Limited Flexion 6 month post ACL reconstruction

[Becky0721]

I am 6 month post ACL reconstruction.  I also tore my MCL, had large bone bruising and the meniscus was torn (only trimmed, not sewn during surgery).  My knee is stiff through the entire range of motion and I cannont achieve greater than 140 degrees of flexion (I'm at 159 degrees at the other knee).  I have had two cortisone injections which have not resulted in any additoinal flexion.  Dr. says 140 degrees is "functional" and when rating my knee it gets an "A".  However, 19 degrees of difference in legs is causing me signicant frustration and discomfort.  Any ideas on getting me over the hump and closer to 159 degrees?

[Becky0721]

Thanks for your reply Dr. Kaul.  While I realize that 140 degrees is clinically functional, for me, it just isn't good enough.  I am a competitive trail runner, on and off road cyclist and soccer player.  Simply being able to get myself in and out of the bathtub doesn't meet my standard. I am looking for advice on regaining flexion that is closer to its contralateral comparison.  To simply tell me it's good enough and to say not to worry about it is dismissive and condescending.

[S. Kaul, MD]

Hi there!

With the injury and reconstruction described, I would suggest not to worry about it. 140 degree flexion is pretty good, though one could try physiotherapy to improve muscle strength around the knee joint which might help in movement improvement.
Hope this helps.

Take care!