Knee Drama Lacks Drama
May. 30th, 2010 08:13 pmSo. My left knee. The one I trashed while running in church, because evidently one should not run in churches. I had the MRI a week ago Friday, and talked to the doctor about the results on Tuesday. It turns out that I don't need surgery, which is excellent.
It turns out that what I have done is something that surgery isn't likely to do much for. Not quite so excellent.
They think that when I fell, I landed so hard that it shoved my kneecap back against the end of the femur behind it, and tore a chunk of cartilage off the back of the kneecap. So there is now a "big defect" (according to the doctor) in the cartilage*.
Also there is a lot of fluid in the joint, and the lateral meniscus is "frayed" at the edge, but not completely torn. And my kneecap does not track in the groove of the femur, which I already knew. I have that issue on both sides: my kneecaps are off-center, which contributes to wear and tear, damages the cartilage, gives them that rice crispies sound when I bend them, and will ultimately give me crippling arthritis. This particular injury just sort of hurries that process along.
So anyway, now I get to do PT! I'm supposed to go twice a week, but the office only had appointments once a week for the next couple weeks, so I've only been to one so far. The therapist was nice and it didn't hurt too much. I'm out of the knee brace and regaining my ability to bend it, which makes getting dressed way easier. I'm also, as of yesterday, off crutches. And was told not to limp. She said it was better to take tiny short strides than to limp — like not whispering when you have a sore throat, maybe?
Therapy so far consists of applying heat to try to get the fluid out, electrical stimulation to get the muscles to hold the kneecap in place better, and then I ride the exercise bike with NO RESISTANCE for 10 minutes. She was very clear about the NO RESISTANCE. And then I ice it and take more ibuprofen.
My shin still hurts and feels swollen, but they are still saying that's all from bleeding in the muscle, plus nerve irritation from the injury. And the bruises are still there and tender, but fading. So now it's rehab, rehab, rehab.
*as a side benefit to all this, I have finally learned to spell cartilage.
It turns out that what I have done is something that surgery isn't likely to do much for. Not quite so excellent.
They think that when I fell, I landed so hard that it shoved my kneecap back against the end of the femur behind it, and tore a chunk of cartilage off the back of the kneecap. So there is now a "big defect" (according to the doctor) in the cartilage*.
Also there is a lot of fluid in the joint, and the lateral meniscus is "frayed" at the edge, but not completely torn. And my kneecap does not track in the groove of the femur, which I already knew. I have that issue on both sides: my kneecaps are off-center, which contributes to wear and tear, damages the cartilage, gives them that rice crispies sound when I bend them, and will ultimately give me crippling arthritis. This particular injury just sort of hurries that process along.
So anyway, now I get to do PT! I'm supposed to go twice a week, but the office only had appointments once a week for the next couple weeks, so I've only been to one so far. The therapist was nice and it didn't hurt too much. I'm out of the knee brace and regaining my ability to bend it, which makes getting dressed way easier. I'm also, as of yesterday, off crutches. And was told not to limp. She said it was better to take tiny short strides than to limp — like not whispering when you have a sore throat, maybe?
Therapy so far consists of applying heat to try to get the fluid out, electrical stimulation to get the muscles to hold the kneecap in place better, and then I ride the exercise bike with NO RESISTANCE for 10 minutes. She was very clear about the NO RESISTANCE. And then I ice it and take more ibuprofen.
My shin still hurts and feels swollen, but they are still saying that's all from bleeding in the muscle, plus nerve irritation from the injury. And the bruises are still there and tender, but fading. So now it's rehab, rehab, rehab.
*as a side benefit to all this, I have finally learned to spell cartilage.