ACL Recovery Day 2

Summary

Pain started setting in early on around 6AM, took some Ibuprofen to hopefully calm it down. Could sense the knee swelling up so decided to start icing to reduce swelling, although trying to avoid ice since it just numbs the pain. Also took one Meloxicam to help with the inflammation.

The pain really started setting in around 5:30PM, and it was definitely the most pain I’ve felt so far in the last 36 hours. In addition to the patella pain, I had a fever of 101 degrees which made me feel like total shit. Took one more Oxycodone to hopefully relieve the pain (which it didn’t) but helped with the fever so that I could actually open my eyes and not be in a daze.

In general, everything near the patella is super tight and since the nerve block has completely wore off, when I stand up blood rushes down my leg and it feels like my leg is about to burst.

  • 1:00AM – Took one Oxycodone (13 hours past nerve block) to block out pain
  • 6:30AM – 1 Ibuprofen
  • 9:15AM – 1 Ibuprofen, started icing
  • 11:25AM – 1 Meloxicam for inflammation
  • 3:50PM – 2 Ibuprofen
  • 6:00PM – 1 Oxycodone

Rehab

Total Time: 1.5 hours, started at 11:30AM

  • Manual Massage
    • 5 minutes
    • Nerve block winding down so was able to feel sensation in abductors/adductors; hamstrings also activated
  • Passive Extension
    • 15 X 10 seconds
    • Pain: 5/10
    • Hurts on the way up when bending knee
  • Quad Sets
    • 15-20 reps
    • Pain: 5/10, considerable pain near patella when contracting near patella
    • Much better activation compared to Day 1, still only at 50% due to pain
  • Patellar Mobilization
    • Pain: 6/10, definitely feels tender near patella
    • Can feel blood flow when gently pushing down on patella
  • Sitting Hamstring Stretch
    • 15 reps
    • Pain: 4/10
    • Much more difficult due to pain behind knee when sitting up
  • Plantar flexion/Dorsiflexion
    • 15 in each direction
    • Pain: 7/10
    • More difficult compared to Day 1 due to pain behind knee
  • Standing Abduction
    • 4 X 12
    • Pretty easy but difficult due to pain shooting down leg when standing up
  • Straight Leg Raise
    • Couldn’t do it, too much pain in patella when contracting quad to lift leg
  • Calf Straightening
    • 15 reps
    • Pain on back of knee during dorsiflexion
  • Toe Grabs
    • 15 reps
    • Pain: 3/10
    • Done sitting down, slight pain on back of knee during contraction
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