Severe Knee Injury: Need workout

  • Shwa_

    Posts: 6

    May 08, 2009 3:18 AM GMT
    I have just gotten through a knee surgery and will be on crutches for a few weeks. Until then, I cannot bend my knee at all. After that, I will be in a smaller brace and can only bend it 90 degrees.

    I'm looking for a weight training program to help me rebuild knee and/or focus on upper body until my knee is 100%. I'm also looking for cardio suggestions during 90 degree bend period and after that will be light on the knees.

    Fortunately, my legs are otherwise in great shape.

    Goal: redefine after some time out from gym, burn fat
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    May 08, 2009 3:28 AM GMT
    Get a physical therapist, preferably one associated with some time of exercise facility where he can hold your hand on machines during the first several critical weeks.
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    May 08, 2009 5:43 AM GMT
    If it was ACL or MCL or anything like dat...sit yo ass down sum whereicon_lol.gif
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    May 08, 2009 1:03 PM GMT
    You need to discuss this with a medical professional. Physical therapy is usually prescribed after major knee surgery. This consists of quad strengthening and range of motion exercises. You can discuss additional exercise with your physical therapist. If you are not having physical therapy, then you must discuss exercise with your surgeon. Embarking on the wrong exercise could cause injury.
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    May 09, 2009 3:15 PM GMT
    I felt the same way when I had surgery -- thinking sadly of all those muscle fibers melting away into skinny disuse. icon_sad.gif

    Don't underestimate the trauma your body experiences in any surgery. You need to understand that modern medicine's ability to do major orthopedic repair arthroscopically in just a couple hours is indeed an amazing technical feat, but it is partly motivated by the Managed Care industry's financial considerations. Getting you in and out in 2-4 hours at a special surgical facility and not admitting you to a hospital with a room and an overnight stay helps them keep control of their costs. Unfortunately this has a psychological cost -- without a full hospital stay and its enforced bed rest, orthopedic patients tend to not take their own procedures as seriously as they should.

    Do NOTHING without consulting a PT or your surgeon. The body is not a collection of individual isolated muscles, it is a complex supersystem made of equally complex subsystems. If you try to workout without medical guidance, you are nearly certain to develop maladaptive compensations in your technique that will be hard to undo later and will also increase your risk of injury down the line.

    You are 31 years old. Go ahead and mentally give yourself a year off. There will be plenty of time to get yourself back into the kind of shape you want. Over your life span, missing 6-14 weeks of workouts now isn't going to make any difference in your ability to build and keep muscle. By far the best advice I could give you is to go to as many therapy sessions as your surgeon will prescribe and your income/insurance will cover, and be very conscientious about doing any "homework" exercises you're given. The more you devote your energy to getting through rehab, the faster you'll come back and the better your eventual outcome will be.

  • Shwa_

    Posts: 6

    May 10, 2009 11:42 PM GMT
    I dislocated it several years ago, and I was a victim of managed care. Should've been repaired then but treated conservatively with PT and a brace.

    I was on a ski trip in February and stressed the ligaments on knee cap. Continued walking on it because I had to leave ski trip to go directly to SF for work. I was barely walking by the time I got back home to go to doctor that was "in network".

    The surgery was a lateral raise where one of the quad ligaments is disconnected and the opposite one is shortened, pulling the knee cap back into place. During surgery, they discovered the knee cap had scraped up the end of the femur, so they had to "smooth it out."

    I had gotten lots of mixed reviews about whether it solves the problem of recurrent dislocations. My doc says he's only had one failure in 20 years. He did stress the importance of PT, which we have not scheduled yet because I'm still on crutches. Not sure how long that will be, but I'm moving to Sacramento in July, and he said I will have to continue PT in Sacto.

    I had a scope and some torn cartilage on the other knee in 1991, I've had a severely sprained ankle, I've dislocated the knee cap a number of times, I've had migraines...I HAVE NEVER HAD MORE PAIN IN MY LIFE FROM THIS SURGERY! Like, moaning kind of pain. It's killing me to be on the sofa during this gorgeous weather.

    Thanks for all the advice!
  • vindog

    Posts: 1440

    May 12, 2009 6:21 AM GMT

    You can probably swim....just put a buoy between your legs and only pull.

    My friend had ACl repair a couple months ago and does this.