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I'm having an ACL reconstruction on the 1st November and have been told it may take a year before I can return to work. I'm a self employed plasterer so this will be devastating to my finances, I have a mortgage, 3 year old and six week old daughters. Any advice on speeding up recovery after the op? If poss could you pm with rates and any ideas of a programme that might be usefull, thanks.

Post-operative rehab for ACL reconstruction is fairly standardised and limited only by the graft compliance. You should be able to return to work well within a year. Normal guidance for athletes is running at around 3 months, return to sport at around 9 months (ranging from 6-12) but you would be physically able to work much earlier but perhaps not squatting / bending.

You will have to commit to your rehab if you want a successful outcome. I'll PM more specifics.

Please see attached links for my clinic:

Clinic Flyer:
http://www.complete-physio.co.uk/assets/docs/complete-physio-cycle-clinic.pdf

Website Link:
http://www.complete-physio.co.uk/clinics/kentish-town-la/services/cycleclinic

Michael

I've had an email to warn me of competition but alas there is no cause for concern.

The Complete-Physio Cycle Clinic flyers popping up in selected independent two-wheel establishments are to advertise my Cycle Clinic. I'll post an e-copy here is due course.

Back in clinic as normal.

Sounds like an acute spasm / torticollis and should settle with meds / heat / soft tissue work and regular stretching. If it doesn't then it may be joint or disc irritation and may require some manaul therapy. PM me if needed.

Hi folks,

I'll be away for the next 2 weeks, sporadically checking emails, but have a clinical specialist colleague and triathlete covering the clinics for me. I'll be back in myself from the 7th October.

Michael.

Tried long and hard to find an answer to this on the internet but couldn't. I guess knee cartilage/meniscus injuries are fairly common among cyclists. I am about 75% sure I will have to have surgery (arthroscopy), or at least that surgery is the best option. My question is: what is the waiting time on the NHS to get knee arthroscopy surgery? I am basically out of action for all physical activities indefinitely, and it's killing me not knowing how long I'll have to wait. At the moment I'm going through the motions of physiotherapy. I know I don't need physio, my knee is/was fucking strong, I can feel the muscle strength and the ligaments are back to normal too; it's just fucked up inside. I guess they just ram this physio BS down your throat to try and minimise the amount of surgery they have to pay for.

Sorry to hear your experience. The NHS have an 18 week target for you to commence the treatment deemed neccessary for your condition. If you have seen a Consultant Orthopaedic Surgeon then you are almost there. You also have the right to choose the location for your surgery, along with any secondary care provision, so don't feel that you have to stay put if you are not happy.

As a Physio I'm sorry that you feel you are receiving BS treatment. A large number of people, elite athletes included, can often perform at the highest levels without surgery but if conservative treatment is not beneficial then I'd discuss this with your Physio.

Feel free to PM any specific queries.

Hi James,

Can't do this due to short notice but would be keen to cover future events if an experienced physio would be of use.

Michael

soperRiva - I can fit you in to my Cycle Clinic on Thursday afternoon

http://www.lfgss.com/thread29902-2.html#post1612858

Hub, Tensioner, Bars and Post still available.

No interest in Handlebars or Seat post yet. Does no-one like oversized aluminum? :-)

Please see original post. Had lots of rapid interest. If anything falls through then I'll re-edit. If I've not been in touch then the item has already been sold. Apologies.

Bits and pieces for sale. Everything in good condition.

Concept Alloy Road Handlebars (42cm) oversize 31.6mm (mint) £10
Concept Alloy Seat Post (31.6mm) (mint) £10
SOLD Selle San Marco saddle £5
SOLD Continental UltraSport Home Turbo Tyre (mint) £10
SOLD Polar Favor Heart Rate Monitor £5
Campagnolo Hub £5
SOLD Rapha Fixed Shorts (Size 30, mint) £20
SOLD Gieseggi 7UP Jersey (Small) £5
Chain Tensioner £5

Pick up from Camden or meet somewhere in town.

I'll be in tonight for Q&A with Mr Barry.

Flat bars, drop bars, levers and a saddle. Save me a spot. See you Sunday.

I'm waiting to hear back from LMNH.

Kilo to Go's Wild Edric Sportif will be in and around the Shropshire Marches where Claire is cycling.

I'm thinking of doing an evening seminar on Knee Pain in Cyclists, maybe somewhere like LMNH. Think there is a need to provide some professional education and advice and answer some questions.

Any thoughts?

Back to normal clinic hours as of next week so more appointment choices available.

Also new website due to company expansion: www.complete-physio.co.uk
Same phone number: 0207 482 3875
Still offering £5 discount off initial assessment for clients booking into my Cycle Clinic.

PM queries as usual.

Michael.

If you are healed up with ongoing pain and Physio hasn't helped then a corticosteroid injection can work well to relieve symptoms, albeit sometimes temporarily. A surgeon I'm not but if you need some hands-on work, specific professional advice or would like to discuss and arrange injections please free to PM me.

This thread has got very busy. Good luck to all.

The UK can be overly-conservative at times with management but many people, particularly those who are sedentary or not too fussed about full end range high-level function of the shoulder-girdle are happy to wait-and-see.

Metalwork provides immediate stability and a 'mesh' for bone growth. It doesn't mean that you're shoulder will be perfect afterwards. Most long-term issues will come from disruption of the acromio-clavicular joint surfaces with associated pain and crepitus with over head or twisting activity. Manual therapy can be useful for addressing these factors but cosmetic appearance is another matter with the typical 'step-deformity' a common issue.

Long-term, having metalwork in situ isn't ideal either. The collar-bone is designed to break on impact to protect other structures, bit like a car bonnet crumple zone, and if you were to have a future crash with metalwork in place the outcome could be more complicated.

Again, good luck to those operated and non-operated.

cheers

Sold. PM replied.

Is SHIMANO WH-R500 (Tiagra) REAR WHEEL £20 still available? Dibs if it is. PM on the way.

What width and diameter are the profile bars?

Edit: should've looked more closely at the photo. Width is 40cm. How about diameter?

Bars are normal 25.8 not oversized.

Can you do the oakleys for 30?

I'll take £30.

PM me details.

Alex wheelset and sigma comp sold

would take the wheels if still going...

I've had an offer for £50. yours for £60.