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Damaged cruciates on the first run

 Poster: A snowHead
Poster: A snowHead
Just got home from La Plagne on Saturday with my wife on crutches.
We were staying at 1800 so last Sunday we got the Melezes lift up to center and went back down to 1800 as a warm up and that was the end of the skiing for my wife. The les mines run down to 1800 is not nice and my wife hit some ice and when she fell her ski didn't come off. Whats the best way my wife can get her knee right? she's not had a MRI yet. She had 3 lots of physio in france with Ski physio.
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
Sorry to hear about your wifes ACL injury. Obviously she need to get an expert medical opinion and there is not much detail in your post but physio and gentle excercise are most likely to be the best way forward. Depending on the outcome of the medical examination I would reccomend either buying or renting a good quality rowing machine like the concept 2 to let her work on strengthening her muscles to support the joint and allow the ligaments to heal (assuming they are not torn). Unfortunately it is not likely to be a rapid process and the best bet is likely to be time spent working on improving surrounding muscle tone.
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
Roughneck, sorry to hear about Mrs Roughneck. The first thing to do (assuming that you don't have private insurance) is to get your GP to refer your wife to the local Fracture Clinic.
I'm afraid that the NHS is often quite slow to get on with dealing with the problem, but assuming that she has indeed got an ACL rupture, I'm afraid it won't repair on its own. As the swelling goes down, she needs to work on both quads and hamstrings to protect the knee, but assuming that she intends to remain fit and active and that she is not too old, repair seems to be the best option for most people (the occasional person with good musculature can manage without).

The Fracture Clinic can do the referral for an MRI but sometimes need a bit of gentle pushing ("We'll see how you manage by just strengthening your muscles first") and then it's a case sometimes of persuading the orthopod that she really does want it repairing rolling eyes

Wish her all the best from me.

There are lots of threads on the forum about ACL repair (use the search function - "Forum Search" just above the word "cruciates" in the thread title).
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I do have private insurance with work,I have to get a state registered physio so they pay out.
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 Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
Roughneck, if you have private insurance, you also want to get your GP to refer Mrs Roughneck to your local knee specialist (sorry, I don't know any in Newcastle) because he/she will be able to get on and organize the MRI, possible arthroscopy and eventual ACL repair (if it is necessary).
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You'll need to Register first of course.
Roughneck,
Do it this way - get your GP to refer wifey to musculoskeletal triage service (may see a medic or physio) they will give you a good idea of the injury from history and examination alone.
A diagnostic like MR scan may or may not be needed depending upon clinical 'picture' (you've not given much detail)

Don't mess about cos the correct rehab needs starting early to get the best outcome - lots of folk go downhill while they wait for a not always needed scan.

If you have got med insurance then by all means use it but make sure you get referred to a respected knee specialist within a short time. You may be surprised at how quick the NHS is to get your first assessment appt and don't forget its generally the same specialists that work nhs and private.

Re: state registered physio - well they need to be registered with the HPC (health professions council which took over from state reg title) you can check their registration online. If they are not HPC registered they shouldn't use the title 'physiotherapist' cos its protected these days for properly qualified folk. Dont be afraid to ask physio about their experience of knee injury rehab, how many years, to what level, have they worked 'in clinic' with a knee specialist and for how long. Trust me it makes a difference to your outcome. Toofy Grin Toofy Grin
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 Then you can post your own questions or snow reports...
Then you can post your own questions or snow reports...
Roughneck, what I recommend is as follows: ask your GP who is the best knee orthopod around (you could also try asking the local physios this, they should know this well), then find out his secretary's number either from GP or from your local BUPA / Spire whatever it is called now. give her a call and get her to find out which physio he recommends working with for knee rehab - then go right away to see this physio, and start the re-hab training, essential to recover quickly even if surgery is necessary after more investigation.
Anyway, with private ins, your wife should be having an MRI within days, then it should be a bit clearer. (But do note that, in both my case and my wifes, our MRIs gave one diagnosis which was superceded by a different / much more detailed one after surgery.)
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
Quote:
Anyway, with private ins, your wife should be having an MRI within days, then it should be a bit clearer. (But do note that, in both my case and my wifes, our MRIs gave one diagnosis which was superceded by a different / much more detailed one after surgery.)

quite so, MRI scans give lots of false positives (worse the older one becomes) and thats the problem, so like I said get an experienced clinician who can go off a good history and examination and let them decide if an MR scan is indicated. Roughneck is right start your rehab now, but finding the right physio is a bit like finding the right dentist - the one's with the highest prices and swankiest premises aren't always the best.
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You'll get to see more forums and be part of the best ski club on the net.
Roughneck, whats the latest? Smile
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 Ski the Net with snowHeads
Ski the Net with snowHeads
Just went to see an orthopaedic guy that our home Dr sent us to. So now she sould be getting a MRI scan this week. He thinks it's just the MCL thats got a sprain.
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snowHeads are a friendly bunch.
Roughneck, 2 weeks since you got back, I hope mrs R has had physio.
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 And love to help out and answer questions and of course, read each other's snow reports.
And love to help out and answer questions and of course, read each other's snow reports.
She had 3 lots in La Plagne then she's had 4 more at home. She's been doing all the exercises the physio told her to do. We also got a tens machine. MRI is a week to day.
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