Monday, April 29, 2013

Endorphin high?.........Why Yes!!

Hi fellow ACI-ers!!

I'm am feeling really good today!! Went to spin this morning and am riding this endorphin high!!

Wanted to provide a couple updates!!
The first is I had x-rays done on that dr. appt on 4/10 and he couldn't see much bone growing. In fact, as I was leaving that day he reminded me to think positive thoughts. It kind of amused me......my technical orthopedic surgeon telling me to think positive thoughts. At this point in the game......I'm thinking positive thoughts, carrying a rabbits foots, and got everything crossed! lol!

The second update........only someone who's had this type of injury or surgery will understand.....but I rode STANDING up in spin class....TWICE last week. Yes I know, sounds like small potatoes for a person with a healthy knee.......but for me this was some serious stuff!! In fact, my husband and I went riding outside yesterday and I stood up for a tiny bit too. It's seriously harder to stand and ride outside, and my back and knee were seriously sore last night. However, I felt good this morning, went to mega-spin, and rode STANDING up!! YEAH....I haven't been able to do this since before the injury.....almost 2 years ago!!

The last update........I am actually ALMOST able to get down the stairs.....you know, that whole step down thing. It's kind of a funny thing for people who've never had our type of injury or surgery.......I mean just walk down the stairs.......it is like the last frontier!!  However, it is quite a feat......my PT would be proud.......I am proud.......it's been a long time!! :)

I've got another dr. appt in another 1 1/2 weeks to take more xrays (seems excessive I know) to see if that bone is growing. I FEEL like it's growing.......now looking for some proof!!

Talk to you all then.........

Tuesday, April 9, 2013

Hold On....I've made it to the 17 month mark!!!

Hi fellow ACI'ers!!
I've decided that's our new name....ACI'ers......and only we can understand how difficult the journey is!!
AHHH.....it's been a whirlwind these last few months, I can't believe I haven't posted since November. So, I had the Sinvisc (sp) in November and it only lasted until Christmas...seriously......by the time Christmas hit I was back in pain and actually more depressed as I'd had a few weeks of NO pain.....I had forgotten what that felt like!! I'll walk you through the next steps!!
- After the surgery in Sept where we found out 1 of the implants didn't work my dr. suggested a partial replacement
- I chatted with my physical therapist after the new year and she gave me a couple names to get another opinion. I have to say, I've loved my doctor....to get another opinion felt very dis-loyal...but I did it anyway..
- I saw this new dr. the beginning of Jan 2013 and he said I need a total knee.....but said I needed to wait another 10 years until I was over 50. WHAT? This dude, I mean dr. thinks I should suffer with this crap for another 10 years.....he even said I should have it injected every few months and scoped once a year......honestly.......this is crap and needless to say I didn't go back to him!!
- I called my dr. and told him what the other opinion was, he suggested I see another dr. in his same practice who specializes in replacements on younger patients and keeps as much bone as possible for future revisions. Btw, he definitely doesn't think I need to wait another 10 crappy years! :)
- The beginning of Feb 2013 I saw a new dr. in the same practice. He was super nice, we did new x-rays.....and wait....we cannot discuss a knee replacement because the bone from the tibial tubercle osteotomy never healed. WAIT.....back up.....the bone never healed? At this point it had been like 14 months since the "big one" and the bone never healed. Basically, my knee cap is being held down by screws....it was the most devastating news I'd heard in a long time!!
- After I had time to drink/smoke/feel sorry for myself/ then get back to being healthy........I talked with my dr. and we scheduled a bone graft on my tibia. Lets be clear.....I can't have a knee replacement if that bone is not secure.
- I had ANOTHER surgery the beginning of March.....I have to say.....no where near the type of pain we're all used to because it wasn't in my joint but was right below it. It still hurt, don't get me wrong....but it was much more manageable than I had feared.
- TODAY.....it's been 4 weeks since that surgery and I've got an appt on Friday to take new x-rays and see if the bone graft is working. I'm just sick.....seriously sick........but keeping my fingers crossed.....I'm sure it worked!

To end my super cool 17 month post......I will sound like a broken record and say again....I CAN'T believe I've made it this far. The last couple months I've actually been thinking I can just get used to this pain because the thought of another surgery just makes me sick. However, I want good parts...and if it's a total knee......then that's the way it'll be!! :)
I'll also update on my exercise stuff.......I quit going to PT right before the surgery in March....she was afraid to keep working on me with the knee cap and tibia situation. However...you know I've been continuing to work it on my own!! I'm still going to spin class 2 or 3 times a week and have started lifting more weights about 2x a week. The last couple weeks it's been warm enough to start riding outside, so I've added that also. Honestly, the last couple weeks I've been in a funk......I seriously think it has something to do with all this anesthesia and pain killer crap.....but I'm back on it. Spin 2x a week, outside rides (16-20 miles) 2x a week, and weights (including many PT exercises) 2x a week.
Hope all my fellow ACI'ers are doing well and most importantly I hope my blog helps in some way!!!

Monday, November 5, 2012

Synvisc Injection

A quick update!
I had a Synvisc injection this morning......seriously.....I was scared to death. I know, I know, after all I've been through how could I be so fearful of a little injection. My husband went with me this morning and was surprised that I seemed so much more scared of the injection versus surgery. Well, most of you know that you're knocked out for surgery.....had I been knocked out for the injection I wouldn't have been scared at all! lol!
I suppose if my knee didn't hurt ALL the time it wouldnt have been too bad. Needless to say, I had trouble sleeping last night and was pretty much a whimpering mess when I got to the dr this morning. However......I DID survive!! :)
It was interesting, one of those things where my imagination blew it out of proportion......and then not so much. It hurt less than I expected and worse than I expected....funny to even say outloud!

Anyhow, I survived and will wait to see what kind of results Synvisc will deliver. Hopefully it will make a difference......according to the dr, should see the best results starting about Christmas time (6 weeks).
Keep your fingers crossed! :)

Thursday, November 1, 2012

ONE YEAR!!! YEEEHAWWW!!! :)

WOW!!! I have made it to the 1 year mark......boy it has been 1 long year!! Actually, today is 11/1/12 and I hit the 1 year mark a couple weeks ago!! I've been meaning to post but have been thinking about my own next steps and it's taken me this long to get back to the positive side of things. :)

So, the big question is was the surgery a success? Well, the answer to that is yes and no. As stated initially, I had 4 large "defects" to be implanted and 3 went well and the 4th......well lets just say thats a big fat no! My knee was scoped the beginning of Sept (now 8 weeks ago) to shave down the cartilage that grew, address some serious crunching I was feeling under my knee cap, and for the dr to take a look around and see how things looked. Funny, I had read so many other articles and such that I expected to have an MRI after a year, then we would go from there. I was a little taken  back when we discussed surgery at the visit in August.....oh well, it's old news now.
So, the implant that didn't take. No one knows why, it's not my fault (I have a tendency to blame myself for everything) and it's not the dr's fault either.....just one of those things.
The second big question is would I do it again? I have to say, no. It has been an extremely difficult year and I don't think I would elect this surgery twice....but we'll see!
Next steps for me: First, I recently got fitted for and received an unloader brace. The brace is supposed to push on certain parts of my knee to release some of the bone on bone pressure from the "defect". It's okay, although it's much bigger than I thought it would be and is a little uncomfortable. I still don't wear it every day and am supposed to be getting used to it and building up time. I may be a bad patient! lol!
Second, I am having a synvisk (sp) injection next week. My doctor refers to it as WD40 for the knee joint. It is supposed to kind of coat everything and create some cushion where there is none left. I would be lying if I said  I was prepared.....I'm scared shitless. I know I know, after everything I've been through I'm scared of an injection......YES!!! Basically, my knee hurts all the time and sticking a needle into a joint that hurts......well, it's not my idea of fun. But, I'm a big girl and I'll probably be crying as I walk into the dr's office, but I'll (he and I) will survive.
Third, the injection and brace are supposed to allow me to put off additional surgeries until sometime next year. At this point there are 3 (not so great) options: another Carticel implant, OATES procedure, and a partial knee replacement. Here's my thought process: Carticel is no way, OATES is just as bad as an implan- NO, and if I'm going to have another surgery I want new parts. Meaning it will be a new partial knee for me.
I won't lie, it's been a rough couple months coming to grips with the fact that it feels a little like this past year has been for nothing. Days when I don't hurt too bad, I know this isn't  true but the thought of another surgery just makes me sick to my stomach. Which is the reason why the brace and the injections are in play.......basically postponing the inevitable. AND of course I'm STILL in PT......really......I know!
On the sunny side- in addition to PT I now go to spin classes 2x a week and lift weights 2x a week. I was having so much trouble with my back and shoulders, I quit riding outside for the time being. I'll try again next spring. For the moment though, I'm feeling good about what I've accomplished (physically).
I get an occasional email from fellow implant-ERS who have found my blog. I'll keep posting my progress and next steps so you all can follow if you'd like.

Friday, July 6, 2012

9 Months.....Almost!!

Well......have I said this before? I simply cannot believe I have made it to the almost 9 month mark. I feel so accomplished and am physically stronger than I've been in........well 9 months! lol!

I'll start by saying I absolutely survived the Elephant Rock Ride!! Yeah!! I made it a grueling 34 miles and let me tell you it was grueling. I think the entire ride was uphill!! It took me close to 4 1/2 hours but I finished....I look forward to riding it again next year when I am physically stronger. Realistically, I was no where near ready....but I'm still glad I did it!! :)

Now, PT.....yes, I'm still in therapy 2 times a week and imagine I will be for another few months. I still have quite a bit of trouble with my hips and back and have started having a lot of trouble riding; thumbs, wrists, elbows, shoulders, and back. In fact, Ive managed to develop some nasty tendinitis in my shoulders. I had not had my bike properly fitted since the surgery and after getting re-fit, the guy at the bike store told me he thought it'd take care of pretty much all of my pain. Walking however.....that's another story!! lol

So......PT! Here's my current list of exercise: riding on bike 10 minutes level 3, side steps 3 laps with blue tube (this seriously makes me sweat), duck unders (basically back and forth side lunges like a boxer) 3 sets for 2 min, single leg stance 4 x 40 seconds, squat machine 4 sets of 10 70lbs, treadmill 10 minutes alternating uphill level 3 at 2.6 and flat 2.9, total gym single leg 4 sets of 10, v sits (killer) 2 for 45 seconds, planks (on elbows) 2 for 1 minute, hamstring curl 4 sets of 10 9lbs, small arc 4 sets of 10 7.5lbs, straight leg raise 4 sets of 10 5lbs, and hip series I'm up to 2 sets per side. Overall, I feel I'm making pretty significant progress. I won't lie, it's been tough and there are STILL times when I have trouble walking and serious joint pain when I stand up. I think at this point some of the pain is more muscular instead of joint, but my knee cap still hurts and sometimes just aches. The last thing, I am doing pretty good getting up the stairs now. In the last couple weeks Ive transitioned from pulling myself up the stairs with my arms, to actually using the muscle in that leg to get me up....pretty exciting! Sometimes it actually doesn't hurt.........that seems strange to say, but it has hurt for such a long time it feels very strange when I do go up the stairs and it doesn't hurt!! I STILL don't get down the stairs very well. I'm definitely getting stronger and can kind of "fall" down the stairs, but this step down business does not feel good!!!

Here's to getting stronger!!! :)

Wednesday, May 23, 2012

7 Month Mark....No More Counting Weeks! :)

Hello!
Its been a while since my last post but thought it was exciting that Ive made it to the 7 month mark! I feel so much stronger, still have some trouble walking, standing, getting up and down the stairs.....but getting better everyday!!!
Of course, Im still in therapy 2x a week.....feels like forever and of course still hurts like hell...lol.....good think I like them! :) This week for my 2nd appt we're going to do some dry needling....hip, back, calf, quad, hamstring......Im thinking of a pain killer before I go!! I've had quite a time with basically all the muscle groups on that whole side of my body......Ive had serious trouble with my back, hip, and ankle......getting stronger should straighten all these other issues out!
Heres my current therapy run down: bike 10 minutes, 3 laps of side steps with green band, 4 x 10 step ups on 6 in step, 4 x 10 calf raises, 4 x 10 squats on BOSU ball, 4 x 10 single leg stance for 30 seconds on BOSU ball, 4 x 10 squat machine (the laying down one) 70lbs, 10 minutes walking on treadmill Im up to 2.9, 4 x 10 single leg squat on total gym (I have to hold on for my bad leg and cant squat too much, but still getting it done), 4 x 10 push ups on ball, 4 x 10 hamstring curl 7lbs, 4 x 10 small arc 5 lbs, and 4 x 10 straight leg raises 3lbs. Last week for the first time I was able to do a step down....seriously.....that is the hardest thing Ive ever done. I did 13 with my bad leg in 30 seconds and was so sore the next day I could barely walk. Today was my first appt this week and the therapist said we should probably hold off on those for a few more months....maybe never actually. She said the angle of bend and the pressure on your knee....not a good combo for carticel patients.

The really great news is how far Im riding!! This week so far Ive done 16, 11, and 16.....with another ride planned for Sat 18 or 20. My husband, son, and I are signed up to do Elephant Rock on 6/3....we are either doing 25, 34, or 3x 8 mile track.....whatever we can do.......seriously, I cant even begin to explain how accomplished Im going to feel!!! I'll probably be bawling like a baby! lol! Im excited......but of course this means I need to be atleast to 20 miles by this weekend and 24 early next week.....then a few days off before the race........so excited!!! I'll let you know how it goes!!

Friday, March 30, 2012

Recovery Weeks 21, 22, and 23

The last few weeks have been really eventful! lol! In PT we have changed up the exercises...hallelujah!!! Following are the exercises I have been doing for the last 2 weeks: bike level 3 10 minutes, treadmill at 2.3 for 10 minutes, side steps 3 laps with a red band, step ups and calf raises 4 sets of 10, single leg balance on BOSU ball 4 on each leg for 10-15 seconds, 4 sets of 10 mini (and I mean mini! lol!) squats on the BOSU ball, 3lbs hamstring curl 4 sets of 10, 30 lbs on squat machine (the one that lays down), 4 sets of 10 on the total gym, 4 sets of 10 push ups with the red ball under my hips (laying on top of the ball- core exercise), small arc 2 1/2 lb weight 4 sets of 10, and last but not least 1 1/2 lb weight on 4 sets of 10 straight leg raises......OK....seriously! lol! I do some major work and am now at therapy for 2 hours!!! PT is still really tough, working through a lot of scar tissue business and it seems unbelievable that Im coming up on the 6 month mark. Im still walking with a cane since Im not strong enough to walk straight and I end up with pretty severe hip, ankle, and back pain if I try. Of course, I use the cane based on the therapists orders....I have tried going without it......at this point Im just not there.

My last dr appt was uneventful, he told me to keep working at it and my knee would follow. I wont lie, it is disheartening that I am still having so much trouble. I would never have thought that at the 6 month mark I would still be alking with a cane....however.....Im not giving up yet. I am still working out pretty much every day, or atleast 6 days a week. I now alternate between riding my bike outside, the Pilates videos that I have come to love along with biking indoors, PT (which is really tough), and Ive just ordered a BOSU ball for the house....that one comes with videos and I think they'll be really challenging! Ive even started adding in one of the P90X videos- back and shoulders.

So......still hanging in there! lol!