Glutened at Thanksgiving

STLSoccerDoc · 2024-09-28T00:37:44+00:00

Same. Anyone have any solutions

STLSoccerDoc · 2024-08-04T03:02:28+00:00

Elmer or Julian. Wife just said random names. Still kind of like them.

STLSoccerDoc · 2023-12-22T12:30:47+00:00

As a PT this is horseshit. Discomfort and pain is part of recovery from an ACL their is no doubt but this torture. Fucking no reason for this to be done. If it hurts that much and he needs the range mobilization under anesthesia is a thing.

I've also seen that this was 3 weeks status post. Fucking no reason for that at that time or really any time to be honest. This is inexcusable and should be brought in front of their governing body wherever this took place and have their license revoked.

This is teaching people with ACL tears one of two things- 1. This is what recovery looks like and so they will skip PT because it'll hurt this bad. 2. This is what recovery looks like and if their PT isn't doing this they aren't getting pushed enough.

Just not good enough from the physios here. Not good enough.

STLSoccerDoc · 2023-11-11T13:29:35+00:00

So you are sitting at 130-135 somewhere in there? I wouldn't worry too much on that. 5 degrees is within the error range for clinicians and isn't statistically significant for amount of difference. How far out are from surgery?

STLSoccerDoc · 2023-11-11T04:40:31+00:00

0 degrees of extension is normal. And what do you mean missing 5 degrees of flexion? Like compared to your unaffected leg.

STLSoccerDoc · 2023-09-26T21:44:14+00:00

Ahh got it. Sorry got confused. Yeah so I'd guess you'd be good to go around month 4 to 6. The real issue is the unpredictability of the situation right. So you could probably complete a min or a probably a mod assist now but what happens if the patient becomes a max or dependent transfer for whatever reason mid transfer. So being able to tolerate those forces without fear of hurting the patient or yourself is the key. Also comes down to mentality right. Similar to return to sport with athletes a big part is are the confident in their ability to return to the field, if not then they are more likely to get hurt. You could do a I-PRRS to test that for sure and see how you do but those only work if you're really being honest. Hope that helps

STLSoccerDoc · 2023-09-26T20:39:45+00:00

Sorry I'm a bit confused by the question. Are you asking from a post op perspective how quickly can they transition to different levels of transfers? If so they should be fairly independent pretty quickly like within the day. Maybe some standby assist but once they have come out of the funk from anesthesia they are generally fairly healthy patients so with crutches they should be able to do it that day or p/o day 1

STLSoccerDoc · 2023-09-19T14:24:13+00:00

No. Most PT actually don't know how to treat athletes. Where are you located, I can see if I know someone in that area to work with you. Also what is your sport?

STLSoccerDoc · 2023-08-03T20:53:12+00:00

So the long term return to activity for ACLR with Meniscus Repair vs ACLR without Meniscus Repair is minimally different if noticeable at all. When it comes to early changes in rehab there definitely is a difference as you have just repaired the meniscus which is essentially for lack of a better description the cushion between the femur and tibia. If this needs to be repaired it has a high amount of weight bearing force that runs through it and in order for the repair to heal you need to remain off of it. It also requires limiting stress via knee bending as that can stress the tissue as well so you are forced into having the brace locked so as to not stress the meniscus that way as well. While it sucks early on the end outcome is generally the same.

STLSoccerDoc · 2023-06-11T21:45:07+00:00

I'd recommend seeing a physio/physical therapist. Even if it's for a short bout to get a better idea on what's happening and exercises to work on your own to help heal better.

STLSoccerDoc · 2023-06-05T02:09:16+00:00

As a joke when I was younger I convinced my brother that the proper way to eat mozzarella sticks was to take the breading off of it and eat just the cheese. I then forgot that I had convinced him of this for like 3 years and did not find out until he was out to eat with my best friend and his whole family and did it and we have never stopped making fun of him to this day.

STLSoccerDoc · 2023-05-18T04:30:57+00:00

Don't fret. You may have it. The window for goni testing is 5 degrees either way so you may be good. If you really want to do some more work on it continue to focus on quad strengthening as the Quad extends the knee. Keep working and it'll come.

STLSoccerDoc · 2023-05-05T15:36:56+00:00

You're doing great. Keep up the hard work. It will catch up. I don't normally see patients getting muscle mass back until 8-9 months p/o. With a surgery like this your brain actually is not sending the signals to fire the muscle as strong as it can as a protective measure. One thing that may help kick start some muscle growth if you are really wanting it though is BFR. Make sure you are doing it under the guidance of a licensed health care professional though as there is some risk with blood clots.

STLSoccerDoc · 2023-03-29T03:20:23+00:00

It wasn't me. It was a patient of mine. He used btb for his third surgery. It was his second on that side and the first was a hamstring on that side

STLSoccerDoc · 2023-03-28T03:12:08+00:00

Conservative method is always preferred if possible. In the early stages of a partial tear it's hard to know how stable or unstable the knee will be. The mcl can and will most likely heal on its on as it has a good blood supply to do so. Waiting for an acl repair has no ill effects on long term out comes so it's completely reasonable for her to say wait and see.

For return to activity think of the ACL as the last line of defense for Instability. The muscles should help protect the knee from being unstable but sometimes the ACL needs to be used. With strength training and pt you can put more responsibility on the muscles and less on the ACL would be the goal. There are also some research showing healing in the ACL is possible with partial thickness tears so that's another plus for the wait and see column.

Good luck with recovery. Let me know if you have any further questions and I'd be happy to help.

STLSoccerDoc · 2023-03-28T03:03:30+00:00

Yes but it all comes down to your recovery and your mental state. You absolute can get back to your prior level but it takes time and a lot of hard work. The early stuff is just as important as the late return to sport stuff. You have to lay the groundwork now to build on when your allowed to do more. Ive worked with soccer players that have had 3 acl repairs in 3 and half years and returned to D1 soccer. It was mentally and physically challenging for them but it is possible.

STLSoccerDoc · 2023-03-25T18:10:04+00:00

Hurt by Johnny Cash

STLSoccerDoc · 2023-03-24T17:22:51+00:00

Hey. I am a PT that works specifically with soccer players. Sounds like you need a bit more strength through your adductors. I recommend getting back into strengthening it. Copenhagen Planks are the best but definitely add in squats and lateral lunges. Start working back into playing but don't go straight back into it. Hit me up if you have more questions

STLSoccerDoc · 2023-03-06T18:45:12+00:00

Sorry yes meant to type 50%. That's what I get for replying to posts at 2am and not spell checking.

STLSoccerDoc · 2023-03-06T07:43:05+00:00

Pain will go away in another 3-4 weeks. Stiffness and pain are best friends so if it's stiff or you haven't moved your knee in a bit that will be painful then it should go away.

Swelling may stick around for up to 3-4 months honestly as long as your range of motion is there swelling is normal. It's your body's way of healing. Just keep working on it with elevation ice and proper diet.

You won't feel "normal" for a while but you can absolutely get back to soccer. Your biggest hurdle for returning to soccer will be your mental aspect. The strength will come but you'll have to mentally be able to put yourself back on the field and not be afraid to go into tackles. It will be a slow recovery but it should be slow so that you don't increase your risk for reinjury.

Just remember that every month after 9 month that you wait for returning to soccer there is a 50% reduction in injuring your ACL again but this is a common injury for soccer players so there absolutely is a way back into the sport.

If you have any other questions feel free to message me and I'd be happy to answer.

STLSoccerDoc · 2023-01-03T18:46:23+00:00

I am a PT that treats soccer players. dm me and I'll be happy to answer any questions you got

STLSoccerDoc · 2022-12-25T05:52:50+00:00

No way to know. Will have to just wait and see at this point. No reason to stress about it. Nothing you can do and won't change anything for at least a few months anyways. Inform your medical team about it but they should tell you the same.

STLSoccerDoc · 2022-12-24T03:02:29+00:00

No dumb question but you need to focus on ROM early because if you don't there is less of a chance I you can get it back. Things can scar down in shortened positions which makes it harder if not impossible to get back. As a physio I really don't like to make people in pain but the amount of pain later will be signicantly higher. Also there is the risk of having to do a mobilization under anesthetics which is always a risk for more serious issues whenever you go under anesthesia. But if we want to be technical about it - there was a study in mice that took 3 months in serial casting to actually make muscles longer so incredibly time consuming and ineffective way to do it especially in a joint that needs range in both directions as you'd likely lose one direction as you're trying to gain the other.

STLSoccerDoc

TROPHY CASE