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Around SBN: Jeremy Lin Continues Rampage, New York Wins On Road

Recovery from knee surgery?

I went under the knife last Wednesday for knee arthroscopy --- turns out I had two meniscus tears on my knee, so they shaved 'em down.

Star-divide

My doctor said resume activities as range of motion permits, but the whole enduring suffering aspect of cycling makes it a bit tricky. I went out for an hour spin today, but didn't push it. Otherwise I'm going stir crazy!

Anyone else have recovery stories from similar surgeries? How long did it take 'til you were on the road again? On the trainer?

jason

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You don't want my story.
But I will say this: don't push it hard at this point, and DO YOUR PHYSICAL THERAPY EXERCISES.

Yes, I had to shout.  People seem to be a bit deaf when it comes to that.

And good luck.  Those knees will (hopefully) carry you for the rest of your life.  Don't screw with them unnecessarily in the service of getting on the bike a week or two faster than you should.

by Sui Juris on Apr 18, 2007 11:56 PM EDT reply actions  

Mine
I had a patellar issue, took six months before I could climb on the bike, but fortunately I lived right next to Rock Creek Park (DC), so the long flat rolls weren't so bad. You're lucky, meniscus stuff heals pretty quickly. Patella injuries aren't especially miserable but they take fucking forever to heal. Follow doctor's orders, you'll be good as new in a couple months. And as Sui Juris hints: DON'T RUSH ANYTHING!
Got a problem? Va fa Napoli!

by Chris Fontecchio on Apr 19, 2007 1:40 AM EDT reply actions  

To reiterate
don't rush it! I've had a total of 4 knee surgeries over the years (one complete reconstruction) and the biggest lesson is ride easy until all the connective tissue / muscles has had a chance to recover. If you try and build too soon you're going to get some severe rebellion.

Best to concentrate on spinning under reduced load for the next few weeks as you recover. Once you start to up your efforts more, pay very close attention to how it feels the next day and proceed cautiously. As Sui said, you don't want to sacrifice the rest of the season by trying to come back 2 weeks too early. Just be patient. Even Hincapie had to put his early goals on the shelf in order to save the rest of the year.

"I don't know too many monkeys who could take apart a fuel injector."

by Drew on Apr 19, 2007 9:26 AM EDT reply actions  

Dr. Dre(w)
in tha house.
Got a problem? Va fa Napoli!

by Chris Fontecchio on Apr 19, 2007 10:40 AM EDT up reply actions  

That's
Dr. Dru
"I don't know too many monkeys who could take apart a fuel injector."

by Drew on Apr 19, 2007 10:47 AM EDT reply actions  

Hell
yeeeeeeuh
Got a problem? Va fa Napoli!

by Chris Fontecchio on Apr 19, 2007 11:10 AM EDT up reply actions  

FOUR surgeries?
Ye gods man.

Knee injuries are the worst because so many areas don't receive blood and so those injuries take forever to heal. Or in my case, won't heal without surgical intervention.

I can report that my knee feels fantastic today after the spin yesterday, but it's real tough to keep it flat where I live, so I'm going to spin out the trainer for awhile.

You really have to learn to differentiate between the degrees of pain, i.e. sweet pain and bad pain.

You guys take any glucosamine or other supplements that helped?

Thanks much,
jason

by 72andSunny on Apr 19, 2007 11:28 AM EDT reply actions  

Ahem
You are unfortunately incorrect.  The knee has more collateral circulation than almost any of your joints.  Healing time is a function of the nature of hyaline cartilage (a bone product), collagen and the great fluid that was formerly in your knee, washed out during surgery by the saline that was pumped in there so your orthopod could see.  You have two choices, try to take healing into your own hands or walk when you're 65.  
I'll beat you like a red-headed step child...

by blueyedfisch on Apr 19, 2007 12:46 PM EDT reply actions  

Circulation
is that the difference between the fast-healing cartilege and the maddeningly-slow-healing tendons?
Got a problem? Va fa Napoli!

by Chris Fontecchio on Apr 19, 2007 2:07 PM EDT up reply actions  

No
the problem with tendons is the tension they are under because of their muscular attachment.  on a microscopic level they are are torn and repaired daily (like muscle fibers after a workout), if already damaged the process takes longer.  Cartilage heals faster because it's component parts are not as complex on a molecular level.
I'll beat you like a red-headed step child...

by blueyedfisch on Apr 19, 2007 9:22 PM EDT up reply actions  

i used the steve austin method, so i was back
to my 450 mph sprints off the operating table.

by Scott. on Apr 19, 2007 2:14 PM EDT reply actions  

Better, Faster, Stronger
I was under the impression the inner part of the meniscus doesn't have any blood vessels, which means little to no healing at all?

So far the worst part of the procedure was the vicodin they administered afterward and the charley horse from the tourniquet.

I don't know about a sprint, I just want to be able to keep turning 'em over as the road rises ... and rises ... and rises.

by 72andSunny on Apr 19, 2007 3:05 PM EDT reply actions  

well
That is somewhat correct.  There are no major blood vessels between your femur and tibia, only two tendons.  The meniscus would heal by diffusion of component part out of the blood vessels and bones surrounding the joint.  This process just takes a while.  Vicodin, a combo of acetominophen and hydrcodone, does a nasty turn on your stomach, but the colors you see are neat...
I'll beat you like a red-headed step child...

by blueyedfisch on Apr 19, 2007 9:26 PM EDT up reply actions  

A lil' update
I went for my first ride on Monday, 12 days after the procedure, it was 2 hours, some nice rollers in there, and my knee felt fantastic afterward! I put in another hilly 2.5 today and it feels even better!

Now it seems the worst part is that the lower part of my quad is sore, I assume where they had to move it/cut it to get through to the meniscus.

Thanks for all the tips, I've got a cycling/yoga rehab program going, so thus far I honestly can't complain about a thing.

best,
j

by 72andSunny on Apr 25, 2007 4:22 PM EDT reply actions  

Don't go crazy
and overload your knee too soon. Slow and steady wins it.
"I don't know too many monkeys who could take apart a fuel injector."

by Drew on Apr 25, 2007 4:52 PM EDT reply actions  

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