Recovery Tips for Lateral Collateral Ligament Tear and Patellar Dislocation - Orthopedics

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Lateral collateral ligament tear of the right knee, patellar dislocation?


Hello, I underwent surgery for a torn lateral collateral ligament and patellar dislocation on September 3rd, and it has been over two months since then.
My knee can still only bend to less than 90 degrees, and I am doing strength training.
Are there any other methods to speed up my recovery? Given my situation, how long do you think it will take for me to walk normally? When bending my knee, I feel a catching sensation; can I bend it further without risking damage to the ligament? Thank you, doctor.

Xiao Yuan, 20~29 year old female. Ask Date: 2020/11/05

Dr. Chen Bochen reply Orthopedics


Hello,
1.
Rehabilitation includes strength training, range of motion training (both active and passive), balance and sensory integration training, physical therapy, and more.
Simply performing strength training is not sufficient; please consult a rehabilitation physician for guidance.

2.
Recovery varies for each individual.
The surgeon who performed your operation will have a better understanding of your condition and will be able to provide you with clearer instructions.

Reply Date: 2020/11/05

More Info


Recovering from a lateral collateral ligament (LCL) tear and patellar dislocation can be a challenging process, especially after surgical intervention. It’s great to hear that you are already engaging in strength training, as this is a crucial part of rehabilitation. Here are some comprehensive recovery tips and insights based on your situation:

1. Physical Therapy:
- Engagement with a Physical Therapist: If you haven't already, consider working closely with a physical therapist who specializes in knee injuries. They can provide tailored exercises that focus on regaining range of motion, strength, and stability.

- Progressive Exercises: Start with gentle range-of-motion exercises, gradually increasing intensity as tolerated. Exercises like heel slides, straight leg raises, and quadriceps sets can be beneficial. As you progress, incorporate more dynamic movements.


2. Strength Training:
- Focus on Quadriceps and Hamstrings: Strengthening the muscles around the knee is essential for stability and support. Incorporate exercises such as leg presses, hamstring curls, and step-ups. Ensure that you are using proper form to avoid further injury.

- Balance and Proprioception Training: Incorporate balance exercises, such as standing on one leg or using a balance board, to improve proprioception, which is crucial for knee stability.


3. Pain Management:
- Ice and Compression: Continue to use ice packs on your knee to reduce swelling and pain, especially after exercises. Compression wraps can also help manage swelling.

- Medication: If you experience significant pain, over-the-counter pain relievers like ibuprofen or acetaminophen can be helpful. Always consult with your doctor before starting any medication.


4. Gradual Increase in Activity:
- Listen to Your Body: It’s important to listen to your body and not push through pain. If you feel a "catching" sensation when bending your knee, it may indicate that you are pushing too hard. Gradually increase your range of motion and strength training as tolerated.

- Walking: Depending on your recovery, you may be able to start walking with assistance (like crutches or a brace) as soon as your doctor advises. Full weight-bearing may take several weeks to months, depending on the severity of the injury and your healing progress.


5. Nutrition and Hydration:
- Healthy Diet: Eating a balanced diet rich in vitamins and minerals can aid in recovery. Focus on foods high in protein, vitamin C, and omega-3 fatty acids, which can help reduce inflammation.

- Stay Hydrated: Proper hydration is crucial for overall health and can aid in the recovery process.


6. Monitoring Progress:
- Regular Follow-ups: Keep regular appointments with your orthopedic surgeon or physical therapist to monitor your progress. They can adjust your rehabilitation program based on your recovery.

- Imaging Studies: If you continue to experience significant limitations or pain, your doctor may recommend imaging studies (like an MRI) to assess the healing of the ligament and surrounding structures.


7. Timeframe for Recovery:
- General Timeline: Recovery from an LCL tear and patellar dislocation can vary widely. Generally, you can expect to regain functional mobility within 3 to 6 months, but full recovery may take up to a year. Factors such as age, overall health, and adherence to rehabilitation protocols play a significant role in recovery time.


8. Avoiding Re-injury:
- Caution with Activities: Be cautious when returning to activities that put stress on the knee, such as running or jumping. Gradually reintroduce these activities only when you have regained sufficient strength and stability.

In summary, your recovery will be a gradual process that requires patience and dedication. By following a structured rehabilitation program, engaging with healthcare professionals, and listening to your body, you can optimize your recovery and work towards returning to your normal activities. Always consult with your healthcare provider before making any changes to your rehabilitation plan.

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