I celebrated my birthday with a good happy knee. My last physical therapy session wasn't that great and I was worried about my future. But amazingly as I followed my own routine, my knee felt better.
So it is in great spirit that I entered a new year in my life. I will let Thanksgiving pass before checking out from the physical therapy facility. I will then hunt for a gym closer to my kids' school so I can go early morning. I will bike and of course hike. I have returned to regular walks and feel great. I am dealing with a few minor aches but I've seen much worst so I don't even want to think about them.
The weather cannot be more perfect. I don't think I've seen the trees as beautiful as they are this fall. Almost matching my beloved New England's exceptional autumn.
Monday, November 21, 2011
Tuesday, November 8, 2011
November 8, 2011
I started the long rocky road toward recovery more than 1o months ago.
Tomorrow is my last physical therapy session and I am learning to return to my daily routine prior to my ski injury.
Where am I after two knee surgeries?
In good shape considering the huge set back that changed my lifestyle over night.
More cautious than I was when it comes to my body, definitely.
More aware than being in overall good health is crucial to recovery.
More determined than ever to return to the lifestyle I had defined before the accident.
Over the last year, I have learned a lot about my body and the way it works, something I took for granted since I never had a major surgery before.
My weekly exercise is now divided between stretching, strengthening, walking and biking.
The weather is so gorgeous now that biking is a real treat. I started to bike every other day after driving my kids to school, alternating with physical therapy.
Starting tomorrow I will add more biking since it is a low impact exercise.
I still bike at home on the stationary bike if I have been at my desk for too long. I still stretch my leg regularly during the day.
I have regained most of my flexion and extension and I am not sure if I will ever be exactly the same but I am shooting for that goal.
My legs look good with all the exercises I have been doing and I intend to keep up with that.
It is strange to think of tomorrow being the end of the long strenuous road. I have made a second home at the physical therapy gym. I know everyone from the therapists to their aides. I have met dozens of patients and commiserate with many. Sharing similar injuries, knowing the pain of healing and the frustration that accompanies physical recovery, bring people closer to each other. People I wouldn't have met otherwise became familiar faces and helped me to cope with the challenges and frustrations that follow an accident and a surgery.
It has been a long winter and a tough summer. Fall, my favorite season of all, is bringing hope again and the promise of a better winter.
Although I won't be skiing, my family is making vacation plans and I am looking forward to 2012.
I have missed my left knee a lot.
Today I am grateful to be able to walk, to bike, to stand on my feet without pain and to do many things I thought too ordinary to pay any attention to them.
Lacing my shoes, crouching to dust under my bed, being on my knees to sort books on my library shelves, all the small things of life that stand in your way when the body can't do them anymore and again feel extraordinary when the body can accomplish them without too much pain and effort.
As a celebration gift I will make a gift to myself: a skirt and a pair of boots.
A welcome change after months in sweat pants, shorts and tee shirts.
Tomorrow is my last physical therapy session and I am learning to return to my daily routine prior to my ski injury.
Where am I after two knee surgeries?
In good shape considering the huge set back that changed my lifestyle over night.
More cautious than I was when it comes to my body, definitely.
More aware than being in overall good health is crucial to recovery.
More determined than ever to return to the lifestyle I had defined before the accident.
Over the last year, I have learned a lot about my body and the way it works, something I took for granted since I never had a major surgery before.
My weekly exercise is now divided between stretching, strengthening, walking and biking.
The weather is so gorgeous now that biking is a real treat. I started to bike every other day after driving my kids to school, alternating with physical therapy.
Starting tomorrow I will add more biking since it is a low impact exercise.
I still bike at home on the stationary bike if I have been at my desk for too long. I still stretch my leg regularly during the day.
I have regained most of my flexion and extension and I am not sure if I will ever be exactly the same but I am shooting for that goal.
My legs look good with all the exercises I have been doing and I intend to keep up with that.
It is strange to think of tomorrow being the end of the long strenuous road. I have made a second home at the physical therapy gym. I know everyone from the therapists to their aides. I have met dozens of patients and commiserate with many. Sharing similar injuries, knowing the pain of healing and the frustration that accompanies physical recovery, bring people closer to each other. People I wouldn't have met otherwise became familiar faces and helped me to cope with the challenges and frustrations that follow an accident and a surgery.
It has been a long winter and a tough summer. Fall, my favorite season of all, is bringing hope again and the promise of a better winter.
Although I won't be skiing, my family is making vacation plans and I am looking forward to 2012.
I have missed my left knee a lot.
Today I am grateful to be able to walk, to bike, to stand on my feet without pain and to do many things I thought too ordinary to pay any attention to them.
Lacing my shoes, crouching to dust under my bed, being on my knees to sort books on my library shelves, all the small things of life that stand in your way when the body can't do them anymore and again feel extraordinary when the body can accomplish them without too much pain and effort.
As a celebration gift I will make a gift to myself: a skirt and a pair of boots.
A welcome change after months in sweat pants, shorts and tee shirts.
Sunday, October 30, 2011
October 30, 2011
Biking on my new bike is a dream! I took a couple of nice rides on it and I really enjoyed the light and speed of this great machine.
I had therapy on Friday and my PT measured my knee for the first time in two weeks. My extension wasn't as good as it was on Wednesday. Don't ask me why some days are better than others. I was still lacking 5 degrees but I'm sure it is usually much less so I don't want to worry about it. The flexion is 140 instead of 145, without pushing it.
So from now on, I must force both extension and flexion so I get rid of the last adhesions. This is tough job but I come a long way and I know I can do it.
I only have two weeks of therapy left. Four sessions.
Where will I be in just two weeks? It freaks me out that I won't be myself yet. However, I am less and less uncomfortable and perhaps this is what I should focus on instead of targeting 145 and 0, that after all are only numbers.
I had therapy on Friday and my PT measured my knee for the first time in two weeks. My extension wasn't as good as it was on Wednesday. Don't ask me why some days are better than others. I was still lacking 5 degrees but I'm sure it is usually much less so I don't want to worry about it. The flexion is 140 instead of 145, without pushing it.
So from now on, I must force both extension and flexion so I get rid of the last adhesions. This is tough job but I come a long way and I know I can do it.
I only have two weeks of therapy left. Four sessions.
Where will I be in just two weeks? It freaks me out that I won't be myself yet. However, I am less and less uncomfortable and perhaps this is what I should focus on instead of targeting 145 and 0, that after all are only numbers.
Sunday, October 23, 2011
October 29, 2011
My new bike is awesome, but I still have to use it. Between a trip to and from Berkeley on Friday and family plans this weekend, I will have to wait until Tuesday to really ride it.
When I picked it up on Thursday afternoon, before one my physical therapy sessions, I was a little nervous. My knee had been acting up the day before, and I didn't feel as good as I had recently.
But I had to try the bike around the block and it was perfect. The Treck 7.5 FX WSD 17, model 2012 is so light that I wonder how I could bike on my old one. A little like using my MacBook Air the first time when I had been using a good old Acer for years.
You grow wings on such light machines and since my husband already has a pretty decent bike, we are planning to bike together at least three times a week.
I'm pretty disciplined by nature so I can stick to this program. I will have to make sure I don't end up solo.
Besides biking and doing my therapeutic exercises, I have started to work out, focusing on abs and arms. It feels so good to be me again.
My left knee is looking good and the extension has returned to normal or very close to normal. Since I have focused on it for a few weeks now, I must return to flexion exercises to make sure I'm not stuck with a 120 degrees flexion.
So more work is still needed although I see the end of the tunnel getting closer day after day.
Cannot wait to be at the top of a mountain.
Or at the end of a twenty-mile path even if it is with a bike.
When I picked it up on Thursday afternoon, before one my physical therapy sessions, I was a little nervous. My knee had been acting up the day before, and I didn't feel as good as I had recently.
But I had to try the bike around the block and it was perfect. The Treck 7.5 FX WSD 17, model 2012 is so light that I wonder how I could bike on my old one. A little like using my MacBook Air the first time when I had been using a good old Acer for years.
You grow wings on such light machines and since my husband already has a pretty decent bike, we are planning to bike together at least three times a week.
I'm pretty disciplined by nature so I can stick to this program. I will have to make sure I don't end up solo.
Besides biking and doing my therapeutic exercises, I have started to work out, focusing on abs and arms. It feels so good to be me again.
My left knee is looking good and the extension has returned to normal or very close to normal. Since I have focused on it for a few weeks now, I must return to flexion exercises to make sure I'm not stuck with a 120 degrees flexion.
So more work is still needed although I see the end of the tunnel getting closer day after day.
Cannot wait to be at the top of a mountain.
Or at the end of a twenty-mile path even if it is with a bike.
Tuesday, October 18, 2011
October 18, 2011
Yeah! I got my new bike today.
My husband took me to this great shop owned by one of our neighbors.
The bike is a brand new model from the Treck 2012 collection. It wasn't in store yet so we ordered it on the spot and I will pick it up tomorrow.
Beautiful bike! .
I cannot wait to use on it on the fifteen-mile trail that starts in Old Town Clovis, only minutes away from the High-School my kids attend.
My knee feels great today and the weather can't be better.
Snow graced the Sierra peaks days ago but has melted as we got more summer like weather.
It is supposed to cool off soon.
Bike time sounds good.
Although... I am plotting a Yosemite manageable hike before winter buries my favored playground under blankets of snow.
My husband took me to this great shop owned by one of our neighbors.
The bike is a brand new model from the Treck 2012 collection. It wasn't in store yet so we ordered it on the spot and I will pick it up tomorrow.
Beautiful bike! .
I cannot wait to use on it on the fifteen-mile trail that starts in Old Town Clovis, only minutes away from the High-School my kids attend.
My knee feels great today and the weather can't be better.
Snow graced the Sierra peaks days ago but has melted as we got more summer like weather.
It is supposed to cool off soon.
Bike time sounds good.
Although... I am plotting a Yosemite manageable hike before winter buries my favored playground under blankets of snow.
Monday, October 17, 2011
October 17, 2011
I got one of the best workout on Friday at...physical therapy. Yes, I know it doesn't sound so exciting and yet, I felt so good that I was able to do planks, abs and all kind of exercises that focused on my entire body and not only on my poor knee.
Saturday was great and I didn't do much besides walking to get my coffee in town.
I woke up sore on Sunday morning. I had promised a walk to my hiking buddy. Hiking is only a word that once belonged to my vocabulary. Anyway, I couldn't cancel and walked the three miles loop in relative discomfort. It was disappointing since I felt so good the day before.
I dragged my leg the whole day on Sunday and was a little worried on Monday. But when I spoke with my physical therapist, he told me that I would probably feel better after my work-out. And, guess what? I did!
So, the lesson once more is balance. My knee needs to move in order to function. That I knew but I never thought that being a little lazy one day could be that bad.
I hope that later, I will be able to skip exercising the way I did before my injury.
Tonight I feel great which is of course nice.
I'm back to two miles a day. The weather is gorgeous and I want to take advantage of it before it gets cold and rainy. So tomorrow I am getting my new bike and plan to ride it every day either in a local bike path or in Yosemite where I haven't been for months.
Life is good1
Saturday was great and I didn't do much besides walking to get my coffee in town.
I woke up sore on Sunday morning. I had promised a walk to my hiking buddy. Hiking is only a word that once belonged to my vocabulary. Anyway, I couldn't cancel and walked the three miles loop in relative discomfort. It was disappointing since I felt so good the day before.
I dragged my leg the whole day on Sunday and was a little worried on Monday. But when I spoke with my physical therapist, he told me that I would probably feel better after my work-out. And, guess what? I did!
So, the lesson once more is balance. My knee needs to move in order to function. That I knew but I never thought that being a little lazy one day could be that bad.
I hope that later, I will be able to skip exercising the way I did before my injury.
Tonight I feel great which is of course nice.
I'm back to two miles a day. The weather is gorgeous and I want to take advantage of it before it gets cold and rainy. So tomorrow I am getting my new bike and plan to ride it every day either in a local bike path or in Yosemite where I haven't been for months.
Life is good1
Thursday, October 13, 2011
October 13, 2011
Progress is on its way but I still have a way to go. Some days are better than others and I have come to accept that I will be living with a weaker knee for a while. Yet every day something good usually happens. Either more agility to climb over the railing of my porch as I water my plants, more strength when I use the elliptical or less pain when I do my exercises.
My physical therapist is happy with my progress and is positive that I will be using my knee as I did before. Some day. Eventually.
I agree with him but it's hard to understand why some mornings my knee feels almost like normal and others it is still a little crooked and stiff. I still have scar tissues to get rid of and I balance stretching and strengthening, flexions and extensions to make sure I keep my knee mobile.
I'm telling you, it is time consuming and patience testing.
I still miss my knee but when I look down and see how shapely it became, I know I came a long way.
My physical therapist is happy with my progress and is positive that I will be using my knee as I did before. Some day. Eventually.
I agree with him but it's hard to understand why some mornings my knee feels almost like normal and others it is still a little crooked and stiff. I still have scar tissues to get rid of and I balance stretching and strengthening, flexions and extensions to make sure I keep my knee mobile.
I'm telling you, it is time consuming and patience testing.
I still miss my knee but when I look down and see how shapely it became, I know I came a long way.
Monday, October 3, 2011
October 3, 2011
I am doing so well since Friday that I have to be careful to go on with my physical therapy.
I still feel stiffness when I wake up and if I've been seated for a long time but discomfort and heaviness vanish faster than they did until recently.
The top of my knee is still a little rigid and I have to focus on the muscles of my calf and thigh in order to avoid loading the knee with my weight.
Massages of the knee with any kind of lotion is good and I like a soothing one with lavender at night. It helps the muscles to relax and I sleep better. Also the fragrance of lavender is good for a peaceful night.
I find difficult to isolate my knee from too much weight and I have to concentrate when I exercise but I am better at it with some practice.
I walked the mile and a half loop around the lake last night and felt great so I will try to do it more especially since the weather is turning cooler. I used to walk an average of five miles a day before my injury and six more on weekends plus of course lengthy hikes in Yosemite.
Rain is expected in a couple of days and although I love rain as most Californians do because it is so precious to us, I'm not so impatient this year, preferring a longer cool fall that would allow me to walk more.
I still want a bike for my birthday and I can't wait to be back in Yosemite!
I still feel stiffness when I wake up and if I've been seated for a long time but discomfort and heaviness vanish faster than they did until recently.
The top of my knee is still a little rigid and I have to focus on the muscles of my calf and thigh in order to avoid loading the knee with my weight.
Massages of the knee with any kind of lotion is good and I like a soothing one with lavender at night. It helps the muscles to relax and I sleep better. Also the fragrance of lavender is good for a peaceful night.
I find difficult to isolate my knee from too much weight and I have to concentrate when I exercise but I am better at it with some practice.
I walked the mile and a half loop around the lake last night and felt great so I will try to do it more especially since the weather is turning cooler. I used to walk an average of five miles a day before my injury and six more on weekends plus of course lengthy hikes in Yosemite.
Rain is expected in a couple of days and although I love rain as most Californians do because it is so precious to us, I'm not so impatient this year, preferring a longer cool fall that would allow me to walk more.
I still want a bike for my birthday and I can't wait to be back in Yosemite!
Thursday, September 29, 2011
September 29, 2011
I had my check-up with the surgeon yesterday. I felt great that day after two wonderful days when I almost forgot about my knee.
He agreed that my knee looked good. The bruises are now gone and the swelling is very little. He recommended six more weeks of physical therapy to make sure I regain full extension and flexion of my knee. Twice a wee was a little disappointing since I was expecting only once but in the end I want to be myself again as soon as possible.
We spoke supplements for joint health and he gave me his flier about Glucosamine and Chondroitin Sulfate. This guy is widely published across the USA and has a huge reputation. His point regarding the use of such product is that there is no real studies proving their efficiency although animals taking it stopped limping.
But the reviews are mixed. Bot the glucosamine and chondroitin are derived from animal products so I have mixed feelings about it.
Now is the last stretch of the long road I've walked since early January.
Pain is gone. I have better day than bad.
Today was a so-so day with some stiffness in the legs but I've walked more recently and also been cleaning my house so it can explain.
I hope the night will be restful so tomorrow, which is busy with therapy and three meetings, will be a good day.
He agreed that my knee looked good. The bruises are now gone and the swelling is very little. He recommended six more weeks of physical therapy to make sure I regain full extension and flexion of my knee. Twice a wee was a little disappointing since I was expecting only once but in the end I want to be myself again as soon as possible.
We spoke supplements for joint health and he gave me his flier about Glucosamine and Chondroitin Sulfate. This guy is widely published across the USA and has a huge reputation. His point regarding the use of such product is that there is no real studies proving their efficiency although animals taking it stopped limping.
But the reviews are mixed. Bot the glucosamine and chondroitin are derived from animal products so I have mixed feelings about it.
Now is the last stretch of the long road I've walked since early January.
Pain is gone. I have better day than bad.
Today was a so-so day with some stiffness in the legs but I've walked more recently and also been cleaning my house so it can explain.
I hope the night will be restful so tomorrow, which is busy with therapy and three meetings, will be a good day.
Monday, September 26, 2011
September 26, 2011
The extension of my knee is now 135 degrees and the flexion is missing 5 degrees.
It is not perfect but I know I can gain the difference with more work.
My PT was very encouraging and believes that from now on, I must resume regular physical activity as much as I can.
He wants me to talk with the surgeon about the inflammation that is now very little but still present before engaging in anything strenuous.
But this afternoon I took a mile and a half long walk around our local lake and although it is a very easy path, I was in pain before the arthroscopy. Today I was fine and I did everything I could to remind myself to focus on the extension of my leg while keeping the rest of my body as relaxed as possible.
Easier to say than to do, but I managed to enjoy a very nice walk under a beautiful much cooler weather.
Tomorrow is a busy day with several appointments that will keep me in town all day.
I am taking my lunch since I plan to eat outside and my ice in case.
But I am excited to realize that I am so close to being back to normal.
It is not perfect but I know I can gain the difference with more work.
My PT was very encouraging and believes that from now on, I must resume regular physical activity as much as I can.
He wants me to talk with the surgeon about the inflammation that is now very little but still present before engaging in anything strenuous.
But this afternoon I took a mile and a half long walk around our local lake and although it is a very easy path, I was in pain before the arthroscopy. Today I was fine and I did everything I could to remind myself to focus on the extension of my leg while keeping the rest of my body as relaxed as possible.
Easier to say than to do, but I managed to enjoy a very nice walk under a beautiful much cooler weather.
Tomorrow is a busy day with several appointments that will keep me in town all day.
I am taking my lunch since I plan to eat outside and my ice in case.
But I am excited to realize that I am so close to being back to normal.
Sunday, September 25, 2011
September 25,2011
Excellent weekend for me and my knee.
Saturday in San Juan Bautista was great. Temperatures are always so much cooler there than in the valley. Fall is my favorite season and this weekend had a definite autumn flavor.
My husband and I were supposed to have lunch with our oldest daughter who lives in Santa Cruz, attending the local community college and waitressing on the harbor. But she unfortunately canceled and we had the whole day for us.
San Juan Bautista is the perfect place for anyone who wants to walk without challenge. The small town is a delight with its boutiques and the Mission offers peace and natural beauty. I walked much more than I can do at home where hills surround my home.
On Sunday, we took our two younger children to the movie and saw Contagion.
Pretty good movie with a cast of huge stars who unfortunately disappear or have smaller roles than their names. But a great topic for a movie.
Movie theaters were tough for me for a while because of the stairs. It was nice to climb easily to the very top of the theater, our favorite spot when we go to the movie.
Temperatures have dropped so much that we have turned the fans off. Perfect weather for a long hike. I can't wait!
Tomorrow I have physical therapy and the flexion and extension of my knee will be measured for my Wednesday appointment with the surgeon.
I am confident that I will get a good progress card.
Saturday in San Juan Bautista was great. Temperatures are always so much cooler there than in the valley. Fall is my favorite season and this weekend had a definite autumn flavor.
My husband and I were supposed to have lunch with our oldest daughter who lives in Santa Cruz, attending the local community college and waitressing on the harbor. But she unfortunately canceled and we had the whole day for us.
San Juan Bautista is the perfect place for anyone who wants to walk without challenge. The small town is a delight with its boutiques and the Mission offers peace and natural beauty. I walked much more than I can do at home where hills surround my home.
On Sunday, we took our two younger children to the movie and saw Contagion.
Pretty good movie with a cast of huge stars who unfortunately disappear or have smaller roles than their names. But a great topic for a movie.
Movie theaters were tough for me for a while because of the stairs. It was nice to climb easily to the very top of the theater, our favorite spot when we go to the movie.
Temperatures have dropped so much that we have turned the fans off. Perfect weather for a long hike. I can't wait!
Tomorrow I have physical therapy and the flexion and extension of my knee will be measured for my Wednesday appointment with the surgeon.
I am confident that I will get a good progress card.
Friday, September 23, 2011
September 23, 2011
Excellent physical therapy session today after a decent week. The weather here is still hot so it is hard to be outside. I do my exercises and bike inside. I can't wait for the fall and get my new bike!
Flexion of my knee is great, although I still need to work on it. Extension is still getting there too.
On Monday both will be measured before my check-up with the surgeon.
I saw one of the women who got surgery shortly before me in January and she was still in pain. I envied her back then since she was faster to recover than I've been but today she was in evident discomfort while I was fine.
Healing is so personal that it is hard for the physical therapists to tell for sure when the recovery will be perfect.
I am on the good track, I know for sure, but I want to speed up the process and discomfort gets in my way, frustrating and annoying.
I am dealing better with that, taking each progress as a milestone earned after handwork.
This weekend is less busy than last one and I plan to enjoy it with lots of exercises and good family time.
Flexion of my knee is great, although I still need to work on it. Extension is still getting there too.
On Monday both will be measured before my check-up with the surgeon.
I saw one of the women who got surgery shortly before me in January and she was still in pain. I envied her back then since she was faster to recover than I've been but today she was in evident discomfort while I was fine.
Healing is so personal that it is hard for the physical therapists to tell for sure when the recovery will be perfect.
I am on the good track, I know for sure, but I want to speed up the process and discomfort gets in my way, frustrating and annoying.
I am dealing better with that, taking each progress as a milestone earned after handwork.
This weekend is less busy than last one and I plan to enjoy it with lots of exercises and good family time.
Monday, September 19, 2011
September 19, 2011
I haven't felt as good in many months. This weekend was busy with two parties at friends' homes and some long time due house cleaning. I was full of energy and although my knee once in a while was acting up, it was a very good weekend.
Today I had physical therapy and progress is definitely here. My PT is positive that my check-up with the surgeon in 10 days will be good. He anticipates a few more weeks of therapy but only a session per week. Yeah!
I like them all, and have learned to appreciate physical therapists' job, still I'd rather walk or bike outside.
Actually, I'm thinking of asking for an early birthday gift and get a bike. Mine is old and I left it in our vacation home in Maine. A new bike to celebrate my recovery would be really nice. There are so many bike trails in my area that it would be a perfect fall and birthday gift.
I have been doing my exercises like a good student does her homework and I'm still doing them several times a day and the rewards of my patience have finally arrived.
I can't believe I am probably reaching the end of the dark long tunnel.
I know I won't climb Half Dome tomorrow but the hiking trails are getting closer and the anticipation makes me happy.
I have missed my knee so much that I hardly believe it is my own good old knee that is moving and looking better day after day.
Today I had physical therapy and progress is definitely here. My PT is positive that my check-up with the surgeon in 10 days will be good. He anticipates a few more weeks of therapy but only a session per week. Yeah!
I like them all, and have learned to appreciate physical therapists' job, still I'd rather walk or bike outside.
Actually, I'm thinking of asking for an early birthday gift and get a bike. Mine is old and I left it in our vacation home in Maine. A new bike to celebrate my recovery would be really nice. There are so many bike trails in my area that it would be a perfect fall and birthday gift.
I have been doing my exercises like a good student does her homework and I'm still doing them several times a day and the rewards of my patience have finally arrived.
I can't believe I am probably reaching the end of the dark long tunnel.
I know I won't climb Half Dome tomorrow but the hiking trails are getting closer and the anticipation makes me happy.
I have missed my knee so much that I hardly believe it is my own good old knee that is moving and looking better day after day.
Wednesday, September 14, 2011
September 14, 2011
Progress is really on its way explaining why I have been away from my blog.
Physical therapy has resumed with my regular PT but under the supervision or I should say with collaboration with the PT who took care of me for three sessions.
He is the one who thought of heat to soften the tissues. He realized that my issue was not mechanical since the ligaments are doing well now. The heat showed improvement in the flexibility of my leg, proving that the muscles and tissues were tight and needed relief.
Yesterday was a great day after a busy Monday where I was on my feet and driving from 7:00 am to 9:00 pm.
Today starts as another great day too and I feel like reaching the end of the tunnel will happen sooner that I expected.
I have physical therapy on Friday and my goal is to get great numbers when my flexion and extension will be measured.
Physical therapy has resumed with my regular PT but under the supervision or I should say with collaboration with the PT who took care of me for three sessions.
He is the one who thought of heat to soften the tissues. He realized that my issue was not mechanical since the ligaments are doing well now. The heat showed improvement in the flexibility of my leg, proving that the muscles and tissues were tight and needed relief.
Yesterday was a great day after a busy Monday where I was on my feet and driving from 7:00 am to 9:00 pm.
Today starts as another great day too and I feel like reaching the end of the tunnel will happen sooner that I expected.
I have physical therapy on Friday and my goal is to get great numbers when my flexion and extension will be measured.
Monday, September 5, 2011
September 5, 2011
Sunday, September 4, 2011
September 4, 2011
I had physical therapy with a different therapist on Friday. As I was beginning my routine exercises, he asked an aide to start with some heat. I had no idea what the treatment would be all about since ice has always been used after the hour and half of exercises.
The aide slid a blanket that reminded me of a grey fleece blanket we have at home under my legs. It covered from my ankles to the lower part of my thighs. Immediately I felt warmth and then extreme warmth to the point of burning along my legs but especially on my calves. I asked if it was normal and the aide slipped a towel between the blanket and my skin. It was a little more bearable and reminded me of the only facial I ever had in my life a few years ago. Now that I had adjusted to the heat, I could feel my legs relaxing as if the tissues inside were melting. After 15 minutes the aide removed the blanket and I did 3 sets of 25 repetitions on a bizarre piece of equipment that has one right and one left stairs. The heel of my injured left leg was placed on the right stair while my right leg was resting on a low stool beside the equipment. The goal was to extend my left leg as much as possible without shifting my hip and moving forward. This is an exercise I was asked to do months ago when nobody knew what was wrong with my healing process. At that time I couldn't do the exercise properly, the reason being the difficult extension of my knee. Now after the 15 minutes of heat, my leg seemed supple and I had no difficulties to perform the exercise.
Then the therapist worked on my knee and leg a lot, massaging with cream, manipulating the entire leg in different positions, stretching the leg and hip. He told me that using the heat was an idea he had as he was thinking of my issue. He figured that either something was wrong with the mechanics of the knee or my muscles were tensing for whatever reason. Since the heat had relaxed my leg, he was happy to inform me that nothing was wrong with the knee itself since heat would not have helped. He went on with more physical manipulations and encouraged me with enthusiastic comments, "Good job! Good firing of the quad! Perfect!"
It's funny how simple words go a long way when the body has been miserable for months. I felt a burst of energy and hope that reminded me of who I was before. I realized I was still the same woman full of energy and hope. Eight months since the accident, seven since my first surgery have kept my left knee and leg inactive in a way that had never happened before.
Suddenly I could feel the results of the second surgery and the use of the heat.
The therapist told me that he was modifying my program with more exercises focusing on the extension of the leg than the flexion since it was my number 1 problem.
The hour went fast and I left after being iced, happy and confident. I will have the same therapist again on Tuesday since mine is away for a week of vacation. I wonder if I should ask to keep the one who has been doing a wonderful job. How can I ask properly for a change? Would have mine thought of changing my exercises or using heat to relax my muscles? I like the PT I have but it is pretty clear now that he missed something last winter.
Yesterday was a busy afternoon with a birthday party for my daughter and some errands. I was so ecstatic to walk faster and better that I finished the decoration of the upstairs bathroom that my husband repainted in the spring. While my daughter attended her party, I went to an old fashioned ice cream parlor in town where I got coffee ice cream and iced tea. I wrote for a couple of hours and walked through town, visiting three antique shops.
I felt ME!
I know I'm not fully recovered but the peeks of the mountains surrounding my home seem more than ever reachable.
The aide slid a blanket that reminded me of a grey fleece blanket we have at home under my legs. It covered from my ankles to the lower part of my thighs. Immediately I felt warmth and then extreme warmth to the point of burning along my legs but especially on my calves. I asked if it was normal and the aide slipped a towel between the blanket and my skin. It was a little more bearable and reminded me of the only facial I ever had in my life a few years ago. Now that I had adjusted to the heat, I could feel my legs relaxing as if the tissues inside were melting. After 15 minutes the aide removed the blanket and I did 3 sets of 25 repetitions on a bizarre piece of equipment that has one right and one left stairs. The heel of my injured left leg was placed on the right stair while my right leg was resting on a low stool beside the equipment. The goal was to extend my left leg as much as possible without shifting my hip and moving forward. This is an exercise I was asked to do months ago when nobody knew what was wrong with my healing process. At that time I couldn't do the exercise properly, the reason being the difficult extension of my knee. Now after the 15 minutes of heat, my leg seemed supple and I had no difficulties to perform the exercise.
Then the therapist worked on my knee and leg a lot, massaging with cream, manipulating the entire leg in different positions, stretching the leg and hip. He told me that using the heat was an idea he had as he was thinking of my issue. He figured that either something was wrong with the mechanics of the knee or my muscles were tensing for whatever reason. Since the heat had relaxed my leg, he was happy to inform me that nothing was wrong with the knee itself since heat would not have helped. He went on with more physical manipulations and encouraged me with enthusiastic comments, "Good job! Good firing of the quad! Perfect!"
It's funny how simple words go a long way when the body has been miserable for months. I felt a burst of energy and hope that reminded me of who I was before. I realized I was still the same woman full of energy and hope. Eight months since the accident, seven since my first surgery have kept my left knee and leg inactive in a way that had never happened before.
Suddenly I could feel the results of the second surgery and the use of the heat.
The therapist told me that he was modifying my program with more exercises focusing on the extension of the leg than the flexion since it was my number 1 problem.
The hour went fast and I left after being iced, happy and confident. I will have the same therapist again on Tuesday since mine is away for a week of vacation. I wonder if I should ask to keep the one who has been doing a wonderful job. How can I ask properly for a change? Would have mine thought of changing my exercises or using heat to relax my muscles? I like the PT I have but it is pretty clear now that he missed something last winter.
Yesterday was a busy afternoon with a birthday party for my daughter and some errands. I was so ecstatic to walk faster and better that I finished the decoration of the upstairs bathroom that my husband repainted in the spring. While my daughter attended her party, I went to an old fashioned ice cream parlor in town where I got coffee ice cream and iced tea. I wrote for a couple of hours and walked through town, visiting three antique shops.
I felt ME!
I know I'm not fully recovered but the peeks of the mountains surrounding my home seem more than ever reachable.
Wednesday, August 31, 2011
August 31, 2011
Today marks the anniversary of my second knee surgery. Exactly two weeks ago I was still in the post surgery lala land.
Where am I today?
After a busy weekend where I did perhaps too much, my knee and whole leg were hurting. It seems silly to complain about it when what I did wasn't even that hard. Cleaning a house, putting things away, running laundry and errands have been done until my knee accident without giving it a second thought. Now every movement is more challenging or at least painful. I hate it!
I had physical therapy yesterday and the good news is that I have reached again 125 degrees flexion. I'm sure I had reached it sometime during the week. My PT was encouraging. He keeps telling me that there is way inside the knee and that I will be able week after week to retrieve my full mobility.
The major difference between this post surgery therapy and the post ACL reconstruction therapy is that my PT is less willing to push me too hard. I returned to leg press with only two pounds compared to 6. I haven't biked yet although I know I could do it. The concern is to keep the knee safe so the inflammation and building of scar tissue doesn't occur. It's a tricky balance between keeping the knee moving without forcing too much.
My next two sessions will be with another therapist since mine is taking a week off. It will be interesting to have another feedback.
I am torn between hope and defeat. After my experience it is hard to fully trust my body and the professionals and sometimes I see myself stuck with a bad knee for the rest of my life.
But then I peek at the mountains showing off their beauty behind the insolent Californian perfect blue sky and I know I have to go there again.
So I do another series of knee dangles and leg slides.
Where am I today?
After a busy weekend where I did perhaps too much, my knee and whole leg were hurting. It seems silly to complain about it when what I did wasn't even that hard. Cleaning a house, putting things away, running laundry and errands have been done until my knee accident without giving it a second thought. Now every movement is more challenging or at least painful. I hate it!
I had physical therapy yesterday and the good news is that I have reached again 125 degrees flexion. I'm sure I had reached it sometime during the week. My PT was encouraging. He keeps telling me that there is way inside the knee and that I will be able week after week to retrieve my full mobility.
The major difference between this post surgery therapy and the post ACL reconstruction therapy is that my PT is less willing to push me too hard. I returned to leg press with only two pounds compared to 6. I haven't biked yet although I know I could do it. The concern is to keep the knee safe so the inflammation and building of scar tissue doesn't occur. It's a tricky balance between keeping the knee moving without forcing too much.
My next two sessions will be with another therapist since mine is taking a week off. It will be interesting to have another feedback.
I am torn between hope and defeat. After my experience it is hard to fully trust my body and the professionals and sometimes I see myself stuck with a bad knee for the rest of my life.
But then I peek at the mountains showing off their beauty behind the insolent Californian perfect blue sky and I know I have to go there again.
So I do another series of knee dangles and leg slides.
Friday, August 26, 2011
August 26, 2011
Good physical therapy session today. The last two nights haven't been that great. I kept waking up if I slept on my side and since I hate sleeping on my back, I played the role of a crepe.
But as soon as I wake up, the pain fades and the day is pretty good. I do my exercises with diligence but without obsession.
My PT insists for balance between stretching and flexing the leg. Today he didn't want to measure my progress but I know I am better. I complained about the pain at night and he told me that many muscles are waking up now that my knee is free of scar tissues.
The pain I feel on the right of my knee when I press with my finger is where the hamstring is attached. The quad is finally working so this area gets tight too but I know that muscle pain is actually good. So hooray!
My knee is still bruised but the swelling is almost totally gone and the tissues are soft and it looks like finally hope is more than a word.
Although I'm not yet the woman I was, I have faith again and the dream of hiking seems tonight closer than it has ever been in the last seven months.
But as soon as I wake up, the pain fades and the day is pretty good. I do my exercises with diligence but without obsession.
My PT insists for balance between stretching and flexing the leg. Today he didn't want to measure my progress but I know I am better. I complained about the pain at night and he told me that many muscles are waking up now that my knee is free of scar tissues.
The pain I feel on the right of my knee when I press with my finger is where the hamstring is attached. The quad is finally working so this area gets tight too but I know that muscle pain is actually good. So hooray!
My knee is still bruised but the swelling is almost totally gone and the tissues are soft and it looks like finally hope is more than a word.
Although I'm not yet the woman I was, I have faith again and the dream of hiking seems tonight closer than it has ever been in the last seven months.
Wednesday, August 24, 2011
August 24, 2011
The stitches on my left knee have been removed yesterday morning. I wear now three "special" bandages that I need to keep between 5 to 7 days. Usually they fall on their own. No bath, no hot tub, no pool is allowed during this new healing period.
The PA who saw me told me that after surgery, while I was still under anesthesia, the surgeon flexed my knee and reached a 155 degrees flexion. As for the extension, my biggest concern, it was a 0 which has to be in order to walk nice and smooth. That's good news!
I had physical therapy with a different therapist in the afternoon since mine admitted he didn't want to miss anything this time.
So I was curious to meet the boss of the business. He was polite and very professional. We spoke about travels, hikes and California while he worked on my knee and leg.
I noticed how much more manual work was applied compared to my previous experience. But again this procedure is very different from the ACL reconstruction. My knee was examined, massaged and in the end I was reassured to know that my flexion would return to normal quite soon. My extension is to watch since it was my weakest point after the first surgery. An area of concern is my personal tendency to heal very quickly and thus develop scar tissues.
Since the trauma this time is minimal, there is less danger of constant inflammation and the swelling is much less, but this is definitely something that needs to be addressed with care.
So I left with a bag of mixed feelings. Too much workout can increase the building of scar tissue that is the natural reaction of the body to protect an inflamed or irritated area. Not enough will not help the articulation to get back its smoothness.
I still ice on a regular basis and take my three heavily dosed Iboprufen each day. I'm far from being finished with the bottle.
My next appointment with the surgeon is late September. Meanwhile I have again therapy twice a week until I see him.
I miss my knee!
The PA who saw me told me that after surgery, while I was still under anesthesia, the surgeon flexed my knee and reached a 155 degrees flexion. As for the extension, my biggest concern, it was a 0 which has to be in order to walk nice and smooth. That's good news!
I had physical therapy with a different therapist in the afternoon since mine admitted he didn't want to miss anything this time.
So I was curious to meet the boss of the business. He was polite and very professional. We spoke about travels, hikes and California while he worked on my knee and leg.
I noticed how much more manual work was applied compared to my previous experience. But again this procedure is very different from the ACL reconstruction. My knee was examined, massaged and in the end I was reassured to know that my flexion would return to normal quite soon. My extension is to watch since it was my weakest point after the first surgery. An area of concern is my personal tendency to heal very quickly and thus develop scar tissues.
Since the trauma this time is minimal, there is less danger of constant inflammation and the swelling is much less, but this is definitely something that needs to be addressed with care.
So I left with a bag of mixed feelings. Too much workout can increase the building of scar tissue that is the natural reaction of the body to protect an inflamed or irritated area. Not enough will not help the articulation to get back its smoothness.
I still ice on a regular basis and take my three heavily dosed Iboprufen each day. I'm far from being finished with the bottle.
My next appointment with the surgeon is late September. Meanwhile I have again therapy twice a week until I see him.
I miss my knee!
Friday, August 19, 2011
August 19, 2011
Last night I removed the thick pad above my knee to find my initials and the PA's initials in blue pen on top of my bruised knee, a little tight but looking quite like a knee compared to the swollen knee that followed the ACL reconstruction.
I cleaned my skin from the antiseptic yellow lotion generously applied on and around my knee on Tuesday morning. Then I put three small water proof bandages on the three incisions made by the surgeon when he cleaned my knee.
I slept well and woke up a little sore around the stitches area and in my lower back due, I'm sure due to too much work yesterday. Although I iced my knee, I did some cooking because it was my husband's birthday and I couldn't skip the celebration while our three younger kids were home. I vacuumed and cleaned the house, the whole time carrying ice on my knee.
At physical therapy, the PT who follows me urged me to move the knee but to keep a relaxed schedule since I am recovering from surgery.
It is hard to know how to balance between too much and not enough. I need to relax my muscles as much as I can. I stayed at therapy for an hour and fifteen minutes today and came home with a new set of exercises. Knee dangles, calf stretch on wedge, hamstring stretch seated, heel slides, ball crawls.
My PT said I should do all these exercises several times a day but without being too strict. If I read, I can stretch my leg. If I watch TV, I can do heel slides. I can also stretch my calf on the wedge as I am preparing dinner.
I have an appointment with the surgeon on Tuesday morning to remove the stitches and check on my progress. I have then a physical therapy session and a new therapist will have a look at my knee to assess it. I was glad my PT suggested a second opinion. A new eye on my knee sounds good to me.
I don't want to be stuck for six more months in therapy even though everyone there is nice and caring.
So my goal for the next three days is to reach a better flexion and extension. It has always been the same goal since February but now that I am aware of the scar tissues problem, I will focus more on the passive motion than the muscle strength.
Stretching and relaxing my leg are essential to my recovery as well as Iboprufen and icing to reduce the slight inflammation I have. There is no swelling which is great.
Wish me luck!
I cleaned my skin from the antiseptic yellow lotion generously applied on and around my knee on Tuesday morning. Then I put three small water proof bandages on the three incisions made by the surgeon when he cleaned my knee.
I slept well and woke up a little sore around the stitches area and in my lower back due, I'm sure due to too much work yesterday. Although I iced my knee, I did some cooking because it was my husband's birthday and I couldn't skip the celebration while our three younger kids were home. I vacuumed and cleaned the house, the whole time carrying ice on my knee.
At physical therapy, the PT who follows me urged me to move the knee but to keep a relaxed schedule since I am recovering from surgery.
It is hard to know how to balance between too much and not enough. I need to relax my muscles as much as I can. I stayed at therapy for an hour and fifteen minutes today and came home with a new set of exercises. Knee dangles, calf stretch on wedge, hamstring stretch seated, heel slides, ball crawls.
My PT said I should do all these exercises several times a day but without being too strict. If I read, I can stretch my leg. If I watch TV, I can do heel slides. I can also stretch my calf on the wedge as I am preparing dinner.
I have an appointment with the surgeon on Tuesday morning to remove the stitches and check on my progress. I have then a physical therapy session and a new therapist will have a look at my knee to assess it. I was glad my PT suggested a second opinion. A new eye on my knee sounds good to me.
I don't want to be stuck for six more months in therapy even though everyone there is nice and caring.
So my goal for the next three days is to reach a better flexion and extension. It has always been the same goal since February but now that I am aware of the scar tissues problem, I will focus more on the passive motion than the muscle strength.
Stretching and relaxing my leg are essential to my recovery as well as Iboprufen and icing to reduce the slight inflammation I have. There is no swelling which is great.
Wish me luck!
Wednesday, August 17, 2011
August 17, 2011
I spent a good night although not perfect. Amazingly not because of pain; I was in no pain at all but because I forgot how boring and tiring it is to sleep on your back. It reminded me of the months that followed the ACL reconstruction and how I had to keep a pillow under my leg for comfort. I had to do it last night to ease the blood circulation in my legs.
The good news is the absence of pain in the knee. The other good news is that, although I keep it close in case I need support, I have been walking without the support of a crutch. I removed the long white stockings before noon today and it feels good to have my legs bare in my pair of shorts. I will remove the thick padding around my leg tomorrow afternoon and be able to shower fully as long as I keep water proof bandages on the several openings (I have not seen them so I don't know how many I have and if the surgeon was able to reenter my knee through the same openings). The healing had been so smooth after the ACL reconstruction that I only have one visible scar from the major opening where they put the stitches. I hope the new incisions are small and will fade before next summer. I'm so vain!
I have seven different exercises to perform, all to strengthen the ham string, the quad and of course increase the flexibility of my knee, my weakest point. The instructions are to do them 2 to 3 times a day, 10 to 15 sets of each. I did my exercises early morning since it was back to school today and I wanted to have breakfast with my kids before they left. I did a second round mid morning and a third early afternoon. I keep the last for tonight. I also do ankle pumps several times a day but my blood circulation is fine. Much better than back in January.
I don't feel pain in my knee or leg, only a bit of a stretch if I stand up too quickly to get the phone, which for a mysterious reason kept ringing today.
Other than that I am feeling pretty good. I am in good spirits and accomplished a lot today besides my leg work. I submitted two writing pieces to editors willing to see new things.
I am revising my most recent novel and plan to submit later this fall. I am waiting for a magazine editor who agreed to see one of my stories. I am waiting for the illustrations for my picture book now in the hands of an editor. I would like to submit again to NPR this coming season and I have started a new piece for them.
I try to keep my plate full and it is not too hard when you run a family and write.
My accident has proven me that set backs have advantages. It has been a lousy year for hiking but a productive writing year.
Now is the time for my knee to show off and I will happily trade writing for a long day in the outdoors.
My hiking friend can't wait for me to join her on a new adventure. It will be a tamed one to start with, I'm afraid, but it is only August and Yosemite is in its glory all year long.
Patience is again key but I want to push myself more this time since pain doesn't seem an issue now.
Hooray!
The good news is the absence of pain in the knee. The other good news is that, although I keep it close in case I need support, I have been walking without the support of a crutch. I removed the long white stockings before noon today and it feels good to have my legs bare in my pair of shorts. I will remove the thick padding around my leg tomorrow afternoon and be able to shower fully as long as I keep water proof bandages on the several openings (I have not seen them so I don't know how many I have and if the surgeon was able to reenter my knee through the same openings). The healing had been so smooth after the ACL reconstruction that I only have one visible scar from the major opening where they put the stitches. I hope the new incisions are small and will fade before next summer. I'm so vain!
I have seven different exercises to perform, all to strengthen the ham string, the quad and of course increase the flexibility of my knee, my weakest point. The instructions are to do them 2 to 3 times a day, 10 to 15 sets of each. I did my exercises early morning since it was back to school today and I wanted to have breakfast with my kids before they left. I did a second round mid morning and a third early afternoon. I keep the last for tonight. I also do ankle pumps several times a day but my blood circulation is fine. Much better than back in January.
I don't feel pain in my knee or leg, only a bit of a stretch if I stand up too quickly to get the phone, which for a mysterious reason kept ringing today.
Other than that I am feeling pretty good. I am in good spirits and accomplished a lot today besides my leg work. I submitted two writing pieces to editors willing to see new things.
I am revising my most recent novel and plan to submit later this fall. I am waiting for a magazine editor who agreed to see one of my stories. I am waiting for the illustrations for my picture book now in the hands of an editor. I would like to submit again to NPR this coming season and I have started a new piece for them.
I try to keep my plate full and it is not too hard when you run a family and write.
My accident has proven me that set backs have advantages. It has been a lousy year for hiking but a productive writing year.
Now is the time for my knee to show off and I will happily trade writing for a long day in the outdoors.
My hiking friend can't wait for me to join her on a new adventure. It will be a tamed one to start with, I'm afraid, but it is only August and Yosemite is in its glory all year long.
Patience is again key but I want to push myself more this time since pain doesn't seem an issue now.
Hooray!
Tuesday, August 16, 2011
August 16, 2011
Surgery is behind me and I'm so glad!
I was asked to check in at 5:15 a.m. although my name wasn't called until 6:45. But who am I to think it is a little silly to have people wait for more than an hour so early in the morning? Air companies have the same requirements. That's why I started to favor my car to a plane.
Nurses and office staff were as always courteous, efficient and caring. A couple of them always stand out because of a genuine smile, a kind encouraging word or simply a personal touch that makes the hurt or ill fell like human beings and not only like patients.
The nurse who took care of me was one of those people and I thank her for helping me to relax and be confident that I was not only in the professional hands of a serious surgeon but also in a safe hospital.
We all wish for a smooth experience when we go to surgery. And this morning mine had all the ingredients for a perfect recipe of success. Unfortunately, although ultimately everything went well, there was a little issue that replaced the cherry on top of the cake.
The consent form that every patient has to sign before surgery said that I was here today for arthroscopy of my left knee and possible meniscectomy. I was surprised since neither the surgeon nor his PA had mentioned the name of this procedure. The nurse said she would send the PA to answer my questions. Prep work was on its way before he showed up.
I had met J. in February when my stitches were removed and I had found him abrupt compared to the gentle staff at the surgeon's office. He told me to stand up and walk while I was shaky and unable to do so without a set of crutches in addition to my brace.
I'm not a wimp. I climbed the tops of high mountains even at night and I gave birth to four children. But I had lost so much strength that I knew I couldn't do it. I felt like a failure when the most important thing I needed then was a word of encouragement.
To be fair, J. was much nicer when he gave me the cortisone shot back in May so I had no problem to see him even though I've always preferred the other PA.
I told J. that I wasn't aware of the meniscectomy possibility and that I worried that anything drastic done to my meniscus could lead to more damage. After all, complete and correct medical information is now a click away for anyone willing to know.
Besides, earlier that morning, didn't I read on the hospital wall that patients need to speak up and question their treatment options?
J. smirked and said that it was of course a possible procedure, that the surgeon could decide during the arthroscopy to scrape more or less from my meniscus. I remained calm and repeated that I was surprised that the possibility hadn't been explained to me. I came to get rid of scar tissues and not to have some work done on the meniscus which so far had never been a concern to neither the physical therapist nor the surgeon.
J. turned his back to me and my husband and as he went on with his paperwork, insisted that it was standard procedure. This is when my husband said that as a patient I had the right to know what would be exactly done to my knee and that a meniscectomy wasn't a light surgery that I hadn't anticipated and wasn't ready for. J. laughed and said a meniscectomy was always a possibility. My husband replied that he knew what a meniscectomy was and that the risk of knee replacement later in life was higher if too much work was one on the meniscus. J. said that no, we didn't know what a meniscectomy was and that our questions were the silliest he had ever heard.
Too shocked, I managed to say that I would agree on minimal repair and my husband required the addition of "partial" meniscectomy on the consent form. Reluctantly and with obvious condescendence J. asked the nurse if she agreed. She did but required his signature.
J. left without wishing me good luck or saying good bye.
By the way a meniscectomy is the removal of part or all of a torn meniscus.
The nurse then asked me if I was confident to go on with the surgery or if I had mixed feelings and would rather think about it. Just then my surgeon arrived and I shared my concern with him. My knee looked pretty good this morning and he reassured me, telling me that the possibility to clean the meniscus existed but was fairly light, and that he would never do anything drastic without talking to me first.
I felt better and agreed for the procedure.
Anesthesia went well. These guys make cocktails more effective than a bad book to fall asleep within seconds. Since I'm on no medication and only took Iboprufen after the first surgery of my life, I am a very standard and easy patient.
I had a quick post surgery visit from my surgeon who told me that he removed quite a lot of scar tissue, but didn't touch my meniscus at all since it looked good. Great!
I woke up less groggy than last time and moreover in much less pain. I was given a light pain killer for the road. It was not 11:00 a.m. yet and I left with a set of crutches that I barely needed, a pack of ice on the knee and a bandage pad that was small enough I could slip my favorite linen pair of pants on.
The drive home was smooth. My husband always worries so much for me and our kids that I wished I could have been able to take us home but doctor's orders are doctor's orders and I take the passenger seat.
At home, my kids were happy to see me in pretty good shape compared to last time when I had the ACL reconstruction.
I have a similar regimen of medicine although lighter for the antibiotics. I haven't touched the nausea medicine neither the pain killers.
Today I only have one exercise to do: set of 20 ankle pumps 5 to 6 times a day. I should keep my legs elevated as often as possible for blood circulation and comfort. I will keep my sexy white socks that wrap my leg from toes to mid thigh for 24 hours. I can shower but keep my bandage dry. I will remove it in two days and then change the smaller bandages underneath.
Tomorrow I will start more exercises and return to therapy on Friday bright and early.
Tomorrow is another day and I intend to be in my best shape. So far, so good!
I was asked to check in at 5:15 a.m. although my name wasn't called until 6:45. But who am I to think it is a little silly to have people wait for more than an hour so early in the morning? Air companies have the same requirements. That's why I started to favor my car to a plane.
Nurses and office staff were as always courteous, efficient and caring. A couple of them always stand out because of a genuine smile, a kind encouraging word or simply a personal touch that makes the hurt or ill fell like human beings and not only like patients.
The nurse who took care of me was one of those people and I thank her for helping me to relax and be confident that I was not only in the professional hands of a serious surgeon but also in a safe hospital.
We all wish for a smooth experience when we go to surgery. And this morning mine had all the ingredients for a perfect recipe of success. Unfortunately, although ultimately everything went well, there was a little issue that replaced the cherry on top of the cake.
The consent form that every patient has to sign before surgery said that I was here today for arthroscopy of my left knee and possible meniscectomy. I was surprised since neither the surgeon nor his PA had mentioned the name of this procedure. The nurse said she would send the PA to answer my questions. Prep work was on its way before he showed up.
I had met J. in February when my stitches were removed and I had found him abrupt compared to the gentle staff at the surgeon's office. He told me to stand up and walk while I was shaky and unable to do so without a set of crutches in addition to my brace.
I'm not a wimp. I climbed the tops of high mountains even at night and I gave birth to four children. But I had lost so much strength that I knew I couldn't do it. I felt like a failure when the most important thing I needed then was a word of encouragement.
To be fair, J. was much nicer when he gave me the cortisone shot back in May so I had no problem to see him even though I've always preferred the other PA.
I told J. that I wasn't aware of the meniscectomy possibility and that I worried that anything drastic done to my meniscus could lead to more damage. After all, complete and correct medical information is now a click away for anyone willing to know.
Besides, earlier that morning, didn't I read on the hospital wall that patients need to speak up and question their treatment options?
J. smirked and said that it was of course a possible procedure, that the surgeon could decide during the arthroscopy to scrape more or less from my meniscus. I remained calm and repeated that I was surprised that the possibility hadn't been explained to me. I came to get rid of scar tissues and not to have some work done on the meniscus which so far had never been a concern to neither the physical therapist nor the surgeon.
J. turned his back to me and my husband and as he went on with his paperwork, insisted that it was standard procedure. This is when my husband said that as a patient I had the right to know what would be exactly done to my knee and that a meniscectomy wasn't a light surgery that I hadn't anticipated and wasn't ready for. J. laughed and said a meniscectomy was always a possibility. My husband replied that he knew what a meniscectomy was and that the risk of knee replacement later in life was higher if too much work was one on the meniscus. J. said that no, we didn't know what a meniscectomy was and that our questions were the silliest he had ever heard.
Too shocked, I managed to say that I would agree on minimal repair and my husband required the addition of "partial" meniscectomy on the consent form. Reluctantly and with obvious condescendence J. asked the nurse if she agreed. She did but required his signature.
J. left without wishing me good luck or saying good bye.
By the way a meniscectomy is the removal of part or all of a torn meniscus.
The nurse then asked me if I was confident to go on with the surgery or if I had mixed feelings and would rather think about it. Just then my surgeon arrived and I shared my concern with him. My knee looked pretty good this morning and he reassured me, telling me that the possibility to clean the meniscus existed but was fairly light, and that he would never do anything drastic without talking to me first.
I felt better and agreed for the procedure.
Anesthesia went well. These guys make cocktails more effective than a bad book to fall asleep within seconds. Since I'm on no medication and only took Iboprufen after the first surgery of my life, I am a very standard and easy patient.
I had a quick post surgery visit from my surgeon who told me that he removed quite a lot of scar tissue, but didn't touch my meniscus at all since it looked good. Great!
I woke up less groggy than last time and moreover in much less pain. I was given a light pain killer for the road. It was not 11:00 a.m. yet and I left with a set of crutches that I barely needed, a pack of ice on the knee and a bandage pad that was small enough I could slip my favorite linen pair of pants on.
The drive home was smooth. My husband always worries so much for me and our kids that I wished I could have been able to take us home but doctor's orders are doctor's orders and I take the passenger seat.
At home, my kids were happy to see me in pretty good shape compared to last time when I had the ACL reconstruction.
I have a similar regimen of medicine although lighter for the antibiotics. I haven't touched the nausea medicine neither the pain killers.
Today I only have one exercise to do: set of 20 ankle pumps 5 to 6 times a day. I should keep my legs elevated as often as possible for blood circulation and comfort. I will keep my sexy white socks that wrap my leg from toes to mid thigh for 24 hours. I can shower but keep my bandage dry. I will remove it in two days and then change the smaller bandages underneath.
Tomorrow I will start more exercises and return to therapy on Friday bright and early.
Tomorrow is another day and I intend to be in my best shape. So far, so good!
Monday, August 15, 2011
August 15, 2011
Although my walk with my hiking buddy was disappointing because it was not a good knee day, it was great to see her and she treated me with many hiking stories that only help me to focus on a fast recovery.
I called the surgeon office today since I didn't know at what time I have to check-in the hospital tomorrow morning.
5:15 a.m. is my appointment but unlike last time I am not the first patient so I could be there for a while. I had a hard time to get more information from the woman who schedules the surgeries but she hinted at an early afternoon dismissal.
So perhaps a good book to keep me busy all morning is a good idea although I doubt I will be able to focus much.
I am torn between hope and lack of conviction. I was more upbeat in January. I had no expectation and thus was less scared and more trustful. I was also so exhausted to walk with the brace that I was willing to do anything to be back to normal. In between, although I am not who I was, I have learned to live with less agility and pain. It is scary to return to surgery and not knowing how bad it will be. I expect a set back of some sort and in my good days I think it will be quick to regain flexion and extension of my knee. But in my bad days, I doubt it can happen since I have been deprived of it for seven months now.
So I am preparing myself for a mix of emotions and results and hope to post better comments soon.
I called the surgeon office today since I didn't know at what time I have to check-in the hospital tomorrow morning.
5:15 a.m. is my appointment but unlike last time I am not the first patient so I could be there for a while. I had a hard time to get more information from the woman who schedules the surgeries but she hinted at an early afternoon dismissal.
So perhaps a good book to keep me busy all morning is a good idea although I doubt I will be able to focus much.
I am torn between hope and lack of conviction. I was more upbeat in January. I had no expectation and thus was less scared and more trustful. I was also so exhausted to walk with the brace that I was willing to do anything to be back to normal. In between, although I am not who I was, I have learned to live with less agility and pain. It is scary to return to surgery and not knowing how bad it will be. I expect a set back of some sort and in my good days I think it will be quick to regain flexion and extension of my knee. But in my bad days, I doubt it can happen since I have been deprived of it for seven months now.
So I am preparing myself for a mix of emotions and results and hope to post better comments soon.
Saturday, August 13, 2011
August 13, 2011
Only three days before my next surgery!
A mix of impatience and anxiety makes me unfocused and I don't like it at all.
I woke up with some pain in my left leg, not the knee but the side of the leg, almost a sciatic pain that kept my leg stiff.
It took more than half an hour of biking and another half an hour of leg exercises to release most of the pressure.
I hope to feel much better in a week from now. I have so much things to do now that school has almost started. Besides I have several writing projects that I want to polish for the fall. I joined my writing group again after weeks of solitary work.
I can't let a knee rule my life. I decided last night that I will trust the surgeon once more but that I will seek a second opinion if the result of the arthroscopy is not optimal.
But being by nature optimistic, I hope for the best.
Tomorrow morning I will walk a mile and a half loop long with my hiking buddy. I miss our weekly long hikes and of course our day-long expeditions in Yosemite. I cannot wait to stand at the top of Clouds Rest. Any other top as a matter of fact will do.
The hospital called me yesterday to double check my information with them. A nurse gave me the typical hospital recommendations for surgery such as no perfume, no nail polish, no face moisturizer, no jewelry, and of course no food or liquid after midnight the day before. I don't know yet when I am scheduled and the surgeon office will call me on Monday to give me the appointment.
I dropped my prescription at the pharmacy and will pick up my medication on Monday.
Meanwhile I try to keep myself busy and that isn't too hard. Three of my four kids are home now and I will take them to the water park tomorrow afternoon. Although I won't play in the water, it will be great to see them have fun as when they were little kids. It is also my husband's birthday soon and he deserves a great gift for all the help he has provided during the last months. The kids are planning to shop before the water park and I am looking forward to spending time with them. Shopping is not bad since we will walk through the mall and in the stores.
Walking is good for me as long as I don't do any downhill which is the most discomfortable thing for me now.
I used to gallop down from the top of Half Dome. But that was in another life.
A mix of impatience and anxiety makes me unfocused and I don't like it at all.
I woke up with some pain in my left leg, not the knee but the side of the leg, almost a sciatic pain that kept my leg stiff.
It took more than half an hour of biking and another half an hour of leg exercises to release most of the pressure.
I hope to feel much better in a week from now. I have so much things to do now that school has almost started. Besides I have several writing projects that I want to polish for the fall. I joined my writing group again after weeks of solitary work.
I can't let a knee rule my life. I decided last night that I will trust the surgeon once more but that I will seek a second opinion if the result of the arthroscopy is not optimal.
But being by nature optimistic, I hope for the best.
Tomorrow morning I will walk a mile and a half loop long with my hiking buddy. I miss our weekly long hikes and of course our day-long expeditions in Yosemite. I cannot wait to stand at the top of Clouds Rest. Any other top as a matter of fact will do.
The hospital called me yesterday to double check my information with them. A nurse gave me the typical hospital recommendations for surgery such as no perfume, no nail polish, no face moisturizer, no jewelry, and of course no food or liquid after midnight the day before. I don't know yet when I am scheduled and the surgeon office will call me on Monday to give me the appointment.
I dropped my prescription at the pharmacy and will pick up my medication on Monday.
Meanwhile I try to keep myself busy and that isn't too hard. Three of my four kids are home now and I will take them to the water park tomorrow afternoon. Although I won't play in the water, it will be great to see them have fun as when they were little kids. It is also my husband's birthday soon and he deserves a great gift for all the help he has provided during the last months. The kids are planning to shop before the water park and I am looking forward to spending time with them. Shopping is not bad since we will walk through the mall and in the stores.
Walking is good for me as long as I don't do any downhill which is the most discomfortable thing for me now.
I used to gallop down from the top of Half Dome. But that was in another life.
Wednesday, August 10, 2011
August 10, 2011
I saw the surgeon this morning and based on the stiffness of my knee, he recommended arthroscopy. The procedure is supposed to remove the scar tissues and give me back a full flexion and extension of my knee.
Of course, I'm less naive than I was in January and I worry about developing again scar tissues. The surgeon reassured me: since my knee has been moving a lot for months now, it won't be as stiff as it was after my first surgery. There is a chance that I will already have a 125 degrees flexion after the arthroscopy.
I hope the surgeon's right! I'm tired. But I'm also getting used to my new state and dread to go under the knife again. For one minute this morning as I waited for the surgeon's assistant, I considered leaving. I would keep a stiff knee but at least I know how to live with it. Instead I was considering a new procedure that promises miracles but wasn't the ACL reconstruction promising the same? Ultimately I stayed, trying to focus on all the things I would do as soon as my knee adventure would only be an experience in my life.
I spoke to my physical therapist later today and booked a physical therapy session for the 25th, two days after my follow-up appointment with the surgeon.
Before the surgery, I should go on with my routine exercises and hope for the best. After the arthroscopy, I will received instructions to keep my knee moving.
I don't have yet the time of the surgery but the hospital will call me on Monday. I have a prescription for antibiotics that I will take for one day instead of three, vitamin C for two months and Iboprufen for a month. I don't need anything for nausea, constipation or pain killers. I still have them from January as I didn't touch them but for a couple of pain killers.
I'm nervous while I wasn't last time. Knowing is good but my brain is crowded with countless questions. I'd like to be a week older.
I hope for great results as I cannot wait to hike again. My hiking buddy has sent me gorgeous pictures from summer hikes she took in Yosemite. This is my home and I miss it!
Of course, I'm less naive than I was in January and I worry about developing again scar tissues. The surgeon reassured me: since my knee has been moving a lot for months now, it won't be as stiff as it was after my first surgery. There is a chance that I will already have a 125 degrees flexion after the arthroscopy.
I hope the surgeon's right! I'm tired. But I'm also getting used to my new state and dread to go under the knife again. For one minute this morning as I waited for the surgeon's assistant, I considered leaving. I would keep a stiff knee but at least I know how to live with it. Instead I was considering a new procedure that promises miracles but wasn't the ACL reconstruction promising the same? Ultimately I stayed, trying to focus on all the things I would do as soon as my knee adventure would only be an experience in my life.
I spoke to my physical therapist later today and booked a physical therapy session for the 25th, two days after my follow-up appointment with the surgeon.
Before the surgery, I should go on with my routine exercises and hope for the best. After the arthroscopy, I will received instructions to keep my knee moving.
I don't have yet the time of the surgery but the hospital will call me on Monday. I have a prescription for antibiotics that I will take for one day instead of three, vitamin C for two months and Iboprufen for a month. I don't need anything for nausea, constipation or pain killers. I still have them from January as I didn't touch them but for a couple of pain killers.
I'm nervous while I wasn't last time. Knowing is good but my brain is crowded with countless questions. I'd like to be a week older.
I hope for great results as I cannot wait to hike again. My hiking buddy has sent me gorgeous pictures from summer hikes she took in Yosemite. This is my home and I miss it!
Friday, August 5, 2011
August 5, 2011
Thanks to the Internet, it is now possible to access a lot of relevant information related to health issues.
The human knee which was the last of my concern until January is a popular topic on the Internet. Knee injuries are frequent, surgeries are often followed by complications and remedies to the complications can also lead to complications.
The most common issue after the ACL/MCL reconstruction is indeed the arthrofibrosis or the accumulation of scarring tissues which is a natural response of the injured body. Arthrofibrosis limits the patient's knee mobility and creates stiffness, pain and fatigue.
Getting rid of the scarring tissue is sometimes possible through appropriate physical therapy including massage of the scar area. Sometimes, cortisone shots or oral medication are necessary. If both treatments are not providing relief, then arthroscopy can be the only way to proceed.
I have spent part of the day browsing the Internet and read tons of articles related to the procedure and although every surgery under total anesthesia presents risks, it looks like the arthroscopy can be the solution to my limited mobility if in addition I don't want to damage my joint any further.
I have a physical therapy session on Tuesday and an appointment with my surgeon on Wednesday and my hope it to put everything related to my knee behind me and enjoy life to its full extent once more.
I refuse to loose the battle. I miss my knee and I will do whatever is needed to get it back.
The human knee which was the last of my concern until January is a popular topic on the Internet. Knee injuries are frequent, surgeries are often followed by complications and remedies to the complications can also lead to complications.
The most common issue after the ACL/MCL reconstruction is indeed the arthrofibrosis or the accumulation of scarring tissues which is a natural response of the injured body. Arthrofibrosis limits the patient's knee mobility and creates stiffness, pain and fatigue.
Getting rid of the scarring tissue is sometimes possible through appropriate physical therapy including massage of the scar area. Sometimes, cortisone shots or oral medication are necessary. If both treatments are not providing relief, then arthroscopy can be the only way to proceed.
I have spent part of the day browsing the Internet and read tons of articles related to the procedure and although every surgery under total anesthesia presents risks, it looks like the arthroscopy can be the solution to my limited mobility if in addition I don't want to damage my joint any further.
I have a physical therapy session on Tuesday and an appointment with my surgeon on Wednesday and my hope it to put everything related to my knee behind me and enjoy life to its full extent once more.
I refuse to loose the battle. I miss my knee and I will do whatever is needed to get it back.
Wednesday, August 3, 2011
August 3, 2011
Went to my first physical therapy session in six weeks. The flexion of my knee has reached 125 degrees compared to 110 in June. I was not that surprised since I knew it had improved a lot. Yet it was a goal I had tried to reach for such a long time that a strange mix of emotions washed over me. I was of course relieved to see that the product of my work was finally showing but I also realized at the same time that I had now another goal to accomplish. The flexion of my right knee is 140/145 degrees so I’m not yet there. Besides, the extension is still shy of a few degrees. So now the same question remains. Should I consider another surgery? It would remove the scarring tissues but I have improved so much that I wonder if it is necessary. Would six more weeks help me to close the gap? The surgery is elective, my PT told me. Does it mean that now I am fully responsible when it comes to take the decision? When I was operated nobody had warned me of the possibility of complications or even mentioned the name scarring tissues. It happened and the solution seems to be a cleaning of the knee. But now it is called elective surgery so I am of course worried. Why should it be when obviously something went wrong either with the healing process or the physical therapy?
On the other side I have accomplished so much and regained a lot of strength that perhaps it will be nothing and I will regret having waiting so long.
The rest of the session was spent with some of my usual exercises and new ones. One or them, designed to stretch the quadriceps, is replacing the exercise I used to do on my stomach with a resistance band slipped underneath my foot to pull my knee toward my back. Now, facing down a table I put my foot beneath me until I feel the stretch in my quad. I use some form of pole as a support in front of me.
I did the stork and stairs exercises without any trouble. Biking was of course easy since I have been using a regular bike during the summer. The elliptical was also fine and I gained some speed.
All together it was great to be back and see everyone. They were as always supportive and caring. I am proud of many of my accomplishments but disappointed to still have a question to solve.
Surgery or not surgery?
On the other side I have accomplished so much and regained a lot of strength that perhaps it will be nothing and I will regret having waiting so long.
The rest of the session was spent with some of my usual exercises and new ones. One or them, designed to stretch the quadriceps, is replacing the exercise I used to do on my stomach with a resistance band slipped underneath my foot to pull my knee toward my back. Now, facing down a table I put my foot beneath me until I feel the stretch in my quad. I use some form of pole as a support in front of me.
I did the stork and stairs exercises without any trouble. Biking was of course easy since I have been using a regular bike during the summer. The elliptical was also fine and I gained some speed.
All together it was great to be back and see everyone. They were as always supportive and caring. I am proud of many of my accomplishments but disappointed to still have a question to solve.
Surgery or not surgery?
Tuesday, August 2, 2011
August 2, 2011
We are on the road again. For different reasons irrelevant of us we had to leave Maine earlier and drive almost straight home. It is of course not as much fun as traveling the slow lane. And it is a killer for my knee.
Yesterday was miserable. I was limping although I wasn't in pain. My leg felt weak due to long hours of driving.
I did my exercise and biking and even found a nice elliptical for another ten minutes. I iced my knee before dinner in a cool restaurant in Carson City.
I will be home today and back to physical therapy on Wednesday. I am anxious to check my progress with my PT but I'm sorry to say that my hope to skip surgery in the fall is not as high as it was.
My knee has definitely not regained its full flexion and extension and until it has I won't be able to be the woman I was.
I miss my knee. I miss me.
Yesterday was miserable. I was limping although I wasn't in pain. My leg felt weak due to long hours of driving.
I did my exercise and biking and even found a nice elliptical for another ten minutes. I iced my knee before dinner in a cool restaurant in Carson City.
I will be home today and back to physical therapy on Wednesday. I am anxious to check my progress with my PT but I'm sorry to say that my hope to skip surgery in the fall is not as high as it was.
My knee has definitely not regained its full flexion and extension and until it has I won't be able to be the woman I was.
I miss my knee. I miss me.
Monday, July 25, 2011
July 25, 2011
Ups and downs of my knee are part of my life for too long now. I cannot wait for my appointment and see what has to be done. I want to regain more strength and although I know I have, I am impatient to be myself again.
I have been very diligent with my exercises and I'd like to know why the results don't match the time and energy spent toward the improvement of my left knee.
On a positive note, my daughter told me that the back of my legs and my buttocks look great. No doubt due to the series of bridges and leg raises I do every day.
Yesterday we went to Boothbay Harbor, a lovely small town on the coast of Maine. The streets are hilly and once more walking up is great for me. Walking down is more challenging as if my leg wasn't strong enough. In reality I know it is because my knee can't fully extend.
Today is another perfect day on the lake and I will be doing more exercises in the water. I find the water very soothing on my leg. The coast is rocky so I have to be careful but it is amazing to see how more flexible the leg is when dipped in the lake water.
I will see my surgeon on August 10 but return to physical therapy sooner. I am eager to check my results and plan my future.
I have been very diligent with my exercises and I'd like to know why the results don't match the time and energy spent toward the improvement of my left knee.
On a positive note, my daughter told me that the back of my legs and my buttocks look great. No doubt due to the series of bridges and leg raises I do every day.
Yesterday we went to Boothbay Harbor, a lovely small town on the coast of Maine. The streets are hilly and once more walking up is great for me. Walking down is more challenging as if my leg wasn't strong enough. In reality I know it is because my knee can't fully extend.
Today is another perfect day on the lake and I will be doing more exercises in the water. I find the water very soothing on my leg. The coast is rocky so I have to be careful but it is amazing to see how more flexible the leg is when dipped in the lake water.
I will see my surgeon on August 10 but return to physical therapy sooner. I am eager to check my results and plan my future.
Thursday, July 21, 2011
July 21, 2011
A very hot day here in Maine so I took my daughter to our favorite beach which luckily is less than an hour away from our lake home. Temperature there dropped so much that my daughter and I took refuge in our car for forty minutes. Then the sun came back and we walked to a more remote section of the beach where less people venture.
I love walking on the beach and I am so relieved that this exercise doesn't bring any pain in my knee. Wet sand is the best but even the dry deeper sand is fine so at least there is something I like that I can do.
I have, I'm afraid, reached a plateau for the flexion and extension of my knee. It is far better than it was before I got the medication late May and the cortisone shot but I am sure that something will be necessary to give me back my darned knee.
Tomorrow I am taking my daughter for an early run on a local path that we both like and I hope to walk more than the pitiful three miles I did last time.
I don't even want to think of my 20 miles hikes. Will I be able to do it again? Sometimes doubt creeps through my mind. But then I think of the progress I accomplished and believe that it is now only a matter of a little bit more time.
I love walking on the beach and I am so relieved that this exercise doesn't bring any pain in my knee. Wet sand is the best but even the dry deeper sand is fine so at least there is something I like that I can do.
I have, I'm afraid, reached a plateau for the flexion and extension of my knee. It is far better than it was before I got the medication late May and the cortisone shot but I am sure that something will be necessary to give me back my darned knee.
Tomorrow I am taking my daughter for an early run on a local path that we both like and I hope to walk more than the pitiful three miles I did last time.
I don't even want to think of my 20 miles hikes. Will I be able to do it again? Sometimes doubt creeps through my mind. But then I think of the progress I accomplished and believe that it is now only a matter of a little bit more time.
Sunday, July 17, 2011
July 17, 2011
Days fly by. Some better than others, some even quite nice. Yesterday wasn't so great. I took a walk while my daughter ran and although it is flat I was in pain. Since I walk better with small heels, I wonder if my hiking shoes, although light, are not the best for me, at least now.
Walking bare foot on the beach was in comparison easier than I thought it would be.
I have regained a lot of muscle mass and anyone who doesn't know me has no way to suspect I had surgery.
I have less stiffness when I wake up and nights are very comfortable. I walk uphill very easily too but downhill is still more challenging. Worst case I will climb Half Dome again but stay at the top!
On the negative side, flexion and extension aren't yet perfect so I suppose that I will need a booster in this area. I am reading more about laser treatment and I wish it can be something possible.
I am not looking forward to another surgery.
Walking bare foot on the beach was in comparison easier than I thought it would be.
I have regained a lot of muscle mass and anyone who doesn't know me has no way to suspect I had surgery.
I have less stiffness when I wake up and nights are very comfortable. I walk uphill very easily too but downhill is still more challenging. Worst case I will climb Half Dome again but stay at the top!
On the negative side, flexion and extension aren't yet perfect so I suppose that I will need a booster in this area. I am reading more about laser treatment and I wish it can be something possible.
I am not looking forward to another surgery.
Tuesday, July 12, 2011
All winter long I kept the image of my favorite beach in my mind to kept me away from insanity when I got impatient or worried about my knee.
Yesterday, I finally walked along Popham Beach, a pristine beach on the central Maine coast. I walked almost the entire length (about 5 miles) and felt fine. Although my knee hasn't regained 100% of its mobility, it doesn't keep me away from my natural brisk pace. However, I feel tension more than pain in my ankles which never happened to me until now and my muscles ache a little bit which again is new to me.
Even after Clouds Rest, my last long hike last fall, I have never experienced severe muscle cramps or aches.
The good news is I woke up this morning without any pain or tension. I biked my daily morning twenty minutes reading an interesting book about curing pain through food. It is written in French by Jacqueline Lagace, a Canadian woman who suffered years of arthritis that nobody could cure. She changed her alimentation following a diet that a French physician had experimented successfully with hundreds of patients suffering from similar health issues.
His success persuaded Lagace to try it and she saw for the first time in years a deep relief and even a total improvement of her articulations problems.
Basically the diet consists of staying away from dairy products, most cereals, overcooked meat and from industrial food which means food prepared outside of the house as well as store bought food.
I don't intend to follow the strict regimen especially since I have been for decades eating more fresh produce and fruit than dairy and meat products.
However, I will consider skipping gluten that is not easily absorbed by the human body and can affect articulation health on the long term.
The book has been published in May so it is only available in French but if you read French, the title is Comment j'ai Vaincu l'Inflammation Chronique par l'Alimentation.
I learned a lot reading the book and I hope it will be translated in English because it illustrates the important concept, "You are what you eat."
Yesterday, I finally walked along Popham Beach, a pristine beach on the central Maine coast. I walked almost the entire length (about 5 miles) and felt fine. Although my knee hasn't regained 100% of its mobility, it doesn't keep me away from my natural brisk pace. However, I feel tension more than pain in my ankles which never happened to me until now and my muscles ache a little bit which again is new to me.
Even after Clouds Rest, my last long hike last fall, I have never experienced severe muscle cramps or aches.
The good news is I woke up this morning without any pain or tension. I biked my daily morning twenty minutes reading an interesting book about curing pain through food. It is written in French by Jacqueline Lagace, a Canadian woman who suffered years of arthritis that nobody could cure. She changed her alimentation following a diet that a French physician had experimented successfully with hundreds of patients suffering from similar health issues.
His success persuaded Lagace to try it and she saw for the first time in years a deep relief and even a total improvement of her articulations problems.
Basically the diet consists of staying away from dairy products, most cereals, overcooked meat and from industrial food which means food prepared outside of the house as well as store bought food.
I don't intend to follow the strict regimen especially since I have been for decades eating more fresh produce and fruit than dairy and meat products.
However, I will consider skipping gluten that is not easily absorbed by the human body and can affect articulation health on the long term.
The book has been published in May so it is only available in French but if you read French, the title is Comment j'ai Vaincu l'Inflammation Chronique par l'Alimentation.
I learned a lot reading the book and I hope it will be translated in English because it illustrates the important concept, "You are what you eat."
Sunday, July 10, 2011
July 10, 2011
All right, since I came back from Montreal, my knee feels much better.
I still love Montreal very much. It remains one of my favorite city in the world but for a weak knee, it is not the perfect place to be.
Now that I am in Maine, doing my leg exercises near the lake, enjoying a beautiful month of July, my knee is definitely better.
I sleep so well that I have forgotten all my winter misery. The human body and heart are indeed very resilient.
I only feel occasional pain in my knee and it never keeps me awake. I have stopped weeks ago to put a pillow under my left leg and I can move freely while I sleep.
I bike with more strength and I have regained a lot of muscle mass in my left leg.
My gait is much better and I actually walk faster than many people.
Extension and flexion are both better but aren't matching yet my right leg.
Stiffness is still there no doubt due to the scarring tissues.
I'm still not sure if surgery will be or not necessary and I still hope that the next few weeks will increase the mobility of my knee.
I still rewind, once in a while, the day I went skiing and tripped stupidly in a pile of snow. If only...
I still love Montreal very much. It remains one of my favorite city in the world but for a weak knee, it is not the perfect place to be.
Now that I am in Maine, doing my leg exercises near the lake, enjoying a beautiful month of July, my knee is definitely better.
I sleep so well that I have forgotten all my winter misery. The human body and heart are indeed very resilient.
I only feel occasional pain in my knee and it never keeps me awake. I have stopped weeks ago to put a pillow under my left leg and I can move freely while I sleep.
I bike with more strength and I have regained a lot of muscle mass in my left leg.
My gait is much better and I actually walk faster than many people.
Extension and flexion are both better but aren't matching yet my right leg.
Stiffness is still there no doubt due to the scarring tissues.
I'm still not sure if surgery will be or not necessary and I still hope that the next few weeks will increase the mobility of my knee.
I still rewind, once in a while, the day I went skiing and tripped stupidly in a pile of snow. If only...
Monday, July 4, 2011
July 4th, 2011
I wish I hadn't bragged about my spectacular improvement because the last two days have been quite tough. I have no idea what happened but since Saturday my knee is acting up and not in a good way.
My extension that has bothered me so much is better but my flexion has decreased and the stiffness and discomfort when I do my leg slides has increased.
I'm worried but since I have been walking a lot for two days since we arrived in Montreal, I hope it is the reason.
I will be back to the states in two days so I will see from there.
Wish me luck!
My extension that has bothered me so much is better but my flexion has decreased and the stiffness and discomfort when I do my leg slides has increased.
I'm worried but since I have been walking a lot for two days since we arrived in Montreal, I hope it is the reason.
I will be back to the states in two days so I will see from there.
Wish me luck!
Friday, July 1, 2011
July 1st, 2011
Gorgeous weather here in Maine! I have been doing my leg workout outside which is really nice. My knee is doing better and I really hope to skip the scrapping of the scar tissues in August.
I am walking more and climbing stairs as well. Looks like this helps more than the leg presses and elliptical at the gym.
There is still some stiffness behind the knee but the flexion and extension are definitely better. Too bad I can't measure my progress!
Yesterday I got a pedicure and I was stunned to see how my left heel is as soft as baby skin. Proof if I needed one that I have been favoring my right leg quite a lot!
I will be in Montreal for a few days. It's one of my favorite cities and(at least in the summer)a paradise for walkers. I hope that window shopping and museum visits will have a positive effect on my legs.
I am walking more and climbing stairs as well. Looks like this helps more than the leg presses and elliptical at the gym.
There is still some stiffness behind the knee but the flexion and extension are definitely better. Too bad I can't measure my progress!
Yesterday I got a pedicure and I was stunned to see how my left heel is as soft as baby skin. Proof if I needed one that I have been favoring my right leg quite a lot!
I will be in Montreal for a few days. It's one of my favorite cities and(at least in the summer)a paradise for walkers. I hope that window shopping and museum visits will have a positive effect on my legs.
Wednesday, June 29, 2011
June 29, 2011
I used to be impatient and I thought I had learned to become patient raising four children. It did in many ways. But my knee injury has definitely taught me the essence of patience.
Five months ago I was undergoing ACL reconstruction, partial MCL reconstruction and cleaning of the menisci. Weeks of therapy and doses of cortisone had helped the recovery but it is only now that I am experiencing a real improvement of my strength.
Pain is almost gone or at least it is for long hours. Stiffness has reduced and my agility is improved.
What is quite surprising is that I have not been able to do some of my exercises now that I am in our lake cabin. I only have a bike, no elliptical or leg press equipment.
I am biking several times a day, climbing stairs countless times, walking on different terrains and yes, doing my leg exercises on a yoga mat.
It looks like this new regimen is working its magic and I wonder if the inflammation I suffered from wasn't due to too many strenuous exercises.
Giving time to time is maybe was I wasn't paying attention too.
Five months ago I was undergoing ACL reconstruction, partial MCL reconstruction and cleaning of the menisci. Weeks of therapy and doses of cortisone had helped the recovery but it is only now that I am experiencing a real improvement of my strength.
Pain is almost gone or at least it is for long hours. Stiffness has reduced and my agility is improved.
What is quite surprising is that I have not been able to do some of my exercises now that I am in our lake cabin. I only have a bike, no elliptical or leg press equipment.
I am biking several times a day, climbing stairs countless times, walking on different terrains and yes, doing my leg exercises on a yoga mat.
It looks like this new regimen is working its magic and I wonder if the inflammation I suffered from wasn't due to too many strenuous exercises.
Giving time to time is maybe was I wasn't paying attention too.
Sunday, June 26, 2011
June 26, 2011
A pretty good day compared to yesterday. I have no idea why my legs felt as heavy as sand bags but it was quite a miserable day. The previous week on the road was so easy that I often forgot about my knee buy yesterday was a brutal reminder that things weren't yet quite normal.
I still bike at least twice a day for 15 to 20 minutes, do my exercises and walk more than I did in California. I also have more stairs to climb and I don't spare myself.
Last night was painless which reassured me after the miserable day and today was much easier. My son started camp today so we drove him and helped him to settle and it went smoothy for my knee.
The rest of the day was eventless. I am now icing my knee and hoping that tomorrow will be a great day. The weather should be sunny again and maybe I will go for a bike ride on the six mile walk/bike path nearby.
I haven't yet been on a regular bike besides my trainer so it would be cool to try it.
I still bike at least twice a day for 15 to 20 minutes, do my exercises and walk more than I did in California. I also have more stairs to climb and I don't spare myself.
Last night was painless which reassured me after the miserable day and today was much easier. My son started camp today so we drove him and helped him to settle and it went smoothy for my knee.
The rest of the day was eventless. I am now icing my knee and hoping that tomorrow will be a great day. The weather should be sunny again and maybe I will go for a bike ride on the six mile walk/bike path nearby.
I haven't yet been on a regular bike besides my trainer so it would be cool to try it.
Wednesday, June 22, 2011
June 22, 2011
We've settled in our lake cabin and summer is starting under good auspices.
The weather is gorgeous and my knee is better.
I am now using a bike trainer so instead of pedaling on a stationary or upright bike, I am biking on my good old bike. It is nice for two reasons. First of all it gives me a sense of normality since this bike and I have been in Acadia and Yosemite National Parks, in Massachusetts and in different parts of California as well. Second of all, the pedaling is a little bit more challenging and it pushes my knee a little bit more. Hopefully, it will help the scars tissues to diminish.
Other than that, I keep up with my daily exercises. In addition, since I have stairs to climb inside and outside the cabin, I hope it will also reduce the stiffness of my knee. It is by far better than when I left. As if relaxing for a week in the car and the hotel had had some benefits.
Today, I have been cleaning the house and the porch since we have moved in some furniture. It was a good feeling to be active without exercising.
I may be wrong but I am positive that my knee has regained more flexibility. At least for the flexion.
The extension still lacks a few degrees and I hope that the next weeks will help me to reach my goal.
My leg is also stronger and I hope that the stairs and the active outdoor life will do the job.
Tonight I feel soreness in my calves and I know that the stairs are the reason to celebrate.
Tomorrow we will install the dock. I am usually the one in the water but the rocky cove is treacherous with a weak knee and my daughter will replace me tomorrow when my husband assembles the dock.
Then we will boat, canoe and simply reads, eats and tans on the dock, facing the peaceful lake that all of my children have known since they were little children.
This is life at its best when water, sun and family are together for long lazy days.
I have been waiting for that moment since January and I intend to enjoy every bit of it.
The weather is gorgeous and my knee is better.
I am now using a bike trainer so instead of pedaling on a stationary or upright bike, I am biking on my good old bike. It is nice for two reasons. First of all it gives me a sense of normality since this bike and I have been in Acadia and Yosemite National Parks, in Massachusetts and in different parts of California as well. Second of all, the pedaling is a little bit more challenging and it pushes my knee a little bit more. Hopefully, it will help the scars tissues to diminish.
Other than that, I keep up with my daily exercises. In addition, since I have stairs to climb inside and outside the cabin, I hope it will also reduce the stiffness of my knee. It is by far better than when I left. As if relaxing for a week in the car and the hotel had had some benefits.
Today, I have been cleaning the house and the porch since we have moved in some furniture. It was a good feeling to be active without exercising.
I may be wrong but I am positive that my knee has regained more flexibility. At least for the flexion.
The extension still lacks a few degrees and I hope that the next weeks will help me to reach my goal.
My leg is also stronger and I hope that the stairs and the active outdoor life will do the job.
Tonight I feel soreness in my calves and I know that the stairs are the reason to celebrate.
Tomorrow we will install the dock. I am usually the one in the water but the rocky cove is treacherous with a weak knee and my daughter will replace me tomorrow when my husband assembles the dock.
Then we will boat, canoe and simply reads, eats and tans on the dock, facing the peaceful lake that all of my children have known since they were little children.
This is life at its best when water, sun and family are together for long lazy days.
I have been waiting for that moment since January and I intend to enjoy every bit of it.
Monday, June 20, 2011
June 20, 2011
Being on the road seems to please my knee which is doing pretty well. I keep my fingers crossed, hoping for recovery and skipping a surgery.
I keep up with my exercises, biking twice a day and icing. I wake up at 6 every day and go to the gym before having breakfast with my family. It takes an hour to do the 15 minutes biking in addition to the leg exercises. At night I do some stretching exercises and I also plain relax with a good book.
We have been driving since Tuesday morning and are now getting closer to our destination. One more night at the hotel before being in our own beds in our snuggly Maine cabin.
One thing is sure: I have been a pro at checking the fitness centers in each of the hotels we have been visiting this week!
As for tonight, the kids are hungry so I will bike afterwards.
I keep up with my exercises, biking twice a day and icing. I wake up at 6 every day and go to the gym before having breakfast with my family. It takes an hour to do the 15 minutes biking in addition to the leg exercises. At night I do some stretching exercises and I also plain relax with a good book.
We have been driving since Tuesday morning and are now getting closer to our destination. One more night at the hotel before being in our own beds in our snuggly Maine cabin.
One thing is sure: I have been a pro at checking the fitness centers in each of the hotels we have been visiting this week!
As for tonight, the kids are hungry so I will bike afterwards.
Thursday, June 16, 2011
June 16, 2011
Third day on the road and my knee is doing okay. Occasional discomfort bothers me but it is not to the point of pain. What is more difficult is the lack of strength in my leg causing my right leg to work too much and making me a little wobbly.
More than two hours in the car is difficult. My legs get stiff when I step out of my seat. However, it gets easier at each rest stop and only lasts for a minute or so.
I biked for 15 minutes this morning before doing my other exercises and I went for another 20 minutes this afternoon followed by 10 minutes of weight lifting and another 5 minutes of biking.
The road from Utah to Wyoming goes through outstanding American scenery and I'm glad I postponed the decision to go back through my knee if it gets necessary.
As long as I control the inflammation and it has been just fine so far, I think I can manage my life with a weaker knee.
At least for the summer.
More than two hours in the car is difficult. My legs get stiff when I step out of my seat. However, it gets easier at each rest stop and only lasts for a minute or so.
I biked for 15 minutes this morning before doing my other exercises and I went for another 20 minutes this afternoon followed by 10 minutes of weight lifting and another 5 minutes of biking.
The road from Utah to Wyoming goes through outstanding American scenery and I'm glad I postponed the decision to go back through my knee if it gets necessary.
As long as I control the inflammation and it has been just fine so far, I think I can manage my life with a weaker knee.
At least for the summer.
Wednesday, June 15, 2011
June 15, 2011
Nursing a healing knee on the road is not always easy. It means waking up at the crack of dawn to beat the potential crowd at the cramped hotel gym and bike for 20 minutes before doing other fun leg exercises. Then showering and grabbing breakfast before catching the family ride.
It also means being away from home, not having to cook and clean. It means being in the same car with two teenagers and thinking that it is great to share their precious adolescent moments that have to be savored before they vanish.
It also means enjoying new extraordinary scenery as we cross the US and thinking that, yes, it feels good to live in our big country.
My knee is behaving itself, and my leg is getting stronger. Not as fast as I wish but hopefully over the long lazy days of summer, both knee and leg will get better.
I'd love to go back to physical therapy with a much improved knee. All by myself!
But now I will call it a day after a great Indian dinner and yes, 20 minutes of biking.
It also means being away from home, not having to cook and clean. It means being in the same car with two teenagers and thinking that it is great to share their precious adolescent moments that have to be savored before they vanish.
It also means enjoying new extraordinary scenery as we cross the US and thinking that, yes, it feels good to live in our big country.
My knee is behaving itself, and my leg is getting stronger. Not as fast as I wish but hopefully over the long lazy days of summer, both knee and leg will get better.
I'd love to go back to physical therapy with a much improved knee. All by myself!
But now I will call it a day after a great Indian dinner and yes, 20 minutes of biking.
Monday, June 13, 2011
June 13, 2011
Status quo yet excellent mood.
Great dinner yesterday night with two good friends before a day of packing for an extended vacation.
I'm bringing all my "knee accessories" in a special bag. My physical therapist prepared a booklet for me, mostly as a reminder. I'll be a good girl and hit the gym every day. I did it before my accident anyway.
I hope for progress although I'm not expecting any miracle.
Besides my gym bag, I am taking a pile of books and writing projects as well as pretty dresses to remind myself that a crooked knee doesn't stop a woman to get ready for summer.
Early August will be there before I know it and I intend to savor every day at my beloved Maine cabin.
Knee or not, here I come.
Great dinner yesterday night with two good friends before a day of packing for an extended vacation.
I'm bringing all my "knee accessories" in a special bag. My physical therapist prepared a booklet for me, mostly as a reminder. I'll be a good girl and hit the gym every day. I did it before my accident anyway.
I hope for progress although I'm not expecting any miracle.
Besides my gym bag, I am taking a pile of books and writing projects as well as pretty dresses to remind myself that a crooked knee doesn't stop a woman to get ready for summer.
Early August will be there before I know it and I intend to savor every day at my beloved Maine cabin.
Knee or not, here I come.
Friday, June 10, 2011
June 10, 2011
First warmer days of the season! Since yesterday, the valley and even the foothills are getting ready for the long hot summer. It has been a long cool and lovely spring and I already miss it.
It has been easier for me to walk and exercise because of the really crisp weather we got this year.
Today I had physical therapy early morning and for the first time since my post surgery I was sweating.
A couple of new exercises have been added to my program, both squats to strengthen the muscles of the leg.
I am doing better with them and it's only because my extension is also a little better.
I wasn't measured today and will ask for it on Monday which will be my last session before my return early August.
I'm a little nervous to be on my own but I have been doing so much alone that I should be okay. Both the surgeon and therapist have asked me to call if I need to.
I will look for a gym near our cabin so I can get to use an elliptical and other equipment if the weather doesn't allow bike rides and walks.
I am preparing my bag with my various accessories and I intend to come back with a great knee. Well, at least not worst.
We'll see in August if surgery is or not necessary to get rid of the scars tissues that are still in my way.
This afternoon is exciting as I am taking my very first walk around the lake with my hiking buddy. We have been visiting each other but between my difficulties to walk until recently, our busy lives and the rain we haven't been yet able to walk together.
She has been joking that perhaps today is her chance to beat me.
I didn't tell her that I will let her win!
It has been easier for me to walk and exercise because of the really crisp weather we got this year.
Today I had physical therapy early morning and for the first time since my post surgery I was sweating.
A couple of new exercises have been added to my program, both squats to strengthen the muscles of the leg.
I am doing better with them and it's only because my extension is also a little better.
I wasn't measured today and will ask for it on Monday which will be my last session before my return early August.
I'm a little nervous to be on my own but I have been doing so much alone that I should be okay. Both the surgeon and therapist have asked me to call if I need to.
I will look for a gym near our cabin so I can get to use an elliptical and other equipment if the weather doesn't allow bike rides and walks.
I am preparing my bag with my various accessories and I intend to come back with a great knee. Well, at least not worst.
We'll see in August if surgery is or not necessary to get rid of the scars tissues that are still in my way.
This afternoon is exciting as I am taking my very first walk around the lake with my hiking buddy. We have been visiting each other but between my difficulties to walk until recently, our busy lives and the rain we haven't been yet able to walk together.
She has been joking that perhaps today is her chance to beat me.
I didn't tell her that I will let her win!
Tuesday, June 7, 2011
June 7, 2011
Almost a week went by without a single post and I suppose this is a good sign.
Life goes no, with or without a good knee.
And as far as my left knee is concerned, it is a half good, half bad knee.
Much better than it was after I blew two ligaments in January.
Not as good as it was before I blew two ligaments.
The cortisone shot released a lot of stiffness and when I met my surgeon on Monday, he agreed that it was a good idea to wait until my return from Maine before taking a drastic decision.
My flexion is now a solid 130 degrees and my extension is missing 3 degrees.
It doesn't seem so bad, right? Except that my right knee is 140 degrees for flexion and I can overextend my right knee which is crucial to accomplish any physical activity with ease.
Yes, there is room for improvement and my hope, shared with the surgeon and my physical therapist, is that time can help me to increase the mobility of my knee.
Today I went to Berkeley to visit my college daughter and drove to San Francisco for lunch and a little stroll in town under a lovely weather that made me forget all about my misery.
I am leaving for Maine next week. My husband and I made the itinerary last night and although it is not our first cross country trip (we have done is countless times), I am as excited as if it was the first time. I'm always looking forward to a trip across our big country.
Besides the regular packing, I am adding my accessories for my daily exercises. I will exercise every morning before we leave the hotel and hopefully every night as well. My seventeen-year-old daughter promised to keep me company at the gym. It is mostly a stationary bike and an elliptical machine that I need. And on manual, please. No cardio or fat burn program is necessary.
My goal during this trip is to both enjoy our family time and get this knee back to shape.
In Maine, I hope for a summer as beautiful as last year. The lake and the ocean are waiting for me and I can't wait to be there!
I have an appointment on August 10 with my surgeon and hope to show him that I don't need another surgery.
Scars tissues, here I come!
Life goes no, with or without a good knee.
And as far as my left knee is concerned, it is a half good, half bad knee.
Much better than it was after I blew two ligaments in January.
Not as good as it was before I blew two ligaments.
The cortisone shot released a lot of stiffness and when I met my surgeon on Monday, he agreed that it was a good idea to wait until my return from Maine before taking a drastic decision.
My flexion is now a solid 130 degrees and my extension is missing 3 degrees.
It doesn't seem so bad, right? Except that my right knee is 140 degrees for flexion and I can overextend my right knee which is crucial to accomplish any physical activity with ease.
Yes, there is room for improvement and my hope, shared with the surgeon and my physical therapist, is that time can help me to increase the mobility of my knee.
Today I went to Berkeley to visit my college daughter and drove to San Francisco for lunch and a little stroll in town under a lovely weather that made me forget all about my misery.
I am leaving for Maine next week. My husband and I made the itinerary last night and although it is not our first cross country trip (we have done is countless times), I am as excited as if it was the first time. I'm always looking forward to a trip across our big country.
Besides the regular packing, I am adding my accessories for my daily exercises. I will exercise every morning before we leave the hotel and hopefully every night as well. My seventeen-year-old daughter promised to keep me company at the gym. It is mostly a stationary bike and an elliptical machine that I need. And on manual, please. No cardio or fat burn program is necessary.
My goal during this trip is to both enjoy our family time and get this knee back to shape.
In Maine, I hope for a summer as beautiful as last year. The lake and the ocean are waiting for me and I can't wait to be there!
I have an appointment on August 10 with my surgeon and hope to show him that I don't need another surgery.
Scars tissues, here I come!
Wednesday, June 1, 2011
June 1, 2011
Physical therapy early morning. Extension at 130 against 140! Flexion not as good as it should be. I miss 4 degrees and it seems like nothing and yet this is what allows a full extension of the knee, making every movement smooth and easy.
The rest of my exercises are fairly easy now for me. I still struggle with the stork (slightly bent left leg while the right leg is moving from from the hip back and forth with small movements).
This is due to the lack of strength in my quad, again impossible to regain if the knee is not fully able to extend.
My PT told me that there is no emergency to get rid of the scars tissues if I am willing to keep some discomfort. The main goal is to control the inflammation and it looks like this aspect is better.
My hope is to improve until Monday but I doubt that I will be totally fine.
So perhaps I will ask for surgery in August when we are back from Maine.
It is possible that I will have to say goodbye to my beloved late afternoon long walks on the beach. It makes me sad and yet I see progress and I don't want to forget where I am from.
Meanwhile, I need to suck it up and work out as much as I can.
Wish me luck!
The rest of my exercises are fairly easy now for me. I still struggle with the stork (slightly bent left leg while the right leg is moving from from the hip back and forth with small movements).
This is due to the lack of strength in my quad, again impossible to regain if the knee is not fully able to extend.
My PT told me that there is no emergency to get rid of the scars tissues if I am willing to keep some discomfort. The main goal is to control the inflammation and it looks like this aspect is better.
My hope is to improve until Monday but I doubt that I will be totally fine.
So perhaps I will ask for surgery in August when we are back from Maine.
It is possible that I will have to say goodbye to my beloved late afternoon long walks on the beach. It makes me sad and yet I see progress and I don't want to forget where I am from.
Meanwhile, I need to suck it up and work out as much as I can.
Wish me luck!
Tuesday, May 31, 2011
May 31, 2011
A busy active weekend, although much less than a typical Memorial Day that I would have spent hiking some crazy trail in Yosemite if my knee was totally fine.
Instead, I took my daughters window shopping and it was a fun time with fewer people in the shops than I expected.
I walked a lot and my knee was doing fairly well, especially since I had also been quite active the two previous days.
Pain is gone in my knee but some stiffness remains.
My flexion is much improved and my extension too, yet this morning when I settled on the floor mat I am now using instead of my daughter's bed, my left knee was still sticking up.
It looks as if the inflammation is totally gone since my two knees look very much alike, the area that was still showing a little bit of swelling (where the major incision has been made for surgery) is now looking good.
So I wonder if what is keeping me away from full mobility is only the remaining scars tissues.
I have physical therapy tomorrow as well as a massage appointment and I hope that both will increase my progress.
I am torn between moments of great hope and fear.
Returning under the knife is still a possibility today while yesterday I believed it was out of question.
The last four months have been hard on my family and I wish for a full recovery and a sunny summer.
Instead, I took my daughters window shopping and it was a fun time with fewer people in the shops than I expected.
I walked a lot and my knee was doing fairly well, especially since I had also been quite active the two previous days.
Pain is gone in my knee but some stiffness remains.
My flexion is much improved and my extension too, yet this morning when I settled on the floor mat I am now using instead of my daughter's bed, my left knee was still sticking up.
It looks as if the inflammation is totally gone since my two knees look very much alike, the area that was still showing a little bit of swelling (where the major incision has been made for surgery) is now looking good.
So I wonder if what is keeping me away from full mobility is only the remaining scars tissues.
I have physical therapy tomorrow as well as a massage appointment and I hope that both will increase my progress.
I am torn between moments of great hope and fear.
Returning under the knife is still a possibility today while yesterday I believed it was out of question.
The last four months have been hard on my family and I wish for a full recovery and a sunny summer.
Saturday, May 28, 2011
May 28, 2011
Friday was not as good as the three previous days and I was disappointed to show up for physical therapy. I had hoped for a much more significant improvement since Tuesday, Wednesday and Thursday had been great days.
But after two hours doing my exercises and being checked by my PT, I felt better. Progress is definitely on its way.
Yesterday was a busy day with long walk through the lovely Old Town Clovis before and after a lovely dinner with my husband. The weather is totally awesome here and it was really nice to walk through familiar streets without much effort.
Everyone at home (kids and parents alike) was exhausted after a long and busy week and we all were in bed shortly after 11:00 p.m.
I slept well and wasn't as sore as I usually am when I wake up. I biked for 25 minutes and then did a big grocery shopping trip.
After lunch, I finished my leg exercises and walked the mile-loop around our local lake.
I was fine the whole time so I guess this is real progress.
Because of Memorial Day, I don't have physical therapy on Monday but I will take advantage of the long weekend and walk more.
My leg slides are getting easier and smoother. But most of all, my gait is faster and so much more similar to my regular stride.
If only I could skip another surgery and go away with my family this summer!
But after two hours doing my exercises and being checked by my PT, I felt better. Progress is definitely on its way.
Yesterday was a busy day with long walk through the lovely Old Town Clovis before and after a lovely dinner with my husband. The weather is totally awesome here and it was really nice to walk through familiar streets without much effort.
Everyone at home (kids and parents alike) was exhausted after a long and busy week and we all were in bed shortly after 11:00 p.m.
I slept well and wasn't as sore as I usually am when I wake up. I biked for 25 minutes and then did a big grocery shopping trip.
After lunch, I finished my leg exercises and walked the mile-loop around our local lake.
I was fine the whole time so I guess this is real progress.
Because of Memorial Day, I don't have physical therapy on Monday but I will take advantage of the long weekend and walk more.
My leg slides are getting easier and smoother. But most of all, my gait is faster and so much more similar to my regular stride.
If only I could skip another surgery and go away with my family this summer!
Wednesday, May 25, 2011
May 25, 2011
It is perhaps too early to claim success but I am positive that the cortisone shot I got on Monday is working.
Today I cleaned my house almost entirely with my regular heavy vacuum cleaner, dusting under every piece of furniture.
My knee was totally fine although I didn't dare to push too much.
I did my exercises earlier this morning and will do more before picking up my kids at school this afternoon.
I have physical therapy on Friday and I can't wait to measure the progress of my extension and flexion.
It is an exciting time as I am now walking toward a prompter recovery.
It has been a long winter but although a little bit of rain is expecting in the valley and even snow above 8000 feet, I am reaching the end of the tunnel.
I can't wait for the long walks on the beaches of Maine and the biking on the six miles path near our cabin there.
Today I cleaned my house almost entirely with my regular heavy vacuum cleaner, dusting under every piece of furniture.
My knee was totally fine although I didn't dare to push too much.
I did my exercises earlier this morning and will do more before picking up my kids at school this afternoon.
I have physical therapy on Friday and I can't wait to measure the progress of my extension and flexion.
It is an exciting time as I am now walking toward a prompter recovery.
It has been a long winter but although a little bit of rain is expecting in the valley and even snow above 8000 feet, I am reaching the end of the tunnel.
I can't wait for the long walks on the beaches of Maine and the biking on the six miles path near our cabin there.
Monday, May 23, 2011
May 23, 2011
I saw my surgeon, Dr. Simonian today. As always, he is a great gentleman, caring and professional.
He presented me with two options regarding the inflammation and arthrofibrosis of my knee. His goal is mine: put me back where I was before my accident. Since there is a definite progress, he skipped the surgery and instead opted for a cortisone shot which should finish the job started with the medication he prescribed early May for five days.
He is not sure that it will be enough but considering the immediate relief I felt after I started the medicine, he believes it is worth giving the cortisone a try.
I should experience some soreness and icing the knee is key. Good thing I brought my icing machine with me today. Good thing that the weather is mild in the valley. The ice won't melt.
So I keep my fingers crossed and hope for a serious improvement in the next two to three days.
Meanwhile I am chilling at Starbucks before returning home after school pick up.
He presented me with two options regarding the inflammation and arthrofibrosis of my knee. His goal is mine: put me back where I was before my accident. Since there is a definite progress, he skipped the surgery and instead opted for a cortisone shot which should finish the job started with the medication he prescribed early May for five days.
He is not sure that it will be enough but considering the immediate relief I felt after I started the medicine, he believes it is worth giving the cortisone a try.
I should experience some soreness and icing the knee is key. Good thing I brought my icing machine with me today. Good thing that the weather is mild in the valley. The ice won't melt.
So I keep my fingers crossed and hope for a serious improvement in the next two to three days.
Meanwhile I am chilling at Starbucks before returning home after school pick up.
Sunday, May 22, 2011
May 22, 2011
The week and weekend flew by so quickly that I didn't take the time to update my blog.
Good news, perhaps!
Tuesday, Wednesday and Thursday were pretty good days and Friday was definitely good since my extension has regained a lot of motion.
My physical therapist is cautious and kept reminding me that the most important thing is the progress. A flexion at 130 degrees when it was only 100 is great. I still have a way to go since my right knee is a 140 but he is right to insist that improvement is key.
Some strength exercices are still hard to accomplish without pain but I am better at anything else. Walking is easier, smoother and it feels good to wear dresses and skirts again with small heels.
I have an appointment tomorrow morning with the surgeon to check the inflammation and the arthrofibrosis that had developed after surgery.
I hope I can avoid another surgery!
Tonight looks great. I spent a lovely weekend with my two younger kids since my husband is away with one of our oldest one.
We have been busy and I hope tomorrow will be great news for me.
I biked 30 minutes and did my stretching exercises. I feel better and better and can't wait for good news.
Wish me luck!
Good news, perhaps!
Tuesday, Wednesday and Thursday were pretty good days and Friday was definitely good since my extension has regained a lot of motion.
My physical therapist is cautious and kept reminding me that the most important thing is the progress. A flexion at 130 degrees when it was only 100 is great. I still have a way to go since my right knee is a 140 but he is right to insist that improvement is key.
Some strength exercices are still hard to accomplish without pain but I am better at anything else. Walking is easier, smoother and it feels good to wear dresses and skirts again with small heels.
I have an appointment tomorrow morning with the surgeon to check the inflammation and the arthrofibrosis that had developed after surgery.
I hope I can avoid another surgery!
Tonight looks great. I spent a lovely weekend with my two younger kids since my husband is away with one of our oldest one.
We have been busy and I hope tomorrow will be great news for me.
I biked 30 minutes and did my stretching exercises. I feel better and better and can't wait for good news.
Wish me luck!
Wednesday, May 18, 2011
May 18, 2011
After a tough Monday, I spent a great Tuesday with a lovely Italian dinner with my husband. I walked and climbed stairs and was fine. I didn't feel any warmth on my knee cap and the scar that was still itching once in a while has stopped.
This week is final week at my kids' high school. School starts at 8:30 and ends at noon so today instead of driving back home I stayed in town. My college daughter is staying with us for a few days so we went window shopping together, something a French woman always loves. I hadn't done it since a while and wasn't sure my legs would bear the three hours. But actually I was quite fine. We stopped for coffee mid morning but were up the rest of the time.
My knee has lost a lot of stiffness, and my gait is definitely better.
For Mother's Day, I received a gift certificate for a beauty treatment and I booked an appointment for a pedicure. My feet deserve a treat and a thank you. The last months have been tough on my entire body and I am looking forward to a slow pace morning at the beauty salon. I will pick a nice color for my nails to give me a boost.
I am feeling more confident today than I was on Monday and who knows maybe I will really skip the surgery I am dreading and just move on with more challenging physical therapy before complete healing.
Speaking of physical therapy remains me that I have only biked ten minutes early morning and did my leg exercises.
Off I am for fifty leg slides and hamstring stretches!
Anyway, I heard there is a chance Tioga Pass remains closed this year. It seems impossible but the rain we've got yesterday and the day before was more snow for the mountains.
Last year, I had to wait for Labor Day to climb my beloved Clouds Rest.
Perhaps there are some hiking gods after all.
This week is final week at my kids' high school. School starts at 8:30 and ends at noon so today instead of driving back home I stayed in town. My college daughter is staying with us for a few days so we went window shopping together, something a French woman always loves. I hadn't done it since a while and wasn't sure my legs would bear the three hours. But actually I was quite fine. We stopped for coffee mid morning but were up the rest of the time.
My knee has lost a lot of stiffness, and my gait is definitely better.
For Mother's Day, I received a gift certificate for a beauty treatment and I booked an appointment for a pedicure. My feet deserve a treat and a thank you. The last months have been tough on my entire body and I am looking forward to a slow pace morning at the beauty salon. I will pick a nice color for my nails to give me a boost.
I am feeling more confident today than I was on Monday and who knows maybe I will really skip the surgery I am dreading and just move on with more challenging physical therapy before complete healing.
Speaking of physical therapy remains me that I have only biked ten minutes early morning and did my leg exercises.
Off I am for fifty leg slides and hamstring stretches!
Anyway, I heard there is a chance Tioga Pass remains closed this year. It seems impossible but the rain we've got yesterday and the day before was more snow for the mountains.
Last year, I had to wait for Labor Day to climb my beloved Clouds Rest.
Perhaps there are some hiking gods after all.
Monday, May 16, 2011
May 16, 2011
Physical therapy at 8:00 a.m. today and although I was optimistic on Friday, my knee is again too stiff. Arrrggghhh!!!!
In exactly a week from today I will see Dr. Simonian, my surgeon.
I have no idea of the verdict!
Meanwhile, I am taking morning and evening Iboprufen, biking, doing my leg exercises and hoping for the best.
This is a busy week at home with finals for two of my kids, a trip to the East Coast for my husband and one of my daughters, a couple of meetings for me.
I will of course do my work-out and hope for the best but today I feel a little down.
If only I could avoid another surgery!
In exactly a week from today I will see Dr. Simonian, my surgeon.
I have no idea of the verdict!
Meanwhile, I am taking morning and evening Iboprufen, biking, doing my leg exercises and hoping for the best.
This is a busy week at home with finals for two of my kids, a trip to the East Coast for my husband and one of my daughters, a couple of meetings for me.
I will of course do my work-out and hope for the best but today I feel a little down.
If only I could avoid another surgery!
Sunday, May 15, 2011
May 15, 2011
I had physical therapy on Friday and I was elated to learn that my extension, so bad when I saw the surgeon on May 2, had improved a lot.
The extension of the knee is measured from 0 being the best (no space between the back of the knee and the surface where the leg is extended) to whatever space there is.
On May 2, my extension was 7 with some pressure on the knee. It was 5 without any pressure and 3 with little pressure on Friday. Okay, my right knee extension is a perfect 0. Yet, I was really excited.
I have been taking some morning and evening Iboprufen to fight the inflammation and I hope that the combo medicine/exercise will finally pay off.
I went to Berkeley on Saturday to move my daughter out of the campus until she moves in her new apartment. We walked through town to get coffee and then drove to San Francisco for lunch (our traditional family dim sum). We took an after lunch walk at Embarcadero and the Pier. I walked well although there is still a slight limp which nobody but me can notice.
The weather being cool, I brought my ice machine in the car and it was nice to cool off my knee after the walks. But there was no feeling of warmth or swelling in my knee. My calves and thighs though were aching and I can't wait to get them back!
I have physical therapy tomorrow and hope to record new progress.
The extension of the knee is measured from 0 being the best (no space between the back of the knee and the surface where the leg is extended) to whatever space there is.
On May 2, my extension was 7 with some pressure on the knee. It was 5 without any pressure and 3 with little pressure on Friday. Okay, my right knee extension is a perfect 0. Yet, I was really excited.
I have been taking some morning and evening Iboprufen to fight the inflammation and I hope that the combo medicine/exercise will finally pay off.
I went to Berkeley on Saturday to move my daughter out of the campus until she moves in her new apartment. We walked through town to get coffee and then drove to San Francisco for lunch (our traditional family dim sum). We took an after lunch walk at Embarcadero and the Pier. I walked well although there is still a slight limp which nobody but me can notice.
The weather being cool, I brought my ice machine in the car and it was nice to cool off my knee after the walks. But there was no feeling of warmth or swelling in my knee. My calves and thighs though were aching and I can't wait to get them back!
I have physical therapy tomorrow and hope to record new progress.
Thursday, May 12, 2011
May 12, 2011
Yesterday my physical therapist measured my knee and the flexion has reached 128 degrees. When I saw the surgeon on May 2, it was a mere 121.
So the medicine has definitely done its job. The question now is how much inflammation there is compared to the scarring tissues. If it is only scarring tissues, a surgical procedure can be necessary and will solve the issue.
On the other side, nothing but medicine will reduce the inflammation.
So when I see the surgeon again on May 23, he will get another Xray of my knee and see what's left of the inflammation and arthrofibrosis.
My two goals are the same since post-surgery: mobility of the knee that leads to a better gait and building my left leg muscle mass.
I used the treadmill for the fist time yesterday and it felt okay although awkward to walk quite slowly.
The other exercises have been readjusted to avoid too much strain on the knee as long as the inflammation is still there.
Massages are recommended to drain fluids and the relief is obvious.
The young woman who does deep tissue massage and all kinds of massages essentially for athletes does a great job.
She is strong although only 5'5 and her hands do marvel.
Since my ski adventure, I keep meeting health professionals who know more than I do about human body.
I thought I was paying attention to mine and in some ways I have but I am discovering muscles and areas of my body I ignored until now. My masseuse found areas of stress I didn't suspect and also some that were painful but I had ignored.
I still miss my knee very much although it is now from the exterior looking like my other knee. Only one scar is visible and only because I know it is there.
My quadriceps is still weak but both therapist and masseuse reassure me that it will come back.
Since the week after surgery, I have felt that my muscle strength should have returned sooner if I had been able to extend my knee.
No way to walk naturally with a crooked knee.
So now that it is much better, I hope I won't need to return under the knife.
Summer is just poking its nose in the foothills and I love having dinner outside. I avoid thinking of long hikes and shoot for more humble goals.
I suppose I had been spoiled until my accident. So many painless years were indecent perhaps. I have learned that bodies break and that it takes time to heal.
So the medicine has definitely done its job. The question now is how much inflammation there is compared to the scarring tissues. If it is only scarring tissues, a surgical procedure can be necessary and will solve the issue.
On the other side, nothing but medicine will reduce the inflammation.
So when I see the surgeon again on May 23, he will get another Xray of my knee and see what's left of the inflammation and arthrofibrosis.
My two goals are the same since post-surgery: mobility of the knee that leads to a better gait and building my left leg muscle mass.
I used the treadmill for the fist time yesterday and it felt okay although awkward to walk quite slowly.
The other exercises have been readjusted to avoid too much strain on the knee as long as the inflammation is still there.
Massages are recommended to drain fluids and the relief is obvious.
The young woman who does deep tissue massage and all kinds of massages essentially for athletes does a great job.
She is strong although only 5'5 and her hands do marvel.
Since my ski adventure, I keep meeting health professionals who know more than I do about human body.
I thought I was paying attention to mine and in some ways I have but I am discovering muscles and areas of my body I ignored until now. My masseuse found areas of stress I didn't suspect and also some that were painful but I had ignored.
I still miss my knee very much although it is now from the exterior looking like my other knee. Only one scar is visible and only because I know it is there.
My quadriceps is still weak but both therapist and masseuse reassure me that it will come back.
Since the week after surgery, I have felt that my muscle strength should have returned sooner if I had been able to extend my knee.
No way to walk naturally with a crooked knee.
So now that it is much better, I hope I won't need to return under the knife.
Summer is just poking its nose in the foothills and I love having dinner outside. I avoid thinking of long hikes and shoot for more humble goals.
I suppose I had been spoiled until my accident. So many painless years were indecent perhaps. I have learned that bodies break and that it takes time to heal.
Tuesday, May 10, 2011
May 10, 2011
My knee is definitely better looking now that I have finished the Methylprednisolone (what a mouth full!). My husband and I drove the kids to school together and we had breakfast at Mimi's cafe.
I wore the dress my daughter gave me for Mother's Day and although it is not a very short dress,the hem is just above the knees. I was a little self conscious but I only noticed people looking at my dress and not at my...knee!
I have physical therapy tomorrow and I am impatient to get a feedback from my PT. I'd like him to measure my progress since I am sure the flexion is far better. The extension could be better but has improved. The overall appearance of my knee is good so I am hoping for faster results now.
As a matter of fact, I have returned to a more normal range of movements.
I vacuumed my room today and was able to bend to get dust under my bed. I can squat much lower than I did last week. I also do some exercises on a mat and stand up easily when I am finished.
I feel some stretching pain at night. It wakes me up several times but I fall right back to sleep. It didn't happen as long as I was taking the medicine but returned last night.
The weather couldn't be more gorgeous here and although I miss my daily walks, I am full of hope for a great summer away from home.
I wore the dress my daughter gave me for Mother's Day and although it is not a very short dress,the hem is just above the knees. I was a little self conscious but I only noticed people looking at my dress and not at my...knee!
I have physical therapy tomorrow and I am impatient to get a feedback from my PT. I'd like him to measure my progress since I am sure the flexion is far better. The extension could be better but has improved. The overall appearance of my knee is good so I am hoping for faster results now.
As a matter of fact, I have returned to a more normal range of movements.
I vacuumed my room today and was able to bend to get dust under my bed. I can squat much lower than I did last week. I also do some exercises on a mat and stand up easily when I am finished.
I feel some stretching pain at night. It wakes me up several times but I fall right back to sleep. It didn't happen as long as I was taking the medicine but returned last night.
The weather couldn't be more gorgeous here and although I miss my daily walks, I am full of hope for a great summer away from home.
Sunday, May 8, 2011
May 8th, 2011
Finished my medicine on Mother's Day.
My knee doesn't feel as still and the flexion is definitely easier. I'm not so sure that the extension is much better although it could be. Biking gets easier too when I start.
Yesterday afternoon, I walked around the lake but I had to skip the last few hundred feet since my kneecap was getting red and warm. My knee felt tight and was hurting.
But the discomfort and pain went away quickly so this is better than before. I slept well and this also a good sign.
I was much celebrated by my four kids and husband and it put me in a great mood.
I biked for 30 minutes, did my leg work-out, iced my knee while checking my e-mail and working on a story I started last week.
I have physical therapy on Wednesday and I hope to see an improvement with the help of the anti-inflammatory medicine.
I miss my knee and I can't wait to be myself again.
My knee doesn't feel as still and the flexion is definitely easier. I'm not so sure that the extension is much better although it could be. Biking gets easier too when I start.
Yesterday afternoon, I walked around the lake but I had to skip the last few hundred feet since my kneecap was getting red and warm. My knee felt tight and was hurting.
But the discomfort and pain went away quickly so this is better than before. I slept well and this also a good sign.
I was much celebrated by my four kids and husband and it put me in a great mood.
I biked for 30 minutes, did my leg work-out, iced my knee while checking my e-mail and working on a story I started last week.
I have physical therapy on Wednesday and I hope to see an improvement with the help of the anti-inflammatory medicine.
I miss my knee and I can't wait to be myself again.
Friday, May 6, 2011
May 6th, 2011
I am now more than half way through my medicine and I think my knee is losing some of its stiffness.
I am aching from other parts of my body like below the hips, the calves and my left quadriceps is still weak and tight.
I went to physical therapy this morning and my program had been revised. Most exercises related to strength have been cut to spare the knee.
I am still biking on the up right bike, using the elliptical and doing my table exercises with ankle weight.
At the physical exam, my PT found my knee softer which I think is true.
I bought a pair of shorts to encourage my work-out. My legs are not what they used to be and it is sad to realize that the results of a lifetime of physical activities can be wiped out in a few months.
But I know that it works also in the other side so I will now concentrate on more leg work to make sure I look okay in my new pair of shorts.
I am aching from other parts of my body like below the hips, the calves and my left quadriceps is still weak and tight.
I went to physical therapy this morning and my program had been revised. Most exercises related to strength have been cut to spare the knee.
I am still biking on the up right bike, using the elliptical and doing my table exercises with ankle weight.
At the physical exam, my PT found my knee softer which I think is true.
I bought a pair of shorts to encourage my work-out. My legs are not what they used to be and it is sad to realize that the results of a lifetime of physical activities can be wiped out in a few months.
But I know that it works also in the other side so I will now concentrate on more leg work to make sure I look okay in my new pair of shorts.
Wednesday, May 4, 2011
May 4th, 2011
I took my first whole day of medicine yesterday, secretly hoping for an overnight miracle.
Of course, it didn't happen that way although I spent a good night which could be a sign of improvement.
I biked for 20 minutes and did 50 leg slides to keep the knee mobile.
I canceled my weekly massage therapy, not because I didn't like it or think it can be dangerous but because I lost the blind trust I put in my physical therapist and will wait until my next session on Friday to discuss the following weeks.
It is hard to realize that weeks of hard work aren't providing the expected results. Even harder since I have asked questions that should have triggered more research or a second opinion.
I am not discouraged since I want more than ever my knee back. But I will definitely be a less obedient patient and a more demanding one.
The weather has turned almost summer like here in the Sierra foothills and the mountains are blue in the distance, a call I have to resist but is getting more urgent as months go by.
I can't know for sure when I will be myself again and although my condition is not life threatening compared to very serious illnesses, I am worried and also sad to realize that nobody ever knows anything for sure.
Of course, it didn't happen that way although I spent a good night which could be a sign of improvement.
I biked for 20 minutes and did 50 leg slides to keep the knee mobile.
I canceled my weekly massage therapy, not because I didn't like it or think it can be dangerous but because I lost the blind trust I put in my physical therapist and will wait until my next session on Friday to discuss the following weeks.
It is hard to realize that weeks of hard work aren't providing the expected results. Even harder since I have asked questions that should have triggered more research or a second opinion.
I am not discouraged since I want more than ever my knee back. But I will definitely be a less obedient patient and a more demanding one.
The weather has turned almost summer like here in the Sierra foothills and the mountains are blue in the distance, a call I have to resist but is getting more urgent as months go by.
I can't know for sure when I will be myself again and although my condition is not life threatening compared to very serious illnesses, I am worried and also sad to realize that nobody ever knows anything for sure.
Tuesday, May 3, 2011
May 3rd, 2011
I used to trust my body more than my mind.
If I had a bad cold, I still exercised but with moderation.
If I didn't trust a steep incline when hiking, I let my legs find their own way and they never failed me.
I have always respected the limits of my body although I love the feeling of effort and the reward that accompanies it.
So after the ski accident that led to the reconstruction of my ACL and partial reconstruction of my MCL, I trusted my body to recover.
Since I had never had any physical injury and never had surgery before I also had to trust a surgeon and a team of physical therapists.
And I did.
When I saw the surgeon six weeks ago, I told of my worry related to the poor extension of my injured left knee. He reassured me and said it was too early in the recovery process to worry. He prescribed six more weeks of therapy which I followed with diligence and faith.
On top of the two weekly sessions, I biked at home as often as I could, did my exercises with regularity.
I kept telling my physical therapist of my knee that could not fully extend and thus blocked my gait. My PT said it was okay and gave me complimentary exercises to help the mobility.
I suffered through some but never complained.
My goal remained the same: WALK.
I had noticed how my knee and even my big toe became red after being on my feet for a little while. It was also warm under my touch. I was told it was nothing.
I told of my quadriceps that was stretched to the point of discomfort if not pain. My PT said he wasn't concerned with my muscle issues at that point.
I told of being woken up with heaviness and stiffness every night.
I asked if scarring tissues could create this effect.
No, no, he told me.
I asked if ultra sound therapy would be appropriate for me and he said that since I had no evident and significative pain, it was not necessary. Most patients who came with ACL reconstruction had ultra sound treatment at the physical therapy facility I attend.
Everything I asked or told was dismissed and instead I was urged to move the knee and to relax.
The reason behind my issue started to shift toward me, the patient, who was afraid of putting weight, who had taken a bad habit after surgery and wasn't able to correct it.
As if because I was able to perform every exercise with enthusiasm and will, I was not one of the patients who needed much attention.
A weekly massage session was recommended in addition to the twice a week therapy.
I did everything but didn't see the expected results.
I knew something was not right.
Ater all, I know the benefits of hard training and how they show day after day. There was improvement with my knee but not enough compared to the amount of work I was putting in it.
So I tuned back to my body to tell me it was not right.
Again I was in charge.
When I met the surgeon yesterday morning, I knew my body wasn't lying to me.
The set of X rays confirmed that I still have significant inflammation and arthrofibrosis.
In three words: I was right.
The surgeon, soft-spoken and caring as always, prescribed strong inflammatory medicine for five days, promising results.
By then, of course, my level of blind trust had significantly decreased and I asked what would happen if the treatment didn't bring the expected results.
Worst case scenario: opening the knee again to get rid of the scarring tissues obstructing the knee mobility.
A mix of disappointment, anger, worry and relief washed over me.
I was right and my issues had a simple name: inflammation. That was the good news.
The bad news is that the treatment and eventually the cleaning of the knee will delay the already long recovery.
I was angry at the physical therapist for having missed the inflammation and for having convinced me that the reason behind my limited mobility was me and not my knee.
I went to therapy and worked as usual since the surgeon had not required less work out. I felt pain on the elliptical and when I did the stork exercises (standing on the injured leg, slightly bent with maximum weight on the heel). Other than that I was doing fine.
My PT when I was finished told me that since we knew what was the reason behind my stiffness, urged me to spare my knee if in pain.
Funny that only three days earlier he urged me to move that knee and to work on it as much as possible.
I asked about the weekly massage and was told that it doesn't hurt. But does it help?
Today I started my first dose of anti-inflammatory medicine and beg pharmaceutical forces to do their job.
My next physical therapy session is on Friday. By then, I should see an improvement in my knee if the medicine works.
The next surgeon appointment is in three weeks.
I won't wait that long if my knee is not moving as much as I wish.
Morality: challenge authority, take charge of your body. After all this is my knee we are talking about.
And my knee was a big part of my life.
And I intend to keep it that way.
If I had a bad cold, I still exercised but with moderation.
If I didn't trust a steep incline when hiking, I let my legs find their own way and they never failed me.
I have always respected the limits of my body although I love the feeling of effort and the reward that accompanies it.
So after the ski accident that led to the reconstruction of my ACL and partial reconstruction of my MCL, I trusted my body to recover.
Since I had never had any physical injury and never had surgery before I also had to trust a surgeon and a team of physical therapists.
And I did.
When I saw the surgeon six weeks ago, I told of my worry related to the poor extension of my injured left knee. He reassured me and said it was too early in the recovery process to worry. He prescribed six more weeks of therapy which I followed with diligence and faith.
On top of the two weekly sessions, I biked at home as often as I could, did my exercises with regularity.
I kept telling my physical therapist of my knee that could not fully extend and thus blocked my gait. My PT said it was okay and gave me complimentary exercises to help the mobility.
I suffered through some but never complained.
My goal remained the same: WALK.
I had noticed how my knee and even my big toe became red after being on my feet for a little while. It was also warm under my touch. I was told it was nothing.
I told of my quadriceps that was stretched to the point of discomfort if not pain. My PT said he wasn't concerned with my muscle issues at that point.
I told of being woken up with heaviness and stiffness every night.
I asked if scarring tissues could create this effect.
No, no, he told me.
I asked if ultra sound therapy would be appropriate for me and he said that since I had no evident and significative pain, it was not necessary. Most patients who came with ACL reconstruction had ultra sound treatment at the physical therapy facility I attend.
Everything I asked or told was dismissed and instead I was urged to move the knee and to relax.
The reason behind my issue started to shift toward me, the patient, who was afraid of putting weight, who had taken a bad habit after surgery and wasn't able to correct it.
As if because I was able to perform every exercise with enthusiasm and will, I was not one of the patients who needed much attention.
A weekly massage session was recommended in addition to the twice a week therapy.
I did everything but didn't see the expected results.
I knew something was not right.
Ater all, I know the benefits of hard training and how they show day after day. There was improvement with my knee but not enough compared to the amount of work I was putting in it.
So I tuned back to my body to tell me it was not right.
Again I was in charge.
When I met the surgeon yesterday morning, I knew my body wasn't lying to me.
The set of X rays confirmed that I still have significant inflammation and arthrofibrosis.
In three words: I was right.
The surgeon, soft-spoken and caring as always, prescribed strong inflammatory medicine for five days, promising results.
By then, of course, my level of blind trust had significantly decreased and I asked what would happen if the treatment didn't bring the expected results.
Worst case scenario: opening the knee again to get rid of the scarring tissues obstructing the knee mobility.
A mix of disappointment, anger, worry and relief washed over me.
I was right and my issues had a simple name: inflammation. That was the good news.
The bad news is that the treatment and eventually the cleaning of the knee will delay the already long recovery.
I was angry at the physical therapist for having missed the inflammation and for having convinced me that the reason behind my limited mobility was me and not my knee.
I went to therapy and worked as usual since the surgeon had not required less work out. I felt pain on the elliptical and when I did the stork exercises (standing on the injured leg, slightly bent with maximum weight on the heel). Other than that I was doing fine.
My PT when I was finished told me that since we knew what was the reason behind my stiffness, urged me to spare my knee if in pain.
Funny that only three days earlier he urged me to move that knee and to work on it as much as possible.
I asked about the weekly massage and was told that it doesn't hurt. But does it help?
Today I started my first dose of anti-inflammatory medicine and beg pharmaceutical forces to do their job.
My next physical therapy session is on Friday. By then, I should see an improvement in my knee if the medicine works.
The next surgeon appointment is in three weeks.
I won't wait that long if my knee is not moving as much as I wish.
Morality: challenge authority, take charge of your body. After all this is my knee we are talking about.
And my knee was a big part of my life.
And I intend to keep it that way.
Sunday, May 1, 2011
May 1st, 2011
A few months ago, I was getting tired of a mile-loop my husband and I walked at least once a day. Although it is a nice path that wraps around a pretty lake, it is an easy walk for the fast walker I used to be. I was complaining to my husband that it was flat and short and that I needed more to my work-out. And I did in fact walked much more than that loop.
But after I fell skiing, I hadn't walked the loop at all. And over the last months of recovery, sudden nostalgia for the lake hit me randomly. I would have done anything to walk the loop again and again and again.
And finally today I did!
Gorgeous weather, pristine lake, and a terrain I had forgotten about.
The loop is actually not flat at all now that I am still in recovery. It climbs up and down and there is even a small bridge to cross the creek that overflows in the winter. Water is not rushing anymore but there is too much water to walk without the makeshift bridge.
The good news is that I walked across the log just fine, the one-mile-loop is still too easy for me as a cardio-workout.
The bad news is that I will have to walk the loop many times if I want to improve my gait and speed.
Until I get tired of it, I'm afraid.
But after I fell skiing, I hadn't walked the loop at all. And over the last months of recovery, sudden nostalgia for the lake hit me randomly. I would have done anything to walk the loop again and again and again.
And finally today I did!
Gorgeous weather, pristine lake, and a terrain I had forgotten about.
The loop is actually not flat at all now that I am still in recovery. It climbs up and down and there is even a small bridge to cross the creek that overflows in the winter. Water is not rushing anymore but there is too much water to walk without the makeshift bridge.
The good news is that I walked across the log just fine, the one-mile-loop is still too easy for me as a cardio-workout.
The bad news is that I will have to walk the loop many times if I want to improve my gait and speed.
Until I get tired of it, I'm afraid.
Saturday, April 30, 2011
April 30, 2011
The week flew by so quickly that I didn't take time to record my knee progress.
I am now biking on an upright bike and using the elliptical. I am doing more challenging exercises such as squats and leg rises with weight.
My knee range is 121 so I have gained 3 degrees in four days. My other knee is 140 when I bring it real close to my chest. If I follow the same progression, I need about three weeks to reach 140 degrees. I suspect it will be more difficult to regain the last degrees than it has been to get where I am now and it is a tough reality check. Yet, three weeks is nothing compared to three months so it is somehow uplifting.
My extension is still not complete but better.
I left physical therapy yesterday with a progress report for my appointment with the surgeon on Monday. My PT is telling the surgeon that I would benefit from six more weeks of therapy.
It will bring me closer to my yearly summer departure for Maine. By then, I hope to have regained much more flexibility in my knee so I can go ahead with my own therapy.
Maine is flat and there is a walk/bike path that is conveniently located from our house. I have a bike there and I envision myself biking along the Kennebec River, feeling the wind and the sun on my skin.
I miss my knee and although I know progress is there, I am getting a little frustrated. I am doing everything I am told to do and spend so much time doing my exercises that I worry. Is everything normal?
But then I remember that patience is key and I should only compare my knee to what it was the day before.
I would then see progress and only progress.
I am now biking on an upright bike and using the elliptical. I am doing more challenging exercises such as squats and leg rises with weight.
My knee range is 121 so I have gained 3 degrees in four days. My other knee is 140 when I bring it real close to my chest. If I follow the same progression, I need about three weeks to reach 140 degrees. I suspect it will be more difficult to regain the last degrees than it has been to get where I am now and it is a tough reality check. Yet, three weeks is nothing compared to three months so it is somehow uplifting.
My extension is still not complete but better.
I left physical therapy yesterday with a progress report for my appointment with the surgeon on Monday. My PT is telling the surgeon that I would benefit from six more weeks of therapy.
It will bring me closer to my yearly summer departure for Maine. By then, I hope to have regained much more flexibility in my knee so I can go ahead with my own therapy.
Maine is flat and there is a walk/bike path that is conveniently located from our house. I have a bike there and I envision myself biking along the Kennebec River, feeling the wind and the sun on my skin.
I miss my knee and although I know progress is there, I am getting a little frustrated. I am doing everything I am told to do and spend so much time doing my exercises that I worry. Is everything normal?
But then I remember that patience is key and I should only compare my knee to what it was the day before.
I would then see progress and only progress.
Monday, April 25, 2011
April 25th, 2011
A day flavored with a mix of success and disappointment.
The good news is that I can now use the upright bike instead of the recumbent bike. I am also using the elliptical for 10 minutes instead of 7 on Friday.
I am getting good at doing my squats and started to work on laterals with a resistance band above my knees.
All the other exercises are also easier to accomplish.
I spent the whole day away from home and did great compared to the way I felt only two weeks ago. I even scouted shops for my daughter who needs shoes and accessories for prom.
The disappointing news is that my flexion is 118 instead of the 120 I was shooting for.
I still limp a little due to the extension of my knee but also to the fact that I still put more weight on my right knee.
One week away from seeing Dr. Simonian so this is a week of goals even more crucial than before: improve my gait and work like crazy on the flexion and extension on this darned left knee.
The good news is that I can now use the upright bike instead of the recumbent bike. I am also using the elliptical for 10 minutes instead of 7 on Friday.
I am getting good at doing my squats and started to work on laterals with a resistance band above my knees.
All the other exercises are also easier to accomplish.
I spent the whole day away from home and did great compared to the way I felt only two weeks ago. I even scouted shops for my daughter who needs shoes and accessories for prom.
The disappointing news is that my flexion is 118 instead of the 120 I was shooting for.
I still limp a little due to the extension of my knee but also to the fact that I still put more weight on my right knee.
One week away from seeing Dr. Simonian so this is a week of goals even more crucial than before: improve my gait and work like crazy on the flexion and extension on this darned left knee.
Sunday, April 24, 2011
April 24th, 2011
This last week of April is an important week for me since Friday marks my knee surgery anniversary.
Where am I, three months later?
I can bike (still stationary bike) for 30 minutes long as many times I want each day. I cover 6 miles each time. So in average I do 12 miles a day on the bike.
I started the elliptical on Friday and will use it more each time I go to therapy.
I do my set of leg exercises much better and I have added a set of 25 to each.
The flexion of my knee is more than 115 degrees, I'm sure but I will be measured tomorrow.
The extension is coming along and I when I do my hamstrings exercises I feel the pull in the back of my thigh and my knee gets stretched at the same time.
I have built more resistance when I do my squat exercises and regained some balance when I stand on my injured leg.
I still use a pillow under my injured leg at night. It helps me to sleep well although some occasional pain or discomfort wakes me up at least twice each night. Usually I fall back to sleep which is why I feel in good shape despite my injury.
I have kept the same weight which is strange considering the difference in my lifestyle. I passed from extra active to non active to medium active.
I have canceled a trip to France early June and am considering going in August instead.
It will be so good to be back for a week or two. So now I have an extra incentive to help me achieve my goal for the coming week.
Where am I, three months later?
I can bike (still stationary bike) for 30 minutes long as many times I want each day. I cover 6 miles each time. So in average I do 12 miles a day on the bike.
I started the elliptical on Friday and will use it more each time I go to therapy.
I do my set of leg exercises much better and I have added a set of 25 to each.
The flexion of my knee is more than 115 degrees, I'm sure but I will be measured tomorrow.
The extension is coming along and I when I do my hamstrings exercises I feel the pull in the back of my thigh and my knee gets stretched at the same time.
I have built more resistance when I do my squat exercises and regained some balance when I stand on my injured leg.
I still use a pillow under my injured leg at night. It helps me to sleep well although some occasional pain or discomfort wakes me up at least twice each night. Usually I fall back to sleep which is why I feel in good shape despite my injury.
I have kept the same weight which is strange considering the difference in my lifestyle. I passed from extra active to non active to medium active.
I have canceled a trip to France early June and am considering going in August instead.
It will be so good to be back for a week or two. So now I have an extra incentive to help me achieve my goal for the coming week.
Friday, April 22, 2011
April 22nd, 2011
Progress is definitely here and it is a good feeling to have my body back. Well, it is not yet what it used to be but I am happy with the results of my workout.
Today all of my exercises have been moved to three sets of 25 instead of two or four sets instead of three. In addition I did my bridges with a Bosu ball instead of using the rubber band. I felt just fine.
The big news of the day though was to work on the elliptical. Seven minutes doesn't look very impressive but it made me feel normal again and I stood tall and proud!
I am having three more sessions before seeing the surgeon and I already know that I will get more. My goal remains the same: improve the extension of my left knee.
The rest will come, now I am sure of it.
Today perhaps more than any other day marks a return to a better shape. I am regaining strength and it is great to feel the come back of my body. Like an old friend who had been away for a while.
Today all of my exercises have been moved to three sets of 25 instead of two or four sets instead of three. In addition I did my bridges with a Bosu ball instead of using the rubber band. I felt just fine.
The big news of the day though was to work on the elliptical. Seven minutes doesn't look very impressive but it made me feel normal again and I stood tall and proud!
I am having three more sessions before seeing the surgeon and I already know that I will get more. My goal remains the same: improve the extension of my left knee.
The rest will come, now I am sure of it.
Today perhaps more than any other day marks a return to a better shape. I am regaining strength and it is great to feel the come back of my body. Like an old friend who had been away for a while.
Tuesday, April 19, 2011
April 19th, 2011
More biking and more exercises to loosen up this darned knee! It feels like it won't ever happen and yet I know it will. Eventually. If I try hard enough.
My daughter recommended me Kara Goucher's blog. I read a lot of it and she was right. Although I'm not a runner, her posts are filled with the challenges our bodies face when injured, aging or in her case giving birth.
Her blog won't fix me but will remind me that even athletes, and maybe even more they than we, plain amateurs, suffer from setbacks that slow down their performances. But they recover with will and practice.
By the way, it is time for me to return to my extension exercises which remain my weakness.
Tomorrow is a long day with a lecture to attend, a writing critique meeting, and a massage therapy.
In between, I will be scouting boutiques for a prom dress. For my daughter of course.
My daughter recommended me Kara Goucher's blog. I read a lot of it and she was right. Although I'm not a runner, her posts are filled with the challenges our bodies face when injured, aging or in her case giving birth.
Her blog won't fix me but will remind me that even athletes, and maybe even more they than we, plain amateurs, suffer from setbacks that slow down their performances. But they recover with will and practice.
By the way, it is time for me to return to my extension exercises which remain my weakness.
Tomorrow is a long day with a lecture to attend, a writing critique meeting, and a massage therapy.
In between, I will be scouting boutiques for a prom dress. For my daughter of course.
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