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Re: Knee Cartilage [Lauracasto0612]
Yes the return to sports there is still no information. My recovery schedule by the doctor was for the first 12 weeks - then the comment I can do everything that does not make the knee feel worse the next day or significant swelling more or less.
My strange problem is that I have problems on full extension (while the damage is at 90° more or less) - and that's for my power too. So with running as you touch down pretty extended it's like I better wait.
After surgery I asked what about if I start running at 4 months - doctor answered the above solution too.

So I kinda followed the MACI instructions when it comes to running. I had problems with walking down steps for pretty long - while being fine to walk up / also double steps up and my cycling/hiking was very early return and high volume without probs (took me like only 2 weeks after getting onto my road bike at 9 weeks - so at 11 weeks to get smashing my pedals at 600w standing - just not doing any dedicate 30 seconds or less sprints - at 67kg). As for every surgery I had biking was allowed as soon as possible - I just followed the pain / swelling advice and just out of precaution avoided max effort short sprints (so yes I sprinted for red lights, but I did not try to really prepare for 30 secs intervals or similar mentally). Running is my only thing missing - but yeah many sports are attached to running.

When you read up the literature on Autocart the return to sports, IKDC scores and so on are all over the place. From some case playing basketball in 1. Spanish league after 6 months (basketball is one of the most dangerours sports for knee problems with soccer) to no running before 12 months.
I did not but think about BFR training. Might be a way to get my muscle balance fully back which I never achieved since my second ACL surgery over 15 years ago. whil

For MACI/ACI there were some studies which kinda claimed worse results if return to sports before 12 months - however their IKDC scores were so bogus that I think return to sports was interpreted very wildly by the participants (meaning the later returning to sports group still had IKDC scores below 80, which means no running is possible more or less) while the pre 12 months return to sports group said they were back to sports at even lower IKCD scores. All a big mystery. As I still had bone edema on my 6 months MRI I thought to push out running for a bit. Then however seeing kinda every knee cartilage surgery has best results with people dedicating their life to rehab and doing sports at more than 10 hours per week - it seems to be beneficial to go back early and aggressive.
Last edited by: extremecarver: Jul 28, 22 11:05

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