DR Mark, i had a big crash about 2.1/2 weeks ago and i injured my knee big time(tore some ligaments) and maybe tore the acl in my left knee. the reason i am wanting your opinion is cause i live in canada (quebec) and as you surely know our medical services are free(a big chunk of my paycheck is paying for it every week). and here the medical service sucks, it can take 3 months just to get the test to see the condition of the ligaments and then it can take another few months before surgery. i've seen a doctor once and with the test he did he said that when pulling on my leg the knee joint doesnt come to a stop and that makes him think it's the acl that is completly tore.my question is,i told the doctor that at the impact i felt a big POP or TOC inside my knee and he says it's usualy when the acl tears completly that we can feel that pop.he prescribed me a custom made knee brace and he said that i could go on with any activity i want with the brace while waiting for the operation.As a side note i would pay personal inssurance any day for better health services.I realy feel to be left on my own with this b.s system. what's your opinion thanks.
DR Mark,can you give me you opinion ?
Started by livharder, Jul 20 2007 04:26 AM
7 replies to this topic
Posted 20 July 2007 - 04:26 AM
DR Mark, i had a big crash about 2.1/2 weeks ago and i injured my knee big time(tore some ligaments) and maybe tore the acl in my left knee. the reason i am wanting your opinion is cause i live in canada (quebec) and as you surely know our medical services are free(a big chunk of my paycheck is paying for it every week). and here the medical service sucks, it can take 3 months just to get the test to see the condition of the ligaments and then it can take another few months before surgery. i've seen a doctor once and with the test he did he said that when pulling on my leg the knee joint doesnt come to a stop and that makes him think it's the acl that is completly tore.my question is,i told the doctor that at the impact i felt a big POP or TOC inside my knee and he says it's usualy when the acl tears completly that we can feel that pop.he prescribed me a custom made knee brace and he said that i could go on with any activity i want with the brace while waiting for the operation.As a side note i would pay personal inssurance any day for better health services.I realy feel to be left on my own with this b.s system. what's your opinion thanks.
Posted 20 July 2007 - 06:08 AM
the chances that you tore your ACL is probably 100 percent.
the chances that you will be able to have it fixed before 2009 almost 0 percent.
Braces for an unstable knee in a MXer work like sh1t.
If you want to get it fixed next month, come and visit me.
Meantime, start on he prehab. That means stationary bike, one hour per day, ever day and ROM exercises.
I should be sailing down the St. Lawrence on my friend's boat some time next month. If you meet me, I will look at it, and I will let you buy me a Molson's.
the chances that you will be able to have it fixed before 2009 almost 0 percent.
Braces for an unstable knee in a MXer work like sh1t.
If you want to get it fixed next month, come and visit me.
Meantime, start on he prehab. That means stationary bike, one hour per day, ever day and ROM exercises.
I should be sailing down the St. Lawrence on my friend's boat some time next month. If you meet me, I will look at it, and I will let you buy me a Molson's.
Posted 20 July 2007 - 07:20 AM
drmark said:
the chances that you tore your ACL is probably 100 percent.
the chances that you will be able to have it fixed before 2009 almost 0 percent.
Braces for an unstable knee in a MXer work like sh1t.
If you want to get it fixed next month, come and visit me.
Meantime, start on he prehab. That means stationary bike, one hour per day, ever day and ROM exercises.
I should be sailing down the St. Lawrence on my friend's boat some time next month. If you meet me, I will look at it, and I will let you buy me a Molson's.
the chances that you will be able to have it fixed before 2009 almost 0 percent.
Braces for an unstable knee in a MXer work like sh1t.
If you want to get it fixed next month, come and visit me.
Meantime, start on he prehab. That means stationary bike, one hour per day, ever day and ROM exercises.
I should be sailing down the St. Lawrence on my friend's boat some time next month. If you meet me, I will look at it, and I will let you buy me a Molson's.
Posted 20 July 2007 - 07:45 AM
ROM means range of motion exercises. Here there are. Click on the link, then the hilighte area that says range of motion exercises
http://sandersclinic...ehab_rdmp.html#
We do reconstructive surgery when a guy have normal motion again, and can walk normally.
This allows guys to return to sports early, and not lose motion in their knee.
http://sandersclinic...ehab_rdmp.html#
We do reconstructive surgery when a guy have normal motion again, and can walk normally.
This allows guys to return to sports early, and not lose motion in their knee.
Posted 20 July 2007 - 02:37 PM
Dr Mark, for now it is terribly painful when i try to bend my knee and just feels locked and if i try to bend it maximum angle is not quite 90 degrees (with pain), would you suggest me to force it on a stationary bike and force it to bend to accelerate the healing.thanks again.
Posted 20 July 2007 - 03:07 PM
You cant really bike untill you have 100 degrees. Do what ever you can. Earlier I posted the program from our web page.
Posted 22 July 2007 - 05:11 AM
Perhaps this, from our website, will help:
The exercise is done by fully extending the knee and placing several towels or firm pillows under the heel. A single towel is held by both hands under the forefoot. As toes are pulled towards the head, assisted by the towel held in both hands, the patient pushes the back of their knee down towards the bed. This enables the knee to hyperextend. Another way to accomplish this is to lie on the floor and elevate the legs by putting both heels on a coffee table. Patients then actively extend their knees as much as possible. A trainer or coach can see if both legs extend equally. If not the trainer or coach can exert some manual pressure on the knee that doesn't want to extend as much, in order for both to be equal.
To flex the knees, we prefer the cannonball position. The patient grasps the back of both thighs and pulls them up to the chest. As this occurs, the quadriceps muscle relaxes and gravity causes the knees to bend. Patients are asked to breath and exhale deeply. The trainer or coach can determine if both knees are flexing equally. If not, then some gentle pressure can be placed on the foot of the deficient knee to cause it to flex as much as the opposite one. During this time it is important to concentrate on breathing - and in particular the exhalation.
The exercise is done by fully extending the knee and placing several towels or firm pillows under the heel. A single towel is held by both hands under the forefoot. As toes are pulled towards the head, assisted by the towel held in both hands, the patient pushes the back of their knee down towards the bed. This enables the knee to hyperextend. Another way to accomplish this is to lie on the floor and elevate the legs by putting both heels on a coffee table. Patients then actively extend their knees as much as possible. A trainer or coach can see if both legs extend equally. If not the trainer or coach can exert some manual pressure on the knee that doesn't want to extend as much, in order for both to be equal.
To flex the knees, we prefer the cannonball position. The patient grasps the back of both thighs and pulls them up to the chest. As this occurs, the quadriceps muscle relaxes and gravity causes the knees to bend. Patients are asked to breath and exhale deeply. The trainer or coach can determine if both knees are flexing equally. If not, then some gentle pressure can be placed on the foot of the deficient knee to cause it to flex as much as the opposite one. During this time it is important to concentrate on breathing - and in particular the exhalation.
Posted 22 July 2007 - 03:23 PM
drmark said:
Perhaps this, from our website, will help:
The exercise is done by fully extending the knee and placing several towels or firm pillows under the heel. A single towel is held by both hands under the forefoot. As toes are pulled towards the head, assisted by the towel held in both hands, the patient pushes the back of their knee down towards the bed. This enables the knee to hyperextend. Another way to accomplish this is to lie on the floor and elevate the legs by putting both heels on a coffee table. Patients then actively extend their knees as much as possible. A trainer or coach can see if both legs extend equally. If not the trainer or coach can exert some manual pressure on the knee that doesn't want to extend as much, in order for both to be equal.
To flex the knees, we prefer the cannonball position. The patient grasps the back of both thighs and pulls them up to the chest. As this occurs, the quadriceps muscle relaxes and gravity causes the knees to bend. Patients are asked to breath and exhale deeply. The trainer or coach can determine if both knees are flexing equally. If not, then some gentle pressure can be placed on the foot of the deficient knee to cause it to flex as much as the opposite one. During this time it is important to concentrate on breathing - and in particular the exhalation.
The exercise is done by fully extending the knee and placing several towels or firm pillows under the heel. A single towel is held by both hands under the forefoot. As toes are pulled towards the head, assisted by the towel held in both hands, the patient pushes the back of their knee down towards the bed. This enables the knee to hyperextend. Another way to accomplish this is to lie on the floor and elevate the legs by putting both heels on a coffee table. Patients then actively extend their knees as much as possible. A trainer or coach can see if both legs extend equally. If not the trainer or coach can exert some manual pressure on the knee that doesn't want to extend as much, in order for both to be equal.
To flex the knees, we prefer the cannonball position. The patient grasps the back of both thighs and pulls them up to the chest. As this occurs, the quadriceps muscle relaxes and gravity causes the knees to bend. Patients are asked to breath and exhale deeply. The trainer or coach can determine if both knees are flexing equally. If not, then some gentle pressure can be placed on the foot of the deficient knee to cause it to flex as much as the opposite one. During this time it is important to concentrate on breathing - and in particular the exhalation.
