Hamstring strength loss after ACL Surgery | Feat. Tim Keeley | No.113 | Physio REHAB
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- čas přidán 2. 01. 2018
- Here is the 2nd video in the Treatment Series. This time we look at the hamstring strength loss in a patient that has had ACL surgery. First we test the hamstring clinical reported strength inner and out range resisted isometric knee flexion in Prone, then look at Power and speed loss in the single leg box jump / change directon direction - watch for the lack of height of the back leg on the hamstring kick. This needs to improve before a return to sport.
Crucial to work on all three components: 1) the repetition of the movement to improve the actually neural patterning, 2) the mobility of the knee joint to get less stiffness or resistance in knee flexion, and 3) the strength of the hamstring.
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Every time he jumps I feel his pain it sucks
Amazing channel...
This is a great video, so glad I stumbled across it. I'm 2 years post ACL op (hamstring graft) and I do work on my strengthening and don't tend to have too many issues. But road cycling recently I significantly noticed the difference between my operated leg's hamstring ability to push through the pedal and extend fully, it really didn't want to comfortably be in that position and was sore afterwards. Obviously some more hamstring work needed. I really had no idea how much work would go into the hamstring rehab. Thanks for this video.
Hope you get the hamstring stronger!
Thanks for your video. Really good explanation. Hamstring weakness and inconsistent autograft thickness are the main reasons we will switch more to quadriceps tendon autografts. With the newest grafting techniques, we receive a consistent thick autograft with 20% more collagen than even BTB and not hamstring weakness or anterior knee pain.
It's so depressing to hear this when you hamstrings already are shit because of this shitty technique..
Quadriceps autografts can lead to a quadriceps strength deficit. All techniques have pros and cons.
Nice video thanks
Great video but I wonder if he has has a video for specific exercise for the hamstring regarding acl injuries
I was wondering that as well . I am 7 years post ACL reconstruction and have about 20% power and now have hip problems
Plz comment on Quad strength after quad tendon harvest for an mpfl recontruction.
This ruined my football carrier. I was depending alot of speed and using the hamstring was the worst thing I had done, I would say that I have maximum 70% strength 14 years after the surgery.. I was in the way into the u15 national team and this happend and I never recover, it was a sad thing.
I understand. My speed was robbed as well.
Same here. They should only offer cadaver grafts and not rob your own body, wish I had chosen cadaver.
me too but u15 basketball national team
If you’re trying to get back to any explosive sport, avoid the hamstring graft like the plague. 6 years post and my hamstring is nothing close to what it used to be, despite extra attention and training.
Same here
Hello! I have done an acl + tear external meniscus surgery 6 months ago. I want to build strength and improve my flexibility in order to play sports again. I played capoeira and used to rollskate a lot. I am aware that I will not be able to do that... at least for a period of time but I want to cycle and jog.
For 6 months I have done recovery ( I had days where I hadn’t ) and now I want to do a stretching program. What do you recommend? Do you do programs over video-call? If you do, I would be grateful to ask for some advices and know a price.
🌸
Yes I would start with my profile a first and then if you get stuck have a look at the Telehealth tab on the site. www.physiorehab.com/rehab-programs-acl-knee-surgery-rehab
Great video! Anyway I want to ask something. So I just have my ACL surgery 1,5 months ago and already drove my car the first week after surgery (till now). Is it okay? I just asked my doctor and he said I'm able to drive car after 3 months. My condition right now is I'm still okay but I'm scared it will loosen the ACL's grip.
The only real risk is 1) a car accident and 2) your inability to put your foot on the brake. But if it’s a automatic and your ACL leg is the left leg you maybe ok
I've had both acl reconstruction. Right knee done 15 years ago and the left one almost 2 years already. Still playing football but using a strong knee brace. Wish I could join a proper rehabilitation team 😔 to assess my knee strength.
A proper rehab is the most important portion for a full recovery !! I had my ACL reconstruction 2 months ago stil unable to walk properly !!! Going on path hope it will get we well soon
@@HemantKumar-qj9oc It will be fine after a couple of months, I had the same thing. How is it now?
@@markaben8431 it's good but not started running yet
@@HemantKumar-qj9oc Be patient mate. for me it's over one year now and I able to do everything again. You will get there eventually. Goodluck man :)
@ HEMANT KMR I had my acl surgery before 8 months and now I have little fear for running and my thighs also not strong as my left thighs do I run or give me tips for my confidents
Does physio's acl knee and leg program cover hamstring exercises? I need something to help my leg weakness :/
Of course! Follow this program: www.physiorehab.com/rehab-programs-acl-knee-surgery-rehab
Did the ham Jan last year but ended up retearing now did the patella... pretty sure Im also affected by ham weakness.. Im 35, sadly feels like Im done, very depressing
Hi, unsure if this comment will be seen but stumbled across the video (thank God).
I've had three surgeries (hmmy graft, patella tendon and meniscus repair / clean). I seriously struggle with strength imbalance and swelling which I hope is now corrected following my last surgery.
My question; when contracting my hamstring I feel my tendon pull and calf also involuntarily contracts - is this because of the development of scar tissue? Did the surgeon connect the harvested tendon site to the calf? Is this my body compensating for the initial graft?
Looking to get back to strengthen the muscles around the knee as I don't want a fourth surgery (still have rotational instability)
Thanks!
Not exactly sure what you mean it maybe just some compensation from the calf. Have you had a look at my ACL rehab program? www.physiorehab.com/rehab-programs-acl-knee-surgery-rehab
Same issues here.
Hi Tim. Can I do just a rehab(complete torn ACL) without a ACL surgery and back to sport as Judo and BJJ? Thanks
Yes there is much evidence to prove you can, it all comes down to rehab, trial and error, the sport and a bit of luck
Great video!
Would it be possible to ever get the hamstring back to 100%?
It only gets to about 90% strength in most cases
Google your question and you will see most people get the strength back first and then the hamstring does grow back eventually (it takes a very long time and I am guessing the pt is not seeing all these people two years out). As far as I can tell the strength of the part that grows back has not been properly tested yet but it does grow back and the strength of the hamstring on a whole does return.
@@chrisbiker4702 It doesn't. I'm six years post-op and my hammy is very weak. I also keep straining it when I sprint. Terrible acl graft option.
Sorry I can only go by what the studies show and what people who had it (like you) say
@@bfee20021 I am truly sorry you have lost that hamstring strength and are having so much trouble
Sir,,am finding great difficulty and pain on my left knee when I fold my legs while sitting..please advice.
Acl tear symptom.see if other symptoms match.if you had surgery then best of luck
I am too as well..tremendous pain
.found out i had arthritis..but to me it feels as ig somethings broken in there..dreadful..
You wrote this a year ago about the same time I did mine
what is your suggestion ACLR with patellar tendon rather than hamstring because of the strength loss of hamstring?
They both have pros and cons, patella graft is bone to bone blocks so probably stronger but then high chance of patello femoral issues
Please tell exercise for hamstring strength I had acl reconstruction 5 month I am felling exact like that video boy
Look for the hamstring ones here www.physiorehab.com/exercise-library-knee-leg
I keep r-einjuring my hamstring after ACL surgery anytime I try sprinting despite working on it vigorously since the surgery based on rehab program recommended by surgeons and physiotherapists. 14 month after surgery and can't return to soccer or basketball. So frustrating. Whats good from ACL repair ( knee feels great) if I can't play sports? Must say I am disappointed in hamstring graft and really disappointed my surgeon never even offered or discussed patella graft.
Jazzyak47 sorry that’s not working for you. My advice is to back to the strengthening drawboard and rebuild. My program can help you with that: www.physiorehab.com/rehab-programs-acl-knee-surgery-rehab
Same here. Six years and I still have a weak hammy and can't sprint like I used to. I also keep straining it. Terrible option for acl graft.
I havo also used hamstring graft but I feel great I can sprint like I used to and basically I am 95% ready to return to my sport(soccer)..It's been 9 months since my surgery
@@GamingTv-zg4ks wow geniunely first person I've seen say this
Any athletic individuals should STRONGLY consider the patellar graft. I had a hamstring graft done 12 years ago (right knee) as I was naive and didn't do my research and I can say it changed the course of my entire life. I had to quite playing soccer, lost a significant amount of explosiveness, recently stopped sprinting as it resulted in a Grade 2 hamstring tear (on the surgically repaired limb), have a significant calf muscle bulk difference.....and on top of all of this I am experiencing anterior knee pain now when squatting and there is arthritis in the knee joint. I had the operation when I was 24 years old and had no idea how significant the change would be. I told my friend years back who needed an ACL surgery to 100% go patellar graft and he is better than he's ever been and just as good an athlete 8 years later. All the while I stay active, go the gym, maintain a healthy lifestyle and diet. But at the end of the day when they rip out those hamstring tendons in the operating room it is throwing your whole biomechanics out of wack and there's only so much you can do after.
Please don’t tell everyone what they should be doing based on you own 1 experience. Everyone is different and it will depend on your biomechanics and tissue bulk of what will work best. people need to speak to their surgeon about the pros and cons for both surgeries
@@physiorehab I’m sharing my opinion based on my own personal history. Of course every patient will consult with a surgeon and go over all the pros and cons. But I do affirm that athletic individuals should strongly consider the patellar graft. Everyone is entitled to sharing their own opinion.
@@bencohen3567 yes you can have an opinion, but to all those who are reading you are saying patella graft is better yet you have never had a patella graft and so do not have a personal journey on that surgery and how you would be compared to hamstring, yet advocating it is superior. How would you know you wouldn’t get severe patellofemoral problems from the patella graft As many can do? In our clinic we see hundreds of ACLs both patella, hamstring, allograft, LARS and great results for all types with everyone in different outcomes, and very dependant on rehab quality, genetics and ability.
@@physiorehab Respectfully, please read my comment again. I am saying this in particular for ATHLETIC individuals. I urge patients to do some research and look at the evidence in the medical literature...with high profile athletes in the NBA, NHL, NFL, NCAA the graft of choice is the patellar tendon. Look it up on google and you'll see for yourself. Now if you are a patient ask yourself, wouldn't you want to go with the graft that professional athletes themselves use? Again, I reiterate you will of course discuss the options of grafts including pros and cons with your surgeon. Patients for example who have pre-existing arthritis in the knees or work as plumbers/construction workers involving significant amounts of kneeling may very well not be candidates for the patellar tendon graft. As well, please remember that not all surgeons are the same (different surgical techniques, more expertise with using one graft type vs another, etc.) so as always do your research.
@@physiorehab Respectfully, please read my comment. ATHLETIC individuals who embrace an active lifestyle - especially those involved in sports - should strongly consider the patellar tendon graft over the hamstring tendon graft. A simple google search will reveal in the medical literature that the gold standard ACL graft for professional athletes is the patellar tendon. Now ask yourself this - if this is what the professional athletes choose, wouldn't I want the same? Removing the critical hamstring tendons in the operating room inevitably shifts your biomechanics out of alignment and there is only so much you can do to compensate. I reiterate, discuss with your surgeon the pros and cons of each graft but also remember not all surgeons are the same. Some have vast more expertise doing one graft over another. Consequently, I advise to do your research when it comes to choosing your surgeon. Of course not every patient is a suitable candidate for a patellar graft (ie. carpenters, plumbers, patients with pre-existing painful, arthritic knees) and again this should be discussed thoroughly with your surgeon.
Pl help i have swelling in my knee after surgery 6 week after i can't bend fully ACL with bucket handle TEAR medical meniscus TEAR pl...... What can I do for
I recommend you get onto the rehav program as soon as possible to help you through the recovery. Head to www.physiorehab.com/rehab-programs-acl-knee-surgery-rehab to find out more
Physio Fitness | Physio REHAB | Tim Keeley i think you should fkn reccomend he see his surgeon. advertising asshole.
How is your leg now?
Are you doing the rehab?
Thanks for the information. I wanted to know which graft would be better for me as I am a professional Badminton player and last week I had a complete ACL ligament tear in my right knee.
Looking for your suggestions.
1. Better Graft
2. Better Implant
Sorry I can’t advise on that, you need to speak to surgeons for their advice as it’s not just based on choice but what they do, availability, the state of the rupture and time since.
When i was running my left hastring bicep femorius muscle got tear.after resting 3 months the tendon is not working properly.there is a slop in the muscle also.what should i do?
Get it assessed buy the Physio and work on tendon and muscle strengthening program. Also have a look at this: www.physiorehab.com/rehab-programs-knee-patello-femoral-rehab
2 years to ACL operation but if the hamstring power of the operating leg is not increased yet what do I do?
Keep working on strengthening the hamstrings...do all kind of hamstring curls, and various progressions, Nordic curls etc. Do your strengthening exercises consistently twice a week. It might take you a year or so, but you'll get there if you are consistent.
Yup... This is me...
sir please Suggest the best GRAFT for ACL reconstruction..is FIBRE TAPE INTERNAL BRACE HAMSTRING GRAFT BETTER?
It depends on the patient, the surgeon, your goals and what’s available. You will have to discuss all available options with your surgeon and work out what it best for you and your sport / life
Hi Tim, I am 12 months into my rehab and it's going pretty good, except my hamstring is still showing the issues you talked about here - I can't lift it up to to my butt, and when I do, my hamstring contracts into a really tight ball.
Running, it gets quite tight and I'm a bit afraid when I go back to basketball I'll end up straining it. Have been doing hamstring curls with BFR and nordic drops, but it's not showing much improvement.
Do you have any tips for getting the strength and neural connection back?
Or is it just more time/exercise needed?
Cheers, Mike
How many times a week did u train on your hamstring and how long did u work on it?
I would recommend you to keep doing nordic drops for strength. Also you can add double leg bridge on yoga ball for neuromuscular training. During the bridge contract the hamstring and glute as quick as possible and hold for 1 sec and during the eccentric phase you need to "hold the muscle tension" while extend your legs. Then hold for 1 sec.
Advance for single leg
At least 2 times /week for 4~6weeks .I think you can make a great progress.
How is your hamstring now?
@@Boozman123 It will never be the same , I'm 14 years post surgery.
@@gus7007 you’ve not done your your rehab properly then😕. Dont give answers based on your experience
@@yashmahapatra3011 fuck off, I've done very hard rehab for year's. But my tendon didn't regenerate so I can't get my strength back. What a shitty surgery!!
Hi i have acl reconstruction for about 2years and i can feel some kind of thing that i cant explain when i straighten it amd when i straight my left leg its not even straight it looked like a bowed leg can you please help me about my situation, sorry for my bad english.
I hope you answer me
I had ACL recon from hamstring graft 10years ago. 2 weeks ago i was diagnosed and surgically treated for cyclops syndrome apparently very common Post ACL intervention.
Hi! So I am 4 months out of ACL reconstruction and my hamstring is so weak! Are there things I can do to strengthen it.
Yep - follow my ACL rehab program at physiorehab.com
Hello how often should i do leg exercises for acl reconstruction? Im almost a year post op.
2 times per week of you are still not 100%
@@physiorehab im sorry but what 100% means actually? I can jump, im playing basketball again and can do weight lifting. Or do you mean full recovery ? Of course im stil missing some stregnth and explosiveness on my left leg.
@@NOHAYJALE900 If you have muscle imbalances, such as weak hamstrings on the surgical side, then you might want to work on those deficiencies (hamstrings strengthening exercises) . You may be able to play sports, but if you have muscle weaknesses then other muscles are compensating for them. If those deficiencies are not addressed, then you are prone to injuries or pain in other joints, such as hip. Strengthening the hamstrings takes consistent work and long duration to get the strength equal or close to each other strength wise (over 1 year).
I m victim of Acl and Miniscus injury
What type of graft u suggest please? Patellar or hamstring?
It depends on your anatomy and what the surgeon recommends. Both have pros and cons
I had 3 knee surgeries. Acl and meniscus repair. When I stop working out my leg per week, my operated leg gets really weak. I'm not able to carry weight on it as much. Feels really weak. Is it because of weak hamstring?
Perhaps, I suggest you get on a better rehab program to help it: www.physiorehab.com/rehab-programs-acl-knee-surgery-rehab
Sir I do also hv gone through with 2 time ACL and meniscus surgery in same leg.. and now I m again doing my rehab(it's been 9 months), it is going pretty good bt I still hv hamstrings imbalance..so please tell me exercises to strengthen my weak hamstrings. Thankyou.
Hi Bharat. All the exercises you need for ACL rehab and hamstring strengthening are in our 24 week program. Check it our here: www.physiorehab.com/rehab-programs-acl-knee-surgery-rehab. Tim
same leg ah
What is solution to overcome this problem and return into football field.does using proper excercise I can get back power
Strengthen your hamstrings with lots of different hamstring exercises
Hello! It’s been 7 years since my Acl reconstruction (Hamstring Graft). I am very active and workout regularly. I cannot sprint without pulling my hamstring, when performing Hamstring curls my hamstring cramps/really tight (uncomfortable) and is severely weaker than my right leg. Additionally the muscle mass is significantly noticeable. Any advice ?
In other words: I have had chronic right hamstring weakness, particularly at medial aspect, since that time, with frequent cramping when exercised. It is very frustrating to train, because if I use anything but a very light weight to start working the hamstring it can cramp badly and be too sore to train for the rest of the day.
Mine is the same and it wasn’t explained to me I had to work on such a muscle strength difference with hamstring . Curls are pitiful .
Is there any surgical solution?
My ACL torn 7 months ago.My surgery was postponed due to financial problems.Ive been working on a company for these months which I have to carry weights which makes my leg goes in pain sometimes.Will there be any problem with my legs for the surgery which I'm probably going to undergo next month?
Don’t see any problems there
@@physiorehab So I might get 100% recovery,right ? 🙂
@@xtacy2325 never say never!
I am so confused. 1 doctor said the semitendinosus regenerates after harvest but another one said it's impossible for the tendon to regenerate. What is the truth?
It various. About 70% regeneratio, higher chanves the younger you are
@@SpiritCannon Thanks.
I suffer with loss of flexion and strength and pain in the back of my knee near my popiletus are there treatments for regeneration of the Graft what can I do it’s causing pain and I’m only 27 and very active along with being in the military
It’s strengthening all the way
Is gym leg extension bad for knees for acl patients??
No not after the first 9-10 weeks it’s all ok
After rehab and training is it possible in some way to get the strength and movement back to normal in comparison to the other leg ? I’m a very active 21 year old and it’s really holding me back and I just can’t seem to get my strength back sometimes I even feel like quitting sports
For sure. Are you following a good rehab program
@@physiorehab Be honest instead. It's not possible, after a ACL reconstruction the hamstring is genetically weaker and deformed. You can maybe go up to 70% in strength.
Biggest robbery of an generation to use hamstring graft for ACL.
@@gus7007 so, when a national rugby player gets back to full speed and ability and plays for his country after an ACL would you say he is 70%?
@@physiorehab There most be a big difference if you take 2 grafts instead of 1 graft right? And how much strength you can regain?
@@physiorehab and the strength loss is mostly when I flex my knee. Can't even flex it much more than 90 degrees, after that there almost no power. Maybe that's common?
The motion from straight to 90 degrees is ok, not as strong as my other leg but it works. But it was a bommer for my sprinting:(
After 2 years of acl surgery..i still cant bent my leg fully..only 70 degree or i ccant run properly from last 3 years
Same here
Hey, how are u doing now
Hows it going now
Had acl surgery 2018 May, I played football and everything.The problem is don't have the strength to fully close my leg ,its like there is no hamstring.Even belly on the floor i can't fully reach the range of motion of my other foot.Why?and can i fix that?its been 4 years damn
hamstring strength loss can be a propped for a lot of people even down the track. Work on hamstring bulk and strength work single sided for 6 months and then see how it compares
How would one work on the stiffness?
A lot of quadricep stretching and childs pose for knee flexion
Viagra
5 years still with hammy problems? Damn ive had 1.5 years since my surgery
Sir
I want to return to sports.
Single bundle ACL Vs double bundle reconstruction is my confusion.
I can afford single bundle now. Should I go with single bundle or wait till I could afford double bundle
Didn't know there was a price difference?!
@@physiorehab what should I go with. Single or double bundle
kamal negi I would ask the surgeon that question it’s not my place to advise on that
Ha ha! His calfs is excactly like mine. Bigger on the leg with surgery because I did'nt train my hamstrings 😄
Hello, I am 2 years post op didt4 and how to say that... My semitendinosus is completely gone. But my knee is completely fine and my leg is 100% functionnal.
But i have a constant struggle of keeping my hamstring strong. I have a feeling of tickling nerve where the muscle was taken from. A lumpy/sluggish hamstring. And I feel it all the time. I dont know what to do
Anyone has similar experience ?
Thank you
Same here. It feels so handicapped
Dear sir I have acl surgery 1 year but my knee have no strength. And also so pain
Are you following our rehab program?
6 years later and my affected hammy is still weak. Plus, I keep pulling it when I try to sprint. Who ever thought of taking hamstring tendons was a good idea?
@andurilali sucks.
Same here man they took a hamstring graft and I still have problems 6 years later
are there any acl surgeries use artificial material? instead of hamstrings ?
Is it because the rehab wasnt great or are you physically unable to regain that strength
Is it because the rehab wasnt great or are you physically unable to regain that strength
This is quite early for me but will for sure use this when i achieve the outcome measures to start power based training.
Whenever I do knee flexion, my ankle remains in plantarflexion. Now although my hamstring which the graft was taken is weak (using Oxford grading system) i don’t understand why I can only flex with plantarfelxion. I get some pain in the lateral aspect of the lower leg (peranous). Is this due to calf weakness? (But I can do standing calf raises) or is the personous weak?
Probably a bit of calf and hamstring weakness.
@@physiorehab maybe, I’ve tried calf muscle testing, compared to both legs and honestly have found minimal difference. It’s so strange.
I'm currently 4 months post OP
Hope you are going well are you following my ACL program?
Brother my semitdinous stability is so shit I can't hamstring curl my own leg
I don't even have the semitendinosus...
sheesh these comments are scaring me 😳. I’m a thirteen year old soccer player and I had surgery 4 weeks ago. I’m able to walk almost normally (some uncontrollable hesitation and kicking it to hyperextension hurts). I’m able to do exercise bike at a pretty good intensity, and my range of motion is about 120 degrees (on the outside). I’m able to also do single leg mini squats quite well. My legs before were unbelievably strong, but now my left leg is much weaker. Is it still possible that I could have problems after multiple years of rehab with my hamstring? Also the PT has a PhD and the surgeon had a 5 star rating.
Hi there, if your surgery was 4 weeks ago then don’t worry you have Months to improve. The person in question didn’t follow through with the rehab properly they had ongoing issues. If you follow your rehab program all year and into 2021 then you will be ok I am sure. I have a great program if you are struggling - www.physiorehab.com/rehab-programs-acl-knee-surgery-rehab
I had my hamstring graft three weeks & one day ago, & I just started walking without crutches a few days ago. You're very early in your recovery. Remember that it takes 6-9 months to really function like a normal person again, & 9-12 to get back into contact sports.
@@Tyrosine0910 did you only have an ACL injury? If you had a meniscus or MCL injury with it, it takes longer. My strength coach injured ACL, MCL, and meniscus, and he is unlikely to play within the next 18 months. I was lucky enough to only injure my ACL. I’m a little less than 3 months out and I’ll start to jog next week. I’m going to start doing light training and sprinting preparation in one month. My physical therapist said that I could very likely be back to full sports 6 months out of the surgery. I’m pretty sure it’s because I only ruptured my ACL and nothing else. Also, I’m only 13 so the healing process is quicker.
@@alextarallo9371 The rest of my knee is perfectly intact. Actually, I pushed my surgeon to schedule my procedure as quickly as possible just to ensure that I didn't end up acquiring another injury on that knee before the surgery due to the decreased stability of not having an intact ACL.
Sorry to say it but your hamstring will probably never be the same again and you will lose alot off speed. Just being honest, I've experienced it my self. And I also have friends that can't run 10 years after surgery . Taking the hamstring tendon for ACL reconstruction is the most stupid thing there ever was.
Bogdan is 5 years out after surgery and is still having hamstring issues???? I don’t understand why? I had exact same surgery using hamstring, and now I’m worried ill be in the same situation 5 years down the road Bogdan is in.
Zdrafko Tomoski because before me he hadn’t done enough rehab over the years. If you don’t rehab it to 100%, you don’t get it 100%!
Physio Fitness | Physio REHAB | Tim Keeley ahh okay, thank you for clearing that up, i turned into panic mode for a second. I m 6.weeks out of surgery i had acl plus both meniscus. I asked my physical therapist about that today , cause i got so nervous lol... once again thank you for clarifying that for me, and for the timely reply.
@@zeekot4064 How are you doing? Are you back to normal?
@@Tyrosine0910 ehhh, my hamstrings still hurt, and leg muscle gets fatigued .. i went back to PT to strengthen my leg, but its not the same... PT said it could be up to 2 years
@@zeekot4064 It will never be the same. I'm 15 year's post surgery
I’m 2’ years Post ACL reconstruction MCL tear no skin graft. Trying to get Spring back in my Legs. I can barely jump 6 inches high!! Any suggestions would be greatly appreciated!
Cheers!!
Lots of rehab on all the areas you are still weak in! physiorehab.com
Hi, sir , 3 mounth before my ACL sergery ..can i do this hamstring exercise plz tell us about ?
I wouldn't do this exercise if you are about to have ACL surgery. This is 4-6 months AFTER surgery.
Hello sir, i've done 2 acl, lcl and menicus surgery more than a year ago and had used my hamstring as the acl graft for my left leg
Both my legs are the same as what you describe above and i have a problem with flexing my left leg for more than 90° while standing
Is there a way to fix these ?
Or is there any exercises you would recommend ?
Sounds like you have decent hamstring weakness which is very common. You need to work on the hamstrings for years to get it all back. Don’t stop now!
Head to my ACL rehab program online at physiorehab.com for all the hamstring exercises
Ok. But how to fix this? I have the same problem. And can't solve it after almost 2 years. And maybe because of this, a have constant pain in the biceps femoris area near lateral side of the knee.
Aleksey Plotnikov I do physio ball single leg curls, hamstring curls on a machine, deadlifts and drop sets with my ankles locked
have you felt your hamstring has regained? or functional use of hamstring after doing all that? I have been doing both leg ball curls as one leg i feel the strain holding myself up, and hamstring curls on those weighted rope machines.
@@Veneros Hi..i am about to do acl reconstruction with hamstring graft too.Will you tell me how much you have recovered by now?any advice helps.
@@Dokja0 if you sprint, don't do it.
Can hamstring strength be fully regained after a professional therapy, hardcore workout, excellent diet and using supplements(even steroids)? Maybe even making it stronger than before?
Not saying someone should, but what's the science behind it? If people can get enormously big with supplements and good genetics, then why can't a scared muscular tissue grow as well to the pre op level or more?
The problem is you removed a part of a tendon so there will always be a deficit in the bulk compared to the other side even when you get it bigger. However you can still get strengthening even if you work on individual sides
@@physiorehab Thanks for replying.
But common sense would suggest, taking supplements and working more on the weak hamstring rather than healthy one would bring them to about equal levels of strength, no?
I just don't get it, if the muscle can still grow, then working out like crazy and taking all the supplements that help, should make it even better than it was before, no? (Especially if that level of working out wasn't done before)
do i have to show u my labrat status to come see you?
Labrat?
I've got a big divet in the hamstring on that side
@@ETFH1 I don't know. I did have ACL surgery on that side and they took a graft from somewhere.
Can i start rehab process post 6 month op
Of cours e
sir
i underwent through an acl reconstruction surgery 22 days ago
but my flexion is less than 90°
m extremely worried , because my surgeon said , you should have achieved more than 90° by now
do i still have a chance to correct my mistake ?
because i did not do proper excercises for the flexion of knee
there was a lot of pain in my knee & i had a fear that i can break my acl graft
please sir
help me out
much better sir
i have achieved 120° of flexion now
it has been one month since surgery
but m still limping a bit sir
my leg shivers sometimes
is it normal sir?
or a matter of concern?
thanks a lot sir
u have explained it very well
may be m getting over anxious
one last question sir
if i join a gym
will that help in gaining lost strength?
alright
that was just a thought
m not going to join the gym
thanks a lot for your valuable suggestions
Sharad, i am in end of 5th week of my ACL surgery. & i can bend my knee more than 120 degree easily, however, with a little thrust with my hand while sitting or with cloth or towel while lying down i can achieve full flexion of my knee, this i was able to before the end of 4th week, however, towards the end of 5th week the the pain is less. So, keep on trying. The more important is knee extension, which i believe & experienced a bit difficult than flexion. Till now i have achieved more than 95%, of knee extension, but, not 100. I can walk with out the crutches with full knee extension, yes, 100%, however, at that very moment i got pain because of the rest of 4% or 5% stretch. I try to walk to properly as long as i can tolerate the pain & progressively the pain is fading, but very slow pace. So, keep working on your physio & don't stop completely a single day. Also if you have used hamstring graft instead of tendon, then your recovery would be slower from someone who have used tendon.In most of the CZcams video where you are seeing very quick recovery, guess they have used tendon graft. You can easily identify the same if you see a vertical scar mark on top of their knee. Would recommend to take the help of a good physiotherapist.
Accounting_Buzz
thanks for your suggestions
m almost back to the normal
extension is full
flexion is almost full but it pains very little just like a pinch
pain is gone
i can put my entire wieght on my leg which has gone through surgery
credit goes to my physio
I am 9 months post OP
What exercises are you doing rn?
Yeah
The imbalance demonstration SCREAMS NORDIC HAMSTRING CURLS!
They are a great exercise
In this video you say the hamstring is forever changed and it only gets back to 90% Meanwhile every scientific study I can find online says the hamstring grows back in 7 out of 10 people. I do not understand, does your physio fitness place not see the 7 out of 10? Is everyone at your place seeing weakness? I am not seeing that here in America.
chris biker “grows back” - do they report on the actual tendon bulk versus the other side, the bulk of the muscle left vs right and elite sport strength testing?
@@physiorehab From what I understand they see the tendon grow back but so far they have not tested (that I know of) the strength of the regrown part compared to the norm. Our pt has always gotten hamstring strength to equal the non operated side and there are cases right here on youtube (strangely) where the operated side tests stronger than the non-operated side. But yes, your statement about elite sport strength and tendon bulk as far as "do they report on that" is true as far as I am aware. They have not done that yet that I know of.
@@physiorehab I am sure you are a great bunch of people, I just feel it is misleading to make viewers think the man in this video is the norm and that everyone will have this much hamstring loss. Our pt and the studies I have read do not show that to be the case. This does happen and what you show is real but if this is most of your cases from your place I would look into that (or look into the doctors doing the surgery) since (at least nationally in my country) we are not experiencing this for the majority of cases,
chris biker probably should have clarified it more in the video. What I am meaning is that he is seeing me because he has not worked on the hamstring has he hasn’t got to full strength yet. The graft does change the hamstring. We see people post op who are having problems, as they have only got to 80-90% WITHOUT the Physio and the strengthening. That is what i mean. Anything is possible and some work better than others. We work on the remaining 20% to get them performing to 100%. And yes maybe 7!out of 10 with the right rehab get to 100%. He got to 100% in the end he is one of the 7! 😁
chris biker and remember, the patient in the video doesn’t have THAT much hamstring loss. He can jump and rotate well he is just a bit slow.
I cannot use the hamstrings at all🥲🥲🥲🥲🥲🥲🥲