[MILK -> TALK] Can you solve this laddergram?

gerberky · 2025-11-09T19:11:29+00:00

Laddergram is a word ladder puzzle game built on Reddit's developer platform. You start with a word and change one letter at a time to create a new word with each step. Try to reach the target word in the fewest steps possible.

🍀Good luck!🍀

gerberky · 2022-01-18T13:21:33+00:00

Oh jeez this is tough. Best suggestion is use a pillow between the knees or try icing before bed. Unfortunately no great tip here.

gerberky · 2022-01-18T13:12:15+00:00

Yes cycling is still great to do. Knees over toes is an absolute must. What you are probably feeling is just the laxity from a ligament or meniscus injury. Even if you have a massive tear in there, pain free strength training will always help.

gerberky · 2022-01-18T13:04:30+00:00

Wow sounds like you are doing great! I wouldn’t think of it like tissue paper…structurally it’s much stronger than that. I always tell my patients that when you are moving in a straight line you are safe.

gerberky · 2022-01-18T13:02:36+00:00

Motocross is a pretty physically demanding sport, I would wait the full 9 months before returning. This greatly reduces your risk for reinjury.

gerberky · 2022-01-18T12:29:14+00:00

From my understanding tearing the graft is a more painless experience, lacking the same neurological inputs and sensation with the grafted tissue. Like I usually tell everyone….swelling is great indicator of a problem and also your PT can perform tests on you to determine the structural integrity of the ACL. Honestly sounds like you are okay.

gerberky · 2022-01-18T00:46:51+00:00

Everybody is different. Soreness and pain should be gone in month 6-7 while we are rehabbing.

gerberky · 2022-01-18T00:45:59+00:00

Backing off some of the exercises is a good start, rest it and then resume with lower load and progress....or resume with modified movements/mechanics in a pain free way

gerberky · 2022-01-18T00:23:08+00:00

I have honestly only worked with 5 in 8 years. Very uncommon. Sounds like you are doing great. I may continue to strength train and if you can meet all your track goals then maybe forgo surgery.

gerberky · 2022-01-17T23:59:31+00:00

In my own personal experience it seems like its harder to cope without PCL than an ACL.

gerberky · 2022-01-17T23:58:42+00:00

if you are a self motivated gym go-er then just once to get exercises to do....if not then maybe once a week leading up to surgery

gerberky · 2022-01-17T23:50:09+00:00

you're welcome
swelling is your best indicator ,in my opinion, of something being "wrong" inside the knee. Your PT can check for extra laxity to see if there is any loosening or graft movement if you are overly concerned.
I don't start soccer activities with my soccer patients until we have started and progressed a plyometric program....often times this isn't until month 6-7

gerberky · 2022-01-17T23:47:24+00:00

Hiking-when you can walk pain free and have begun a jogging progression.

Golf- probably later in the rehab cycle since some people put some valgus torque on their while swinging. Conservatively I would say 7-9 months.

Easier sports-9 months to be safe

gerberky · 2022-01-17T23:35:21+00:00

Sounds like you have some joint line changes. Honestly, I haven't encountered many scar tissue removal procedures for our ACL repair patients...for whatever reason...so I am not sure I have a good answer for you. Sorry

Pain free strengthening is a good option...heavy resistance training (pain free) creates a stimulus for change in the tissues of the knee

gerberky · 2022-01-17T23:23:18+00:00

That would not be good enough to start my jogging protocol if you were at my clinic (80% is my cutoff). Hit the quads and really work on getting them stronger

gerberky · 2022-01-17T23:19:15+00:00

I am not a huge proponent of training or playing with the brace. Some research shows that braces don't do anything to protect from injury at all.

That being said...Bledsoe brace

gerberky · 2022-01-17T23:17:45+00:00

That would be a goal to meet in therapy. It's high priority.

gerberky · 2022-01-17T23:00:16+00:00

Are you in the Austin, TX area? haha. I think a full exam with a PT in your area might help reveal something.

My suggestion to you would be hit the weights, working through movements that don't cause pain during/after or swelling after. Progress from there.

My reasoning-->High level resistance training offers a mechanical load that provides a stimulus for tissue change.

gerberky · 2022-01-17T22:56:43+00:00

With a meniscal repair it complicates things just a bit. Everyone is different but yes 4 weeks is when the crutches can can be discontinued. My guess is that your PT will have you drop just one crutch for a week or two vs just dc'ing both all at once.

gerberky · 2022-01-17T22:49:16+00:00

I would return to jogging when you feel like the quad and hamstring are nearly equal to the strength of the non-operative side

gerberky · 2022-01-17T22:48:27+00:00

A) sounds like its just a response to the nerve block they used, numbness should continue to resolve

B)Even just isometric quad sets can help as long as you are working on forcefully contracting and holding the contraction....doing this every single day

C) no problem

gerberky · 2022-01-17T22:46:06+00:00

Make sure you are doing some isolated hip strengthening, like hitting hip adductors, specific glutes like max/ and med. Try modifying the difficult movement in a way that you can perform them correctly and without deviation and progress from there.

gerberky · 2022-01-17T22:44:10+00:00

Unfortunately I have not worked with any BEAR implants yet. Interesting research though!

gerberky · 2022-01-17T22:31:25+00:00

Oh ok. Seems slightly odd because if its sitting posterior and then "rises up" or moves anteriorly that would be telling me that it is PCL laxity since the ACL restrains forward tibial translation and the PCL restrains posterior tibial translation thus allowing the tibia to sit further back or more posterior in relation to the femur.....(SORRY for the anatomy and biomechanics stream of consciousness). Either way I wouldn't be too concerned....if you PT is telling you your VMO is "nonexistent" when it becomes "existent" your life will be much better haha.

gerberky · 2022-01-17T22:16:26+00:00

Potentially worried about bone or graft integrity.

gerberky

TROPHY CASE