Category: Surgery

One Final Push

On By LeraIn Cycling, Life, running, SurgeryLeave a comment

Had another follow up with the ortho clinic two days ago. I’ve had very minor improvement in my knee since the last injection, but I’m still getting pain with even walking still sometimes. I can walk farther most of the time before it starts bothering me, but I still have days where it just doesn’t like me to walk on it at all. After every activity that involves weight bearing, I have pain. I get pain after walking, after running, and even after standing twenty minutes to cook or greet people at the doors at church. Biking is almost normal, but I’ll still get pain after that if I ride longer than about 45 minutes, but shorter rides are okay 85% of the time.

All that said, I feel like I’m back to where I was before I injured myself further at the 5K race in November, but even before that I was still struggling with these same issues for 3 months. Now we’re at 7 months, and it’s not looking great that they will resolve without help. The doctor told me there’s still a chance that they can improve, but told me to look at it from the perspective of how much it’s limiting me from the activities I want to do. The truth is that it’s holding me back.

At my appointment, I had fully planned to discuss my surgical options, but I was so undecided about it. The doctor was really understanding about it and told me to take the next month and see if things improve, and during this next month, he told me (directly quoting him) to “beat the shit out of it as a field test”. He told me to increase my activities and see how it responds. Just based on how the weekend went, I think it was stupid of me to push surgery off another month, but I want to be sure I need it. I really don’t see things improving in the next month, but I’ll make suer I run consistently and keep doing my rehab exercises and see what happens.

Steroid Shot Round Two

On By LeraIn Cycling, Life, running, SurgeryLeave a comment

I had my ortho follow up yesterday. I did get some relief from the steroid injection into my knee joint last time. It gave me some off my range of motion back and helped with some of the pain, but it didn’t help with everything. I remain unable to bend my knee all the way, or straighten it all the way, so trying to do some of the stretches the doctor gave me hasn’t been going well. It’s still too painful to attempt a quad or hamstring stretch, but I’ve been able to do most of the strengthening ones pretty decently.

Given continuing symptoms at my appointment today, the doctor injected my distal IT band to see what that does for me. I’m still getting lateral and posterior pain, and walking still isn’t comfortable, but biking has been feeling a little better. I’m having less pain and stiffness after a ride as long as I keep it slow. Although any amount of pain is still too much, it’s at least a step in the right direction.

If this steroid injection doesn’t fix the problem and get me starting to run, I’ll be discussing surgery when I go back in 6 weeks. Hopefully it won’t come to that, but that’s the very last option. I’m not crazy about the idea of surgery when we don’t even know for sure what’s going on, but I’m pretty sure arthroscopy can aid in diagnosis, and they can fix the problem if they find something right at the same time, so I’m trying to be as positive as I can. The doctor mentioned possibly releasing tension on the IT band, but that’s assuming that’s the cause. The area where it hurts isn’t the same as where I had IT pain before; that was a little higher up on the knee and this is lower. He still doesn’t think it’s likely to be my meniscus even though it is torn since it’s on the medial side, which is the opposite side of my knee. I also have a Baker’s cyst that could be the cause. Basically, we’re both just crossing our fingers and hoping we can at least narrow down what’s going on. Unfortunately, it could be one or all of those things.

I felt pretty good when I woke up this morning (waaaay too early at 2:45 am thanks to insomnia being a side effect of the injection), so I took myself out for a walk at 6 am and managed to hit two miles. I was really slow, but only mildly sore while I walked without a noticeable difference in pain later on, so that’s a good sign. If I can get the pain while walking to disappear over the next two weeks, I’ll try slipping in a couple tenth mile intervals into a walk. I don’t want to rush back into trying to run and make it worse again, but I also need the information for when I go back for my follow up. If I still can’t run, I’ll let them cut me open and see if they can find the problem. I’m far too young for this to be the end of my running, so I’ll give it a try if I have to.

I’ll let you guys know how things continue to go as always!

Graduation From Physical Therapy!

On By LeraIn Life, SurgeryLeave a comment

As the title suggests, I am officially done with physical therapy! I can’t even begin to express my gratitude to the entire staff at my clinic. I’m so blessed that I found a clinic where everybody goes above and beyond and where they refuse to give up until there’s no options left. If my therapist hadn’t been willing to try everything, I don’t think I would’ve made this much progress. ASTYM really made a huge difference for me and the progress that I was able to make, and I’m glad my therapist is one of the few in the area certified in it. He told me to let him know when I can run 20 minutes without pain, and he’ll give me some exercises to get ready for tennis. According to the running plan I’ve been following, that could be in as little as six weeks if all goes well. Even if it takes a little bit longer, I don’t mind as long as I’m not going to hurt myself by overdoing it. I’ve put too much work into this recovery to have a setback that I made for myself. It’s nice to know that even though I am officially done with therapy, I can still ask for help if I need it. The cup in the picture above was a gift from my clinic, and I plan to proudly display it on my bookshelf as a reminder of all the hard work recovery has taken, and will continue to take.

I’m really excited to have the green light to train for my local hot cocoa 5k run in February. I even have a friend training for it, too, so it’ll be even more fun! Running still feels challenging, but in a good way. I look forward to each day I can get outside and grow a little bit stronger. So far my Achilles tendon has only bothered me once while running, and not even enough to stop. The main problem now is the other undiagnosed issue on the outside of my ankle on that same foot. The steroid shot didn’t work as well as I had hoped and I was sore again a week later. I’m guessing when I go for the follow up appointment, I’ll be sent for some tests. For now, that issue is letting me run as long as I do a good warm up, so I’m going to keep going for it. My doctor and my PT both said it was okay to run, so unless things get worse, I’m going to keep going. It feels so good to finally have my goals move a little closer to my reach. It took me longer to get to this point than many others who had the same surgery as me, but I made it, and that’s what matters 🙂

It’s a Marathon, Not a Sprint

On By LeraIn Life, running, SurgeryLeave a comment

Ironically, I highly doubt a marathon will ever be in my future 😀 It’s been a week full of news, some good, some not so good. I’ve been off work all week, which has been nice. I really needed the break to help my foot feel better. It’s never happy when I spend all day on it nearly every day. It’s been feeling pretty good this week, but I’m trying not to get too spoiled.

I had my follow-up with my surgeon on Wednesday. My Achilles tendon is getting there, slowly, but it’s still making forward progress. However, the issue with the outside of my ankle on that same foot has been feeling worse. It’s been holding me back more than my Achilles tendon some days. The doctor looked at it and said he wasn’t 100% sure what it was, but that it could possibly be an impingement of some sort. He asked if it hurt bad enough to try a steroid injection, and I immediately said yes, so that’s what he did. It didn’t hurt as much as I thought it would, but it was still not a great feeling. It felt like a strong ache deep inside my ankle. Some of the swelling is down now, but I’m not sure if it’s because of the shot or because I’ve been off work so many days now. I guess I’ll find out next week. The doctor said that he’s going to check my foot again in a month and decide from there whether he wants me to have some tests done. He wants to know how the steroids worked first. He told me he was fine with me running on it in the meantime, so I’m glad I can keep trying to work on that as long as it will let me.

Thursday I had another physical therapy appointment. I hadn’t been in close to three weeks, so it was nice to be able to get a little extra relief. My therapist wanted to wait until after I had my next doctor’s appointment to find out what was going on with the side of my ankle. He spent a lot of time with me discussing realistic goals and making sure I didn’t try to push myself too much. I was told it would be better to wait until spring to attempt a 5k run because he wanted me to increase my training very slowly so I don’t end up making anything worse. So naturally, tennis and martial arts will be pushed back as well, but he did tell me that I can hit the ball against a board if I was careful not to do jarring movements. Not quite the same, but at least it’s something. He told me that once I can run a mile without pain, then I can look at getting back to some activities slowly. That still seems like a long way off. My therapist taught me some new exercises to help build strength and balance in my right leg, which is what it needs. After doing them yesterday, I have sore quads today, but at least I know that my muscles will get stronger doing them. It’s a good kind of pain because it will have benefits in the future. He told me that he was going to leave it up to me when I come back for another appointment, and if I wanted to check back in every couple of weeks, I could, or if I wanted to try doing things on my own, he was fine with that, too. I told him I honestly was afraid to be on my own right now because it’s never gone well when I’ve tried it in the past, so I’m going back in two weeks. I think it’s wiser to do that to make sure I’m not hurting myself with the new increases in activity I’m trying.

Given all the new information, I thought I’d try working on an interval plan to get me running. Since I’ve been told not to do too much too fast, I’ve been using the None to Run plan, which is online for free. It’s a twelve week program that’s supposed to get you running 25 minutes straight, which will eventually get me to a 5k. I’m not going to be at the front of the pack of any race, but I just want to be able to do it. This program is slower than other interval running plans, which should make my PT happy enough, and I can repeat any weeks I need to until I don’t have pain when doing them. I did the first day of week 2 yesterday, which is a 5 minute warm-up, and then intervals of 1 minute of slow running and 2 minutes of walking until you get a total of 25 minutes. It was hard for me. I’m used to biking, which gets my heart rate up, but running is so much harder. Maybe once I build some muscle back up in my right leg, it will feel easier. I got sore part way through, but not enough to stop. I finished the intervals as laid out, and plan to try again tomorrow morning. I’m trying to give myself a day between runs and plan it for days I start later at work to maximize the chances of success.

I may not have an update for a couple of weeks, so as always, take care! If you have experience getting back to activity after an injury, let me know what kind of tips you have that worked well for you!

A Spark of Hope

On By LeraIn Cycling, Life, SurgeryLeave a comment

It’s been a couple of weeks since I started ASTYM, and it really seems to be helping. My pain at work is unchanged, but at least it doesn’t hurt as much to bike as it did before. I think work is the single biggest thing holding back my recovery, to the point where I’m going to have to start looking for a less strenuous job. Every time I start to feel better on my days off, the pain always comes back the next time I work. I can’t handle that many hours on my feet without breaks anymore. I’m so tired of living in pain every day and limping around the house when I get home.

For the first time in a long time, I feel like things are looking up. I started working on some new exercises at physical therapy which should help me to run and jump again someday. It’s amazing how hard it is to jump! My left leg does all the work, but I’m hoping the right one will step in eventually and remember how to do it. I think it probably needs a little more strength first, but I’ve been diligently doing everything at home. I’m probably one of the few people who actually likes to do the home program based on what I’ve heard other people say. I like putting on some music really loud (usually country or jpop) and working on fixing my body. It’s a half hour of my time well spent every day. On my days off work, I’ll do the program a second time before bed. If it will get me walking normally again, then running, then playing tennis, how could I not enjoy doing my homework? I’ve dealt with this injury for over two years, and while I had hoped recovering from surgery would be a little faster than it’s been, at least I’m feeling like I’m making some progress again.

My other concern as of late is that I think I found out what’s been wrong with the outside of my right ankle: sinus tarsi syndrome. I have to discuss it with a doctor, but all the symptoms match: pain on the outside of the ankle, swelling, trouble walking on uneven surfaces, degenerative changes at the subtalar joint and fluid collection (evidenced on my MRI from last summer), pain turning my foot inward… I’m not dumb enough to diagnose myself on the internet, but reputable sources say it’s often misdiagnosed, so it’s worth asking about so I can get started treating it if I do have it.. It also can weaken the Achilles tendon, which might account for some of my trouble healing. Here’s a link to the site I found with extensive information about it: Physiopedia: Sinus Tarsi Syndrome. It’d be nice to know for sure what the problem is because it’s holding me back as much as my Achilles tendon is, if not more.

Well, that’s all I have for tonight. I don’t have physical therapy this coming week because my therapist is out of the office and the other one doesn’t do ASTYM, but I’ll be picking back up again on the 29 of this month. Until next time, stay well!

Discouraged

On By LeraIn Life, SurgeryLeave a comment

Maybe one day I’ll have something positive to post on here, but that day is not today. As you all know, I was anxiously awaiting my return to physical therapy. It did not go well, however. I had high hopes at the beginning when my therapist was discussing things with me and then he tried something new called ASTYM on the scar over my Achilles tendon. It was painful, but now that it’s calmed down, I think it really helped. The bad thing is, though, that I’m apparently not doing any more sessions. He told me that he didn’t know what else to do for me because I should be farther along in my recovery by now. He wants me to talk to him after I see my doctor next week and tell him what the doctor says, and that if the doctor had any suggestions then he would try them.

I feel like my therapist is giving up on me. Whether that’s true or not, I have no way of knowing, of course, but that’s what it feels like. I don’t know why he did the ASTYM for the first time today if he wasn’t planning for me to come back. If I’m not where I should be, then I want him to help me get there. I just don’t see things getting better working at home after how the past month of that went. It’s not enough. At least when I was regularly attending physical therapy sessions, I felt like I was making progress. I don’t feel like I got anywhere working alone. Just because I can do some stretches, squats, and lunges at home, doesn’t mean everything is going fine. I wanted to go back to that clinic because things went well when I had therapy there before, but now I just don’t understand what’s happening. I just want help getting back to normal function. Even just one guided session every week would be fine with me where my therapist could keep working on my scar tissue and give me more challenging things to do. Most importantly, I need help preventing some of the new issues I’ve had from getting worse. I’m tired of the hip pain, and afraid of what’s going to happen to my left Achilles tendon if I can’t get the right side in shape.

One day I might look back at this difficulty as just a small bump in the road, but right now it might as well be a huge wall. I was crying as soon as I got in the car after my appointment today, and spent most of the morning tearing up every time I thought of it. All of the goals I set for my recovery are slipping farther and farther away and seem so out of reach right now. I’m not signing up for any bike events when I can only ride a third of the distance I would need to (and that’s on a good day). I wanted to run a 5k by the end of summer, but honestly I’d be happy with a mile, or even 100 feet at this point. And tennis… I miss tennis so much, but how can I play tennis if I can’t run? I also planned to sign up for martial arts (probably aikido) this fall/winter, but I can’t do that if I can’t get my foot moving right or I’d just injure it more. I need to get back to what I enjoy, and I need the ability to do whatever activities I want to do.

All I can do right now is just wait for my appointment with my surgeon on Monday and report back to my physical therapist and cross my fingers that he’ll try something new. I really don’t want to go to a different clinic, but it might come down to that. I’m not living the next 50 years of my life feeling the way I feel now. I refuse to accept that this is the best I can hope for. Just because I seem to have hit a plateau doesn’t mean it won’t get better. I need someone fighting in my corner.

In Need of Assistance

On By LeraIn Life, SurgeryLeave a comment

It’s been a little over two weeks since my last physical therapy appointment. I wish I could say things were going well, but they aren’t. I’ve been having more pain and swelling than I had been before, and I’m feeling very frustrated and discouraged. I’ve been following my physical therapists advice, and I’ve even switched to shorter bike rides more frequently as opposed to longer ones less frequently. I just don’t know what to do anymore. I’m really hoping my therapist will have me attending appointments again. Something I was doing there definitely made me feel better, but I don’t know what. I think I still need help. I need to be able to actually get my calf muscles to stretch, because right now the pain at the base of my heel won’t let me get a good stretch to the muscles. I also can’t get the muscle to engage when I’m walking. If I can get that going, I think that will be the turning point. I’m just so worried that I’m going to be discharged from formal therapy sessions, and if that happens, I don’t know if I’ll ever get better. My body is getting tired of compensating for my continued issues. My left Achilles tendon is starting to get that familiar ache at the base off and on for the last three weeks, and my left hip has been bothering me since I was still wearing the boot full time. It’s going to be a long 9 days until I go back to see my therapist, and I’m praying that he can help me. I want to get back to normal!

Physical Therapy Hiatus

On By LeraIn Life, SurgeryLeave a comment

As the title gives away, I’m taking a break from physical therapy; today was my last appointment until the beginning of July. I worked with my usual therapist today and that was his decision. He isn’t sure that continuing to attend will make a difference when I can do a lot of the stuff at home. He told me that most people are talking about running by 4-5 months after surgery, and I can’t even walk properly yet at 6 months. I don’t have a severe limp, but enough that it’s noticeable to strangers because they ask me on a regular basis what I did to myself. I get so much pain and stiffness pushing off my right foot that I can’t move it correctly. At one point my therapist was talking about me coming once a week for a formal session and doing a maintenance program where I could come in and use the equipment one or two other days a week. I don’t understand why we’re going from twice a week to nothing when I can’t do the harder variations of the exercises he’s given me. I need help strengthening my muscles and getting them to stretch better. I don’t think doing the same things for the next month is going to give me what I need. I need someone to guide me and tell me when I can challenge myself and when I should do less.

I feel like everyone I was counting on to help me with my recovery is giving up on me. My doctor always just tells me to give things time to heal when I bring up a concern, and now I don’t have physical therapy to help me unless my therapist decides to have me continue when I go back in a month. Maybe my expectations were too high, but I don’t think it’s asking so much to be able to get normal function back. I assumed I’d be doing physical therapy until I could walk right again, and just beginning to run. I fully understand that I don’t need to attend throughout my whole recovery, but I want my daily life to be easier than it is now.

A Post in Which I Complain

On By LeraIn Life, SurgeryLeave a comment

I don’t have any major reason for writing tonight except that I just wanted to get some thoughts out. I’m still diligently attending physical therapy twice a week and working on some stuff at home. There’s a new therapist that just started there about two weeks ago and I’ve worked with him twice. He’s given me some new things to work on, which I like. He’s a nice guy, maybe too nice. When he does my manual therapy, he’s way too gentle. I don’t know if that’s just how he learned to do it or if he’s afraid to hurt me by being more aggressive, but that’s the only issue I have with him. Otherwise, he’s great. I’m probably just used to how aggressive my usual physical therapist is when he works on my foot/leg, which is usually pretty painful, but it does feel better afterward.

Usually I like going to physical therapy because I want to push myself to heal, but today I couldn’t wait to leave. My normal physical therapist wasn’t there, and the new one was working with a different patient today, so I got stuck with the same float therapist from about two months ago. I say “got stuck with” because I wouldn’t have rather cancelled my session today than to have worked with her. Last time she told me I “really shouldn’t be limping because it’s a bad habit”, like it’s my fault when my tendon gets sore and inflamed it doesn’t want to move right. Today’s session went no better. She seemed almost surprised I was still there and told me that if I wasn’t making progress I should just quit going so I don’t abuse the sessions… WHAT THE HECK?? I don’t understand how she’s qualified to make any statements about the course of my treatment when she’s worked with me exactly twice and knows nothing about my case. I’ve made progress, it’s just been on the slow side. That’s hardly a reason to quit. My surgeon told me to expect six to twelve months of physical therapy, so why she’s saying that to me after four months, and really only almost three since I couldn’t do much when I was still in the boot at the beginning, I just don’t understand. She also talks to me like I’m four years old, asking me if I “always get raised scars when I get boo-boos”. I was so annoyed by the time I left there that I wish I would have just cancelled the appointment and made it for tomorrow instead.

I’m so glad I’m working with my normal therapist on Thursday, the one who I’ve been with since the beginning, even before my surgery, so at least I know my next session won’t be a waste of my time. I’m definitely going to tell him about today’s therapist telling me to quit. I refuse to believe that my foot is as good as it’s going to get, and he’s not going to tell me I’m done yet. We talked about the future a few weeks ago and moving down to once a week of official treatment and a maintenance program where I come use the equipment on my own once my insurance benefits run out. I absolutely won’t settle for only partial healing and a life of limping and pain when I walk.

5 Months Later

On By LeraIn Life, SurgeryLeave a comment

It’s been five months since my surgery. It really doesn’t seem like it was that long ago. I think I say that every time I reach a milestone, but it’s true. Looking back, time just slips away so swiftly, but day by day it seems stagnant sometimes. I’m happy that I’ve made progress in my recovery, but it’s been a lot slower than I was expecting.

I had my follow up appointment with my surgeon today. I was hoping to get some answers to some of the issues I wrote about last time, but all he said was that they were all related to the surgery and should get better in time. He didn’t look at my foot very closely; he just tested the strength by having me push my foot against his hand and that was it. I can see how the heel problem would be related, and it’s trying to get better now that I wear shoes with a gel heel cup in them all the time, even around the house. I still can’t walk barefoot without feeling like I’m walking directly on my heel bone. The issue with the swelling over the outside ankle bone, however, was giving me trouble before my surgery, so I’m not even sure it’s related. All I know is that after working on it all day, it’s swollen and painful and holding me back from being able to move my foot normally.

I’m also pretty sure there’s something going on inside my ankle in one of the joints. I still can’t walk properly and I limp if I’m walking for too long. My limp was awful at work last night. At physical therapy yesterday, my therapist pulled on my ankle and got some good pops out of it, so hopefully it will stay loose for at least a little while. I’m so tired of being in pain. I didn’t expect an easy recovery; I knew it would have its challenges, but I didn’t think it would be quite so bad. I definitely didn’t expect to be having new problems. Even my physical therapist was perplexed when he was doing my reevaluation yesterday. I’m going to ask him if he can talk to the doctor about my case and see if there are solutions they can come up with. I guess maybe it might have been advantageous to have him sit in on my appointment. If I’m still doing physical therapy in two months when I see my surgeon again, I might have him do that if these issues persist.

Despite all the frustrations I’m having, I’ve at least been able to bike. It’s been painful at times and I’m trying not to push myself too hard, but being on my bike is my happy place. I want to be outside as much as I possibly can be. I’m on track to have my highest mileage this week since I’ve been recovering, so hopefully I’ll hit it. Another positive thing is that I’ve worked a week without my walking boot. I’m not sure my foot is all the way ready yet, but I’m going to keep trying as long as I can tolerate it. I’m working three hours longer than usual tomorrow, so I’m expecting a little difficulty, but I’m off Sunday so I can recover and get it feeling better.

One day I might be able to go for a walk and actually enjoy it. There are so many metroparks close by that I can’t really enjoy. It’s hard to want to hike wooded trails when I’m having a hard time with flat surfaces, let alone uneven ones. I still can’t even go up and down the stairs properly, so I’m ready for the day I can do something that simple again. Being able to attempt a 5k or play tennis again feels so far away right right now. My surgeon told me that when I can do a single leg calf raise on my right side, it would be fully healed, and that usually happens 6-9 months after surgery. Here’s hoping that I’ll get there soon, but I have a feeling it’s going to be on the later end of that spectrum.