Surgery or Wait and See ?

by Rob
(Los Angeles)

Completed my first year of BJJ and I popped my right knee while controlling an opponent during live action. I talked to my sports surgeon and he read the MRI as a torn ACL, still w/swelling after two months. I saw the MRI and couldn't see this tear.


He advised me to strengthen the muscles around it and I might be able to avoid surgery. Compared to my opposite knee, surgery will only stabilize my injured knee one millimeter more. Hardly a difference, but instability and the thought of further damaging it concerns me greatly. Recovery time estimated at 12 months.

I haven't been training since I cant fully bend my knee rearwards/behind me or sit on my heels without pain. So some positions would be hard to get into at the Academy. I can't tell until this pain subsides, and (it probably will in a few months) what my limitations will be strength wise without the surgery.

I have some instability and it catches and it pops. My question is this: Does anyone think i can still maintain full strength/motion while grappling and avoid surgery ? lets face it i am not playing soccer or cutting up field with a football. its grappling. But i don't always want to be at a dis-advantage. Any thoughts or similar situations?

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Oct 23, 2015
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Please wait NEW
by: Bruce smith

I think it will be better to wait some more days before going into surgery option. It may also cause due to slight neuro problem. So try to consult with an neuro expert who can provide a better suggestion.
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Oct 22, 2015
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Nice Post NEW
by: dissertation proposal writer

Sports injuries are injuries that occur in athletic activities. They can result from acute trauma, or from overuse of a particular body part.

Oct 21, 2015
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Dental Health Care NEW
by: Anonymous

Surgery is the last option when all the other options do not succeed. You should also wait for Helvetic Clinics and dental care in Budapest some time for the wound to heal. It is in the interest of your body for a longer time period.

Oct 09, 2015
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yeah NEW
by: Anonymous

Really i appreciate the effort you made to share the knowledge.The topic here i found was really effective to the topic which i was researching for a long time.
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Sep 16, 2015
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great post NEW
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buy essay writing online Thanks on your marvelous posting! I certainly enjoyed reading it. I will remember to bookmark your blog and will eventually come back from now on. I want to encourage that you continue your great writing, have a nice day!

Sep 16, 2015
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great post NEW
by: Anonymous

I am very happy to read this. This is the kind of manual that needs to be given and not the random misinformation that's at the other blogs. Appreciate your sharing this best posting.
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Aug 26, 2015
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good post NEW
by: Antara767

I think you must wait because your injury in not in condition of surgery. I believe this kind of surgery recover without surgery and taking the medicine and routine check up and full care. any way, I try to find best essay services review but i think it's best site about injury and recovery.

Dec 30, 2014
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Yes to Surgery
by: The CORE Institute

It is possible to avoid surgery however to truly get your strength back and to prevent future injuries surgery might be the better option.

Dec 23, 2014
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Get the surgery
by: Anonymous

I was at the gym with my post acl surgery brace the other day and was speaking with a guy who was telling me about the three knee surgerys he has had with one of the acl tears occuring when he was in BJJ and had a guyd in a body triangle and blew the knee out. I am a police officer and my surgeon said if was gonna be wrestling guys i needed to have the surgery. May feel ok now but if the MRI says its tore then I think your asking for trouble. I've read a ton of stuff about acl tears and waiting sometimes years while still being really active to be told that they really damaged the knee and have to either have microfracture or knee replacment. The younger you are the faster you heal

Jan 03, 2013
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Correction
by: 2012 - 1 win 2 loss Senior II white belt

Rob that is. Keep at it Rob and good luck. To you too Bart.

Jan 03, 2013
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Recommend the Surgery
by: 2012 - 1 win, 2 loss, Senior II white belt.

Keep at it Bart. I'm 44 and will be having my ACL reconstructed next week due to an injury suffered in training. Competitive BJJ puts a lot of stress on the knees and other parts. That instability could lead to more severe injury with a longer rehab time. I'd get that surgery out the way. Best of luck.


Oct 20, 2012
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High school wrestler
by: Micah

Hi my name is micah im a high school wrestler. While i was wrestling a guy i felt a sudden shift in my right knee so i went to the hospital about 2 hours after practice cuz my knee looked like it had a whole nother kne cap on the side so they did an aspiration of my knee and said i have a ganglion cyst. I mnee it wasnt a cyst so i went to my physician had him send me to a specialist and even he thought i needed to see a specialist and though it was my acl. So i get a ct scan after 4 months and he tells me that it healed. I knew it was t so i had him send me to arrowhead and finally got an apointment with a specialist there 6 months after my injury. He intantly told me i had a torn acl and miniscus and did a bunch of tensts and stuff the other doctors didnt do and not im geting surgery on my acl and lateral miniscus. Point being. Every single specialist and dr has told me i can try to avoid surgery by buildin my muscles but it will only cuz athritis within just a couple years and it will only cause pain the rest your life. They have me building my muscles before surgery so i get a faster recovery and stronger recover cuz ill have strong muscles then 9 to 12 months of physical therapy after surgery. Im also doing physical therapy right now for about 8 months. So id get surgery. Its worth it and its pretty much the only option you have if you want your knee to get better

Jan 04, 2012
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Update:
by: Rob

Thank You Bart for the info.

Just before Christmas the pain in my knee subsided and i am able to bend it rearwards and almost sit on my heels now without discomfort. Three weeks earlier on my Professors advice i got a strength resistance band (xertube)and started working out my knee. And now i am riding the bike at gym. My knee feels good but it does catch and pop. it doesnt feel unstable in any direction but i wouldnt sprint or jump off of anything either.

When i and if get the green light in Feb , i am back at the Academy learning, but with the knowledge of my injury i will modify my game. i am thinking that i must protect it with a soft brace and if i feel my knee is compromised, i will tap. Also i will change my takedown methods and go for submissions quicker.This will all depend on how i feel and move getting re-started. cautiously. i am 46 years old, I will get my Blue belt in a few months and when that happens i will evaluate the option for surgery.

Dec 21, 2011
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Are you unstable right now?
by: Bart - Sports Injury Info

How often are you having issues with instability? And what activities bring on the instability?

The primary reasons for having an ACL reconstruction is to re-establish the normal mechanics of the knee to prevent episodes of instability, or the pivot shift. This places a great deal of sheer stresses on the meniscus and articular surfaces, and is what leads to earlier degeneration of the knee joint. The pivot shift usually occurs with cutting type motions, however, depending on how well your muscles dynamically stabilize, a pivot shift can also occur with just walking.

If you are having persistent swelling, that will limit your range of motion, as the swelling distends the knee capsule and causes pain with full flexion, as well as altering the muscles resting tone in a protective "spasm". The underlying question is what is causing the persistent swelling.

It is possible to return to full strength after an ACL tear, and if you are not doing cutting type activities, you may be able to avoid pivot shift types of episodes, depending on how well you can train your neuromuscular control. Grappling is going to get you into positions that may be stressful on the knee, so it is hard to know how you will react.

Ultimately, an ACL deficient knee, in my opinion, is a knee that is going to continue to have problems, and may always be somewhat "disadvantaged" for someone who wants to lead an active lifestyle. I'm guessing you are fairly young, so an ACL reconstruction might be a good idea. But, if you can avoid the surgery and be able to do everything that you want and need to do, then that may be good as well.

Waiting to see what your limitations are once you recover and can start training may give you the best information on what course of action you should choose.

Hopefully others will comment with their experiences.

Bart

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