4 times. I have done marathons on 3 day training at race pace normally without a problem and without the off day cross training, so my training program will not likely ever see ink in Runner's World. It contradicts normal training. I love to run outdoors--we usually just skip the run if the windchill gets below -25 here as opposed to hopping on a treadmill and it can never be too hot to run. Always a better day ahead rather than using the treadmill!!

It just makes me curious as to what will hurt since like you, I had just a donor patellar tendon put in. Will the screws create some pain in the bones? Scar tissue? Tendonitis?

NO Running for a year? Can you really do that? Time will tell... Maybe some light mileage will be a good cross training tool for you to keep the muscles loose. Hey--there has to be some good excuse to use to let yourself run!!

Thanks for your comments!

Dec 01, 2009
to runners
by: skier

I am a runner too, since my recon that is the one thing i have been anxious to get back into, but i was still having pain when i was trying. I didnt start to try to run, until about 5-7 mos andnever went more than 30-40 minutes on trails, but i still was having lingering pains in knee,during and after, in my bad knee, and i was only a ACL Allograft, no other damage. I was doing other things too, as i was interested in getting my cardio back more than anything, so i was into swimming, hiking, more fatburning stuff. (to work off the few lbs gained after surgery!) Finally i weather changed, i decided i would give NO running a try, and i must admit that it made a huge difference in my pain level,it decreased almost immed... i switched to mountain biking uphill,and stationery bike with standing intervals, and a sort of elipitical that was more stairmasterish, not the weird motion elipitcal that i think is ridiculous. MY quads have thrived, and the knee is pretty much painfree. I am NOT a gym person but i have had to force myself to get on these machines, and now that i see the progress, i enjoy it (also the ole ipod helps..!)I miss the ease of going out for a run, but I dont miss the pain, and i feel like this was the answer, at least in this first year,to lay off the running and go for the strenght as thats what running doesnt really offer as much of, as these machines do. So i wish I had done this earlier, i think i wouldnve have had setbacks. I really resisted the stationary and elipitical stuff cause i like to be outside but i realize you need to hammer on them. So I am going to be run-free for a year i promise myself, and then see if i can get slowly back into it next summer! So sorry to report this to you couple runners out there but i feel like was important for my rehab to lay off the running unless you are 100% painfre.

Dec 01, 2009
Feeling good....
by: Anonymous

Well- I went to my now weekly PT last night. I had the head PT and he put me thru some new things. I got to do the eliptical for 15 minutes on a cross country setting. Felt great to crank out 15 minutes of perpetual motion! Also did other exercises that were far more strenuous that my normal ones. Had no residual pain/swelling last night or today. I have to say that my quads could tell they had a workout though---in a good way! Sort of like the day after you run a 15 miler.
I was told that he will work me into better balance so that when I run I will be ready to roll. I suppose the success of whether the ACL fails is not really up to me. I just have to hope my body accepts it and works with it. I sure hope it does not fail...
After last night, I felt great---mentally and physically. It sort of gives me confirmation that my work is paying off. Again, time will tell if the long term success of it is there for me.
How are the hockey legs feeling?

Nov 29, 2009
Torn cartilage
by: Judy

A couple of months ago I started having trouble walking after I had been on my feet for more than a few hours. After the mri my doctor told me that I had torn cartilage all around my knee. I had an arthoscopic surgery and the doctor told me that I would be walking with no problems only a short 5 days later. It has been six weeks and I still cannot walk. In fact the pain is much worse. Could I have torn the cartilage more or messed up the procedure in some way? My right knee has started hurting and I even have back pain which I am not sure is connected in any way. I am very overweight. Could this be contributed to my pain in some way? Thank you for any help or comments.

Nov 28, 2009
swelling
by: scott

I had complete ACL reconstruction, and had 3 etars in the laterial meniscus and one in the medial as well as a slight tear in the mcl, there was no pain when it happened and very little pain after surgery, the swelling went down very quickly and during physio eveything was great, very minor swelling until I started to jog again and that's when the problems started. I will have to wait and see but am hoping it is just some scar tissure or loose cartlidge.

Nov 27, 2009
Ouch...
by: IARunner

Sorry to hear the news. You are not exactly the cheerful tone I was hoping to hear. I sure hope you do not have anything show up on your MRI.

I have had no swelling ever during rehab. I had minimal swelling after surgery and it started going down right away. Did you have any chronic swelling during PT? Have you ever meniscus surgery?? Just wondering if the results were similar.

It is very frustrating to sit out all the time. The people who do care about being active don't fully understand...

I sense that I will be taking it easy to start with.

Good luck with everything.

Nov 27, 2009
running after acl
by: scott

I started jogging 4 months after the ACL repair and felt like I had never run before, it was akward, but after a while and a few months later was running well. Started back running 3/4 to full speed at the 7 month point the swelling and joint pain started, it would take 3 weeks for the swelling to vanish and I could run again for 30 minutes, and 3 weeks later the swelling would go away again. At the almost 9 month point I jogged around for 40 minutes and the swelling was so bad I haven't been able to jog since, I am getting another MRI to determine what the problem is, physio and surgeon don't know. After progressive to almost the 100% point I have gone in reverse, I can't even jog. To say I am frustrated is an understatement as I can't do anything for 2 months until after the MRI, another football season gone and now another hockey season, as well and more importantly it has great affects on my job.

Nov 26, 2009
ACL 8 weeks
by: IARunner

Nice to read everyone's comments. As they say, misery loves company. I tore my ACL in 1991 and have lived without it since--have run marathons, etc. This past year, some instability was felt so I opted to get the ACL put in (donor). After 5 days, I had 130+ degrees flexion. PT has been pretty easy. After 7 weeks, they cut me back to weekly as long as I do my home exercises.
Over the past 2 weeks, I have had some aches creeping up that were not there a month ago. I have periodic pain on the medial and lateral joint areas. Also some under the kneecap pain doing single leg squats, but I understand that. Any thoughts on the cause of the joint pain? After being without an ACL for so long, I feel great really. I am to get released at 12 weeks to run again--how do others feel that their running felt when they started back--a little pain here and there??
I am 42 and run 3 days a week so I don't kill myself--enough to train for a marathon (sub 3:30) anyhow.
Has biking helped as a cross training thing for others?
Thanks!

Nov 21, 2009
Oldtimer's pt of view
by: Bob

Very touching to see the similar pains/problems experienced with ACL replacement. Mine was over ten years ago, using patellar ligament, and i wish I could say it can get back to normal--but mine never has. I'm a serious walker, not runner, but NEVER felt comfortable jogging on this thing. It is always tight, secure but pain under the kneecap, and requires frequent extension stretching to avoid limping. In daily walking it takes about 1.5 miles before it feels like the other knee (minimal pain). I really should have gone back to my Surg but moved and just haven't gotten back to another dr. Most pain is under the kneecap (I've been confident of scar tissue) but also tightness around the entire knee--does anyone use the tendon bands to mask the pain, much like a tennis elbow band? I also had injured the joint many years earlier, so that a good 15% of my meniscus was gone (dissolved, I guess) when the surgery occurred.
No regrets for fixing the joint, but it seems unlikely that a fix will last forever, or that even MY patellar ligament could completely replace the joint. The medic in the ambulance said "it will never be the same" (initial injury) and after 30 years, he was right.

Nov 19, 2009
...
by: Payton W

I play basketball in high school and I have had these same issues. My injuries consisted of a completely torn ACL and meniscus on my right knee. And on my left knee, I tore my ACL, meniscus, MCL, and LCL.

These two different knee injuries were in separate years and I'm back to playing again. I have a terrible pain all through my tibia where they took parts out to make a graft. I also have awful swelling of my most recent surgery. This information you have supplied was very useful and any more info you have, I'd love to know.

Nov 19, 2009
to Boston
by: Anonymous

boy, what did you do?
with that all in mind, 7wks is still very early. it was early with me with just an ACL tear without all that other stuff!
SO i dont think anything sounds unusual.
i am at 9mos and a pretty perfect situation (well thats relative..) and still there are things that bother me, every day. It is a long haul and the older you are, ( i never thot i was old until now, over 40, but this takes a lot longer to heal than a 20somehting)
So hang in there and i believe that moderation is key, dont hurt yourself again, stay on track and really do what they say for strengthening, and working hard on stationary bike.. swimming was and is super so when you are ready for that it is good too. my dr told me anything involving bone takes long to heal. you still didnt say what KIND of ALLOGRAFT You had. it makes a difference in recovery. mine was somebodies patellar tendon, with bone plugs on either end, so like i said the bone end into the tibia caused further trauma, and contines at 9mos to be where my worst pain is , esp since ive just had the screw out and its pain all over again to the bone, even wiht screw leaving!

Nov 18, 2009
Boston to Anonymous
by: Boston

I had an allograft, donor tissue reconstruction.
I found my MRI and can give more specific information about my injury.
JOINT EFFUSION: small joint effusion

MENISCI: complex longitudinal mildly displaced tear involving the posterior third of the lateral meniscus near the posterior root attachment. No medial meniscus tear determined during surgery.

TENDONS AND LIGAMENTS: mild substance rupture of the ACL. My posterior cruciate ligament was intact. High grade, probably full thickness tear is seen involving medial collateral ligament proximally near the femoral attachment.

ARTICULAR CARTILAGE: deep cartilage fissuring in the apex and medial facet of the patella with small flap formation

BONE: small impaction fracture in the anterior portion of the lateral femoral condyle. Bone marrow edema in the subchondral portion of the posterior tibial plateau is in keeping with impaction and contusion. Alignment normal.

And I wonder why I am still in pain after all these months...


Nov 18, 2009
to Boston
by: Anonymous

what type of recon did you have, allograft but with what type, a patellar graft, which had bone on either end w hich goes to bone, that is where the bone gets bruised, at your tibia below the knee towards the inside a bit. mine hurt there for months from bone bruising. you prob have a screw there that is contributing a bit but some people arent bothered by it but i was. the dr nothces out your tibia to put the bone plug into your tibia to hold it tight together, and then screws into it so its pretty traumatic to the tibial bone. it was place that hurt me more htan inside knee itself.

Nov 18, 2009
ACL-MCL-mensicus-torn cartilage-bone bruising
by: Boston

Yup, I tore up my knee pretty good. It has been 7 weeks since surgery and have been making slow progress despite Physical Therapy 3 times a week and home therapy. My quad muscle hadn't been able to fire until 6 weeks and 6 days, with the use of a home Neuromuscular Electrical Stimulation machine and a different therapist with a new set of eyes who suggested a couple different exercises to add to my home exercises. I still have intense pain below my knee on the inside of my calf. My surgeon in Boston mentioned that this is where the "significant bone bruising" was and could be the reason for the pain. After a day with the therapist I feel it the worst, to the point I can barely walk. The day after working with the therapist I usually do very little, except my home exercises, and this helps with walking the next day. It appears the rest is the best medicine but aggravating for someone who is active. Anyone have any suggestions on how to deal with bone bruising? How long is this known to last? I injured myself 8 months ago, shouldn't this be gone by now? I am not ruling out scar tissue either, since the pain is also in the same area as my incision with an allograph.

Nov 18, 2009
Similar Feeling
by: Miles

I had my acl reconstruction 8 months ago and pretty recently I have had some annoying issues. My knee does not give out at all, but sometimes when I make a cutting motion to the left it has a pop (almost like a cracking knuckle) and a pretty sharp pain... I feel something move, but my knee does not give out. Does this sound like scar tissue?

Also, my knee feels like it needs to pop to make the pain I feel at certain angles subside. The problem is, I can't pop it unless I make the accidental cutting motion.

I'm pretty annoyed, and on top of this the joint feels like its sliding around when I move it... It doesnt give way, but isn't as stable as I'd like it to be.

Any comments?

Nov 13, 2009
Thanks for Your Responses
by: Beth

I really appreciate your responses. It helps to know someone else has had the same sensation and that your knee is starting to feel normal again. Maybe I should lower my expectations at this point. I really feel surgeons should give their patients a more realistic picture of what to expect after surgery. My surgeon made no mention of numbness for example as a possible side effect of the surgery. I did read about it on websites beforehand but it was listed as "an uncommon side effect". But every single person I've talked to who's had ACL surgery experienced numbness!! In regards to extension, I am able to get -1 (-2 in other leg)degree of hyperextension but only with the PT helping. I have trouble getting my quad to contract enough to get full extension but I am doing exercises to improve. My PT says I have the ability but that I seem to have a mind, body disconnect.

Nov 13, 2009
to Beth
by: Anonymous

Beth,

I only had an ACL recon (pattelar graft)

I have the exact same thing, it's been 5 1/2 months for me. I told my surgeon about it at my 3 month post-op visit and he told me that, thats where he did most of his "playing" around. What he meant was, that is area where his entry point for graft was, drilling into the bone and a screw of course, for me included taking a chunk of my pattellar tendon of course.

He also said that it will take time because there is alot of nerves around there, and unfortuantely when you get the ACL recon, the tightness in that area is the cost of doing business.

It's just now starting to "loosen" up for me, it takes time (it sucks!!) but I'm turning the corner now it will happen!!!

Take care

Nov 13, 2009
to beth
by: scott

I've posted in here several times regarding the progress and lack of progress that I have had with my ACL recon. I'm at 9 months since surgery and still having swelling problems, this is new as I was getting close to a 100% 3 months ago, I have talked to my surgeon and Physio about it and they both think it's a scar tissue or cartlidge problem, I will be getting another MRI to confirm that everything else is intact.

At the 8 week point you may be a little more optimistic than you perhaps should be as the swelling in the and around the underside of your knee cap may take 4-5 months to go away. Extention should be at 100% by now, you should also have full range of motion as well, or close to it. The biggest concern with not having full extention is that as the new graft heals it has to heal straight otherwise it will heal over any swelling and you won't get full extention, this should have been one of your main concerns with physio.

I wouldn't be too worried about any pain or strange feelings at 8 weeks, there could also be bone bruising as well and that takes time to heal. Don't rush back to anything, even if you feel good, give it a little more time.

Nov 13, 2009
to beth
by: Anonymous

hi beth,
its late and i cant write much, but for a minute i thot i was reading my own entry, i had this same problem with the tightness in same area, i called it a band like you did, for quite a while.
A good friend and former ACL recon told me that will go away and it has. You are VERY early, but still not too early to be super attentive to EVERY thing you are feeling. I do believe htis will go away, but also know that it is not the FLEXION at 8wks that is important, it is the EXTENSION and you must have that where it was or very darn close, by now. ANd that means not straight but to the extension of the OTHER good knee. If you dd not take your own patellar tendon, i see you did not, then i wouldnt worry too much about that area. at 8wks, there is still just a lot of weirdness in there. MAKE SURE you have a great PT that doesnt tell you it is all in your head. Thats LAME. and make sure they are WORKING your kneecap with Patellar Mobilizations. I have a bit of scar tissue under my Pat. Tendon becuase my PT was not aggressive there. read EVERYTHING you can , on the GOOD ortho and PT sites, (not these where you are taling to people like me!!) and be your own best advocate. I do think you are early and i do know that at 3, maybe even 4 mos, i had this tight band. I am at 9mos and it is just normalizing for me in the past couple months. I didnt have the meniscus stuff but i would htink that would make things a little more complicated, too. hope this helps some.

Nov 12, 2009
ACL Surgery
by: Beth

Tore my ACL with two menicus tears in August,2009 playing soccer. Had surgery with a hamstring graft 8 weeks ago. Have had the same numbness as everyone else but it has improved and believe it will subside in time. My concern is that I have a constant sensation of a band of tightness (different from stiffness)below my kneecap which has not improved at all. My surgeon assures me this will go away over time but I have my doubts. I feel this inhibits my walking to some degree-occasionally I feel like my knee catches because of it. My PT does not seem overly concerned with this because she can get knee flexion to 137 degrees and has suggested that maybe it's all in my head. I'm thinking of requesting a MRI to rule out scar tissue, etc. Has anyone else ever had this sensation?

Nov 10, 2009
6 weeks post-op ACL meniscus surgery
by: Anonymous

Hi all,
I have enjoyed reading all the posts, this site is extremely helpful!
I tore my ACL, MCL, meniscus and fractured bones in my right knee while participating in a Jump-Rope-A-Thon with my 3rd grade class back in March of 2009. So, I am not an athlete but have been active my entire life, running, biking, weight training, skiing etc. I have always been at my ideal weight and only recently gained 50 pounds, before my injury.
I had surgery 6 weeks ago and have had a real problem getting my quad muscle to fire. The PT's are aggravated that I still use a crutch when my mandatory brace is taken off. Finally, an experienced PT was assigned to my case and asked to oversee the young girl who was watching over me since the surgery. I cannot do a straight leg lift, actually haven't been able to since May of 2009 ( a few weeks into pre-surgery PT, all of sudden just couldn't do them anymore??). I still feel intense stiffness and pain especially a few hours after PT. I have been hooked to the Neuromuscular Electrical Shock Therapy machine every time I visit and they have to crank the machine up to the highest level just to see my muscle quiver! I am not a fan of that machine lately! Now, I am being told that I'll need the home shock therapy machine for the days I do not attend the office! I cannot straighten my bad knee completely and my workman's compensation nurse mentioned that I may have scar tissue, something else that may be causing the pain. My surgeon is apparently not a fan of pain meds and will only give me Tylenol with Codeine which is not helping with the pain that I am feeling. Since I am 6 weeks post -surgery and having all these problems still, what type of pain medication should I be asking for to help with the pain of aggressive PT? I have never been on any kind of medication prior to this knee injury and I am 41 years old.

Nov 01, 2009
acl injury
by: scott

I'm not a doctor so I would hate to guess and be wrong, I'm just saying that you should have it checked by the surgeon. I've got knee swelling after 8 months and I have been following physio to the letter. I had fewer problems with swelling 3 months ago, so anything is possible. Right now I feel like my rehab is going backwards.

Better safe than sorry.

Nov 01, 2009
varun conitinue
by: varun

could the pop sound mean that i have damged my acl graft? but i havent been under heavy activities.. jogging was part of the exercise of my recovery

Oct 31, 2009
hamstring
by: scott

I'd still be concerned about the "pop" sound, if it was a hamstring tear you would have swelling and bruising on the back of your knee, it may also take a few days for the bruising to appear, but you would definatley have bruising.

I would be cautious.

Oct 31, 2009
varun continued
by: varun

i had posted earlier about a pain... but the pain had subsided automatiCally, but however i am scared to get into activities .. now att the pain has subsided could it be hamstring because i ahdnt moved my leg much..

Oct 31, 2009
Knee pain
by: scott

I would have to assume that if you have heard a pop and then sharp pain in the back of your knee that you have damaged something again. I am at the 8 1/2 month point of ACL surgery and started back playing touch football, although still running in a limited fashion, I haven't been able to make any sharp cuts, or it's more like I mentally can't, inspite of the fact that I have been doing just that off the field in physio. What has now happened is a grade 3 swelling as occured in my knee again. I am waiting to hear back from my surgeon this week to find out if it's possible that the impact of running as caused the problem, there was alot of bone brusing at the time of the injury a year ago.

Any time there is sharp pain at a surgery point it should be checked, the back of the knee could be hamstring.

Oct 30, 2009
pain in knee
by: varun

iahve under gone acl surgery about 4 months before.. one day wen i was spot jogging i suddenly heard a pop sound... and then i experienced a pain in the back of my knee....can any one tell me wat was wrong???

Oct 27, 2009
Pleaseeee help!
by: Anonymous

I tore my acl in my left knee in january of 2008 and then tore the same one in january of 2009, both while playing basketball. It has been about 8 months since the 2nd surgery and i am having a really sharp pain under my knee near one of my scars. It got really bad last week and has been there ever since. Does anyone know what it could be? And would it be worth it playing basketball this year? And are my chances high for tearing my acl in my right knee since i have torn it twice in my left?

Thanks so much for reading! I would really appreciate your help!!

Oct 26, 2009
1 year on.....
by: kaza

i had an ACL reconstruction in Sept 2008 and was really well until just over 6 weeks ago. My knee began to grind and pop and the pain on moving it or with any weight bearing is quite bad. The knee is swollen and so is the ankle. I did nothing to cause this relapse and am quite perplexed as to why i am experiencing this after such a good initial recovery. Any thoughts on this or suggestions would be greatly appreciated.

Oct 13, 2009
to Jonathan
by: Anonymous

I know it can be expensive to visit drs. but if he is your doc and you have this it shoudl just be an office visit for about $100 max? and if you have insurance? it should be a copay. Just dont let them do any xrays as they ALWAYS want to, and i just say no, we will xray if we think we need to. i thikn the xray thing is all a racquet to make more people more $. Of course there are times it is necessary but alot of what we type people go in for it isnt relevant if tendons and ligaments which yours probably is.
It is vital to see dr when it is acute and swollen. my dr always told me to go out and hurt it and then come back when symptomatic. i think the grinding sounds bad, the whole thing sounds weird. not just a tweak. you gotta get it looked at. maybe you have your old PT from ACL that can take quick look while its bad.

Oct 13, 2009
An update
by: Jonathan

The swelling increased ALOT of night however this morning it has decreased.

I can't fully straighten my leg as of yet, due to the swelling. I am using anti-inflammatory cream and cataflam for the swelling. Trying to ice it when and if I can. I don't have time for rest sooooo i'm doing everything that I can. But limited.

Oct 12, 2009
Reply
by: Jonathan

Do you mean what the surgeon used to replace the ACL? He used the tendon which runs down the knee ... or am I on the wrong wave length?

The surgeon that did the op is expensive and to be honest I can't really afford to go to him at the moment. My plan is the give the knee a rest. I dont have a game for 3 weeks so it will give me time to rest and hopefully heal. Ill start light jogging again but if the pain and or swelling continues then I will consult him.

Can the pulling feeling above the calf caused the swelling? What other problems could have caused this. Like I said, there was no poping or twists but just this dull pain.

Since the swelling my knee has started to 'grind' when it bends... Is that just the imflamation?

Oct 12, 2009
to Jonathan
by: Anonymous

You are right it sounds a bit weird, but then the knee seems to work in strange ways...it sounds like something as you describe it exactly, that SHOULD be tell-tale to a dr. A GOOD one... that is. i hope nothings up but it def sounds suspect, maybe not your acl but something else is definitely acting up.
Get the first appt available, and write back and let know what is. curious.
PS what type of graft/recon did you have.?
just curious.
Definitely you are not overreacting and what sounds like def. worth looking into and not ignoring.

Oct 12, 2009
Reply
by: Jonathan

Thanks for your reply.

Thing is I don't understand why I got the swelling. My knee wasn't hurting, it was the muscle/tendon/ligaments above my calf. Could that effect the knee and make it swell up?

Oct 11, 2009
to Jonathan
by: Anonymous

Sounds to me like you should be going to an actual DR first thing monday morning. as definitive as this sounds, and being able to SEE the area, they should be able to give you a definitive answer (should being operative word..)but i think anytime something is abnormal with swelling or acute pain i think you see a doc.
plus docs always aske after ACL recon if somehitng is locking and grabbing like yours was, so that must be indicative of something.
Good luck

Oct 11, 2009
Knee pains after ACL Const ( 2 years ago)
by: Jonathan

Hey all,

I have found this site ever so helpful to me however I still haven't had my question answered and I was wondering if there is anyone kind enough to give me some help on my situation.

Since my ACL Construction (right leg) I have had the normal pains here and there however there have been 3 occasions where my knee hasnt felt as stable as normal. In those 3 times my knee kindof 'locked' for a slpit second and then I get swelling pains. It happens when I try to stop suddenly, but like I said, usually I dont have a problem. Recently I have been getting pains just above the calf in the middle and slightly to the right. It's a mix between pulling pains and just a dull pain.

I felt it slightly prior to my hockey match this morning however after some stretching it eased. Midway through the game I started to feel the pain increasing. After the game the pains increased ALOT and now the front of my knee has swollen up. I didnt feel any pulls or strains so I just don't know what happened. I had this same pulling pain a month ago, however I wasn't playing back then.

Any ideas to what this could be...? A muscle? Ligaments? Tendons? Any help will be much appreciated.

Oct 05, 2009
swelling
by: Scott

Not being a doctor or physio I would suggest that if there is pain at 4 months and that amount of swelling then it would be worth a trip to have it checked. It may just be scar tissue or a little cartlidge that is causing the swelling.

Oct 05, 2009
Pain around scars
by: Josh

I am feeling pain and swelling (goose egg) around the scar were the pateller graft was taken. I don't know if it's scar tissue, I squat (air squats only) thats the only pian I have now, is this normal....I'm 4 months post-op

Sep 24, 2009
acl recovery
by: Anonymous

As was just stated work on the leg extention, I was instructed to start working on it the day following my ACL reconstruction. If the new ACL isn't worked on right away it won't stay straight, the full range of motion will come back, sometimes longer than expected, I was lucky in many ways as I had full range in less than a month.

My latest challenge was pain on the outside of my knee, but with the help of my physio it was determined that it was an IT Band that was too tight, after working it, and spedning time in the gym on the leg press machine the pain settled down and is all but gone.

Be patient with the progress but make sure to always be working the range of motion, even if just sitting watching tv, keep the leg active, in the long run it becomes a quicker recovery, and when you think it's good to go, take another month.

Sep 24, 2009
first weeks important
by: Anonymous

Yes you are in the hell time now, it will be Awful, like hard to make it to the toilet! for a week, then bad for anotehr week, then it starts to get easier! Yes you are right there are things to do now, and your PT should be on it, but mine wasnt, so make sure you read read read online, you can find some good Doc and PT protocols to what is expected, just in case your PT isnt on top of it.WHat i was never told, and then it was too late, is your extension is the first thing to work on, the bending comes later, (this is very general) but achieving full extension, means to the point of your other leg. I had a dr and a PT who were happy that my leg went straight, but really, it needed to go a few degrees hyperextended, like my good leg, and it didnt , and i still cant regain that.so i limp still, and its a nightmare. so exercises like heel props are to be done right in beginning. Also,dont be afraid to take your pain meds in beginning so that you can get around. i hate meds so i didtn much and the pain slowed my progress, you must just take what you need so you can get moving. just ask alot of questions and stay one step ahead. It is hard this first week as you are down and out but the first wk or 2 are very important ROM weeks, regarding extension, so be as aware as you can.

Sep 24, 2009
acl reconstruction
by: Anonymous

This is my 2nd day postop acl reconstruction with
an allograft. I was just wondering if I should be doing anything to help with my range of motion now. The pain is so bad that I can bear weight on it. Any comments will help, thank you.

Sep 12, 2009
7 months after ACL repair
by: Anonymous

I had acl surgery in february 2009, I am at the 7 month mark and have developed a grade 3 swelling and pain. I was back on skates in June and running 3/4 speed in july without any swelling or pain and according to my physio and surgeon was way ahead. At the beginning of August I was out throwing a football, wearing my brace and not using my legs to throw( no twisting or torque) and without any pain or problems, next day my knee is swollen and it took three weeks to go away. I was given the green light to start full speed running and cutting drills for football, that was a week ago, I went out for an hour and it all felt great, now I'm dealing with the grade 3 swelling and pain. Both my physio and surgeon figure it is scar tissue. It is all pretty frustrating at this point as both football and hockey have been put on hold for a year already, Inspite of being told I'm ok to do both again, I have my doubts.

Sep 03, 2009
ACL
by: Anonymous

Heyy there i Tore my ACL completly and used my Petellar Tendon for my New ACL, i tore it this year at the the end of October, and got surgery Feb 9th/09 i went Crazy with working out, Physio, all of the above pretty much im now repping 300 pound free weight squats 10-12 times maxing out on my legs, its about 6 months and a few days now. iv got back into football last week, im a Running back Linebacker/kicker...
i droped kicking cause i new it would be to much stress on my new ligament and such, but recently after practice my knee swells up a bit and my knee, right knee that is on the right side under the knee cap kinda Hamstring area hurts like hell, probly a 9 outa 10 scale. could this possibly be just lack of Hamsting strength?, or could it be look Cartledge floating around and creating problems? becuase there is alot of cracking and poping everytime i bend my knee. it dosent hurt which i think is a good sine, but could it be causeing Friction and creating kinda a Tendinitis scnario like inflimation of the joint, or am i just to pre-mature lol:P i dunno
any comments would be greatly appreciated, because i plan to go into full contact in 2 weeks. thanks...

Aug 27, 2009
7 months
by: ryan

Im coming up on 7 months, post operation( ACL & MCL tear), and i have been getting the urge to go out and do something. I have been out shooting the basketball around and doing some light jogging with it. I still dont feel 100% with cutting and running fast. The 1st day after I shot the ball around, i had some pain in my left knee but after a day of rest, the pain was gone. My question is, i have some swelling in the areas of were my cuts were made for the surgery. They feel like lumps. Is this normal? and what are some of the things that i should be able to do this far along after surgery?I feel like i hold back on dong certain things because i feel my knee wont hold up.

Aug 26, 2009
Meniscectomy post Revision reconstruction
by: Tippy

Hi everyone, hopefully someone will be able to help me!

I had my original ACL recon in 2000. had a revision reconstruction in march this year.

I now have a meniscal tear (which was present at last reconstruction but they thought would heal) that needs repair. The pain is causing the VMO to turn off and I am getting awful ITB friction (again - was present pre-operatively) so can't just ignore it and hope it heals.

Has anyone been through this?

How much fun are knees?!?!?!

Aug 25, 2009
3 months after ACL Recon
by: Josh

I just need to ask somebody who is going through the same thing.....I feel pain on both sides of my knees still nothing sharp but like achy , is that normal?

Also, my ACL feels tight still inside my knee, everytime I bend my knee it feels like its streching inside not tearing just stretching.....no pain or anything, normal?

Aug 21, 2009
to tammy
by: Anonymous

Ugh!
thanks tammy. Same, my quads had trouble firing from the initial recon, whihc we thot unusual as i am extremely active and athetic...but took quite awhile so im sure the scope would make me very weak again.
i sometimes think the firing is inhibited by the scar tissue though.... it hurts when i fire...
In any case, i am quite worried about going backwards,after coming this far...

mine is tricky because of course this year wil be same deductible on insurance, so it would be free scope. but dont want to "Pay the price!" otherwise with some new ailment!
thanks again, chris

Aug 20, 2009
To skier
by: Tammy

It is a tough call deciding whether or not another surgery is worth it, I know. For me, I was so limited by the scar tissue (limping even with ambulation) and fairly uncomfortable, so I was more than happy to have my knee scoped. It did set me back a bit, but was certainly helpful in the end. I think the biggest impact for me from the scoping was it took that much longer for my quads to begin firing and strengthening again. I am still working on that! I suspect some of the persistent knee pain was related to the scoping also. I don't regret having it done.
That said, if you don't feel like your current knee problems are limiting your activity greatly and you aren't getting a strong feeling from your surgeon that scoping would be helpful, it may be best for you to give things some more time. Hopefully, you are more patient than me! Take care.

Aug 20, 2009
from skier to tammy
by: Anonymous

Hi Tammy, thanks for response! I did have another MRI, and there were a couple suspect things, though nothing totally conclusive. First it shows that my graft(larger male cadaver graft)is very large withing the tibial tunnel.i wondered if this would cause the continued ache i have to my tibia, seemed to make sense, but Dr didnt think that was so relevent...i also though have what the reader later saw and suspect is 5mm of scar tissue at the front of the tibial tunnel, which would caues the pinching upon hyperextension... it is only suspect, i guess MRIs are not even a perfect science...i think none of this is! I still have this pinch/pain when i hyperextend or even upon walking when leg goes out. So since it may be this scar tissue, i am doubting it will go away with out further work. problem is, i do have some hyperextension, about maybe 3 degrees vs 7 in good leg, and whether this or the little pain is enuf to warrent further scoping is questionable, i could end up with MORE problems or something else weird! and i dont want to go backwards when here i am at about 90%, then i know a scope (as "easy" as they say it is) will set me back alot. (you can tell me more about that.!) BUT also, it might be great just to get back to a clean slate again. So its a tricky call. I have to get my screw out of my tibia, i think that bothers me too, but a diff. kind of annoyance there.did you have to deal with that, and did it provide relief? I agree with y ou, i have heard at least a year, even 2 to feel totallynormal, pain free. but in this case if i have a scar tissue area, will it ever go away.... i think i should wait, and see where i stand about a year from now, but had wanted to do this all in my deductible calendar year....
I do have to say, like you said, the stretching, and i have even started to run on trails, just a bit, and it hasnt seemed to hurt it any more, in fact dr thinks perhaps it will strengthen my bone (or maybe its my quads like you said) so starting that slowly has been OK, and not made it hurt anymore, even perhaps felt a little better (tho that could just be time... keep me posted, let me know about what you think about how a scope sets you back or not.!THANKS!,chris

Aug 19, 2009
reply to skier from July 14
by: Tammy

Hi,

I hope you have had some success in getting more help from your doctor since your last post. I really never had measurable hyperextension in my surgical knee after surgery (though my unaffected knee does).

I had my final postop visit with my surgeon 4 weeks ago. In response to my concerns about anterior knee pain and lateral knee pain, he advised me to stay away from activity that exacerbates the pain and give the healing more time. My therapist echoed the same for me. Everyone is different, but both my surgeon and therapist said that it can take up to one year to be pain free and feel able to return to previous level of functioning. So, I am trying to be patient and see what the next 5 months bring.

I am happy to say that some stretches I have been doing for my IT band, quads, calves, etc. seem to be helping. I also think the hiking I did was great for strenthening my quads., which in turn makes my knee feel better. Keeping my fingers crossed!

Good luck!

Aug 09, 2009
3+ years Post ACL surgery
by: Anonymous

I injured my right knee ACL playing tennis and had it reconstructed in 2005. Now, on humid / rainy days, the area where it was operated on (slighly below the knee) hurts if I walk or climb up the stairs. If I rest, it goes away. I can say because there is a slight scar still left (a thin line).
Anybody experiencing this? BTW, I'm not an athelete or sports person. I play as I like it.
Any suggestions?
Thanks

Aug 08, 2009
2 1/2 years later and still in pain
by: Mike L

Nov 2006, I took a 9 ft fall off a roof. Tore my ACL, MCL and got a couple medial meniscus tears. In March 2007, I had a complete ACL reconstruction and meniscus repair. I did the usual PT, was getting good ROM, but still had pain, behind the kneecap and at the screw site on the lower end. In June 2007, the pain had not subsided, and I was still swelling, so my OS got an MRI, and found the meniscus had retorn. Sept 07, he took me back to the OR and shaved the previous meniscal tear, removing it, and also took out the screw. He says my knee is stable, but my pain is still horendous at the screw site, behind the kneecap and at the MCL.
I have had more PT in the last two years than I care to, and here is the best part, I will never work in my previous occupation again, residential remodelling. Because of this injury, two and a half years later, I am on (4) 5/325 percocet, 1600 mg of ibuprofen and ambien everyday. I also have to ice twice a day, at noon and in the evening, and use an electronic ICT nerve stimulator, all for pain. I am getting another opinion from another OS this month, to see where it is now.
When I fell off the roof, I tore my calf on the same leg on the drip edge of the roof, and got an infection in that spot. I took 1000mg of cipro a day for 5 weeks, I cant help but wonder if that is part of the reason I have chronic pain, and if scar tissue plays a role as well. All I know is the pain is very real, and am considering a "hail mary" myself.

Jul 18, 2009
Break through pain
by: Anonymous

Break through pain during rehab may be sign of over doing it and taking a day or two off from pt or exercise helps as I saw that from my soccer buddy who had acl recon and meniscus partial resection .
Now 2 month ago it is my turn to tear my acl and partial lateral meniscus tear. Acl repair was done with parial
Meniscus resectin this happened playing soccer.
I follow the regimen my friend did since he had a great outcome two years later.
From what I saw In him you may continue to have less pain but continue to be agressive with the muscle strengthening exercise since this helped to recover fast and better.
Now he is about to run Philadelphia marathon intwo month September 20, 2009
I am agressivelly exersicing for strengthening and walking in pool for stretching. His last pain btw was 3month ago b/c of screws that are out now and he Is pain free and now play soccer again.
Have patience that everything will get better through time.

Jul 14, 2009
Reply Tammy
by: Anonymous

Hi Tammy,
Thank you so much for more info, i appreciate it. I am similar, i can get straight but just barely hyperextended so my walking is not normal.I am just getting over limping (probably just self adjusting) but i am stopping short on that side so it is cockeyed...

Did you have ANY hyperextension at all? i can get it passively pulled into hyperext. but cannot fire it myself my knee just stops at a point, and pinchs in the front under kneecap.For this reason, my dr thinks im not that bad, cause he can see that Hyperextension is there, but i know it inhibiting my movement/walk/other stuff.
pls let me know your take on this if you were simlar here.

Thanks for Dr advice. I have been disappointed with mine though he is good dr, but i think he thinks im "good Enough" I have decided i will finally go to my dr this week (at 5 1/2mos) and ask for antoher MRI. He has only recommended just scoping to fix my problems but i dont buy that, i would rather see how bad things are before he goes in, i would think thats more reasonable. (like your dr did)
ALso i am SO close to being OK that if this is something more minor, maybe there is hope.
Thanks for your help, it sounds similar!
i am in mts here, and i can do most everythign but run, and hike down, good luck with bpacking. make y our frieind carry the load!

Jul 14, 2009
To Skier
by: Tammy

Believe it or not, I was only lacking about 5 degrees of extension. It was enough that I had a limp with walking. To me, it felt like I had gravel grinding behind my kneecap. My surgeon was great about hearing my concerns and ordered an MRI at about 3 1/2 months postop. That is how the scar tissue was confirmed. Thus, the scope at 4 months postop. The scope took care of the extension issues immediately and the grinding feeling disappeared. Like I said earlier, though, I still have the persistent knee pain and stiffness which is bothersome. Of course, having had the scope only 8 weeks ago, I am unsure if it may be related to that or if it is still just a part of the ACL reconstruction. I see my surgeon for my 6 mos. check next week and will have to ask him. I am learning that finding patience is a necessary part of this rehab. process--not easy for me to do!! One thing I would say is be persistent with your surgeon and ask questions. I sincerely wish you the best! Still no running for me yet, but I am going backpacking in the Rockies next week. Should be a real test for my knee, but I am determined to do it.

Jul 09, 2009
To Tammy
by: Skier

Oh i can relate and feel bad for you.
i am at 5 mos. out and am almost always stiff and tight under the kneecap, especially after any activities that stress my knee. I tried the eliptical at around 3 mos and couldnt tolerate it. tried to jog (i am a runner also) and could go about30 secones without pain...so then tried to run on a little trampoline which didnt hurt so i went 30 mninutes and now it is killing me 5 days later...now even kicking while swimmiing freestyle is hurting it.
How much Extension short were you that you got a scope at 4 mos???i am very curious as I am
i am extension deficient also, not by too much but enough that its a problem to me. I suspect scar tissue is causing this and the tightness/stiffness and they are recommending a possible future scope. So your scope got you youre extension, but left you still with problems? that is awful bummer. how far out of the scope are you? maybe that takes alot more time too, if you are just on 6 mos ACL, coudl it be that it all is going to take more time? Pls let me know more, i am anxious to hear as it sounds very similar to my ailment. ( i wrote in as skier earlier in the thread.)
thanks alot.

Jul 09, 2009
Poat ACL recon. issues
by: Tammy

I am just about 6 months postop. I also developed scar tissue which led to difficulty with extension. I had arthroscopic surgery about 4 months post. ACL recl . to remomve scar tissue. It corrected my extension problem. However, I continue to have a lot of knee stiffness, some lateral knee tightness, and discomfort that I would rate a 3-4 on a 1-10 scale. This is on an ongoing basis, not only with activity. I can relate to what Candice posted earlier. I am a runner and have been unable to resume even light jogging at this time. It just makes the pain intolerable. Any extended impact activities or stress on my knees can't be tolerated yet. Since my insurance has discontinued PT for me, I am rehabbing on my onw, but not sure what more I can do. It has been very frustrating for me also.

Jul 05, 2009
R.O.M with Cyclops?
by: Anonymous

Cyclops, what is your range of motion..?
i think a cyclops is a pretty inhibiting formation, in the knee.

Jul 05, 2009
Cyclpos
by: Anonymous

Im having a key hole surgery in 4 weeks time after having my re-co last august...
My specialist there is alot of scar tissue that has to be cleaned out and that is keeping the pain there..He mentioned something bout cyclops!!
Thats what i have!

Jul 03, 2009
post PCL reconstrction pain
by: Anonymous

hi there!

i had my left knee PCL reconstructed last November.
it's been 7 months now i still feel a lot of tightness and sharp pain in my knee, whenever i jog, swim and especially when i bend/squat. the pain limits my exercise to a very short time (e.g. a maximum 10min jog with a lot of pain) I've stopped physiotherapy 2 months ago as there was no improvement for sometime already.
any clue what is wrong? will the pain go away in months time? did something went wrong during the surgery? please help me out. i would love play sports again someday. thanks

Jul 02, 2009
Wht to do after acl reconstruction surgery
by: Avinash

Guy's I had my complete acl reconstruction surgery on 26 /06/2009 and I m healing well doing the light exercises which my PT hd told me but didn't able to bend my operated right knee more thn 120 degree I hve acl reconstruction surgery using my hamstring graft and little menisctomy reading all of ur reviews I m worried if I will experience the same plz suggest the Do's & Dont's post surgery so tht I cn regain bck my strength I m feeling frustrated wid swollen knee & continous pain bt my surgeon told me nothing to worry as these r blue's post surgery plz guy's help me out

May 30, 2009
Excruciating pain in the side of the knee- 8 years after ACL repair
by: Raj

Hi guys,
I was in a bike accident about 8 years back where I had serioulsy injured my ACL.I was operated upon by one of the best surgeons for ACL who did an ACL reconstruction.Post physio I regained my abilities and was doing fine until a few years back I injured my ACL again. This time it was rectified with an arthroscopy.
I have been feeling fine since- only since the last few weeks I have started experiencing excruciating pain in the side of my knee. I dont know if this is a tendon pain. In the beginning it was a nerve on the side, which if touched- or if it brushed agianst something caused pain.Then the pain stopped for a few days- and I thought that the worst had passed. However since yesterday the pain has started again...and this time its not the nerve/ tendon. Its just random pain which lasts for a few seconds and diappears.

Anyone has any ideas?

May 24, 2009
exercise
by: Anonymous

of course you should consult your doctor. However, being one who was able to return to ice hockey and play goalie 5 months after acl recontruction, here's my adice.

continue to be aggressive at physio and work out as much as you can. Try biking 3-4 times a week. this helped me keep my joint stay loose. Also pay very close attention to your muscle strength in your operated leg. When i experienced pain it was due to my muscle mass not being equal to that of the other leg. Ask to have an isometric exam done which will test the strength of each leg and give you an idea how strong your quads and hamstrings are; it will help you on what u have to work out on.

keep working hard and if you continue to experience pain after working out go see your doctor of PT for advice and help

May 24, 2009
Still in pain...
by: Anonymous

Its been 9 months since my operation and still have alot of pain when i flex my operated leg around and behind my knee-cap.Also alot of pain on my ham-string!!When i extend my leg there is also a clicking sound???Can anyone give me any information on what to do???

May 20, 2009
to Bone fragment
by: Skier

So could they have seen this bone fragment wiht an xray, or another MRI? if we are at 3-4-5 mos and have weird undiagnosed pain,(that noone believes) should we look at it again with MRI before just going in?!? i hear there are different strengths of MRIs.
thanks

May 18, 2009
any suggestions?
by: kneefromhell

Ive had meniscus repair and an acl reconstruct. in two sep. surgeries within a year. I am six months out of the acl replacement and have been doing rather well. Until now.... It appears that when I am on my feet for extended periods of time ie..2-3 hours my knee begins to stiffen and swell and I begin to slightly limp. Is this normal? I also notice if Ive been sitting for periods of time ie 20-30 min and try to immediately begin to walk my knee is stiff and is painful. I have been diligent with the PT and am now on my own with it. Am I just overdoing it?

May 04, 2009
bone fragment
by: Anonymous

So I went in for my knee scope about a month ago after having some knee issues 8 months after ACL surgery. It turns out that there was some scar tissue as well as a bone fragment left in the notch of my knee cap that was preventing my leg from straightening all the way. As soon as the bone fragment was removed, I could straighten my leg. My doctor said that before he could put the ACL graft in, he had to shave down the bone. So I am assuming the bone fragments were not cleaned up as well as they should have been. He also said that if that bone fragment wasn't in there, the scar tissue would have gone away, but the scar tissue attached and grew on the bone fragment. How frustrating! But atleast I wasn't hallucinating about my knee pain and discomfort. I just need to recover from my knee scope, which should take another 2 months. I never want to go through this again!

May 04, 2009
dang . . .
by: Boondox813

lol im schedueled for ACL reconstruction tomarrow and the repair of both my meniscus in my right knee the surgeon will be using a hamstring graff and hearing you guys stories is very discouraging lmao but i guess its better to go threw the pain now since im only 24 than 20 years from now with horrible arthritis im expecting the worse in my recovery but but have been told to expect atleast 9-15 month complete recovery . . . wish me luck lol im sure im gonna need it ill hop back on here with updates and what not to share my experience

Mar 31, 2009
hoping for a "hail mary" scope!
by: Candice

I am also glad that I am not the only one experiencing a frustrating recovery!
It's been about 8 months since ACL surgery on my right knee. I had two slight meniscus tears in my knee, but my doctor didn't fix them because he said they were small enough to heal on their own. He actually tried to suture one of them up, but it wouldn't take. So for 4 weeks after surgery, I had a 90 degree flexion restriction in the hopes that the meniscus tears would heal.

Immediately after surgery, I had an annoying/painful clicking and unusual swelling on the lateral side of my knee. My PT just told me to push through it...and I did. I actually switched PTs because I moved and the new PT told me that it was okay for me to start running. I knew this couldn't be right because I couldn't even walk with a straight leg! But I tried it anyway and it was a disaster! Needless to say, I have changed PTs once again and am seeing someone who actually knows what to do! But...I have been having so much trouble with my knee lately (soreness, stiffness, intense pain), that I have decided to get my knee scoped. My doctor left the decision up to me. It almost feels as though my knee cap isn't moving properly because something is in the way. I am really hoping that my doctor finds something to fix so that 1--I can tell myself that I'm not crazy and 2--my knee can finally get better!

This has been the most frustrating time in my life. I love to run and have not been able to in forever!

Mar 30, 2009
To Skier
by: Anonymous

The pain that you are describing is the exact pain that I still have - after a 2 hr scar tissue clean up surgery. PT makes it worse and so does weight bearing. Scar tissue can do serious damage to a healing knee as I know too well. My gut is telling me that the screw in the femar is too long and that it's pinching the area on that side of the knee. Hence the longer I'm in PT on any particular day the worse it gets. Oddly enough my surgeon agree's however he's sending me to a "doctor" of PT vs just a regular PT shop to see if I can work through it to prevent a 3rd trip to the O.R. As does everyone on this chain I have been faithful to my PT and always work through the pain. I'm at a point where I want it to end - whatever it takes. Don't let your scar tissue get worse. I did and it started to shred my miniscus.

Mar 30, 2009
Re-injury after ACL reconstruction
by: Walshy

Anon.I had ACL reconstruction in December 2006 and got the all clear in August 2007.I played practically the full season without trouble until the very last game.I overstretched going for a tackle and felt a sharp pain on the right side of my knee at the back.Fearing the worst I went to see the surgeon who carried out the op.After syringing a large amount of blood from the swollen knee,he sent me for an MRI scan.The result was a great relief in that the ACL was fine.He suggested that I rest for at least six weeks and slowly start increasing my exercise.He wasn't sure why all the blood,other than maybe straining the new ligament.Still playing and only had a couple of problems in the same place since.That was a sharp pain and some swelling,which went down after a couple of days.Also get the odd clicking/crunching but I can live with that.

Mar 29, 2009
Help RE: Scar Tissue
by: Skier

I can relate to the Anon. who finally had the "Hail Mary" Scope. my drs and PTs think im nuts, cause i feel like somethings just not right. I wonder through your experience if you know more about scar tissue, can offer advice.
I am only 2 mos out, but i have hard bumplike areas, you can feel upon pressure, below the kneecap, just to the left and right of center.. Really it is just below the scope holes.But its not superficial scar tissue, i dont think, but feels deeper and harder than i would imagine Scar tissue would be at just 2mos,, its more like a round harder knuckle sized bump,the inner one is esp irritating and painful. YOu dont really notice them unless comparing ot other knee, and of course i noticed as it hurts, esp upon hyperextension, like its impinging, you feel it more when extended, it rounds out more.Plus i have stiffness often, and feel like this causes the whole knee to feel rotten.After spinning, or running in pool lightly, it feels much better. But mostly,it seems something is not as it should be and i am scared sick of another surg, even if it is "just" a scope. I wonder if it could be Cyst, bursa sack? tracking problems? hoping not worse, like i am irritating other tissues? I first noticed it acutely at 4 weeks, when i was trying real hard to gain hyperextension, it started to pinch and irritate this area. Thanks so much for any ideas.

Mar 21, 2009
Help...Re-injury after ACL reconstuction
by: Anonymous

I had ACL reconstruction carried out on my left knee in Aug 2007, after going through the process of rehab i was eventually giving the all clear from my surgeon to get back playing football after 13 months.
Around 18 month post op i was playing football on a slightly frozen pitch when i the ball had come across my body from the left which i tried to clear with my right foot however my left foot slid on the ground and wrenched my knee giving a sharp pain.

I was substituted straight away and went home. The following day I had swelling around the knee and pain down the outside of the knee. I went to see the surgeon who advised to rest for 6 weeks and see hime again. I was able to train after 4 weeks but experienced pain down the outside of the knee when turning quickly.

I went to see the surgeon again last week and he carried out various tests then recommended another MRI scan... he was relectant to diagnos the injury at the time.

Has anyone got any experience or suggestions as to what the injury may be and recovery??


Mar 21, 2009
Help!
by: Anna

I had acl surgrey 9 monthes ago with a hamstring and ever since about 2 mothes ago , i have had pain, bad swelling and i hyperextend it a lot (unstable)
I do basketball and track so I always wear the brace...
but I'm seeing my doc next week , what could be wrong? if anything.??

Mar 10, 2009
Follow up
by: Michael

So he's the deal, i had my follow up and the doctors are super pleased. The pain in my tibia is due to the metal screw. I was told some people find it more annoying than others but i would get used to it as time passes. Anyways, i'm back to hockey 3-4 times a week and the knee althoguh feels sore is responding very well.

Mar 10, 2009
5 months post-acl
by: Anonymous

I had autograft acl surgery, right knee in sept 2008. I'm 5-6 months post-op. My symptoms include stiffness in the joint area, especially when getting up in the morning, discomfort when trying to run without warming up first, and when the weather is rainy there's soreness. It's frustrating that it takes so long, but from everyone that I know who's gone through this surgery, they say you aren't excatly back until 1 1/2 to 2 years, so you need to be patient. Everyone, just hang in there. Due to the autograft surgery, I have quite a bit of varying doscomfort at the graft site area. I find I'm sore after PT, but that's apparently normal. I think everyone heals differently. The scar tissue-related symptoms I read in this forum are cause for concern. I know a lot of doctors don't like to go in unless they have to. I really think in most cases, the problems people are experiencing will just take time to resolve. Keep resting, icing, follow your PT, run, stretch often during the day, visit the doctor at normal intervals. And pray

Feb 02, 2009
Found my problem and fixed it
by: Anonymous

I'm glad to see that our feedback and experience can help others with this link. I hope my most recent feedback helps as well. 7 months post ACL recon I was having all the pain you can see from my particular string above. My 2nd MRI didn't show anything so my surgeon was puzzled and probably believed that it was all in my head. I told him that I wanted him to scope it and fix whatever it is that he found no matter what it was. He called the scope a "hail mary" because the MRI didn't show much and he was perplexed. Well I had that scope and additional surgery last Friday. Turns out that I had so much scar tissue that he couldn't even get his scope instrument in at his usual entry point. I saw the before and after photo's and I was shocked to say the least. It took him almost 2 hrs to get all the scar tissue out because there was so much. In addition all the scar tissue that was causing my knee to not glide property (that's what was causing my pain)the scar tissue was also shredding my miniscus. It looked like white seaweed floating inside my knee on the picture. I was walking around and doing agressive PT all the while I was shredding my miniscus. I was walking again the day after surgery and even though I still have pain from his knee root canal there is a major difference this time and I finally feel like it's going to get better now.
Don't ever stop questioning and educating yourself. Had I not pushed my surgeon to do that "hail mary" I would have had major issues with other parts of the knee. This scar tissue wasn't around my scar and I never slacked during PT. I was faithful and commited to rehab always. Why the MRI didn't show much who knows. My surgeon said that I made his record book with the amount of scar tissue that formed in only 6 months despite all the rehab. Like many of you my rehab initially went great and I got stronger ever day. I hit a plateau though and as this scar tissue started to form I worsened my situation. Scar tissue can form at any part of the knee and can cause a ton of different types and area's of pain. I hope this helps those who find themselves in the same place as I was. I'd be glad to answer any additional questions.

Feb 02, 2009
Tibia pain after ACL rehab (5months)
by: Michael

"In addition to the left side knee pain where it feels like the screws are going to be pulled out of my bones when it bends with weight"

I'm 5 months after acl reconstruction; hamstring graph( althoguh i did have grade 3 tears in my mcl, lcl and 2 tears in my meniscus). I had all my strength back 4 months after surgery due to a 4 day training routine. And i was cleared to start light hockey(goaltending for this month ( 5 months after surgery). i have noticed too that i have a slight pull on where the screw was placed in my tibia. is this normal? i have an appointment coming up march 3rd so i will fill you all in. but other than the tibia pain at the place of the screw my knee plays very well in goal... As for all of you who worry about the swelling, well we've all had massive surgery so u should always ice after you stress your knee and live off of advil. IF the swelling is followe dby intense pain, go see your doctor

Jan 01, 2009
Still pain 15 months post ACL
by: Infected Knee

I had ACL reconstruction (hamstring), lateral release, and meniscus repair 9/07. I constantly felt that something was wrong. PT wasn't going as I thought it should and I was badly bruised and swollen. 3 weeks post I had finally had reached my limit. I called my Ortho Surg. and said I had to come in and something wasn't right (he had seen me one wk prior and said everyone heals at different rates). I went in and he drained fluid from the knee. Feeling that I had some type of infection I was taken back into the OR that night for an irrigation and debridgement (clean out) of all scope wholes and cultures were taken. The graph appeared in tact. I spent 3 nights in the hospital where a PIC line was inserted so that I could continue on IV anti-biotics for 6 weeks (at home). I was treated for 3 different types of bacteria, 1 being a staph. I was infusing drugs 2-3x/day and change drugs several times due to sensitivities and problems w/white counts. I returned to PT (after the I&D) right away and continued thru 5/08.

I have discomfort every day. Stairs are difficult and I have significant stiffness. If things continue as they areI don't see how I'll ever play tennis again.

I haven't returned to my Ortho Surg since he released me in 5/08. I wanted to give it the 1 year that everyone says you need. That being said, I'm going for a 2nd opinion. I need to get a new perspective. I was the first infected ACL that my Dr. had.

I need to have an unbiased person tell me if this is the best it's going to be....I really think I need an MRI to show what's going on. Scar tissue? Residual issues from the infections??

Dec 29, 2008
ART and massage
by: Anonymous

I've also had ACL reconstruction and meniscus scope (August 13 2008)and am continuing with rehab (tore it playing ultimate frisbee). I had hit a plateau and was told to try massage therapy and ART (active release technique) as everything was soooooo tight. Have any of you tried it? My muscles and ITband feel a lot better and it's making everything around the knee feel a lot better. My physio also does some manipulation of the knee (mostly knee cap) which also helps. I've also been told to ice and heat which I do at night before going to bed - this also seems to help.

Finally, my friend had suggested that I exercise everyday. He did that after his surgery, and when he would miss a day of bike riding, he would feel pain in his knee. After nine months of that, he felt a lot better and was able to return to all sports.

Dec 10, 2008
Regarding Hip Pain
by: Anonymous

On Dec 12th it will be 6 months since my ACL surgery. In addition to the left side knee pain where it feels like the screws are going to be pulled out of my bones when it bends with weight I also have hip popping and lower back pain that keeps me awake 1/2 the night. Saw my doc yesterday and he's going to go back in to scope the knee and fix whatever my issue is. He saw nothing on the 2nd MRI. Once I'm out and know what's going on I'll let you know. I will tell you that he spent a lot of time yesterday with a ruler on the xray screen looking at the alignment of the hardware. I feel 100% confident in him as he's the best recommended and experienced surgeon in MD so a 2nd opinion is not something that I'm going to get unless the insurance co makes me. Hang in there. I'll let you know what's up once he's back in there and I'm done and fixed - at least I hope.

Dec 10, 2008
fyi
by: Anonymous

Everyone heals differently. I was on both crutches for 3 weeks and then on 1 for only 2 before walking on my own. I've met folks in rehab who are completely off crutches in 2-3 weeks. Just follow your PT's instructions and keep positive. With an ACL you don't see results daily. You see results in weeks at a time.

Dec 09, 2008
right knee acl surgery post 3 weeks
by: Christina

Listening to the stories so far are comforting because I tore my acl for the first time three days before my first basketball game of my sophmore season in college. So far everything is going great. I have had a very aggressive rehab and although it has cause me pain and made me cry several times i am happy that i am progressing so fast. I just was wondering how long did take everybody to be able to walk regular because my other knee is starting to hurt from compensating all my weight and not being able to fully straighten my leg. My PT is doing a great job of doing patella mobes and friction massage to keep me from scarring down. If anybody else is going through this just know that everyday gets a little easier, and am confident that i will come back stronger.

Dec 09, 2008
hip pain
by: Anonymous

Had ACL reconstruction 14 months ago plus lateral and medial menicus removal having pain in hip and lower back plus leg going numb should I expect it to get better someday

Dec 09, 2008
Any thoughts
by: Anonymous

I had my follow up again yesterday with the surgeon. It's been 6 months since my surgery and I'm still having unusual pain. The left quad is only 3/4 of an inch less now then the right leg so it's getting stronger. The pain behind my patella when the knee is worked is not getting better. He took Xrays yesterday and said that he couldn't see what's causing the pain. I had 2 options. 1) continue with PT to see if that extra 3/4's of an inch of muscle eliminates my pain or 2) have him scope the knee to see if he can find/fix whatever my issue is. I elected the scope because I'd rather be fixed sooner than later. He spent a lot of time with a ruler aligned on both grafts when the xray was on the light. He says I could have scar tissue on a graft that he can't see that is causing my pain upon the knee being bent with weight on it. This pain is much worse when I squat. Being a lady you all know what I'm talking about. It's a sharp burning/sharp pain in the center of my knee behind the patella. I'm hoping that he can find something in there during scope to fix this. Any thoughts on what this pain behind the patella may be. I thought it may be the knee cap but its behind it.

Dec 07, 2008
taping
by: Anonymous

I wonder if a second opinion might be helpful.

Knee cap pain is not always easy for OS to diagnose.

If you can examine your knee cap to see if it is micro traveling, (minor subluxing), you might find that it needs taping for a few weeks to stabalize. Sometimes during surgery the medial ligaments can get stretched and that can cause the knee cap to move around, thereby producing abnormal friction.

That friction...can cause unbearable swelling in the joint and pain. It would really be no surprise that only YOU would be able to determine that.





Nov 24, 2008
Pain - 6 months post op
by: Anonymous

Well, I had a 2nd MRI done and the surgeon says that there is minor (not enough for clean up surgery)scar tissue - no issue with my patella tendon but my pain is still there. He gave me a shot of cortisone, told me to take a few weeks off of rehab and then restart last week which I did. The PT has isolated my pain to behind my knee cap which is really bad when doing much of anything that requires me to stand on 1 leg, walk for any length of time or bend the knee with weight on it. It's isolated behind the knee cap and they say that its in the joint. The pain is very sharp (like an ice pick constantly in there) and it lasts until it's iced down. I was doing more and better PT prior to this. Nobody seems to have an explanation but I see the doc again at the beginning of DEC. Does anyone have any thoughts? When the knee is put into action the pain is horrendous and the PT lady has to stop rehab and ice it down.

Nov 15, 2008
8 mos. post-op -- new pain...
by: Nina

Hi -- It's such a relief to find this string -- I have been feeling really alone with my ACL woes -- they seem too "minor" in these times of great anxiety to complain about, but I am worried. I had ACL repair (allograft) mid-March, 2008 -- famous, terrific NYC surgeon; great PT -- am an extremely fit mother of four who never had any trouble recovering from previous (albeit less serious) injuries. Initial recovery was amazing; I am compulsive about exercise and couldn't stand the down-time, but I did as my PT suggested, and after 10 weeks was able to start jogging on a treadmill, gradually building up to running (again, treadmill). I had been working on the stationary bike previously, followed by the Stairmill (the one you climb like an escalator); I also am an avid and advanced student of Pilates, which was incredibly helpful in my recovery. But suddenly, about six weeks ago, I felt my knee swelling, aching and bugging me again. Crouching down was uncomfortable and/or impossible; previously, flexion had been 100% w/o problems. I have continued running for 20 minute spurts on the treadmill, followed by time on the Stairmill. Doing this four times weekly; Pilates twice. As a person who was once very overweight but has managed by exercising regularly over the past 15 years to completely change my body, I am terrified to have to stop working out. Does anyone have any idea why the swelling/pain/inflexibility might have returned? I did not increase my training intensity when it happened. ANY advice would be so helpful. My insurance will possibly cover more PT if I go back to my surgeon and he writes another prescription, but I'm not sure that PT is the key, since it feels like either something else has gone wrong in the knee or I've somehow managed to mess something up. Help!

Oct 21, 2008
Update
by: Lourdes

Well I asked for my surgical report and it seems that all was well except for my ACL (obviously , hence the surgery). My doctor told me that when they perform that surgery that other areas are distressed and can cause pain in other areas around the knee. Some people recover quicker than others. My frustration seems to have a light at the end of the tunnel. My therapist has been taping my knee so to readjust my knee cap. It is working. I can walk better and the click and pain is slowly diminishing. Although it has been over 2 womths i still ice my knee twice a day with my leg totaly extended ( pillow under heel or legs hanging off bed) this too has helped a lot. It seems that because I have overworked myself since my surgery I still have some inflamed areas. Just wanted to add this input hopefully it will help someone. as i have been well informed by this forum.

Oct 20, 2008
Ugh
by: Anonymous

I recently fell into some trouble too with my new acl. I hkinda got it stuck in the ground and it fell kind of funny for a split second. Not it has 95 % ROM and some clicking but other than that i have full strength and stability. A little pain on the outer part of the knee. Im praying that its not torn again. Ive been researching for the past couple days now to find anything but i cant find anything specific. I dont think yours is too serious if those were your results after a week or however long. ACL surgeries are hell and i would never wish them upon anybody so hope everything turns out ok.

Oct 16, 2008
ACL Response
by: Lourdes

For the ( I wonder if my Pt is pushing me to hard)

I have heard and had both easy therapy and very aggressive. The easy is worse for us than the hard. When I went to the more laid back therapy for my ACL Recon. My recovery was going sooo slow. When I started the Aggresive one it went much quicker and got more results. Another thing The weather where I live has been fluctuating (Miami Fl) it has been humid and rainy some days and then nice and breezy others. The humid and rainy days are a killer on me knee I always thought this was in a persons head but I take it back so those with pain still (as I am going through this) consider this. My PT told me that I may have developed tendonitis because I was so scared of stepping correctly on my left knee that I may have injured it a bit. I am know expereincing bruising on the right side and underside of the knee. I may have had blood accumulated in the bone that finally seeped out. There are so many senarios but i have heard that this is a very painful and long recovery. I persisted enough because I was frustrated to see all these other ACL patients doing better than me. but There seems to be hope.

Oct 15, 2008
Help
by: Erin

Wow, I am going through something so similar. I had acl reconstruction on my left knee three months ago. Since then, I have had constant pain in one specific spot. The pain has been a constant 3 on a scale from one to ten. The doc says that this is not normal. Then two days ago, I tripped and the now the same exact pain in the same spot is there, but it is a ten out of ten. I am so upset. I am going for an MRI tomorrow but I am terrified of the results. He is either going to say that everything is fine- which is still a problem because I know this much pain cannot be fine. Or he is going to tell me that something is wrong. I just don't know what to do.

Oct 15, 2008
Response to pain after 4 months
by: Anonymous

I was unaware of this. The surgeon said that there was no other damage when he was in there the first time or he would have fixed it then. I go this Fri for MRI. I'll post his results after his appt and if I don't like what he says I'll ask for that report. I'm wondering if my PT pushed me along too fast. I'll post results here. Good luck on your end as well.

Oct 15, 2008
response to pain after 4 months
by: Anonymous

I am sorry you are going through this but I feel better hearing that I am not the only one. I have an appointment with my doctor tomorrow to check on not being able to walk still I hope I get useful input. You might consider asking for surgical report. It turns out my pt told me to ask for it because the pain that iexperience which is not in my scar area might be a medial meniscal tear that i was unaware of and might have been tampered with during the surgery. Let me know what your MRI sais any bit of info helps. Good luck

Oct 15, 2008
Knee pain after surgery
by: Anonymous

I had cadaver ACL reconstruction (full tear) in June. 4 months post op and very involved in PT and I'm going in for another MRI Friday. My issue is I'm not progressing and seem to have hit a plateau. I have bad pain when my knee bends slightly, going up or down the steps or walking for an hour or more. I was committed to rehab and the muscles are continuing to strenghten. Sometimes the pain is so sharp it feels like an ice pick is going up or down my knee. The pain is not where the scar is. I'm getting very frustrated because the pain that I had when golfing is gone but this pain is new. My surgeon says it could be scar tissue on the graft or bone that grew too much over the screws. Any thoughts? I am very frustrated and want to get back on the course.

Oct 02, 2008
Pain after ACL reconstruction
by: Lourdes

This might be a premature comment but I am so frustrated I just don't know what to do and reading these stories is making me wonder if having the surgery was a good idea. I had 2 acl surgeries. right knee partial tear 2 weeks I was good to go. minor pain here and there no big deal. 2 weeks after this surgery I had a complete ACL reconstruction of my left knee with corps acl. I know it has only been 2 months since my surgery but I still cannot walk correctly (i can extend and bend my knee 100 % with some pain) My problem is when I walk and put my weight on my left leg i cant bend it. it feels like it is about to lock and it hurts. My PT SAIS I should not be going through this by now but I do fell a lot of pain behind my knee and have the clicking as well. If you get an answer to your problem or if anyone has some hopeful words or concerns please let me know. This has been the most frustrating time of my life honestly WORSE than giving birth.

Oct 01, 2008
pain behind the knee
by: Anonymous

My reconstruction was with a hamstring graph. I also had the meniscus repaired. 7 months after the surgery, i had pain in the back of my leg (behind the knee). i had an arthogram (mri with dye injected into the knee joint) done and it identified additional tears in the meniscus. I had another surgery to repair the meniscus. The pain in the back of knee has not gone away. I've seen three doctors and 6 physcial therapists. No one knows what's wrong. I decided to search online, which is how I ended up here. Any advice would be much appreciated.

Aug 14, 2008
It could be from additional pressure...
by: Bart - SII

Or it could just be that your knee, because of the lateral meniscus tear, is simply in a constant state of irritation, and the pain is simply presenting on the medial side now.

Referred pain is very common with orthopedic injuries, and often when the pain presents in one spot, it doesn't necessarily mean that the damage is in that exact spot, but perhaps in a surrounding area.

Good luck with your upcoming surgery!

Bart

Aug 14, 2008
LATERAL MENISCUS TEAR
by: Anonymous

I tore my lateral meniscus back in may. I am scheduled to have surgery in september. Since I last saw my surgeon I have been experiencing medial pain now. It is nothing that is real bad, but when i try to run the medial and center of my knee starts pounding and hurting.

I want to know if this medial pain could be caused by more pressure being put on my medial side, from the uneven weight distribution caused by a lateral meniscus tear?

Aug 14, 2008
Give it time
by: Anonymous

I had the exact same surgery done in December of 06. I have the very same symptoms that you are experiencing. Post surgery I was freaking out as I am a very active athlete as well. I was sure that I tore my new ACL. After going to the doctor I had an MRI done. Turned out that I had scar tissue that developed on my tendon which was causing some of the irritation. This was diagnosed a year ago. I have not had it removed yet and wont unless it get really bad. After about a month of riding the bike at the gym I was about 100%. I kept wakeboarding throughout the summer(this is how I tore my ACL btw) but I made sure to wear my knee brace(Donjoy) also I did a lot of leg exercises at the gym, making sure to go very light and isolate my left and right legs. If you take care of your knee the lateral pain should go away along with the swelling but make sure you do some more PT and continue wearing your knee brace during the season. If it continues to bother you after a month call your surgeon/doctor and setup an appointment for an MRI. I can say that about 1 1/2 years post my knee is getting closer and closer to 100%. Just give it time.

Jul 03, 2008
What should I do?
by: Anonymous

First of all thank you for responding so quickly and yes, this does help. My first setback (the one with the swelling, instability, pain, etc) cleared up after roughly a week of rest and everything except for the lateral knee pain has not returned. So do you think that something more serious could be going on still? I also had my knee checked by my PT who said everything looked good and after the swelling, instability went away I was able to return to all activities with no hesitation. So now the only thing stopping me from feeling close to 100% is this lateral knee pain which is quite bothersome some days and others it is okay. So if I could get this lateral knee pain to stop I would be off to the races. So with that being said what would you recommend I do? How can I make my IT band not so tight? How can I reduce scar tissue? Should I be stretching my hips and lower back more? Thanks again!

Ps – Could my meniscus on the lateral side be causing this pain since I had it repaired back in October?

Jul 03, 2008
Two things concern me...
by: Bart - SII

Sorry to hear about your setbacks - two things from the information you provided concern me...

1) The fact that you had a lot of swelling, similiar to what you had immediately following surgery - this suggests that you had a joint effusion, or swelling inside the joint. That usually means that something inside the joint is damaged or irritated - could be the meniscus, the ACL graft, the joint lining, the articular cartilage, etc.

2) Your knee felt unstable. Feelings of instability are usually not a good sign after an ACL reconstruction. It could be from the swelling and muscle weakness, but it also suggests that there could be something more serious going on. Menicus tears and graft migration / failure can lead to instability.

These two things lead me to wonder if you have something going on inside the joint - if you were my patient, I would probably send you back to the Dr. for an evaluation, perhaps an MRI.

With that said, the clicking and pain could be caused by your IT band where it attaches to the fibula/tibia. This is an area of friction, especially when the IT band is tight.

You could also have some scar tissue buildup left over from the ACL reconstruction that is being irritated. This is very common after ACL reconstructions.

There could also be some mobility issues at your hip and low back that could be causing increased stress on the IT band insertion and the lateral knee.

It is really impossible for me to give you a definite answer without being able to evaluate you. I would recommend talking with your doctor though, if nothing else just to make sure that they aren't concerned about some type of intra-articular pathology.

Hope this helps - comment back if you have other questions.

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