KJ's PCL Story

Hello everyone and welcome to my blog.
Here is another pcl survivor story! Thanks for sharing KJ.
Skinnygurl

First, I love your blog! I just found it yesterday and I'm almost done reading the entire thing! Thank you for sharing your story and giving others a place to share theirs.

My story is a little long because it took me 6 years to get the surgery. A little history: Original tear occurred in April of ’03. I took an awkward tackle straight-on below my knee during our Midwest Rugby Championship match (we won at least).

The MRI showed a partial tear of my PCL so they advised PT only and no surgery. The next 5 years looked like this:

- Played at Nationals in June ’03 right after the injury (dumb & painful)
- Missed most of fall ’03 season due to pain but resumed regular playing in spring ‘04
- Played at the Midwest level in ’05-’06 (grueling training schedule) and attributed knee pain to over-training. I know now it was due to the original injury.

- Tweaked my knee playing volleyball in spring ’07. It sent shooting pain through my knee that radiated out into my upper leg and I had to stay out of activity for 3 days. After that it didn’t hurt anymore. In hindsight I should have had it checked because that’s most likely when I completely tore my PCL.

- Kept playing rugby and played my final season in fall ’08. I barely made it through that season though because of knee pain

I went back to my original ortho who basically did nothing; saw a 2nd ortho who ordered another MRI. Follow-up:
- He saw the complete tear so I tried PT for 2 months at the end of ’08 and cortisone injections but nothing relieved the pain.
- Was referred to a 3rd ortho, Dr. Noyes at Cincinnati Sports Medicine, who happens to do an incredible amount of research on PCLs
- Stress test revealed a 11 mm drop of my tibia from my knee. I was questioned on how I kept playing; surgery is generally done once the tibia drops 6-8 mm. I told him it was easy since I didn’t know there was actually something wrong :)
- I was scheduled for surgery 2 months later (March 25, 2009)

I’m not gonna lie, I had no idea what I was getting into with this surgery because I’d never had so much as a stitch in my life; that’s probably a good thing.
- They used my quad tendon for the graph and surgery surprisingly took under 4 hours.

- The next 2 weeks were full of plenty of tears at rehab because of the pain. I had scar tissue issues and couldn’t hit 90 degrees flexion by the end of the 2nd week so back to the hospital I went for manipulation under anesthesia. That may have been worse than the actual surgery!
- I immediately jumped up to 106 degrees after that and made steady progress from there on out. I never had issues with range of motion after that and never had a problem with getting my leg completely straight. That was the only thing I could do from day 1!
-I spent 9 weeks total on crutches with my hip to ankle brace (I think I got a sleeve the last 2 weeks). The first month my brace was locked straight which is awesome when you’re trying to sleep. In all, the healing process went well though and my knee is solid and stable. My stress test at 1 year showed my tibia only dropped 2 mm which is normal so the graph has held. However, my strength test at 1 year was depressing and still showed a 33% deficit.

I should probably mention that 2 months after my surgery (while still on crutches) I got engaged! I was married 4 months after that so admittedly my rehab suffered a bit from months 3-7! Heck, is suffered the 2 months after we got married too :)
Current Status:
I coach high school girl’s & senior side rugby now and ran around all spring with a limp. It caused enough pain that I headed to a new rehab place in July to see if I could do anything about it. Manual therapy helped some but I think it’s as good as it’s going to get.

I think I'm glad that I didn’t have this surgery at 23 years old but the downside of having a janky PCL for so long: grade 3 chondromalacia of the patella with chondral fissuring and suchondral reactive osteoedema. Basically the same grinding & snap, crackle, pop others have mentioned plus I'm awfully close to being bone on bone (grade 4). I have arthritis in 2 of the surfaces along with effusion (water on the knee) & a baker’s cyst (in the back of the knee) that came back pretty much as soon as they drained it. I've also developed painful tendonitis in my good knee. They say this put off knee replacement an extra 10 years though so I have to look at the bright side.

By 18 months out I was done babying my knee even though I continue to have a lot of pain. I could do quick starts and sprint at rugby but always paid for it with LOTS of pain afterward. I am back to boxing & zumba which haven't bothered my knee too much. Running a 5K isn’t in the picture yet and may never be (I never really liked just plain running anyway - ha!) and I have no plans to return to competitive rugby, although I still feel my 12-year career was brutally cut short. Strength is still a nagging issue but it's better; pain is still my number 1 nemesis!
The Future:
I go back in March '11 for my 2-year and final check-up. I’ve skipped all the strength tests since my 1-year mark because they are expensive and I don't need them to tell me that I'm weak. I may get another one at 2 years just to see where I am. I still have 1 1/4" difference in my quad size and the catch 22 is I can't do extensions because of pain and I'm not supposed to do squats (I still do them with <20 lbs). Tough to get my full quad back with just straight leg lifts!

Unlike you, I'm not always sure if I'd do this again! :) It changed my life forever.

Speedy and His Story Of PCL Surgery and Recovery

Two Years Ago Today! It's been two years since my surgery. This blog now belongs to the world. It's my pleasure to introduce to you Speedy.

Walking gingerly on crutches while the two "spotters" look on in case I fall down












I spent a lot of time with this remote







At home 5 months after the surgery
(no contact happen during this game...the guys were kind enough never to tackle me)








Mount Kinabalu.....hope the knee will hold when the time comes






Here is his story..
My PCL incident happened during a rugby practice on 23rd Feb 2006. As a result of the injury I couldn’t run at all, and I normally needed to sit down even after a mere 20-minute walk. I tried physiotherapy for two years without much improvement to my condition. I finally had the PCL surgery on 25 Feb 2008 (at about the same time as the blog owner, Skinnygurl). I discovered during the surgery that my PCL was completely severed from the incident.

Post surgery recovery was agonizing especially the first two weeks when my leg was put on a cast. I underwent physiotherapy religiously at the hospital for about 9 months. Initially, I did a lot of resistance exercises using elastic bands, then slowly migrating to various other exercises to improve muscle strength and flexibility. I started to run again at about the 4-month point. At first I tried doing multiple short distances in various modes (forward, lateral, backward etc.) before gradually increasing the distance.

I have now regained full ROM in my knee. It’s still painful especially after an exercise, but I can now jog for up to 5 km at my own pace and complete a round of golf without too much of a problem. I am also actively involved in rugby coaching which requires me to be on my feet for at least 2 hours for each session. Glucosamine is a supplement I can’t live without now and ice pack is my best friend after an exercise.

My life has definitely changed after the PCL incident. However, I am glad I never gave up, both after the incident happened and especially after I had the surgery (believe me......there were many reasons to do so). The pain is something that I am accustomed to now, and I have to be content that there are many things that I can probably never be able to do again like playing in a full contact rugby match or sprinting after a ball in a soccer game. However, I can’t count my blessing enough for the progress I’ve accomplished now two years after the surgery.

My advice to you guys who are in your own battle towards PCL recovery; be realistic with your target and your chance of recovery, believe in yourself, work hard although the progress is slow and last but not least, have faith........we need a lot of that to keep us going forward.

I wish all the best to Molly, Hamlet, Chris and the rest of you PCL survivors out there. Thanks Skinnygurl for allowing me to share my experience in your blog.


It's My Pleasure To Share Your Story Speedy. I love forward to the day you climb Mount Kinabalu
Skinnygurl
Click Here to read Speedys Blog

Day 205 Of My PCL Surgery And Recovery

Ditch the brace. Well unless I'm doing pivoting sports. Rehab is reduced to twice a week at this point and I no longer need the CPM device. They're picking up the tens unit and ice machine as well next week.
My knee isn't much more than 130 degrees and not exactly straight when extended. Perhaps without the brace that will change.
Upon my surgeons examination yesterday, the PCL surgery appears to be a success!! No laxity although I am still experiencing that crunching sound but have been denied any further surgery to clean that up. I am still waiting for Orthovisc to be authorized.
So at this point things are getting back to normal after more than six months of recovery.
At times I still have pain in the knee cap area and will continue to work on more range of motion. I am looking forward to gaining strength again.
Pretty close to 30 weeks which is a really long time! I am glad it's behind me.
I'll post more updates as my progress continues.
Stay tuned and drop me a line!

Day 167 Of My PCL Surgery And Recovery

Kind of shaky here and had to back up a little bit. Careful now, don't let that knee go over the foot. It's pretty close there.
Trusty Dagan is still right there at my side every step of the way. What a good dog.



Well today sure brought back some memories. It was almost embarrassing in physical therapy when I was handed 2 pound weights and asked to do wall squats. Before my accident I was holding 40 to 50 pounds and doing skier squats with a burn out of 25 reps at the end. Walking lunges used to be 30 paces holding 60 pounds. Now I can barely do a lunge while holding onto a rail! No worries though. I plan on working very hard and getting back to where I was before this happened. I think running is a long way off but I'll get there. I promise.

I see my OS in two weeks. I hope to surprise him with leaps and bounds! OK, how bout just leaps? My range of motion settled in at about 125 to 130. I have yet to see anything more but I will work hard to get it. More than anything I want to make my surgeon proud and glad he chose me for this special surgery. It's not exactly a cake walk but he believed I could do it and for that I am working hard to make this whole thing a success. The CPM device is still a big part of my life. I am on restrictions for sedentary work only. Last but not least I am stil icing like crazy.

Doctor Visit, Day 141 Of My PCL Surgery And Recovery

See where he made that injection? Ouchie for a couple days but it'll help. I thought the flag band aid was cute. Closed Kinetic Chain exercises. Hip kicks done in all directions. Forwards backward and both sides. I have to use the chair sometimes for balance but it's getting better. Yet another mile stone! In the second picture you can see where my knee is a little bit swollen. It felt pretty tender too. Ice, Ice, and more ice.

Wow, what news I have! I hope I can remember it all.

Let's first run down the list I have from my doctor.

Yesterday was day 141 post op!

Okay:

Continue using CPM device three hours a day increasing 5 degrees ROM each week for the next six weeks. I just bumped it up to 115 degrees *range of motion* ROM (felt tight but that is to be expected) so in six weeks that puts me at 140 degrees. My goal!!!!!!!!!!!!!!! Just six more weeks. Should be Oct 15 or so.

One injection of xylocaine,macrcaine,depo-medrol and steroids. Whoa, the night and day after is big time ouchie.

Getting authorization for Orthovisc which will help with ROM/Pain. Pretty expensive stuff. 400.00 for each injection and I'll need three injections for the first round but hey, lasts for six months!

Continue rehab and concentrate on strengthening my quad muscles. I'm lagging behind here. I'll tell you what! My muscles are really getting worked these days. Lactic acid is back! LOL Sore, sore, sore!!! Feels good though. Well, lol, kind of!

Getting authorization for a TENS Unit to be used for pain management. Not to sure what to think about that. For those of you that don't want to click on the link. It's electric current. Ick, nevermind. just click the link to see, please!

I'm walking up 4 inch stairs and struggling to get up 6 inchers but progress is progress. I still have to get to where I can go down a stair. That will be a day for much celebration! I simply can not wait!!!!!!!!!!!!!!!!!!!! Stay tuned for more PCL fun. LOL, yes, I still have my sense of humor! No one can take that away!!

I found the coolest web page while looking something up for our blog. Yes readers. This is becoming a place for us to share stories and ask questions. I'm am thrilled so many people have joined in. Please feel welcome to post.

So here is the page.PCL Reconstruction Protocol . This is a very interesting, explaining what you can expect regarding healing and milestones. Give it a read, you'll be glad you did.