about knee surgeries

[Zezima]

When we give out recovery times, understand it's based on large collections of data. If I tell you it takes 9 months to recover from an ACL graft, that takes into account a large population with very low selection criteria. I can tell you that if you're athletic, you tend to recover quicker - a variety of factors play into this not least of which your diligence in therapy.


I'm not sure open knee surgery is performed for ligamentous repair anywhere now.

The best advice I can give both of you is this: whether or not you need surgery, start PT immediately, preferably with a sport specific PT. I can also tell you that the hamstring is the most protective muscle of the ACL.

In addition, ACL/PCL tears always have concurrent meniscus injuries. If you understand the anatomy it's easy to understand why this is the case. Don't be alarmed if that's also a finding.



The literature is inconclusive about PRP injections for osteoarthritis. In my opinion it's more in the realm of can't hurt or nice to have.

I was scared of doing lying leg curls because I don't really understand if it makes my knee worse or not since whenever I go closer to 0° Angle between my upper und lower leg my knee doesn't like it.
I don't have a pain per se just uncomfort. I can even do 0° Angle.
Also I did a MRT and there they said its a meniscus tear. not sure if its the same when you say "

ligamentous repair"

I have an appointment with an ortopedic not PT(physiotherapist?) appearently its his job. But my doc also gave me 10 session with a PT but I will wait for the ortopedic appointment in early january first to see what she has to say. Also she seems to have a sport medicine education aswell as extras.

 

[DrBean]

I was scared of doing lying leg curls because I don't really understand if it makes my knee worse or not since whenever I go closer to 0° Angle between my upper und lower leg my knee doesn't like it.
I don't have a pain per se just uncomfort. I can even do 0° Angle.
Also I did a MRT and there they said its a meniscus tear. not sure if its the same when you say "


I have an appointment with an ortopedic not PT(physiotherapist?) appearently its his job. But my doc also gave me 10 session with a PT but I will wait for the ortopedic appointment in early january first to see what she has to say. Also she seems to have a sport medicine education aswell as extras.

Sometimes they're called different things in different places. Basically a physio will guide you through exercises to return you to a level of activity. A regular therapist is focused on getting you back to normal daily life activities, while a sport specific one is more concerned with getting you to a certain level of performance.

I'll skip the anatomy but ligamentous injuries are different from meniscus injuries. The latter almost always follows the former, but are often present by themselves.

Leg curls are good for your knee. Like every other exercise you just have to progresively overload it. You can exercise when injured, just have to let the pain guide you on range of motion, loading, etc. The earlier you start the earlier you get to a level where you're confident again.

 

[beeray1]

The literature is inconclusive about PRP injections for osteoarthritis. In my opinion it's more in the realm of can't hurt or nice to have.

Yeah and it's 'new' enough in practice still that insurance often doesn't cover it. I had to pay out of pocket for it, though it isn't crazy expensive. I tried my best to not think of it as a miracle fix, just as something that allows me to take a step.

I just couldn't believe how much this woman's eyes lit up when she was describing how big of a difference it made for her. Obviously it's anecdotal, but it was enough for me to explore the option. I'm not thinking of it as a 'heal' so much as something that allows me to return to physical activity with less pain and inflammation, which in turn will (hopefully) allow me to continue improving my physical health enough to mitigate/reduce future knee issues. Even if it only gives me a perceived improvement of 10-20% it will have been worth it. Never hurts to ask one's primary doctor.