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Brace wearing?

 Poster: A snowHead
Poster: A snowHead
Not the things that hold up your pants or straighten your teeth but the exoskeleton type ortho knee braces?

Anyone wear one skiiing or boarding? What do you find the best combination of leg wear to prevent the brace migrating? Thermals/tubigrip/ronhills/neoprene sleeve under the brace?

Thinking appropriate legwear may be required as it will make it more decent to drop my pants for on hill adjustment.
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Pop rivets?
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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?
I use a basic jointed knee brace, forget the make now but it does seem to give me a little more feedback and also helps on long mountain bike rides. I tweaked my medial collateral lig this year for the second time.
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fatbob, nothing under the brace. They migrate a lot more if you put something underneath.
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 Anyway, snowHeads is much more fun if you do.
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What Nickski said. There is no way for it to go anywhere, the only issue is trouser clearance on top, and the cold of the exoskeleton.
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Thermals underneath a Donjoy heavy duty hinged brace.

No slippage. No shrinkage when I drop trousers.
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fatbob, my OH has been wearing Cti2 for 10years or more. Wears a layer of tubigrip underneath to keep his knee warm. No migration probs, no rubbing, fits under ski trousers. The brace was supplied by the NHS and fitted by a physio, post surgery.
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After all it is free Go on u know u want to!
Brace over thermals, IMV
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fatbob, I agree with Nickski, - wear it close to your skin. My Donjoy brace stays in position nicely. Thermals go over it.
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Following my ACL surgery last May I'm going to have to make a decision very soon about a brace.

Surgeon says no need for a brace at all, Physio says not to ski without one Puzzled Confused snowHead

My thought is to compromise and start with one but gradually reduce its use.

Given that my ACL has been replaced and my knee is, according to my surgeon, technically stronger than it was before the accident I am not inclined to spend £500+ on the CTi standard of brace.

There seems to be a number of cheaper options from the metal hinged neoprene level and upwards, anyone got any advice?

fatbob, I'm sure from earlier posts this year you are at the same stage, what are your thoughts and what medical guidance have you had?
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I already have a Donjoy that I bought for skiing sans ACL but never actually used due to faff factor after trialling it on a day hike - just want to use it a psychological crutch this winter.
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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.
robboj,

Not sure about the neoprene ones..but if it makes you feel good..

fatbob, A friend of mine used a carbon one prior to having new knees... and always over the LJ's AFAIAA....
He will ski with braces on both new knees for the 1st time this season..
In an ideal world, you'd have lined ski pants for warmth and the brace next to the skin... he will only use them for protection of over-extending but since he has more flexiblilty in his knees now that before the Op, I am sure they perform the crutch role more than anything.

If nothing else...injured knees should at least ensure the skier puts time into streghtening the leg muscles... I have always felt this is a element always missed/skimped on for the vast majoirty of skiers. let alone ones who have injuries...
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So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
robboj, see link in my above post.
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 You know it makes sense.
You know it makes sense.
I don't like the idea of injuring a knee and from what I read skiing is just the thing that can do it. Is there any benefit likely to be gained from where some sort of preventative support over the knee area or is it the case that when you twist enough to cause damage no punitive support is going to prevent injury?
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 Otherwise you'll just go on seeing the one name:
Otherwise you'll just go on seeing the one name:
Quote:

Is there any benefit likely to be gained from where some sort of preventative support over the knee area


No... better off trying to strengthen the muscles around the knee joint and ensure you are properly warmed up prior to every ski run.
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 Poster: A snowHead
Poster: A snowHead
Megamum, yes, wot skimottaret said Madeye-Smiley

I posted a list of excercises (somewhere) that my physio taught me, and I even do some of them !
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 Obviously A snowHead isn't a real person
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robboj, My other half hasnt injured his ACL, but likes to wear the neoprene support to keep his knee joints warm. He finds they dont ache at the end of the day if he wears them.
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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?
skimottaret wrote:

No... better off trying to strengthen the muscles around the knee joint


Better perhaps, and probably achievable in each year's first week of skiing by the members here having fitness comparable to club level football players. How many are those?

Quote:
and ensure you are properly warmed up prior to every ski run.


Better perhaps, again, but who runs and jogs in ski boots at the top of every ski lift ride to make sure their foreheads at least are as warm as their core?

These muscles have less blood supply to them than the head does.
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comprex, fair enough but we are talking about people who are considering knee braces not your average skier. If you are at a point where you feel knee braces may be needed and you Still want to ski investing time in exercise may be a necessary, not a nice to have.. My knees are shot and i dont do enough exercise but do at least attempt to.

I didnt mean to imply each run off the chair lift (that wouldnt be practical) but a proper warm up in the morning and after lunch. I personally actually do do this as geeky as it looks and sounds...

forgot to add take plenty of Vitamin I and glucosamine Toofy Grin
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Anyway, snowHeads is much more fun if you do.
Vitamin I?
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skimottaret, I'm speaking from a very limited expertise here: I know fewer than ten people who, starting off as legitimate knee brace wearers in February or March, have been able to train up to ski at a confident, solid performance level without a brace the January after. In each case it involved a commitment to focused, specific exercise over the entire year. A commitment not far from being part-time employment.

You are right, it isn't remotely practical. I think it might be quite desirable though.


Last edited by You'll need to Register first of course. on Thu 30-10-08 21:03; edited 1 time in total
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Megamum, ibuprofen.
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After all it is free Go on u know u want to!
Megamum, http://www.urbandictionary.com/define.php?term=Vitamin%20I
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Vitamin I - wonderful stuff 400mg at a time Laughing
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Megamum wrote:
Vitamin I - wonderful stuff 400mg at a time Laughing


This takes up too much pocket room. 800mg and 600mg pills make for more compact cases and easier swallowing washed down with sno. wink
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comprex, you are probably correct on the time and effort it actually takes to strenghten the area around the knee.... Not to be underetimated and for me another good reason not to get hurt, to try to lose some weight and get the fitness levels up before skiing Very Happy
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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.
I didn't think they came in tablets that big!! I think I've only ever seen 400mg tabs. prescribed from our doctors and assumed that this was because the dose was getting rather big at 400mg. 800mg at a time must be positively happy making Toofy Grin
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 So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
If I may just revive this thread for an instant...

.....my consultant has discarged me as he is convinced that the ACL rupture at the EOSB in April has stabilised sufficiently for skiing without surgery (and attendant risks), as long as I wear a brace. He couldn't prescribe one as not essential (except for skiing).

Having been pointed in direction of Technology in Motion in Wimbledon, and though I'm sure the fitting and product will be great, the price is high. Not begrudging it but wondering if snowHead s have any experience that might help reduce cost. There do seem to be many products out there and my physio has said she thinks I might be OK with just a good neoprene support, but I'm not sure I'm that optimistic.
Confused
Any comments?
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 You know it makes sense.
You know it makes sense.
Al Phorn,

Interesting to hear that as I am at the same stage, having been discharged last week albeit six months to the day from the reconstruction surgery, and I now have the letter to send to the insurers (after I frame a copy)

My consultant is firmly of the opinion that I won't need one as he says my injured knee circumference is within half a centimeter of my normal knee. I have worked really hard in the gym since August to achieve that though. I told him that I want to wear something, purely for the psychological reassurance of it and my consultant says a good quality hinged neoprene brace will be fine and is not likely to do any damage, whereas he did say with the combined strength of my knee and a full mechanical brace I would probably do huge damage to my hip if did the same again.

I would ask your consultant what type to get, in my experience of asking physios etc I just couldn't help feeling that I was just a sales opportunity for the most expensive brace they could sell me rolling eyes

BTW I have noticed a few twinges in the cold weather in the last few days, which makes me inclined to use the neoprene any way just to keep the joint warm - do any other ACL reconstructees notice this?
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 Otherwise you'll just go on seeing the one name:
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Hmmm. My surgeon said braces were pointless. Physio said different, but didn't push it.

I am 15 months post op and have been working at the physio. My knee has given the odd light twinge the last couple of days. I start my ski season in Tignes on thursday.

(OK, I skied as Castleford last month for 3.5 hours almost solid too and no funny things happened then)
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 Poster: A snowHead
Poster: A snowHead
lampbus,

My surgeon also says they are physically pointless but did agree that if I felt there was a psychological benefit that the hinged neoprene would meet that without the potential damage (to hip and wallet) that would come from the full mechanical brace.

I presume from your comments you didn't ski last winter so I'll be very interested to hear how you get on?

If my cold gets better I will probably make my return at Xscape this week and on the mountain in Zell am See on 17th January Very Happy Very Happy Very Happy
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I had a cartlidge op on my left knee last Aug. I had heaps of problems last season as the left leg became badly out of condition. 3/4 days of skiing essentially on one leg(right) and that gave up. rolling eyes I've now been training for 3 months with a big bias towards the quads. The knee now appears to be perfect, the quads are very much improved. Aswell as legs, I also work on upper body and core strength. Little Angel
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Well, the person's real but it's just a made up name, see?
robboj, I ruptured my ACL when i was about 19, and since then have had a grade 2+ tear of my medial ligament... The ACL was a result of a lift q accident and the Medial injury a result of a football injury... Basically NHS advice was "dont do this that and the next thing anymore! However, being stubborn and not being the most trusting of the NHS, i went to the sports injury clinic at HAmpden and was put through a course of rehab based entirely around strengthening the surrounding muscles and keeping them strong and supple. As a result i ski hard, play football at reasonable standard and generally do all the things i would normally do. This is without surgery and purely a result of training the muscles etc around the knee, developing good core strength and balance and retraining the knee to ballance and work without a functioning ACL. 12 years on from the original injury i dont have any problems with my knee(touchwood Very Happy ) and do the things i enjoy regularily.
Acording to the Sports therapist, it is fairly common amongst rugby players to be able to have successful careers with no functioning ACL in either knee... not sure how accurate ths is but it was good inspiration for me at the time... ie not to be outdone by egg chasers Laughing
Basically i would go with the opinions of the guys on here who suggest you should strengthen the muscle groups around the knee and if possible go see a quality sports injury specialist for a good exercise programme Thanks
for listening to my tuppence worth.

Scott.
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scottieruss, My experience was that I functioned pretty well without an ACL possibly for a significant no of years (former egg chaser). Due to muscle strength the lack of ACL was not confirmed until I had a menisectomy. Eventually I was feeling it more due to excess weight etc e.g limping up stairs so decided to bite the bullet and have a recon.

The point is some people can function well without it, others seem barely able to walk.
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fatbob, have you had the reconstruction yet ?


robboj, I went to the PSB a couple of months post-op and didn't ski (it is at its weakest then). Then I did the PSB at 6 months post-op and bimbled about on short planks/low DIN whilst helping (and hindering!) easiski teach a beginner group. No problems arose.

I was kneeling down today and got a strange pop out of it. Generally it feels tighter than the other 'good' knee, but I suspect that the 'good' knee may also have something not quite right.
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These are all useful comments.
Just to be clear, I've not had the recon so looking to brace myself to protect from further injury.
Interesting that others have managed to survive without an ACL or a brace just with muscle strength. I suppose I'm being girly about it but the prospect of spoiling a weeks hols (and the rest) by not taking precuations to protect my knee isn't one I relish.
Perhaps I'll just go for the best well-fitted brace and trust it will give me confidence to enjoy myself rather than worry about it all the time I'm skiing.
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Al Phorn, Probably worth it for peace of mind as much as anything, even better will be getting a couple of early falls in wink At least you can't tear it again yet.
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 After all it is free Go on u know u want to!
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I snapped my ACL in the summer of 2006 playing football and haven't skied since. I am playing full 11 a side matches and have been for almost a year now without any real problems. My left leg is still visibly smaller, even after lots of Gym work, swimming and football (but I am right footed) but I have very few problems with it other than it aching and twinging like hell over the lest 2-3 weeks (I've put that down to the stupidly cold weather).

I'm booked up for Austria in February and am very, very worried about my knee as a family friend I know has recently ruptured their ACL skiing. I've done loads of research on braces and pros and cons and I definitely want one as I know I'd be furious if I didn't wear one and injured myself. My main issue is the cost, it costs more than the actual holiday for a good Donjoy or CTI brace to get fitted, even the "off the shelf" variety are around £400?

Does anybody have any advice on off the shelf models and which are worth the money?

I am hitting the Gym and working to strengthen the muscles around the knee even further as well but I think the psychological factor may be a big one for me so am opting to get one.

Thanks.
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My feedback - wore my Donjoy for about 3 days then decided it was inhibiting me and reverted to a knee sleeve with metal hinges which was far less cumbersome.

No adverse effects and well over the psychological barrier now. In a year's time I can forsee tubigrip only possibly.
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Cheers Bob, I've been looking at some of the slightly less expensive £100-200 Neoprene/equivalent jobbies. Donjoy do a Playmaker which looks quite supportive yet unobtrusive.

Does this mean you have a Donjoy going spare Wink
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