Guest guest Posted December 7, 2008 Report Share Posted December 7, 2008 Hey Sasibha  I don't know what is an ACL injury, but I would advise to wait to be perfectly OK before going back to practice. I have a broken wrist and a luxation of my knee and Sharath advised that I recover first before practicing again. My doctor too. It would be sad if you break your knee because you practice too soon. Its very frustrating and maybe it teaches us something and we have to accept it and focus on the other limbs of ashtanga. Maybe you could practice meditation and some " easy " asanas ?  I wish you to recover promptly and stay happy Let me know your progress if you wish  Barbara --- On Sat, 6/12/08, sasibha <sasibha wrote: sasibha <sasibha ashtanga yoga Anyone had ACL reconstruction on knee and does Ashtanga? ashtangayoga Saturday, 6 December, 2008, 3:53 PM Hi, I had ACL reconstruction via arthroscopy last week. Touch wood, I'm recovering well. I can walk unassisted although a bit slowly and can bend my knee 78 degrees. I've heard that I can return to yoga 4-6 weeks after the surgery. However, I was told that by my doctor and physiotherapist, neither of whom does Ashtanga. I'm wondering if there is any fellow Ashtangi out there who had the same surgery as me and is still practising. It would be great if you could clarify the following: 1 - Is it realistic to go back 4-6 weeks after surgery? 2 - I was doing secondary series prior to surgery. Would I be able to pick it up again? I mean, would it be advised to omit some of the poses because of the knee injury? 3 - How long would it be until I can jump through and jump into a handstand? For info, my ACL injury was not caused by yoga but rather caused by a nasty accident of someone falling on top of my knee. I also welcome any other advice. Thanks! Enjoy your practice... Sasibha Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 9, 2008 Report Share Posted December 9, 2008 I had arthroscopy earlier this year and am just now getting my practice back. Recovery was slower for me than what I had been told. In the meantime I kicked back to beginner yoga classes and swam a lot. I messed up my knee by many years of forcing lotus position in extended sitting meditation. ashtangayoga , " sasibha " <sasibha wrote: > > Hi, > > I had ACL reconstruction via arthroscopy last week. Touch wood, I'm recovering well. I can > walk unassisted although a bit slowly and can bend my knee 78 degrees. I've heard that I > can return to yoga 4-6 weeks after the surgery. However, I was told that by my doctor and > physiotherapist, neither of whom does Ashtanga. > > I'm wondering if there is any fellow Ashtangi out there who had the same surgery as me > and is still practising. It would be great if you could clarify the following: > 1 - Is it realistic to go back 4-6 weeks after surgery? > 2 - I was doing secondary series prior to surgery. Would I be able to pick it up again? I > mean, would it be advised to omit some of the poses because of the knee injury? > 3 - How long would it be until I can jump through and jump into a handstand? > > For info, my ACL injury was not caused by yoga but rather caused by a nasty accident of > someone falling on top of my knee. > > I also welcome any other advice. > > Thanks! > Enjoy your practice... > Sasibha > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 11, 2008 Report Share Posted December 11, 2008 Thanks both of you for replying. It means a lot to me. The lotus posture is exactly what I was wondering about... Seems I should wait for a long time for that... Cheers. Sasibha ashtangayoga , tiber33 <no_reply wrote: > > I had arthroscopy earlier this year and am just now getting my practice back. > Recovery was slower for me than what I had been told. > In the meantime I kicked back to beginner yoga classes and swam a lot. > I messed up my knee by many years of forcing lotus position in extended sitting > meditation. ashtangayoga , " sasibha " <sasibha@> wrote: > > > > Hi, > > > > I had ACL reconstruction via arthroscopy last week. Touch wood, I'm recovering well. I > can > > walk unassisted although a bit slowly and can bend my knee 78 degrees. I've heard that > I > > can return to yoga 4-6 weeks after the surgery. However, I was told that by my doctor > and > > physiotherapist, neither of whom does Ashtanga. > > > > I'm wondering if there is any fellow Ashtangi out there who had the same surgery as me > > and is still practising. It would be great if you could clarify the following: > > 1 - Is it realistic to go back 4-6 weeks after surgery? > > 2 - I was doing secondary series prior to surgery. Would I be able to pick it up again? I > > mean, would it be advised to omit some of the poses because of the knee injury? > > 3 - How long would it be until I can jump through and jump into a handstand? > > > > For info, my ACL injury was not caused by yoga but rather caused by a nasty accident of > > someone falling on top of my knee. > > > > I also welcome any other advice. > > > > Thanks! > > Enjoy your practice... > > Sasibha > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 11, 2008 Report Share Posted December 11, 2008 Hi Sasibha, About ten years ago, I injured half of my left knee ACL (Anterior Cruciate Ligament) in a Martial arts accident and after a couple of years, the remaining in a basketball game. A couple of years after that, I had ACL replacement done via arthroscopy. Middle 1/3 rd of the big ligament joining the Patella with Tibia is now my new ACL. You can notice signs of this procedure by the vertical scar over Patela, Tibia joint. The new ACL is way more strong than the original. Also, the surgen obviously left sufficient extra length so that my new joint is stronger and also more flexible than before and as compared to the right knee. Sometimes the replcement is with external or artificial element. Before restatarting 'violent' activities, one also has to consider that in such ACL accidents, some additional minor ligaments or fibers may also be torned. But only the ACL is replaced. Luckily Yogaasan practise has no violent actions. They are soft and premeditated (well, that's not really the word I am looking for but you get the idea, I suppose 'deliberate' is better). My main suggestion is to first concentrate on geting the knee to bend, fold all the way (now you are at 78 degrees). I was started with the soft, automatic knee bending machine the day after the surgery. I know it hurts a little but keep at it. For full folding practice, the Viraasan is obvious. In the beginning try a pillow between the thighs and the calves. Do it many times every day. When you can sit comfortably with the sitting bones on the floor between your calves & feet, you are ready to go Patience will come in handy. I have postponed on Padmaasan even though I could easily do the full Badh-Padmaasan since when I was 6. But I didn't do it for many years and so I am starting again from the beginning. Not much of a surprise, when I try it now, my 'fixed' knee is happy but my other, right knee hurts. The pain is at the little round protrusion at the top of Tibia, on the medial surface. I have seen other people rubbing at the exact same place after trying it. To work towards padmaasan, I do other basic aasans like Viraasan, Sidhaasan, Badh konaasan, Upavisth Konaasan and very carefully Ardh-padmaasan! Keeping a folded napkin tightly in the joint helps. One could start with any of the other aasans as long as there is NO pain (except in our case, the Viraasan, which I got working with frequent practise and gradual progress). In fact I found that Yogaasans are a very effective form of physical-theropy. One can do jump through and jump into a handstand as long you land softly and under control. This you must be doing already, as you were at secondary series prior to surgery. On another topic, does anyone feel dizzy while doing standing backbends? I have not been able to find the physiological root cause. Is the blood supply to the brain somehow constricted? Is there a way to get around the problem? Many people seem to do it very comfortably. Dilip Bay Area, CA --- On Sat, 6/12/08, sasibha <sasibha (AT) gmail (DOT) com> wrote: sasibha <sasibha (AT) gmail (DOT) com> ashtanga yoga Anyone had ACL reconstruction on knee and does Ashtanga? ashtangayoga Saturday, 6 December, 2008, 3:53 PM Hi, I had ACL reconstruction via arthroscopy last week. Touch wood, I'm recovering well. I can walk unassisted although a bit slowly and can bend my knee 78 degrees. I've heard that I can return to yoga 4-6 weeks after the surgery. However, I was told that by my doctor and physiotherapist, neither of whom does Ashtanga. I'm wondering if there is any fellow Ashtangi out there who had the same surgery as me and is still practising. It would be great if you could clarify the following: 1 - Is it realistic to go back 4-6 weeks after surgery? 2 - I was doing secondary series prior to surgery. Would I be able to pick it up again? I mean, would it be advised to omit some of the poses because of the knee injury? 3 - How long would it be until I can jump through and jump into a handstand? For info, my ACL injury was not caused by yoga but rather caused by a nasty accident of someone falling on top of my knee. I also welcome any other advice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2008 Report Share Posted December 12, 2008 Sasibha, There are a number of factors that would go into a decision about what it is you can or can't do as well as how quickly you can or can't practice. For instance there are different grades of tear as well as different procedures to repair a torn ACL. If you haven't started physical therapy yet, you'll find that they're pretty aggressive in the rehab of knee surgery. Why? because they're actually trying to prevent the build up of too much scar tissue as a result of the surgery which tends to lead to long term reduction of range of motion and sometimes pain. After surgery your ACL doesn't have to " heal " they've put in a piece of ligament from somewhere else in your body or from a cadaver (there are other procedures as well). What needs to repair is the trauma to the joint capsule where they've put the three holes and filled it with saline solution so they can work in there. In general a lot of trauma. Without movement, the body will lay down too much scar tissue, hence the aggressive rehab (mostly working with range of motion) to stretch the scar tissue as it forms to maintain range of motion. Going back to your original questions (without having every met you and getting few details about injury, your practice and the surgery)... 1. Yes, it is realistic that the majority of people go back to doing 80 - 90% of what they did pre-surgery within 4 - 6 weeks... keep in mind however that 2nd series is well beyond what the average person does... 2. Of course you'll be able to pick it back up... doing each pose fully may however take longer than 4 - 6 weeks... and of course doing it to the degree you did it before injury could be as long as a year. 3. you're the only one who will be able to answer this question. Be well, David Keil - Ashtanga Yoga teacher Yoganatomy.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2008 Report Share Posted December 21, 2008 David and Dilip, Thank you so much for taking the time to answer my question and giving me advice. It clarified a lot of things that are going through my head. :-) My ACL was the graft of the hamstring, and yes, I've started physio and they are aggressive about it, which is good. I feel like I am on the road to recovery although could not help feel that it is one with both physical and mental. I've got to get over that fear of hurting it again (this is my second knee surgery. The first one was for torn minuscus.) I've also been reading an article and watching a clip from Yoga Anatomy as I noticed the web address on David's response, and have found it helpful. Dilip, I got dizzy when I started doing drop back a couple of times but after that I made sure I came up slowly and dizziness seemed to have gone. Never experienced that again. You guys take care. Happy practising. Cheers, Sasibha ashtangayoga , David Keil <david wrote: > > Sasibha, > > There are a number of factors that would go into a decision about what > it is you can or can't do as well as how quickly you can or can't > practice. For instance there are different grades of tear as well as > different procedures to repair a torn ACL. If you haven't started > physical therapy yet, you'll find that they're pretty aggressive in > the rehab of knee surgery. Why? because they're actually trying to > prevent the build up of too much scar tissue as a result of the > surgery which tends to lead to long term reduction of range of motion > and sometimes pain. > > After surgery your ACL doesn't have to " heal " they've put in a piece > of ligament from somewhere else in your body or from a cadaver (there > are other procedures as well). What needs to repair is the trauma to > the joint capsule where they've put the three holes and filled it with > saline solution so they can work in there. In general a lot of trauma. > Without movement, the body will lay down too much scar tissue, hence > the aggressive rehab (mostly working with range of motion) to stretch > the scar tissue as it forms to maintain range of motion. > > Going back to your original questions (without having every met you > and getting few details about injury, your practice and the surgery)... > > 1. Yes, it is realistic that the majority of people go back to doing > 80 - 90% of what they did pre-surgery within 4 - 6 weeks... keep in > mind however that 2nd series is well beyond what the average person > does... > > 2. Of course you'll be able to pick it back up... doing each pose > fully may however take longer than 4 - 6 weeks... and of course doing > it to the degree you did it before injury could be as long as a year. > > 3. you're the only one who will be able to answer this question. > > Be well, > David Keil - Ashtanga Yoga teacher > Yoganatomy.com > Quote Link to comment Share on other sites More sharing options...
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