Thank you! It is hard for me to communicate here but I’ve been told to avoid the surgery as long as possible if my knee is stable. We are unable to recommend surgery or PT without seeing the imaging of your knee. Specialist said i tore my ACL. My knee is very swollen now and feels hot. …. If you are concerned, consider getting a second opinion for treatment options. I would recommend reaching out to your orthopedic surgeon again for an evaluation. After seeing the surgeon he informed me that the ACL was about 80% torn and that I should have it and the meniscus repaired. They typically have a protocol in place for optimal recovery. I had my acl and meniscus repaired 18 days ago. Doctors give unbiased, helpful information on indications, contra-indications, benefits, and complications: Dr. Dunn on scar tissue after acl reconstruction: An acl revision is seldom as simple as a first time acl reconstruction, so rehab would often be a bit more guarded. Exercise and movement are crucial during this time. Come to find out he was getting surgery the next week to a completely torn acl. After 8 months i realised and felt that i need to do an MRI and the results , complete rupture of ACL , medial meniscus tear , some cartiladge problems . These would be good questions to ask your doctor, including where you can find knee strengthening exercises. I think this is due to the brace? What does this mean? What should I expect on my comfort level? Saroj, They may be able to adjust the brace. The process also can cause your muscles and connective tissues to shorten and harden (called contractures.). Travis, If you are limping, continue to have knee swelling, knee stiffness or locking, then I would recommend a follow up with your orthopedist. Always double check with your surgeon’s office though. 2017;32(8):2604-2611. doi:10.1016/j.arth.2017.02.005. Had MRI done yesterday. To confirm the diagnosis and get a feel for the extent of the problem, you'll likely be sent for magnetic resonance imaging (MRI) and X-ray. All the best. Excess scar tissue, layers deep, can significantly reduce function and movement months after surgery. Hello. At 3-weeks post op, your knee should only keep improving. Try to get it taken care of as soon as you can. Hi – can I ask what you ended up doing? Hey I just had surgery for my ACL (brand new they used my own parts to replace) i also had my meniscus fixed.. my MCL fixed.. we drove home after.. about 4 1/2 hour drive. Additionally, my knee and foot are still quite swollen. ligament. Hey, just had my Acl and meniscus repaired today. Thank you. I’m having same issue acl surgery 2 weeks ago can’t fully extend and can’t bend past 90 degrees. I would recommend that you follow up with your orthopedic surgeon to discuss treatment options for you. It's typically performed arthroscopically (with small incisions). Could I be damaging my knee in any type of way or am I just being paranoid? If you are concerned about your range of motion I would discuss this with your physical therapist. This is usually the case with minor tears though, whereas full ACL tears almost certainly require surgery. Ziauddin, It’s uncomfortable. If that doesn't solve the problem, then you have the option of two common procedures: manipulation under anesthesia or surgical removal of scar tissue. Get the MRI. You may also be referred to physical therapy to improve your use of the joint. Hey..I too had gone under the same surgery…How are you now with ur knee?? I had the same thing happen when I tore my ACL. John Flint. Learn what to expect during your ACL reconstruction. I have been following their programs and what not. It takes time and consistency. (: My dr told Me I was fine a week later I went back he order an MRI and then call saying you really mess up your knee ACL and I ask him then why didn’t you listen to me the first time he said he not an orthopedics ‍♀️ Just had ACL surgery. I’m concerned I may have retorn. The surgery I consider to have been successful as I have no problems with stability. Like other types of scar tissue, scar tissue in the knee is a bundling of collagen fibers that develops during wound repair. If you are concerned about your swelling or range of motion, I would recommend discussing these concerns with your orthopedic surgeon and/or Physical Therapist. You'll likely be advised to start gentle range-of-motion exercises to increase flexibility. I am taking good care to avoid such knee unstable causing actions now and doing all of my daily routines without any problem. Pin is not attached to bone and there is no screw in lower bone . It can only happen when the patient does not do proper exercises and knee become stiff. I only have pain when I sleep. If you would like to speak to a doctor about your questions, please call our office @ 435-615-8822. Luckily, all but the most severe MCL tears are typically treated (just a btw, I’m a 19 year-old male athlete, if that info means anything). Pain in the knee can have multiple causes. MRI shows, Torn MCL don’t know degree, ACL graft is torn. Abhimanyu, If you are worried about your recovery after surgery you could also consider getting a second opinion. That being said, if you feel your pain is severe or intolerable, you should contact your surgeon. Is it because I’m pushing myself or is there any other reason. I’m so worried about it. If you are having stiffness or pain after surgery, I would recommend following up with your surgeon. I contacted doctor and went for MRI scan. Mild swelling is typically part of the healing process, as it is a sign of inflammation. Your Physical Therapist can also guide you through safely returning to sports. Post MRI, I found it was complete tear of ACL , Grade 1 tear in PCL and LCL. I’m in my early 50’s. I am having trouble sleeping. Question is should I keep trying daily to bend knee as much as possible. I had to call the doctor after 4 days to get more. According to current diagnostic criteria, arthrofibrosis can be diagnosed when the limited range of motion in the joint is persistent despite conservative treatments., However, some researchers question whether this is a valid criterion because some confirmed cases have involved minimal range-of-motion loss but have still been considerably painful and disabling.. Stretching just seems to make it worse. Do I do specific exercises to strengthen the muscles and ligaments around the knee? I did acl reconstruction and meniscus repair and its already been 2 and half months. Its been 1 week in now after surgery and I can honestly say that post op was the most extreme pain I’ve ever experienced. I can walk around but can’t do running. My thigh muscle are too weak after acl reconstruction surgery it’s about one month my doctor suggest me don’t do exercise till one month. If you have any questions or other concerns, I recommend you see an orthopaedic surgeon. I am 3 weeks post-op and I am getting very concerned that something is wrong because I still can’t bend my knee more than ~40 degrees. Last week I was on a 13 mile hike and half way I felt a pop, crack lots of pain in my right knee. The ACL stretches diagonally across the middle of the knee and helps with rotational stability, as well as controlling the back and forth motion of the knee. I am convinced that I tore my ACL but am being treated for a torn meniscus it has been two months since my injury happened what are my chances of recovery no surgery was performed only days no MRI pain is excruciating at times. After 4 months of physiotherapy it got better . I am so torn as to what to do, but have been advised that getting the surgery now is better as I’m not getting any younger and will likely cause issues down the road anyway and better to heal when you are younger than older?! Elsevier; 2017. In many cases, prescription pain medication can be supplemented and/or eventually replaced with over the counter NSAIDs, such as ibuprofen. Unfortunately, sleep disruption after ACL surgery is common. Do I need surgery? Arthrofibrosis used to be much more common after ACL surgery when doctors used to restrict patients' mobility to allow the ligament to heal. When it forms in abundance, it can bind down the joint and prevent the normal range of motion. In my acl reconstruction surgery Only one pin is visible in one month post operative x ray . I am 58 and in physical condition. This gives the joint time to heal properly without stressing your newly-fixed And, is it alright to leave Ice Machine on ALL the time? Some surgeons will recommend full weight bearing (with the brace locked in full extension) within a few hours of going home. Marissa, In the last 2 days I’ve felt a sort of stuck feeling, (like when my knee would start to lock up when I first tore my meniscus) when I do flexion exercises. I’m scared that I won’t regain it. Please advise your recommendation. Beginning a PT program can also greatly help you regain mobility and strength after surgery. I did everything as instructed. I Have a 1 month appointment to check my progress. I re-tore my ACL doing ‘nothing ‘ 3 yes post op also. Natalie, All the best, Dr. Gibbs. Is that something to worry about that will go over time, or is there something I have to do about it? We’ll go through it as a timeline. I would recommend voicing your concerns with your doctor and continuing with rehabilitation. Scar tissue that builds up in these replacements is also a part of the different sensations and noise you will experience from time to time. We would be happy to give you a doctor recommendation, if we know one in your area. Thank you for your question. Scar tissue after knee surgery or an injury is essentially the body’s version of a Band-Aid. Further incisions are made to remove the old ligament and attach a new ligament to the bones with screws or o… While it would be unusual to rupture your ACL in your sleep, it is difficult to say for sure without an examination or thorough history. Just to be specific, the ACL was a complete tear and one of the meniscus was only repaired 50% and the other was 75% repaired. They'll also look at your ability to flex your knee. When considering surgery your Sports Medicine doctor and Orthopedic Surgeon will try to help you weigh factors such as age, activity level, etc., to determine if surgery is the best option. I work on my home exercises and go to PT.. do you have any opinions on why bending my knee is so hard to do? Depending on your surgeon’s instructions, you can also try icing before you go to bed. Follow your doctor’s guidelines for optimal recovery. Everything was fine but from yesterday I’m having pain on the medial side of my knee whenever I put weight on it. AND do i still need to keep leg elevated most of day? Knee snapping or popping can understandably be irritating and uncomfortable. it will help protect and stabilize your knee while speeding up your recovery. I had surgery on my acl almost exactly a year ago. Be careful not to massage directly over the scar, until it is well healed. Hi, is it possible for me to tear my ACL vertically? I started PT and AAROM during PT on 08/31/20 was at 90 and after PT measured 114. Although these are the common reasons for these symptoms, there are obviously other less common scenarios, such as another knee injury. My knee doesn’t bend above 90 degree after two months of acl reconstruction surgery. As for the brace, let your doctor know it is causing your leg to cramp. Is this common with a donor graft? I am looking for advice on how NOT to get here again! Knees are important! So again I’m out and 3 days away from my 14 day post opp appointment. Linda, If you are concerned about the lack of strength in that leg, I would recommend discussing this with your doctor. Hello, I am currently living in Slovakia and I tore my ACL while playing football. Please guide me doctor what will be the next step to heal them. This condition often follows a traumatic injury or surgical procedure. I am very unsure on what to do though in terms of furthering my recovery even though there is no ligament there. I also am looking forward to going back to work as an nursing assistant in the hospital. I was considering just going on my side and still keep it elevated with a pillow. This has to be one of the shittiest injury recovers someone has to go through. The expectation after surgery, regardless of the graft used, should be to regain full range of motion and strength. Many patients experience mild swelling for many weeks after surgery. Was told the two options were surgery or to let it heal naturally if I wasn’t “needing to ski” for a season or two (& because it’s just recreational skiing I do, I opted the natural healing) and orthopaedic specialist said there would likely be less scar tissue if it healed naturally. it’s hard work but don’t give up! I got injured my knee a year back and took rest for 3weeks after the incident. I want to continue with sports, should I continue without the ACL ligament or is this considered risky? This time I only received 15. Being a doctor’s office we are unable to provide any recommendation for legal counseling. Hope this helps. I tore mine doing jiu jitsu. I should have used my own tendon graft. Thank you. ACL tears and MCL tears can differ in severity and treatment. Or put too much weight as a normal person. I injured my right knee from playing volleyball. Your surgeon can give you a detailed plan of recovery and tell you what to expect. It is going to take a lot of hard work to get to 150 degrees in 20 days. A torn ACL (he says i tore it half way through) and a fractured tibia and femur due to my leg buckling and denting the two bones. I’m 2 months out and only able to bend 45 degrees. Not needing crutches for 2 days but using ice machine and brace while walking. And maybe a little itchy… but If surgery thn how many ? That’s great! Follow the guidelines and exercises laid out by your physical therapist. So, wanted to ask, is it recommended to run or not? And while these two ligaments are involved in the majority of knee injuries, their function within the knee and corresponding treatment after injury aren’t as similar as you might think. It’s been 5 days since the fall and the popping sound disappears but I can’t rotate my left knee from the left to the right. I had hardly any discomfort after the surgery. 6-weeks post op is still pretty early after surgery. I consulted a Chinese bone setter and applied Chinese liquid medicine on both sides of the left knee. Privacy Policy. Theresa, Hermine, My neck is extremely stiff from rough sleeping and my shoulders feel like they have rocks in them. The goal after surgery is typically to help you return to the activities you want to do. Hi guys, I had acl + meniscus 10 weeks ago and felt no pops or cracks since surgery. require surgery. He may want to check for reinjury and your healing progress. It uses tissue from your own body or from a donor to replace the ACL. I went to urgent care and got X-rays. I had an ACL tear (70%) from a skiing accident, 10 years ago. In general, you should be fine walking with the brace as tolerated. My question is, should I be getting surgery to repair it like the surgeon said or go without like the sports doc suggested? In the non-surgical option, you're put under general anesthesia and the doctor forcefully bends your leg to break up scar tissue., The surgical option, in which the doctor goes in and removes the scar tissue, is more common. Should I call for a refill again? with physical therapy. Express your concerns and your doctor can let you know what steps need to be taken – this will most likely include ice and elevation. Manipulation can help in many situations, if physical therapy has failed to restore full range of motion. You should not switch between braces or remove the brace without first speaking with your doctor. ! Factors such as age, activity level, physical demands, if there are associated meniscal injuries, etc., should play a role in the treatment plan. Any advice would be great! Preventing the knee from giving out is the best recommendation for someone without an ACL. Do I sound like I might need replacement / reconstruction, or possibly another form of treatment? We’re glad you were able to see a specialist and obtain an MRI. Mj, Hi Linda , i was just like you i injured my knee during football and thought it was a minor injury. Let us know if you have any other questions. The first few days are the toughest though, so hang in there. My other issue is cramping. Talk to your Physical Therapist about exercises you can do at home or how much you should be moving around throughout the day. Arthrofibrosis is a condition in which you have a buildup of scar tissue around a joint, usually after a traumatic injury or surgical procedure. Angie, When in doubt get a second opinion and try to get an MRI. If you are concerned you should reach out to your surgeon. When doing some leg straightening exercises a few weeks after surgery I also heard a bit of a pop at the back of the knee. Together, the ACL and MCL (along with the PCL and the LCL) are vital to knee stability and functionality. Always question and tell the dr what you want done. Hope this helps! I can only bend my knee at 30 degrees? Top of my knee is still swollen like a softball. Dog ACL / CCL Ligament Injury. I just want to know what my next couple of weeks are going to look like? Ideally, a patient needs arthroscopic adhesiolysis. Now in circumstances what is suggestion for me about surgery of acl and mcl. 1.5 tonne pallet fell on my right knee. It feels comfortable and fine but I’m not sure if there’s any damage being done. My knee is unstable right now .Would my injury actually get cured ? It can be a complication of knee replacement or anterior cruciate ligament surgery, with infections and … There can be many reasons the pharmacy is only filling part of your prescription; one reason could be that this is the amount your insurance allows/covers. I would recommend a second opinion, if you are worried about the information and outcome. I have recently realized that I may have accidentally been bending my knee past 90 degrees at home when resting in bed with the brace off. doesn’t feel like it usually does, we recommend you get in to see an orthopedic specialist. That’s right… a wheelchair and/or crutches are mandatory In short though, it is possible/likely to have a successful ACL surgery years after the initial injury. What are your thoughts? I’m able to AAROM but barely to 45. An ACL injury is the most common knee ligament injury, especially in athletes. the rehab is going well and i’m able to get a significant amount of flexion 110-120degrees already. Do you recall re-injuring the knee since surgery? I have been icing my right knee, no swelling and it becomes sore with any amount of walking. Gage, If you can’t achieve full extension, especially if it’s interfering with your daily activities, I would recommend following up with your surgeon to discuss options. I walked home the next day. Complete recovery from ACL repair can take up to 9 months, but needs to be discussed and evaluated on a case-by-case basis. I have been researching surgeons that do knee revisions. Amanda, I’m also now starting to experience cramping on my quad and the side of my hamstring on the leg of the surgery. I hope this helps! depends. You should speak to your surgeon and physical therapist about your concerns. 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