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Ski season = delayed

 Poster: A snowHead
Poster: A snowHead
Sad Really depressing... I was meant to start skiing on the dry slope next friday and having race practise as I wanted to compete in the BUDS dryslope championships in November, and then uni christmas trip... Was really pumped and everything, the dustings in alps etc.

Basically, I have a condition with my knees that means I can easily dislocate them; was playing Futsal (7-a-side football with indoor'ish rules) and ya... Dislocated it quite bad and first estimation from doctor is 12 weeks till I can do sport. Sad

BTW the NHS is really good compared to the poo-poo I had in Italy when I last dislocated it.


Last edited by Poster: A snowHead on Tue 13-11-07 3:06; edited 1 time in total
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Timmaah, tough luck Sad
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Timmaah, how awful. Friend was told she could never ski again after she dislocated hers, as she couldn't ski before............ Very Happy
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Timmaah, bummer. Sad
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Timmaah, Bad luck, hopefully you will be fit for the second half of season. Sad

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Timmaah, 12 weeks... downer. Could be fit for Feburary though? The MSB in Wengen perhaps? Certainly the EoSB is not out of the question Smile
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Timmaah, bummer!

But, remember how long the Hermannator took to get back. It's all about your PT, and not necessarily doing it according to the rules, but rather according to what your body will allow. Push it in ways that are healthy for you!
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Timmaah, Poor you, I hope it gets right real quick for you. Best wishes
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How about taking up snowboarding? While it's tougher on the wrists (buy some wrist protection) it's far easier on the knees as they are both connected to the same board.

BTW you can help the recovery period by being very diligent with the rehab process (do loads of physio + leg extensions + leg presses)
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Sad man down, man down, get busy with those rehab exercises and you'll come back twice as strong.
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Cheers for the advice, it helps. At first I kinda wanted to put away my helmet and the ski photos i got up but figured should leave them. Last time i dislocated my other knee and didn't do physio and it took a while till I could do sport.. around 8-9 weeks for light sport so hopefully if I do physio I can be back up for at least one week skiing.

Thing that takes the wee wee is that since my left knee got dislocated I've been working on my knees to get them stronger to prevent the likelihood of dislocating them. Go figure...
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Tough liuck, ......do the rehab and get a regime to look after your knees and you might end up with better knees than most as a result.

Skiing isn't a sport that you should expect to have to no leg work anyway... same appies to most sports really, but you might be surprised how little some expect unprepared knees to do. So this might be a positive thing in that sense.
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Timmaah, That sucks...
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 You know it makes sense.
You know it makes sense.
Timmaah, bad news why not in april if atall

with a bit of rehab you should be able to get back to fitness......keep building those muscles....... and worse case using a knee brace to prevent the dislocation may be an option in the future if all else fails
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Timmaah wrote:
........ first estimation from doctor is 12 weeks till I can do sport.....


Rough luck. But, 12 weeks - so possibly fit for sport in January - and hence the season is not lost? Or am I missing something? Does 'fit for sport' actually mean 'fit to start rehab'?
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 Poster: A snowHead
Poster: A snowHead
Well no, it means fit for sport, but thats if all goes well. Granted I'll find out more about the length of the injury on Monday and I hope I will be up and running sooner than later. I dont think I've ever skied past February but I guess htis year I'll have to look into it. The whole things just depressing as I was looking forward to trying to qualify for the championships.

As for the knee brace, I'll probably use one doin sports for this year, I used to use one but figured my knees had become strong enough.. guess not. I just hope I didn't get a fracture like I did with my left one and have to end up having surgery.

In comparison to my last dislocation this one seems to be a better, I can put some weight on it already so if all goes well maybe i can get more than one week of skiing in this season, I was looking at a month before...
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So, give reasonable luck, your ski season is not over Very Happy An awful lot of us ski after February. Bad luck about the BUDS champs, though.
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Yup - you can ski in France right into the beginning of May. Get going on those balance cushions asap Toofy Grin
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Timmaah, really bad luck that.....shame to miss BUDS and uni xmas trip but if you can get back skiing before March then there's the British Unis snow champs - 29th March-5th April 2008 in Saalbach..... usually similar price to the various uni xmas trips and always lots of fun Very Happy and you can do a bit of racing as well if u want to. What uni are u at? Do they do the Kings races? If so then they have last round in February then collegiates in March and finals in April so you might be able to take part in some of those once you are better..... Good luck with the rehab!
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My first ski will be in 14 weeks - I can't see the point in going early these days if you only have a small number of weeks per year to ski. I think March is the best time to go skiing now. The guide who we use each year used to be booked up for February first, but now it is March. (He was already booked up for next March when we asked him last January).
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Ya the BUSC in March should be good provided I don't injure myself again. Nah I don't think my uni does Kings races, I'm not even sure what those are. I'm currently at UEA.

Anyhow! Back from doctor today and things are looking A LOT more promising at the moment. Crutches should be gone in two weeks, and sport in 6 weeks ! That's a lot better outcome than before, meaning that I could technically go to the uni xmas ski trip but I don't really want to commit in case I get a setback etc.

The doctor isn't going to refer me to physiotherapy and just gave me some exercises to do at home.. So all good, I didn't fracture anything this time (thank god).

I'm definately happier at the moment than I was on Friday!
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Timmaah, do your exercises and wait a few weeks longer, you dont want to crock yourself again going too early
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Timmaah, you metnioned that you had done a lot of rehab on both knees since the first one dislocated. Was this under supervision or was it exercises that you sorted for yourself?

The reason I ask this is because exercises which strengthen the whole quads apparatus can actually make the kneecap less stable (amazingly) and you need to work on a specific part of the quads called VMO (vastus medialis oblique) or simply vastus medialis. It would be worth visiting a sports injury physio if you can afford it (your Students Union sports clubs may have an arrangement with someone).
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I never got physio after i dislocated my left knee, and just did exercises on my own and gradually built it up. Then i got surgery (athroscopy) on it and did some professional physio to help it out, since then i go to the gym and do stuff on my own. Mainly the machine where you put your legs at 90° angle and push back. I tended to do 90-100kg on those. Now the exercise im doin is the one the doctor recommended I do namely just lift my leg up and let it come back down adn repeat.

I'll probably get an athroscopy on this knee as well as the surgeons can strengthen the ligaments via that no?
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Timmaah,
Quote:

I'll probably get an athroscopy on this knee as well as the surgeons can strengthen the ligaments via that no?

No.

VMO is only really active in the last 20deg of straightening. Some gyms have a machine which can be set to limit the amount of bend you put on the knee before you straighten it and they are probably preferable to the device that you have been using which rather crudely just strengthens the whole quads. Does the University gym have any qualified gym instructors? They should know what I am talking about.
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Ya they do, they all got fliffy flaffy degrees and what not. Either way my left knee feels good as new after the athroscopy, but that was also cause they took out a fractured piece of the patella which was swimming around my knee. I'll have to see how it feels after I'm out of the cast in all seriousness. I can already stand on it lightly after a couple days which is great and as long as I keep mobilizing it I hope to be fit soon.

Back to your point, VMO, why would this help minimize the possibility of future dislocation [my patella sits a bit far out which is why this happens so often, least thats what one of the doctors told me]? Also, if you don't mind me asking how do you know this stuff?
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Yes VMO exercises should help to prevent recurrence (needless to say, no guarantees). I'm a GP with an interest in sports medicine
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Nick L wrote:
Yes VMO exercises should help to prevent recurrence (needless to say, no guarantees). I'm a GP with an interest in sports medicine


would this
'VMO is only really active in the last 20deg of straightening'
be ok to do with a duff (snapped, not rebuilt) ACL.

My physio said to keep off the Leg Extension machines. (Nearly 4 years ago)
But would the partial rep as described above, put less pressure on the Knee?
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Right.. well dislocated my knee 11 days ago. I am now walking with the help of crutches and can walk around without them albeit the immobilizer is staying on. Only worrying thing is that I can only bend the knee 50-70° depending on what my body position is and I can't do it anymore as the side of my knee begins to hurt which I figure are the tendons/ligaments. Anyone got an idea of how long it takes for these to repair themselves?

The exercises the doctor told me to do at the start (lie down and do 8 sets of 10 three times daily, of raising your leg up and down) are now a lot easier and I can do them now easier with my righ leg (i'm right footed) than my left so that's giving me some hope. I am hoping that I can walk normally by next Monday and then I'll see how I am from there.
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Timmaah, do you mean the knee physically cannot bend more than 50-70º (or does it just hurt to do it)? If the first, this sounds like traumatic shortening of a ligament. It happened to me after ligament damage and took weeks of physiotherapy to straighten.
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 Poster: A snowHead
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Timmaah,

I think you are beyond the remit of net advice now ( as good as it maybe, you need specifics and you have history ) and really should have a special program instigated by your specialist and onto a physio he knows and therefore they are working from the same song book.

Tell the specialist/physio what you hope to achieve and go from there. Don't just start the gym work on your own...IMV.
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snowball, it just hurts to do so.

JT, I appreciate that and to some point agree just that the doctor told me to come to him in six weeks unless there was an issue with me.
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Timmaah,

IMV, the Dr's want people to have an 'improved' situation which to me, means that you can walk on it and use it.
They have far bigger problems with other patients to concern themselves too much about how good your knee is to ski on. If it were me, I'd set the timetable and target within the guidelines of a like-minded medical team. You may have to pay for this, but I wouldn't be too happy with a 6 weeks review without knowing exactly what the thinking was behind that....ie, oh yes, that looks ok, now off you go....!!!...????
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Timmaah, I very much agree with JT that you need to be visiting a sports injury physiotherapist as soon as possible.

As regards the "lack" of movement - when you dislocate your kneecap you tear a whole load of structures on the inner aspect of the knee at the front - this nearly always results in a fair amount of bleeding into the knee joint (which makes the joint swell and acts as a general irritant) and the swelling itself tends to get mechnically in the way of bending (and fully straightening) the knee.

All the best.
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Not a good time at the moment with essays looming and what not, so will probably go to a specialist in around 10 days and have a full check up with regards to the knee. Nick L, would you say the lack of movement is to be expected then? I acknowledge that you can't really tell without seeing me but what is usually the eta before one can bend their knee in a usual manner?

I have tried walking without the immobilizer, as in bending the leg when walking and I often find my foot buckles. Walking with the leg locked straight isn't an issue though. And ya, knee is still quite swollen. Shouldn't the blood and what not have already diffused by now?
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Timmaah,

Guesswork..... the knee is still kind of traumatised so the swelling is the bodies way of keeping it immobilised.
The knee joint has a sac around it that holds in the fluid, IIRCC, and that will stay ballooned until the body has done its job. Sports people might have these joints drained but they have great medical teams dedicated to their purpose so no one is going to do that for you at this stage. If you don't have much mobility and you have a lot of swelling, you don't want to be stressing it anyway. Pain and stiffness is the bodies way of saying something isn't right so stop...


Your timetable sounds good thinking (10 days = specialist ) and don't be in too much of a rush in the early days to get the thing working without good supervision...

Not medical...but I have been through a few of these things....and I listened and hopefully understood a bit.
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Timmaah, My daughter damaged her knee snowboarding back in June (initial hospital diagnosis was that she had dislocated it although that did not turn out to be the case) her knee remained swollen for quite some time at least a month. She then had some physio on it to get movement back took her about 3 months before she was able to go back to ski racing on dry slope.
Keith Tomes -Physiotherapist on Bowthorpe road about 1/2 mile from UEA has a good name for sorting sports injury's.
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kevinrhead, cheers that's quite helpful. I'll definately keep that in mind (the physiotherapist). Sadly for me I don't tend to get slight dislocations but rather ones where it's quite disturbing to look at.

JT, I generally have a high pain threshold so if it hurts I don't pay attention to it. I guess a different person would say they're in pain right now so I guess that's good and bad. As for the stiffness, well I guess I could bend it more, just the inside of my knee hurts (where the ligaments are I''ve heard) and a bit on the outside. Really dont want to be rupturing them again Very Happy

I'll be glad once I can walk again, cause then I can ski shortly after (hopefully). Also, anyone know of any good devices that keep the knee in place but dont restrict mobility? I will be definately getting two of them and wearing them while doing sport.
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ref knee braces, I'd seek specialist advice, it maybe building up the muscles around the knee will be much more beneficial than articial supports....
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Timmaah,
Quote:

Nick L, would you say the lack of movement is to be expected then?

Yes, if the knee is still swollen.
Are you actually in Germany, or at a Uni in the UK?
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