Tuesday, December 27, 2011

One More Week 10 Point....

One more thing I should have mentioned. This weekend is new years eve and I should say I am grateful for having the opportunity to have this surgery this year and cannot wait to fully recover in 2012. Physically, 2011 has been a tough year and Im ready to put it behind me!!!
Happy New Year!

Recovery Weeks 9 and 10

So Ive made it to the 2 1/2 month mark.......lol!
Anyhow, weeks 9 and 10 have been relatively uneventful. Still going to PT 2 times a week and doing the same exercises: riding on the bike, balance block, calf raises, and quad sets. I am now able to flex to 120 degrees but still having trouble getting back flat to zero or even -1. The last dr appt he said he thought I would be able to walk without any appliances by the next appt in 3 weeks. That appointment happens this Friday and this may be the first milestone I am cant meet. I have been able to get rid of the brace.....which of course is great news! yeah!!! However, I still need the cane to walk sometimes. There are times when I feel strong and am pretty sure I can get around without it. Then there are times, especially when Ive been sitting for a while, when I cant walk at all. I know it just takes time.....and of course Im getting there! :)
I am also still exercising on my own on the days Im not in therapy and definitely feel this is how my muscle is coming back. I ride the bike (with resistance) for 30 minutes and then do a pilates workout for another 30. Riding the bike makes my knee feel pretty good and the pilates workout is definitely helping my quad and hamstring gain strength.....plus it makes me feel like Im not turning into a vegetable......lol! The first few times I rode the bike I was only able to ride about 1 mile an hour and I am very happy that I am up to 15 miles an hour.......some serious progress!
Overall.......feeling pretty good these last 2 weeks......and continuing to make progress!!!

Saturday, December 17, 2011

Recovery week 8

Week 8.......feeling like Im on a roll!! :)
This week has been a huge transition week and quite honestly the first week Ive begun feeling like myself since the surgery. I had a doctors appointment this week and he is very happy with the progress so far. The doctor said I am able to put down 100% of my weight and suggested transitioning to a cane and my next appoitment is not for another 3 weeks.....seems like an eternity!  Of course, still in therapy twice a week and I am definitely getting stronger. This scar tissue/incision business is extremely painful and the first appointment this week was really tough......in fact I was in a funk for a couple days after....I believe it has something to do with being in so much pain. However, the second appointment of the week was manageable and I survived. In therapy, we practiced walking with a cane and Ive been using it now for about 4 days. I have to say it is much harder than I would expect and I can see why it strengthens more than 1 crutch. Walking on a single crutch allows you to lean with more weight on the crutch, you're not really forced to attempt to walk upright. With the cane, there is far more balance involved and there's not as much leverage and you're forced to engage the quad, butt, and calf to steady yourself. The first couple days I was extremely fatigued just using the cane up and down the stairs and to and from the kitchen. However, today I feel much stronger and am able to walk a little ways.
Im also now able to use some resistance on the bike, which is awesome!! Im also able to get on the pilates machine and have been working out my arms and core this week. Its nice to feel productive!
I turn 40 tomorrow and while I dont feel I look 40, this year has been tough physically.....I definitely feel 40. The good news is since the rehab appears slightly faster than originally anticipated, Ive got a bike race on my calendar......I'd be ecstatic if I could be ready in time! At least it gives me something to look forward to!

Wednesday, December 7, 2011

Recovery weeks 6 and 7!

Weeks 6 and 7 have been pretty good and most importantly LESS pain!!!
Week 6 I had a doctors appt and he said he thought I was doing really well. He released the brace so I could have 80 degrees of movement and am allowed to have 75% of my body weight. Of course, this is easier said than done because I have lost a tremendous amount of muscle and have quite a bit of scar tissue in and around the joint. Ive been going to PT twice a week....so far so good!
Week 7 in PT we've added a few exercises. Ive been having a lot of trouble with cramps in my legs so weve added some calf stretchs on the balance board. Im also riding the bike for 10 minutes, wall sits 3 for 1min each (although not very low), straight leg raises and quad sets (which hurt because Im so weak), and balancing on the board (holding on). Overall, feels pretty good to be doing something at least! Im also riding on my bike at home...am up to an hour with no resistance. Ive got a dr. appt coming up next week and Im hoping to be able to add a little bit of resistance. In PT we also started practicing walking on 1 crutch.....I should be getting around with only 1 by next week.
Im beginning to feel stronger.....yeah!!

Wednesday, November 23, 2011

ACI Recover........Week 5

Week 5.......I know I keep saying this but WOW.........I cannot believe I have made it 5 weeks.
This week I started physical therapy and while it was exciting to get out of the house......I think I have an anxiety attack every time I start therapy. I am scared to death at how much it will hurt.....and of course it did hurt pretty bad! The dr. gave me a new pain killer prescription, but its a new type and my insurance wont cover it. I survived therapy with just ibuprofen but during my next dr appt Im going to get something else. The therapist was pretty gently on day 1.....Im pretty sure Im going to need pain killers for the next couple weeks. For whatever reason I always develop a lot of scar tissue and this time appears no different.
In regards to exercise I am now able to ride the exercise bike at zero resistance. I rode in therapy the other day then rode at home on my own yesterday. I rode for over an hour and a little more than a mile. Funny, I used to ride 18 mile an hour and now Im riding 1 mile an hour......a lot of work to do to get back to my pre-surgery shape! We also discussed shifting my weight while Im standing on my crutches to get the muscles in my leg firing.......this of course hurts more than you would think.....but Ive been practicing. The therapist also told me to really work on straightening my leg as much as possible and doing straight leg raises. I was blown away, I could not even do 1 straight leg raise. I had to keep leaning back and enlarging the angle before I could even lift my leg.....crazy.
Also, after working on the CPM for 5 weeks it was picked up this morning....I was sad to see it go! lol!
The first day of therapy I could get my leg to 5% straight and 90% flexed on my own. Didnt sound too bad considering how much work had been done!!
Have a good thanksgiving......looking forward to week 6!

Wednesday, November 16, 2011

I Keep Forgetting to Mention........

Hi All
There is one important piece of information I keep forgetting to mention. The information I received from Carticel described the surgery and recovery. The last couple post-op visits the dr has let me know that the information from Carticel was necessary for the procedure to be FDA approved. Basically, things move a little quicker than the information suggests. Since the procedure is nearing 10 years old or so, recovery is faster than initially expected.
I was thinking I'd be out of commission for 12-18 months where the actual will probably be 8-12 months. Overall, I thought this was pretty good news!! :)

Monday, November 14, 2011

ACI Recovery......Week 3 and 4

WOW.......I simply cant believe its been 4 weeks since the day of surgery. I didnt post last week because there wasnt too much to report. I just had my 4 week doctors appointment and they think Im doing pretty well. 
I am not able to start trying to walk on my crutches putting 50% pressure on my foot/knee. Any idea how hard it is to judge 50% pressure? lol! Anyway, I am making attempts today and it is pretty scary. Of course, I'll keep after it but not being able to walk for 4 weeks does a number on you!
I have been at 90 degrees on the CPM for a week now and the doctor recommended I keep it for another 10 to 14 days. I explained that I feel it helps to keep my knee from getting so stiff and he understood and agreed. He said to keep increasing and I can go all the way up to 125 degrees. He also suggested I keep working on pushing my knee straight.....interesting because you begin to feel that the flexion is the most important until the dr tells you that you will have to have another surgery if you dont work on keeping it straight......I got that point today!
Also, more good news.... the dr recommended I start PT this week. Yes, I realize how utterly painful  therapy is however I am concerned about the amount of muscle I have lost and getting out of the house can only make me feel better. The last visit the dr gave me a new pain killer perscription (for people who get sick on all the others) and suggested this morning that I make sure to get that filled because I will need it to survive PT.......ugh......a little nervous!! :)
The bad news for the week......I have felt so good moving around the house that I thought I would be able to go to the grocery store with my husband over the weekend. Seriously, I dont know who I was kidding but that was a painful experience. My shoulders and hands were so sore the next day. My foot was incredibly swollen, in fact was still swollen the next day. Ive learned my lesson and the dr said something this morning about not trying to go 0 to 100 all at once.......lol....was quite the learning experience! :)
I will make sure to post again in week 5 to update how PT starts!!