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torn ligament - please read. PHYSICAL THERAPY!

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torn ligament - please read.

Posted by Lisa on April 28, 2003 at 10:44:20:

Hello Dr. Stoll,
My 24 year old brother was playing a gaelic football match last sunday week and he twisted his knee. He went for an MRI scan on wednesday and it showed that he has torn his cruciate ligament and may have done some cartillage damage. the ligament might not be torn completely. It is quite swollen and sore. he is on crutches at the moment and is wondering how long would it be until he would be having surgery and if he would have a cast on his leg afterwards?
Thank You,
Lisa



Re: torn ligament - please read.

Posted by Helping You on April 28, 2003 at 22:52:28:

In Reply to: torn ligament - please read. posted by Lisa on April 28, 2003 at 10:44:20:

If the ligament is not completeley torn, surgery may be unnecessary. Instead, get him to a doctor that performs "reconstructive therapy" or "prolotherapy" (they are the same technique). This injection treatment can re-grow the ligament/cartilage, and can strengthen it to the point that it is actually stronger than before the injury. Surgery cannot do that. With surgery, he will have a lengthy recovery. With prolotherapy, he will be up and around the same day. Prolotherapy is also considerably cheaper. The Atkins Center does it, The Ash center for Complimentery Medicine, and a few others. Go to www.prolotherapy.com for more info

-HY

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Re: torn ligament - please read.

Posted by Walt Stoll on April 29, 2003 at 07:47:58:

In Reply to: torn ligament - please read. posted by Lisa on April 28, 2003 at 10:44:20:

Hi, Lisa.

He has to start intensive PT at once and start the EFAs on the home page and glucosamine sulphate, 750 milligrams twice a day, immediately.

If nothing is done but waiting, the doc on the spot will have to answer your other questions.

Let us know how he does.

Walt

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Re: torn ligament - please read.

Posted by bernadette on April 29, 2003 at 08:06:55:

In Reply to: torn ligament - please read. posted by Lisa on April 28, 2003 at 10:44:20:

I tore the same ligament two years ago in karate, when I was 38, as well as the medial meniscus. They told me the sooner I had the surgery, the less chance I had of having arthritis later. If your brother has no intention of playing sports or being active again, he may not need the surgery and can just go with PT, but at his age I think he would be happier if he did it. I was also told by my physical therapist that most insurers only pay for so much therapy, so I went to an initial session to learn the exercises, then saved the rest of the sessions for after my surgery. It is important that he does exercises to maintain his muscle strength or they will shrink rapidly.

I had my surgery about a month and a half after my injury.He will be given a choice of anesthesia and type of graft. I chose a local because the recovery is much easier and got one shot in my hip and three in my butt. I also had an IV just in case I started feeling pain but I didn't need to have anything put in it and did fine with the local. Beware though, in the hospital the surgeon's assistant tried to make me sign a form saying I would have general anesthesia. I refused and said that wasn't what the doctor and I agreed on and got my way. I also said I didn't want a cadaver graft, but I let the surgeon choose what kind of autograft and he chose hamstring tendons.

They gave me painkillers (Oxycontin, UltraM and Percosets) but I found they made me feel nauseous and dizzy, much worse than the knee pain, so I only took one. What did help tremendously with the pain and swelling was an ice machine. I really recommend one of these, mine was a Breg (sp?). I also had a pain pump with a tube going directly into my joint but I found the tube kept getting snagged on things so I pulled it out. I really didn't have alot of pain and was lucky I didn't need it.

For the first month I wore a foam brace to protect the leg. I was on crutches for 2 weeks, then one week with one crutch only and then no crutches. A fanny pack worn in front makes it easier to carry stuff on crutches. My physical therapy lasted for 6 months. It is important that he does the excercises recommended and more to keep the range of motion and gain muscle strength. My scars are hardly visible now. I just wear a brace for sports.

Here is a website that has great information:
http://factotem.org/cgi-bin/kneebbs.pl

Good luck, hope this helps!

PS. My dog just tore hers and had the same surgery two weeks ago. They never even bandaged her incision and it healed beautifully! 10 days later she was already trying to run. In her case they did the repair using fascia.



Re: torn ligament - please read. (The significance of PT.) (Archive.)

Posted by Walt Stoll on April 30, 2003 at 06:50:13:

In Reply to: Re: torn ligament - please read. posted by bernadette on April 29, 2003 at 08:06:55:

Thanks, Bernadette.

You have just given me one more opportunity to repeat my contention that PT is for teaching and it is the PRACTICING what was learned at home at least once a day that produces the benefits.

Walt

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