I went to the physical therapist for the first time on Friday, which was Day 9. It was an early appointment and I took my medicine about an hour before it was scheduled to start so that if they decided to torture me, at least I'd have something to take the edge off. This is the first time since the accident that,when they've called my name at an appointment, I've gone back on my own--Brian stayed in the waiting room. It was a little unsettling, but I knew this was something I had to do by myself.
I really liked the therapist right off the bat. He was very easy to talk to, seemed genuinely concerned about my injury, and definitely gave me the impression that we were going to get me all fixed up in no time. But after I finished telling him what had happened, and he'd asked me about my goals, etc., he said something that really resonated with me. He said, "I can't fix you--only you can fix you." I've known this all along, I guess. But hearing him say it really reminded me that whether or not I ever walk again is really up to me. I can go through the motions, or I can choose to ignore them altogether, and either way I end up in a wheelchair for several more weeks, months, years. Or I can give this everything I've got and get back to normal as quickly as humanly possible. Of course, I need guidance from the therapists, but at the end of the day, the results are all up to me.
I was there for about an hour. We did measurements and I found out that my leg will currently extend 31 degrees. My left leg, the good one, extends to -5. He explained that I will need to get my right leg even with my left so that I can walk without a limp, etc. He also told me how far it was bending, but I don't remember what he said. I am definitely more concerned with extension at this point.
He showed me six different exercises that I will have to do several times a day. They are all designed to stretch out the ligaments and muscles in my leg and get it to extend and bend the way that it is supposed to. The worst one, by far, is the slow stretch, where I extend my leg as far as I can and then leave it that way for up to fifteen minutes at a time. So, for me at this point, this would be taking it out 31 degrees, and keeping it stretched as long as I can. He said I could start out at two minutes, but I needed to build up to 15. This is one of those slow burn, no pain no gain type of exercises. Sounds simple enough, but it is pretty painful. He told me if it hurt above a four to stop, and if it really starts hurting I suppose I will, but a sustained pain at a four that you know you can relieve by changing position is almost as bad as a sharp seven that goes away pretty quickly.
I really liked my therapist, and I felt like he had a great plan in place. Unfortunately, at the end of the session he told me he wasn't going to be working at that location anymore. That was kind of disappointing, but I'm sure they have other therapists that are just as good and that will help me make quick progress.
My daily exercises! |
I go back on Tuesday, which will be post-op Day 13. By then, my goal is to have my extension to 20 degrees. That seems like a big jump to me, but I'm ready for the challenge.
My next stop on Day 9 was back at the ortho's office. There's a nurse there who is very nice and she always stops to speak to me even when I'm not her patient. I was really happy that she was the one to remove the tape from my wounds! I thought a man would probably just come in and pull it all off, but of course she didn't. (Most of the other nurses in the office are men, including the guy who insisted I fully straighten my leg last time, even though I can't.) She cleaned it off with alcohol and the tape all came off pretty well. It actually looks a lot better, although it's still a bit misshapen and there will likely be some scarring.
My doctor checked it, forced me to fully extend it, even when I told him the PT said I couldn't, and checked how far I could bend it. Then, he showed me some pictures from the surgery. Apparently, I had completely severed my ACL from my femur. There was just a scraggly little stump left, like the roots of a weed holding on for dear life. He showed me pictures of my new ACL, too. It looked very sturdy and fully capable of doing its job!
For some reason, I think the doc was under the impression he had already given me a brace with an adjustable locking mechanism. I explained that I haven't had one. He asked a similar question at the hospital, so I think he that we had done this already. Well, I got one yesterday and got it fitted. They locked it in at 20 degrees. I was confused and explained that my extension was only 31 and they said okay. I don't know if these two things are related--I thought they would be--but when they put it on, it wasn't uncomfortable (I mean, not anymore than any brace would be) so I guess it doesn't matter that I'm at a 31 and it's at a 20. I like it--it reminds me a bit of Luke Skywalker's arm for some reason. I hope I don't have to wear it for long, but I appreciate the fact that it has a lot of support for my knee, which should be helpful once I can start walking again. Speaking of, he told me to wait until next Wednesday, two weeks from the operation, before I start putting any weight at all on it and then to start off with 20 to 30 pounds tops. We are going to have to get that number up pretty quickly for me to be walking on it anytime soon....
Today is Day 10, and I started my exercise full throttle today. Sure, I went through as many as I could yesterday afternoon, but I didn't really have some of the props I needed, and I didn't have time in the day to do all of the reps. Today, I have all day, and I'm almost done with them, though there are some I'm planning on going back and re-visiting.
As anticipated, that slow stretch has been a killer. The first time, I couldn't hold it for more than two minutes. I have now worked my way up to 10 minutes, but I don't think I can do 15 yet. I have to have at least an hour in with this stretch each day, which doesn't sound like a lot, but I can't tell you how many times I haven't been able to fit an hour long workout into my day (or have thought I couldn't anyway) which tells me it's a bigger chunk of time than it sounds. Still, it's the most important thing I can do to help myself get better, so I'll definitely get that hour in each day. For now, I don't have a lot of other things to do anyway....
I do think I am making progress. Even right now, my leg is pretty straight. I usually keep it as bent as possible, but I'm just naturally keeping it straight with one pillow under it right now, and I think that tells me it isn't as insistent that it has to be bent as it has been in the past.
I will go to PT twice a week for the next two months, and then we will see where we are. They said the first two months are the most critical to my recovery. The doctor still thinks it is possible that I could be walking (assisted) in another two weeks. I hope that I can walk by the beginning of July when I go back to see him.
So... that's where I'm at on my journey right now. It's been two months and two days since the incident. My pain is getting better each day, my leg is starting to cooperate a little more, and I really feel like I have more control over this than I have in a long time.
If you have questions, or something you would like to share, please feel free to leave a comment!
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