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Nance Rehab Update

WestWYOPoke

WestWYOPoke

Well-known member
Larry is 9 days out from surgery today. Just saw on his twitter that he posted yesterday: "flexion is good, a week out and I've already got it about 105 degrees". 105 degrees in a little over a week is good work. One of the early goals post-op is to get to 90° and he's already surpassed that. Here's hoping the rest of the recovery goes quickly.
 
WestWYOPoke said:
Larry is 9 days out from surgery today. Just saw on his twitter that he posted yesterday: "flexion is good, a week out and I've already got it about 105 degrees". 105 degrees in a little over a week is good work. One of the early goals post-op is to get to 90° and he's already surpassed that. Here's hoping the rest of the recovery goes quickly.
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Curious...is there such a thing as rehabbing an ACL too fast? We all hear stories, and see the results of players trying to return to the game (football, basketball, etc.) too fast - but what about rehab?

Thanks! :thumb:
 
There are definitely guidelines of what to do and what not to do with surgical rehabs and they are all dependent on what procedures were done. For instance, someone with just a plain ACL repair will be encouraged to start weight bearing and bending the knee as soon as possible. However, someone with the same ACL repair AND a meniscus repair will be told to refrain from weight bearing and limit knee flexion for a week or 2.

As far as the ACL itself, the new ACL is typically very strong immediately. The concern in pushing rehab too soon is that when the muscles of the lower leg are still too weak to support the knee joint, the stress is transferred to the new ACL. Since a repaired ACL is almost always a tendon (from the patient's body or a cadaver) it will have a certain level of laxity, but too much stretching could cause the ACL to elongate permanently (plasticity vs. elasticity). When this happens the ACL can become non-viable and need to be replaced again. So the early stages of rehab focus on range of motion and muscle strengthening with exercises that minimize the amount of stress put on the new ACL. As the muscles begin to get stronger and can take the full load of rehab, this is when you start to see big gains as you can get more aggressive with what you are doing and not fear damage to the graft.
 
WestWYOPoke said:
There are definitely guidelines of what to do and what not to do with surgical rehabs and they are all dependent on what procedures were done. For instance, someone with just a plain ACL repair will be encouraged to start weight bearing and bending the knee as soon as possible. However, someone with the same ACL repair AND a meniscus repair will be told to refrain from weight bearing and limit knee flexion for a week or 2.

As far as the ACL itself, the new ACL is typically very strong immediately. The concern in pushing rehab too soon is that when the muscles of the lower leg are still too weak to support the knee joint, the stress is transferred to the new ACL. Since a repaired ACL is almost always a tendon (from the patient's body or a cadaver) it will have a certain level of laxity, but too much stretching could cause the ACL to elongate permanently (plasticity vs. elasticity). When this happens the ACL can become non-viable and need to be replaced again. So the early stages of rehab focus on range of motion and muscle strengthening with exercises that minimize the amount of stress put on the new ACL. As the muscles begin to get stronger and can take the full load of rehab, this is when you start to see big gains as you can get more aggressive with what you are doing and not fear damage to the graft.
Click to expand...

Translation: Yes, you can rehab too quickly. :D

Returning to full knee extension is the #1 priority.
 
WestWYOPoke said:
There are definitely guidelines of what to do and what not to do with surgical rehabs and they are all dependent on what procedures were done. For instance, someone with just a plain ACL repair will be encouraged to start weight bearing and bending the knee as soon as possible. However, someone with the same ACL repair AND a meniscus repair will be told to refrain from weight bearing and limit knee flexion for a week or 2.

As far as the ACL itself, the new ACL is typically very strong immediately. The concern in pushing rehab too soon is that when the muscles of the lower leg are still too weak to support the knee joint, the stress is transferred to the new ACL. Since a repaired ACL is almost always a tendon (from the patient's body or a cadaver) it will have a certain level of laxity, but too much stretching could cause the ACL to elongate permanently (plasticity vs. elasticity). When this happens the ACL can become non-viable and need to be replaced again. So the early stages of rehab focus on range of motion and muscle strengthening with exercises that minimize the amount of stress put on the new ACL. As the muscles begin to get stronger and can take the full load of rehab, this is when you start to see big gains as you can get more aggressive with what you are doing and not fear damage to the graft.
Click to expand...

Thank you Herr Doktor! :D
 
There is such thing as "too quickly" but there is also such thing as a "fast healer". Basically, if you have very strong leg muscles (after watching Nance all season, I think its safe to say they are pretty strong), it helps immensly with recovering.
 
Would it help if the best looking cheerleaders came in daily to massage his bad leg? Or would it cause stiffness?
 
fromolwyoming said:
There is such thing as "too quickly" but there is also such thing as a "fast healer". Basically, if you have very strong leg muscles (after watching Nance all season, I think its safe to say they are pretty strong), it helps immensly with recovering.
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Yes, however, I'm pretty sure Derrick Rose has incredibly strong legs as well and that didn't equate a quick recovery. Everyone's different, no doubt.
 
BackHarlowRoad said:
fromolwyoming said:
There is such thing as "too quickly" but there is also such thing as a "fast healer". Basically, if you have very strong leg muscles (after watching Nance all season, I think its safe to say they are pretty strong), it helps immensly with recovering.
Click to expand...

Yes, however, I'm pretty sure Derrick Rose has incredibly strong legs as well and that didn't equate a quick recovery. Everyone's different, no doubt.
Click to expand...
I didn't say it equates to a quick recovery, it just helps with it.
 
Adv8RU12 said:
Would it help if the best looking cheerleaders came in daily to massage his bad leg? Or would it cause stiffness?
Click to expand...

Maybe we could borrow some CSU ones for that if you want hot ones.
 
Have you guys thought about how nervous we are all going to be next season?
Each game even with Larry came down to the wire, so it made us nervous each and every game.
Now, every single time Larry hits the floor from ANYTHING we are going to have heart attacks.
Even the simple falls like him and another player going after a loose ball, or dunking over people in the lane and kinda awkwardly falling.
Each time, we are going to freak out.
Especially after we get passed a certain % of games and realize that there is no medical-redshirt coming if he gets hurt again.

Of course, this is all if he plays next season.
 
BeaverPoke said:
Have you guys thought about how nervous we are all going to be next season?
Each game even with Larry came down to the wire, so it made us nervous each and every game.
Now, every single time Larry hits the floor from ANYTHING we are going to have heart attacks.
Even the simple falls like him and another player going after a loose ball, or dunking over people in the lane and kinda awkwardly falling.
Each time, we are going to freak out.
Especially after we get passed a certain % of games and realize that there is no medical-redshirt coming if he gets hurt again.

Of course, this is all if he plays next season.
Click to expand...
Me thinks you're already freakin out.
 
This warrants mentioning on this topic:

http://well.blogs.nytimes.com/2013/11/13/a-surprising-discovery-a-new-knee-ligament/" onclick="window.open(this.href);return false;
 
blow outs = Wyoming Basketball , that doesn't happen here, gotta be a true hearty fan to root for this team...lol
 
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