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| |-+  Post-op diaries (<100 posts) (Moderators: The KNEEguru, ACIMod)
| | |-+  Fulkerson TTT and MPFL R 9/18/09
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Author Topic: Fulkerson TTT and MPFL R 9/18/09  (Read 3174 times)
agresknee
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #150 on: November 09, 2009, 07:28:48 pm »

We had the polor ice and the pain pump highly reccomend the pain pump and you might want to ask about it worked wonders stunk when it wore off but it lasts for three days.

Ice machine was really good who ever takes care of you try to have them schedule the ice machine work and changing with the pain pills til I got that on the same schedule seemed like my alarm was going off all night and getting up to take care of kate. I was exhausted.

talk soon

Sandra how is the ROM and the pool. we get measured today the mentioned havent done it in ages but she comemented friday about lets measure  you monday. So will update results on my post talk soon

update how your doing
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crankerchick
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #151 on: November 09, 2009, 09:13:11 pm »

+1 for scheduling ice changes with meds. My post-op protocol was to do a cannonball stretch every hour during waking hours, so basically my mom checked my machine every hour (it didn't need to be changed that often, but might as well check) when I did my stretch. During the night hours, we changed the ice every 4 hours when I woke up for pills and we also did the stretch during those times. If I woke up in between the 4 hours (i usually did), we did bathroom breaks and also the cannonball stretch. The more you can get things lined up, the more time you can get to rest/sleep in between.

Of course, the more things we did, the longer it took, and then I was wide awake and took a minute to get back to sleep! LOL!
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I'm too young for this!
3/27/2007 - medial plica excision
10/20/2009 - derotational osteotomies (femur & tibia) + TTO
>12/1/2009 - 6 weeks post-op xray
agresknee
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #152 on: November 09, 2009, 10:47:59 pm »

Your post made laugh cankerchick I always felt like we had just gotten back to sleep and the alarm was going off again and I was like NO it cant be time YET thanks for the memory..........lol

have nice day. suzanne

I give +10 a perfect score.....lol because I totally agree schedule as much as you can on the same time it will make your life easier also with keeping track of what your doing when I was stressed and exhausted with worry I would wake up and go OOPS is this ICE or PILLS or whatever when I had it all on the same schedule I knew exactly what I was doing.  I had so much worry that my mind was so FOGGY
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slmac
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #153 on: November 10, 2009, 02:14:41 pm »

Man, I took a much more low key stand on that stuff both in the hospital and when I came home after that first night from Hades. If I was asleep, I was asleep and there was no icing, no pill taking....just a zonked out me. I'd time pills durng the day so that  took a dose right before bed...probably helped too that I took a Benadryl with the dose because I could kinda sleep the whole night. (definition of whole night here is about six hours, maybe seven if I was lucky, since I work at nights and days and have a one year old and don't get home from work until eleven some nights. I tried to keep class short the first two weeks after surgery just to try and get a little more rest, but status quo was a state of just always being tired)

Kim, just to let you know...the thing that was really annoying post op was being stuck sleeping on my back. My back would hurt all night long after the first few days. All I wanted to do was stretch my back and my hips and I couldn't. It was a very uncomfortable time those first few weeks. The couch recliner was the most comfortable spot to be--bed was not. Sleep may be elusive in the beginning until you just pass out from exhuastion. Dilauded just made me more restless in the hospital, but some people can relax on it and get good rest.
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Knee pain and issues during HS...played tennis
7/30/09 First dislocation
8/2009 Second dislocation...verrryyy different this time
9/18/09 TTT (Fulkerson Osteotomy), MPFL Repair, and arthroscopic debridement
crankerchick
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #154 on: November 10, 2009, 05:45:37 pm »

Quote
Your post made laugh cankerchick I always felt like we had just gotten back to sleep and the alarm was going off again and I was like NO it cant be time YET thanks for the memory..........lol
That's exactly how it felt to me and my mom. I wasn't sleeping more than 1-1.5 hours at a time anyway, so I didn't mind doing the stretch and using the bathroom. My leg would be so stiff and uncomfortable that I wanted to move around anyway. But it just seemed like as soon as we finished it all, I knew I would wake up soon and do it again.

I'm 3 weeks post op from my osteotomies and I still wake up usually twice through the night. I got a wedge pillow and that has helped a lot because i'm not a back sleeper either. Two nights ago I slept flat on my back with a pillow under my knees and although it felt good falling asleep, i woke up with my back feeling like super-crap. Back to the wedge for me. The wedge really helps for me.

Sandy, I would have loved to take that stand and just sleep, but I couldn't. After an hour, I just woke up and wanted to move, there was no getting around it. I know the way I was elevating my leg didn't help my comfort level, but it was for the best for maintaining extension so I don't regret it. Once I got to Atlanta, I started sleeping a little bit more at a time and once I got the wedge and ditched the strictly air under the knee elevation technique (with my doc's permission), I started to sleep more at once.

But in the beginning there's no way I would have skipped the pain meds schedule. The thing about pain is it is much harder to get under control once it starts. After my last surgery, I just took a pill before bed the first night and I woke up 7 hours later feeling like a truck had run me over, so staying in front of the pain was at the top of my list this time. I weened myself off the meds starting the second day post op since my pain wasn't too bad, but I did it by going from 2 pain pills to 1 pill and a tylenol to 2 tylenol down to 1, but maintained the every 4 hours schedule just to be safe. I'm glad your method worked out for you but i'm not sure i would recommend that. Even in the hospital, my night nurse told me since my pain meds were every 4 hours, they would wake me to give them to me.

I never took any benedryl or the sleeping pill to sleep though. When I told my doctor I was only doing the stretch through the nigth because I was waking up, he said that was fine. I wasn't "tired' through the day because basically, I was in a hospital bed or a hotel room, I just slept when i was tired. I couldn't imagine trying to work or care for a child or both! Sandy you are the bomb!
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I'm too young for this!
3/27/2007 - medial plica excision
10/20/2009 - derotational osteotomies (femur & tibia) + TTO
>12/1/2009 - 6 weeks post-op xray
slmac
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #155 on: November 10, 2009, 08:07:48 pm »

Latise, I'm so not the bomb...just wild and crazy and stubborn as a mule.:-) lol. Thank you for the compliment. You hit the nail on the head with comfort while sleeping...you have been doing the air under the knee thing, I didn't because I wanted to sleep. I know I should have been, but I'd do it all day and then justify not doing it at night :-).

You're so right about the pain management being harder to deal with once it starts to get out of control. That might be part of why I chose to not do the pain pills at night since I was already uncomfortable and it never got much better. I don't know that my pain was ever successfully managed once the second block wore twelve hours post op.

The benadryl that I've been taking was my doc's idea since I have the lovely allergic side effect of itching all over my body like a crack head when I take oxycodone or hydrocodone. It's seriously sad looking the way I get. I get all twitchy and keep scratching at my face, neck and arms. If I don't take the benadryl, I start to freak people out. :-) It doesn't go well with teaching...imagine what my students must be thinking...hehe

Speaking of the bomb..that's you in my book right now...cycling an hour a day? and you're how many days post-op? you rock! PT thinks I'm close to cycling, but I'm not there yet and I've got four weeks on you!
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Knee pain and issues during HS...played tennis
7/30/09 First dislocation
8/2009 Second dislocation...verrryyy different this time
9/18/09 TTT (Fulkerson Osteotomy), MPFL Repair, and arthroscopic debridement
crankerchick
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #156 on: November 10, 2009, 08:59:11 pm »

Sandy, it does feel good to cycle but one thing to remember is while we both had TTTs, the rest of my surgery is a bit different from yours. I didn't actually have any work done IN my knee (like an MPFLr or LR) so my ROM is a bit less affected. The only thing really inhibiting my ROM is the swelling along the joint line from my tibia.

In addition, my doctor advocates bending from the start for most of his patients. The stretch that I talk about (the cannonball) is basically a stretch where you lie on your back, bring your leg up (like stretching your hamstring), and then bend it so your knee comes to your chest. The idea is motion early and often. Your ROM will come back, and if its anything like my last surgery, it will be slow at first, and then it will just come all at once. The bike will definitely help with that.

I'm so thankful I didn't have any side effects from the meds, except probably constipation. But then again, I don't know how much the pain meds really helped me either. My doctor doesn't do nerve blocks or pain pumps, so I just had my spinal anesthesia. I don't really recall a point where I felt it "wearing off" either. My surgery was at 7:30am and was over around 1:30pm and I felt the same the rest of the day. The next day I felt worse, as to be expected, but I can't say I could tell when the spinal started to wear off. When I woke up from the surgery I could feel my legs and wiggle my toes and everything. I'm not sure what spinal anesthesia is supposed to feel like since i never had it, but I know when I woke up I felt as "normal" then as I do now.

PS LMAO @ being itchy all over like a crackhead. Glad the benedryl worked to keep that in check!
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I'm too young for this!
3/27/2007 - medial plica excision
10/20/2009 - derotational osteotomies (femur & tibia) + TTO
>12/1/2009 - 6 weeks post-op xray
slmac
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #157 on: November 12, 2009, 02:38:59 pm »

Glad to be comic relief! :-)

Good point about the cycling and ROM. My MPFL Repair was a big factor for my doc with the limited ROM and the NWB. I am getting really close to being able to cycle now. Yesterday at PT when I was doing twelve minutes of my back and forth stretches on the recumbent bike I went around once backward by accident. It scared the crap out of me and hurt, but I was excited too since cycling is just around the corner.

On Tuesday I did hydro mania water aerobics at the Y. It was great!!!! The instructor had me wear a water belt so that I could do all no impact if I wanted to in the deep end. I actually stayed weight bearing, but still rather deep for most of the hour long session. I didn't have any pain when I switched to no impact but my leg was starting to stiffen up a bit. It was very rejuvenating. It's a complete drag when I get out of the water and go back to my gimpy self, but in the water I can do quite a bit...just not bend very well.

Speaking of bending, yesterday I hit 101 for ROM!! woo hoo...took me two weeks to add eleven degrees. I have four weeks (approx) until my next OS visit. If I can add ten degrees every two weeks until then I should be at the goal they set for me of 120 by 12/10. I think my water work outs have been what helped me the most this past week.

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Knee pain and issues during HS...played tennis
7/30/09 First dislocation
8/2009 Second dislocation...verrryyy different this time
9/18/09 TTT (Fulkerson Osteotomy), MPFL Repair, and arthroscopic debridement
slmac
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #158 on: November 16, 2009, 06:50:16 pm »

Today was a good PT day. I have been stiff the last few days and trying to break up some scar tissue that was messing with my extension. The therapist got it to pop so I was super happy. We also did a lot of bending today both on my back and on my stomach. We measured at 112 on my back with me doing the bend! I'm very excited about that. They said I actually did more than that when on my stomach. Come on 120! I can do this.

I have four covered visits left (I was approved for 20 by my insurance), so I'll be trying to make the most of my last two weeks of therapy. Hopefully I can hit 120 before my last visit so that I can be working on getting even better ROM before my 12/10 OS visit. Fingers crossed that everything will look great on the x-rays that day.

I'm still walking with one crutch but I've been going without the brace in the house and will try to go without it to work tonight and see how I do. I think there is a fear element in not wearing it...like it's protection or something. I tried walking holding my daughter and using one crutch the other day (with the brace on) and was able to go a short distance. I have until Thanksgiving to be able to do it on my own with her. That's a lot of strength to build up.
I'll be nine weeks post op this Friday.
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Knee pain and issues during HS...played tennis
7/30/09 First dislocation
8/2009 Second dislocation...verrryyy different this time
9/18/09 TTT (Fulkerson Osteotomy), MPFL Repair, and arthroscopic debridement
agresknee
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #159 on: November 17, 2009, 01:59:18 am »

Your doing AWESOME  we see aaron on next monday 345 are you around.

Kate doing great, we got the bone stim today 3K and I own it go figure and the Insurance people would not cover the 6 extra PT I dont get it.  Well I own the bone stim machine why cant your rent the dern thing go figure oh well

talk soon hope to meet you someday at the doc office
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slmac
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #160 on: November 17, 2009, 03:13:50 am »

Suzanne, that is insurance insanity. We'll never understand the curious way in which they operate...wish they'd have paid for me to have the game ready machine...I love that thing. I will be there in late morning on Monday. We're just going to have to hook up some time outside of the OS office. I hope the bone stim works well for Kate. It sounds really neat. Kate is doing so great. I hope she gets cleared for the cutting and slicing (or whatever the moves are called).

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Knee pain and issues during HS...played tennis
7/30/09 First dislocation
8/2009 Second dislocation...verrryyy different this time
9/18/09 TTT (Fulkerson Osteotomy), MPFL Repair, and arthroscopic debridement
agresknee
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #161 on: November 17, 2009, 11:55:24 am »

We never did game ready machine I will have to ask about it at PT, Yes insurance is crazy and just makes me angry at the stupidity of it all, You would think they would look at PT as a way to keep her out of surgery AGAIN but no you get 24 that is all you get whether you need them or not. they wont give more.

Penny wise pound foolish,  She ran outside on the basketball court with her coach did i tell you that and It went really well but the first thing she said when it was over was I WAS SO SCARED I dont think I truly am aware of how much fear she is dealing with,  Aaron is going to give her a pep talk on monday when he goes to clear her for cutting, lets hope PT says she is ready and would like to add it to her excercise  program

To bad about monday, We are always after school do to high school if you have less then three absences and an A your not required to take the final exam.  So she is very protective of her absences. good motivator but really back fires with sick kids who come to school looking like they arent going to make it past the door.

talk soon
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slmac
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #162 on: November 20, 2009, 02:42:20 am »

I bet the pep talk from Aaron will help. It sure is scary trying some things again after this surgery, and I'm sure it's doubley so for Kate since she had the failed op first. If she keeps persisting she'll be good to go. The key seems to be doing something enough times to where you don't over think it and then defeat yourself with nerves. It's so crazy how the mind works with the body (and sometimes against it). The cool thing is that she's over the hurdle of that first time back on the court running. Each time will come easier. She's still doing so great so soon after this operation. She is so far ahead of the curve. I thought it was cool how you wrote that she even ran down the stairs the other day...that's so good! She's going to be back to normal and so much better than before. How's the bone stim working?
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Knee pain and issues during HS...played tennis
7/30/09 First dislocation
8/2009 Second dislocation...verrryyy different this time
9/18/09 TTT (Fulkerson Osteotomy), MPFL Repair, and arthroscopic debridement
agresknee
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Re: Fulkerson TTT and MPFL R 9/18/09
« Reply #163 on: November 20, 2009, 03:03:08 am »

thanks for the pep talk, the bone stim is easy and a non event but you have to use awhile to see if it works we get an xray on monday and will know more about it. Anxious to see the xray and see how much healing has occured since the oct visit we were at 90 then but also 90 the month before so keep your fingers crossed.

talk soon suzanne
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