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successful recoveries?

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Topic Title: successful recoveries?
Created On: 07/22/2007 10:26 PM

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 08/03/2007 03:44 PM
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Augur

Posts: 10

I just had my 9 month anniversary ... MF on a 1x2cm full thickness tear in the cartilage under my kneecap.

I'm 40 yo. Before the injury, I had been a regular runner (4-5X/week). I participated in local 5k, 10k and 1/2-marathon events and even ran the Philly marathon in 2005. At the same time, I have played soccer in a local adult league for the last 10 years.

Surgical recovery was slow and followed a regimened program with guidance from my doc and PT staff. I was 6 weeks NWB, followed by several more weeks with bending restrictions via a brace. PT initially focused on regaining ROM and strengthening the muscle groups around the knee. I completed the formal PT phase at 6 months. Since then I've progressed through stationary bike, elliptical, walking, walk/jog, jog and light running; the latter only with regularity (2-3x/week) in the last month. I still try to get to the gym for some leg work as time permits. Every day I stretch my quads, hamstrings and calves.

Last week, I played in my first "recreational" summer soccer match ... what a joy!!!

One observation .... each new activity brings aches and pains. There's no pain at the injury site, instead it's been associated with soft tissue (muscles, tendons etc.) of the knee and scar tissue at the incision. On pain free days, I still feel a general tightness that's hard to describe but mentally curbs intensity when trying new activity. Doc said this was normal and I needed to build confidence in the knee as I progressed.

I think rest days have been critical to progress at this point. I try to do my harder workouts or new activities on Tues/Thurs/Sat and take the alternate days off or use them to take a walk or just spin on the stationary bike for improved flexibility. It's been a complete change from pre-injury scheduling, but it's really helped me slow things down and listen more carefully for my body's signals to back off. In the last month, I'd say that confidence gained from running is begetting more confidence. I look forward to the start of the fall soccer season and feel like I may be able to start to increasing intensity beyond this "safe" 3 day/week approach at that point.

I definitely feel like my knee is improving! At this point, I'm probably right where I thought I'd be; my doc conservatively said 12-18 month would be typical. My goal was to return to soccer and running in a year.

Memories of pre-injury fitness and skill levels are always on my mind. I'm far from pre-injury levels, but I see positive signs that another 6-9 months of continued work will bring more improvement and allow me to define boundaries for my knee's usability and allow me to regain access to the sports I love.


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 07/24/2007 01:22 PM
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TomM

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Hi, I had microfracture nearly 6 weeks ago. My trouble spot was on the inner portion of my right knee; I tore the articular cartilage down to the bone, requiring 6 weeks of NWB recovery. I start PT on Friday.

So far things have gone very well. I was dilligent about bending my knee 1500 times daily during the immediate post-surgery period and have been pretty good about my home PT since. The swelling is mostly down, the knee has been pretty much pain-free for four weeks, and I've got pretty close to full range of motion.

No idea whether the fix will hold, of course, although I'm told my chances are very good, as my wound was relatively small (app. 1 cm x 6 mm). Like mine, your wound falls into the Category 1 size, which has the best chance for full recovery--the larger the wound, the more likely the fibrocartilage that forms as a result of microsurgery is to break down in the long run, as I understand it. Don't know about running marathons, but my doctor says I'm clear to play golf again after 3 months and to jog again after 4 months.

As of right now I'm glad I did this. I'm 47 and was experiencing discomfort whenever I undertook prolonged activity--hikes, golfing, walks, jogging, etc. It wasn't going to get better on its own, and eventually I suppose it could have degenerated to osteoarthritis. My doctor says that, given the nature of my wound and the otherwise healthy condition of my knee, my chances of long term recovery are good. Good luck with the surgery and be sure to report back!
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 07/22/2007 11:46 PM
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Sara29445

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My recovery so far has gone very well. Still sore, but then again my surgery was only a week and a half ago. My injury was from a vehicle accident, but just like you, I went from pain when I walked to much to aggravating all the time. I hobbled out of the hospital and did not need crutches to leave the hospital, the stitches were out in a week, but I do have at least 6 weeks of physical therapy 2-3 times a week ahead of me. As of now, I am able to straighten my leg almost all the way out, but can not kneel down or bend my leg beyond 90 degrees. I hope this helps, just remember that everyone heals different and if you are fit and usually heal easily, you shouldn't do to bad!
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 07/22/2007 10:26 PM
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mw123

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Hey, I'm 21 and about to undergo a microfracture in my right knee. A brief background on me, I'm in good shape, 5'11 and 170 so pretty thin. I hurt my knee dirtbiking and have had this 'click' on the outside of my right knee (between 2 and 3 o'clock) for a while now, at first it was only when i ran for 2-3 miles and now a few months later its bugging me even walking too long, feeling weak on the outter part of my knee. Clicking occationally when not exerting myself, but this is still rare. My real goal is to enlist after college, try out for the SEALs but this is now in jeopardy. My doctor said that I should be off crutches in 4-6 weeks after my surgery and says my damage is about 10mm in diameter. The damage is also on a NWB part of my knee (start feeling the click at about 90 degree bend give or take). Now for my real question, I have read a lot of bad results from this surgery on this forum, has anyone had success? Has anyone been able to come back to 100 or very close to 100 percent? Ive seen on other forums people running marathons again after 4 months. I dont want to be overly optimistic about this surgery but not overly pessimistic either. I trust my doctor and know shes one of the best I can go to. (works on the Steelers and Penguins) I usually recover from injuries real fast, i eat well, take vitamins/glucosamine regularly which does help a lot in recovery and I'm told I have exceptionally thick and healthy cartilage on the rest of my knees. Has anyone done well with this?
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