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Question:
I tore my right acl, mcl and I have grade II degenerative changes within the posterior horn of the medial meniscus. This was established through MRI. My orthopedic doctor referred me to a surgeon. In the meantime, he has ordered pre-op PT which I start tomorrow. I was planning on returning to work on , however, I am feeling that I am not ready. I teach emotional support teenagers in a city school district and the job is very physical. I also have to walk up about 75 steps to get to my classroom. My question is do you think that this would be detrimental to my therapy. I am going to ask my PT about this tomorrow, but I would like your opinion. Thank you.
Question submitted by:
Beth Goshert - bbgoshert@desupernet.net
| Dr. Farr |
Dr. Farr is an orthopedic surgeon who specializes in knee and sports medicine. He serves on the board of the Orthopedic Research Foundation and is medical director of www.cartilagerestoration.org and www.myknee.md, where emphasis is on exploring new ways to treat damaged cartilage. Dr. Farr is a member of the American Academy of Orthopedic Surgeons (AAOS), the American Orthopedic Society of Sports Medicine (AOSSM) and the Arthroscopy Association of North America (AANA).
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Answer:
An ACL/MCL injury is quite an insult to the knee. The initial healing phase is different for each person and is somewhat dependent upon the amout of energy was transferred to the knee at the time of the trauma. Therapy is key in this early time period. The time to return to work is dependent on numerous factors and you are correct to discuss this with your therapist and surgeon. At that time you may also discuss bracing options and the long term plans.
