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Thread: ACL / Knee issue

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    Default ACL / Knee issue

    So last night at TKD in sparring I felt a pop and went down hard. I have a doctors appointment and some imaging booked this afternoon. Curious if there is anything I can do in the meantime while I wait for the appointment to not have it hurt so much. I have a tensor bandage wrapped around it, using a hiking stick, and have a couple ibuprofen in me. Straight lateral movement doesn't hurt but any twisting at all almost makes me fall over and hurts like an SOB. Guy at work said it sounded similar to when he blew his ACL, so hope not.
    Cos...

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    No advice on pain, but if it is ACL or some form of CL tear... try to get it reconstructed with this companies technology. I think south health has doctors that use it - source - wife used to be medical sales for them and they are industry leader in rehabing athletes

    https://www.arthrex.com/knee/acl-reconstruction

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    https://sport-med.ucalgary.ca/clinics/akic

    Apply for the above. Doctor will likely refer you to a specialist anyway, and this route expedited my surgery.

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    Thanks guys. I'll check into the technology and I just filled it out Dimi. Awesome! Well not awesome but you know what I mean.
    Last edited by The Cosworth; 01-15-2020 at 10:02 AM.
    Cos...

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    Um... No try to get reffered out to the knee clinic in canmore/banff. Forget they're names but it was once husband and wife and they're awesome.

    Rest, Ice, Compress, Elevate. Stay off it - borrow a set of crutches if its hurting to bear weight.

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    If it's ACL, it'll swell like a mofo.

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    Quote Originally Posted by AndyL View Post
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    Um... No try to get reffered out to the knee clinic in canmore/banff. Forget they're names but it was once husband and wife and they're awesome.

    Rest, Ice, Compress, Elevate. Stay off it - borrow a set of crutches if its hurting to bear weight.
    Yeah I am using a hiking walking stick so far. I hope it isn't the doctor who died in the avalanche on the weekend.

    Quote Originally Posted by flipstah View Post
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    If it's ACL, it'll swell like a mofo.
    OK yeah hopefully not then. Hoping I just slipped the kneecap or the joint or something. :|
    Cos...

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    Quote Originally Posted by The Cosworth View Post
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    Yeah I am using a hiking walking stick so far. I hope it isn't the doctor who died in the avalanche on the weekend.



    OK yeah hopefully not then. Hoping I just slipped the kneecap or the joint or something. :|
    husband and wife pair were the base of the clinic, last time I was there - they'd added 2-3 ortho's more.

    subluxed patellas are not fun. Used to be a weekly thing for me.

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    Quote Originally Posted by The Cosworth View Post
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    So last night at TKD in sparring I felt a pop and went down hard. I have a doctors appointment and some imaging booked this afternoon. Curious if there is anything I can do in the meantime while I wait for the appointment to not have it hurt so much. I have a tensor bandage wrapped around it, using a hiking stick, and have a couple ibuprofen in me. Straight lateral movement doesn't hurt but any twisting at all almost makes me fall over and hurts like an SOB. Guy at work said it sounded similar to when he blew his ACL, so hope not.
    I tore my ACL twice, and last April I tore it completely. I have also dislocated my knee cap. My advice is go to physo immediately (doctor can't do anything other than give you pain meds). The mistake I made the first time was waiting too long to start Physio and I paid for it. If you think it would be beneficial for your diagnosis/treatment, get a MRI, they are about $650 at EFW Radiology by Foothills for private. Not sure what imaging you already have booked though. Maybe ask your physio guy this.

    Your ACL is the stabilizer tendon that prevents your knee from slipping forward over the lower part of your leg, if that makes any sense. Really common injury for sports or activities with quick changes of direction (like skiing or racket sports). I tore mine the first time wakeboarding and the second time playing badminton.

    That "pop" sound is classic tendon tear sound, but hopefully for you it's relatively minor. If you tore your ACL your knee will swell up a lot.

    Alex at Core Physio downtown is excellent with knees, he did my rehabilitation and actually works with you the entire time, he doesn't just give you instructions and leave. Highly recommend that place and also Alex.

    I think you're doing everything right (take it easy and use pain meds as needed) - just get the imaging you need to confirm the injury ASAP and get into physio ASAP.

    You need to be referred by your Physio, but Group23 has an awesome knee clinic at COP. I had a consult with a surgeon there and they made my brace. I was offered surgery if I ever want it, but it isn't absolutely necessary. Also, Alberta Health will pay 75% of a $1,600 custom knee brace just so you're aware - you need a referral though, which is another reason to start physio ASAP.

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    Thanks for the detail mitsu! Based on what you're saying I don't THINK it will be the ACL then just because of my range of motion. However I assume there is something else in there that stops the lateral / twisting motion inside there? Yeah my co-workers wife is a physio so she's already looking into stuff for me. Hahah
    Cos...

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    Quote Originally Posted by The Cosworth View Post
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    Thanks for the detail mitsu! Based on what you're saying I don't THINK it will be the ACL then just because of my range of motion. However I assume there is something else in there that stops the lateral / twisting motion inside there? Yeah my co-workers wife is a physio so she's already looking into stuff for me. Hahah
    You're welcome. I hope it's not your ACL as well - my first injury was actually misdiagnosed, but to be fair I tore my ACL like 95% so it was still hanging on by a thread, which confused some of the diagnosis. Had I got an MRI the first time around that wouldn't have been an issue. When you go to physio, they will manipulate your leg and can tell pretty quickly if it's the ACL unless it's still too swollen. Basically they move it in a certain direction, and if there is no resistance where there should be, your ACL is probably gone. It won't affect your range of motion (when the swelling is gone), at least in my experience or to my knowledge - certain things will just hurt, or move when they shouldn't move (your range of motion is probably more, but not in a good way lol). If it ends up being difficult to diagnose I'd suggest getting an MRI to help out the people trying to help you as best as possible.

    I don't think the ACL stops twisting motion too much - to my knowledge it is more to prevent your knee from physically slipping forward or to the side. My left knee has no ACL in it at all and it sometimes feels loose, or when I tweak it, I can feel it moving around a lot. It's a stability tendon.

    If you do need surgery, apparently it is much faster now. About 10 years ago my brother tore his ACL and elected to get surgery. He was out for 9 months, much of that time spent in a chair with his leg in a giant velcro cast that went from his ankle to his crotch. Now, apparently, they get you walking pretty much right away after with a brace (the same brace I mentioned earlier that you may want to get regardless, but have that discussion with your physio). There's different ways to repair it depending on your specific case, but they often use a piece of your hamstring to repair it.

    If you have a physio friend sounds like you're in good hands at least with preliminary info

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    So just got back from my GP. I told her I applied to the UofC place and she said 'good, if you don't hear back soon from there I'll get you into southland'. So that's good news. Went and got x-rays done. She figures I have a torn meniscus.
    Cos...

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    Quote Originally Posted by The Cosworth View Post
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    So just got back from my GP. I told her I applied to the UofC place and she said 'good, if you don't hear back soon from there I'll get you into southland'. So that's good news. Went and got x-rays done. She figures I have a torn meniscus.
    I was told to go to the UofC Knee Clinic too, but they denied my application as soon as they found out I had a MRI and a diagnosis. From what I understood after talking to them, they are only interested in you if you are having trouble getting a proper diagnosis.

    Hopefully it's your meniscus, that's better than a torn ACL. Definitely get a physio who specializes in knees to check it out though. Both my doctor and the first physio place I went too told me I dislocated my kneecap when in fact I tore my ACL about 95% through, though I may have done both haha.

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    Quote Originally Posted by Mitsu3000gt View Post
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    I was told to go to the UofC Knee Clinic too, but they denied my application as soon as they found out I had a MRI and a diagnosis. From what I understood after talking to them, they are only interested in you if you are having trouble getting a proper diagnosis.

    Hopefully it's your meniscus, that's better than a torn ACL. Definitely get a physio who specializes in knees to check it out though. Both my doctor and the first physio place I went too told me I dislocated my kneecap when in fact I tore my ACL about 95% through, though I may have done both haha.
    Good to know. Yeah my doctor was the first to admit that she doesn't know so I do have that going for me. She just knows to refer me and get some imaging done.
    Cos...

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    Hopefully you can get a MRI to confirm that. I had a torn meniscus 4 years ago and unfortunately when the MRI came back, it was in a location that couldn’t be repaired and a place that wouldn’t heal so I had to have it removed. I went to the U of C knee injury clinic and it was the doctor there that recommended me for surgery and he did the operation. Was ~3 months of healing but I’m back to 100% with no ill effects.

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    Xray wont really show much. MRI will reveal the extent of damage fully. Though, unless its WCB the wait times are anywhere rom 7 months to a year. Unless you wanna fork over the $800 or so to get it done sooner.

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    Quote Originally Posted by Shlade View Post
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    Xray wont really show much. MRI will reveal the extent of damage fully. Though, unless its WCB the wait times are anywhere rom 7 months to a year. Unless you wanna fork over the $800 or so to get it done sooner.
    I always heard this... but have IME via insurance and also the public doctor referral route... no real difference in waits, both pretty quick

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    Quote Originally Posted by Shlade View Post
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    Xray wont really show much. MRI will reveal the extent of damage fully. Though, unless its WCB the wait times are anywhere rom 7 months to a year. Unless you wanna fork over the $800 or so to get it done sooner.
    It's not that expensive, I had one done in April at EFW for either $650 or $675, I don't remember exactly. Only had to wait 2 days to get in.

    Also if your work has a health spending account, it's very likely eligible. For the (relatively) low cost, I suggest anyone with a proportionally serious injury just go get it done ASAP - it's not worth waiting. In my particular case as well, it showed things that nobody else found with traditional diagnosis.
    Last edited by Mitsu3000gt; 01-16-2020 at 11:11 AM.

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    Quote Originally Posted by Mitsu3000gt View Post
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    It's not that expensive, I had one done in April at EFW for either $650 or $675, I don't remember exactly. Only had to wait 2 days to get in.

    Also if your work has a health spending account, it's very likely eligible. For the (relatively) low cost, I suggest anyone with a proportionally serious injury just go get it done ASAP - it's not worth waiting. In my particular case as well, it showed things that nobody else found with traditional diagnosis.
    Yeah I should find out in the next couple days if the knee place at the UofC or Southland will take me. If not in a reasonable time-frame (like a week), I'll go private.

    I just had it re-examined by the 'knee guy' and I have movement in my PCL and clicking. So they're concerned about that and the pain is consistence with posterior meniscus damage (I don't know if that's a thing and I remember it right. I don't do biology). He did say the PCL doesn't seem totally torn as I have some resistance. So yeah they're starting the referrals to it all and I'll see in the next couple days here if I get in somewhere. They said it is very likely I'll get in with UofC but it is their call in the end.
    Last edited by The Cosworth; 01-16-2020 at 12:25 PM.
    Cos...

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    Quote Originally Posted by The Cosworth View Post
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    Yeah I should find out in the next couple days if the knee place at the UofC or Southland will take me. If not in a reasonable time-frame (like a week), I'll go private.

    I just had it re-examined by the 'knee guy' and I have movement in my PCL and clicking. So they're concerned about that and the pain is consistence with posterior meniscus damage (I don't know if that's a thing and I remember it right. I don't do biology). He did say the PCL doesn't seem totally torn as I have some resistance. So yeah they're starting the referrals to it all and I'll see in the next couple days here if I get in somewhere. They said it is very likely I'll get in with UofC but it is their call in the end.
    If they're having trouble diagnosing you, you're likely a good candidate for the UofC. Failing that, get a MRI. You might even want an MRI anyway to give the people helping you the best possible information - not sure if the UofC can facilitate a MRI or not. Sounds like you have a good plan.

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