Quad Tendonosis options a year after acl surgery

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Quad Tendonosis options a year after acl surgery

by BSmit
(ga)

I was diagnosed with quad tendonosis in june.

A year previous to this i had acl surgery on the same leg.

Before I could pinpoint my extreme pain my doc did a scope on the leg and cleaned it out.

The pain persisted and that is when i was diagnosed with severe tendonosis in the quad tendon.

Since then I have had 3 Prp injections and tried everything under the sun as far as modalities and Physical Therapy.

It is now november and I have no improvement whatsoever.

I am a professional basketball player and i obviously am a free agent or I would have more people on my side.

I am now realizing that not only is this season a long shot but I am beginning to believe this may be the end of my career because of this pain.

I can never get a straight answer on if surgery is a possibility for this. Is it? what does it entail? what is the success rate? rehab time? Potential long term problems being that I am a high level athlete?

Thanks in advance I will be anxiously awaiting a reply!

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Joshua Answers:

Hello BS.

So, why exactly, I wonder, were you diagnosed with Tendonosis as opposed to Tendonitis?

1. What did your doctor tell you?

2. What exactly did the doctor 'clean out?' And when exactly did that happen in relation to the acl surgery and the diagnosis in June?

3. When does the season start, in the context of how long do you have to heal before you have to start getting back to high level activity?

4. What happened that you had to have acl surgery?

5. History of Tendonitis pain or injury?

6. Age?

7. General description of dietary intake.

8. PRP didn't help at all? (Bummer, I like the idea of PRP, I hope it turns out to be an effective treatment.)

9. Say a little more about what exactly you have tried, and whether it worked a little, a lot, or not at all.

Joshua Tucker, B.A., C.M.T.
The Tendonitis Expert
www.TendonitisExpert.com

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Feb 20, 2010
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Part 2 - Reply - Quad Tendonosis options a year after acl surgery NEW
by: Anonymous

Thanks for the reply.

I am not sure how long ago you replied but I can tell you that the reason I have not been doing anymore online is because I have continued this neverending battle against tendonosis.

I am soon scheduling surgery bc I am yet to see any improvement after another final push in therapy the last month.

To give you a little information my PRP injection began in july and my last was in november. So several weeks apart.

I have tried shockwave, ARP, PT, etc. After meeting with James Andrews and his staff they are leaning toward surgery bc nothing else seems to give me any relief. I have missed the entire season and now my aim is for next season.

However, I am extremely worried that there is no chance. They have given me a 70% success rate of surgery which doesn't make me feel comfortable.

My tendon has a few calcium deposits in it that may be causing the pain, but nobody is 100% sure where the pain is coming from.

I was diagnosed with Tendonosis in June 09 and when I had the scope they only cleaned out the knee bc this was prior to them pinpointing where the knee pain was coming from.

So basically, a waste of a surgery, which makes me even more hesitant to have another major operation on this leg.

Any input you have on this would be helpful, bc I am very worried about the pain never leaving and the surgery not working. Let me know what you think, bc I am very interested in hearing your opinion.

Thanks

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Joshua Comments:

Yeah, it's a bummer when surgery doesn't work as promised.

I'm curious what would happen if you supplemented with your tolerance level of Magnesium (read this link and follow the dosage link at the bottom of that page.

As this link will explain, Calcific Tendonitis is a function of not enough Magnesium. Not enough magnesium and the body will deposit calcium. Take magnesium, and the body reabsorbs it.

It's possible that you are magnesium deficient, and, long story short, that has set up a pain dynamic.

Also, being highly athletic and muscley, I bet your muscles and connective tissue structures are TOO TIGHT. Thus putting too much tension, CONSTANTLY, on your tendons.

This can send a pain signal to the brain.

(CONTINUED IN PART 3)

Feb 20, 2010
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PART 3 - Also... - Quad Tendonosis options a year after acl surgery NEW
by: Anonymous

My ACL injury was during a high level workout before a very important time and freak accident i jump stopped and my knee popped.

Also, my diet is very strict and I eat very well in line with a professional nutritionist that I had assigned to me. So, that is under control as well. The last thing i tried with all this was iontophorisis (sp?) with acedic acid to try and break the calcium deposits down.

This was unsuccessful.

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Joshua Comments:

(CONTINUED FROM PART 2)

It's possible that all that therapy didn't work because there's nothing wrong with the quad tendon. Take the tension off, and pain goes away.

Maybe you do have an actual injury, I didn't reread your original post.

You might have some rip and tear, and the way the body heals sets you up for further injury signal. If you don't deal with that adequately, if you use a lot of different therapies that aren't the RIGHT tool for your job, then it's not going to get better.

So the first thing I would have you do is get to your tolerance level of magnesium intake, and stay there for a while.

Then a lot of self-massage (of find someone to do it for you) to open up those too tight structures.

Then, if you have an actual site of injury, get a thumb on it and rub it until it turns from dry, crunchy, fragile tissue into soft, squishy, gummy, mobile tissue.

Mar 01, 2010
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PART 4 - Thanks - Quad Tendonosis options a year after acl surgery NEW
by: Anonymous

I wanted to thank you for your response and update you. I ended up having the surgery last week.

After meeting with a couple of the top orthopedics they thought it best to get it done.

I am taking your magnesium tip with me as I begin pt and hopefully when I hit the court again.

Maybe that is what got me into this into the first place? There is no telling. I had so many tests done (xrays, mri's, ultra sounds) over the past year and the only thing that was ever concuded was that I had a degenerative quad tendon with calcium deposits.

During the surgery the doc found even more calcium deposits with several microtears near the insertion into the patella.

I am hoping that I will be able to come back from this but we will just have to work hard and see what happens. I just wanted to update you in case you ever hear of a case like this you can revert back to my experiences and help someone else.

Let me know if you would like to know how all this works out and I will keep you updated throughout the process.

Thanks again

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Joshua Comments:

I'd love to hear how this turns out. Update as often as you like.

Ice packing, 5 minutes on, 5 off, will help decrease pain and help things heal.

Definitely keep your Magnesium up.

Massage the quads often and a lot, to get it as soft/loose as often, to keep tension off the surgery site.

Good luck with the healing, and do let me/us know how it goes.

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Quad Tendonosis options a year after acl surgery

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Quad Tendonosis options a year after acl surgery