Sep 29 2010

Update on the “knee” front

This week feels a little strange to me. It’s the first week in months that I haven’t seen the physio – woohoo! I would say “hooray for no bruises” but alas I’m still marked from last week’s session.

My thighs/calves and surrounding muscles in my knee have started to regain some strength, therefore my physio said it wasn’t necessary to see him every week. That’s quite an improvement, and I’m only talking about my wallet!

I just really need to make sure I focus on keeping up with the exercises to make sure my leg doesn’t get weak. I need to make sure I’m doing squats/lunges/knee tensing thingo that I can’t quite explain. If I don’t keep doing them, my leg will eventually become weak again and I will find myself at square one: a swollen knee and unable to walk. That’s a situation I hope to avoid, and thinking about it is motivation enough to keep up with the exercises.

Knee problems? What knee problems.


Aug 29 2010

Photo of the day

240/365 - Bridge to Brisbane results

An estimated result of the Bridge to Brisbane completed by Mat and I. As we started I turned on the timer on my phone, and turned it off when we completed the race, so it would have to be pretty close.

I’m kinda stoked with the time, given it was the first bit of exercise I’ve been able to do in over 4 weeks (other than a combined total of 30mins on a cross-trainer). I followed my physio’s requests and didn’t run on any slopes, and only ran 100m or so of every kilometre. That means that we would have only run maybe 1 – 1.5km at the most? So for a walking-dominated event, I’m pretty stoked. Plus my knee is still feeling good, which is an even better sign.

Can’t be unhappy with that!


Aug 16 2010

Photo of the day

227/365 - EMS pads

As part of my knee recovery, I’m using an EMS machine to help strengthen my Vastus Medialis Oblique (VMO). This photo is of the pads that I stick on the muscle (and they’re incredibly cold when you first put them on!!!)

To use the machine, I simply stick these pads on the muscle (which runs down the inner side of my thigh), and switch it on. It flexes the muscle for a few seconds before releasing it, counts for a few seconds then repeats the process. During the flex, I have to work on flexing the muscle as well.

Using this machine helps my brain to re-learn how to use the muscle properly. This is the muscle that has been giving me so much grief for the last few months, and prevented me from doing any running. As mentioned previously, the VMO runs down the inner thigh and attaches onto the knee cap. As my VMO is so lazy and weak, my knee cap is getting displaced easily, causing the pain and swelling I’ve been getting in my leg.

Hopefully it will strengthen up fast and I will be back to running in no time. Fingers crossed!


Jul 29 2010

Sick of hurting

Today I had the most excruciatingly painful physio session either. I thought I had been over the worst when I was recovering from my knee reconstruction, at one point I had wanted to crawl away from him. All of it was nothing until today, when I actually cried. Yup, there were a few tears, and I told him he was a sadistic bastard.

Monday I had noticed my knee was a little swollen, and a little bit sore. To be safe, I didn’t go for a run and didn’t ride my bike to work. Yet when I arrived at the physio’s this morning he immediately noticed the swelling (I actually thought it had gone down). He tapped my knee cap and showed me the difference between my bad knee and my good knee. It turned out the knee cap in my bad knee was actually floating around in fluid – wow! Then he set to work on my muscles, and I cried. It felt like someone had grabbed my muscle, twisted it as tight as possible, and then tried to pull it out of my body. To say the experience was horrific would be an understatement. I will be sure to post photos of the bruises that come up. I bruise normally after sessions with him, but I wouldn’t be surprised if these ones come out completely black.

So for the next week I’m not allowed to do any running, or any riding. I have to keep it up when I can, and take it easy. Oh, and do hamstring stretches. Lots and lots of hamstring stretches.

While normally I would be fine with that, and accept it as part of my rehab, the reality is that it’s bloody annoying. I’m only 1.5 weeks away from participating in a 14km walk/run in Sydney, the City 2 Surf. I wanted to run this year, and in fact had signed up for one of the running sections. Now all of that is in jeopardy, and I’m frustrated. I’ll be meeting with the physio again next Thursday, the day before we fly to Sydney. He will tell me if he thinks running will be a good idea or not, and I will ignore him if he says I can’t. Kidding, I won’t ignore him (he IS the expert after all) but if he says I can’t run then I know I will be incredibly disappointed.

I’m going to listen to the expert, keep my leg up, and pray. Keep your fingers crossed for me!


Sep 8 2009

A year ago I ripped apart my knee

It’s hard to believe that just one year ago I hurt my right knee playing netball. It was a career ending injury, I’ve never returned to netball since and we all know that I was going to be the next Liz Ellis (disclaimer – that is not entirely true, I was more likely to become Dumbo than Liz Ellis). I managed to tear my ACL (anterior cruciate ligament), the ligament which runs through the centre of the knee and connects your shin (tibia) with your thigh (femur). The ligament is largely responsible for the stability of the knee, and no doubt my long periods of playing netball had greatly stressed this ligament to the point where it could handle no more and ripped. It’s a common injury among netball players and participants of other sports requiring frequent changes of direction at high speed.

3 months later I had a knee reconstruction and began the long period of rehabilitation. I documented each day of my first week follwed by a few more regular updates discussing my progress. It’s been 7 months since my last update, and 9 months since the surgery.

Appearance wise my knee hasn’t changed too much. I know from previous accidents that I scar badly and it takes a LONG time for them to go away. In fact, my scars tend to turn into hypertrophic scars, red raised lumps. I have a scar on my left knee from when I sliced it open on a raised tile in a pool; I was 13 at the time. I’m now 25, and even after 12 years there are still pink bits on the scar. It became quite lumpy originally, but when playing soccer at school I copped a strong hit in the knee by the soccer ball causing my knee to swell. When it went down I was pleased to see my scar had been flattened out in the process.

The actual lines from the stitches have gone, and while my hypertrophic scarring has kicked in and made the long scar look a little bit lumpy, it’s also faded significantly in parts along the length of the scar. The fluro light makes the upper scars look a lot darker in the 9 months picture compared to the 2 months, but looking at them normally I wouldn’t say they’ve faded much at all. The scar on the very left of the picture (not quite visible on the 9 months picture) has a little bit of fading, but not much.

Comparison of scars 7 months and 2 months old

The fluro light made my knee look a lot whiter in the left picture!

With regards to movement, I’m happy to say that I’ve nearly regained full use of my leg again. I can now bend my knee to the same angle as my good leg, but there’s still quite a strength difference. I can notice it when I’m feeling a little bit tired, walking up or down stairs I’ll tend to compensate for my right knee a little bit. My physio has got me doing strengthening exercises in the gym 2 – 3 times a week to build up the muscles so hopefully this will go away in time. Last visit to the physio there was still a 4cm difference between my left and right thighs, so my right quads and hamstrings are getting quite the hammering in the gym in a bid to even it up.

A little over a month ago I was given the all clear to start running slowly in figure 8′s and changing directions, but it was only in the last 2 weeks that my physio told me to really start putting pressure on my knee. I haven’t been doing it as yet and I know I really need to get cracking on it. Until I was allowed to change directions I was still able to run, and have been working towards running 5km following the “Couch to 5k” running program. Now that I am able to put pressure on my knee I’ll be setting up some markers and running between them and getting used to changing directions.

I don’t expect to be seeing the physio for much longer; at this stage I’m only seeing him once every 6 weeks. The sports insurance from the netball courts that had covered all my physio has just run out (as they only pay for rehabilitation up to 12 months after the injury was sustained) and I’ve also reached the limit on coverage for physio services from my own personal health insurance. At $75 a pop to see the physio it’s not something I want to be paying often.

I’m not sure what my next few bench marks are, perhaps equal sized leg muscles? I guess I can almost say that it’s the end of this saga, and something I can put behind me. Still, it’s kinda sad that I even have a category on my blog specifically for discussing all the various injuries I sustain. Perhaps my next aim should stop hurting myself?