I'm a 53 year old mother of 5 children, always been active but not
sporty, just walking the dog several miles, body boarding with the kids
etc. Four and a half years ago (23rd February 2010 to be precise) I was
walking our dog on an extending lead when she ran off behind me, I
didn't have time to think about letting go of the lead and basically I
was twisted and pulled over causing a tear to my knee. I couldn't move
at all, just remember seeing blades of grass very close to my face! My
husband dragged me onto a sledge (it was still a bit icy) and got me to
a&e where they said I hadn't done anything and would be walking fine
in a couple of days. Fortunately we had a pair of crutches in the shed
so I just about managed at home for 5 days but as the leg had swollen
hugely and I still couldn't walk I decided a second opinion was in
order. The GP sent me to an orthopedic consultant and after several
appointments and an MRI they discovered I had grade 3 tears to my PCL
and MCL.
I was told surgery wasn't an option,
presumably because of my age, and after 8 months of physio I was able to
walk without the brace and only used the crutches occasionally.
Obviously a very long and painful process but at least I was managing.
Recently though as I've started walking further - 2 to 3 miles max -
I'm having pain in both the damaged left leg and right knee. I've been
seeing orthopedic surgeons and physios privately for the last few years
but I've now been referred to another surgeon in Derby who wants to
reconstruct the ligaments. In addition he has identified PLC damage and
says to prevent further damage and arthritis to my left knee and limit
the wear in my right knee surgery is the best option. I'm in total
agreement with him as the discomfort is getting worse but the thought of
going through all the pain and physio again isn't something I'm looking
forward too. Reading all the stories on your blog makes it all very
real again but at the same time it's encouraging as so many people have
seen the benefits of surgery.
I'm on the waiting list
for surgery, the surgeon will take hamstrings from both legs as it seems
there won't be enough from just one leg for all the repair work. It's a
strange thought, going from little pain to extreme pain but I'm trying
to concentrate on the end result and not get too scared. I'm trying to
find loads to do for those long and boring months after surgery and am
setting goals to measure my progress by. For anyone having this injury
I'd say surgery at the time of the accident or pretty soon after is a
much better way of dealing with it, I wish I'd found out about it
sooner. I'll let you know how it goes if anyone is interested.
Someone on here mentioned creaking and cracking when they bent their
knee? I have it too, it's crepitus and is wear of the knee joint.
Thanks for setting up this blog. This seems to be an unusual and
difficult to repair injury, I've had to go miles to find a surgeon
capable of and willing to do the surgery, so it's really good to be in
contact with others in a similar situation.
UPDATE:
Well, 10 days post op and I've just had stitches out so it doesn't look
as bad as the photo. I'm relieved to be on this side of the operation, I
had all the usual doubts before - could I go through all the pain and
physio, what if it didn't work etc but that's all behind me now. Still
haven't got an answer from the surgeon as to whether he minds me posting
my experiences, I'm seeing him on Thursday and if he doesn't give an
answer then I think we'll just go ahead and use a different name, don't
you?
I had a spinal anesthetic for the operation so was able to
watch, really fascinating and very clever. It lasted two hours, I can
give details if anyone is interested. First few days were pretty
uncomfortable but morphine is a great help, down to codeine now so
things are improving. Lots of numbness in my lower leg and loads of
bruising to my foot, made worse because I'm on heparin injections to
prevent blood clots but hopefully this will pass soon. Physio starts
next week, static quads and straight leg raises I believe to begin with
although I've been told to remove the brace once a day and get someone
else to bend my leg to 90 degrees ( they've got to be joking!) as it
stops the knee stiffening. This was meant to be done daily from 3rd day
after surgery, I haven't managed to pluck up the courage to have it
done daily though, every other day more like.
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6 years ago
15 comments:
I think that you are on the right track there. Sometimes, you really have to go with procedures that may seem drastic, as long as it leads to a complete recovery. But oftentimes, it's just a matter of getting the right treatment and therapy, and waiting for things to recover naturally. Anyway, I hope you get back up on your feet soon, so to speak. Take care!
Agnes Lawson @ Pain Relief Experts
Thanks for sharing your experience in getting back on track after an accident. It’s just terrible that you had to go through all that, but it’s great that you’re on your way to a swift recovery. Anyway, I hope that you’re completely recovered by now, or getting close to it. Take care!
Derek Sparks @ Forgey Chiropractic
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Glad that you were able to fully fix what had happened to your knee. At the very least, that's a great start. Rest now and gather strength. Soon , you will literally get back on your feet again, I'm sure.
Natasha Shelton @ CCOE
Hi,
I hope you are feeling better now after your operation. A little piece of advice though, take the prescribed medicines and exercises so that you'll heal soon. Good luck! Also, here's some info about meniscus tear surgery cost.
Get well soon. This is really very much harsh and painful surgery and need much time to get recover to health.
Best Podiatrist Northwest Indiana
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Loving (not) all the professional recommendations. Unless they've been through this, they really don't get it from the patient perspective. Whether your doctor is concerned about you posting your experiences is irrelevant. We ALL benefit from your experience.
Get well soon. This is really very much harsh and painful surgery and need much time to get recover to health.
Podiatrist Crown Point
The posterior cruciate ligament is about two inches long and connects the femur to the tibia at the back of the knee. It limits the backward or posterior motion of the tibia shinbone. Twisting or overextending the knee can cause the PCL to tear, leaving the knee unstable and potentially unable to support a person's full body weight. The PCL is the strongest ligament in the knee, and tears often are associated with traumatic injuries rather than sports injuries. PCL tear can happen when the knee is violently forced backward or when the front of the shin is hit hard, for example when the knee strikes the dashboard during a car accident.
Hi my name is Michelle. I will be 59 in 2 weeks. 5 month ago I went down waterskiing and my ACL PCL and MCL were torn... grade 3 tears. My MCL is healing nicely and I have been really workin on quads for stability. My OS thinks I can be very functional without surgery. I will admit I am surprised at the stability I have gained. I am back to yoga,light hiking, walking 6 miles and biking daily. It has been a hard journey to say the least. I see my OS again soon to assess my progress and let him know if I want reconstruction of ACL and PCL. Getting back on crutches scares me as well as the pain,starting at square one with PT and the loss of muscle and getting back my range of motion. It has been so exhausing getting my strength back. I have almost no pain now. I am not getting any younger so I Am concerned for my future and arthritis. Any advice is appreciated.
Hi Michelle,
I must say you're doing remarkable and I'm very impressed. Definitely consider holding off on surgery and please let me know what your OS says after your next visit. Once you have the surgery everything changes and you can't take it back. Lucky you for doing so well. That's terrific!
Skinnygurl
Hi Michelle:
Your progress is fantastic! My injury (at age 50) was to the PCL (shredded) and MCL (stretched). I had a allograft reconstruction of the PCL and repair of the MCL after trying conservative treatment for 6 months. I regained strength in that initial phase, but still had laxity that affected my ability to negotiate stairs normally and stand while riding my bike.
I'm 62 now. In hindsight, I wouldn't have the surgery. Bracing for activity would have been just fine. My favorite brace was the Breg fusion, which I wore full time for a year after the surgery and for bike riding after that. I don't ride anymore, but exercise in the pool without a brace.
As expected for an injury of this significance, even with surgery, I've developed arthritis in that knee (grade 3/4 as of three years ago), but my pain is totally controlled with hot pepper ointment of all things.
At age 50, my surgery was huge. My recovery was huge. I can't imagine having (or needing) it at age 59 or 60. I really recommend you think long and hard before choosing to have it. Best wishes for continued improvement!
P.S. For what it is worth, I had 4 surgeries! Number 1 was to clean up the bleeding bits and smooth out the damaged areas. Number 2 was the big reconstruction. Number 3 was to clean out scar tissue and adhesions (arthrofibrosis) developed from a bad reaction to the second surgery. Number 4 was to remove the titanium screw that was bothering my tibia.
So, for me, it wasn't just the reconstruction surgery. Make sure you understand the possibility of additional surgeries in your case.
Maybe another option for you is to continue with your (fantastic) recovery. Use a brace for activity as long as you have to, and hold out for a knee replacement many years from now.
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