So... continuation of the 2014 Summer Update edition.
Ryan Updates :
Ryan has been extremely busy with juggling home projects, work projects, maintaining everything, and taking care of the kiddies. The home project list is long as he continues to fix and create a great home and environment for us and the kiddies. Depending on near future events or plans, some projects get reshuffled to the top of the priority list.
Such as when the fires came through a few months ago. Re-assessment on fire safety led to the removal of the big pine tree close to the house. Pines are notorious fire hazards, and since this is a high fire hazard season, removal makes sense.
The deck is unofficially done! So.. that means it's not done done, but done enough so that we get to use it and enjoy it. We needed the deck to be safe and functional as we hosted a baby shower for a friend and Emilia and Liam's UnBirthday Party earlier in the year.
Here's how the deck looks populated with party people.
It can hold quite a few people. =)
The avocados were harvested around May this year and, as expected, it was the lowest yielding crop on the records. Other growers around here are also yielding 30% from their norm. With so much going on and a poor avocado season, we ended up not having the yearly AvocadoFest.. for a 3rd year in a row.
We usually save one tree from being harvested so that we can pick and eat for the remainder of the season. However, the end of the season is near and we had to pick off our last remaining avocado tree.
The last of our avos for the season...
Not only is the deck done, but also grass area under the deck. The kids and I love the under-the-deck area especially since it provides shade and has a relaxed feel hanging out on the lawn. I use it a lot for exercising on, and the kids like going bare feet in it and playing lawn games.
Ryan has a grand plan for the overall development of this place. Even I don't know what it is! But this here is the foundation of something I know the kids and I will like. I cannot wait for this area to be built up. I am pretty sure once the grand plan is done, we'll be staying home even more often than we do now!
In the meantime, we're using this area as a makeshift Spartan spear throw training area and the kids use this area like a dirt box (not at the same time.. since that wouldn't be safe.) I'm even contemplating setting up a temporary gladiator jousting arena.
And the kids area has gotten a few upgrades.. a climbing structure, a bench, and a newly cut pine table/boxjump/etc.
Mr. Bunny makes a frequent appearance too. It lives in back of the workshop.
So, you remember the Spartan Race we were suppose to do back in January? Well, that never happened since I had knee surgery. The Spartan Sprint (3+ mile race) was postponed to the next available Spartan Race in our area. Well, that is the Spartan Beast (12+ miles, 25 obstacle) course this coming September. At the time we did the transfer, it was still a good year away. I had hoped we would ease into the Spartan Race series with the Sprint, but the ultimate goal.. my goal for the past 3 years, has always been the Beast. So.. in 3 months time, Ryan and I will be running the Beast. Crunch time!
So, in Ryan's free time (which is none), he has been building obstacles to help with our (really it's more for me) training. He has built mens/womens slosh pipes, a rope climb, bucket carry, rock carry, and spear throw. All according to Spartan guidelines.
(Notice our different techniques to get up that rope.)
Connie Updates :
Obsessive compulsiveness is still ever present and any free time is spent on training. Focus is still getting the knee back to 100% and myself back to pre-injury condition. Currently the knee is at 85-90%. Goal is to get my knee (and mind) functioning confidently to run long distance and to handle jumping. Training has slowly increased as the months passed, and now am at a good point of doing cross-training regiment, 6 days/week, which include physical therapy exercises, Pilates, Olympic weight-lifting, rock climbing, trail or hill running, and HIIT (High-Intensity-Interval-Training) with plyometrics.
Yes. Olympic-weightlifting! I am part of a barbell club now and get Oly weight-lifting training from a 20+ year USAW National coach. Turns out MOST EVERYTHING I learned about weight-lifting from Crossfit was WRONG. Back to re-learning the basics and already seeing the benefits. (Roger, if you are reading this, you HAVE to come down and have a one-on-one session with my coach!)
Doing some "cleaning" on a weekend. =)
My form still needs work. The barbell still travels a little horizontal versus straight up vertical, but it's slowly coming along. Oly lifting has helped tremendously in posture, recognizing left/right side imbalances, and has allowed the knee to strengthen faster and regain a wider range of motion.
I also completed the 2 month Paleo challenge back in February through April and successfully decreased body fat by 3.7%. Since then I have maintained a modified Paleo, focusing on more veggie/fruit intake and varying my protein intake to incorporate a little of non-Paleo plant-based protein (non-GMO soy and chia seeds) for protein variety. I have happily steadied to a 17% body fat and back in the "athletic" category.
Other than working out as much as I can and experimenting with healthy food recipes, I have also been hosting a "Mama's Workout" group Sunday mornings where the neighborhood mamas and kids come over and the moms get a workout while the kids have a play date (multitasking!Score!).
It's been going pretty well that we've even had a few friends and acquaintances, Spartan dads, join for a Spartan Obstacle Training workout session. With the current run of American Ninja Warrior Season 6 on TV along with Spartan Race prep, there is an excitement of discussing new obstacles and obstacle strategies and developing a "wish list" of obstacles in our yard. I cannot wait to see what more obstacles Ryan will build in our home training playground! Stay tuned!
Here's our "Devil Steps" obstacle (yes.. it's just an open staircase):
Pretty much the yard has become a playground for both the adults and the kiddies. Lots of fun for all of us.
Showing posts with label knee. Show all posts
Showing posts with label knee. Show all posts
Sunday, July 6, 2014
Wednesday, November 20, 2013
Knee Update : 50% and ALL!
Recent headline making scientific news is the discovery of a "new ligament" in the knee called the ALL (Anterolateral ligament).
A short summary is that majority of ACL injuries also tear this ligament, and this ligament controls the pivot shift or rotational torque which a traditional ACL reconstruction will not account for. Studies of NFL football players have shown those that have torn their ACL once, have a 50% higher risk factor of re-tearing it again. Even with a strong patellar tendon graft, the knee is still more susceptible to the pivot shift since it is not "fixed".
I brought this article to inquire with my orthopaedic during a follow-up visit, and, once again, confirms that doing the diligence to research helped me in choosing the BEST orthopaedic! He confirmed that the additional procedure of adding the extra-articular augment is in fact the ALL ligament. I am doing the limping happy dance!!
I have hit the 3-month post op mark, my 50% point of recovery. Rehab has been tough, especially with incorporating it with work and family schedule. Rehab is still painfully sore, but gets easier and the knee gets stronger every week. I do rehab EVERY SINGLE DAY. I think of it as not a choice, but something I have to do... just like brushing your teeth. It's hygiene... knee hygiene. I stand on one leg and do half squats while washing dishes, brushing my teeth, or.. yes.. even while I'm in meetings at work! I am not allowed to run yet, but I am allowed to incorporate light weight while doing squats now. I'm almost able to go down the stairs without assistance (hand rail or holding the wall). If I keep at this for the next 3 months, both the doc and PT thinks I'm on track for a 6-month recovery of 100%. That's the goal. If all continues smoothly, I can start light running and top-rope rock climbing in a month. I've been given the okay to do Pilates Reformer classes and easy weight-lifting (front and back squats).
For my future reference, this is my current exercise list for strengthening the knee and surrounding muscles:
EXERCISE LIST:
20min bike (L9) - incorporate 4x 1min intervals
10min incline walk (L10 @ 3.2)
20min elliptical (L10) - incorporate 4X 1min intervals
band exercise --> leg raises (4 sets x 30 reps/leg)
band exercise --> one-leg squats (3 sets x 5x)
wall-sits --> (5 sets x 60 secs)
250 body-weight squats --> (5 sets x 50 reps)
stationary lunges/dips --> (5 sets x 15 reps/leg)
side step-ups --> (5 sets x 15 reps)
side bridges --> (5x - hold)
bridges --> 5x @ 90sec, one or two legs
bolsa ball --> 1 leg stance/hold (3x)
bolsa ball --> squat fast wobble (3x)
50%!! The past 3 months, on one hand, seems to have passed by fast, though also feels slow. 3 more months... soon... very soon! =)
A short summary is that majority of ACL injuries also tear this ligament, and this ligament controls the pivot shift or rotational torque which a traditional ACL reconstruction will not account for. Studies of NFL football players have shown those that have torn their ACL once, have a 50% higher risk factor of re-tearing it again. Even with a strong patellar tendon graft, the knee is still more susceptible to the pivot shift since it is not "fixed".
I brought this article to inquire with my orthopaedic during a follow-up visit, and, once again, confirms that doing the diligence to research helped me in choosing the BEST orthopaedic! He confirmed that the additional procedure of adding the extra-articular augment is in fact the ALL ligament. I am doing the limping happy dance!!
I have hit the 3-month post op mark, my 50% point of recovery. Rehab has been tough, especially with incorporating it with work and family schedule. Rehab is still painfully sore, but gets easier and the knee gets stronger every week. I do rehab EVERY SINGLE DAY. I think of it as not a choice, but something I have to do... just like brushing your teeth. It's hygiene... knee hygiene. I stand on one leg and do half squats while washing dishes, brushing my teeth, or.. yes.. even while I'm in meetings at work! I am not allowed to run yet, but I am allowed to incorporate light weight while doing squats now. I'm almost able to go down the stairs without assistance (hand rail or holding the wall). If I keep at this for the next 3 months, both the doc and PT thinks I'm on track for a 6-month recovery of 100%. That's the goal. If all continues smoothly, I can start light running and top-rope rock climbing in a month. I've been given the okay to do Pilates Reformer classes and easy weight-lifting (front and back squats).
For my future reference, this is my current exercise list for strengthening the knee and surrounding muscles:
EXERCISE LIST:
20min bike (L9) - incorporate 4x 1min intervals
10min incline walk (L10 @ 3.2)
20min elliptical (L10) - incorporate 4X 1min intervals
band exercise --> leg raises (4 sets x 30 reps/leg)
band exercise --> one-leg squats (3 sets x 5x)
wall-sits --> (5 sets x 60 secs)
250 body-weight squats --> (5 sets x 50 reps)
stationary lunges/dips --> (5 sets x 15 reps/leg)
side step-ups --> (5 sets x 15 reps)
side bridges --> (5x - hold)
bridges --> 5x @ 90sec, one or two legs
bolsa ball --> 1 leg stance/hold (3x)
bolsa ball --> squat fast wobble (3x)
50%!! The past 3 months, on one hand, seems to have passed by fast, though also feels slow. 3 more months... soon... very soon! =)
Thursday, September 26, 2013
Knee Update : "No Pain, No Gain!" @ 14.75% Recovery
The saying "No Pain, No Gain" is true! I am at week 3 post-recovery, 14.75%. Surgical cuts are healing, bruises are gone, and swelling is down.
Let me tell ya, it has been a very slooow and painful 3 weeks. Slowly, but surely I am making progress, with each knee-workout session to bend that knee past the point of comfort and then some more, as much as the pain is tolerable.
The doc has a detailed protocol and outline of where my knee should be each week. I started off a little behind the curve at week 1, with a 60 degree knee bend. I had a target of 90 degrees by week 2, and did due diligent with extra pain sessions from the PT and from Ryan, the knee was able to flex an additional 30 degrees to hit 90 in 4 days time. Those were 4 insufferable days. End of week 2 was uplifting to see the progress and a little bit of leg strength coming back, enough that I felt comfortable (at home or work) to walk about without the robo-leg brace on.
However, the suffering must continue. Week 2, I continued the due diligence. PT prescribed 10 reps of leg lifts. I did 25 reps/3x a day. I did multiple sessions on my own to work on range of motion to increase the flexion. In addition, I do 1-2 hours of rumble rolling a day. Yes. This is a full time job. Week 2 was, like the prior week, difficult. My ROM did not budge from 90, even with all the additional rehab I was doing. I was stuck there. Not only did I not see progress, but even these simple exercises of bending the knee and leg lifts, by the end of the day, the knee was so sore and painful, that I could barely walk. Week 2 was tough to not see the same progress as week 1.
First day of Week 3, I hit a minor break through. Ryan continued to do nightly pain PT sessions with me and last Thursday, I finally broke through to 102 degrees flexion. This Monday I measured 112 degrees flexion. Getting past the 90 was key. Now sitting is a little bit more comfortable. Moving about is a little easier. The surgical cuts are healed and scar lines now remain. Bruising is almost gone and swelling is now only in the knee area. The focus has shifted from ROM now to getting the quad to fully activate. It is still sub-par. Quad muscle is currently below the curve, while ROM is now above the curve. In addition, PT has been working on breaking up scar tissue that has formed in the knee area. PAINFUL! There is this torture cupping device that uses suction with the intent to "lift" up the surface layer skin and to break up the scar tissue that keeps the skin from moving around the knee. PAINFUL! I feel sharp twinges as the various scar tissue is snapping underneath the skin.
I look forward to when I can finally have a full night's sleep without waking up with knee pain to change out the ice pack. I'm hoping that'll be the next break through... in the meantime, I'm going to keep chugging away at rehab with the motto "No pain, no gain".
Let me tell ya, it has been a very slooow and painful 3 weeks. Slowly, but surely I am making progress, with each knee-workout session to bend that knee past the point of comfort and then some more, as much as the pain is tolerable.
The doc has a detailed protocol and outline of where my knee should be each week. I started off a little behind the curve at week 1, with a 60 degree knee bend. I had a target of 90 degrees by week 2, and did due diligent with extra pain sessions from the PT and from Ryan, the knee was able to flex an additional 30 degrees to hit 90 in 4 days time. Those were 4 insufferable days. End of week 2 was uplifting to see the progress and a little bit of leg strength coming back, enough that I felt comfortable (at home or work) to walk about without the robo-leg brace on.
However, the suffering must continue. Week 2, I continued the due diligence. PT prescribed 10 reps of leg lifts. I did 25 reps/3x a day. I did multiple sessions on my own to work on range of motion to increase the flexion. In addition, I do 1-2 hours of rumble rolling a day. Yes. This is a full time job. Week 2 was, like the prior week, difficult. My ROM did not budge from 90, even with all the additional rehab I was doing. I was stuck there. Not only did I not see progress, but even these simple exercises of bending the knee and leg lifts, by the end of the day, the knee was so sore and painful, that I could barely walk. Week 2 was tough to not see the same progress as week 1.
First day of Week 3, I hit a minor break through. Ryan continued to do nightly pain PT sessions with me and last Thursday, I finally broke through to 102 degrees flexion. This Monday I measured 112 degrees flexion. Getting past the 90 was key. Now sitting is a little bit more comfortable. Moving about is a little easier. The surgical cuts are healed and scar lines now remain. Bruising is almost gone and swelling is now only in the knee area. The focus has shifted from ROM now to getting the quad to fully activate. It is still sub-par. Quad muscle is currently below the curve, while ROM is now above the curve. In addition, PT has been working on breaking up scar tissue that has formed in the knee area. PAINFUL! There is this torture cupping device that uses suction with the intent to "lift" up the surface layer skin and to break up the scar tissue that keeps the skin from moving around the knee. PAINFUL! I feel sharp twinges as the various scar tissue is snapping underneath the skin.
I look forward to when I can finally have a full night's sleep without waking up with knee pain to change out the ice pack. I'm hoping that'll be the next break through... in the meantime, I'm going to keep chugging away at rehab with the motto "No pain, no gain".
Saturday, September 14, 2013
Knee Update : 8.2% at 2 Weeks & A Day
It is getting better...
I am now at 2 weeks and a day of ACL post-op surgery... roughly 8.2% of full recovery. The past two weeks seemed to have taken forever.. and I'm really just looking forward to hitting the 1 month mark. It is suppose to be significantly better with each passing week. So far, it's true. Week 2 is definitely better than week 1. But it is still not out of the pain/uncomfortable zone yet. The knee has all sorts of aches and pains and stiffness and swelling and twinges. On one hand, I don't want to move it, but on the other hand, I have to move it often to break scar-tissue and regain my range of motion. Intense physical therapy started this week. And let me tell ya, it is NOT fun, nor therapeutic. I am re-training all the nerves, muscles, tendons on how to move again, breaking down scar-tissue with new scar-tissue forming and then repeat of the cycle until the internals of the leg stabilizes.
I was foam rolling out the muscles and doing ROM (range-of-motion) exercises as early as I could withstand the pain in week 1. But my first PT session clearly demonstrated why PT is required for this sort of thing. My ROM going into my first PT session was at 60 degree angle. The orthopaedic had laid out a very detailed protocol for the PT to follow, and from that, I was already behind the curve. PT said I needed to be at 90 degrees by the end of the week! That's a 30 degree delta I needed to achieve in 4 days! Prior to that.. I had a 4-5 degree change doing exercises on my own.) The first session was not pretty. The PT cranked down on my leg past pain tolerance threshold. End of the session, she had gotten me to 72 degrees bend (though I couldn't keep it at that degree AND my leg was so numb and sore from the session that I couldn't walk.)
Right away, Ryan started working with me and doing our own massage/PT sessions every evening. Ryan is not as nice as the PT. When I scream out in pain, it does not even phase him. All in all, my life is mainly consumed with rehab - icing and elevating the leg every hour, throwing in foam rolling/massage/stretching as often as I can (usually prior to icing), PT sessions 3x/week for this first month post-op, and then my own exercises every morning/night, along with Ryan's version of PT. Emilia has joined in on the fun and she works on my good leg.
Today was the 3rd PT session...and deadline day. My knee is achy and sore, and twinges of pain are currently radiating at the site of the patella. But.. I DID hit 90 degrees today. Never mind that I can't get it to 90 automatically or even keep it there for long. The week of pain sessions have paid off. I have hit my first recovery milestone by the due date. I have another 2 weeks to hit the next marker, 125 degree ROM plus regain full quad activity and contracted definition. (Right now my quad is like jelloooo).
So..recovery is coming along ssssslowwwly. Brusing and swelling are much better now, and the stitches are off. Check out the gnarly!
All in all... I'm at 8.2%. Only 92% left to go til I can be back to my old self...
I am now at 2 weeks and a day of ACL post-op surgery... roughly 8.2% of full recovery. The past two weeks seemed to have taken forever.. and I'm really just looking forward to hitting the 1 month mark. It is suppose to be significantly better with each passing week. So far, it's true. Week 2 is definitely better than week 1. But it is still not out of the pain/uncomfortable zone yet. The knee has all sorts of aches and pains and stiffness and swelling and twinges. On one hand, I don't want to move it, but on the other hand, I have to move it often to break scar-tissue and regain my range of motion. Intense physical therapy started this week. And let me tell ya, it is NOT fun, nor therapeutic. I am re-training all the nerves, muscles, tendons on how to move again, breaking down scar-tissue with new scar-tissue forming and then repeat of the cycle until the internals of the leg stabilizes.
I was foam rolling out the muscles and doing ROM (range-of-motion) exercises as early as I could withstand the pain in week 1. But my first PT session clearly demonstrated why PT is required for this sort of thing. My ROM going into my first PT session was at 60 degree angle. The orthopaedic had laid out a very detailed protocol for the PT to follow, and from that, I was already behind the curve. PT said I needed to be at 90 degrees by the end of the week! That's a 30 degree delta I needed to achieve in 4 days! Prior to that.. I had a 4-5 degree change doing exercises on my own.) The first session was not pretty. The PT cranked down on my leg past pain tolerance threshold. End of the session, she had gotten me to 72 degrees bend (though I couldn't keep it at that degree AND my leg was so numb and sore from the session that I couldn't walk.)
Right away, Ryan started working with me and doing our own massage/PT sessions every evening. Ryan is not as nice as the PT. When I scream out in pain, it does not even phase him. All in all, my life is mainly consumed with rehab - icing and elevating the leg every hour, throwing in foam rolling/massage/stretching as often as I can (usually prior to icing), PT sessions 3x/week for this first month post-op, and then my own exercises every morning/night, along with Ryan's version of PT. Emilia has joined in on the fun and she works on my good leg.
Today was the 3rd PT session...and deadline day. My knee is achy and sore, and twinges of pain are currently radiating at the site of the patella. But.. I DID hit 90 degrees today. Never mind that I can't get it to 90 automatically or even keep it there for long. The week of pain sessions have paid off. I have hit my first recovery milestone by the due date. I have another 2 weeks to hit the next marker, 125 degree ROM plus regain full quad activity and contracted definition. (Right now my quad is like jelloooo).
So..recovery is coming along ssssslowwwly. Brusing and swelling are much better now, and the stitches are off. Check out the gnarly!
All in all... I'm at 8.2%. Only 92% left to go til I can be back to my old self...
Thursday, September 5, 2013
Knee Update : ACL Surgery - Done. Recovery at 3.27%
ACL surgery went smoothly. All the other ligament injuries appear to have healed. No sign of bone fractures. No additional repair needed for meniscus. ACL reconstructed with patellar tendon, and extra-articular augment was done with hamstring tendon. Doc says my knee looks like a 12-year old knee with no sign of age degeneration, arthritis, or wear-and-tear. All good.
Recovery though has been a different story. Today is day 6 post-surgery. According to calculations (assuming a 6-month speedy recovery), I am only at 3.27% of being recovered. Sigh. The doc did say that unfortunately it will take making my knee worse (with surgery) before it will become better.
The first 36 hours post-surgery were... indescribable, excruciating pain. It radiated from every, single pain receptor of the innermost knee and throughout the calf and thigh. Even with max dose of oxocodone, the pain was relentlessly sharp, burning, and stabbing. There was no relief, and as painful as it was, if I tried in vain to move to find a more comfortable position, intense throbs of pain attacked leaving no nerve untouched in the wrath. If flexed any muscle.. again surging, intolerable pain. I ran a low fever at 101 and went from feeling hot to cold. All I could do was recall my hypno-bithing mantras to make feeble attempts at mindfully pleading with my leg to not move and let the pain engulf. Managing child birth was successful. Managing ACL reconstruction.. failed. It made child birth seem like a walk in the park.
Break-through relief came after I was able to get a few hours of drug-induced sleep at which point I knew the drugs were finally working. The pain was still present, but felt more manageable. Day 4, I was able to stop taking pain meds all together. I choose to get off meds early because I don't like the side-effects. However, it means I have to tolerate the lingering throbs of pain and frequent sharp twinges randomly in all areas. In hindsight, maybe I should have stayed on the pain meds longer... Day 4 also allowed us to remove surgical dressings and see the extent of the damage. Yikes! It is definitely one unhappy knee right now. Swelling is still very much present in the entirety of the leg and lots of bruising.
It is now Day 6 post-op. I started rehab on Day 3 by spending 2-3 hours a day using a Continuous Passive Motion (CPM) machine which automatically bends and extends my leg. I also have a list of exercises to do with the first initiative to reactivate my muscles and work on range of motion (ROM). The quads, hamstring, calf muscles have pretty much shut down due to the trama from the surgery. So until they start taking orders from higher up (aka the brain) versus the nervous system over-ride, I am pretty much still very limited. Standing, walking, even sitting upright can only be done in short spurts. Lying down with the leg elevated, while uncomfortable, is still, at this point, the best I can do. I'm fully understanding now why they say recovery typically takes 6-12 months... it's definitely been tougher than I imagined.
Recovery though has been a different story. Today is day 6 post-surgery. According to calculations (assuming a 6-month speedy recovery), I am only at 3.27% of being recovered. Sigh. The doc did say that unfortunately it will take making my knee worse (with surgery) before it will become better.
The first 36 hours post-surgery were... indescribable, excruciating pain. It radiated from every, single pain receptor of the innermost knee and throughout the calf and thigh. Even with max dose of oxocodone, the pain was relentlessly sharp, burning, and stabbing. There was no relief, and as painful as it was, if I tried in vain to move to find a more comfortable position, intense throbs of pain attacked leaving no nerve untouched in the wrath. If flexed any muscle.. again surging, intolerable pain. I ran a low fever at 101 and went from feeling hot to cold. All I could do was recall my hypno-bithing mantras to make feeble attempts at mindfully pleading with my leg to not move and let the pain engulf. Managing child birth was successful. Managing ACL reconstruction.. failed. It made child birth seem like a walk in the park.
Break-through relief came after I was able to get a few hours of drug-induced sleep at which point I knew the drugs were finally working. The pain was still present, but felt more manageable. Day 4, I was able to stop taking pain meds all together. I choose to get off meds early because I don't like the side-effects. However, it means I have to tolerate the lingering throbs of pain and frequent sharp twinges randomly in all areas. In hindsight, maybe I should have stayed on the pain meds longer... Day 4 also allowed us to remove surgical dressings and see the extent of the damage. Yikes! It is definitely one unhappy knee right now. Swelling is still very much present in the entirety of the leg and lots of bruising.
It is now Day 6 post-op. I started rehab on Day 3 by spending 2-3 hours a day using a Continuous Passive Motion (CPM) machine which automatically bends and extends my leg. I also have a list of exercises to do with the first initiative to reactivate my muscles and work on range of motion (ROM). The quads, hamstring, calf muscles have pretty much shut down due to the trama from the surgery. So until they start taking orders from higher up (aka the brain) versus the nervous system over-ride, I am pretty much still very limited. Standing, walking, even sitting upright can only be done in short spurts. Lying down with the leg elevated, while uncomfortable, is still, at this point, the best I can do. I'm fully understanding now why they say recovery typically takes 6-12 months... it's definitely been tougher than I imagined.
Wednesday, August 28, 2013
Update : The Details of the Knee
Apparently, we forgot about this blog. Thanks for the emails asking how things are! Here is the latest update on the knee.
I will be undergoing knee surgery for ACL reconstruction very, very soon. The extent of my injuries from the mishap in June was a torn-ACL, a couple other partial-tearing of surrounding ligaments -PCL and MFL. Small tear in the backside of the meniscus, and bone fractures and contusion on the outside corner of the tibia and femur bones. I was on the borderline for knee dislocation if the other ligaments had been damaged worse than they are. So, the past two months were spent researching and becoming a knee expert. I obtained referrals from friends (especially thanks to Kelly!), co-workers, and strangers (befriended Ninja Warriors for their feedback and lots of random strangers would stop to talk to me about their ACL surgeries), sought out review for best surgeons in town and ultimately met with 3 different well-regarded orthopaedic surgeons. I researched different methods of ACL reconstruction, the pros and cons, different recovery methods, statistical analysis and medical journals on alternative approaches as well as newer techniques of reconstruction, yadda, yadda, yadda. Pretty much, I had three people (two of them being doctors) ask me if I'm an engineer from my line of questioning and detailed analysis. I guess at least it validates my profession. =P
The point to note here is that the surgeon, choices for reconstruction method, and physical therapy will impact future athletic ability. The first docs recommended a standard procedure and emphasized a lifestyle change with no more high-impact sports. The third doc said the whole point of ACL reconstruction is to hopefully allow one to go back to being active. His recommendation was for a standard procedure as well, but using a donor tendon which would allow for the fastest/easiest recovery. Statistical data, though, shows donor has a higher rate of re-tear. His comment was that it would not matter since I am "older", which puts me in the "less active". Obviously, he didn't watch my video...
So... we know of great comeback stories from NFL football players. Not only football players, but Tiger Woods, Steph Davis (rock climber), even Ninja Warriors (Drew Dreschel and Luis Moco). Some are "older", and have recovered to being stronger and better than before. Changing my lifestyle is unacceptable. So, the second doc was my doc of choice, a newcomer in town, with no personal referrals for him, but his background was head physician for the sports' team at a well-known college for NCAA Division I sports. As well as he has published papers on newer methods of ACL reconstruction. So I knew he was up-to-date on latest research AND that he's performed the newer, complex methodologies. During our meeting, he watched my video of the injury incident and identified how the injury occurred. In fact, my injury is very common among women athletes. He took into consideration that I would like to return back to ninja-ing and obstacle racing, and recommended a procedure to provide the best, strongest knee possible for a comeback. The surgery will combine the best of the traditional, Bone-Patellar Tendon-Bone ACL repair for strength (which is the golden standard for football players) combined with an additional extra-articular augment that compensates for rotational torque (which is what is lacking in traditional ACL repairs based on latest research). This method is an alternative to the controversial double-bundle approach (short terms studies show it controls rotational torque better.. no long term research data, but downfall is a complex procedure with 2x recovery time) which Tiger Woods and Steph Davis both had used. Long story short... I'm so glad I did my research.
Anyhow, it's amazing how fragile the ACL is. I have been stopped by so many strangers and engaged in half-hour long conversations about their ACL injury, surgery choices, and recovery. Two people jokingly welcomed me to the ACL club, as this is so common. It seems as if anyone that's gone through this experience, recognizes the robo-leg (I have been wearing for the past two months) and is more than eager to extend their sympathies as well as share their experience along with advice and tips. I have had young and old stop and talk to me and injuries ranging from tripping on the last step of the stairs, to major skiing wipeout, to someone stepping on their foot while pivoting in basketball, or jumping off a roof (okay.. that one, you know who you are!).
Ryan's also been keeping me up to date on the latest football statistics. This year being unusually high for the number of ACL injuries sustained already, and it is only pre-season! The great news is that there have also been exceptional comeback stories.. with players coming back stronger than before and shorter amount of time of rehab. The typical rehab will be 6-12 months. And Adrian Peterson came back in 5 months from surgery!
I will be undergoing knee surgery for ACL reconstruction very, very soon. The extent of my injuries from the mishap in June was a torn-ACL, a couple other partial-tearing of surrounding ligaments -PCL and MFL. Small tear in the backside of the meniscus, and bone fractures and contusion on the outside corner of the tibia and femur bones. I was on the borderline for knee dislocation if the other ligaments had been damaged worse than they are. So, the past two months were spent researching and becoming a knee expert. I obtained referrals from friends (especially thanks to Kelly!), co-workers, and strangers (befriended Ninja Warriors for their feedback and lots of random strangers would stop to talk to me about their ACL surgeries), sought out review for best surgeons in town and ultimately met with 3 different well-regarded orthopaedic surgeons. I researched different methods of ACL reconstruction, the pros and cons, different recovery methods, statistical analysis and medical journals on alternative approaches as well as newer techniques of reconstruction, yadda, yadda, yadda. Pretty much, I had three people (two of them being doctors) ask me if I'm an engineer from my line of questioning and detailed analysis. I guess at least it validates my profession. =P
The point to note here is that the surgeon, choices for reconstruction method, and physical therapy will impact future athletic ability. The first docs recommended a standard procedure and emphasized a lifestyle change with no more high-impact sports. The third doc said the whole point of ACL reconstruction is to hopefully allow one to go back to being active. His recommendation was for a standard procedure as well, but using a donor tendon which would allow for the fastest/easiest recovery. Statistical data, though, shows donor has a higher rate of re-tear. His comment was that it would not matter since I am "older", which puts me in the "less active". Obviously, he didn't watch my video...
So... we know of great comeback stories from NFL football players. Not only football players, but Tiger Woods, Steph Davis (rock climber), even Ninja Warriors (Drew Dreschel and Luis Moco). Some are "older", and have recovered to being stronger and better than before. Changing my lifestyle is unacceptable. So, the second doc was my doc of choice, a newcomer in town, with no personal referrals for him, but his background was head physician for the sports' team at a well-known college for NCAA Division I sports. As well as he has published papers on newer methods of ACL reconstruction. So I knew he was up-to-date on latest research AND that he's performed the newer, complex methodologies. During our meeting, he watched my video of the injury incident and identified how the injury occurred. In fact, my injury is very common among women athletes. He took into consideration that I would like to return back to ninja-ing and obstacle racing, and recommended a procedure to provide the best, strongest knee possible for a comeback. The surgery will combine the best of the traditional, Bone-Patellar Tendon-Bone ACL repair for strength (which is the golden standard for football players) combined with an additional extra-articular augment that compensates for rotational torque (which is what is lacking in traditional ACL repairs based on latest research). This method is an alternative to the controversial double-bundle approach (short terms studies show it controls rotational torque better.. no long term research data, but downfall is a complex procedure with 2x recovery time) which Tiger Woods and Steph Davis both had used. Long story short... I'm so glad I did my research.
Anyhow, it's amazing how fragile the ACL is. I have been stopped by so many strangers and engaged in half-hour long conversations about their ACL injury, surgery choices, and recovery. Two people jokingly welcomed me to the ACL club, as this is so common. It seems as if anyone that's gone through this experience, recognizes the robo-leg (I have been wearing for the past two months) and is more than eager to extend their sympathies as well as share their experience along with advice and tips. I have had young and old stop and talk to me and injuries ranging from tripping on the last step of the stairs, to major skiing wipeout, to someone stepping on their foot while pivoting in basketball, or jumping off a roof (okay.. that one, you know who you are!).
Ryan's also been keeping me up to date on the latest football statistics. This year being unusually high for the number of ACL injuries sustained already, and it is only pre-season! The great news is that there have also been exceptional comeback stories.. with players coming back stronger than before and shorter amount of time of rehab. The typical rehab will be 6-12 months. And Adrian Peterson came back in 5 months from surgery!
Monday, June 24, 2013
ACL Injury
*DiSCLAIMER* THIS IS FOR THE DOC TO SHOW EXACTLY WHAT HAPPENED. Graphic images of injury.
First Fail: http://youtu.be/L-OUlpFgmKA
Second Fail: http://youtu.be/k03ByOD_dTI
First Fail: http://youtu.be/L-OUlpFgmKA
Second Fail: http://youtu.be/k03ByOD_dTI
Labels:
knee
Sunday, June 23, 2013
Part I: "Alpha! Alpha! Alpha!" ... SET. GO!!
I didn't listen to the instructions given out over a microphone at the start of the race, but I do recall the emphasis of the race MCs that if we spot anyone injured or man down on the course to yell "Alpha! Alpha! Alpha!" and to hold your arms high in the sign of an "X". Hrumph. Alpha Warrior. What an experience and boy, what a day! This will be a long summary.. maybe I'll split it into a few posts.
Our team, "Mangoes and Bananas", consisted of old time climbing buds Roger and Kelly, and college bud, Keith. I'd say, compared to the majority of the burly Crossfitters there, our team looked rather unsuspecting of awesomeness on this course. But never discredit rock climbers! Other greats of the day was having my friends, Chris and Wayne and Seb, out there to cheer us on (aka heckling for some good entertainment). Thanks to CR for being our impromptu photog to help capture the day's event!
Start of the race w/ Roger and Keith leading the way.
Ryan and I attempting the 1st obstacle, giant Monster Barrels.
We had discussed strategy before and thought a high jump into a mantle, with added leg lift for additional top weight to help get one over the barrel, but these slippery buggers threw the strategy out the window.
Next were two cargo net obstacles. There was the Side Winder, a horizontal cargo net to traverse. Easy peasy.
And then there was the inverted cargo net climb, Silver Back.
Ryan showed off his rock climbing campus skillz here. Look ma! No feet!
Next was the Sea of Ropes. This one was fun.
And then Gut Buster. Gut Buster was horrendous for short people. I felt a lot of shoulders and forearms, not much gut. This was a fail for the shorties in the group.
The Sky Walk trampoline fun! Ryan denies it, but I do think the family trampoline outing helped him on this one.
---> Continue Onto Part II: "Alpha! Alpha! Alpha!"
Our team, "Mangoes and Bananas", consisted of old time climbing buds Roger and Kelly, and college bud, Keith. I'd say, compared to the majority of the burly Crossfitters there, our team looked rather unsuspecting of awesomeness on this course. But never discredit rock climbers! Other greats of the day was having my friends, Chris and Wayne and Seb, out there to cheer us on (aka heckling for some good entertainment). Thanks to CR for being our impromptu photog to help capture the day's event!
Start of the race w/ Roger and Keith leading the way.
Ryan and I attempting the 1st obstacle, giant Monster Barrels.
We had discussed strategy before and thought a high jump into a mantle, with added leg lift for additional top weight to help get one over the barrel, but these slippery buggers threw the strategy out the window.
Next were two cargo net obstacles. There was the Side Winder, a horizontal cargo net to traverse. Easy peasy.
And then there was the inverted cargo net climb, Silver Back.
Ryan showed off his rock climbing campus skillz here. Look ma! No feet!
Next was the Sea of Ropes. This one was fun.
And then Gut Buster. Gut Buster was horrendous for short people. I felt a lot of shoulders and forearms, not much gut. This was a fail for the shorties in the group.
The Sky Walk trampoline fun! Ryan denies it, but I do think the family trampoline outing helped him on this one.
---> Continue Onto Part II: "Alpha! Alpha! Alpha!"
Part II: "Alpha! Alpha! Alpha!" OBSTACLES
Next up was one of my favorite obstacles, the Tarzan Swing into a cargo net.
Roger aced this!
Then Pipe Bombs.
Ryan's view of Roger on Pipes bombs with the GoPro
Chopper Crawl
Radial Rings
Battering Rams
This one was pretty hard. Much harder than I expected.
Camelback
Kelly was so there!!
Spider Wall
Ryan's got the trampoline thing down! His spidy shoes help too...
Slack City
---> Continue Onto Part III: "Alpha! Alpha! Alpha!"
Roger aced this!
Then Pipe Bombs.
Ryan's view of Roger on Pipes bombs with the GoPro
Chopper Crawl
Radial Rings
Battering Rams
This one was pretty hard. Much harder than I expected.
Camelback
Kelly was so there!!
Spider Wall
Ryan's got the trampoline thing down! His spidy shoes help too...
Slack City
---> Continue Onto Part III: "Alpha! Alpha! Alpha!"
Part III: "Alpha! Alpha! ALPHA!!".... ALCATRAZ
The grand finale of the obstacle elements resided in a structure, appropriately called "Alcatraz". It is a 3-tiered structure of galvanized piping, enclosed tunnels of crawl space, and challenges the mental aspect of overcoming the fear of heights. The obstacles themselves are not as technical as previous ones, though Alcatraz demands focus, overcoming fear of heights, and requires upper body strength and endurance. Here in Alcatraz, resided my childhood nemesis, Tree Tops. It also contained, one of my favorite childhood playground activities, monkey bars (or as they call it here, Gorilla bars).
Gorilla Bars - Oh Gorilla bars! You are suppose to be my easy, piece-of-cake obstacle. This was the start of 3 microsecond split decision mistakes that I made that ultimately affected my outcome.
Oh. My. NEMESIS. At a childhood camp experience, I encountered a ropes challenge called the "Leap of Faith". It was part of a ropes course challenge geared towards encouraging teamwork and trust. The last element of that rope's challenge was to climb up to the top of a tree (of course safety harnessed in) and jump out onto a platform and then climb down a ladder. Back then, I recall not being able to focus on jumping to the platform. Seeing the ground below, 25-30 feet down, was paralyzing to the legs. Needless to say, I did not make the jump and held on to the harness as they lowered me down.
Tree Tops --> Various levels of platforms to hop across roughly 30 feet in the air. The distances between the platforms varied as well, though I would estimate no more than 5 feet wide. This was definitely a mental challenge and really not much of a physical one.
Roger's 1st attempt... made it on 2nd.
Ryan on TreeTops
Connie's knee buckling on TreeTops
... cries of "ALPHA! ALPHA! ALPHA!" and an Alcatraz rescue/extraction operation begins..
Kelly on TreeTops
Broken Bars --> They are vertical, horizontal, skewed, higher, and lower hanging bars that move. So the challenge is that you do not have a consistent movement or grip while traversing them.
The initial move goes from minimal momentum getting on the first bar, to having to reach up high to a second uneven bar. Not an easy move. This IS Kelly's AWESOMENESS as anyone will clearly see. First attempt seems daunting...
but she follows through with Determination. Tenacity. 110% sheer toughness. All done with a smile. =) So glad the GoPro captured this so I could replay and see it!
Keith on Broken Bars
The End.
Alpha Warrior completed!
The joy of victory... and oh, the agony of defeat!
Overall, Alpha Warrior's obstacles were challenging, but not as hard as we thought it would be. It is definitely doable for the average athlete, and seems more about technique. Grip strength was a plus, which seemed to come easy to the rock climbers of our group. I should have thought better about the grip strength, as Gorilla Bars with gloves was my first downfall mistake. Split second decision to use gloves to protect the hands resulted in very slippery grip. Second mistake was to make an attempt with the gloves, knowing it was slippery. A fluke awkward fall led to injury of the knee, though I did not think anything of it at the time and continued. Third mistake. I continued onto TreeTops and TreeTops finished off the knee. Initial ortho consultation indicates ACL injury.. so, looks like I'm going to be out for a while, at least for the 2013/2014 season. I am bummed as I will not be able to compete in any more races for a long while.. as well as the road to recovery will not be an easy one. I have spent a week eating sweet sugary comfort foods as I re-focus on what is next. The unexpected, though not welcomed, is an opportunity to switch gears and to create new goals. Regardless of the outcome, Alpha Warrior was a great experience. It was fun for the family and friends, and it was great to really focus and develop a disciplined training. I will Alpha again... if it comes back around in 2-3 more years. =P
Gorilla Bars - Oh Gorilla bars! You are suppose to be my easy, piece-of-cake obstacle. This was the start of 3 microsecond split decision mistakes that I made that ultimately affected my outcome.
Oh. My. NEMESIS. At a childhood camp experience, I encountered a ropes challenge called the "Leap of Faith". It was part of a ropes course challenge geared towards encouraging teamwork and trust. The last element of that rope's challenge was to climb up to the top of a tree (of course safety harnessed in) and jump out onto a platform and then climb down a ladder. Back then, I recall not being able to focus on jumping to the platform. Seeing the ground below, 25-30 feet down, was paralyzing to the legs. Needless to say, I did not make the jump and held on to the harness as they lowered me down.
Tree Tops --> Various levels of platforms to hop across roughly 30 feet in the air. The distances between the platforms varied as well, though I would estimate no more than 5 feet wide. This was definitely a mental challenge and really not much of a physical one.
Roger's 1st attempt... made it on 2nd.
Ryan on TreeTops
Connie's knee buckling on TreeTops
... cries of "ALPHA! ALPHA! ALPHA!" and an Alcatraz rescue/extraction operation begins..
Kelly on TreeTops
Broken Bars --> They are vertical, horizontal, skewed, higher, and lower hanging bars that move. So the challenge is that you do not have a consistent movement or grip while traversing them.
The initial move goes from minimal momentum getting on the first bar, to having to reach up high to a second uneven bar. Not an easy move. This IS Kelly's AWESOMENESS as anyone will clearly see. First attempt seems daunting...
but she follows through with Determination. Tenacity. 110% sheer toughness. All done with a smile. =) So glad the GoPro captured this so I could replay and see it!
Keith on Broken Bars
The End.
Alpha Warrior completed!
The joy of victory... and oh, the agony of defeat!
Overall, Alpha Warrior's obstacles were challenging, but not as hard as we thought it would be. It is definitely doable for the average athlete, and seems more about technique. Grip strength was a plus, which seemed to come easy to the rock climbers of our group. I should have thought better about the grip strength, as Gorilla Bars with gloves was my first downfall mistake. Split second decision to use gloves to protect the hands resulted in very slippery grip. Second mistake was to make an attempt with the gloves, knowing it was slippery. A fluke awkward fall led to injury of the knee, though I did not think anything of it at the time and continued. Third mistake. I continued onto TreeTops and TreeTops finished off the knee. Initial ortho consultation indicates ACL injury.. so, looks like I'm going to be out for a while, at least for the 2013/2014 season. I am bummed as I will not be able to compete in any more races for a long while.. as well as the road to recovery will not be an easy one. I have spent a week eating sweet sugary comfort foods as I re-focus on what is next. The unexpected, though not welcomed, is an opportunity to switch gears and to create new goals. Regardless of the outcome, Alpha Warrior was a great experience. It was fun for the family and friends, and it was great to really focus and develop a disciplined training. I will Alpha again... if it comes back around in 2-3 more years. =P
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