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>I'm getting my ACL and meniscus reconstructed soon. How was >the prehab/rehab process for you? How did the affected area >react months/years after the surgery?
I had the surgery in 1995, and my impression now from talking to kids that I coach is that the rehab process has been condensed considerably. But since I was almost obsessively conservative in following my surgeon/PTs rehab advice, I can actually recreate the process pretty faithfully.
The prehab process was basically negligible. I was in high school and already doubling between club soccer and indoor track, so the real challenge was getting me to focus my effort and dial down my activity. Lots of stationary bike and very controlled lifting (like on machines) for my quad/hamstring. I did it pretty faithfully, but not as enthusiastically as I'd take to rehab.
That lasted for about four weeks prior to the surgery, which was in late January. A few days later, I had to return to get the dressing off my knee and look at the awful, grapefruit sized joint surrounded by absurdly atrophied muscles in my upper leg. It looked like a candy apple turned upside down, deeply upsetting.
Early rehab was the worst. Lots of really simple lifts that I didn't have the strength for and flexibility stuff that was incredibly painful. The swelling lingered and so my PT and surgeon made me really push to reach milestones for degrees that I could both flex and straighten my leg. Hitting 90 degrees for the first time was a really big deal. I feel like that took about two or three weeks, but the toughest thing was straightening it out fully. That one took me a long time and there was a lot of pressure around it since my PT told me that I needed to hit that 180 degree mark to avoid scar tissue building up there.
It took about 4-6 weeks before I felt like I could use my leg in a way that resembled (but was still not identical) to regular folks. Once that happened, the rehab was hard work but not quite as frustrating because the goals were more recognizable as actual, athletic accomplishments than "flex knee to 90 degrees."
As I said above, my rehab was pretty conservative. They didn't let me run again until about three months, and then with the instructions to just do light, straight-line stuff. Prior to that, I kind of got my hardwork fix on the stairmaster at my PTs office, which isn't really that satisfying. By six months, I was told I was pretty much back to normal, but should still proceed with caution because it'd been so long since I'd done things like sprint or make hard cuts, etc.
Remembering how to do that stuff and being able to do them with confidence that my knee wouldn't buckle and collapse was really tough. That took me way longer than I expected because there's not really any way to talk yourself into it. Your surgeon can say you're fine and your PT can sign off on you having done the work, but you'll only feel confident after some number (unknown and varied, obviously) of repetitions for cutting and jumping and torque on the knee that makes it become automatic and not a source of anxiety.
For me, it took a couple of months after being deemed fully ready to go.
That's a psychological effect, though. As far as actual physical ones, my knee has held up fine. I have dislocated the kneecap in the same knee twice in the 20 years since the surgery, which is a much more painful injury but much less serious as far as recovery goes. But both of those were in discrete incidents and not the result of some lingering structural weakness.
I don't have any evidence to back this up, outside of my own experience, but I've never really felt like I had the same amount of explosive speed since. It's an odd thing to say, since I was 16 when I had the surgery and was still able to move down to some long sprint events in track after the injury. But the one concrete thing I have to hang on is that I've never been able to jump as high. Like, prior to the injury/surgery, I could actually jump a respectable height and almost immediately afterwards, I couldn't. Your mileage may vary.
I hope that covers what you wanted to know. If you've got any other questions, shoot them upon me.
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"Walleye, a lot of things are going to go wrong in your life that technically aren't your fault. Always remember that this doesn't make you any less of an idiot"
--Walleye's Dad
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