Hey everyone, the short version is I have had jumper's knee for the longest time. Then, upon acute trauma (basketball I landed on my knee while it was straight), I further tore my patellar tendon. I ALSO tore partially my PCL.
My question is, how do I go about rehab?? Exercises that strengthen the PCL (quads-training) aggravate my pat-tendon, whereas exercises for my hamstrings (like leg curls) aggravate my PCL!
So far, I have had PRP therapy, in order that my patellar tendon heal without having to work out. It was effective to some degree; BEFORE I fell I was having difficulty walking up the stairs. Weeks after PRP, I can go up the stairs with no pain in the pat-tendon. However, squats and stuff still hurt. My PCL has healed too, but I seem to have reached a plateau.
It's been several months. Please help! Any insight will be greatly appreciated!
Your issues seem very complicated and to require examination and physical therapy.
One issue regarding squats - bending the knee especially with weight can be too stressful during rehab. The patella tendon and cartilage under the patella in the patellofemoral joint area take a lot of stress though certain angles of knee flexion. Exercises that strengthen your leg muscles while minimizing these stresses seem especially important. Squats which may be fine for healthy people need some more thought for rehab. This would especially be true if, for example, your range of motion has been reduced by reduced activity. How to build up strength safely requires a gradual approach and the knowledge of a physical therapist.
For full free reports search this National Center of Biotechnology Information (NCBI) website. PMC reports are available free on line.
It has really been a rough road. I hope others will have insights. And yes, I have avoided full squats. I've done mostly eccentric exercises for my knee. So far, they are effective. But it's taking so long- and how about my PCL?
Post by Glenn Fleisig, Ph.D. on Jan 26, 2014 20:34:23 GMT -6
vico, Was it a partial or full tear of the patellar tendon? Who diagnosed the patellar tendon and PCL tears? Who did the PRP? Who is doing the physical therapy? You can post it here or click on my name and send it as a personal note.
PCL tear was partial. Patellar tendon was also partial, with a lot of micro tears and scar tissue all over the place. The same doctor (ortho, specializes in sports medicine and arthroscopy) did the diagnosis and PRP.
I'm now doing mostly self-therapy because I've seen several PTs who do not seem to know what they were doing. The first doctor (and his PT) that I saw had me doing leg curls and my current doctor said I was actually aggravating my PCL by doing this.